Kim Sungha, Mun Sujeong, Park Jeonghwan, Choi Sunmi, Lee Sanghun, Kim Sungchul
Clinical Medicine Division, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon 34054, Republic of Korea.
Future Medicine Division, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon 34054, Republic of Korea.
Evid Based Complement Alternat Med. 2019 Jul 25;2019:4217057. doi: 10.1155/2019/4217057. eCollection 2019.
Patients with amyotrophic lateral sclerosis (ALS) sometimes consider complementary and alternative medicine (CAM) because of ineffective treatment. This study investigated the prevalence and utilization pattern of CAM among patients with ALS in South Korea. Participants were recruited through homecare services for mechanical ventilation in South Korea. This study comprised a face-to-face cross-sectional survey with staff members available to address any queries. Fifty-five participants were included; all had used >1 CAM treatment option for ALS symptoms. Dietary treatments were most common, followed by functional food and massages. Most participants had obtained relevant information from family members or friends. The main reason for CAM use was an expectation that symptoms will improve with CAM; most patients were unsure of the effects. CAM use was previously discontinued by the majority of patients because of unsatisfactory effects. The mean expenditure on CAM was 288,385.28 ± 685,265.14 won per month, and the mean duration of CAM use was 11.54 ± 20.09 months. The results indicate that there is a high prevalence of CAM use among ALS patients. Healthcare providers should inquire about CAM use and openly provide accurate CAM information. Further evidence of CAM efficacy is required, as is specific guidance for consulting ALS patients regarding CAM.
肌萎缩侧索硬化症(ALS)患者有时会因治疗效果不佳而考虑使用补充和替代医学(CAM)。本研究调查了韩国ALS患者中CAM的使用 prevalence 和使用模式。参与者通过韩国的家庭护理服务招募,这些服务提供机械通气。本研究包括一项面对面的横断面调查,有工作人员随时解答任何疑问。纳入了55名参与者;所有人都使用了>1种针对ALS症状的CAM治疗方法。饮食治疗最为常见,其次是功能性食品和按摩。大多数参与者从家人或朋友那里获得了相关信息。使用CAM的主要原因是期望症状会通过CAM得到改善;大多数患者不确定其效果。大多数患者之前因效果不理想而停止使用CAM。CAM的平均每月支出为288,385.28±685,265.14韩元,CAM的平均使用 duration 为11.54±20.09个月。结果表明,ALS患者中CAM的使用 prevalence 很高。医疗保健提供者应询问CAM的使用情况并公开提供准确的CAM信息。需要进一步证明CAM的 efficacy,以及针对咨询ALS患者关于CAM的具体指导。