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慢性丙型肝炎患者使用补充和替代医学。

The use of complementary and alternative medicine by patients with chronic hepatitis C.

机构信息

Duke Clinical Research Institute and Division of Gastroenterology, Duke University, Durham, North Carolina, 27705, USA.

School of Nursing, Duke University, Durham, North Carolina, 27705, USA.

出版信息

Complement Ther Clin Pract. 2010 Aug;16(3):124-131. doi: 10.1016/j.ctcp.2009.10.004. Epub 2009 Nov 6.

Abstract

BACKGROUND

The use of complementary and alternative medicine (CAM) is expanding globally. However, prevalence of its use by patients with chronic hepatitis C (CHC) remains unclear.

METHODS

An exploratory, descriptive study was conducted using a questionnaire and interview to describe the use of CAM by patients with CHC attending a liver clinic in the United States.

RESULTS

Eighty percent (n = 120) had used CAM in the last 12 months, most often prayer for health reasons (63%), multivitamins (56%) and herbal medicine (25%). A higher level of education (p < 0.005), poorer health status (p < 0.002) and prior use of anti-viral therapy (p < 0.02) were predictors of CAM use. Participants used CAM to promote general health, but herbal medicine was used to treat CHC symptoms and prevent liver disease.

CONCLUSION

Use of CAM is common among patients with CHC. Failure to acknowledge the use of CAM as a management strategy may restrict the health provider's ability to provide optimal care.

摘要

背景

补充和替代医学(CAM)的使用在全球范围内不断扩大。然而,慢性丙型肝炎(CHC)患者使用 CAM 的流行程度尚不清楚。

方法

本研究采用问卷调查和访谈的方式,对美国一家肝脏诊所的 CHC 患者使用 CAM 的情况进行了探索性描述。

结果

80%(n=120)的患者在过去 12 个月中使用过 CAM,最常见的原因是为了健康祈祷(63%)、服用多种维生素(56%)和草药(25%)。较高的教育程度(p<0.005)、较差的健康状况(p<0.002)和之前使用抗病毒治疗(p<0.02)是使用 CAM 的预测因素。参与者使用 CAM 来促进整体健康,但也有人使用草药来治疗 CHC 症状和预防肝病。

结论

CHC 患者中使用 CAM 的情况很常见。如果不承认 CAM 是一种管理策略,可能会限制医疗保健提供者提供最佳护理的能力。

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