刚果民主共和国金沙萨初级卫生保健机构中高血压患者使用补充和替代医学的患病率及影响因素：一项横断面研究
Prevalence and determinants of use of complementary and alternative medicine by hypertensive patients attending primary health care facilities in Kinshasa, Democratic Republic of the Congo: a cross-sectional study.
作者信息
Lulebo Aimée M, Mapatano Mala A, Mutombo Paulin B, Mafuta Eric M, Samba Gédéon, Coppieters Yves
机构信息
Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, PO Box11850, Kinshasa1, Democratic Republic of the Congo.
Programme National de lutte contre les maladies tropicales négligées, Kinshasa, Democratic Republic of the Congo.
出版信息
BMC Complement Altern Med. 2017 Apr 8;17(1):205. doi: 10.1186/s12906-017-1722-3.
BACKGROUND
In the Democratic Republic of the Congo the control of hypertension is poor, characterized by an increasing number of reported cases of hypertension related complications. Poor control of hypertension is associated with non-adherence to antihypertensive medication. It is well established that the use of complementary and alternative medicine is one of the main factors of non-adherence to antihypertensive medication. The aim of this study is to determine the prevalence and factors associated with the use of complementary and alternative medicine.
METHODS
A cross-sectional study was carried out at the Kinshasa Primary Health-care (KPHC) facilities network in November 2014. A structured interview questionnaire was administrated to a total of 280hypertensive patients. Complementary and alternative medicine were defined according to the National Institute of Health classification as a group of diverse medical and healthcare systems, practices, and products that are not presently considered to be part of conventional medicine. Data were summarized using proportion and mean (with standard deviation). The student's t test and χ test were used respectively for mean and proportion comparison. Logistic regression analysis identified determinants of the use of complementary and alternative medicine.
RESULTS
The prevalence of use of complementary and alternative medicine was 26.1% (95% CI: 20.7% - 31.8%).Determinants of use of complementary and alternative medicine included misperception about hypertension curability (OR = 2.1; 95%CI: 1.1-3.7) and experience of medication side effects (OR = 2.9; 95%CI: 1.7-5.1).
CONCLUSION
The use of CAM for hypertensive patients is a major problem; antihypertensives with fewer side effects must be emphasized. Religious leaders must become involved in the communication for behavioral change activities to improve the quality of life for hypertensive patients.
背景
在刚果民主共和国，高血压控制情况不佳，其特点是报告的高血压相关并发症病例数量不断增加。高血压控制不佳与不坚持服用抗高血压药物有关。众所周知，使用补充和替代医学是不坚持服用抗高血压药物的主要因素之一。本研究的目的是确定补充和替代医学的使用 prevalence 及其相关因素。
方法
2014年11月在金沙萨初级卫生保健（KPHC）设施网络中进行了一项横断面研究。对总共280名高血压患者进行了结构化访谈问卷。补充和替代医学根据美国国立卫生研究院的分类被定义为一组不同的医学和医疗保健系统、实践和产品，目前不被认为是传统医学的一部分。数据使用比例和均值（及标准差）进行汇总。分别使用学生 t 检验和χ检验进行均值和比例比较。逻辑回归分析确定了补充和替代医学使用的决定因素。
结果
补充和替代医学的使用 prevalence 为26.1%（95%CI：20.7% - 31.8%）。补充和替代医学使用的决定因素包括对高血压可治愈性的误解（OR = 2.1；95%CI：1.1 - 3.7）和药物副作用经历（OR = 2.9；CI：1.7 - 5.1）。
结论
高血压患者使用补充和替代医学是一个主要问题；必须强调副作用较少的抗高血压药物。宗教领袖必须参与行为改变活动的宣传，以提高高血压患者的生活质量。
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