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放射治療與腫瘤學

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篇名 放射治療之惡性腦瘤患者接受另類療法與食物觀念的調查分析
卷期 12:1
並列篇名 Malignant Brain Tumor Patients' Attitude towards Food and Alternative Treaemet
作者 陳玉萍曾振淦陳美伶洪志宏曾雁明李弘暉
頁次 059-065
關鍵字 腦瘤另類療法食物禁忌Brain tumorAlternative treatmentAttitude towards foodTSCI
出刊日期 200503

中文摘要

目的:了解惡性腦瘤患者接受另類療法與食物禁忌的程度,並探討那些因素與之有關聯。並且鼓勵醫療人員應以文化主位立場,瞭解癌患使用另類療法的動機及對於食物禁忌之觀念,加強溝通管道,以正向引導病患接受科學化醫療與知識,以便與正統治療相輔相成。材料與方法:從1997年11月1日至1999年7月15日止。於林口長庚醫院放射腫瘤科接受放射線治療之惡性腦瘤患者,共收案126位;收案採自擬結構式問卷,由放射腫瘤科資深護理師協助個案填寫問卷內容;問卷填寫共2次:第一次於放射治療第二週時填寫,第二次乃於治療結束後6個月內填寫。結果:個案於放射治療前、放療中採用的另類療法大多為複項選擇,以民俗偏方居多,且以草藥為主。20位(15.9%)個案認為另類療法是有效的,且有19位(95%)個案會主動推薦供其他患者參考。79位(62.7%)個案認為營養會加速腫瘤生長,108位(85.7%)病患認爲癌症不會經由共同進食而傳染。9位(7.1%)個案於罹患癌症前有食物禁忌,而罹患癌症後卻有97位(77%)個案有食物禁忌,且禁忌之食物大多為數種以上。討論:個案接受放療的信心態度與其放療前接受另類療法並無關係(P>005);但對放療中卻有影響(P<0.0001);而營養是否加速腫瘤生長、癌症是否經由共同進食而傳染的觀念與癌患的年齡層、教育程度並無關係(P>005)。

英文摘要

Background: To gain a understanding of the degree to which malignant brain tumor patients choose to turn to alternative treatment and abstain from certain food, and to find out what factors play a role ill this preference. Methods: The study was carried out from November 1 1997 to July 15 1999. One hundred and twenty-six patients were enrolled in the study, being malignant brain tumor patients undergoing radiotherapy. Admission was based on a questionnaire that had to be filled ill by the malignant brain tumor patients. This questionnaire had to be filled in twice, the first time ill the first week after starting radiotherapy and the second time within 6 months after completion of the treatment. Results: Seventy-nine patients thought that nutrition would accelerate tumor growth, and 108 patients believed that cancer would lot be contracted through the sharing of food. Ninety-seven patients chose to abstain from certain food after being diagnosed with cancer. Generally more than one type of food was abstained from. Conclusion: The patient's confidence in the treatment affected his inclination to turn to alternative treatment during radiotherapy. If alternative treatment was effective, the patients tended to recommend it to other patients.

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