Cancer patients’ attitudes towards holistic complementary and alternative medicine in the management of sleep problems
DOI:
https://doi.org/10.15584/ejcem.2023.3.21Keywords:
cancer, attitude, complementary therapies, sleepAbstract
Introduction and aim. Sleep problems are frequently experienced in cancer patients and complementary and alternative medicine (CAM) is solve the problem. However, patients’ attitudes towards this practice are crucial. This study was purpose to investigate the attitudes of cancer patients towards CAM practices in the management of sleep problems.
Material and methods. This cross-sectional. and descriptive study was conducted between February-June 2020, on 140 cancer patients in oncology/haematology clinics, three different hospitals in Istanbul. Data were collected by using the Information Form, “Richard Campbell Sleep Questionnaire and The Attitudes towards Holistic Complementary and Alternative Medicine scale”.
Results. It was found that the patients had problems with sleep in general 42.74±21.31, mostly in the aspect of the quality of sleep 36.28±26.1. It was determined that stage IV cancer, education and income level of patients affect sleep problems. While female holistic health attitudes were more negative and, their attitudes towards CAM were positive. It was found in the analysis of variance that was performed to determine the difference between the mean scores towards sleep problems of patients in different stages (F=3.062; p<0.05).
Conclusion. It was found that cancer patients usually had sleep problems, and their attitudes towards CAM practices were positive.
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References
National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/integrative-health. Accessed 18 May, 2023.
Bonacchi A, Toccafondi A, Mambrini A, et al. Complementary. needs behind complementary therapies in cancer patients. Psychooncology 2015;24(9):1124-1130. doi: 10.1002/pon.3773
Duong N, Davis H, Robinson PD, et al. Mind and body practices for fatigue reduction in patients with cancer and hematopoietic stem cell transplant recipients: a systematic review and meta-analysis. Crit Rev Oncol Hematol. 2017;120:210-216. doi: 10.1016/j.critrevonc.2017.11.011
Lee SH, Kim JY, Yeo S, Kim SH, Lim S. Meta-analysis of massage therapy on cancer pain. Integr Cancer Ther. 2015;14:4:297-304. doi:10.1177/1534735415572885
Kreutz C, Schmidt ME, Steindorff K. Effects of physical and mind–body exercise on sleep problems during and after breast cancer treatment: a systematic review and meta-analysis. Breast Cancer Res Treat. 2019;176(1):1-15. doi: 10.1007/s10549-019-05217-9
Chien TJ, Hsu CH, Liu CY, Fang CJ. Effect of acupuncture on hot flush and menopause symptoms in breast cancer-A systematic review and meta-analysis. PLoS One. 2017;12(8):e0180918. doi: 10.1371/journal.pone.0180918
Tao W, Luo X, Cui B, et al. Practice of traditional Chinese medicine for psycho-behavioral intervention improves quality of life in cancer patients: a systematic review and meta-analysis. Oncotarget. 2015;6(37):39725. doi: 10.18632/oncotarget.5388
Kav S, Hanoğlu Z, Algier L. Use of complementary and alternative medicine by cancer patients in Turkey: A literature review. International Journal of Hematology and Oncology 2008;28:4:032-038.
Saldana, Sandra B. Perceptions of Complementary and Alternative Medicine in Western Society: A Focus Study on Switzerland. Independent Study Project (ISP) Collection. 2810. https://digitalcollections.sit.edu/isp_collection/2810 . Accessed 18 May, 2023.
Salamonsen A, Wiesener S. “Then I went to a hospital abroad”: acknowledging implications of stakeholders ‘differing risk understandings related. to use of complementary and alternative medicine in European health care contexts. BMC Complement Altern Med. 2019;19(1):93. doi: 10.1186/s12906-019-2499-3
Santoso AM, Jansen F, de Vries R, et al. Prevalence of sleep disturbances. among head and neck cancer patients: A systematic review and meta-analysis. Sleep Medicine Reviews. 2019;47:62-73. doi: 10.1016/j.smrv.2019.06.003
Hoang HTX, Molassiotis A, Chan CW, et al. New-onset insomnia among cancer. patients undergoing chemotherapy: prevalence, risk factors, and its correlation with other symptoms. Sleep and Breath. 2020;24(1):241-251. doi: 10.1007/s11325-019-01839-x
Zhao C, Grubbs A, Barber EL. Sleep and gynecological cancer outcomes: opportunities to improve quality of life and survival. Int J Gynecol Cancer. 2022;32(5):669-675. doi: 10.1136/ijgc-2022-003404
Ozturk R, Satir DG, Sevil U. Use of complementary and alternative medicine and attitudes in patients with gynecological cancers. Gaziantep Medical Journal. 2016;22:3:141-147. doi: 10.5152/EurJTher.2016.006
Yildirim Y, Tinar S, Yorgun S, et al. The use of complementary and alternative medicine (CAM) therapies by Turkish women with gynecological cancer. Eur J Gynaecol Oncol. 2006;27(1):81-85.
Algier LA, Hanoglu Z, Özden G, Kara F. The use complementary and alternative (non-conventional) medicine in cancer patients in Turkey. Eur J Oncol Nurs. 2005;9(2):138-146. doi: 10.1016/j.ejon.2005.03.010
Ozlu ZK, Ozer N. Richard-Campbell Sleep Questionnaire validity and reliability study. Journal of Turkish Sleep Medicine. 2015;2:29-32. doi: 10.4274/jtsm.02.008
Erci B. Attitudes towards holistic complementary and alternative medicine: a sample of healthy people in Turkey. J Clin Nurs. 2007;16:4:761-768. doi: 10.1111/j.1365-2702.2006.01655.x
Fitzmaurice C, Dicker D, Pain A, et al. Global burden of disease cancer collaboration. The global burden of cancer 2013. JAMA Oncology. 2015;1:4:505-527. doi: 10.1001/jamaoncol.2015.0735
Chhabra N, Kennedy J. A review of cancer immunotherapy toxicity: immune checkpoint inhibitors. Journal of Medical Toxicology. 2021;17(4):411-424. doi: 10.1007/s13181-021-00833-8
Vliegenthart R, Fouras A, Jacobs C, Papanikolaou N. Innovations in thoracic imaging: CT, radiomics, AI and x‐ray velocimetry. Respirology 2022;27(10):818-833. doi: 10.1111/resp.14344
The process of combating tobacco in Turkey. https://havanikoru.saglik.gov.tr/surec.html. Accessed May 20, 2023.
Strollo SE, Fallon EA, Gapstur SM, Tenbroeck GS. Cancer-related problem, sleep quality, and sleep disturbance among long-term cancer survivors at 9-years post diagnosis. Sleep Medicine. 2020;65:177-185. doi:10.1016/j.sleep.2019.10.008
Imanian M, Imanian M, Karimyar M. Sleep quality. and fatigue among breast cancer patients undergoing chemotherapy. Int J Hematol Oncol Stem Cell Res. 2019;13(4):196-200.
Chen Q, Terhost L, Lowery-Allison A, et al. Sleep problems. in advanced cancer patients and their caregivers: Who is disturbing whom? J Behav Med. 2020;43(4):614-622. doi: 10.1007/s10865-019-00088-3
Currow DC, Davis W, Connolly A, et al. Sleeping-related. distress in a palliative care population: A national, prospective, consecutive cohort. Palliative Medicine. 2021;35:9:1663-1670. doi: 10.1177/0269216321998558.
National Center for Complementary and Integrative Health. The use of complementary and alternative medicine in the United States. https://www.nccih.nih.gov/research/statistics/nhis/2017 Accessed April 26, 2023.
Ng JY, Parakh ND. A systematic review and quality assessment of complementary and alternative medicine recommendations in insomnia clinical practice guidelines. BMC Complement Med Ther. 2021;21(1):1-11. doi: 10.1186/s12906-021-03223-3
Akeeb AA, King SM, Olaku O, White JD. Communication between cancer patients and physicians about complementary and alternative medicine: A systematic review. J Altern Complement Med. 2023;29(2):80-98. doi: 10.1089/jicm.2022.0516
Gansler T, Kaw C, Crammer C, Smith T. A population‐based study of prevalence of complementary methods use by cancer survivors: A report from the American Cancer Society's studies of cancer survivors. Cancer. 2008;113(5):1048-1057. doi:10.1002/cncr.23659
Molassiotis A, Ortega P, Put D, Ozden G, et al. Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol. 2005;16(4):655-663. doi:10.1093/annonc/mdi110
Pedersen CG, Christensen S, Jensen AB, Zachariae R. Prevalence, socio-demographic and clinical predictors of post-diagnostic utilisation of different types of complementary and alternative medicine (CAM) in a nationwide cohort of Danish women treated for primary breast cancer. Eur J Cancer. 2009;45(18):3172-3181. doi: 10.1016/j.ejca.2009.09.005
Ustundağ S, Demir Zencirci A. Complementary and alternative medicine use among cancer patients and determination of affecting factors A questionnaire study. Holist Nurs Practice 2015;29(6):357-369. doi: 10.1097/HNP.0000000000000113
Colagiuri B, Christensen S, Jensen AB, et al. Prevalence and predictors of sleep difficulty in a national cohort of women with primary breast cancer three to four months post-surgery. J Pain Symptom Manag. 2011;42(5):710-720. doi: 10.1016/j.jpainsymman.2011.02.012
Zhou ES, Clark K, Recklitis CJ, et al. Sleepless from the Get-go: Sleep problems prior to initiating cancer treatment. Int J Behav Med. 2018;25:502-516. doi: 10.1007/s12529-018-9715-2
Ratcliff CG, Zepeda SG, Hall MH, et al. Patient characteristics associated with sleep disturbance in breast cancer survivors. Support Care Cancer. 2021;29:2601-2611. doi: 10.1007/s00520-020-05777-3
Andrykowski MA, Aarts MJ, van de Poll-Franse LV, Mols F, Slooter GD, Thong MS. Low socioeconomic status and mental health outcomes in colorectal cancer survivors: disadvantage? advantage?... or both? Psychooncology .2013;22(11):2462-2469. doi: 10.1002/pon.3309
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