THE RELATIONSHIP BETWEEN USING COMPLEMENTARY-ALTERNATIVE THERAPIES AND QUALITY OF LIFE IN COLORECTAL CANCER PATIENTS

Yıl 2020, Cilt: 29 Sayı: 2, 106 - 113, 25.09.2020

Aylin Aydın Sayılan Sacide Yıldızeli Topçu

https://doi.org/10.34108/eujhs.587616

Cited By: 1

Öz

Colorectal cancer (CRC) is a type of cancer in which the use of complementary alternative therapy (CAT) gradually increased. The aim of this study is to determine the relationship between the use of CAT and the quality of life in patients who received colorectal intervention. This descriptive and correlation research was carried out with 70 patients whohad received treatment for colorectal cancer between January 1-September 31, 2018. Data were collected by face-to-face and telephone interview technique using a questionnaire developed by the researchers and WHOQOL-Bref Quality of Life Scale. Descriptive statistical methods, t-test, correlation, and variance analysis were used in data collection. It was determined that 25.9% of the patients used CAT to eliminate the symptoms of the disease and turned mostly to spiritual methods such as prayer (90.7%). Age and family history of CRC was found to be correlated with quality of life.The use of relaxation method affected the quality of life sub-parameters, physical health, psychological and social relations, positively.Mind-body based CAT approaches, which specifically provide relaxation, provide improvement in the quality of life of the CRC patients. It is recommended that patients who underwent surgery for CRC be informed about pre-discharge CAT applications and their effects, and in the following process patients should be given supporting nursing care to improve the quality of life as well as support for the use of appropriate CAT methods.

Anahtar Kelimeler

Colorectal Cancer, Complementary-Alternative Therapy, Nursing Care, Quality of Life

KOLOREKTAL KANSERLİ HASTALARDA TAMAMLAYICI-ALTERNATİF TERAPİ KULLANIMI İLE YAŞAM KALİTESİ ARASINDAKİ İLİŞKİ

Öz

Kolorektal kanserler (KRK) tamamlayıcı alternatif terapi (TAT) kullanımının gittikçe arttığı bir kanser türüdür.Bu çalışmanın amacı, cerrahi girişim uygulanmış kolorektal kanserli hastalarda, TAT kullanımı ile yaşam kalitesi arasındaki ilişkinin belirlenmesidir.Tanımlayıcı ve ilişki arayıcı bu araştırma, 01 Ocak 2018-31 Eylül 2018 tarihleri arasında kolorektal kansere ilişkin tedavi süreci devam eden 170 hasta ile yürütülmüştür. Veriler, yüz yüze ve telefonla görüşme tekniğiyle, araştırmacılar tarafından geliştirilen anket formu ve WHOQOL-Bref Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde, tanımlayıcı istatistiksel yöntemler, t-testi, korelasyon ve varyans analizi kullanılmıştır.Araştırmaya katılan hastaların, %25.9’unun hastalık belirtilerini giderme amaçlı TAT kullandığı ve en çok dua etme (%90.7) gibi manevi yöntemlere başvurduğu belirlenmiştir. Yaş ve ailede KRK öyküsü ile yaşam kalitesi arasında ilişki bulunduğu, gevşemeye ilişkin yöntem kullanımının hastaların yaşam kalitesi alt parametrelerinden fiziksel sağlık, psikolojik ve sosyal ilişkileri olumlu etkilediği saptanmıştır. Özellikle gevşemeyi sağlayan, zihin-beden temelli TAT yaklaşımları KRK hastalarının yaşam kalitelerinde iyileşme sağlamaktadır. KRK nedeniyle cerrahi girişim geçiren hastalara taburculuk öncesi TAT uygulamaları ve etkilerine yönelik bilgi verilmesi ve devam eden süreçte, hastaların uygun TAT yöntemlerinin kullanımına yönelik desteklenmesinin yanısıra yaşam kalitesini arttırmaya yönelik verilmesi önerilmektedir.

Anahtar Kelimeler

Hemşirelik Bakımı, Kolorektal Kanser, Tamamlayıcı-Alternatif Terapi, Yaşam Kalitesi

Kaynakça

• 1. Muslu G & Öztürk C. Tamamlayıcı ve alternatif tedaviler ve çocuklarda kullanımı. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008; 51: 62-67.
• 2. Bahall M & Legall G. Knowledge, attitudes, and practices among health care providers regarding complementary and alternative medicine in Trinidad and Tobago. BMC Complementary and Alternative Medicine. 2017; 8;17(1):144. doi: 10.1186/s12906-017-1654-y.
• 3. Eardley S, Bishop FL, Prescott P, Cardini F, Brinkhaus B, Santos-Rey K, et al. A systematic literature review of complementary and alternative medicine prevalence in EU. Complementary Medicine Research. 2012; 19(Suppl. 2):18-28.
• 4. Shumer G, Warber S, Motohara S, Yajima A, Plegue M, Bialko M, et al. Complementary and alternative medicine use by visitors to rural Japanese family medicine clinics: results from the international complementary and alternative medicine survey. BMC Complementary and Alternative Medicine. 2014; 25;14:360. doi: 10.1186/1472-6882-14-360.
• 5. Oyunchimeg B, Hwang JH, Ahmed M, Choi S, Han D. Complementary and alternative medicine use among patients with cancer in Mongolia: a National hospital survey. BMC Complementary and Alternative Medicine. 2017; 17(1):58. doi: 10.1186/s12906-017-1576-8.
• 6. Uysal H. Current approaches to complementary and alternative medicine in cardiovascular diseases. Kardiyak Rehabilitasyon Özel Sayısı-Cardiac Rehabilitation Special Issue. Journal of Cardiovascular Nursing. 2016; 7(Sup 2):69-83.
• 7. Kuo YH, Tsay SL, Chang CC, Liao YC, Tung HH. Cancer impact, complementary / alternative medicine beliefs, and quality of life in cancer patients. Journal of Alternative and Complementary Medicine. 2018; 24(3):276-281. doi: 10.1089/acm.2016.0396.
• 8. Integrative PD. Prostate Cancer, Nutrition, and Dietary Supplements (PDQ®). InPDQ Cancer Information Summaries [Updated: 2012 Jan 6, Citation: 2019 May 31]. National Cancer Institute (US).
• 9. Mohd Mujar NM, Dahlui M, Emran NA, Abdul Hadi I, Wai YY, Arulanantham S, et al. Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia. PLoS One. 2017; 12(4):e0176394. doi: 10.1371/journal.pone.0176394. eCollection 2017.
• 10. Gentry-Maharaj A, Karpinskyj C, Glazer C, Burnell M, Bailey K, Apostolidou S, et al. Prevalence and predictors of complementary and alternative medicine/non-pharmacological interventions use for menopausal symptoms within the UK Collaborative Trial of Ovarian Cancer Screening. Climacteric. 2017; 20(3):240-247. doi: 10.1080/13697137.2017.1301919.
• 11. Lawsin C, DuHamel K, Itzkowitz SH, Brown K, Lim H, Thelemaque L, et al. Demographic, medical, and psychosocial correlates to CAM use among survivors of colorectal cancer. Support Care Cancer. 2007;15(5):557-64.
• 12. Nissen N, Lunde A, Pedersen CG, Johannessen H. The use of complementary and alternative medicine after the completion of hospital treatment for colorectal cancer: findings from a questionnaire study in Denmark. BMC Complementary and Alternative Medicine. 2014; 14(388): 1-8. doi: 10.1186/1472-6882-14-388.
• 13. Sewitch MJ & Rajput Y. A literature review of complementary and alternative medicine use by colorectal cancer patients. Complementary Theraphies in Clinical Practice. 2010; 16(1):52-6. doi: 10.1016/j.ctcp.2009.10.001.
• 14. Eser S, Saatli G, Eser E, Baydur H, Fidaner C. Yaşlılar için Dünya Sağlık Örgütü Yaşam Kalitesi Modülü WHOQOLOLD: Türkiye alan çalışması Türkçe sürüm geçerlilik ve güvenilirlik sonuçları. Türk Psikiyatri Dergisi. 2010; 21: 37-48.
• 15. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer Journal for Clinicians. 2018; 68(6):394-424.
• 16. Ernst J, Mehnert A, Dietz A, Hornemann B, Esser P. Perceived stigmatization and its impact on quality of life-results from a large register-based study including breast, colon, prostate and lung cancer patients. BMC Cancer. 2017; 17(1):741. doi: 10.1186/s12885-017-3742-2.
• 17. Connell LC, Mota JM, Braghiroli MI, Hoff PM. The rising incidence of younger patients with colorectal cancer: questions about screening, biology, and treatment. Current Treatment Options in Oncology. 2017; 18(4):23. doi: 10.1007/s11864-017-0463-3.
• 18. Yoon H, Chatters L, Kao TS, Saint-Arnault D, Northouse L. Factors affecting quality of life for Korean American cancer survivors: An integrative review. Oncology Nursing Forum. 2016; 438(3): E132). doi: 10.1188/16.ONF.E132-E142.
• 19. Sodergren SC, Husson O, Rohde GE, Tomaszewska IM, Griffiths H, Pessing A, Yarom N, Hooker L, Din A, Darlington AS, EORTC Quality of Life Group. Does age matter? A comparison of health‐related quality of life issues of adolescents and young adults with cancer. European Journal Of Cancer Care. 2018; 27(6): e12980. doi: 10.1111/ecc.12980.
• 20. Geessink N, Schoon Y, van Goor H, Rikkert MO, Melis R. Frailty and quality of life among older people with and without a cancer diagnosis: Findings from TOPICS-MDS. PloS One. 2017; 12(12): e0189648. doi: 10.1371/journal.pone.0189648.
• 21. Maniragaba F, Nzabona A, Asiimwe JB, Bizimungu E, Mushomi J, Ntozi J, Kwagala B. Factors associated with older persons’ physical health in rural Uganda. PloS One. 2019; 14(1): e0209262.
• 22. Ju YJ, Han KT, Lee TH, Kim W, Kim J, Park EC. Does relationship satisfaction and financial aid from offspring influence the quality of life of older parents?: A longitudinal study based on findings from the Korean longitudinal study of aging, 2006–2012. Health and Quality of Life Outcomes. 2016; 14(1):108. doi: 10.1186/s12955-016-0509-4.
• 23. Rossi E, Di Stefano M, Firenzuoli F, Monechi M, Baccetti S. Add-on complementary medicine in cancer care: evidence in literature and experiences of integration. Medicines. 2017; 4(1):5.
• 24. Kav T. Use of complementary and alternative medicine: A survey in Turkish gastroenterology patients. BMC Complementary And Alternative Medicine. 2009; 9(1):41.
• 25. Kuo YT, Chang TT, Muo CH, Wu MY, Sun MF, Yeh CC, Yen HR. Use of complementary traditional Chinese medicines by adult cancer patients in Taiwan: A nationwide population-based study. Integrative Cancer Therapies. 2018; 17(2):531-41. doi: 10.1177/1534735417716302.
• 26. Molassiotis A, Fernandez-Ortega P, Pud D, Ozden G, Platin N, Hummerston S, Scott JA, Panteli V, Gudmundsdottir G, Selvekerova S, Patiraki E. Complementary and alternative medicine use in colorectal cancer patients in seven European countries. Complementary therapies in medicine. 2005 Dec 1;13(4):251-7.
• 27. Bahall M. Prevalence, patterns, and perceived value of complementary and alternative medicine among cancer patients: a cross-sectional, descriptive study. BMC Complementary and Alternative Medicine. 2017; 17(1):345. doi: 10.1186/s12906-017-1853-6.
• 28. Albabtain H, Alwhaibi M, Alburaikan K, Asiri Y. Quality of life and complementary and alternative medicine use among women with breast cancer. Saudi Pharmaceutical Journal. 2018; 26(3):416-21. doi: 10.1016/j.jsps.2017.12.020.
• 29. Can G, Erol O, Aydiner A, Topuz E. Quality of life and complementary and alternative medicine use among cancer patients in Turkey. European Journal of Oncology Nursing. 2009; 13(4):287-94.
• 30. König J, Geschwill K, Lang A, Tauchert FK, Hofheinz RD, Kripp M. Use of complementary and alternative medicine in cancer patients: A prospective questionnaire-based study in an oncological outpatient clinic. Oncology Research And Treatment. 2016; 39(5):260-5. doi: 10.1159/000446008.
• 31. Lin CY, Hwang JS, Wang WC, Lai WW, Su WC, Wu TY, Yao G, Wang JD. Psychometric evaluation of the WHOQOL-BREF, Taiwan version, across five kinds of Taiwanese cancer survivors: Rasch analysis and confirmatory factor analysis. Journal of the Formosan Medical Association. 2019 Jan 1;118(1):215-22. doi: 10.1016/j.jfma.2018.03.018.
• 32. Marco DJ, White VM. The impact of cancer type, treatment, and distress on health-related quality of life: cross-sectional findings from a study of Australian cancer patients. Supportive Care in Cancer. 2019; 19:1-9. doi: 10.1007/s00520-018-4625-z.
• 33. Almont T, Bouhnik AD, Charif AB, Bendiane MK, Couteau C, Manceau C, Mancini J, Huyghe É. Sexual Health Problems and Discussion in Colorectal Cancer Patients Two Years After Diagnosis: A National Cross-Sectional Study. The Journal of Sexual Medicine. 2019; 16(1): 96-110. doi: 10.1016/j.jsxm.2018.11.008.
• 34. Sclafani F, Peckitt C, Cunningham D, Tait D, Giralt J, Glimelius B, Keränen SR, Bateman A, Hickish T, Tabernero J, Thomas J. Short-and long-term quality of life and bowel function in patients with MRI-defined, high-risk, locally advanced rectal cancer treated with an intensified neoadjuvant strategy in the randomized phase 2 EXPERT-C Trial. International Journal of Radiation Oncology, Biology, Physics. 2015; 93(2): 303-12. doi: 10.1016/j.ijrobp.2015.03.038.
• 35. Wiltink LM, Marijnen CA, Meershoek-Klein Kranenbarg E, Van de Velde CJ, Nout RA. A comprehensive longitudinal overview of health-related quality of life and symptoms after treatment for rectal cancer in the TME trial. Acta Oncologica. 2016; 55(4):502-8. doi: 10.3109/0284186X.2015.1088171
• 36. Banik A, Schwarzer R, Pawlowska I, Boberska M, Cieslak R, Luszczynska A. Women with family cancer history are at risk for poorer physical quality of life and lower self-efficacy: A longitudinal study among men and women with non-small cell lung cancer. Health and Quality of Life Outcomes. 2017; 15(1):62. doi: 10.1186/s12955-017-0645-5.
• 37. Shin DW, Park HS, Lee SH, Jeon SH, Cho S, Kang SH, Park SC, Park JH, Park J. Health-Related Quality of Life, Perceived Social Support, and Depression in Disease-Free Survivors Who Underwent Curative Surgery Only for Prostate, Kidney and Bladder Cancer: Comparison among Survivors and with the General Population. Cancer Research and Treatment: Official Journal of Korean Cancer Association. 2019; 51(1):289. doi: 10.4143/crt.2018.053.
• 38. Sharp L, O’leary E, O’ceilleachair A, Skally M, Hanly P. Financial Impact of Colorectal Cancer and Its Consequences: Associations Between Cancer-Related Financial Stress and Strain and Health-Related Quality of Life. Diseases of the Colon & Rectum. 2018; 61(1):27-35. doi: 10.1097/DCR.0000000000000923.
• 39. Bauml JM, Chokshi S, Schapira MM, Im EO, Li SQ, Langer CJ, Ibrahim SA, Mao JJ. Do attitudes and beliefs regarding complementary and alternative medicine impact its use among patients with cancer? A cross‐sectional survey. Cancer. 2015 Jul 15;121(14):2431-8.
• 40. Jang A, Kang DH, Kim DU. Complementary and alternative medicine use and its association with emotional status and quality of life in patients with a solid tumor: a cross-sectional study. The Journal of Alternative and Complementary Medicine. 2017; 23(5):362-9. doi: 10.1089/acm.2016.0289.
• 41. Garland SN, Valentine D, Desai K, Li S, Langer C, Evans T, Mao JJ. Complementary and alternative medicine use and benefit finding among cancer patients. The Journal of Alternative and Complementary Medicine. 2013; 19(11):876-81. doi: 10.1089/acm.2012.0964.
• 42. Fouladbakhsh JM, Stommel M. Gender, symptom experience, and use of complementary and alternative medicine practices among cancer survivors in the US cancer population. Oncology Nursing Forum. 2010; 37(1):E7-E15.
• 43. Davis MP, Goforth HW. Long-term and short-term effects of insomnia in cancer and effective interventions. The Cancer Journal. 2014; 20(5):330-44. doi: 10.1097/PPO.0000000000000071.
• 44. Akyol AD, Öz B. The use of complementary and alternative medicine by patients with cancer: in Turkey. Complementary Therapies in Clinical Practice. 2011; 17(4):230-4.
• 45. Chen Q, Xun P, Tsinovoi CL, Henschel B, Fly AD, He K. Association of herbal/botanic supplement use with quality of life, recurrence, and survival in newly diagnosed stage II colon cancer patients: A 2-y follow-up study. Nutrition. 2018; 54:1-6. doi: 10.1016/j.nut.2018.02.002.
• 46. Uysal N, Kutlutürkan S, Uğur I. Effects of foot massage applied in two different methods on symptom control in colorectal cancer patients: Randomised control trial. International Journal of Nursing Practice. 2017; 23(3):e12532. doi: 10.1111/ijn.12532.