The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain
The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain
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DOI：
10.1186/1471-2296-8-26
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发表时间：
2007-05-04
影响因子：
2.9
通讯作者：
Lewis, Martyn
中科院分区：
文献类型：
--
作者：
Artus, Majid;Croft, Peter;Lewis, Martyn
背景：慢性肌肉骨骼疼痛是使用补充和替代药物(CAM)的最主要原因。初级保健是英国疼痛患者使用最频繁的传统医疗服务。然而，我们还不知道初级保健患者使用CAM的直接证据，以及他们对CAM的感知有多成功。方法：目的和目的：确定曾咨询过初级保健疼痛的慢性肌肉骨骼疼痛患者的CAM使用情况。研究设计：基于面对面访谈的调查。研究背景：北斯塔福德的三种一般做法。参与者：一项人口疼痛调查的受访者，他们报告在调查中出现过肌肉骨骼疼痛，并在过去12个月内咨询过他们在初级保健中的疼痛，并同意进一步研究并同意采访。收集他们的疼痛信息以及前一年包括CAM在内的所有疼痛治疗的使用情况。结果：138次访谈完成。116名参与者(84%)在过去一年中至少使用过一种CAM治疗疼痛。65%是目前使用CAM的人。非处方药使用的CAM与来自CAM提供者的护理的比率为3：2。111名参与者(80%)使用过常规治疗。95例(69%)采用CAM与常规治疗相结合的治疗方法。氨基葡萄糖和鱼油是最常用的治疗方法(分别为38%和35%)。大多数CAM治疗的平均得分为有帮助，用户表示他们打算再次使用他们已经使用过的87%的CAM治疗。结论：我们提供了直接的证据，表明大多数患有慢性肌肉骨骼疼痛的初级保健咨询者在过去一年中使用过CAM，通常与传统治疗相结合。CAM的高流行率和广泛的使用者受益和危害经验加强了对这种类型药物进行更多研究以量化益处和评估安全性的论点。观察到，大多数传统药物使用者也使用CAM，这表明在初级保健中继续需要对有效的疼痛管理进行更多的研究。
Background: Chronic musculoskeletal pain is the single most cited reason for use of complementary and alternative medicine ( CAM). Primary care is the most frequent conventional medical service used by patients with pain in the UK. We are unaware, however, of a direct evidence of the extent of CAM use by primary care patients, and how successful they perceive it to be.Methods:Aims and objectives: To determine CAM use among patients with chronic musculoskeletal pain who have consulted about their pain in primary care.Study design: Face-to-face interview-based survey.Setting: Three general practices in North Staffordshire.Participants: Respondents to a population pain survey who had reported having musculoskeletal pain in the survey and who had consulted about their pain in primary care in the previous 12 months as well as consenting to further research and agreeing to an interview. Information was gathered about their pain and the use of all treatments for pain, including CAM, in the previous year.Results: 138 interviews were completed. 116 participants (84%) had used at least one CAM treatment for pain in the previous year. 65% were current users of CAM. The ratio of over-the-counter CAM use to care from a CAM provider was 3: 2. 111 participants (80%) had used conventional treatment. 95 (69%) were using a combination of CAM and conventional treatment. Glucosamine and fish oil were the most commonly used CAM treatments (38%, 35% respectively). Most CAM treatments were scored on average as being helpful, and users indicated that they intended to use again 87% of the CAM treatments they had already used.Conclusion: We provide direct evidence that most primary care consulters with chronic musculoskeletal pain have used CAM in the previous year, usually in combination with conventional treatments. The high prevalence and wide range of users experiences of benefit and harm from CAM strengthen the argument for more research into this type of medicine to quantify benefit and assess safety. The observation that most users of conventional medicine also used CAM suggests a continuing need for more investigation of effective pain management in primary care.