Department of Pharmacology, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, P.O. Box: 196, Chechela Street, Lideta Subcity Kebele 16, Gondar, Ethiopia.
Department of Clinical Pharmacy, School of Pharmacy, University of Gondar, Chechela Street, Lideta Subcity Kebele 16, Gondar, Ethiopia.
BMC Complement Altern Med. 2018 Mar 9;18(1):85. doi: 10.1186/s12906-018-2147-3.
Type 2 Diabetes Mellitus (T2DM) patients are increasingly using herbal remedies due to the fact that sticking to the therapeutic regimens is becoming awkward. However, studies towards herbal medicine use by diabetic patients is scarce in Ethiopia. Therefore, the aim of the current study was to explore the prevalence and correlates of herbal medicine use with different sociodemographic variables among type 2 diabetes patients visiting the diabetic follow-up clinic of University of Gondar comprehensive specialized hospital (UOGCSH), Ethiopia.
A hospital-based cross sectional study was employed on 387 T2DM patients visiting the diabetes illness follow-up care clinic of UOGCSH from October 1 to November 30, 2016. An interviewer-administered questionnaire regarding the demographic and disease characteristics as well as herbal medicine use was completed by the study subjects. Descriptive, univariate and multivariate logistic regression statistics were performed to determine prevalence and come up with correlates of herbal medicine use.
From 387 participants, 62% were reported to be herbal medicine users. The most prevalent herbal preparations used were Garlic (Allium sativum L.) (41.7%), Giesilla (Caylusea abyssinica (fresen.) (39.6%), Tinjute (Otostegia integrifolia Benth) (27.2%), and Kosso (Hagenia abyssinicaa) (26.9%). Most of herbal medicine users (87.1%) didn't consult their physicians about their herbal medicine use. Families and friends (51.9%) were the frontline sources of information about herbal medicine followed by other DM patients who used herbal medicines (28.9%).
The present study revealed a high rate of herbal medicine use along with a very low rate use disclosure to the health care professionals. Higher educational status, a family history of DM, duration of T2DM and presence of DM complications were identified to be strong predictors of herbal medicine use. From the stand point of high prevalence and low disclosure rate, it is imperative for health care providers to strongly consult patients regarding herbal medicine use.
由于坚持治疗方案变得越来越困难，2 型糖尿病（T2DM）患者越来越多地使用草药疗法。然而，在埃塞俄比亚，针对糖尿病患者使用草药疗法的研究很少。因此，本研究旨在探讨 2 型糖尿病患者在埃塞俄比亚贡德尔大学综合专科医院（UOGCSH）糖尿病随访诊所就诊时，使用草药疗法的流行率及其与不同社会人口学变量的相关性。
本研究采用医院横断面研究，于 2016 年 10 月 1 日至 11 月 30 日期间对 UOGCSH 的 387 名 2 型糖尿病患者进行了调查。研究对象完成了一份关于人口统计学和疾病特征以及草药使用情况的访谈式问卷。采用描述性、单变量和多变量逻辑回归统计方法来确定草药使用的流行率，并找出其相关因素。
在 387 名参与者中，有 62%的人被报告为草药使用者。最常使用的草药制剂是大蒜（Allium sativum L.）（41.7%）、Giesilla（Caylusea abyssinica（fresen.）（39.6%）、Tinjute（Otostegia integrifolia Benth）（27.2%）和 Kosso（Hagenia abyssinicaa）（26.9%）。大多数草药使用者（87.1%）没有就其草药使用情况咨询医生。家庭和朋友（51.9%）是获取草药信息的第一线来源，其次是使用草药的其他糖尿病患者（28.9%）。
本研究揭示了高比例的草药使用，以及向医疗保健专业人员披露率非常低的情况。较高的教育程度、糖尿病家族史、2 型糖尿病的病程以及糖尿病并发症的存在被确定为草药使用的强有力预测因素。从高流行率和低披露率的角度来看，医疗保健提供者有必要就草药使用情况与患者进行充分的协商。
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