Department of Family Medicine, Faculty of Medicine, Selçuk University, Konya, Turkey.
Department of Dermatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Medicine (Baltimore). 2024 Sep 13;103(37):e39577. doi: 10.1097/MD.0000000000039577.
Because acne vulgaris has a chronic course, can cause cosmetic problems, and negatively affects the psychosocial functionality and quality of life of patients, patients with acne vulgaris can frequently resort to complementary medicine practices. This study aimed to examine the frequency of complementary medicine use in patients diagnosed with acne vulgaris, the methods they used, the reasons for practicing these methods, and the factors affecting these practices. In this descriptive cross-sectional study, 400 (81.4%) of 491 patients aged ≥13 years who were diagnosed with acne vulgaris and treated at the dermatology outpatient clinic at Konya Numune Hospital between February and October 2020 were enrolled. A survey consisting of 37 questions was administered to patients in face-to-face interviews. Permission to conduct the study was obtained from the Faculty of Medicine Local Ethics Committee. The mean age of the patients was 20.0 ± 5.17, and 60% of the patients were women. It was stated by 87% of the patients that they used complementary medicine methods for the treatment of acne vulgaris. The first 3 methods used, in order of frequency, were topical herbal remedies at a rate of 61%, herbal medicines at 23.5%, and cupping/leeches at 2.5%. Complementary medicine use was significantly higher among the patients aged 19 to 25 and among the single patients. While practicing complementary medicine treatments, 33.5% also used the treatment given by their doctor simultaneously. It was determined that the physicians of 73.5% of the patients did not question their use of complementary medicine when prescribing treatment. In our study, it was determined that 87% of patients with acne vulgaris used complementary and alternative medicine (CAM) methods, and the majority of these patients were young. These treatment methods may affect the treatments that their physicians will recommend. Therefore, to prevent ill-advised practices, patients should be informed about the CAM methods they use when planning their treatment. Considering the possible side effects of CAM practices, physicians need to be aware that acne vulgaris patients frequently use CAM methods and improve themselves in raising the desired awareness on this issue.
由于痤疮具有慢性病程，可能会导致美容问题，并对患者的社会心理功能和生活质量产生负面影响，因此痤疮患者经常会寻求补充医学治疗。本研究旨在调查诊断为痤疮的患者使用补充医学的频率、他们使用的方法、实践这些方法的原因以及影响这些实践的因素。在这项描述性的横断面研究中，我们招募了 2020 年 2 月至 10 月期间在科尼亚努姆内医院皮肤科门诊就诊的 491 名年龄≥13 岁的痤疮患者，其中 400 名（81.4%）患者完成了调查。在面对面访谈中，患者填写了一份由 37 个问题组成的问卷。该研究获得了医学院地方伦理委员会的许可。患者的平均年龄为 20.0±5.17 岁，其中 60%为女性。87%的患者表示他们使用补充医学方法治疗痤疮。使用频率最高的前 3 种方法分别为 61%的局部草药、23.5%的草药和 2.5%的拔罐/水蛭。19 至 25 岁的患者和单身患者补充医学治疗的使用率更高。在进行补充医学治疗的同时，33.5%的患者还同时使用医生开的治疗方法。研究发现，73.5%的患者的医生在开处方时没有询问他们是否使用补充医学。在我们的研究中，我们发现 87%的痤疮患者使用补充和替代医学（CAM）方法，而且大多数患者都是年轻人。这些治疗方法可能会影响医生推荐的治疗方法。因此，为了防止不当治疗，在制定治疗计划时，应告知患者他们使用的 CAM 方法。考虑到 CAM 实践的可能副作用，医生需要意识到痤疮患者经常使用 CAM 方法，并提高自己在这一问题上的意识。
