Yoon Saunjoo L, Grundmann Oliver, Smith Keore F, Mason Sidney R
College of Nursing, Department of Biobehavioral Nursing Science, University of Florida , Gainesville , FL , USA.
College of Pharmacy, Department of Medicinal Chemistry, University of Florida , Gainesville , FL , U.S.A.
J Diet Suppl. 2019;16(6):635-648. doi: 10.1080/19390211.2018.1472712. Epub 2018 Jun 29.
The use of complementary and alternative medicine (CAM) is widespread among adults in the United States to self-treat a range of disorders, including gastrointestinal (GI) disorders. This study determined the self-reported use of CAM, including dietary supplements, in managing GI symptoms among Internet users and investigated perceived effects of supplement use on GI symptoms. We used a cross-sectional, descriptive, correlational design. A Qualtrics online survey was utilized to collect data through various websites. Focused areas include demographics, health evaluation, health issue(s), supplement and CAM use, and GI symptoms. Of the participants included in the study, a majority (88%) were women and half (50.1%) were between the ages of 26 and 45. Most participants (84.5%) reported use of herbal supplements, and 84.8% of the participants used herbal supplements for a specific health problem. The most common reported health condition was gastroesophageal reflux (44.4%). The attrition rate was low at 22%. The novelty of using an anonymous online survey to collect data on supplement use in GI disorders indicated a high prevalence of dietary and herbal supplement use among persons with GI disorders comparable to previous reports. Health-care providers should ask patients about supplement use in addition to prescribed medications and communicate effectively if conventional pharmacotherapy is not sufficient to manage symptoms or patients are inclined to use supplements.
在美国,补充和替代医学(CAM)在成年人中广泛用于自我治疗一系列疾病,包括胃肠道(GI)疾病。本研究确定了互联网用户在管理胃肠道症状时自我报告的补充和替代医学使用情况,包括膳食补充剂,并调查了补充剂使用对胃肠道症状的感知影响。我们采用了横断面、描述性、相关性设计。通过Qualtrics在线调查,利用各种网站收集数据。重点领域包括人口统计学、健康评估、健康问题、补充剂和补充与替代医学的使用以及胃肠道症状。在纳入研究的参与者中,大多数(88%)为女性,一半(50.1%)年龄在26至45岁之间。大多数参与者(84.5%)报告使用草药补充剂,84.8%的参与者因特定健康问题使用草药补充剂。报告的最常见健康状况是胃食管反流(44.4%)。损耗率较低,为22%。使用匿名在线调查收集胃肠道疾病补充剂使用数据的新颖之处表明,胃肠道疾病患者中膳食和草药补充剂的使用率很高,与之前的报告相当。医疗保健提供者除了询问患者处方药使用情况外,还应询问补充剂使用情况,如果传统药物治疗不足以控制症状或患者倾向于使用补充剂,应进行有效沟通。