Oorschot Tracey, Adams Jon, Sibbritt David
School of Public Health, University of Technology Sydney, Broadway, PO Box 123, Sydney, NSW, 2007, Australia.
BMC Complement Med Ther. 2025 Apr 16;25(1):140. doi: 10.1186/s12906-025-04876-0.
Diabetes Mellitus is often a long-term health condition that continues to raise concerns regarding the burden upon an individual's mental health, due to the commitment required for day-to-day self-care. People living with diabetes frequently use complementary medicine as part of their diabetes self-care to manage their mental health and this raises a number of significant risk management issues. Unfortunately, no research has explored the influence of lowered mental health functioning upon both the conventional and complementary medicine health service use amongst people living with diabetes.
An examination of the conventional and complementary medicine health service use amongst men and women living with diabetes and normative or lowered mental health functioning, was undertaken by completing a secondary analysis of the Complementary Medicine Use, Health Literacy and Disclosure study.
Of the 176 participants reporting a diabetes diagnosis, 74% reported lowered mental health functioning, compared to 60% without a diabetes diagnosis. Compared to people living with diabetes and normative mental health functioning, those with lowered mental health functioning were 9 times more likely to consult with a Western herbalist (OR = 9.17, 95% CI: 1.097-76.84), twice as likely to use vitamins or minerals (OR = 2.34, 95% CI: 1.061-5.151), and 5 times more likely to engage in relaxation or meditation practice (OR = 5.10, 95% CI: 1.362-19.129).
People living with diabetes who have lowered mental health functioning appear even more likely to use complementary medicine than conventional medicine, than those with normative mental health functioning. This reinforces the need to resolve clinical governance issues associated with complementary medicine use, especially what role complementary medicine practitioners can fulfil as part of coordinated diabetes care teams, to support patient health and well-being.
糖尿病通常是一种长期健康状况，由于日常自我护理需要投入精力，它一直引发人们对个人心理健康负担的担忧。糖尿病患者经常使用补充替代医学作为糖尿病自我护理的一部分来管理他们的心理健康，这引发了一些重大的风险管理问题。不幸的是，尚无研究探讨心理健康功能下降对糖尿病患者使用传统医学和补充替代医学健康服务的影响。
通过对补充替代医学使用、健康素养与披露研究进行二次分析，对患有糖尿病且心理健康功能正常或下降的男性和女性使用传统医学和补充替代医学健康服务的情况进行了调查。
在176名报告患有糖尿病的参与者中，74%报告心理健康功能下降，而未被诊断患有糖尿病的参与者中这一比例为60%。与心理健康功能正常的糖尿病患者相比，心理健康功能下降的患者咨询西方草药师的可能性高9倍（比值比[OR]=9.17，95%置信区间[CI]：1.097 - 76.84），使用维生素或矿物质的可能性高两倍（OR = 2.34，95% CI：1.061 - 5.151），进行放松或冥想练习的可能性高5倍（OR = 5.10，95% CI：1.362 - 19.129）。
与心理健康功能正常的糖尿病患者相比，心理健康功能下降的糖尿病患者似乎更有可能使用补充替代医学而非传统医学。这强化了解决与补充替代医学使用相关的临床治理问题的必要性，特别是补充替代医学从业者作为糖尿病综合护理团队的一部分可以发挥什么作用，以支持患者的健康和福祉。
