Kasole Rose, Martin Haikael D, Kimiywe Judith
Department of Food Biotechnology and Nutritional Sciences, The Nelson Mandela African Institution of Science and Technology (NM-AIST), Arusha, Tanzania.
Department of Economic and Productive Sector, Iringa Regional Secretariat (RAS), P.O. Box 858, Iringa, Tanzania.
Evid Based Complement Alternat Med. 2019 Jul 4;2019:2835691. doi: 10.1155/2019/2835691. eCollection 2019.
Diabetes mellitus is a complicated health condition with multiple causes and many treatment options. Various myths may influence diabetics' health-seeking behavior, and they may use traditional medicines, which include normal foods and herbs, for primary health care. The aim of this study was to determine patients' and herbalists' practices and perspectives regarding the use of traditional medicines and the role of traditional medicines in the management of diabetes.
We conducted a cross-sectional study with a mixed-methods design. We interviewed 140 patients attending diabetic clinics using a structured questionnaire, conducted focus group discussions with an additional 20 diabetic patients, and conducted in-depth interviews with 8 local herbalists. The majority of the diabetic participants believed that diabetes is caused by a high-carbohydrate diet. Of the 140 participants who answered the questionnaire, 67.2% reported using traditional medicines to manage their diabetes, including 58.6% who reported using both conventional medicines and traditional medicines. Some participants believed that combining conventional and traditional medicines improved the effectiveness of treatment. Reasons given for using traditional medicines included the high cost of conventional treatment and the availability and accessibility of the traditional medicines. The most commonly used traditional medicines were indigenous vegetables and medicinal plant products including amalanth leaves, hare lettuce leaves, nightshade leaves, spider plant leaves, okra pods, moringa leaves and seeds, soursop leaves, black plum back, avocado seed, and lemongrass.
Patients and herbalists provided a range of perspectives regarding the use of traditional medicines to treat diabetes. Further research is needed to identify bioactive compounds present in commonly used traditional medicines and their efficacy.
糖尿病是一种病因复杂且有多种治疗选择的健康问题。各种误解可能会影响糖尿病患者的就医行为，他们可能会使用包括普通食物和草药在内的传统药物进行初级医疗保健。本研究的目的是确定患者和草药医生在使用传统药物方面的做法和观点，以及传统药物在糖尿病管理中的作用。
我们采用混合方法设计进行了一项横断面研究。我们使用结构化问卷对140名前往糖尿病诊所就诊的患者进行了访谈，与另外20名糖尿病患者进行了焦点小组讨论，并对8名当地草药医生进行了深入访谈。大多数糖尿病参与者认为糖尿病是由高碳水化合物饮食引起的。在回答问卷的140名参与者中，67.2%报告使用传统药物来管理他们的糖尿病，其中58.6%报告同时使用传统药物和常规药物。一些参与者认为将传统药物和常规药物结合使用可以提高治疗效果。使用传统药物的原因包括常规治疗成本高以及传统药物的可得性和可及性。最常用的传统药物是本土蔬菜和药用植物产品，包括苋菜叶、兔莴苣叶、茄叶、吊兰叶、秋葵荚、辣木叶和种子、刺果番荔枝叶、黑李子、鳄梨籽和柠檬草。
患者和草药医生对使用传统药物治疗糖尿病提供了一系列观点。需要进一步研究以确定常用传统药物中存在的生物活性化合物及其功效。
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