Campbell Duncan G, Turner Aaron P, Williams Rhonda M, Hatzakis Michael, Bowen James D, Rodriquez Arthur, Haselkorn Jodie K
Department of Veterans Affairs (VA) Puget Sound Health Care System (PSHCS), Health Services Research and Development Service, Seattle, WA 98108, USA.
J Rehabil Res Dev. 2006 Jan-Feb;43(1):99-110. doi: 10.1682/jrrd.2004.08.0110.
The present study explored complementary and alternative medicine (CAM) use in veterans with multiple sclerosis (MS). We administered self-report questionnaires to 451 veterans who received healthcare from Veterans Health Administration facilities. CAM use among veterans with MS was widespread; 37% of respondents reported current or past use. Roughly 33% of CAM users reported using multiple interventions, and 40% of respondents desired interventions that they were not already using. Logistic regression suggested that CAM use was more likely among participants with graduate-level education, poor self-reported health over the past year, and a progressive relapsing MS subtype. Participants who used traditional medical services were also more likely to use CAM, which suggests that CAM services are used in addition to, as opposed to in place of, traditional services. As others have proposed, these results suggest that care providers who work with persons with MS would be well served to understand, routinely screen for, and make use of CAM when appropriate.
本研究探讨了患有多发性硬化症(MS)的退伍军人对补充和替代医学(CAM)的使用情况。我们向451名从退伍军人健康管理局设施接受医疗保健的退伍军人发放了自我报告问卷。患有MS的退伍军人中CAM的使用很普遍;37%的受访者报告目前或过去使用过。大约33%的CAM使用者报告使用了多种干预措施,40%的受访者希望获得他们尚未使用的干预措施。逻辑回归表明,在具有研究生学历、过去一年自我报告健康状况较差以及复发缓解型MS亚型的参与者中,使用CAM的可能性更大。使用传统医疗服务的参与者也更有可能使用CAM,这表明CAM服务是在使用传统服务的基础上,而非取代传统服务。正如其他人所提出的,这些结果表明,与患有MS的人打交道的护理人员若能理解、定期筛查并在适当的时候利用CAM,将会受益匪浅。