Arthur Labatt Family School of Nursing, Western University, London, Canada.
Department of Social Science and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Contemp Nurse. 2020 Apr;56(2):105-119. doi: 10.1080/10376178.2020.1743192. Epub 2020 Mar 25.
Chronic pain is a complex condition frequently encountered in nursing practice, resulting in negative multidimensional effects on the individual and healthcare system. Increasingly, people with chronic pain are turning to Complementary and Alternative Medicine (CAM) to manage their pain. To explore the relationship between healthcare access, unmet healthcare needs, and practitioner-based Complementary and Alternative Medicine use in adults with chronic pain. A secondary analysis of 1688 individuals ≥18 years old self-reporting chronic pain from Cycle 9 of the Canadian National Population Health Survey. Multivariate logistic regression and descriptive statistics. When controlling for demographics and health status indicators, the presence of unmet healthcare needs was found to predict CAM use (< 0.001; OR 2.02; CI [1.45, 2.81]), along with sex, education, income, employment, and restriction of activities. People may be using CAM due to shortcomings of the conventional healthcare system, with implications for policymakers and healthcare professions to develop more integrative strategies to improve chronic pain management. Having unmet healthcare needs is associated with two-fold increased odds of using Complementary and Alternative Medicine in Canadian adults with chronic pain.
慢性疼痛是护理实践中经常遇到的一种复杂情况，会对个人和医疗保健系统产生负面的多维影响。越来越多的慢性疼痛患者开始转向补充和替代医学（CAM）来缓解疼痛。本研究旨在探讨医疗保健可及性、未满足的医疗保健需求与慢性疼痛患者接受从业者为基础的补充和替代医学治疗之间的关系。这是对加拿大国家人口健康调查第 9 轮中 1688 名年龄在 18 岁及以上、自我报告患有慢性疼痛的成年人的二次分析。采用多变量逻辑回归和描述性统计分析。在控制人口统计学和健康状况指标后，发现未满足的医疗保健需求预测 CAM 的使用（<0.001；OR 2.02；CI [1.45, 2.81]），同时还与性别、教育、收入、就业和活动受限有关。人们可能会因为常规医疗保健系统的缺陷而使用 CAM，这对政策制定者和医疗保健专业人员提出了制定更具整合性策略以改善慢性疼痛管理的要求。在加拿大患有慢性疼痛的成年人中，未满足的医疗保健需求与使用补充和替代医学的几率增加两倍相关。
