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沙特阿拉伯塔伊夫市糖尿病患者使用补充和替代医学的患病率及预测因素

Prevalence and predictors of using complementary and alternative medicine among diabetic patients in Taif city, Saudi Arabia.

作者信息

Abdullah Rehab I, Allah Ahmad Aman, Mubarak Ali S, Abdullah Rayan I, Alzhrani Sarah H, Alsufyani Maram H, Alharthi Salman J A, Althomali Reham O H

机构信息

Department of Family Medicine, Al-Hada Armed Forces Hospital, Taif City, Saudi Arabia.

出版信息

J Family Med Prim Care. 2020 Apr 30;9(4):2092-2098. doi: 10.4103/jfmpc.jfmpc_1222_19. eCollection 2020 Apr.

Abstract

BACKGROUND

Saudi Arabia has the second-highest rate of diabetes in the Middle East. Herbal treatment is the most used complementary and alternative therapy among Saudi diabetic patients. Little is known about the use of complementary and alternative medicine among diabetic patients who reside in Taif city.

METHOD

This study evaluated the magnitude and correlates of complementary and alternative medicine (CAM) use among diabetic patients attending diabetic clinics and primary healthcare in two governmental hospitals, namely, Prince Mansour Military Hospital (PMMH) and National Gourd Hospital (NGH) in Taif city.

RESULTS

CAM prevalence was 33.7%, of whom 87.3% did not consult a doctor before use and 43.2% had more than one source of information while 62.7% used more than one CAM method. Around 49.2% reported that it is very useful, and 72.9% did not notice any side effect from its use. In addition, 47.5% would recommend CAM to other diabetic patients. All (100%) reported using bitter apple, 66.1% reported using cinnamon, 55.1% used ginger, 35.6% took fenugreek, and 21.2% reported using Garlic as an only CAM. Female gender, family history, diabetic complications, and longer duration of diabetes were associated with the increased use of CAM.

DISCUSSION AND CONCLUSION

CAM use by diabetic patients in Taif is prevalent. Health education and the safe use of CAM is much needed. Appropriate efforts from the government to integrate CAM into conventional diabetes treatment should be considered.

摘要

背景

沙特阿拉伯是中东地区糖尿病发病率第二高的国家。草药治疗是沙特糖尿病患者最常用的补充和替代疗法。对于居住在塔伊夫市的糖尿病患者使用补充和替代医学的情况知之甚少。

方法

本研究评估了在塔伊夫市的两家政府医院,即曼苏尔王子军事医院(PMMH)和国家葫芦医院(NGH)就诊的糖尿病患者中补充和替代医学(CAM)的使用程度及其相关因素。

结果

CAM的使用率为33.7%,其中87.3%的人在使用前未咨询医生,43.2%的人有多个信息来源,62.7%的人使用了不止一种CAM方法。约49.2%的人报告说它非常有用,72.9%的人没有注意到使用它有任何副作用。此外,47.5%的人会向其他糖尿病患者推荐CAM。所有(100%)的人报告使用过苦苹果,66.1%的人报告使用过肉桂,55.1%的人使用过生姜,35.6%的人服用过胡芦巴,21.2%的人报告仅使用大蒜作为CAM。女性、家族病史、糖尿病并发症以及糖尿病病程较长与CAM的使用增加有关。

讨论与结论

塔伊夫市糖尿病患者使用CAM的情况很普遍。非常需要进行健康教育和安全使用CAM。政府应考虑做出适当努力,将CAM纳入传统糖尿病治疗。

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