Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Front Public Health. 2023 Apr 27;11:988388. doi: 10.3389/fpubh.2023.988388. eCollection 2023.
BACKGROUND: Chronically ill outpatient cases use a variety of complementary and alternative medicines due to their diseases and therapeutic complications. Chronic condition, quality of life, and health literacy all affect the use of complementary medicine among chronically ill outpatient cases. Health literacy helps patients make fully informed decisions about the use of complementary and alternative medicine. This study aimed to investigate the relationship between complementary and alternative medicine and health literacy in chronically ill outpatient cases. METHOD: This cross-sectional analytical-descriptive study was conducted on 400 chronically ill outpatient cases referred to medical centers affiliated to Kerman University of Medical Sciences. Convenience sampling was used. Research tools included the complementary and alternative medicine questionnaire and the health literacy questionnaire. SPSS25 was used to analyze data. RESULTS: The mean use of complementary and alternative medicine in a recent year was 16.75 ± 7.89, which was lower than the mid-point of the questionnaire (84). Prayer, medicinal plants, vitamin supplements, music therapy, and art therapy were the mostly used complementary and alternative medicine methods. The most common reasons for using complementary medicine were to reduce physical complications and improve anxiety and stress. The mean satisfaction with the use of complementary and alternative medicine was 34.96 ± 6.69. The mean health literacy score was 67.13 ± 19.90. Decision-making and the use of health information had the highest mean score among the dimensions of health literacy, whereas reading skills received the lowest mean score. We found a significant and direct relationship between the use of complementary and alternative medicine, health literacy, and all its dimensions. CONCLUSION: The study results showed that health literacy predicted the use of complementary and alternative medicine. Health education and promotion programs may be useful for improvement of health literacy in the community.
背景：慢性病门诊患者由于疾病和治疗并发症，会使用各种补充和替代药物。慢性病、生活质量和健康素养都会影响慢性病门诊患者对补充药物的使用。健康素养有助于患者对补充和替代药物的使用做出充分知情的决定。本研究旨在探讨慢性病门诊患者中补充和替代药物与健康素养之间的关系。
方法：这是一项横断面分析-描述性研究，对象为来自克尔曼医科大学附属医院的 400 名慢性病门诊患者。采用便利抽样法。研究工具包括补充和替代药物问卷和健康素养问卷。使用 SPSS25 对数据进行分析。
结果：慢性病门诊患者在最近一年中平均使用补充和替代药物为 16.75±7.89，低于问卷的中点（84）。祈祷、药用植物、维生素补充剂、音乐疗法和艺术疗法是最常用的补充和替代药物方法。使用补充药物的最常见原因是减轻身体并发症和改善焦虑和压力。对使用补充和替代药物的平均满意度为 34.96±6.69。健康素养的平均得分为 67.13±19.90。在健康素养的各个维度中，决策和使用健康信息的平均得分最高，而阅读技能的平均得分最低。我们发现补充和替代药物的使用、健康素养及其所有维度之间存在显著的直接关系。
结论：研究结果表明，健康素养预测了补充和替代药物的使用。健康教育和促进计划可能有助于提高社区的健康素养。
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