Dhankar Mukesh
1 Lady Hardinge Medical College, New Delhi, India.
J Evid Based Integr Med. 2018 Jan-Dec;23:2515690X18765119. doi: 10.1177/2515690X18765119.
The aim was to study the prevalence of complementary and alternative medicine use in acutely sick hospitalized children and factors associated with it. This is a cross-sectional, hospital-based study in a tertiary care center of Delhi, India. Children admitted to a pediatric unit during the study period were assessed using a specially designed questionnaire. Out of the total 887 admitted children, 161 (18.1%) were using complementary and alternate medicine in one form or another. Of these, 113 (70.2%) were using complementary and alternate medicine for the current illness directly leading to admission and the remaining 48 (29.8%) had used complementary and alternate medicine in past. The common complementary and alternate medicine use observed in our study was combined ayurveda and spiritual approach (25.5%), ayurveda (24.8%), spiritual (21.7%), homeopathic (13%), and 47.2% of children were using spiritual approach in form of Jhada (tying piece of cloth on arm or leg or keeping a knife by the side of child). The significant factors associated with complementary and alternate medicine use were younger age, female gender, and father being employed. Complementary and alternate medicine is commonly used even in acutely sick children.
目的是研究急性病住院儿童使用补充和替代医学的患病率及其相关因素。这是一项在印度德里一家三级医疗中心进行的基于医院的横断面研究。在研究期间，对入住儿科病房的儿童使用专门设计的问卷进行评估。在总共887名入院儿童中，161名（18.1%）以某种形式使用补充和替代医学。其中，113名（70.2%）因当前导致入院的疾病直接使用补充和替代医学，其余48名（29.8%）过去曾使用过补充和替代医学。在我们的研究中观察到的常见补充和替代医学使用方式包括阿育吠陀与精神疗法相结合（25.5%）、阿育吠陀（24.8%）、精神疗法（21.7%）、顺势疗法（13%），47.2%的儿童以系布条（在手臂或腿上系布条或在孩子身边放一把刀）的形式使用精神疗法。与使用补充和替代医学相关的显著因素是年龄较小、女性以及父亲有工作。即使在急性病儿童中，补充和替代医学也被普遍使用。
