Alternative Medicine-Seeking Behavior among Cancer Patients at The Indonesian Cancer Foundation
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Background: A large proportion of cancer deaths are caused by patient delay in accessing hospital treatment. One of the causes of such delays is the use of alternative medicine. Purpose: This research is conducted to determine the characteristics and factors related to the behavior of seeking treatment in the form of alternative medicine among cancer patients at the Indonesian Cancer Foundation (Yayasan Kanker Indonesia). Methods: This research is a quantitative descriptive research with a cross-sectional study design. The target of the research is all patients who temporarily stayed at the Yayasan Kanker Indonesia from February–April 2020, a total of 45 patients aged ≥ 17 years who had been diagnosed with cancer. The data was obtained via questionnaires and interviews. The variables examined are the predisposition factors (sex, age, education, occupation, stage of cancer, time ranges for accessing health services after symptom onset, prior illness, family history), enabling factors (distance to health services, income, health insurance), and reinforcing factors (family support and information resources). Analysis of research data was conducted using frequency tables and Chi-Square or Fisher's Exact test. Results: The factors related to the behavior of seeking treatment via alternative medicine in cancer patients at Yayasan Kanker Indonesia are the stage of cancer (p=0.04), the time span between symptom onset and checking into health services (p=0.02), and length of illness (p=0.03). Conclusion: Alternative treatment search behavior is influenced by several factors, namely the stage of cancer, the time span between symptom onset and checking into health services, and the length of illness.
Abuelgasim, K. A., Alsharhan, Y., Alenzi, T., Alhazzani, A., Ali, Y. Z., & Jazieh, A. R. (2018). The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia. BMC Complementary and Alternative Medicine, 18(1), 1–8. https://doi.org/10.1186/s12906-018-2150-8
Azhar, Y., Achmad, D., Lukman, K., Hilmanto, D., & Aryandono, T. (2016). Predictors of complementary and alternative medicine use by breast cancer patients in Bandung, Indonesia. Asian Pacific Journal of Cancer Prevention, 17, 2115–2118. https://doi.org/10.7314/APJCP.2016.17.4.2115
Bahar, Y., & Anwar, I. (2015). Frekuensi pemakaian obat-obatan herbal sebagai faktor penyebab keterlambatan pengobatan medis pada pasien kanker payudara. MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 13(3), 37–47.
Buckner, C. A., Lafrenie, R. M., Dénommée, J. A., Caswell, J. M., & Want, D. A. (2018). Complementary and alternative medicine use in patients before and after a cancer diagnosis. Current Oncology: A Canadian Cancer Research Journal, 25(4), e275–e281. https://doi.org/10.3747/co.25.3884
Chen, S. J., Kung, P. T., Huang, K. H., Wang, Y. H., & Tsai, W. C. (2015). Characteristics of the delayed or refusal therapy in breast cancer patients: a longitudinal population-based study in Taiwan. PLoS ONE, 10(6), 1–13. https://doi.org/10.1371/journal.pone.0131305
Dewi, T. F., & Nisa, U. (2019). Faktor-faktor yang berhubungan dengan pemanfaatan obat tradisional pada pasien hiperkolesterolemia di rumah riset jamu "Hortus Medicus.” Indonesian Journal of Clinical Pharmacy, 8(1). https://doi.org/10.15416/ijcp.2019.8.1.49
ESMO. (2018). ESMO patient guide series: what is breast cancer ? let us answer some of your questions. Europe: European Society for Medical Oncology. Retrieved February 3, 2020, from https://www.esmo.org/content/download/6593/114959/1
Garg, P. (2016). Awareness that early cancer lump is painless could decrease breast cancer mortality in developing countries. World Journal of Clinical Oncology, 7(3), 321–323. https://doi.org/10.5306/wjco.v7.i3.321
Hwang, J. H., Kim, W. Y., Ahmed, M., Choi, S., Kim, J., & Han, D. W. (2015). The use of complementary and alternative medicine by Korean breast cancer women: is it associated with severity of symptoms? Evidence-Based. Complementary and Alternative Medicine, 2015, 1–7. https://doi.org/10.1155/2015/182475
IARC. (2018). Latest global cancer data: cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. International Agency for Research on Cancer. Geneva. Retrieved March 23, 2020, from https://www.iarc.fr/wp-content/uploads/2018/09/pr263_E.pdf
Johnson, S. B., Park, H. S., Gross, C. P., & Yu, J. B. (2018). Use of alternative medicine for cancer and its impact on survival. Journal of the National Cancer Institute, 110(1), 121–124. https://doi.org/10.1093/jnci/djx145
Lee, S., Sohn, K., & Chon, S. (2018). Successful outcome of breast cancer patient refusing conventional treatments: a case report. Journal of Korean Medicine, 39(4), 177–182. https://doi.org/10.13048/jkm.18044
Loquai, C., Dechent, D., Garzarolli, M., Kaatz, M., Kaehler, K. C., Kurschat, P., ... Huebner, J. (2017). Use of complementary and alternative medicine: a multicenter cross-sectional study in 1089 melanoma patients. European Journal of Cancer, 71, 70–79. https://doi.org/10.1016/j.ejca.2016.10.029
Lucin, Y. (2016). Studi kualitatif health seeking behavior pada wanita dengan kanker payudara di Kota Palangka Raya. Jurnal Kebidanan Indonesia, 8(1), 60–69.
Mambodiyanto, & Maharani, P. (2016). Pengaruh pengobatan alternatif sebagai faktor penyebab keterlambatan penanganan medis penderita kanker payudara di Puskesmas Lumbir Kabupaten Banyumas. MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 14(3), 1–7.
Ministry of Health RI. (2018). Indonesia basic health research report 2018. Ministry of Health RI. Jakarta. https://doi.org/10.1017/CBO9781107415324.004
Monicah, K., Mbugua, G., & Mburugu, R. K. (2019). Use of complementary and alternative medicine among cancer patients in Meru County, Kenya. International Journal of Professional Practice, 7(1), 24–33.
Mujar, N. M. M. M., Dahlui, M., Emran, N. A., Hadi, I. A., Wai, Y. Y., Arulanantham, S., ... Taib, M. (2017). Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia. PLoS ONE, 12(4), 1–12. https://doi.org/10.1371/journal.pone.0176394
Naja, F., Mousa, D., Alameddines, M., Shoaib, H., Itani, L., & Mourad, Y. (2014). Prevalence and correlates of complementary and alternative medicine use among patients with lung cancer: a cross-sectional study in Beirut, Lebanon. BMC Complementary and Alternative Medicine, 14, 1–11. https://doi.org/10.1155/2017/8434697
NCCIH. (2018). Complementary, alternative, or integrative health: what's in a name? Retrieved May 21, 2019, from https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
Rahayuwati, L., Ibrahim, K., & Komariah, M. (2017). Pilihan pengobatan pasien kanker payudara masa kemoterapi: studi kasus. Jurnal Keperawatan Indonesia, 20(2), 118–127. https://doi.org/10.7454/jki.v20i2.478
Razali, N. H., Ali, A., Gan, S. H., & Lim, C. Sen. (2020). Prevalence of traditional and complementary alternative medicine's use among cancer patients in South Peninsular Malaysia. Asian Pacific Journal of Cancer Biology, 5(1), 19–26. https://doi.org/10.31557/apjcb.2020.5.1.19-26
Rossalia, N. P. P., & Manuaba, I. B. T. W. (2016). Faktor-faktor yang berhubungan dengan keterlambatan pengobatan pada penderita kanker payudara di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. E-Jurnal Medika, 5(12), 1–7.
Ryamizard, R., Nawangsih, C., & Margawati, A. (2018). Gambaran penggunaan pengobatan tradisional, komplementer dan alternatif pada pasien kanker yang menjalani radioterapi. Jurnal Kedokteran Diponegoro, 7(2), 1568–1584.
Scarton, L. A., Del Fiol, G., Oakley-Girvan, I., Gibson, B., Logan, R., & Workman, T. E. (2018). Understanding cancer survivors' information needs and information-seeking behaviors for complementary and alternative medicine from short- to long-term survival: a mixed-methods study. Journal of the Medical Library Association, 106(1), 87–97. https://doi.org/10.5195/jmla.2018.200
Shen, S. C., Hung, Y. C., Kung, P. T., Yang, W. H., Wang, Y. H., & Tsai, W. C. (2016). Factors involved in the delay of treatment initiation for cervical cancer patients: a nationwide population-based study. Medicine (United States), 95(33), 1–8. https://doi.org/10.1097/MD.0000000000004568
Susanti, E., Devy, S. R., & Hargono, R. (2018). Enabling factors relating to patterns for searching treatments among patients with breast cancer. International Journal of Public Health and Clinical Sciences, 5(6), 156–163. https://doi.org/10.32827/ijphcs.5.6.156
Ustündag, S., & Zencirci, A. D. (2015). Complementary and alternative medicine use among cancer patients and determination of affecting factors: a questionnaire study. Holistic Nursing Practice, 29(6), 357–369. https://doi.org/10.1097/HNP.0000000000000113
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