암환자의 식이보조제 복용실태 = Use of Dietary Supplements in Cancer Patients

다국어 초록 (Multilingual Abstract)

Background: Dietary supplements (DS) have been increasingly utilized as a way of the promoting health and complementary
therapy. This study aimed to evaluate the patterns of dietary supplement use in Korean cancer patients and to
examine the related factors.
Methods: Between April and May of 2008, 366 patients who were hospitalized for diagnosis and treatment of cancer in a
university affiliated tertiary hospital were surveyed using a self-administered structured questionnaire after receiving
written informed consent. Among them, 322 patients with adequate answers were fi nally included.
Results: Two hundred forty patients (72.3%) reported to have ever taken DS with the mean number of 3.6 ± 2.98. Vitamins
were the most frequently used, followed by ginseng steamed red, ginseng, and glucosamine. The most infl uential factor
regarding DS use was the recommendation by family members or relatives. The main reason for DS use was for resolution
of fatigue, followed by supplementation of therapy, and immune enhancement. Information concerning DS most eager
to know about was the effect of DS (44.6%), followed by interaction of DS with therapeutics (33.2%). Doctor (74.4%) was
the most preferred health care provider to be consulted concerning DS, but only 34% of DS users have actually consulted
with a doctor. Multiple logistic regression analysis showed that increasing age, Catholicism, and higher educational level
were associated with higher use of DS.
Conclusion: DS use was very prevalent in cancer patients. In spite of the great need, only small proportion of cancer
patients using DS has consulted with a doctor.

국문 초록 (Abstract)

연구배경: 최근 들어 다양한 식이보조제들이 건강증진은 물
론 질병치료의 보조수단으로 사용되는 경향이 있다. 본 연구
는 암으로 진단된 환자들에서 식이보조제의 복용 실태를 파
악하고 식이보조제 복용에 관한 의료인과의 상담 수요를 평
가하기 위해 수행되었다.
방법: 2008년 4월부터 2008년 5월까지 한 3차 병원 암 센터에
암 진단 및 치료를 목적으로 입원한 548명 환자들에서 자기 기
입식 설문조사를 수행하였다. 366명(66.8%)이 설문조사에 동
의하였고, 그 중 질문 항목에 충분히 응답하여 분석이 가능한
322명을 최종 연구 대상자로 하여 응답 내용을 분석하였다.
결과: 332명 중 240명(72.3%)이 식이보조제 복용한 적이 있었
고(남자 69.5%, 여자 75%), 종류는 평균 3.6±2.98개이며, 가장
흔히 복용한 식이보조제는 비타민이었고 그 다음으로는 홍삼
제품, 인삼제품, 글루코사민 순이었다. 식이보조제 복용 결정
요인으로는 가족, 친지의 권유가 가장 많았고, 복용목적은 피
로회복, 치료보완, 면역증강 순이었다. 식이보조제 복용에 대
해 의사와의 상담에서 가장 얻고 싶은 정보는 효과(44.7%)와
치료약물과의 상호작용(33.2%) 순이었다. 상담에 적합한 의
료인으로는 74.5%가 의사를 선호하였으나 식이보조제 복용
자중 실제로 의사와 상담한 경험이 있는 사람은 34%에 불과했
다. 다중 회귀 로짓분석 결과 식이보조제 복용과 독립적인 연
관성이 있는 요인은 연령, 종교, 교육수준이었고 남, 녀 성별이
나 소득은 유의한 연관성이 없었다.
결론: 암환자들의 상당수가 식이보조제를 복용하고 있고 의
사와의 전문적인 상담 수요도 높지만 실제로는 극히 일부만
이 의사와 상담을 한 후에 식이보조제를 복용하고 있음을 알
수 있었다.

참고문헌 (Reference)

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