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1. RESEARCH POSTER PRESENTATION DESIGN © 2012
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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