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Poster nisreen anfanan

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  • 1. RESEARCH POSTER PRESENTATION DESIGN © 2012 www.PosterPresentations.c om Nationality: Age: Marital Status: Level of Education: literate Elementary Secondary Collage Sex: male female _____________________________________________ Anybody in family diagnosis with cancer Yes No Was you diagnose with cancer her / himself Yes No Type What do you think, why cancer happen: I don’t know Unknown infectious Environmental Nutritional Hereditary Others ( e.g. stress) Patient with cancer 1) Did you received all treatment that your doctor recommend ( ) Yes ( ) No or if NO is it due to : financial It will kill me You don t like chemo Treatment is useless 2) Were you satisfied with your cancer treatment service? 3) Did you get any of alternative medicine? Yes No If yes is it herbal traditional rokia zamzam * if yes did you take it during medical treatment After medical treatment With treatment 5) Do you thing alternative medicine should be taken 1) Alone 2) combined with medical medicine 3) not at all 4) not sure • Cancer is a major public health problem • It is the second leading cause of death in developed countries and is one of the three leading causes of death for adults in developing countries • by 2030 Worldwide cancer rates are set to double (WHO) • Cultural, false beliefs and taboo affect early detection and effective treatment • Failure to recognize these internal obstacles can doom the success of any cancer care • According to the Saudi cancer registry which was published on 2007, the total number of adult cancer incidence cases reported was 11,437 • more in females than in males (5,473 (47.9%) males and 5,964 (52.1%)) in female • In Saudi Arabia, studies that detect perception about cancer and attitude toward conventional and alternative therapy were few and mostly on knowledge of and attitude towards breast cancer • A recent study conducted on Riyadh showed poor knowledge and wrong believed among public Background Objectives Of The Study • To assess perception and attitude related to cancer and its treatments among patients with cancer living in the western area of Saudi Arabia • To investigate the prevalence, pattern of complementary alternative medicine (CAM) use in cancer patients Scientific chair of Prof. Abdullah Hussain Basalamah for Gynecological Cancer Faculty of Medicine , King Abdulaziz University , Jeddah , Saudi Arabia Nisrin Anfinan, Khalid Sait, Basem Eldeek, Jawher Al Ahmadi, Maha Al Attas, Hesham Sait Perception and Attitude Of Patients With Cancer Attending King Abdulaziz University Hospital Towards Support Services and Treatment Of Cancer Materials & Methods • A cross-sectional descriptive study using an interview with a structured questionnaire to obtain information regarding the knowledge, attitudes, and practices of patients with cancer regarding the treatment services • The study was conducted among patients attending oncology follow up clinic at King Abdulaziz University Hospital (KAUH) , Jeddah, Kingdom of Saudi Arabia, between December 2010 to November 2011. • 212 patients with cancer were approached, 137 of them agreed to participate in the study with respond rate of 64.6%. Results Table I: Demographic characteristic (n=137) Variables N (%) Nationality Saudi Non-Saudi 93 ( 67.8) 44 ( 32.2) Gender Men Women 57 (41.6) 80 (58.4) Age Mean ±SD Range 40.85+- 17.51 (75-19) Education Illiteracy Primary Preparatory Secondary university 23 (16.7) 17 (12.4) 12 (8.7) 14 (10.2) 71 (51.8) Marital status Married Single Widow Divorced 97 (70.8) 37 (27) 9 (6.5) 5 (3.6) Type of cancer (N) Type of cancer (N) Bowel cancer Breast cancer Lung cancer Leukemia Cancer bladder Cervical cancer Cancer colon 10 36 10 9 7 18 16 Lymph gland Nasopharyngeal Rectal cancer Muscle Pancreatic cancer Ovarian cancer Kidney Prostate 3 2 2 3 3 7 7 3 Statistical analysis The data were collected and entered into a study database for analysis (SSP v.20). The statistical analysis: • The quantitative were presented in the form of number and percentage. • Chi-square test was used for comparisons of quantitative data. • Yates correction was applied when the expected cell less than 5. • The quantitative data were presented in the form of mean and standard deviation. • Student t test was used for comparisons Of quantitative data. • Significance was considered when p value < 0.05 Limitation The research team worked on a small sample size , there were no focus group discussion which could affect the extrapolation of the results of this study. Questionnaire Conclusion • Physicians must be aware of their roles as supportive providers to their cancer patients because of the positive influence it has on them. • There is a need to increase education and awareness of cancer knowledge and important of treatment in our community. • All the effort should be done in order to meet patient with cancer satisfaction and make their cancer treatment accessible • There is more to learn about the acceptability and the use of CAM in the west region of Saudi Arabia Recommendation • Establishment of support groups at KAUH for patients with cancer is essential . • We should work of establish strong relation between the health care provider and cancer patients. • Regular feedback need to be under-taken from cancer patients in order to detect an area that need improvement. Acknowledgment I would like to thanks my colleague for helping me complete the interview and fill up the questionnaires with great appreciation to all the cancer patients for spare some of their time to be able to get this questionnaire filled up may Allah continue their cure from their cancer Special thanks to the team of the scientific chair of Prof. Abdullah Hussain Basalamah for gynecological cancer for their support Table II: Distribution of the studied patients according to type of cancer (n=137) Table III: knowledge the studied patients about the cause of cancer (n=137) Cause of cancer N (%) I don't know Inflammation Environment Diet Genetic Stress Sadness Envy Black magic 89 (65) 14 (10.2) 31 (22.6) 28 (20.4) 41 (29.9) 30 (21.9) 27 (19.7) 46 (33.6) 32 (23.4) * The patients might choose more than one answer. N (%) Did you received the prescribed treatment yes No 127 (92.7) 10 (7.3) If No What are the reason (n=10) financial treatment lead to death I Do not Prefer chemotherapy treatment useless 6 (60) 2 (20) 1 (10) 1 (10) Do You Satisfied about treatment very dissatisfied dissatisfied satisfied Very satisfied 13 (9.5) 24 (17.5) 55 (40.1) 45 (32.5) Table IV: Practice of the patients with cancer towards treatment (N=137) Dis-satisfied N=37 N=% Satisfied N=100 N=% P value Nationality Saudi Non Saudi 32 (85.5) 5 (13.5) 61 (65.6) 39 (39) P=0.003** Gender Men women 20 (54.1) 17 (45.9) 37 (37) 63 (63) P=0.055 Age Mean ±SD Range 41+-18..51 40.9+-17..52 P=0.93 Education Illiteracy Primary Preparatory Secondary university 4 (10.8) 3 (8.1) 2 (5.4) 7 (18.9) 21 (56.8) 19 (19) 14 (14) 10 (10) 7 (7) 50 (50) P=0.166 Marital status Married Single Widow Divorced 22 (59.5) 12 (32.4) 3 (8.1) 0 (18.9) 63 (63) 26 (26) 6 (6) 5 (5) P=0.47 Who inform you about your diagnosis: Doctor Nurse Report Relative accidentally 17 (45.9) 16 (8.1) - (-) - (-) 4 (10.8) 65 (65) 17 (17) 8 (8) 6 (6) 4 (4) P=0.01* Satisfaction about explanation of their cancer -Strongly unsatisfied -Not satisfied -Satisfied -Strongly satisfied 3 (8.1) 9 (24.3) 20 (8.1) 5 (18.9) 6 (6) 25 (25) 27 (27) 42 (42) P=0.006* Do you receive enough support Yes 10 (27) 53 (53) P=0.005* Who provide you with support Relative ,fiends, family Health team 6 (60) 4 (40) 31 (58.4) 22 (41.6) P=0.152 Table V: Predictors factor of Satisfaction of treatment services of patient with cancer (n=137) Table VI: Prevalence, pattern of complementary alternative medicine use in cancer patients N (%) Did You received alternative treatment Yes No 28 (20.6) 109 (79.4) If Yes What are the type of treatment (n=28) Herbal Traditional Rakia Zamzam When Did You Received (n=28) Before treatment After treatment With treatment Why Do you take alternative treatment (n=28) Improve general condition increase response per pressure 15 (53.6) 2 (7.1) 6 (21.4) 5 (17.9) 12 (42.9) 3 (10.7) 13 (46.7) 14 (50) 10 (35.7) 4 (14.3) Did you believe that alternative treatment Could be used Alone With medical Never I am not sure 7 (5.1) 34 (24.8) 84 (61.3) 12 (8.5) Table VII: Predictive factors for patients received complementary alternative medicine Receive alternative treatment N=28 Not Receive alternative treatment N=109 Significance Nationality Saudi Non Saudi 17 (60.7) 11 (39.3) 76 (69.4) 33 (30.6) P=0.25 Gender Men women 12 (42.9) 16 (57.1) 45 (41.7) 64 (58.3) P=0.53 Age Mean ±SD Range 44.43±20.47 37.28±15.25 P=.042* Marital status Married Single Widow Divorced 21 (75) 2 (7.1) 5 (17.9) - (-) 76 (59.3) 35 (32.4) 4 (3.7) 5 (4.6) P=.003** Family history of cancer 10 (35.7) 50 (46.3) P=0.21

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