Gruber Maayan, Ben-Arye Eran, Kerem Nitai, Cohen-Kerem Raanan
Child Health Center, Armon, Clalit Health Services, Haifa, Israel; Department of Otolaryngology Head and Neck Surgery, Carmel Medical Center, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Complementary and Traditional Medicine Unit, Department of Family Medicine, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Clalit Health Services, Haifa and Western Galilee District, Israel.
Int J Pediatr Otorhinolaryngol. 2014 Feb;78(2):248-52. doi: 10.1016/j.ijporl.2013.11.016. Epub 2013 Nov 25.
Limited data are available about complementary alternative medicine (CAM) use in children attending otolaryngology services. We investigated the pattern of CAM use among children and adolescents attending a pediatric otolaryngology clinic.
A cross-sectional survey. Anonymous questionnaires were administered, prior to doctor's admission, to parents accompanying young patients attending the pediatric otolaryngology clinic. Parents were asked about their general attitude toward CAM and whether they had ever consulted or considered a consultation with a CAM therapist. Subsequently, CAM users were asked to provide details on CAM modalities used and on their overall satisfaction with CAM therapy.
Of 308 questionnaires administered, 294 parents responded (95% response rate). Ninety-four parents (32%) reported considering CAM, or previous or current CAM use. Commonly used CAM treatments were acupuncture (44%), homeopathy (36%), and naturopathy (6.7%). CAM users assessed success rate as being: successful (37%), unsuccessful (24%) or undetermined (39%). Successful treatment was described in terms of cure, improvement and better awareness of the problem being addressed. In most cases parents stated that the primary physician was aware of CAM use by the child (74%).
CAM plays a substantial role among parents of children referred to pediatric otolaryngology consultation. The otolaryngologist awareness of parents' preference and interest may contribute to decision making regarding pediatric patients' management. Further investigations regarding CAM are warranted and clinical collaboration with CAM therapists should be considered.
关于在耳鼻喉科就诊儿童使用补充替代医学(CAM)的数据有限。我们调查了在儿科耳鼻喉科诊所就诊的儿童和青少年中CAM的使用模式。
一项横断面调查。在医生接诊前,向陪同儿科耳鼻喉科诊所年轻患者的家长发放匿名问卷。询问家长对CAM的总体态度,以及他们是否曾咨询过或考虑咨询CAM治疗师。随后,询问使用CAM的家长提供所使用CAM方式的详细信息以及他们对CAM治疗的总体满意度。
在发放的308份问卷中,294名家长回复(回复率95%)。94名家长(32%)报告考虑过CAM,或曾使用或正在使用CAM。常用的CAM治疗方法有针灸(44%)、顺势疗法(36%)和自然疗法(6.7%)。使用CAM的家长将成功率评估为:成功(37%)、不成功(24%)或不确定(39%)。成功治疗表现为治愈、病情改善以及对所解决问题有更好的认识。在大多数情况下,家长表示主治医师知晓孩子使用CAM的情况(74%)。
CAM在转诊至儿科耳鼻喉科咨询的儿童家长中发挥着重要作用。耳鼻喉科医生了解家长的偏好和兴趣可能有助于对儿科患者的管理做出决策。有必要对CAM进行进一步调查,并应考虑与CAM治疗师开展临床合作。