Factors Association with Demand for Medical Cannabis Use among Cancer Patients in Chemotherapy Unit, Sawanpracharak Hospital, Nakhonsawan Province ปัจจัยที่มีความสัมพันธ์กับความต้องการใช้กัญชาทางการแพทย์ของผู้ป่วยโรคมะเร็งที่มารับบริการในหน่วยเคมีบำบัด โรงพยาบาลสวรรค์ประชารักษ์ จังหวัดนครสวรรค์

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อลงกรณ์ สุขเรืองกูล
นงค์นุช มีเสถียร
เครือวัลย์ เพ็ชรเสมียน
นงลักษณ์ พูลทอง
เพชรัตน์ ศิริสุวรรณ
ขวัญเรือน แก่นของ


Cancer remains a major of public health problem and leading cause of death worldwide. This cross-sectional analytical study aimed to identify factors associated with demand for medical cannabis (MC) use cancer patients in Chemotherapy unit, Sawanpracharak hospital, Nakhonsawan Province. Subjects were 214 cancer patients aged 18 or older in Chemotherapy unit, selected by multistage random sampling. The research instruments consisted of a 1) Demographic Data Recording Form, 2) Social Support Questionnaire, 3) Attitude about MC use Questionnaire, 4) Knowledge about MC Questionnaire, 5) Health literacy about MC use Questionnaire, and 6) Demand of MC use among cancer patients Questionnaire. The questionnaire was test by experts for validity was 0.97 for all questionnaires. The Cronbach’s Alpha of questionnaire were 0.88 for sociodemographic factors, 0.86 for social support, 0.81 for attitudes, and 0.94 for health literacy about MC use. The Kuder - Richardson was 0.75 for knowledge about MC questionnaires. Data were analyzed by using frequency, percentages, means, standard deviations, descriptive statistics, and multiple logistic regression.

The results demonstrated that the factors significantly associated with demand to use MC included had adequate- excellent health literacy about MC (ORadj=6.50; 95% CI: 3.14 to 13.45), positive attitudes toward MC use (ORadj = 5.88; 95% CI: 2.52 to 13.68), higher levels of social support (ORadj= 4.95; 95% CI: 2.29 to 10.66), higher levels of knowledge about MC (ORadj =3.32; 95% CI: 1.27 to 8.62) and male (ORadj=2.56; 95% CI: 1.23 to 5.33) when controlling effect of other covariates. Therefore, health literacy about MC use should be   strengthened   among   cancer patients, along with promoting good attitudes, and knowledge about MC use as a complementary medicine to treat cancers.


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