Terminally ill patients' and their relatives' experiences and behaviors regarding complementary and alternative medicine utilization in hospice palliative inpatient care units: a cross-sectional, multicenter survey.
Background: Terminally ill patients often experience exacerbations of diseases that render mainstream medicine ineffective in relieving symptoms, prompting attempts at complementary and alternative medicine (CAM). This study collected data from terminally ill patients and their relatives to determin...
| Publicado en: | BMC Complementary Medicine & Therapies Vol. 23; no. 1; pp. 1 - 14 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
2/2/2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161654001&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161654001 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26627671 MFH8 jtl: BMC Complementary Medicine & Therapies issn: 26627671 maglogo: N pubinfo: dt: 2/2/2023 vid: 23 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 161654001 161654001 161654001 10.1186/s12906-023-03859-3 161654001 ppf: 1 ppct: 13 formats: tig: atl: Terminally ill patients' and their relatives' experiences and behaviors regarding complementary and alternative medicine utilization in hospice palliative inpatient care units: a cross-sectional, multicenter survey. aug: au: Lin, Yu-Jia Chang, Hsiao-Ting Lin, Ming-Hwai Chen, Ru-Yih Chen, Ping-Jen Lin, Wen-Yuan Hsieh, Jyh-Gang Wang, Ying-Wei Hu, Chung-Chieh Liou, Yi-Sheng Chiu, Tai-Yuan Tu, Chun-Yi Cheng, Bo-Ren Chen, Tzeng-Ji Chen, Fang-Pey Hwang, Shinn-Jang affil: Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan sug: subj: Terminally Ill Patients Psychosocial Factors Extended Family Psychosocial Factors Patient Attitudes Family Attitudes Behavioral Changes Alternative Therapies Utilization Health Resource Utilization Health Information Hospice Care Palliative Care Hospital Units Human Inpatients Cross Sectional Studies Multicenter Studies Questionnaires Taiwan Descriptive Statistics Musculoskeletal Diseases Nervous System Diseases Friendship Treatment Termination Odds Ratio Confidence Intervals Communication Descriptive Research Nonexperimental Studies Data Analysis Software Chi Square Test Male Female Adolescence Adult Middle Age Aged Aged, 80 and Over Health Behavior Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Terminally ill patients often experience exacerbations of diseases that render mainstream medicine ineffective in relieving symptoms, prompting attempts at complementary and alternative medicine (CAM). This study collected data from terminally ill patients and their relatives to determine differences between CAM use, behavioral patterns, and perceptions of health information about CAM. Methods: A cross-sectional design using a self-administered questionnaire was adopted. Eight medical institutions in Taiwan with inpatient hospice palliative care units were chosen. Ninety-two terminally ill patients and 267 relatives met the inclusion criteria. The questions concerned the experience of CAM use, the kinds of products/services CAM provided, the purpose of CAM use, the source of CAM information, and the perceptions and attitudes toward CAM. Results: Both terminally ill patients and their relatives have a high proportion of lifetime and one-year prevalence of CAM use (88.0% vs. 88.4%; p = 0.929). CAM use for musculoskeletal and neurological discomfort is higher among terminally ill patients than among their relatives. Relatives/friends are the most frequent sources of information on CAM (53.3% vs. 62.2%; p = 0.133). The percentage of terminally ill patients who discontinued mainstream medical treatment because of CAM use was higher than that of their relatives (18.5% vs. 9.3%; p = 0.026). More than half the terminally ill patients and their relatives had never been asked about CAM by medical staff (64.1% vs. 66.7%), nor had they informed medical professionals about the use of CAM products and services (63% vs. 66.9%). Random inquiries by medical professionals may be associated with increased disclosure of CAM use (terminally ill patients: odds ratio, 9.75; 95% confidence interval, 1.97–48.35 vs. relatives: odds ratio, 5.61; 95% confidence interval, 2.66–11.83). Conclusions: The high prevalence and concealment of CAM use in terminally ill patients should be considered. Medical professionals should establish a friendly and barrier-free communication model, encourage patients to share CAM experiences, and provide evidence-based information on the use of CAM products and services, to reduce the potential damage caused by harmful use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|