孕期使用补充和替代医学：来自巴勒斯坦的横断面研究。
The use of complementary and alternative medicine during pregnancy: a 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.
Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
出版信息
BMC Complement Med Ther. 2021 Apr 1;21(1):108. doi: 10.1186/s12906-021-03280-8.
BACKGROUND
The use of complementary and alternative medicine (CAM) is increasing worldwide. To the best of knowledge, there is a lack of studies that assess CAM use by Palestinian women during pregnancy. This research aims to determine the prevalence of Palestinian women's use of CAM during pregnancy, the most frequently used CAM products during the pregnancy period, the main sources that encourage the use of CAM among pregnant women, and the causes of CAM use.
METHODS
A descriptive, cross-sectional study was conducted in Palestine using a questionnaire from April 2018 to March 2019. The samples were selected by convenience sampling, including currently pregnant or previously pregnant women in the Obstetrics and Gynecology (OBGYN) clinic at Rafedia Hospital and in primary health care clinics in Nablus city-Palestine. The questionnaire covered socio-demographic variables, health status, types and frequency of CAM used, patients' sources of information, causes of their usage, attitudes, and beliefs.
RESULTS
Four hundred currently or previously pregnant women participated. Three hundred fifty-five (91.5%) used at least one method of CAM during pregnancy. Most women used at least one method of biologically-based therapies during pregnancy (87.7%). One hundred and one pregnant women (26.7%) utilised at least one type of herb during pregnancy. The most-reported herb used by 12.3% of participants was anise. Of the mind-body therapies, prayer was the most commonly used method during pregnancy (8.3%). Two hundred and sixty-one (65.3%) participants used CAM because they believed CAM was not harmful to them or their babies during pregnancy. Participants gained most of their information about CAM from their families (43.8%) and friends (24.3%). Approximately two-thirds of participants (64.0%) thought that obstetricians should be able to advise on commonly used CAM.
CONCLUSIONS
During pregnancy, CAM products are commonly used, and it is important to determine what types are being used by women in Palestine. These findings supplement the body of knowledge on the use of CAM by pregnant women. Pregnancy care providers need to be aware to the familiar types of CAM that women use.
背景
在全球范围内，补充和替代医学（CAM）的使用正在增加。据目前所知，缺乏评估巴勒斯坦妇女在怀孕期间使用 CAM 的研究。本研究旨在确定巴勒斯坦妇女在怀孕期间使用 CAM 的流行率、怀孕期间最常使用的 CAM 产品、鼓励孕妇使用 CAM 的主要来源以及使用 CAM 的原因。
方法
本研究采用描述性、横断面研究设计，于 2018 年 4 月至 2019 年 3 月在巴勒斯坦进行，使用 Rafedia 医院妇产科诊所和纳布卢斯市初级保健诊所的目前或曾经怀孕的妇女进行问卷调查。问卷涵盖社会人口统计学变量、健康状况、使用的 CAM 类型和频率、患者信息来源、使用原因、态度和信念。
结果
共有 400 名目前或曾经怀孕的妇女参与了本研究。355 名（91.5%）妇女在怀孕期间至少使用了一种 CAM 方法。大多数妇女在怀孕期间至少使用了一种基于生物学的疗法（87.7%）。101 名孕妇（26.7%）在怀孕期间至少使用了一种草药。最常报告的草药是茴芹，有 12.3%的参与者使用。在身心疗法中，祈祷是怀孕期间最常用的方法（8.3%）。261 名（65.3%）参与者使用 CAM 是因为他们认为 CAM 在怀孕期间对他们或他们的婴儿没有危害。参与者主要从家人（43.8%）和朋友（24.3%）那里获得关于 CAM 的信息。大约三分之二的参与者（64.0%）认为产科医生应该能够就常用的 CAM 提供建议。
结论
在怀孕期间，CAM 产品被广泛使用，因此确定巴勒斯坦妇女使用的 CAM 类型很重要。这些发现补充了关于孕妇使用 CAM 的知识体系。妊娠护理提供者需要了解女性使用的常见类型的 CAM。
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