眼病患者使用补充和替代疗法：来自巴勒斯坦的一项基于医院的横断面研究。
Use of complementary and alternative therapies by patients with eye diseases: a hospital-based cross-sectional study from Palestine.
机构信息
Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Department of Ophthalmology, An-Najah National University Hospital, 44839, Nablus, Palestine.
出版信息
BMC Complement Med Ther. 2021 Jan 4;21(1):3. doi: 10.1186/s12906-020-03188-9.
BACKGROUND
Generally, complementary and alternative therapies (CAT) are accepted methods of treatment by patients with various types of conditions. Their use is becoming especially prevalent among patients with eye problems even in developed countries. Thus, we aimed to determine the pattern of use of CAT in this patient population, to identify the patient characteristics associated with the use of CAT, and to assess the types of CAT used.
METHODS
A descriptive, cross-sectional study was conducted in Palestine at An-Najah National University Hospital between the time periods of October 2019 to May 2020, using questionnaire-based face to face interviews. Data were collected through convenience sampling. Patients responded to the questionnaire, which was focused on information adapted from previous research in this area, covering socio-demographic and clinical characteristics, types of CAT, source of information, and side effects on CAT use.
RESULTS
A total of 86 patients were interviewed for our study. Over two thirds, 67% reported using CAT for the specific purpose of improving their eye condition, and about one third (29.1%) received more than one therapy. The most common therapies reported were duea' (i.e. supplication) (47.1%) and herbal therapies (24.1%). It was shown that patients with bilateral involvement of their eyes were almost twice more likely to describe using CAT than patients with unilateral eye pathology (p = 0.006). Also, patients who underwent surgery as their route of treatment were significantly less likely to use CAT (p = 0.043). Most of our study participants mentioned a non-physician source as their source of information regarding CAT with family members being the most frequently mentioned (30.2%) followed by the internet (25.6%) and friends (19.8%).
CONCLUSIONS
The prevalence of CAT use among patients with eye disease is somewhat high in our study population. Because CAT may trigger adverse reactions, influence the progression of the disease, and interfere with conventional treatment, the ophthalmologist should frequently be asked patients with such diagnostics regarding the use of these therapies. Further work is required to analyze the mechanisms of action and to establish realistic guidelines for the use of these modalities.
背景
一般来说，补充和替代疗法（CAT）是各种类型疾病患者接受的治疗方法。即使在发达国家，它们的使用也越来越普遍，尤其是在眼部疾病患者中。因此，我们旨在确定这一患者群体中 CAT 的使用模式，确定与 CAT 使用相关的患者特征，并评估使用的 CAT 类型。
方法
2019 年 10 月至 2020 年 5 月期间，在巴勒斯坦的纳贾赫国立大学医院进行了一项描述性、横断面研究，采用基于问卷的面对面访谈。数据通过便利抽样收集。患者回答了问卷，问卷重点关注该领域先前研究中改编的信息，涵盖社会人口统计学和临床特征、CAT 类型、信息来源以及 CAT 使用的副作用。
结果
我们的研究共采访了 86 名患者。超过三分之二（67%）的患者报告说，他们使用 CAT 是为了专门改善眼部状况，大约三分之一（29.1%）的患者接受了一种以上的治疗。报告的最常见治疗方法是 dua'（即祈祷）（47.1%）和草药疗法（24.1%）。结果表明，双眼受累的患者描述使用 CAT 的可能性几乎是单侧眼部病变患者的两倍（p=0.006）。此外，作为治疗途径接受手术的患者使用 CAT 的可能性显著降低（p=0.043）。我们的大多数研究参与者提到非医师来源是他们了解 CAT 的信息来源，其中家庭成员是最常被提及的（30.2%），其次是互联网（25.6%）和朋友（19.8%）。
结论
在我们的研究人群中，患有眼部疾病的患者使用 CAT 的比例相当高。由于 CAT 可能引发不良反应、影响疾病的进展并干扰常规治疗，眼科医生应经常询问接受此类诊断的患者是否使用这些疗法。需要进一步的工作来分析这些疗法的作用机制，并为这些疗法的使用制定现实的指南。
Zotero 插件