Ahi Evran University School of Health, Ahi Evran Universitesi Sağlik Yüksekokulu, Turkey.
J Clin Nurs. 2010 Apr;19(7-8):1129-38. doi: 10.1111/j.1365-2702.2009.03111.x.
AIMS AND OBJECTIVES: The aims of this study were to determine the prevalence of complementary and alternative medicine use in patients with arthritis, the types of complementary and alternative medicine used, pertinent socio-demographic factors associated with complementary and alternative medicine use and its perceived efficacy. BACKGROUND: Arthritis is a major health issue, and the use of complementary and alternative medicine among patients with arthritis is common. DESIGN: This is a descriptive cross-sectional study. METHODS: Data were obtained from 250 patients with arthritis at the physiotherapy and immunology clinics Atatürk University Hospital in eastern Turkey between May-July 2005 using a questionnaire developed specifically for this study. The instrument included questions on socio-demographic information, disease specifics and complementary and alternative medicine usage. RESULTS: Seventy-six per cent of participants reported use of at least one form of complementary and alternative medicine in the previous year. Complementary and alternative medicine users and non-users were not significantly different in most socio-demographic characteristics including age, gender, marital status and education level with the exception of economic status. We categorised treatment into six complementary and alternative medicine categories: 62.6% of patients used thermal therapies; 41.5% used oral herbal therapies; 40.5% used hot therapies; 32.6% used externally applied (skin) therapies; 28.4% used massage and 12.6% used cold therapies. All forms of complementary and alternative medicine except thermal and oral herbal therapies were perceived as very effective by more than half of study participants. CONCLUSIONS: Complementary and alternative medicine therapy is widely used by patients with arthritis and has perceived beneficial effects. RELEVANCE TO CLINICAL PRACTICE: It is important for nurses and other health care professionals to be knowledgeable about the use of complementary and alternative medicine therapies when providing care to patients with arthritis because of possible interactions with other treatments, delays in seeking care and the potential for poor quality products. It is also essential for health professionals to discuss treatment options with patients and to monitor treatment efficacy.
目的和目标：本研究旨在确定关节炎患者中补充和替代医学的使用情况、使用的补充和替代医学类型、与补充和替代医学使用相关的相关社会人口因素及其感知疗效。
背景：关节炎是一个主要的健康问题，关节炎患者中补充和替代医学的使用很常见。
设计：这是一项描述性的横断面研究。
方法：2005 年 5 月至 7 月，在土耳其东部的 Atatürk 大学医院的物理治疗和免疫学诊所，使用专门为此研究开发的问卷，从 250 名关节炎患者中获得数据。该工具包括社会人口统计学信息、疾病具体情况和补充与替代医学使用情况的问题。
结果：76%的参与者报告在过去一年中至少使用过一种形式的补充和替代医学。补充和替代医学使用者和非使用者在大多数社会人口统计学特征方面没有显著差异，包括年龄、性别、婚姻状况和教育水平，但经济状况除外。我们将治疗分为六种补充和替代医学类别：62.6%的患者使用热疗；41.5%使用口服草药疗法；40.5%使用热疗；32.6%使用外用药（皮肤）疗法；28.4%使用按摩；12.6%使用冷疗。除了热疗和口服草药疗法外，所有形式的补充和替代医学都被超过一半的研究参与者认为非常有效。
结论：补充和替代医学疗法在关节炎患者中广泛使用，并被认为具有有益的效果。
临床相关性：由于可能与其他治疗方法的相互作用、寻求治疗的延迟以及潜在的低质量产品，护士和其他医疗保健专业人员在为关节炎患者提供护理时，了解补充和替代医学疗法的使用情况非常重要。还必须让卫生专业人员与患者讨论治疗选择，并监测治疗效果。
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