The use of complementary and alternative medicines, and quality of life in patients under hemodialysis: A survey in southeast Iran

Dehghan, Mahlagha; Namjoo, Zakieh; Bahrami, Amir; Tajedini, Hanieh; Shamsaddini-lori, Zahra; Zarei, Amin; Dehghani, Moazameh; Ranjbar, Mohammad-Sajjad; Nasab, Farshid Rafiee Sarbijan

doi:10.1016/j.ctim.2020.102431

Cited by 14 publications

(26 citation statements)

References 22 publications

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“…To determine the validity, the questionnaire was given to 10 faculty members of Razi School of Nursing and Midwifery in Kerman, and the content validity index of the questionnaire was calculated to be 0.96. Cronbach's alpha coefficient was 0.85 ( 20 ).…”

Section: Methodsmentioning

confidence: 99%

“…Today, in addition to drug therapy, one of the most common methods for controlling symptoms and strengthening the condition of patients with chronic diseases is the use of CAM ( 18 , 19 ). CAM refers to knowledge, skills, methods based on theories, beliefs, and experiences indigenous to various cultures that are used to maintain health, prevent, recover from, or treat physical and mental diseases ( 20 ). During the COVID-19 outbreak, some types of CAM, particularly nutritional supplements, medicinal herbs, and prayer, were commonly used to prevent COVID-19 and reduce pandemic-related anxiety ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

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Psychosomatic Symptoms in Terminally Ill Cancer Patients and Its Relation With Using Complementary and Alternative Medicines: A Cross-Sectional Study in Southeast Iran

2022

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BackgroundCancer patients face various problems and complications, which they address through various complementary and alternative medicines (CAM). The aim of this study was to investigate the relationship between CAM and psychosomatic symptoms in terminally ill cancer patients.MethodsThis cross-sectional study was performed on 221 terminally ill cancer patients (based on metastatic stage and according to the physicin diagnosis) in southeastern Iran. Convenience sampling was used to select terminally ill cancer patients. Using questionnaires like the demographic and clinical information questionnaire, Edmonton Symptom Assessment Scale (ESAS), Hospital Anxiety and Depression Scale (HADS), CAM questionnaire and satisfaction with the use of CAM, the researcher was able to compile a comprehensive picture of the population.ResultsThe mean age of the participants was 51.66 ± 13.34 years. The majority of the samples were female, married, educated, and unemployed. The mean score for the physical symptoms of the participants according to ESAS was 22.25 ± 17.57 which was less than the midpoint of the scale (the possible score of ESAS was 0–100). Only 2.7% (n = 6) and 0.9% (n = 2) of the participants had mild and moderate anxiety, respectively, and the other participants' anxiety levels were normal. Only 7.7% (n = 17) and 4.1% (n = 9) of the participants had mild and moderate depression, respectively, and the other participants' depression levels were normal. Last year, 87.3% of the participants used at least one type of CAM. Aside from prayer, 42.1% of the participants used at least one type of CAM in the last year. Prayer was used by 83.7% of the participants, medicinal plants by 35.8%, massage by 9.5%, dietary supplements by 3.6%, wet cupping by 3.2%, relaxation and meditation by 2.7%, dry cupping by 2.4%, and acupuncture by 0.5%. The common reason for using CAM was to reduce the stress and anxiety caused by cancer and to treat it. There were no significant differences in physical and psychological symptoms between the CAM-users and non-CAM users.ConclusionPatients with cancer have a relatively low level of psychosomatic symptoms, and the primary reason for using CAM was to relieve stress and anxiety associated with cancer and treat it. However, psychosomatic symptoms were the same for CAM and non-CAM users. Because so many people with cancer use CAM, future studies should look into why and how CAM is used.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychosomatic Symptoms in Terminally Ill Cancer Patients and Its Relation With Using Complementary and Alternative Medicines: A Cross-Sectional Study in Southeast Iran

2022

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“…42 As stated in our findings, we determined that as the self-care scale scores of the patients using diabetic diet + CAM methods increased, the physical activity scale and its subdimension, walking activity, also increased. In a study by Dehghan et al, 43 hemodialysis patients use one of the CAM methods and those most commonly used were herbal cures and relaxation methods. It was found that the quality of life of the patients having hemodialysis was moderate, and the quality of life of the patients using CAM methods was higher than those not using CAM.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the Effects of Complementary and Alternative Therapy Usage on Physical Activity and Self-Care in Individuals Diagnosed With Type 2 Diabetes

Aslan¹

2022

Holistic Nursing Practice

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This study was carried out to investigate the effect of complementary and alternative therapy on physical activity and self-care power in individuals diagnosed with type 2 diabetes. The study was conducted on 63 individuals who had been diagnosed with type 2 diabetes for at least 6 months, and met the inclusion criteria. The Personal Information Form, International Physical Activity Questionnaire Short Form, and Diabetes Self-Care Scale were used to collect the data. Percentage, median, Mann-Whitney U tests, and Wilcoxon tests were used for data analysis. While 71.9% of the individuals were only on diabetic diet, 58% of the individuals were on diabetic diet together with complementary and alternative medicine (CAM) methods, and all those patients regularly measured their blood glucose levels; 19.4% of the individuals on both diabetic diet and CAM methods, and 21.9% of the individuals only on diabetic diet used more than one oral medication per day. The findings of this study revealed that 35.5% of the individuals both on diabetic diet and CAM methods and 40.6% of the individuals only on diabetic diet used insulin. The individuals who were both on diabetic diet and CAM methods stated that their health statuses improved in the previous month; however, the individuals who were only on diabetic diet did not report any improvement in that period. Physical activity levels and self-care behaviors of the individuals on diabetic diet and CAM methods together were found to be significantly better than those who were only on a diabetic diet. A positive relationship was found between physical activity level and self-care behaviors.

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“…This will, in turn, contribute towards improving patients' quality of life (QoL) and promoting survival (Witt et al, 2017). Homeopathy is one such CM, that is, commonly used in parallel with other conventional therapies to aid in the supportive treatment of both oncological and non-oncological diseases as part of an integrative approach (Dehghan et al, 2020). Plant-based homeopathic mother tinctures (Ø) are hydroethanolic extractions of the entire plant or parts of the plant, prepared following specific guidelines in the homeopathic pharmacopeia (Das, 2019).…”

Section: Introductionmentioning

confidence: 99%

Photodynamic Effects of Thuja occidentalis on Lung Cancer Cells

et al. 2022

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The global incidence and mortality rates resulting from lung cancer encapsulate a need to identify more effective treatment protocols. Photodynamic therapy (PDT) and homeopathy offer possible anticancer therapies as part of a multi-disciplinary approach. Studies have identified the anticancer effects of Thuja occidentalis L. plant extracts. The aim of this study was to investigate the effects of Thuja occidentalis (TO) homeopathic mother tincture and TO mediated PDT (TO-PDT) on A549 lung cancer cells. Commercially available A549 cells were pre-treated with TO, or laser irradiation at 660 nm, or the combined treatment (TO-PDT). Cells were analyzed morphologically by inverted light microscopy and Hoechst stain; and biochemically by lactate dehydrogenase (LDH), adenosine triphosphate (ATP), and trypan blue assays. Cells treated with TO and TO-PDT demonstrated morphological changes in the cell and cell nuclei indicative of cell death. These groups exhibited a dose dependent increase in LDH release and a decrease in ATP levels and cell viability indicating its cytotoxic and antiproliferative potential. Furthermore, at the same doses, TO when photoactivated in PDT induced enhanced anticancer responses thereby surpassing the effects of treatment with the tincture alone. Results demonstrate how the direct cytotoxic effects of TO can be improved when administered as a photosensitizer in PDT to promote cancer cell death.

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The use of complementary and alternative medicines, and quality of life in patients under hemodialysis: A survey in southeast Iran

Cited by 14 publications

References 22 publications

Psychosomatic Symptoms in Terminally Ill Cancer Patients and Its Relation With Using Complementary and Alternative Medicines: A Cross-Sectional Study in Southeast Iran

Psychosomatic Symptoms in Terminally Ill Cancer Patients and Its Relation With Using Complementary and Alternative Medicines: A Cross-Sectional Study in Southeast Iran

Investigation of the Effects of Complementary and Alternative Therapy Usage on Physical Activity and Self-Care in Individuals Diagnosed With Type 2 Diabetes

Photodynamic Effects of Thuja occidentalis on Lung Cancer Cells

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