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妇科患者对补充和替代医学的态度:在一家三级诊所的经验。

Complementary and Alternative Medicine Attitudes of Gynecologic Patients: Experience in a Tertiary Clinic.

机构信息

Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Ankara, Turkey.

Department of Obstetrics and Gynecology, İstanbul Zeynep Kamil Women and Child Diseases Education and Research Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

Rev Bras Ginecol Obstet. 2021 Nov;43(11):853-861. doi: 10.1055/s-0041-1739462. Epub 2021 Dec 6.

DOI:10.1055/s-0041-1739462
PMID:34872144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10183933/
Abstract

OBJECTIVE

To evaluate the knowledge, attitudes, and behaviors regarding complementary and alternative medicine methods of patients who were admitted to gynecology outpatient clinics.

METHODS

In the present survey, a questionnaire on complementary and alternative medicine practices was applied on 1,000 women (ages between 18 and 83 years old) who were admitted to the gynecology outpatient clinic of a tertiary maternity hospital. Demographic features and knowledge, attitudes, and behaviors about these methods were inquired in face-to-face interviews.

RESULTS

While 80.7% of the total participants thought that complementary and alternative medicine was beneficial, only 37.5% of them had used these methods previously. The rate of prior knowledge on this subject was of 59.7% and the source of information was physicians for 8.5% of the patients. However, 72.4% of all participants wanted to obtain information on these methods and 93.7% wanted to be informed by physicians. In the decision tree model, having knowledge about complementary and alternative medicine was the most effective factor determining its use ( < 0.001). Phytotherapy was found to be the most used method, with 91.4%. The most preferred plant was onion (18.9%), and the most common reasons for herbal use were stress (15.4%) and fatigue (15.2%).

CONCLUSION

More than one-third of the patients who applied to the gynecology outpatient clinics used one of the complementary and alternative medicine methods at least once. As gynecologists and obstetricians, we need to be more knowledgeable about these methods to provide correct guidance to our patients for accessing accurate and effective information.

摘要

目的

评估就诊于妇科门诊患者对补充和替代医学方法的知识、态度和行为。

方法

本调查采用问卷调查的方式,对 1000 名(年龄 18-83 岁)就诊于一家三级妇产医院妇科门诊的女性进行了调查。通过面对面访谈,询问了她们的人口统计学特征以及对这些方法的知识、态度和行为。

结果

尽管 80.7%的总参与者认为补充和替代医学是有益的,但只有 37.5%的人之前曾使用过这些方法。有 59.7%的人对此主题有一定的了解,其中 8.5%的信息来源是医生。然而,72.4%的参与者希望获得有关这些方法的信息,93.7%的参与者希望由医生提供信息。在决策树模型中,对补充和替代医学的了解是决定其使用的最有效因素(<0.001)。植物疗法是最常用的方法,使用率为 91.4%。最常用的植物是洋葱(18.9%),使用草药的最常见原因是压力(15.4%)和疲劳(15.2%)。

结论

超过三分之一就诊于妇科门诊的患者至少使用过一种补充和替代医学方法。作为妇科医生和妇产科医生,我们需要更多地了解这些方法,以便为患者提供正确的指导,帮助他们获得准确有效的信息。

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Mechanisms of action of Sri Lankan herbal medicines used in the treatment of diabetes: A review.用于治疗糖尿病的斯里兰卡草药的作用机制:综述。
J Integr Med. 2020 Jan;18(1):14-20. doi: 10.1016/j.joim.2019.11.003. Epub 2019 Nov 14.
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"Complementary Medicine": Complementary and Alternative Health Approaches in Pediatric and Adolescent Gynecology.
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Social determinants affecting the use of complementary and alternative medicine in Japan: An analysis using the conceptual framework of social determinants of health.影响日本人使用补充替代医学的社会决定因素:基于健康社会决定因素概念框架的分析。
PLoS One. 2018 Jul 16;13(7):e0200578. doi: 10.1371/journal.pone.0200578. eCollection 2018.
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Scand J Public Health. 2018 Jun;46(4):448-455. doi: 10.1177/1403494817733869. Epub 2017 Oct 4.
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Reasons for continuing use of Complementary and Alternative Medicine (CAM) in students: a consumer commitment model.学生继续使用补充和替代医学(CAM)的原因:一种消费者承诺模型。
BMC Complement Altern Med. 2016 Feb 24;16:75. doi: 10.1186/s12906-016-1059-3.
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Use of Complementary and Alternative Medicine in Patients with Gynecologic Cancer: a Systematic Review.妇科癌症患者补充和替代医学的应用:一项系统评价
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