Kemoterapi Tedavisi Devam Eden Meme Kanserli Hastalarda Kullanılan Tamamlayıcı Sağlık Yaklaşımları ve Etkileyen Faktörlerin Değerlendirilmesi
Amaç: Bu çalışmada, meme kanserli hastaların tamamlayıcı sağlık yaklaşımları kullanım durumları ve ilişkili faktörlerin araştırılması amaçlanmıştır. Yöntem: Çalışmaya bir eğitim ve araştırma hastanesinin onkoloji klinik/polikliniğinde takip edilen 71 meme kanseri hastası dâhil edildi. Çalışmaya katılmayı kabul eden hastaların sosyo-demografik, klinik özellikleri ve tamamlayıcı sağlık yaklaşımları kullanım durumları kaydedildi. Hastaların ilaç tedavisine inanç durumları “İlaçlar Hakkında İnançlar Anketi” ile değerlendirildi. Bulgular: Hastaların %21.1’i (n=15) bir tamamlayıcı sağlık yaklaşımları yöntemi kullandığını, kullananların tamamı, bu uygulamaların tıbbi tedavisine yararı olabileceğini düşündüğü için kullanmak istediğini, %9.9’u aile ve akrabaların tavsiyesi, %8.5’i medyanın etkisi nedeniyle tamamlayıcı sağlık yaklaşımları uygulamalarını kullandığını belirtti. Uzak organ tutulumu olan ve hastalık süresi daha uzun olan hastaların tamamlayıcı sağlık yaklaşımları uygulamalarını daha çok kullandıkları ve bunun istatistiksel olarak anlamlı olduğu bulundu (sırasıyla p=0.006, p=0.004). Tamamlayıcı sağlık yaklaşımları uygulamalarını kullanmayan hastaların ilaçların genel olarak zararlı olduğuna inandıkları (p=0.004) saptandı. Sonuç: Çalışmamızda hastaların yaklaşık beşte birinin başta doğal ürünler olmak üzere tamamlayıcı sağlık yaklaşımları uygulamalarından en az birini kullandıkları saptandı. Tamamlayıcı sağlık yaklaşımları uygulamalarını; uzak organ tutulumu ve hastalık süresi daha uzun olan hastaların daha çok, ilaçların daha çok zararlı olduğunu düşünen hastaların ise daha az kullandıkları tespit edildi.
The Evaluation of Complementary Health Approaches and Affecting Factors in Breast Cancer Patients with Ongoing Chemotherapy Treatment
Aim: The purpose of this study is to evaluate complementary health approaches and related factors in breast cancer patients. Methods: A total of 71 breast cancer patients who were followed-up at an oncology and outpatient clinic of a training and research hospital were included in the study. Sociodemographic characteristics, clinical characteristics, and the use of complementary health approaches were recorded for the patients who agreed to participate in the study. The patients’ beliefs about medicinal treatments were evaluated by the “Beliefs About Medicines Questionnaire.” Results: The patients reported that 21.1% of them (n=15) used a complementary health approaches method; all mentioned that they used it because they believed it may be beneficial for their medical treatment, 9.9% used it by taking into account the recommendation of family and relatives, and 8.5% used it due to the influence of the media. It was found that patients with distant organ metastasis and longer disease duration were more likely to use complementary health approaches, which is statistically significant (p= 0.006, p= 0.004, respectively). Patients who did not use complementary health approaches were found to believe that drugs are generally harmful (p= 0.004). Conclusion: In our study, it was determined that approximately one out of five patients used at least one of the complementary health approaches, particularly natural products. It was found that patients
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