Yates K M, Armour M J, Pena A
Emergency Care Centre, North Shore Hospital, Private Bag 93503, Takapuna, Auckland, New Zealand.
Complement Ther Med. 2009 Aug;17(4):224-8. doi: 10.1016/j.ctim.2009.06.001. Epub 2009 Jul 14.
To determine the percentage of Emergency Medicine patients using Complementary Therapies (CTs), to investigate what types of CTs are used most commonly, and to gauge the acceptability of studies of CT effectiveness in a hospital setting.
Prospective cross sectional survey using a convenience sample of adult patients, presenting to the Emergency Care Centre at North Shore Hospital in Auckland, New Zealand between December 2004 and March 2006. The survey questionnaire collected demographic data, information on CT usage and attitudes to studies of CTs. Descriptive statistics with 95% confidence intervals are reported. Comparisons of proportions were made using Chi-Square or Fisher exact.
56.1% of participants had used a CT. Vitamins and minerals (21.2%), massage (13.4%), acupuncture (10.6%) were the most commonly used CTs. 53.3% of those using herbs or complementary medicines had not told their doctor. When compared to those who had not used CTs, respondents who had previously used CTs were both more likely to follow their doctor's advice to use a CT (71.7% vs. 55.3%, p=0.0035), and to participate in a study of CT effectiveness (65.0% vs. 45.4%, p=0.0007).
More than half the patients surveyed had used CT in the past and more than half had not told their doctor. The majority of Emergency Medicine patients would follow the advice of their doctor if a CT was advised, and would agree to participate in a study of CT effectiveness, suggesting that such studies are practical in a hospital setting.
确定使用补充疗法（CTs）的急诊医学患者的比例，调查最常用的CTs类型，并评估在医院环境中CT有效性研究的可接受性。
采用前瞻性横断面调查，以2004年12月至2006年3月期间在新西兰奥克兰北岸医院急诊护理中心就诊的成年患者为便利样本。调查问卷收集了人口统计学数据、CT使用信息以及对CT研究的态度。报告了带有95%置信区间的描述性统计数据。使用卡方检验或费舍尔精确检验进行比例比较。
56.1%的参与者使用过CT。维生素和矿物质（21.2%）、按摩（13.4%）、针灸（10.6%）是最常用的CTs。使用草药或补充药物的患者中有53.3%未告知医生。与未使用CTs的患者相比，之前使用过CTs的受访者更有可能听从医生使用CT的建议（71.7%对55.3%，p = 0.0035），也更有可能参与CT有效性研究（65.0%对45.4%，p = 0.0007）。
超过一半的受访患者过去使用过CT，且超过一半未告知医生。如果医生建议使用CT，大多数急诊医学患者会听从医生的建议，并同意参与CT有效性研究，这表明此类研究在医院环境中是可行的。
