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阿联酋阿治曼一家三级医疗中心的医疗消费者对补充和替代医学的自我报告使用情况。

Self-Reported Use of Complementary and Alternative Medicine among the Health Care Consumers at a Tertiary Care Center in Ajman, United Arab Emirates.

作者信息

Mathew E, Muttappallymyalil J, Sreedharan J, John Lj, John J, Mehboob M, Mathew A

机构信息

Department of Community Medicine, Gulf Medical University, Ajman, UAE.

出版信息

Ann Med Health Sci Res. 2013 Apr;3(2):215-9. doi: 10.4103/2141-9248.113665.

Abstract

BACKGROUND

Complementary and alternative medicine (CAM) covers a wide range of approaches, including herbal medicine, manual healing techniques, traditional therapies and mind-body interventions. CAM is widely used throughout the world to treat a variety of illnesses and to maintain health.

AIM

Complementary and alternative medicine (CAM) is popular across the world, and is widely practiced. Utilization pattern and reasons for use and non-use among patients attending a tertiary care center are assessed in this study.

SUBJECTS AND METHODS

One hundred and thirty-five patients of different nationalities, above the age of 18 years, Gulf Medical College Hospital and Research Centre, Ajman, UAE, were interviewed using an open-ended structured questionnaire. In addition to socio-demographic characteristics, the acceptability, utilization pattern and reasons for use and non-use were elicited from the participants after obtaining consent from them. PASW 18 version was used to perform Chi-square test and descriptive statistics.

RESULTS

Among the 135 participants were 20-81 years old, those from the Far East used most 85.7% (6/7), then Pakistan 38.5% (15/39) and India 23% (16/70). The most common system used was homeopathy. Physicians advised 28.2% (11/39) of users, whereas others used non-medical information. Around 71.8% (28/39) reported good outcome for themselves and family; however, only 10% (4/39) recommended it to others. Most of the users, 75% (101/135), were not sure whether CAM was based on scientific evidence, while 18% (24/135) felt it was. Good previous experience and less treatment complications were the most common reasons for using CAM and non-use due to lack of knowledge or need.

CONCLUSION

About one-third of the seekers of modern medicine care also use CAM, and mostly without physician advice; hence, the importance of discussing the same while taking the clinical history. In view of the belief that CAM has fewer side-effects, there is even more need for physician-initiated discussion.

摘要

背景

补充和替代医学(CAM)涵盖广泛的方法,包括草药医学、手法治疗技术、传统疗法以及身心干预。CAM在全球被广泛用于治疗各种疾病和维持健康。

目的

补充和替代医学(CAM)在全球都很流行且被广泛应用。本研究评估了一家三级护理中心患者的使用模式以及使用和不使用的原因。

对象与方法

使用开放式结构化问卷对阿联酋阿治曼海湾医学院医院及研究中心的135名年龄在18岁以上、不同国籍的患者进行了访谈。除了社会人口统计学特征外,在获得参与者同意后,了解他们对CAM的接受程度、使用模式以及使用和不使用的原因。使用PASW 18版本进行卡方检验和描述性统计。

结果

135名参与者年龄在20至81岁之间,远东地区的参与者使用最多,占85.7%(6/7),其次是巴基斯坦,占38.5%(15/39),印度占23%(16/70)。最常用的体系是顺势疗法。28.2%(11/39)的使用者听从医生建议,而其他人则使用非医学信息。约71.8%(28/39)的人报告对自己和家人有良好效果;然而,只有10%(4/39)的人向他人推荐。大多数使用者,75%(101/135),不确定CAM是否基于科学证据,而18%(24/135)的人认为是。既往良好的体验和较少的治疗并发症是使用CAM最常见的原因,而不使用是由于缺乏知识或需求。

结论

约三分之一寻求现代医学护理的人也使用CAM,且大多未听从医生建议;因此,在采集临床病史时讨论CAM的重要性。鉴于人们认为CAM副作用较少,医生发起相关讨论就更有必要了。

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