위암 환자의 보완대체의학 이용 실태

다국어 초록 (Multilingual Abstract)

Purpose: Complementary and alternative medicine (CAM) has recently been spotlighted, and CAM can be defined as methods for treating diseases or ways to maintain physical health that out lie outside the boundaries of conventional medicine. We have conducted research to determine the status of CAM usage among Korean gastric cancer patients and their attitudes toward it, to determine what better can be done about CAM.
Methods: We surveyed those patients in St. Mary Hospital who were diagnosed to gastric cancer and who volunteered to participate in this study. The survey consists of 38 questions and each question covered personal characteristics information as to whether they have used CAM, whether they were satisfied after taking CAM and their intentions for re-use.
Results: A total of 195 patients answered the survey. 80 patients (41%) experienced CAM for the purpose of remedying their gastric cancer. The top leading CAM was dietary supplement for 52% of the patients, ginseng for 26% of the patients and Chinese herbal medicine for 10.8% of the patients. 54 patients (67.5%) were satisfied with the results of the CAM and they said that it had an effect on fatigue (45%). The statistics showed positive correlation between the level of education and the CAM users (P=0.001).
Conclusion: The percentage of patients using CAM among the gastric cancer patients was high, up to 41%. Most of these patients wanted more information and discussion with their physicians about CAM therapies. The interesting thing was that most of the CAM was oral medicine. Based on our findings, research on the safety and effectiveness of CAM is required.

목차 (Table of Contents)

• 서론
• 방법
• 결과
• 고찰
• 결론
• REFERENCES
• Appendix : 대체의료에 관한 설문조사

참고문헌 (Reference)

1 Malik IA, "Use of CAM results in delay in seeking medical advice for breast cancer" 18 : 817-822, 2003

2 Eisenberg DM, "Trends in alternative medicine use in the United States, 1990～1997: result of a follow-up national survey" 280 : 1569-1575, 1998

3 Lerner IJ, "The prevalence of questionable methods of cancer treatment in the United States" 43 : 181-191, 1992

4 Ernst E, "The prevalence of complementary/alternative medicine in cancer: a systematic review" 83 : 777-782, 1998

5 Finnigan M, "The centre for the study of complementary medicine: an attempt to understand its popularity through psychological, demographic and operational criteria" 5 : 75-82, 1991

6 Downer SM, "Pursuit and practice of complementary therapies by cancer patients receiving conventional treatment" 309 : 86-89, 1994

7 Nekolaichuk CL, "On the nature of hope in palliative care" 14 : 36-42, 1998

8 Sharples FMC, "NHS patients’ perspective on complementary medicine: a survey" 11 : 243-248, 2003

9 Risberg T, "Knowledge of and attitudes toward complementary and alternative therapies: a national multicenter study of oncology professionals in Norway" 40 : 529-535, 2004

10 Ong C, "Health status of people using complementary and alternative medical practitioner services in 4 English countries" 92 : 1653-1656, 2002

11 Cassileth BR, "Contemporary unorthodox treatments in cancer medicine: a study of patients, treatments, and practitioners" 101 : 105-112, 1984

12 Mary AR, "Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology" 18 : 2505-2514, 2000

13 Beckrow K, "Complementary therapy use among older cancer patients" 7 : 172-, 1999

14 Fisher P, "Complementary medicine in Europe" 309 : 107-111, 1994

15 Giveon SM, "Are people who use natural drugs aware of their potentially harmful side effects and reporting to family physician?" 53 : 5-11, 2004