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2019冠状病毒病大流行期间补充与整合医学的自我护理及生活方式干预——一项横断面研究

Self-care and lifestyle interventions of complementary and integrative medicine during the COVID-19 pandemic-A cross-sectional study.

作者信息

Jeitler Michael, Erehman Avital, Koppold Daniela A, Ortiz Miriam, Jerzynski Lea, Stöckigt Barbara, Rotter Gabriele, Blakeslee Sarah, Brinkhaus Benno, Michalsen Andreas, Seifert Georg, Cramer Holger, Kandil Farid I, Kessler Christian S

机构信息

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Social Medicine, Epidemiology and Health Economics, Berlin, Germany.

Department of Internal and Integrative Medicine, Immanuel Krankenhaus Berlin, Berlin, Germany.

出版信息

Front Med (Lausanne). 2023 Jan 9;9:1033181. doi: 10.3389/fmed.2022.1033181. eCollection 2022.

Abstract

BACKGROUND

Complementary and Integrative Medicine (CIM), including self-care healthy life-style promotion strategies, is widely used in Germany. Aim of this study was to assess the use of self-care and lifestyle interventions as well as mental/emotional state experienced during the COVID-19 pandemic.

METHODS

An exploratory cross-sectional online study was conducted with adults in Germany through an online survey. Custom-developed questions in respiratory disease-status (including COVID-19), CIM-based self-care/lifestyle interventions and dietary patterns, and mental/emotional state as well as parameters for wellbeing (World Health Organization Well-Being Index, WHO-5) and self-efficacy (General Self-Efficacy Short Scale, GSE-3) were assessed. Data was analyzed using frequency and parametric measures.

RESULTS

The online survey was performed from January to March 2021 and included 1,138 participants (81.5% female; mean age: 49.2 ± 13.7 years; 54.9% holding a university degree) living in Germany, of which 62 had had a positive SARS-CoV-2 test, 4 an influenza infection and 375 participants other respiratory infections. The following individual health promotion strategies were reported: spending time in nature (90%; = 1,024), physical activity (69.3%; = 789), naturopathic remedies (63.1%; = 718), plant-based diet (56.3%; = 640), and Mind-Body interventions (54.7%; = 623). No differences in strategies between individuals with respiratory diseases or the sample overall were found. Well-being had a mean value of 15.2 ± 5 (WHO-5) and self-efficacy 4.1 ± 0.6 (GSE-3). Nearly 8% reported a low mental/emotional state regarding the COVID-19 pandemic.

CONCLUSION

Self-care and lifestyle interventions during the COVID-19 pandemic were reported by participants who were predominantly female, middle-aged, and well-educated. Most participants showed an overall balanced mental/emotional state. Further studies should include a representative control group from the general population.

CLINICAL TRIAL REGISTRATION

clinicaltrials.gov, identifier NCT04653727.

摘要

背景

补充与整合医学(CIM),包括促进自我保健的健康生活方式策略,在德国被广泛使用。本研究的目的是评估在新冠疫情期间自我保健和生活方式干预措施的使用情况以及所经历的心理/情绪状态。

方法

通过在线调查对德国成年人开展了一项探索性横断面在线研究。评估了关于呼吸道疾病状况(包括新冠病毒感染)、基于补充与整合医学的自我保健/生活方式干预措施和饮食模式、心理/情绪状态以及幸福感参数(世界卫生组织幸福指数,WHO-5)和自我效能感(一般自我效能感简表,GSE-3)的定制问题。使用频率和参数测量方法对数据进行分析。

结果

在线调查于2021年1月至3月进行,纳入了1138名居住在德国的参与者(81.5%为女性;平均年龄:49.2±13.7岁;54.9%拥有大学学位),其中62人新冠病毒检测呈阳性,4人感染流感,375名参与者患有其他呼吸道感染。报告了以下个体健康促进策略:亲近自然(90%;n = 1024)、体育锻炼(69.3%;n = 789)、自然疗法(63.1%;n = 718)、植物性饮食(56.3%;n = 640)以及身心干预(54.7%;n = 623)。未发现患有呼吸道疾病的个体与总体样本在策略上存在差异。幸福感的平均值为15.2±5(WHO-5),自我效能感为4.1±0.6(GSE-3)。近8%的人报告称在新冠疫情期间心理/情绪状态不佳。

结论

报告在新冠疫情期间采取自我保健和生活方式干预措施的参与者主要为女性、中年且受过良好教育。大多数参与者表现出总体平衡的心理/情绪状态。进一步的研究应纳入来自普通人群的代表性对照组。

临床试验注册

clinicaltrials.gov,标识符NCT04653727。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d7/9868272/87dbb6f04499/fmed-09-1033181-g001.jpg

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