Features of complementary and alternative medicine use by patients with coronary artery disease in Beijing: a cross-sectional study
Features of complementary and alternative medicine use by patients with coronary artery disease in Beijing: a cross-sectional study
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DOI：
10.1186/1472-6882-13-287
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发表时间：
2013-10-28
影响因子：
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通讯作者：
Liu, Hong-Xu
中科院分区：
文献类型：
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作者：
Chu, Fu-Yong;Yan, Xue;Liu, Hong-Xu
背景：补充和替代医学（CAM）在中国广泛用于治疗冠状动脉疾病（CAD）。然而，很少有研究调查 CAD 患者使用 CAM 的患病率、感知有效性、类型和原因。方法：采用横断面研究设计。在北京四家三级教学综合医院心脏门诊发放调查问卷。使用学生 t 检验分析定量数据。使用卡方检验分析分类数据。采用Logistic回归分析影响中医医院CAM使用的影响因素以及中医医院CAM使用特点，比较发现存在显着性差异。 结果：2009年5月至7月，共发放问卷600份，546例CAD诊断患者回答有效值，纳入本研究。 69.1%的CAD患者使用CAM；这些 CAM 用户中的大多数（75.9%）认为 CAM 是有效的。 “副作用少”（49.6%）是使用CAM的主要原因；而“怀疑效果”（61.5%）是不使用的主要原因。中成药（90.7%）是最常用的 CAM 类型。与非 CAM 用户相比，CAM 用户往往年龄较大（p < 0.01）、病程较长（p = 0.02）且当前健康状况较好。此外，CAM 用户在过去一年内紧急入院和住院的几率显着降低。中西医医院的 CAD 患者在 CAM 使用频率、类型、感知有效性以及使用 CAM 或不使用 CAM 的原因方面存在差异。结论：本研究提出了一组可能影响 CAD 患者使用 CAM 的重要因素。 CM 医院和 WM 医院的患者使用 CAM 的模式不同。
Background: Complementary and alternative medicine (CAM) is commonly used in China for the management of coronary artery disease (CAD). However, few studies have been conducted to investigate the prevalence, perceived effectiveness, types, and reasons of CAM use in patients diagnosed with CAD.Methods: A cross-sectional study design was adopted. Questionnaires were distributed at the outpatient cardiac clinics of four tertiary-level teaching general hospitals in Beijing. Quantitative data were analyzed using Student's t-test. Categorical data were analyzed using chi-square test. Logistic regression was employed to explore factors associated with the use of CAM as well as CAM use features in Chinese medicine (CM) hospitals when significant differences were found upon comparisons.Results: From May to July, 2009, a total of 600 questionnaires were distributed, and 546 patients with a diagnosis of CAD responded with valid values and were included in the present study. CAM was used by 69.1% of the patients with CAD; the majority (75.9%) of these CAM users believes that CAM is effective. "Few side effects" (49.6%) was the main reason of CAM use; whereas "doubt of effect" (61.5%) was the main reason for non-use. Patent herbal medicine (90.7%) was the most commonly used CAM type. Compared with non-CAM users, CAM users tended to be older (p < 0.01), have a longer disease duration (p = 0.02) and better current health status. In addition, CAM users had significant lower odds for emergency admission and hospitalization within the past one year. Patients with CAD from CM and WM hospitals differ in CAM use frequency, types, perceived effectiveness, as well as reasons for CAM use or non-CAM use.Conclusion: The present study suggested a group of significant factors which could influence the use of CAM in patients with CAD. CAM use patterns differ in patients from CM and WM hospitals.