Survey of CAM interest, self-care, and satisfaction with health care for type 2 diabetes at group health cooperative.
Survey of CAM interest, self-care, and satisfaction with health care for type 2 diabetes at group health cooperative.
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DOI：
10.1186/1472-6882-11-121
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发表时间：
2011-12-01
影响因子：
--
通讯作者：
Cherkin DC
中科院分区：
文献类型：
--
作者：
Bradley R;Sherman KJ;Catz S;Calabrese C;Jordan L;Grothaus L;Cherkin DC
很少有研究探索影响人们对补充和替代医学(CAM)治疗兴趣的因素。我们对次优控制的2型糖尿病患者进行了调查，以评估对补充和替代医学(CAM)治疗的兴趣、当前的自我护理实践、改进自我护理实践的动机以及对当前糖尿病医疗保健的满意度之间的潜在关系。来自一个大型综合医疗系统的321名2型糖尿病患者在2009-2010年间接受了电话询问，询问他们的自我护理行为、改变的动机、对现有医疗保健的满意度以及对尝试自然疗法(ND)治疗糖尿病的兴趣。将最有兴趣尝试ND治疗的患者的反应与不感兴趣的患者的反应进行比较。219名患者(68.5%)完成了调查。近一半(48%)的人表示，如果他们的保险涵盖了他们的糖尿病，他们很可能会尝试ND治疗。对尝试ND护理的兴趣与患者人口统计学、健康史、临床状态或自我护理行为无关。对尝试ND护理更感兴趣的患者认为他们目前的医疗保健在控制血糖方面效果较差(平均反应5.9vs.6.6+/-1.5p=0.003)，他们更有决心成功进行自我护理(p=0.007)。目前糖尿病患者对CAM的使用率也更高。次优控制的2型糖尿病患者对尝试ND治疗表现出很高的兴趣。那些最感兴趣的患者对他们的糖尿病护理不太满意，更有动力从事自我护理，更有可能使用其他CAM疗法来治疗他们的糖尿病。
Very little research has explored the factors that influence interest in complementary and alternative medicine (CAM) treatments. We surveyed persons with sub-optimally controlled type 2 diabetes to evaluate potential relationships between interest in complementary and alternative medicine (CAM) treatments, current self-care practices, motivation to improve self-care practices and satisfaction with current health care for diabetes. 321 patients from a large integrated healthcare system with type 2 diabetes, who were not using insulin and had hemoglobin A1c values between 7.5-9.5%, were telephoned between 2009-2010 and asked about their self-care behaviors, motivation to change, satisfaction with current health care and interest in trying naturopathic (ND) care for their diabetes. Responses from patients most interested in trying ND care were compared with those from patients with less interest. 219 (68.5%) patients completed the survey. Nearly half (48%) stated they would be very likely to try ND care for their diabetes if covered by their insurance. Interest in trying ND care was not related to patient demographics, health history, clinical status, or self-care behaviors. Patients with greater interest in trying ND care rated their current healthcare as less effective for controlling their blood sugar (mean response 5.9 +/- 1.9 vs. 6.6 +/- 1.5, p = 0.003), and were more determined to succeed in self-care (p = 0.007). Current CAM use for diabetes was also greater in ND interested patients. Patients with sub-optimally controlled type 2 diabetes expressed a high level of interest in trying ND care. Those patients with the greatest interest were less satisfied with their diabetes care, more motivated to engage in self-care, and more likely to use other CAM therapies for their diabetes.
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影响因子：
16.2
作者：
Egede, LE;Ye, XB;Silverstein, MD
通讯作者：
Silverstein, MD
影响因子：
4.2
作者：
Funnell, Martha M;Anderson, Robert M
通讯作者：
Anderson, Robert M
影响因子：
16.2
作者：
Garrow, D;Egede, LE
通讯作者：
Egede, LE
影响因子：
3.5
作者：
Bell, Ronny A.;Stafford, Jeanette M.;Quandt, Sara A.
通讯作者：
Quandt, Sara A.
影响因子：
12.7
作者：
Yeh, GY;Eisenberg, DM;Phillips, RS
通讯作者：
Phillips, RS