Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia; Department of Internal and Integrative Medicine, Sozialstiftung Bamberg, Bamberg, Germany.
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia.
Complement Ther Clin Pract. 2019 May;35:219-223. doi: 10.1016/j.ctcp.2019.03.001. Epub 2019 Mar 6.
BACKGROUND AND PURPOSE: Yoga and meditation are predominantly utilised by healthy well-educated young women, but little is known about utilisation by older chronically ill women. Therefore, the purpose of this study was to investigate the characteristics of yoga and meditation use among middle-to-higher aged Australian women with chronic conditions. MATERIALS AND METHODS: This is a sub-study of the 45 and Up Study including 1925 Australian women aged 53-95 years diagnosed with chronic conditions (asthma, depression, diabetes, osteoarthritis, and osteoporosis). Information on yoga and meditation use frequencies (categories: 'no yoga', 'at least once daily', 'at least once weekly', and 'at least once monthly'), self-perceived effectiveness and communication with health care providers were assessed via self-report. Logistic regression analyses were conducted to identify independent predictors of yoga and meditation use, using SPSS 24.0. RESULTS: Overall 6.8% and 10.7% of women reported the use of yoga and meditation respectively. Meditation was rarely practiced supervised (11.7%), compared to significant higher rates in yoga (53.2%). Predictors for yoga and meditation use were marital status (married/in relationship > not married/in relationship), higher health related hardiness, and higher education, whereas obesity, and diabetes decreased likelihood of use. While the majority found yoga and meditation helpful for their condition, the use was rarely monitored by or discussed with health care practitioners. CONCLUSION: This study finds that yoga and meditation are used by middle-to-higher aged Australian women with chronic illnesses. The lack of communication with health care providers is concerning and might hinder coordinated and effective health care around chronic illness. Further research is necessary to help understand possible concurrent health care use and thereby help inform safe, effective and coordinate health seeking amongst those with chronic illness.
背景与目的:瑜伽和冥想主要被健康、受过良好教育的年轻女性所采用,但对于年长的慢性疾病女性的使用情况知之甚少。因此,本研究的目的是调查患有慢性疾病的澳大利亚中老年女性使用瑜伽和冥想的特征。
材料与方法:这是 45 岁及以上研究的一项子研究,包括 1925 名年龄在 53-95 岁之间被诊断患有慢性疾病(哮喘、抑郁、糖尿病、骨关节炎和骨质疏松症)的澳大利亚女性。通过自我报告评估了瑜伽和冥想使用频率(类别:“没有瑜伽”、“每天至少一次”、“每周至少一次”和“每月至少一次”)、自我感知效果和与医疗保健提供者的沟通情况。使用 SPSS 24.0 进行逻辑回归分析,以确定瑜伽和冥想使用的独立预测因素。
结果:总体而言,分别有 6.8%和 10.7%的女性报告使用了瑜伽和冥想。冥想很少在监督下进行(11.7%),而瑜伽的这一比例则显著更高(53.2%)。瑜伽和冥想使用的预测因素包括婚姻状况(已婚/有伴侣>未婚/无伴侣)、更高的健康相关坚韧度和更高的教育程度,而肥胖和糖尿病则降低了使用的可能性。虽然大多数女性认为瑜伽和冥想对她们的病情有帮助,但使用情况很少与医疗保健从业者进行监测或讨论。
结论:本研究发现,瑜伽和冥想被患有慢性疾病的澳大利亚中老年女性使用。与医疗保健提供者缺乏沟通令人担忧,可能会阻碍围绕慢性疾病的协调和有效医疗保健。需要进一步研究来帮助了解可能同时进行的医疗保健使用情况,从而有助于为患有慢性疾病的人提供安全、有效和协调的医疗保健服务。
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