Moolasarn Summana, Sripa Saksit, Kuessirikiet Vichittra, Sutawee K, Huasary Jeerasak, Chaisila Charuntorn, Chechom Nampueng, Sankan Saowanee
Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Warin Chumrab, Ubon Ratchathani 34190, Thailand.
J Med Assoc Thai. 2005 Nov;88(11):1630-7.
The purposes of the present survey research in diabetic patients were 1) to determine characteristics of complementary/alternative medicine (CAM) use, 2) to identify factors related to CAM use such as sociodemographic, adverse effects, and quality of life, and 3) to determine differences between patients who used and did not use CAM. The data was collected through developed questionnaires and SF-36 scale Thai version. Samples were 159 diabetes patients over 18 years of age or older who came for treatment at Suppasitthiprasong Hospital, Ubon Ratchathani Province, Thailand. The results indicated that the prevalence of CAM use was rather high (47.8%). The most common types of CAM used were yoga/exercise (32.8%), unchanged form of herbal medicine (29.9%), and changed form herbal medicine (17.8%). The average expense of CAM use was dollar 8.58 per person per month. Thus, if the percentage of CAM use and the cost were true for other Thai diabetic patients throughout Thailand, CAM use expenditure for the whole country would be about dollar 915,250-1,545,750 per month, which is quite high for a small country like Thailand. Most patients (64.4%) who used CAM did not inform their doctors about their CAM use. Results also indicated that government official patients were more likely to use CAM than those of farmer patients significantly (p-value = 0.03, odds ratio = 12.11). In addition, the present study found that patients who had a higher income were more likely to use CAM than those of lower income patients significantly (p - value = 0.04, odds ratio = 1.01). However, other factors such as age, sex, marital status, level of education, health insurance coverage status, duration of time to treat, occurrence of adverse effects, and quality of life were not different between the patients who used CAM and who did not use CAM. Physicians should pay more attention to the CAM use of patients since they used CAM without informing physicians and some herbal medicines may cause hypoglycemia. However, the study results had some limitations to apply to other Thai populations since the sample were Suppasitthiprasong patients who may be different from other Thai populations in many ways such as their local culture, belief, and CAM use types and cost.
1)确定补充/替代医学(CAM)的使用特征;2)识别与CAM使用相关的因素,如社会人口统计学因素、不良反应及生活质量;3)确定使用和未使用CAM的患者之间的差异。数据通过自行编制的问卷和泰语版SF-36量表收集。样本为159名年龄在18岁及以上、前往泰国乌汶叻差他尼府苏帕西提普拉松医院接受治疗的糖尿病患者。结果表明,CAM的使用率相当高(47.8%)。最常使用的CAM类型为瑜伽/运动(32.8%)、未加工的草药(29.9%)和加工过的草药(17.8%)。CAM的人均月使用费用为8.58美元。因此,如果CAM的使用率和费用情况对泰国其他糖尿病患者也适用,那么全国每月的CAM使用支出约为915,250 - 1,545,750美元,这对于像泰国这样的小国来说相当高。大多数使用CAM的患者(64.4%)未告知医生其使用CAM的情况。结果还表明,政府公职人员患者使用CAM的可能性显著高于农民患者(p值 = 0.03,比值比 = 12.11)。此外,本研究发现,收入较高的患者使用CAM的可能性显著高于低收入患者(p值 = 0.04,比值比 = 1.01)。然而,其他因素,如年龄、性别、婚姻状况、教育程度、医疗保险覆盖状况、治疗时间长短、不良反应的发生情况以及生活质量,在使用和未使用CAM的患者之间并无差异。医生应更加关注患者对CAM的使用情况,因为他们在未告知医生的情况下使用CAM,而且一些草药可能会导致低血糖。然而,由于样本是苏帕西提普拉松医院的患者,他们在当地文化、信仰以及CAM使用类型和费用等许多方面可能与其他泰国人群不同,所以该研究结果在应用于其他泰国人群时存在一定局限性。