Group Health Research Institute, Seattle, WA, USA.
BMC Complement Altern Med. 2011 Dec 1;11:121. doi: 10.1186/1472-6882-11-121.
Very little research has explored the factors that influence interest in complementary and alternative medicine (CAM) treatments. We surveyed persons with sub-optimally controlled type 2 diabetes to evaluate potential relationships between interest in complementary and alternative medicine (CAM) treatments, current self-care practices, motivation to improve self-care practices and satisfaction with current health care for diabetes.
321 patients from a large integrated healthcare system with type 2 diabetes, who were not using insulin and had hemoglobin A1c values between 7.5-9.5%, were telephoned between 2009-2010 and asked about their self-care behaviors, motivation to change, satisfaction with current health care and interest in trying naturopathic (ND) care for their diabetes. Responses from patients most interested in trying ND care were compared with those from patients with less interest.
219 (68.5%) patients completed the survey. Nearly half (48%) stated they would be very likely to try ND care for their diabetes if covered by their insurance. Interest in trying ND care was not related to patient demographics, health history, clinical status, or self-care behaviors. Patients with greater interest in trying ND care rated their current healthcare as less effective for controlling their blood sugar (mean response 5.9 +/- 1.9 vs. 6.6 +/- 1.5, p = 0.003), and were more determined to succeed in self-care (p = 0.007). Current CAM use for diabetes was also greater in ND interested patients.
Patients with sub-optimally controlled type 2 diabetes expressed a high level of interest in trying ND care. Those patients with the greatest interest were less satisfied with their diabetes care, more motivated to engage in self-care, and more likely to use other CAM therapies for their diabetes.
很少有研究探讨影响人们对补充和替代医学（CAM）治疗兴趣的因素。我们调查了血糖控制不理想的 2 型糖尿病患者，以评估他们对补充和替代医学（CAM）治疗的兴趣、当前自我护理行为、改善自我护理行为的动机以及对糖尿病现有医疗保健的满意度之间的潜在关系。
2009-2010 年间，我们对一家大型综合医疗保健系统中的 321 名 2 型糖尿病患者进行了电话调查，这些患者未使用胰岛素，且糖化血红蛋白（HbA1c）值在 7.5-9.5%之间。我们询问了他们的自我护理行为、改变的动机、对现有医疗保健的满意度以及对尝试自然疗法（ND）治疗糖尿病的兴趣。与对尝试 ND 护理兴趣较低的患者相比，对尝试 ND 护理最感兴趣的患者的反应。
219 名（68.5%）患者完成了调查。近一半（48%）的患者表示，如果他们的保险涵盖 ND 护理，他们很可能会尝试 ND 护理来治疗他们的糖尿病。对尝试 ND 护理的兴趣与患者的人口统计学特征、健康史、临床状况或自我护理行为无关。对尝试 ND 护理更感兴趣的患者认为他们目前的医疗保健对控制血糖的效果较差（平均反应为 5.9 +/- 1.9 与 6.6 +/- 1.5，p = 0.003），并且更有决心在自我护理中取得成功（p = 0.007）。对 ND 感兴趣的患者也更有可能使用其他 CAM 疗法来治疗糖尿病。
血糖控制不理想的 2 型糖尿病患者对尝试 ND 护理表现出高度的兴趣。那些最感兴趣的患者对他们的糖尿病护理满意度较低，更有动力参与自我护理，并且更有可能使用其他 CAM 疗法来治疗他们的糖尿病。
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