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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >Association Between Physical Activity and Use of Complementary Medicine by Female Oncology Patients in an Integrative Palliative Care Setting
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Association Between Physical Activity and Use of Complementary Medicine by Female Oncology Patients in an Integrative Palliative Care Setting

机译：综合姑娘护理环境中女性肿瘤学患者身体活动与使用互补药物的关联

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Objective:To examine the association between physical activity and the reported use of complementary medicine by patients with breast and gynecological cancer referred or self-referred to a complementary/integrative medicine (CIM) consultation within a palliative care context. Methods:Retrospective observational study analyzing the medical files of patients referred to a CIM consultation provided within a specialized integrative oncology clinic for demographic and cancer-related parameters; participation in physical exercise and activities; and current use of nonconventional medical practices. Quality of life (QoL) outcomes were assessed during the initial CIM consultation by using the Edmonton Symptom Assessment Scale (ESAS) tool. Results:Among the 162 patient files examined, participation in physical activities was reported in 152, of whom 83 were identified as active and 69 inactive according to the American Cancer Society guidelines. A logistic multivariate regression model showed that physical activity was associated with higher rates of herbal/dietary supplement use for noncancer-related outcomes (odds ratio = 7.21, 95% confidence interval [CI] 1.6-32.46,p = 0.01); more frequently reported use of acupuncture for cancer-related outcomes (odds ratio = 7.79, 95% CI 1.93-31.5,p = 0.004); and lower ESAS scores for well-being (odds ratio = 0.77, 95% CI 1.0.65-0.92,p = 0.004), indicating better QoL. Conclusion:Physical activity was found to be associated with a greater use of CIM (specifically herbal/dietary supplement use and acupuncture) in patients with breast and gynecological cancer during oncology treatment. Further research is needed to explore whether CIM use and physical activity are influenced by patients' health-belief models of care, and whether the CIM consultation can promote physical activity among these patients.
机译：目的：审查身体活动与乳房和妇科癌症患者的互补药物之间的关联，在姑息治疗背景下提到或自我提及互补/综合医学（CIM）咨询。方法：回顾性观察研究分析患者的医疗文件，提到了一个专门的综合肿瘤诊所，用于人口统计学和癌症相关参数;参与体育和活动;并目前使用非传统医疗实践。使用Edmonton症状评估规模（ESAs）工具，在初始CIM咨询期间评估生活质量（QOL）结果。结果：在审查的162名患者文件中，152年报告了体育活动的参与，其中83人被确定为活跃，69例根据美国癌症协会指导方针。物流多元回归模型表明，对非癌症相关结果的草药/膳食补充剂使用率较高的物理活性有关（差距= 7.21,95％置信区间[CI] 1.6-32.46，P = 0.01）;更常见地报告使用针灸用于癌症相关的结果（差价率= 7.79,95％CI 1.93-31.5，P = 0.004）;和较低的ESAS分数（odds比率= 0.77,95％CI 1.0.65-0.92，P = 0.004），表明更好的QOL。结论：在肿瘤治疗期间，发现患有乳腺癌和妇科癌症患者的CIM（特异性草药/膳食补充使用和针灸）的患者的身体活性有关。需要进一步的研究来探索CIM使用和身体活动是否受到患者健康的护理模型的影响，以及CIM咨询是否可以促进这些患者之间的身体活动。

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