Suppr超能文献

马来西亚砂拉越古晋地区基层医疗诊所中传统与补充医学使用情况及其相关因素向医生的披露。

Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia.

作者信息

Johny Anak Kelak, Cheah Whye Lian, Razitasham Safii

机构信息

Department of Community Medicine & Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kuching, Sarawak, Malaysia.

出版信息

Evid Based Complement Alternat Med. 2017;2017:5146478. doi: 10.1155/2017/5146478. Epub 2017 Apr 26.

Abstract

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

摘要

患者决定向医生透露其使用传统和补充医学(TCM)的情况是一个有待探索的重要领域。本研究旨在确定砂拉越古晋地区基层医疗诊所就诊者向医生透露使用TCM的情况及其相关因素。这是一项采用问卷调查的横断面研究,由访谈员进行问卷调查。共筛查了1130名患者,其中80.2%报告使用过TCM。逻辑回归分析显示,女性(优势比[AOR]=3.219,95%置信区间[CI]:1.385,7.481)、认为TCM可预防疾病并发症(AOR=3.999,95%CI:1.850,8.644)以及认为TCM更温和安全(AOR=4.537,95%CI:2.332,8.828)、认为对TCM了解不足(AOR=0.530,95%CI:0.309,0.910)、患者对医疗服务提供者过于商业化和冷漠的不满(AOR=0.365,95%CI:0.199,0.669)、医疗费用超出承受能力(AOR=0.413,95%CI:0.250,0.680)以及医生的可及性(AOR=3.971,95%CI:2.245,7.023)是使用TCM披露情况的预测因素。患者与医生之间的开放沟通对于确保TCM与医疗治疗的安全实施和整合至关重要。

相似文献

2
Patient's Decision to Disclose the Use of Traditional and Complementary Medicine to Medical Doctor: A Descriptive Phenomenology Study.
Evid Based Complement Alternat Med. 2018 Feb 14;2018:4735234. doi: 10.1155/2018/4735234. eCollection 2018.
3
Traditional and complementary medicine use among chronic haemodialysis patients: a nationwide cross-sectional study.
BMC Complement Med Ther. 2021 Mar 16;21(1):94. doi: 10.1186/s12906-021-03268-4.

引用本文的文献

1
Health-seeking behaviour during times of illness among urban poor women: a cross-sectional study.
BMC Womens Health. 2024 Jun 7;24(1):334. doi: 10.1186/s12905-024-03178-w.
2
Allopathic medicine practitioners' experiences with non-disclosure of traditional medicine use.
Health SA. 2024 Jan 31;29:2381. doi: 10.4102/hsag.v29i0.2381. eCollection 2024.
9
Patient's Decision to Disclose the Use of Traditional and Complementary Medicine to Medical Doctor: A Descriptive Phenomenology Study.
Evid Based Complement Alternat Med. 2018 Feb 14;2018:4735234. doi: 10.1155/2018/4735234. eCollection 2018.

本文引用的文献

3
The utilisation of Complementary and Alternative Medicine (CAM) among ethnic minorities in South Korea.
BMC Complement Altern Med. 2014 Mar 19;14:103. doi: 10.1186/1472-6882-14-103.
4
Exploring the decision to disclose the use of natural products among outpatients: a mixed-method study.
BMC Complement Altern Med. 2013 Nov 18;13:319. doi: 10.1186/1472-6882-13-319.
5
Predictors of complementary and alternative medicine use by people with type 2 diabetes.
J Adv Nurs. 2012 Jun;68(6):1256-66. doi: 10.1111/j.1365-2648.2011.05827.x. Epub 2011 Sep 13.
6
Use of traditional and complementary medicine in Malaysia: a baseline study.
Complement Ther Med. 2009 Oct-Dec;17(5-6):292-9. doi: 10.1016/j.ctim.2009.04.002. Epub 2009 Nov 6.
7
Patient Disclosure about Herb and Supplement Use among Adults in the US.
Evid Based Complement Alternat Med. 2008 Dec;5(4):451-6. doi: 10.1093/ecam/nem045. Epub 2007 May 17.
8
Use of complementary therapies by Australian women with breast cancer.
Breast. 2008 Aug;17(4):387-94. doi: 10.1016/j.breast.2007.12.006. Epub 2008 Jun 5.
9
Use of herbal remedies by Hispanic patients: do they inform their physician?
J Am Board Fam Med. 2006 Nov-Dec;19(6):566-78. doi: 10.3122/jabfm.19.6.566.
10
The use of complementary and alternative (non-conventional) medicine in cancer patients in Turkey.
Eur J Oncol Nurs. 2005 Jun;9(2):138-46. doi: 10.1016/j.ejon.2005.03.010.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验