Alrowais Norah A, Alyousefi Nada A
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi Pharm J. 2017 Mar;25(3):306-318. doi: 10.1016/j.jsps.2016.09.009. Epub 2016 Oct 1.
There is worldwide interest in the use of CAM. Studying CAM in Saudi population is important as it will reflect the influence of psychosocial, cultural and religious factors on health beliefs and behaviors. The objective of this study was to present an updated review on the use of CAM practices in Saudi Arabia including commonly used types, common conditions for which it has been used and who uses CAM. This review used data from national surveys conducted in Saudi Arabia and published between 2000 and 2015. The literature search was performed considering standards adopted such as Moose guidelines for observational studies. Two authors independently reviewed each article. The search yielded 73 articles, and a total of 36 articles were included. Further careful data extraction was carried out by two independents reviewers. Most of the reviewed studies were cross-sectional in design and were published between 2014 and 2015, and mostly in Riyadh region. Substantial difference in the findings for the patterns of CAM use was revealed. The most commonly employed practice was of spiritual type such as prayer and reciting Quran alone or on water. Other types include herbs (8-76%), honey (14-73%) and dietary products (6-82%). Cupping (Alhijamah) was least used (4-45%). Acupuncture was more practiced among professionals. The utilization of CAM is widely practiced in Saudi Arabia. There is need for efforts to promote research in the field of CAM to address each practice individually. Population surveys should be encouraged supported by mass media to raise knowledge and awareness about the practice of different CAM modalities. The national center of CAM should play a major role in these efforts.
全球都对补充替代医学(CAM)的使用感兴趣。在沙特人群中研究补充替代医学很重要,因为它将反映心理社会、文化和宗教因素对健康观念及行为的影响。本研究的目的是对沙特阿拉伯补充替代医学实践的使用情况进行最新综述,包括常用类型、使用补充替代医学的常见病症以及使用补充替代医学的人群。 本综述使用了2000年至2015年间在沙特阿拉伯进行并发表的全国性调查数据。文献检索按照诸如观察性研究的MOOSE指南等采用的标准进行。两位作者独立审阅每篇文章。检索得到73篇文章,共纳入36篇。另外两名独立审阅者进行了更仔细的数据提取。 大多数被综述的研究在设计上为横断面研究,发表于2014年至2015年间,且大多来自利雅得地区。研究结果显示,补充替代医学使用模式存在显著差异。最常采用的是精神层面的做法,如单独祈祷或诵读《古兰经》,或对着水祈祷和诵读《古兰经》。其他类型包括草药(8 - 76%)、蜂蜜(14 - 73%)和膳食产品(6 - 82%)。拔罐(Alhijamah)使用最少(4 - 45%)。针灸在专业人员中应用较多。 补充替代医学在沙特阿拉伯广泛应用。需要努力推动补充替代医学领域的研究,以便分别针对每种疗法进行研究。应鼓励开展人口调查,并得到大众媒体的支持,以提高对不同补充替代医学疗法的认识和了解。补充替代医学国家中心应在这些努力中发挥主要作用。