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巴勒斯坦儿科中补充和替代医学的使用:一项横断面研究。

Complementary and alternative medicine use among pediatrics in Palestine: a cross-sectional study.

机构信息

Department of Clinical and Community Pharmacy, 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 Pediatr. 2021 Nov 11;21(1):503. doi: 10.1186/s12887-021-02985-6.

Abstract

BACKGROUND

Recent use of complementary and alternative medicine (CAM) is growing in children worldwide, so there is a need to evaluate CAM's use among pediatrics in Palestine. This study aimed to estimate the prevalence of CAM use among a sample of Palestinian children, investigate the factors that affect the use of CAMs, identify the types of CAM used, and assess the purposes of using them.

METHODS

A cross-sectional descriptive study of parents who had children aged 6 years and below was carried out. A convenient sample of about 420 participants was collected; from Primary care to Motherhood and Childhood Centers in Nablus city in Palestine. Parents who agreed to participate were asked to answer a survey that consists mainly of closed-ended questions. The analysis was performed using SPSS version 16.0.

RESULTS

The use of CAM was detected in all interviewers 420 (100%). The most common treatment used was herbal therapy (n = 400, 95.2%), and anise was the most common herbal therapy used (n = 334; 79.5%). A total of 371 (88.3%) of the respondents used CAM for digestive system problems. The main reason for using CAM was making the child more comfortable (n = 365; 86.9%). Parents who are 30 years or older were significantly using more CAM than younger parents (P = 0.001). In addition, regarding the number of children in the family, parents who have five children or more used more CAM subtypes significantly more than parents with less than this number (P = 0.025). Moreover, parents living in a refugee camp used more CAM than parents who lived in urban or rural areas (P = 0.031).

CONCLUSIONS

Parents of children use CAM frequently. All parents used CAM, and physicians were not mainly among the sources of CAM information, and almost all parents were unaware of the side effects of CAM. Future research is necessary to direct pediatricians in formulating recommendations for children on CAM modalities, including possible risks and benefits and interactions with conventional medications.

摘要

背景

最近,全世界儿童对补充和替代医学(CAM)的使用呈增长趋势,因此需要评估巴勒斯坦儿科中 CAM 的使用情况。本研究旨在估计巴勒斯坦儿童样本中 CAM 使用的流行率,调查影响 CAM 使用的因素,确定使用的 CAM 类型,并评估使用它们的目的。

方法

对纳布卢斯市的初级保健至母婴和儿童中心的 6 岁以下儿童的父母进行了横断面描述性研究。收集了大约 420 名参与者的便利样本;父母同意参与的父母被要求回答主要由封闭式问题组成的调查。使用 SPSS 版本 16.0 进行分析。

结果

所有面谈者(420 名,100%)均发现使用了 CAM。最常用的治疗方法是草药疗法(n=400,95.2%),最常用的草药疗法是八角茴香(n=334;79.5%)。共有 371 名(88.3%)受访者因消化系统问题使用 CAM。使用 CAM 的主要原因是让孩子更舒适(n=365;86.9%)。30 岁或以上的父母明显比年轻父母使用更多的 CAM(P=0.001)。此外,就家庭中孩子的数量而言,有 5 个或更多孩子的父母比孩子少于这个数字的父母明显更多地使用了 CAM 亚型(P=0.025)。此外,居住在难民营的父母比居住在城市或农村地区的父母使用更多的 CAM(P=0.031)。

结论

儿童的父母经常使用 CAM。所有父母都使用 CAM,医生并不是 CAM 信息的主要来源,而且几乎所有父母都不知道 CAM 的副作用。需要进一步研究,以便为儿科医生制定有关儿童 CAM 方式的建议,包括可能的风险和益处以及与常规药物的相互作用。

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