J Midwifery Womens Health. 2010 Jul-Aug;55(4):335-43. doi: 10.1016/j.jmwh.2009.10.015.
Despite questionable efficacy and safety, many women use a variety of complementary and alternative medicine (CAM) therapies to relieve menopause symptoms.
We examined the determinants and use of CAM therapies among a sample of menopausal-aged women in Canada by using a cross-sectional Web-based survey.
Four hundred twenty-three women who were contacted through list serves, e-mail lists, and Internet advertisements provided complete data on demographics, use of CAM, therapies, and menopausal status and symptoms. Ninety-one percent of women reported trying CAM therapies for their symptoms. Women reported using an average of five kinds of CAM therapies. The most common treatments were vitamins (61.5%), relaxation techniques (57.0%), yoga/meditation (37.6%), soy products (37.4%), and prayer (35.7%). The most beneficial CAM therapies reported were prayer/spiritual healing, relaxation techniques, counseling/therapy, and therapeutic touch/Reiki. Demographic factors and menopausal symptoms contributed to 14% of the variance (P < .001) in the number of CAM therapies tried.
Results support previous research showing that menopausal women have high user rates of CAM therapy and show that specific demographic factors and somatic symptomatology relate to use of CAM therapies. Health care providers can benefit from understanding the determinants and use of CAM by women during the menopause transition if they are to help and provide quality care for this population.
尽管疗效和安全性存在争议,但许多女性仍使用各种补充和替代医学(CAM)疗法来缓解更年期症状。
我们通过一项横断面网络调查,研究了加拿大更年期女性样本中 CAM 疗法的决定因素和使用情况。
通过列表服务、电子邮件列表和互联网广告联系到的 423 名女性提供了完整的人口统计学、CAM 使用情况、疗法以及更年期状况和症状数据。91%的女性报告称曾使用 CAM 疗法缓解症状。女性报告平均使用五种 CAM 疗法。最常见的治疗方法是维生素(61.5%)、放松技术(57.0%)、瑜伽/冥想(37.6%)、大豆制品(37.4%)和祈祷(35.7%)。报告最有益的 CAM 疗法是祈祷/精神疗法、放松技术、咨询/治疗和灵气疗法。人口统计学因素和更年期症状导致尝试的 CAM 疗法数量差异占 14%(P<.001)。
研究结果支持了先前的研究,表明更年期女性 CAM 疗法使用率较高,并表明特定的人口统计学因素和躯体症状与 CAM 疗法的使用有关。如果医疗保健提供者要为这一人群提供帮助和提供高质量的护理,了解女性在更年期过渡期间使用 CAM 的决定因素和使用情况将对他们有所帮助。