Wadhera Veena, Lemberg Daniel A, Leach Steven T, Day Andrew S
Department of Gastroenterology, Sydney Children's Hospital, Randwick, Australia.
J Paediatr Child Health. 2011 Dec;47(12):904-10. doi: 10.1111/j.1440-1754.2011.02100.x. Epub 2011 Jun 9.
The use of complementary and alternative medicines (CAM) appears to be increasing. This cross-sectional study aimed to assess the use of CAM in children, investigate factors influencing their use and attitudes towards them and to contrast to previous usage patterns.
Parents of children attending gastroenterology outpatient clinics at a tertiary paediatric hospital completed a questionnaire providing details of CAM usage, awareness and attitudes.
Sixty-nine percent of the 98 respondents were using or had used CAM (n= 66). Nutritional supplements (n= 37, 56% of CAM users) and probiotics (n= 33, 50%) were most commonly used. Most CAM users sought complementary therapy to help a chronic problem (n= 43, 69.4%) and had been referred by a friend or family member (n= 33, 53.2%). Self-reported well-being was associated with CAM use (P= 0.0009) and CAM were described as partially effective by 40 parents (67.8%). Forty-six parents (75.4%) expressed that they would use CAM again. Seventy-two respondents (80%) believed that doctors should support the use of CAM.
Children attending this gastroenterology clinic are commonly given CAM. Awareness and acceptance of CAM by carers of children with gastroenterology conditions is high.
补充和替代医学（CAM）的使用似乎在增加。这项横断面研究旨在评估儿童对CAM的使用情况，调查影响其使用的因素及其对CAM的态度，并与以往的使用模式进行对比。
在一家三级儿科医院的胃肠病门诊就诊的儿童的家长完成了一份问卷，问卷提供了CAM使用、认知和态度的详细信息。
98名受访者中有69%正在使用或曾经使用过CAM（n = 66）。营养补充剂（n = 37，占CAM使用者的56%）和益生菌（n = 33，占50%）是最常用的。大多数CAM使用者寻求辅助疗法来帮助解决慢性问题（n = 43，69.4%），并且是由朋友或家庭成员推荐的（n = 33，53.2%）。自我报告的幸福感与CAM的使用相关（P = 0.0009），40位家长（67.8%）称CAM有部分疗效。46位家长（75.4%）表示他们会再次使用CAM。72位受访者（80%）认为医生应该支持CAM的使用。
在这家胃肠病诊所就诊的儿童普遍使用CAM。胃肠病患儿的照料者对CAM的认知度和接受度很高。
