Centre of Quality Management of Medicine, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; Paediatric Pharmacy Unit, Paediatric Institute, Kuala Lumpur Hospital, Ministry of Health, Malaysia.
Paediatric Pharmacy Unit, Paediatric Institute, Kuala Lumpur Hospital, Ministry of Health, Malaysia.
Complement Ther Med. 2020 Mar;49:102355. doi: 10.1016/j.ctim.2020.102355. Epub 2020 Feb 26.
Globally, the use of complementary and alternative medicines (CAMs) for children with atopic eczema (AE) is gaining popularity. At present, information on the pattern of CAM use in Malaysia among children with AE is limited. This study aimed to investigate the pattern of CAM use in children with AE and factors associated with its use.
This was a cross-sectional survey conducted at a tertiary care centre in Kuala Lumpur, Malaysia among parents of children with AE aged ≤ 12 years using validated questionnaires including Beliefs about Medicines Questionnaire (BMQ-General) and Patient-Oriented Eczema Measure (POEM) scale.
In total, 173 parents were recruited. The prevalence of CAM use over the last 12-month period was 46.8 %. The most commonly used CAM was Ruqyah (Islamic prayer), followed by Malay herbs, virgin coconut oil, nutritional therapy and homeopathy. AE severity from parental perspective was the major predictor of CAM use based on multiple logistic regression analysis. Parents of children with 'clear or almost clear' (adjusted OR 0.06; 95 % CI 0.01-0.54; p = 0.012) and 'mild' (adjusted OR 0.15; 95 % CI 0.03-0.85; p = 0.032) eczema were less likely to use CAM than those with 'very severe eczema'.
CAM use was prevalent among children with AE. Its use was significantly associated with AE severity from a parental perspective. Healthcare providers may need to enquire parents about CAM use for their child during routine clinic appointment.
在全球范围内，越来越多的特应性皮炎（AE）患儿使用补充和替代医学（CAM）。目前，马来西亚有关 AE 患儿使用 CAM 的模式信息有限。本研究旨在调查 AE 患儿使用 CAM 的模式及其相关因素。
这是在马来西亚吉隆坡的一家三级护理中心进行的横断面调查，使用经过验证的问卷（包括对药物的信念问卷（BMQ-一般）和患者导向的湿疹量表（POEM）量表）对≤12 岁 AE 患儿的家长进行调查。
共招募了 173 名家长。在过去 12 个月中，CAM 的使用率为 46.8%。最常用的 CAM 是 Ruqyah（伊斯兰祈祷），其次是马来草药、初榨椰子油、营养疗法和顺势疗法。基于多因素逻辑回归分析，父母对 AE 严重程度的看法是 CAM 使用的主要预测因素。与“非常严重”湿疹的患儿相比，“清晰或几乎清晰”（调整后的 OR 0.06；95%CI 0.01-0.54；p=0.012）和“轻度”（调整后的 OR 0.15；95%CI 0.03-0.85；p=0.032）患儿的家长更不可能使用 CAM。
CAM 在 AE 患儿中普遍使用。其使用与父母对 AE 严重程度的看法显著相关。医疗保健提供者可能需要在常规诊所就诊时询问家长他们的孩子是否使用 CAM。
