Factors Predicting Demand for Medical Cannabis Use among Head and Neck Cancer Patients Undergoing Palliative Care
Main Article Content
Abstract
Cannabis extracts have been used among patients in palliative care to promote their quality of life, while severe side effects has not been reported. However, it may not be widely accepted by the public. The purpose of this research was to examine the demand for medical cannabis use and the factors predicting the demand for medicinal cannabis use in head and neck cancer patients receiving palliative care at Chonburi Cancer Hospital. Eighty-seven participants were randomly selected from head and neck cancer patients received palliative care. Data were collected between January 2022 and May 2022. The research instruments included 5 parts of questionnaires to assess data were as follows: 1) personal data, 2) perceived benefits of medicinal cannabis use, 3) perceived barriers of medicinal cannabis use, 4) social support for medicinal cannabis use, and 5) demand for medicinal cannabis use. The reliability values of the questionnaires part 2-5 were .78, .78, .82, and .76, respectively. Data were analyzed using descriptive statistics and stepwise multiple regression analysis. The results showed that the participants apprised of the demand for medicinal cannabis use at a moderate level, while the perceived benefits of medicinal cannabis use and social support for medicinal cannabis use were significant predictors of the demand for medical cannabis use (R2adj.=.41, p<.001). According to this study, information about the benefits of medical cannabis extracts use in terminal patients should be promoted publicly. In addition, health personnel may disseminate new knowledge regarding the medical cannabis extracts use for an alternative to enhance a good quality of life for patients in palliative care.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
Department of Medical Services, Ministry of Public Health. Advice on medical cannabis use 2019. (cited 20 April 2023) Available from:https://mdresearch.kku.ac.th/files/cannabis/ Final%20 Guidance%20on%20Cannabis.pdf
World Health Organization. World cancer report 2020. (ePUB) World Health Organization Press; Lyon, France; 2020.
Public Health Statistics A.D.2020(Internet).(cited 20 April 2023). Available from: http:// dmsic.moph.go.th/index/detail/8900
Digital Medical Division, Chonburi Cancer Hospital. Hospital -base cancer registry 2020.
Chaikham R, Raksanaves L, Pichaya N, Sooksrisawat C. Factors predicting nutritional behaviors among patients with head and neck cancer at ChonBuri Cancer Hospital. Journal of The Department of Medical Services 2018; 43(6):68-73.(in Thai)
Kantha K, Kadmek S, Jaiban N. The result of developing palliative care and medical cannabis clinic in Chun Hospital Phayao Province. Journal of Disease Prevention and Control: DPC.2 Phitsanulok 2021; 8(3):41-56.
Pleumjai T, Management model for nursing service quality developing of palliative care in Songkhla Hospital. Journal of Prachomklao College of Nursing 2020; 3(1):73-94.
Yodying T, Namvongprom A, Pakdevong N. Educative-supportive care is needed in patients with advanced cancer undergoing chemotherapy. Journal of Nursing Science & Health 2019; 42(4):10-19.
Knewsee N, Satjapol C, Wilaipong P, Tumviriyakul H. Factor associated with cannabis use behavior of Cancer patient in outpatient department Phatthalung hospital. PCFM [Internet].2021 Dec.30 [cited 2023Apr.20];4(3):92-106.Available from: https://so03.tcithaijo.org/index.php/PCFM/article/ view/250108
Phanwichian K, Yoga R. Factors associated with cannabis usage on behavioral level for medical benefits of the people. The Journal of Boromarjonani College of Nursing Suphanburi 2020; 3(1):31-42.
Chaisaeng S. Development of a counseling clinic model for medical cannabis extract use at Ban Non Du Tambon Health Promoting Hospital, Mueang District, Amnat Charoen Province. Regional Health Promotion Center 9 Journal 2022; 16(1):45-58.
Martell K, Fairchild A, LeGerrier B, Sinha R, Baker S, Liu H, et al. Rates of cannabis use in patients with cancer. Curr Oncol 2018; 25(3): 219-25.
Abrams DL. Integrating cannabis into clinical cancer care. Curr Oncol 2016; 23(2): S8-14.
Sukrueangkul A, Meesatiant N, Petsamian K, Poolthong N, Sirisuwan P, Khwanruen K. Factors association with demand for medical cannabis use among cancer patients in chemotherapy unit, Sawanpracharak Hospital, Nakhonsawan Province. Thai Journal of Health Education 2022: 45(1): 146-61.(in Thai)
Sripanidkulchai B. Medical Uses of Cannabis. Isan Journal of Pharmaceutical Science 2019; 15(4):1-26.
Prommarat C. Experience of medical cannabis use in palliative patients. PCFM [Internet]. 2020 Sep.19 [cited 20 April 2023]; 3(1):29-35. Available from: https://so03.tci-thaijo.org/index.php/PCFM/ article/view/244776, 2563; 3(1):29–35.
Pender, NJ. Health promotion in nursing practice. (6th ed.). New Jersey: Pearson Education; 2011.
Polit DF, Beck CT. Nursing research: Principles and methods 2004.
Khattiya S, Suwajittanon W. Research patterns and statistics. 2nd eds. Prayurawong;2011.(in Thai)
House JS. Work stress and social support. New Jersey: Prentice Hall; 1981.
Abuhasiraa R, Schleidera LBL, Mechoulamc R, Novack V. Epidemiological characteristics, safety, and efficacy of medical cannabis in the elderly. EJINME 2018; 49: 44–50. Retrieved from https://www. ncbi.nlm.nih.gov/pubmed/29398248.
Taupachit W, Kessonboon N. Medicinal Use of Cannabis. IJPS 2017; 13: 228–40.
Palang C, Nunuan P. social support and adaptation of cancer patients receiving services at the National Cancer Institute: Case Study Research Thai Cancer Journal 2020; 40(2):62-75.