化療期間癌症患童服用中醫藥膳的情況及對身體狀況之影響

The use of herbal medicine and its influence on the physical conditions of cancer children during chemotherapy period

黃雅羚(Yea-Ling Huang)

指導教授 ： 金繼春

高雄醫學大學/護理學院/護理學系研究所/碩士(2007年)

https://doi.org/10.6832/KMU.2007.00115

摘要

背景：
近年來中西合併治療成為盛行的癌症治療方式，台灣的癌症病患常服用坊間偏方的中藥及藥膳，故本研究初步探討台灣癌症患童化療時服用中藥及藥膳的情形，並探討其對病童身體狀況的影響。
目的：
本研究之目的為調查癌症患童服用中醫藥膳的情形；探討人口學特性對選擇使用中醫藥膳之影響；探討服用中醫藥膳對癌症患童的血球數值、體力、疲倦程度及症狀困擾的影響。
對象/地點：
以南部二家醫學中心及北部一家醫學中心93位癌症患童及其主要照顧者為調查對象。
方法：
採描述性比較性研究，使用血球數值、體力視覺類比量表(VAS)、症狀困擾量表(SDS)、患童疲倦量表(CFS)及父母觀點疲倦量表(PFS)來測量癌症患童之身體狀況，並探討其與使用中醫藥膳之關係。
結果：
39.80%的患童有服用中醫藥膳，服用的藥物有45種，常見的有黃耆、枸杞、紅棗、當歸、雞血藤；服用方式聽信坊間偏方，隨意抓少許藥物單獨服用或放入食物中烹煮，一週服用2-3次；平均一年花費不到萬元者佔83.70%。醫療補助多寡與疾病嚴重度和選擇使用中醫藥膳有關，有私人保險者較多人使用中醫藥膳及家屬自覺患童疾病愈不嚴重者愈會使用中醫藥膳。服用中醫藥膳的患童化療後血球未顯著下降及症狀困擾未顯著提高，顯示中醫藥膳在保持骨髓功能及減輕症狀困擾上有發揮作用，但在提升體力、消除疲倦上未見效果，可能為沒有對症下藥、研究樣本數不足或未控制服用劑量及頻率所致。本研究因無控制任何變項，為調查性研究，其中醫藥膳的效果仍需進一步以實驗性研究驗証，但建議在服用藥膳之前，應由專業醫師評估及提供適合病童情況的的藥材及服用劑量。

關鍵字

癌症患童 ； 中藥 ； 藥膳

並列摘要

Backgroud：
In Chinese tradition, people use herbs as food in order to keep health. Recently, many people also use herbs as an alternative regimen, especially cancer patients. The cancer children in Taiwan usually use non-prescriptive herbs in order to improve their physical conditions. Most of them feel effectively. In this study, we discuss how cancer children use herbs and the influences of their physical conditions.
Objectives:
The purposes of this study are discussing how cancer children use herbs and the influences of their physical conditions.
Sample/setting:
Ninety three children with cancer were recruited at three medical centers that two are in the southern of Taiwan and one is in the north of Taiwan.
Method:
A descriptive-comparative research was conducted. Blood count in hospital were used; meanwhile children physical conditions measured by physical force-Visual Analogue Scales(VAS), Childhood Fatigue Scale(CFS), Parent Fatigue Scale(PFS) and Symptom Distress Scale(SDS). Then we discuss the influences on their physical conditions.
Result：
37 of children use herbs and 45 kinds of herbs were used. Astragali Radix, Lycii Fructus, Zizyphi Sativae Fructus, Angelicae Sinensis Radix, Mucunae were usually used by cancer children. The ways of using herbs were putting few herbs in water or food and ate or drunk this kind of tea or food two or three times per week. Most of the herbs were non-prescriptive. 83.7% of the cancer children spend less than ten thousand dollars per year. Parents will use Chinese herbal midicine as assistant when children have personal assurance and when the children’s physical condition is stable. The results were that it was effective in protecting Bone Marrow functions and reducing symptom distresses, however it was ineffective in promoting physical force and reducing fatigue. This study was a descriptive research, so the results must be assayed by experimental study. Therefore we recommended that if you want to use herbs as assistants, it is safer to consult Chinese doctors.

並列關鍵字

childhood cancer ； herb ； Chinese Medicine

參考文獻

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