Yang Lu, Sibbritt David, Adams Jon
Australian Research Center in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, City Campus, Building 10, Level 8, Room 225, 235-253 Jones Street, Ultimo, NSW, 2007, Australia.
Rheumatol Int. 2017 Mar;37(3):337-351. doi: 10.1007/s00296-016-3616-y. Epub 2016 Nov 26.
A critical review of complementary and alternative medicine (CAM) use among people with arthritis was conducted focusing upon prevalence and profile of CAM users as well as their motivation, decision-making, perceived benefits and communication with healthcare providers. A comprehensive search of peer-reviewed literature published from 2008 to 2015 was undertaken via CINAHL, Medline and AMED databases. The initial search identified 4331 articles, of which 49 articles met selection criteria. The review shows a high prevalence of CAM use (often multiple types and concurrent to conventional medical care) among those with arthritis which is not restricted to any particular geographic or social-economic status. A large proportion of arthritis sufferers using CAM consider these medicines to be somewhat or very effective but almost half do not inform their healthcare provider about their CAM use. It is suggested that rheumatologists and others providing health care for patients with arthritis should be cognizant of the high prevalence of CAM use and the challenges associated with possible concurrent use of CAM and conventional medicine among their patients.
对关节炎患者使用补充和替代医学(CAM)的情况进行了一项批判性综述,重点关注CAM使用者的患病率和特征,以及他们的动机、决策过程、感知到的益处以及与医疗服务提供者的沟通。通过CINAHL、Medline和AMED数据库对2008年至2015年发表的同行评审文献进行了全面检索。初步检索识别出4331篇文章,其中49篇符合入选标准。该综述显示,关节炎患者中CAM的使用率很高(通常是多种类型且与传统医疗护理同时使用),这并不局限于任何特定的地理或社会经济地位。很大一部分使用CAM的关节炎患者认为这些药物有些有效或非常有效,但几乎一半的人没有告知他们的医疗服务提供者自己使用CAM的情况。建议风湿病学家和其他为关节炎患者提供医疗服务的人员应认识到CAM的高使用率以及患者同时使用CAM和传统药物可能带来的挑战。
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