Kronbi Fatine, Tahiri Latifa, Bahloul Sara, Ez-Zaoui Samya, Bensaghir Imane, El Hilali Samia, Belayachi Jihane, Abouqal Redouane, Rkain Hanan, Allali Fadoua
Department of Rheumatology B, Ayachi Hospital, Ibn Sina Hospital Center, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR.
Department of Rheumatology B, Sheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR.
Cureus. 2024 Aug 2;16(8):e66015. doi: 10.7759/cureus.66015. eCollection 2024 Aug.
Background In general, rheumatologists often have limited knowledge regarding the use of complementary and alternative medicine (CAM) among patients with rheumatic diseases. Understanding the prevalence, reasons for use, and perceived benefits of CAM can help improve patient care and guide clinical practices. This study aimed to assess the prevalence, reasons for use, and perceived benefits of cupping therapy, apitherapy, and traditional cautery treatments among patients with rheumatic diseases. Additionally, it aimed to explore adverse effects, location and pricing disparities in CAM practices, information sources, and the rate of reporting CAM use to treat rheumatologists and to identify factors associated with the use of these CAM approaches. Methodology This single-center, cross-sectional study was conducted in a Moroccan University Hospital and included patients receiving care for rheumatic diseases during hospitalization or outpatient visits from January 2024 to March 2024. The data were collected using a structured, validated, and pilot-tested questionnaire administered by attending rheumatologists. The questionnaire aimed to gather demographic information and to identify patients using CAM, collecting data related to their utilization. Results A total of 100 patients were enrolled (mean age: 52.3 ± 12.8 years, 75% female). Among them, 43% had chronic inflammatory rheumatism. Additionally, 46% reported using at least one of the three CAM methods studied, with 36% using cupping therapy (specifically the wet method), 9% using apitherapy, and 16% using traditional cautery. The main reason for using CAM was to alleviate their pain (55%). Perceptions of effectiveness were reported by 38% of patients using cupping therapy, 20% using apitherapy, and 5.9% using traditional cautery. The use of CAM was significantly lower in patients with a university education (odds ratio = 0.05, 95% confidence interval = 0.003-0.92). Conclusions Our study revealed a significant prevalence of CAM use among patients with rheumatic diseases in Morocco, with cupping therapy emerging as the most commonly utilized method. These findings underscore the importance of enhancing awareness and understanding of CAM practices among both patients and healthcare providers to promote more structured and informed CAM practices.
背景 一般来说，风湿病专家对风湿病患者使用补充和替代医学（CAM）的了解往往有限。了解CAM的使用 prevalence、使用原因及 perceived benefits有助于改善患者护理并指导临床实践。本研究旨在评估拔罐疗法、蜂疗和传统烙法在风湿病患者中的使用 prevalence、使用原因及 perceived benefits。此外，旨在探讨CAM实践中的不良反应、地点和价格差异、信息来源以及向风湿病专家报告使用CAM进行治疗的比例，并确定与使用这些CAM方法相关的因素。
方法 这项单中心横断面研究在摩洛哥一家大学医院进行，纳入了2024年1月至2024年3月期间在住院或门诊接受风湿病护理的患者。数据通过由主治风湿病专家管理的结构化、经过验证和预测试的问卷收集。该问卷旨在收集人口统计学信息并识别使用CAM的患者，收集与其使用相关的数据。
结果 共纳入100名患者（平均年龄：52.3±12.8岁，75%为女性）。其中，43%患有慢性炎症性风湿病。此外，46%的患者报告使用了所研究的三种CAM方法中的至少一种，36%使用拔罐疗法（特别是湿罐法），9%使用蜂疗，16%使用传统烙法。使用CAM的主要原因是缓解疼痛（55%）。38%使用拔罐疗法的患者、20%使用蜂疗的患者和5.9%使用传统烙法的患者报告了对有效性的感知。大学学历患者使用CAM的比例显著较低（优势比=0.05，95%置信区间=0.003-0.92）。
结论 我们的研究显示摩洛哥风湿病患者中CAM的使用 prevalence显著，拔罐疗法是最常用的方法。这些发现强调了提高患者和医疗服务提供者对CAM实践的认识和理解的重要性，以促进更结构化和明智的CAM实践。
