RESEARCH PAPER
Use of complementary and alternative medicine in patients with cancer and their relationship with health behaviours – Cross-sectional study
1
Department of Family Medicine and Community Nursing, Chair of Oncology and Environmental Health, Faculty of Health Sciences, Medical University, Lublin, Poland
2
Department of Family Medicine and Community Nursing, Faculty of Health Sciences, Medical University, Lublin, Poland
3
Chair of Oncology and Environmental Health, Faculty of Health Sciences, Medical University, Lublin, Poland
4
Department of Family Medicine, Medical University, Lublin, Poland
5
Department of Internal Diseases and Hypertension, Institute of Rural Health, Lublin, Poland
Corresponding author
Aneta Jędrzejewska
Department of Family Medicine and Community Nursing, Chair of Oncology and Environmental Health, Faculty of Health Sciences, Medical University of Lublin, ul. Staszica 4-6 Lublin, 20-950, Lublin Ul. Staszica 4-6, Poland
Department of Family Medicine and Community Nursing, Chair of Oncology and Environmental Health, Faculty of Health Sciences, Medical University of Lublin, ul. Staszica 4-6 Lublin, 20-950, Lublin Ul. Staszica 4-6, Poland
Ann Agric Environ Med. 2021;28(3):475–482
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Although the use of complementary and alternative medicine (CAM) is common with Polish cancer patients, little is known about cancer patients’ methods of using CAM and how it correlates with their health behaviour. The aim of the study was to determine the scope of application of complementary and alternative medicine methods among patients treated by oncology and to compare the health behaviours of patients who use alternative medicine with those who do not use these methods.
Material and methods:
The studies were conducted from August 2019 – January 2020 in an Oncology Centre in south-eastern Poland. A cross-sectional study was conducted in a group of 208 oncological patients. The authors’ own questionnaire and the standardized Health Behaviour Inventory were used.
Results:
Most of the patients (85.09%) declared that they used complementary and alternative medicine methods. 45.19% of the respondents had a high rate of health behaviours. It was observed that there was no communication related to the use of CAM among the patients and healthcare staff. Patients using CAM demonstrated more positive health behaviours than those who were not using these methods (p<0.001).
Conclusions:
The majority of the surveyed patients suffering from cancer used complementary and alternative medicine and declared that it was very or slightly effective in strengthening the immune system and helpful in fighting cancer. The patients who used CAM exhibited a higher level of health behaviours than those who did not use these methods.
Although the use of complementary and alternative medicine (CAM) is common with Polish cancer patients, little is known about cancer patients’ methods of using CAM and how it correlates with their health behaviour. The aim of the study was to determine the scope of application of complementary and alternative medicine methods among patients treated by oncology and to compare the health behaviours of patients who use alternative medicine with those who do not use these methods.
Material and methods:
The studies were conducted from August 2019 – January 2020 in an Oncology Centre in south-eastern Poland. A cross-sectional study was conducted in a group of 208 oncological patients. The authors’ own questionnaire and the standardized Health Behaviour Inventory were used.
Results:
Most of the patients (85.09%) declared that they used complementary and alternative medicine methods. 45.19% of the respondents had a high rate of health behaviours. It was observed that there was no communication related to the use of CAM among the patients and healthcare staff. Patients using CAM demonstrated more positive health behaviours than those who were not using these methods (p<0.001).
Conclusions:
The majority of the surveyed patients suffering from cancer used complementary and alternative medicine and declared that it was very or slightly effective in strengthening the immune system and helpful in fighting cancer. The patients who used CAM exhibited a higher level of health behaviours than those who did not use these methods.
REFERENCES (54)
1.
Woźniak-Holecka J, Zborowska K, Holecki T. Alternative medicine as a complementary form of treatment in the oncological patients’ opinion. Psychooncology. 2010; 14(1): 21–28.
2.
Horneber M, Bueschel G, Dennert G, Less D, Ritter E, Zwahlen M. How many cancer patients use complementary and alternative medicine: A systematic review and metaanalysis. Integr Cancer Ther. 2012; 11(3): 187–203. https://doi:10.1177/1534735411....
3.
Bahall M. Prevalence, patterns, and perceived value of complementary and alternative medicine among cancer patients: A cross-sectional, descriptive study. BMC Complement Altern Med. 2017; 17(1): 345. https://doi:10.1186/s12906-017....
4.
Edwards GV, Aherne NJ, Horsley PJ, et al. Prevalence of complementary and alternative therapy use by cancer patients undergoing radiation therapy. Asia Pac J Clin Oncol. 2014; 10(4): 346–353. https://doi:10.1111/ajco.12203.
5.
Keene MR, Heslop IM, Sabesan SS, Glass BD. Complementary and alternative medicine use in cancer: A systematic review. Complement Ther Clin Pract. 2019; 35: 33–47. https://doi:10.1016/j.ctcp.201....
6.
Dulęba K, Wysocki M, Styczyński J. Complementary and Alternative Medicine in Children with Cancer-Facts and Myths. Adv Clin Exp Med. 2006; 15(4): 695–703. https://www.advances.umed.wroc...: 2020.11.20).
7.
Zaid H, Silbermann M, Amash A, Gincel D, Abdel-Sattar E, Sarikahya NB. Medicinal Plants and Natural Active Compounds for Cancer Chemoprevention/Chemotherapy. Evidence-based Complement Altern Med. 2017: 7952417. https://doi:10.1155/2017/79524....
8.
Kessel KA, Lettner S, Kessel C, et al. Use of Complementary and Alternative Medicine (CAM) as Part of the Oncological Treatment: Survey about Patients’ Attitude towards CAM in a University-Based Oncology Center in Germany. Deep G, editor. PLoS One. 2016; 11(11):e0165801. https://doi:10.1371/journal.po....
9.
Ventola CL. Current issues regarding complementary and alternative medicine (CAM) in the United States – Part 1: The widespread use of CAM and the need for better-informed health care professionals to provide patient counseling. P T. 2010; 35(8): 461–468. Accessed January 14, 2021. https://www.ncbi.nlm.nih.gov/p....
10.
Grosso G, Bella F, Godos J, et al. Possible role of diet in cancer: systematic review and multiple meta-analyses of dietary patterns, lifestyle factors, and cancer risk. Nutr Rev. 2017; 75(6): 405–419. https:// doi:10.1093/nutrit/nux012.
11.
Hamer J, Warner E. Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health. CMAJ. 2017; 189(7): E268-E274. https://doi:10.1503/cmaj.16046....
12.
Żołnierczuk-Kieliszek D. Health behaviors and their relationship with health. In: Public Health. Kulik TB, Pacian A, editors. PZWL; 2014: 64–66. https://pzwl.pl/Zdrowie-public... (access: 2021.01.1).
13.
Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: Examining opportunities for cancer control intervention. J Clin Oncol. 2005; 23(34): 8884–8893. https://doi:10.1200/JCO.2005.0....
14.
Rak Niekonwencjonalnie (Cancer unconventionally). https://www.ligawalkizrakiem.p... (access: 2021.02.01).
15.
Dizdar O, Bilgin E, Akin S, Kilickap S, Hayran M. Evaluation of complementary and alternative medicine trials registered in clinicaltrials.gov database. J BUON. 2017; 22(2): 530–534. https://europepmc.org/article/...: 2021.01.20).
16.
Johnson SB, Park HS, Gross CP, Yu JB. Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival among Patients with Curable Cancers. JAMA Oncol. 2018; 4(10): 1375–1381. https://doi:10.1001/jamaoncol.....
17.
Tahir M, Khokhar MA, Ilyas S, Qamar S. Chemotherapy induced nausea and vomiting. Prof Med J. 2019; 26(03): 455–460. https://doi:10.29309/TPMJ/2019....
18.
Rao S, Dinkar C, Vaishnav LK, et al. The Indian spice turmeric delays and mitigates radiation-induced oral mucositis in patients undergoing treatment for head and neck cancer: An investigational study. Integr Cancer Ther. 2014; 13(3): 201–210. https://doi:10.1177/1534735413....
19.
Dariš B, Verboten MT, Knez Ž, Ferk P. Cannabinoids in cancer treatment: Therapeutic potential and legislation. Bosn J Basic Med Sci. 2019; 19(1): 14–23. https://doi:10.17305/BJBMS.201....
20.
Yoga and Cancer. CAM Highlights from NCI. For Patients. Health Information. OCCAM. https://cam.cancer.gov/health_... (access:2021.02.10).
21.
Hu C, Zhang H, Wu W, et al. Acupuncture for Pain Management in Cancer: A Systematic Review and Meta-Analysis. Evidence-based Complement Altern Med. 2016. 1–13. https://doi:10.1155/2016/17202....
22.
Juczyński Z. Measurement Tools in Health Promotion and Helath Psychology. Psychological Test Lab of the Polish Psychological Association; 2001.
23.
Hierl M, Pfirstinger J, Andreesen R, et al. Complementary and Alternative Medicine: A Clinical Study in 1,016 Hematology/Oncology Patients. Oncology. 2017; 93(3): 157–163. https://doi:10.1159/000464248.
24.
Stan DL, Wahner-Roedler DL, Yost KJ, et al. Absent and Discordant Electronic Health Record Documentation of Complementary and Alternative Medicine in Cancer Care. J Altern Complement Med. 2018; 24(9–10): 988–995. https://doi:10.1089/acm.2018.0....
25.
Nilsson J, Källman M, Östlund U, Holgersson G, Bergqvist M, Bergstrőm S. The Use of Complementary and Alternative Medicine in Scandinavia. Anticancer Res. 2016; 36: https://ar.iiarjournals.org/co... (access:2021.02.02).
26.
Teng L, Jin K, He K, et al. Use of complementary and alternative medicine by cancer patients at zhejiang university teaching hospital zhuji hospital, China. African J Tradit Complement Altern Med. 2010; 7(4): 322–330. https://doi:10.4314/ajtcam.v7i....
27.
Stanisz M, Wojciechowska A, Branecka-Woźniak D, Kurzawa R, Ciepiela P, Wróbel A. Complementary and Alternative Methods as Therapies Used by Patients During the Systemic Treatment of Neoplasms. Polish Nurs. 2019; 1(71): 42–47 https://doi:10.20883/pielpol.2....
28.
Augustyniuk K, Brudnoch K, Owsianowska J, Schneider-Matyka D, Jurczak A, Karakiewicz B. Use of Alternative and Complementary Methods by Patients with Diagnosed Cancer Undergoing Chemotherapy. Fam Med Prim Care Rev. 2016; 18(1): 7–11. https://doi:10.5114/fmpcr/4256....
29.
Bielesz K, Plutowski D, Sokołowski F, Strzelczyk W, Kieszkowska-Grudny A, Rucińska M. Search for knowledge about disease and usage of alternative therapy among patients undergoing radiotherapy. Psychooncology. 2015; 19(2): 43–48.
30.
Grabińska K, Szewczyk-Cisek I, Hernik P, Mykała-Cieśla J, Kaziród D. Psychosocial Problems and Needs of Patients Undergone Chemotherapy. Psychooncology. 2011; 2: 39–https://www.termedia.pl/Proble... (access:2021.02.02).
31.
Kwon JH, Lee SC, Lee MA, et al. Behaviors and attitudes toward the use of complementary and alternative medicine among Korean cancer patients. Cancer Res Treat. 2019; 51(3): 851–860. https://doi:10.4143/crt.2019.1....
32.
Sárváry A, Sárváry A. Use of complementary and alternative medicine among breast cancer patients in Hungary: A descriptive study. Complement Ther Clin Pract. 2019; 35: 195–200. https://doi:10.1016/j.ctcp.201....
33.
King N, Balneaves LG, Levin GT, et al. Surveys of Cancer Patients and Cancer Health Care Providers Regarding Complementary Therapy Use, Communication, and Information Needs. Integr Cancer Ther. 2015; 14(6): 515–524. https://doi:10.1177/1534735415....
34.
Kang D-H, McArdle T, Suh Y. Changes in Complementary and Alternative Medicine Use Across Cancer Treatment and Relationship to Stress, Mood, and Quality of Life. J Altern Complement Med. 2014; 20(11): 853–859. doi:10.1089/acm.2014.0216.
35.
Demir BD, Erol O. Complementary and Alternative Medicine Use among Turkish Cancer Patients and the Influencing Factors. Int J Caring Sci. 2018; 11(1):319–332. http://www.internationaljourna... (access: 2021.02.02).
36.
Amirmoezi F, Araghizadeh M, Mohebbinia Z, Kamfiroozi R, Haghpanah S, Bordbar M. Use of complementary and alternative medicine among iranian cancer patients in south of Iran. Int J Cancer Manag. 2017; 10(10): e7233. doi: 10.5812/ijcm.7233.
37.
Jang A, Kang D-H, Kim DU. Complementary and Alternative Medicine Use and Its Association with Emotional Status and Quality of Life in Patients with a Solid Tumor: A Cross-Sectional Study. J Altern Complement Med. 2017; 23(5): 362–369. https://doi:10.1089/acm.2016.0....
38.
Wode K, Henriksson R, Sharp L, Stoltenberg A, Hök Nordberg J. Cancer patients’ use of complementary and alternative medicine in Sweden: A cross-sectional study. BMC Complement Altern Med. 2019; 19(1): 62. https://doi:10.1186/s12906-019....
39.
Bauml JM, Chokshi S, Schapira MM, et al. Do attitudes and beliefs regarding complementary and alternative medicine impact its use among patients with cancer? A cross-sectional survey. Cancer. 2015; 121(14): 2431–2438. https://doi:10.1002/cncr.29173.
40.
Nissen N, Lunde A, Pedersen CG, Johannessen H. The use of complementary and alternative medicine after the completion of hospital treatment for colorectal cancer: Findings from a questionnaire study in Denmark. BMC Complement Altern Med. 2014; 14(1): 388. https://doi:10.1186/1472-6882-....
41.
Garland SN, Valentine D, Desai K, et al. Complementary and Alternative Medicine Use and Benefit Finding Among Cancer Patients. J Altern Complement Med. 2013; 19(11): 876–881. https://doi:10.1089/acm.2012.0....
42.
Hunter D, Oates R, Gawthrop J, Bishop M, Gill S. Complementary and alternative medicine use and disclosure amongst Australian radiotherapy patients. Support Care Cancer. 2014; 22(6): 1571–1578. https://doi:10.1007/s00520-014....
43.
Ali-Shtayeh MS, Jamous RM, Salameh NMY, Jamous RM, Hamadeh AMA. Complementary and alternative medicine use among cancer patients in Palestine with special reference to safety-related concerns. J Ethnopharmacol. 2016; 187: 104–122. https://doi:10.1016/j.jep.2016....
44.
Dogu GG, Kargi A, Tanriverdi O, et al. Complementary/Alternative Medicine Experience in Cancer Patients: A Questionnaire-Based Survey. Int J Hematol Oncol Artic. 2014; 21(1): 45–53. https://doi:10.4999/uhod.12008.
45.
Dhanoa A, Yong TL, Yeap SJL, Lee ISZ, Singh VA. Complementary and alternative medicine use amongst Malaysian orthopaedic oncology patients. BMC Complement Altern Med. 2014; 14(1): 404. https://doi:10.1186/1472-6882-....
46.
Chang KH, Brodie R, Choong MA, Sweeney KJ, Kerin MJ. Complementary and alternative medicine use in oncology: A questionnaire survey of patients and health care professionals. BMC Cancer. 2011; 11(1): 196. https://doi:10.1186/1471-2407-....
47.
Abuelgasim KA, Alsharhan Y, Alenzi T, Alhazzani A, Ali YZ, Jazieh AR. The use of complementary and alternative medicine by patients with cancer: Af cross-sectional survey in Saudi Arabia. BMC Complement Altern Med. 2018; 18(1): 88. https://doi:10.1186/s12906-018....
48.
Aliyu UM, Awosan KJ, Oche MO, Taiwo AO, Jimoh AO, Okuofo EC. Prevalence and correlates of complementary and alternative medicine use among cancer patients in usmanu danfodiyo university teaching hospital, Sokoto, Nigeria. Niger J Clin Pract. 2017; 20(12): 1576–1583. https://doi:10.4103/njcp.njcp_....
49.
Buckner CA, Lafrenie RM, Dénommée JA, Caswell JM, Want DA. Complementary and alternative medicine use in patients before and after a cancer diagnosis. Curr Oncol. 2018; 25(4): e275-e281. https://doi:10.3747/co.25.3884.
50.
Lopez G, Salas CA, Cadiz F, et al. Complementary and integrative medicine use in individuals seeking conventional medical oncology care in Chile: Prevalence and patient characteristics. J Glob Oncol. 2019; 5: 1–6. https://doi:10.1200/JGO.18.001....
51.
McDermott CL, Blough DK, Fedorenko CR, et al. Complementary and alternative medicine use among newly diagnosed prostate cancer patients. Support Care Cancer. 2012; 20(1): 65–73. https://doi:10.1007/s00520-010....
52.
Berretta M, Della Pepa C, Tralongo P, et al. Use of Complementary and Alternative Medicine (CAM) in cancer patients: An Italian multicenter survey. Oncotarget. 2017; 8(15): 24401–24414. https://doi:10.18632/oncotarge....
53.
Bojakowska U, Kalinowski P, Kowalska ME. Evaluation of selected health behaviors before and after the diagnosis among women with breast cancer based on the Health-Related Behaviour Inventory (HBI) questionnaire developed by Juczyński – preliminary study. Journal of Education, Health and Sport. 2016; 6(5): 29–37. http://dx.doi.org/10.5281/zeno....
54.
Muszalik M, Zielińska-Więczkowska H, Kędziora-Kornatowska K, Kornatowski T. Assessment of Selected Health Behavior among Elderly People in Juczyński’s Inventory of Health Behavior Regarding Socio-Demographic Factors. Probl Hig Epidemiol. 2013; 94(3): 509–513. http://www.phie.pl/pdf/phe-201... (access: 2021.12.03).
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