放射腫瘤癌患接受西醫、中醫與另類療法的相關性調查分析

An Investigational Analysis for Correlation of Cancer Patients in Radiation Oncology Department Receiving Western, Chinese and Alternative Medical Treatments

陳玉萍(Yu-Ping Chen) ； 曾振淦(Chen-Kan Tseng) ； 曾雁明(Ngan-Ming Tsang) ； 洪志宏(Ji-Hong Hong)

《放射治療與腫瘤學》 15卷4期 (2008/12) Pp. 289-300

https://doi.org/10.6316/TRO/200815(4)289

摘要

Purpose: This study included irradiated cancer patients to explore multivariate correlation factors and current status among Western (WM) Chinese (CM) and Alternative (AM) medical treatment modalities so that one can understand the magnitude of predictors for receiving alternative treatment. From cultural view points, medical staff should try to investigate motivation of herb and alternative modalities of treatment, enhancing communication & instruction to patients to accept most updated medical knowledge which may yield a synergistic effect to traditional orthodoxic medicine.
Materials and Methods: Between August 1, 2005 and September 30, 2005, 338 cancer patients irradiated at the department of radiation oncology. Chang Gung Memorial Hospital were retrospectively reviewed with respect to patients' data collected from self-structured questionnaire assisted by nursing staff of the dept. All cases came from different area islandwide and should have completed a full course of RT with a minimum follow-up period of three years.
Results: Data revealed that the first choice of cancer treatment was WM followed by at least 1 to 2 kind of CM or AM which accounted for 156 (46.1%) patients. Of these, 108 (32%) patients took mainly herb drugs as a major part of treatment by CM. The duration of most alternative treatment was approximately 3 months at an expense of around NT$100000.00. Two hundred and twenty nine (67.8%) cases considered CM or AM having potential for cure of cancer and the information regarding to these type of treatment was mainly from patients' family 194 (57.4%) or relatives 175 (51.8%).
Conclusion: Different age groups yield no significant correlation to the selection of either CM or WM (p＞0.05); Although different educational backgrounds had no specific impact in the choice of CM (p＞0.05) yet effect significantly in the selection of various types of AM (p＜0.011). Patients with educational background equalled to or above college level may predominantly choose a physiologic type of AM (p＜0.01). One hundred and eighty two (53.8%) cases might refer other cancer patients to receive CM. This correlated significantly (p＜0.0005) to the concept of 273 (80.8%) cases that CM have a high potential to completely or partially cure the cancer patients. In addition, 89 (26.4%) cases showed intention to be treated at Mainland China which correlated significantly (p＜0.0003) to the belief that the therapeutic effect of CM is better in Mainland China than in Taiwan.

關鍵字

西醫療法 ； 中醫療法 ； 另類療法

並列摘要

Purpose: This study included irradiated cancer patients to explore multivariate correlation factors and current status among Western (WM) Chinese (CM) and Alternative (AM) medical treatment modalities so that one can understand the magnitude of predictors for receiving alternative treatment. From cultural view points, medical staff should try to investigate motivation of herb and alternative modalities of treatment, enhancing communication & instruction to patients to accept most updated medical knowledge which may yield a synergistic effect to traditional orthodoxic medicine.
Materials and Methods: Between August 1, 2005 and September 30, 2005, 338 cancer patients irradiated at the department of radiation oncology. Chang Gung Memorial Hospital were retrospectively reviewed with respect to patients' data collected from self-structured questionnaire assisted by nursing staff of the dept. All cases came from different area islandwide and should have completed a full course of RT with a minimum follow-up period of three years.
Results: Data revealed that the first choice of cancer treatment was WM followed by at least 1 to 2 kind of CM or AM which accounted for 156 (46.1%) patients. Of these, 108 (32%) patients took mainly herb drugs as a major part of treatment by CM. The duration of most alternative treatment was approximately 3 months at an expense of around NT$100000.00. Two hundred and twenty nine (67.8%) cases considered CM or AM having potential for cure of cancer and the information regarding to these type of treatment was mainly from patients' family 194 (57.4%) or relatives 175 (51.8%).
Conclusion: Different age groups yield no significant correlation to the selection of either CM or WM (p＞0.05); Although different educational backgrounds had no specific impact in the choice of CM (p＞0.05) yet effect significantly in the selection of various types of AM (p＜0.011). Patients with educational background equalled to or above college level may predominantly choose a physiologic type of AM (p＜0.01). One hundred and eighty two (53.8%) cases might refer other cancer patients to receive CM. This correlated significantly (p＜0.0005) to the concept of 273 (80.8%) cases that CM have a high potential to completely or partially cure the cancer patients. In addition, 89 (26.4%) cases showed intention to be treated at Mainland China which correlated significantly (p＜0.0003) to the belief that the therapeutic effect of CM is better in Mainland China than in Taiwan.

並列關鍵字

Western medical ； Chinese medical ； Alternative medical treatment