2023/09/06
【ASPPH Friday Letter】鍾國彪老師Breast Cancer Patients Need Traditional Chinese Medicine Care that Varies by Stages

臺大公衛學院為加強宣導本院教師之學術成果,進而提升本院國際能見度,由鍾國彪老師與博班陳凱威同學之共同撰寫下列文章投稿至ASPPH Friday Letter.

該文目前已刊登於 ASPPH Friday Letter, September 6, 2023

 

篇名:

 

The intention of utilization and experience toward traditional Chinese medicine among breast cancer patients in the early and late stages: a qualitative study

 

作者:

Kai-wei Chen (本所博士班陳凱威同學), Kuo-piao Chung✉️ (本所專任教師鍾國彪教授), Chung-hua Hsu

 

期刊:BMC Complementary Medicine and Therapies

 

Abstract

 

 

Background

In Taiwan, breast cancer patients usually take conventional medicine and traditional Chinese medicine simultaneously. The utilization of traditional Chinese medicine among breast cancer patients at various stages has not been examined. This study aims to compare the intention of utilization and experience toward traditional Chinese medicine among early- and late-stage breast cancer patients.

 

Method

This qualitative research collected data from breast cancer patients through focus groups interview by convenience sampling. Conducted in 2 branches of Taipei City Hospital, a public hospital managed by the Taipei City government. Breast cancer patients > 20 years old and had used TCM for breast cancer therapy for at least 3 months were included in the interview. A semi-structured interview guide was adopted in each focus group interview. In the following data analysis, stages I and II were considered early-stage, and stages III and IV were late-stage. For analyzing the data and reporting the results, we used qualitative content analysis as the approach for data analysis, assisted by NVivo 12. Categories and subcategories were identified through content analysis.

 

Results

Twelve and seven early- and late-stage breast cancer patients were included in this study, respectively. The side effects were the main intention of utilizing traditional Chinese medicine. Improving side effects and constitution was the main benefit for patients in both stages. Additionally, early-stage breast cancer patients used traditional Chinese medicine to prevent recurrence or metastasis. Late-stage breast cancer patients responded more frequently to the use of traditional Chinese medicine due to the side effects of western medicine. However, some of their symptoms were not fully relieved.

 

Conclusions

Breast cancer staging may influence the intention and utilization of traditional Chinese medicine. Health policymakers should consider the results of this research and the evidence-based illustrations to establish guidelines for integrating traditional Chinese medicine among various stages of breast cancer to improve the outcome and quality of care for cancer patients.