Abstract：
OBJECTIVE: The study aimed to reveal the approaches to coping with stress of women with breast cancer and the factors predicting these approaches, to determine the prevalence and characteristics of Complementary and Alternative Medicine (CAM), and to examine the relationship between use of CAM and approaches to coping with stress.
METHODS: A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the \"Descriptive Information Form\" and the \"Stress Coping Styles Scale (SCSS)\".
RESULTS: Women\'s SCSS score was 47.26±6.39 (effective) and 37.76±6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (p>0.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (p<0.05, adjusted R2=0.08, 0.05, and 0.33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (p<0.05, adjusted R2=0.14 and 0.11 respectively).
CONCLUSIONS: One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.
METHODS: A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the \"Descriptive Information Form\" and the \"Stress Coping Styles Scale (SCSS)\".
RESULTS: Women\'s SCSS score was 47.26±6.39 (effective) and 37.76±6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (p>0.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (p<0.05, adjusted R2=0.08, 0.05, and 0.33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (p<0.05, adjusted R2=0.14 and 0.11 respectively).
CONCLUSIONS: One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.
摘要：
目的：该研究旨在揭示乳腺癌女性应对压力的方法以及预测这些方法的因素。确定补充和替代医学(CAM)的患病率和特征，并研究CAM的使用与应对压力的方法之间的关系。
方法：在Türkiye的一家培训和研究医院对328名乳腺癌女性进行了描述性和横断面研究。使用“描述性信息表”和“应力应对样式量表（SCSS）”收集数据。
结果：女性的SCSS评分分别为47.26±6.39（有效）和37.76±6.33（无效）。CAM用户与非CAM用户的SCSS评分差异无统计学意义(p>0.05)。CAM使用率为36%，最常见的CAM类型是草药产品(55.1%)和祈祷(33.8%),使用CAM的原因是放松(有症状)(43.2%).作为多元逻辑回归分析的结果，收入水平,工作,活着的孩子的数量，接受化疗,接受手术,有癌症家族史，患病后伴侣的兴趣与有效应对压力有关（p<0.05，调整后的R2分别为0.08、0.05和0.33）。工作,接受化疗,接受手术,癌症阶段，在社会环境中有癌症史与应对压力无效相关（p<0.05，调整后的R2分别为0.14和0.11）。
结论：三分之一的女性使用CAM，并且有良好的应对压力的方法。医疗保健提供者，尤其是妇科肿瘤科护士，应提供有关CAM的咨询，并制定应对乳腺癌女性压力的策略。
方法：在Türkiye的一家培训和研究医院对328名乳腺癌女性进行了描述性和横断面研究。使用“描述性信息表”和“应力应对样式量表（SCSS）”收集数据。
结果：女性的SCSS评分分别为47.26±6.39（有效）和37.76±6.33（无效）。CAM用户与非CAM用户的SCSS评分差异无统计学意义(p>0.05)。CAM使用率为36%，最常见的CAM类型是草药产品(55.1%)和祈祷(33.8%),使用CAM的原因是放松(有症状)(43.2%).作为多元逻辑回归分析的结果，收入水平,工作,活着的孩子的数量，接受化疗,接受手术,有癌症家族史，患病后伴侣的兴趣与有效应对压力有关（p<0.05，调整后的R2分别为0.08、0.05和0.33）。工作,接受化疗,接受手术,癌症阶段，在社会环境中有癌症史与应对压力无效相关（p<0.05，调整后的R2分别为0.14和0.11）。
结论：三分之一的女性使用CAM，并且有良好的应对压力的方法。医疗保健提供者，尤其是妇科肿瘤科护士，应提供有关CAM的咨询，并制定应对乳腺癌女性压力的策略。
