title: Use of complementary and alternative medicine by patients with cancer in northern Turkey: analysis of cost and satisfaction.
abstract: OBJECTIVE
  The aims of this study were to determine (1) the prevalence of complementary and alternative medicine use among patients with cancer, (2) the method of use of the particular therapy, (3) the reasons for using complementary and alternative medicine therapies, (4) the benefits experienced by the use of complementary and alternative medicine, (5) the source of information about complementary and alternative medicine therapies and, (6) the satisfaction and cost of complementary and alternative medicine.
  
  
  BACKGROUND
  Complementary and alternative medicine consists of diverse medical and healthcare systems, practices and products that are not considered at present to be a part of conventional medicine. The majority of patients who use complementary and alternative medicine use more than one method. Complementary and alternative medicine use is more common in cases of advanced disease or poor prognosis.
  
  
  METHODS
  This is a descriptive study of complementary and alternative medicine.
  
  
  METHODS
  This study was conducted in the Chemotherapy Unit at Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey, between 18 March 2008-30 June 2008. Two hundred fifty-three patients with cancer, among 281 patients who applied to the chemotherapy clinic between these dates, agreed to take part in the study with whom contact could be made were included. A questionnaire including descriptive characteristics in collecting data, characteristics about diseases and their treatments, complementary and alternative medicine information and implementation situations and a control list about complementary and alternative medicine implementations were given. The collected data were evaluated by computer using descriptive statistics, the chi-square test and Student's t-test.
  
  
  RESULTS
  In this study, 94·1% of the patients were content with medical treatment, 58·9% of them used complementary and alternative medicine treatments, 41·1% did not use any complementary and alternative medicine treatments. The satisfaction level of the patients with complementary and alternative medicine methods was slightly above mediocre (2·33 SD 0·64, on a scale of 1-3). The average cost per capita spent by the patients using complementary and alternative medicine for all the different methods was US$288·26.
  
  
  CONCLUSIONS
  It was determined that although patients did not have enough knowledge about complementary and alternative medicine methods, the prevalence of complementary and alternative medicine and satisfaction levels are high that complementary and alternative medicine users spend substantial sums of money for these methods.
  
  
  CONCLUSIONS
  To sustain medical treatment and prognosis of cancer, it is important for nurses to consult with their patients regarding the use and potential risks of some complementary and alternative medicine.
authors.affiliation: Nursing Department, Samsun Health School, Ondokuz May University, Sivas, Turkey. ilknursezera@hotmail.com
authors.forename: Ilknur
authors.initials: I
authors.lastname: Aydin Avci
authors.forename: Zeliha
authors.initials: Z
authors.lastname: Koç
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Sağlam
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D000529:Complementary Therapies / Q000191:economics* / Q000379:methods / Q000706:statistics & numerical data*; D003362:Cost-Benefit Analysis; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000451:nursing*; D057240:Patient Preference / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012737:Sex Factors; D011795:Surveys and Questionnaires; D015996:Survival Rate; D016896:Treatment Outcome; D014421:Turkey; D055815:Young Adult