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台湾颅脑外伤患者使用补充和替代医学的情况。

The use of complementary and alternative medicine for patients with traumatic brain injury in Taiwan.

机构信息

Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.

出版信息

BMC Complement Altern Med. 2012 Nov 6;12:211. doi: 10.1186/1472-6882-12-211.

Abstract

BACKGROUND

The use of complementary and alternative medicine (CAM) continues to increase in Taiwan. This study examined the use of CAM and beliefs about CAM as expressed by patients with traumatic brain injury (TBI) in Taiwan.

METHODS

TBI patients and their accompanying relatives were interviewed by using a structured questionnaire at an outpatient clinic in a medical center in northern Taiwan.

RESULTS

A total of 101 patients with TBI participated in the study. Sixty-four (63%) patients had used at least one form of CAM after sustaining TBI. CAM users had used an average of 2.72 forms of CAM after sustaining TBI. The most frequently used CAM category was traditional Chinese medicine (37; 57.8%), followed by folk and religious therapies (30; 46.9%), and dietary supplements (30; 46.9%). The majority of the patients (45; 70.3%) did not report CAM use because they felt it was unnecessary to do so. Patients who used CAM had a significantly stronger positive belief in CAM than those who did not (t = -2.72; P = .008). After using CAM, most of the patients (54; 85%) perceived moderate satisfaction (2.89 ± 0.44), according to a 4-point Likert scale.

CONCLUSION

Although the use of CAM is common for TBI patients receiving conventional medical health care in Taiwan, most patients did not inform health care personnel about their CAM use. TBI patients perceive combined use of CAM and conventional medicine as beneficial for their overall health.

摘要

背景

在台湾,补充和替代医学(CAM)的使用持续增加。本研究考察了创伤性脑损伤(TBI)患者在台湾使用 CAM 和对 CAM 的看法。

方法

TBI 患者及其陪同的亲属在台湾北部一家医疗中心的门诊接受了结构化问卷的采访。

结果

共有 101 名 TBI 患者参与了这项研究。64 名(63%)患者在遭受 TBI 后至少使用了一种形式的 CAM。CAM 用户在遭受 TBI 后平均使用了 2.72 种 CAM。最常使用的 CAM 类别是中药(37;57.8%),其次是民间和宗教疗法(30;46.9%)和膳食补充剂(30;46.9%)。大多数患者(45;70.3%)没有报告 CAM 的使用情况,因为他们觉得没有必要这样做。使用 CAM 的患者对 CAM 的正面信念明显强于未使用 CAM 的患者(t = -2.72;P =.008)。在使用 CAM 后,大多数患者(54;85%)根据 4 分制量表对其效果表示中等满意(2.89 ± 0.44)。

结论

尽管在台湾,接受常规医疗保健的 TBI 患者普遍使用 CAM,但大多数患者并未向医务人员报告他们的 CAM 使用情况。TBI 患者认为 CAM 与常规医学的联合使用对他们的整体健康有益。

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