| 摘要: | 背景及目的：目前肺癌的治療，已無法全然滿足患者的期待，因此現今推動的個人化整合治療，逐漸納入了多樣化的輔助及另類療法（complementary and alternative medicine, CAM）。本研究期望藉由問卷了解肺癌患者輔助及另類療法的使用情況及相關因素，同時探討其對肺癌症狀困擾的影響。 材料及方法：本研究案為橫斷式調查，採立意抽樣，以自擬問卷於南部某區域教學醫院胸腔科門診執行肺癌患者收案。 結果：結果顯示63％患者肺癌確診後使用CAM。標靶治療及罹癌前後使用CAM的行為模式改變顯著相關。最常見的CAM種類依序為營養補充劑、操作與基礎療法及中醫（健保）。CAM的相關資訊最多來自親友介紹（55.3％）。81.6％的患者有向醫生告知CAM的使用。84.2％自訴使用後整體成效不顯著， 94.1％受訪者表示將繼續使用。 結論：研究顯示肺癌患者使用CAM十分普遍。醫療人員不妨適時提供CAM相關資訊，且因現今的抗癌治療，病患已較以往有較好的體力，並對使用健保中醫輔助治療，有高度接受性。也建議醫療院所常規將患者轉介癌症中醫共同照護，以達到更高的整合照護成效。
Background and Purpose: At present, treatment expectations of patients undergoing lung cancer treatment cannot be fully met. As a result, the personalized comprehensive treatment commonly promoted has been gradually incorporated into various complementary and alternative therapies. In this study, a questionnaire survey was used to study the use of complementary and alternative therapies and associated factors in patients with lung cancer, and to investigate its effect on lung cancer symptoms. Materials and Methods: A cross-sectional survey was used in this study. Purposive sampling using a self-designed questionnaire was carried out on lung cancer patients at an academic hospital located in the south of Taiwan. Results: The results showed that 63% of patients diagnosed with lung cancer used complementary and alternative medicine (CAM). In addition, survey results indicated that patients who used targeted cancer therapy or those who have used CAM prior to the diagnosis of cancer was significantly associated with CAM use after diagnosis of cancer. The most common types of CAM used were taking nutritional supplements, manipulative and body-based therapies, and Chinese medicine. Results also showed that patients mostly obtained information about CAM from friends and relatives (55.3%). Furthermore, 81.6% of patients have told their physician about their use of CAM. Moreover, 84.2% of patients reported no obvious effects of CAM, however, 94.1% of the respondents indicated that they would continue to use CAM. Conclusion: The results of this study showed that the use of CAM in lung cancer patients is very common. Medical staff also tend to provide relevant information on CAM in a timely manner. In addition, because current anti-cancer treatment methods have less side effects, patients are physically better off compared to before. As a result, the use of traditional Chinese medicine (TCM), which is covered by medical insurance, has become more popular. To increase the effectiveness of cancer treatment, these findings suggest that physicians should recommend patients to use TCM as a complementary treatment. |
