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晚期老年患者对补充和替代医学疗法的态度。

Attitudes of terminally ill older adults toward complementary and alternative medicine therapies.

作者信息

Grief Cindy J, Grossman Daphna, Rootenberg Mark, Mah Linda

机构信息

Division of Geriatric Psychiatry, Department of Psychiatry, University of Toronto, Canada.

Department of Family and Community Medicine, Baycrest, Toronto, Ontario, Canada.

出版信息

J Palliat Care. 2013 Winter;29(4):205-9.

Abstract

AIM

The aim of this study was to characterize the attitudes of older adults on an inpatient palliative care unit toward complementary and alternative medicine (CAM) therapies.

METHODS

A consecutive sample of 33 inpatients (61 to 98 years old) completed a questionnaire that examined their attitudes toward CAM to determine the acceptability of these therapies. Corresponding questionnaires were gathered from 10 substitute decision makers (SDMs). Preferences for specific CAM modalities were identified. Correlational analyses were performed between interest in CAM therapies and demographic variables and clinical status, including physical and psychological distress.

RESULTS

A total of 27 patients (82 percent) were interested in trying CAM therapies. The greatest interest was shown in music therapy (61 percent) and massage therapy (58 percent). All of the SDMs were interested in having CAM therapies available for their loved ones to try.

DISCUSSION

Attitudes toward CAM therapies of terminally ill older inpatients and their SDMs are highly favourable. CAM treatments merit closer evaluation as a means of enhancing end-of-life care.

摘要

目的

本研究旨在描述住院姑息治疗病房中老年人对补充和替代医学(CAM)疗法的态度。

方法

连续抽取33名住院患者(年龄在61至98岁之间)作为样本,他们完成了一份调查问卷,该问卷调查了他们对补充和替代医学的态度,以确定这些疗法的可接受性。从10名替代决策者(SDM)那里收集了相应的问卷。确定了对特定补充和替代医学模式的偏好。对补充和替代医学疗法的兴趣与人口统计学变量以及临床状况(包括身体和心理痛苦)之间进行了相关性分析。

结果

共有27名患者(82%)有兴趣尝试补充和替代医学疗法。对音乐疗法(61%)和按摩疗法(58%)表现出的兴趣最大。所有替代决策者都有兴趣让他们所爱的人能够尝试补充和替代医学疗法。

讨论

晚期老年住院患者及其替代决策者对补充和替代医学疗法的态度非常积极。作为一种改善临终关怀的手段,补充和替代医学疗法值得进行更深入的评估。

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