April Karine Toupin, Feldman Debbie Ehrmann, Zunzunegui Maria Victoria, Descarreaux Martin, Malleson Peter, Duffy Ciarán M
Département de médecine sociale et préventive and Groupe de Recherche Interdisciplinaire en Santé, Université de Montréal, C.P. 6128, Succ. Centre-ville, Montréal, Qc H3C 3J7, Canada.
Complement Ther Med. 2009 Aug;17(4):208-15. doi: 10.1016/j.ctim.2009.03.003. Epub 2009 May 1.
The aims were to determine the frequency of use of different types of complementary and alternative health care (CAHC) in children with juvenile idiopathic arthritis (JIA), to evaluate their effectiveness from the parents' point of view and to explore the factors associated with utilization and with continued use.
A cohort of children with JIA (n=182, mean age: 10 years) who attended out-patient clinics were followed for 1 year. Parents responded to questionnaires every 3 months. We used generalized estimating equations to analyze factors associated with CAHC use and polytomous regression to evaluate factors associated with continued use of CAHC.
Use of CAHC ranged between 10% and 24% for the various 3-month intervals and 36.4% of participants used at least one type of CAHC over the 12-month period. Seventy-two percent of parents who used CAHC for their children felt that it was at least somewhat beneficial. Predictors of continued use of CAHC included previous use of CAHC by parents for their own health problems and lower perceived helpfulness of prescribed medications. Neither children's demographic and socioeconomic characteristics nor disease status were associated with CAHC use.
CAHC use in children with JIA is common and considered to be moderately beneficial by most parents who used it. Lower parents' perceived helpfulness of medications and previous use of CAHC are associated with a longer use of CAHC by their child. These facts should be taken into account by health professionals involved in the care of these children.
旨在确定幼年特发性关节炎（JIA）患儿使用不同类型补充和替代医疗保健（CAHC）的频率，从家长的角度评估其有效性，并探讨与使用及持续使用相关的因素。
对一组在门诊就诊的JIA患儿（n = 182，平均年龄：10岁）进行为期1年的随访。家长每3个月回答一次问卷。我们使用广义估计方程分析与CAHC使用相关的因素，并使用多分类回归评估与CAHC持续使用相关的因素。
在各个3个月的时间段内，CAHC的使用频率在10%至24%之间，36.4%的参与者在12个月期间至少使用过一种类型的CAHC。72%为孩子使用CAHC的家长认为其至少有一定益处。CAHC持续使用的预测因素包括家长之前因自身健康问题使用过CAHC以及对处方药的感知帮助较低。儿童的人口统计学和社会经济特征以及疾病状况均与CAHC的使用无关。
JIA患儿使用CAHC很常见，大多数使用过的家长认为其有一定益处。家长对药物的感知帮助较低以及之前使用过CAHC与孩子更长时间使用CAHC有关。参与这些儿童护理的卫生专业人员应考虑这些因素。
