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上海方仓医院无症状 COVID-19 患者对中医药的接受度和态度。

Acceptance and attitude towards the traditional chinese medicine among asymptomatic COVID-19 patients in Shanghai Fangcang hospital.

机构信息

The First Affiliated Hospital of Naval Medical University, Shanghai, 200433, China.

School of Traditional Chinese Medicine, Naval Medical University, Shanghai, 200433, China.

出版信息

BMC Complement Med Ther. 2023 Mar 30;23(1):97. doi: 10.1186/s12906-023-03922-z.

Abstract

OBJECTIVE

The Coronavirus Disease 2019 (COVID-19) has brought severe damage to global health and socioeconomics. In China, traditional Chinese medicine (TCM) is the most important complementary and alternative medicine (CAM) and it has shown a beneficial role in the prevention and treatment of COVID-19. However, it is unknown whether patients are willing to accept TCM treatment. The objective of our study is to investigate the acceptance, attitude, and independent predictors of TCM among asymptomatic COVID-19 patients admitted to Shanghai fangcang hospital during the outbreak of the COVID-19 pandemic in Shanghai in 2022.

METHODS

A cross-sectional study was conducted on asymptomatic COVID-19 patients in the largest fangcang hospital in Shanghai, China, from April 22, 2022, to May 25, 2022. Based on the literature review of previous similar studies, a self-report questionnaire was developed to assess the patients' attitude and acceptance of TCM, and a multivariate logistic regression analysis was conducted to determine the independent predictors of TCM acceptance.

RESULTS

A total of 1,121 patients completed the survey, of whom 91.35% were willing to accept CAM treatment whereas 8.65% of participants showed no willingness. Multivariate logistic regression analysis revealed that the patients who have received two doses of COVID-19 vaccine (OR = 2.069, 95%CI: 1.029-4.162, P = 0.041 vs. not received), understood the culture of TCM (OR = 2.293, 95%CI: 1.029-4.162, P = 0.014 vs. not understood), thought the TCM treatment is safe (OR = 2.856, 95%CI: 1.334-6.112, P = 0.007 vs. not thought), thought the TCM treatment is effective (OR = 2.724, 95%CI: 1.249-5.940, P = 0.012 vs. not thought), and those who informed their attending physician if using TCM for treatment (OR = 3.455, 95%CI:1.867-6.392, P < 0.001 vs. not informed) were more likely to accept TCM treatment. However, patients who thought TCM might delay your treatment (OR = 0.256, 95%CI: 0.142-0.462, P < 0.001 not thought) was an independent predictor for unwillingness to accept TCM treatment.

CONCLUSION

This study preliminarily investigated the acceptance, attitude, and predictors of intention to receive TCM among asymptomatic COVID-19 patients. It is recommended to increase the publicity of TCM, clarify the impact of TCM and communicate with attending doctors that meet the healthcare needs of asymptomatic COVID-19 patients.

摘要

目的

2019 年冠状病毒病(COVID-19)对全球健康和社会经济造成了严重破坏。在中国,中医药是最重要的补充和替代医学(CAM),并已显示出在 COVID-19 的预防和治疗方面的有益作用。然而,尚不清楚患者是否愿意接受中医药治疗。我们的研究目的是调查在 2022 年上海 COVID-19 大流行期间,在上海最大的方舱医院接受治疗的无症状 COVID-19 患者对中医药的接受程度、态度和独立预测因素。

方法

我们于 2022 年 4 月 22 日至 5 月 25 日,对中国上海最大方舱医院的无症状 COVID-19 患者进行了一项横断面研究。基于对先前类似研究的文献回顾,我们开发了一份自我报告问卷,以评估患者对中医药的态度和接受程度,并进行了多变量逻辑回归分析,以确定中医药接受程度的独立预测因素。

结果

共有 1121 名患者完成了调查,其中 91.35%表示愿意接受 CAM 治疗,而 8.65%的参与者表示不愿意。多变量逻辑回归分析显示,接受了两剂 COVID-19 疫苗(OR=2.069,95%CI:1.029-4.162,P=0.041 与未接种)、了解中医药文化(OR=2.293,95%CI:1.029-4.162,P=0.014 与不了解)、认为中医药治疗安全(OR=2.856,95%CI:1.334-6.112,P=0.007 与不认为)、认为中医药治疗有效(OR=2.724,95%CI:1.249-5.940,P=0.012 与不认为)、并告知主治医生如果使用中医药治疗(OR=3.455,95%CI:1.867-6.392,P<0.001 与未告知)的患者更有可能接受中医药治疗。然而,认为中医药可能会延误治疗(OR=0.256,95%CI:0.142-0.462,P<0.001 不认为)是不愿意接受中医药治疗的独立预测因素。

结论

本研究初步调查了无症状 COVID-19 患者对中医药的接受程度、态度和接受意愿的预测因素。建议增加中医药宣传,明确中医药的影响并与主治医生沟通,以满足无症状 COVID-19 患者的医疗需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d36b/10061969/b35a9e881f9d/12906_2023_3922_Fig1_HTML.jpg

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