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人们对补充和替代医学的态度影响其使用。

Attitudes toward complementary and alternative medicine influence its use.

机构信息

Department of Psychology and Neuroscience, University of Colorado at Boulder, CO, USA.

出版信息

Explore (NY). 2010 Nov-Dec;6(6):380-8. doi: 10.1016/j.explore.2010.08.004.


DOI:10.1016/j.explore.2010.08.004
PMID:21040887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3011931/
Abstract

OBJECTIVE: The aim of this study was to explore how attitudes toward complementary and alternative medicine (CAM) and conventional medicine influence CAM use in a healthy population, and how health locus of control and exercise further affect CAM use. DESIGN: A cross-sectional survey design was used. PARTICIPANTS: The sample consisted of 65 healthy graduate students. MAIN OUTCOME MEASURES: Since previous studies have focused on the attitudes of medical providers toward CAM, there are currently no standard, widely used measures of attitudes toward CAM from the perspective of the healthcare recipient. Thus, a new measure, the Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS) was created to address how attitudes of healthcare recipients affect CAM use. The Multidimensional Health Locus of Control Scale (MHLC) was used to investigate effects of health locus of control on CAM use, and participants reported which of 17 listed CAM treatments they had used in the past, were currently using, or would likely use in the future. Participants also reported days of exercise in the past month to explore if those engaging in healthy behaviors might report more CAM use. RESULTS: Having a philosophical congruence with CAM and agreement with holistic balance was associated with increased CAM use. Dissatisfaction with conventional medicine was also related to increased CAM use, but to a lesser extent. Those attributing health to personal behaviors (an internal health locus of control) reported more CAM use, as did those engaging in more resistance training in the previous month.

摘要

目的:本研究旨在探讨健康人群中对补充替代医学(CAM)和常规医学的态度如何影响 CAM 的使用,以及健康控制源和运动如何进一步影响 CAM 的使用。

设计:采用横断面调查设计。

参与者:样本由 65 名健康的研究生组成。

主要观察指标:由于先前的研究侧重于医疗提供者对 CAM 的态度,因此目前没有从医疗服务接受者角度衡量对 CAM 的态度的标准、广泛使用的方法。因此,创建了一种新的方法,即补充、替代和常规医学态度量表(CACMAS),以探讨医疗服务接受者的态度如何影响 CAM 的使用。多维健康控制源量表(MHLC)用于调查健康控制源对 CAM 使用的影响,参与者报告了他们过去使用过、目前正在使用或将来可能使用的 17 种列出的 CAM 治疗方法中的哪些。参与者还报告了过去一个月的运动天数,以探讨是否参与健康行为的人可能会报告更多的 CAM 使用。

结果:与 CAM 具有哲学一致性和整体平衡一致与增加的 CAM 使用相关。对常规医学的不满也与增加的 CAM 使用有关,但程度较轻。那些将健康归因于个人行为(内部健康控制源)的人报告了更多的 CAM 使用,过去一个月进行更多阻力训练的人也是如此。

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本文引用的文献

[1]
Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007.

Natl Health Stat Report. 2009-7-30

[2]
Complementary and alternative medicine use among adults and children: United States, 2007.

Natl Health Stat Report. 2008-12-10

[3]
The knowledge, attitudes and usage of complementary and alternative medicine of medical students.

Evid Based Complement Alternat Med. 2011-2-14

[4]
Predictors of the use of complementary and alternative medicine (CAM) by women at high risk for breast cancer.

Eur J Cancer. 2009-3

[5]
Who is willing to use complementary and alternative medicine?

Explore (NY). 2008

[6]
Higher internality of health locus of control is associated with the use of complementary and alternative medicine providers among patients seeking care for acute low-back pain.

Clin J Pain. 2008-10

[7]
Provider-based complementary and alternative medicine use among three chronic illness groups: associations with psychosocial factors and concurrent use of conventional health-care services.

Complement Ther Med. 2008-4

[8]
Positive correlation between the use of complementary and alternative medicine and internal health locus of control.

Explore (NY). 2008

[9]
A systematic review of beliefs involved in the use of complementary and alternative medicine.

J Health Psychol. 2007-11

[10]
Health behaviors and risk factors in those who use complementary and alternative medicine.

BMC Public Health. 2007-8-27

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