tailieunhanh - Use of Complementary and Alternative Medicine Therapies to Control Symptoms in Women Living With Lung Cancer

Further, Mamede and Schmidt (2004) found that reflective practice in medicine in their study had a five-factor structure: deliberate induction, which involves the physician taking time to reflect upon an unfamiliar problem; deliberate deduction, which occurs when a physician logically deduces the consequences of a number of possible hypotheses; testing, which involves evaluating predictions against the problem being explored; openness to reflection, occurring when a physician is willing to engage in such constructive activity when faced with an unfamiliar situation; and, meta-reasoning, which means that a phy- sician is able to think critically about his or her own thinking processes. This five-factor model is not a step-by step. | Copyright 2007 Wolters Kluwer Health I Lippincott Williams Wilkins Marjorie Wells PhD FNP Linda Sarna DNSc RN FAAN Mary E. Cooley PhD CRNP CS Jean K. Brown PhD RN FAAN Cynthia Chernecky PhD RN Roma D. Williams PhD CRNP Geraldine Padilla PhD Leda Layo Danao PhD Use of Complementary and Alternative Medicine Therapies to Control Symptoms in Women Living With Lung Cancer KEY WORDS Complementary therapies Lung cancer Symptom management Women Complementary and alternative medicine CAM use by cancer patients especially women is increasing. However CAM use among patients with lung cancer who have been reported to have the highest symptom burden is poorly documented. This study describes types and frequencies of specific CAM therapies used by women with lung cancer to manage symptoms and examines differences in demographic and clinical characteristics between CAM users and non-CAM users. Participants included 189 women with non-small cell lung cancer and 1 of 8 symptoms. Six CAM therapies used to control symptoms were assessed including herbs tea acupuncture massage meditation and prayer. Forty-four percent 84 women used CAM therapies including prayer meditation tea herbs massage and acupuncture . Complementary and alternative medicine use was greatest for difficulty breathing and pain each with prayer the most commonly used CAM for all symptoms. Significant differences P .05 were found for age t symptom frequency t and geographic location y2 . Women who were younger experienced more symptoms and lived on the West Coast or South vs Northeast were more likely to use CAM. We found that CAM use is variable by symptom and may be an indicator of symptom burden. Our results provide important initial data regarding CAM use for managing symptoms by women with lung cancer. From the School of Nursing University of California Los Angeles Calif Drs Wells Sarna and Danao Dana-Farber Cancer Institute Phyllis F. Cantor Center for Research in