The use of complementary medicine and therapies by patients attending a reproductive medicine unit in South Australia: A prospective survey
The use of complementary medicine and therapies by patients attending a reproductive medicine unit in South Australia: A prospective survey
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DOI：
10.1111/j.1479-828x.2007.00702.x
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发表时间：
2007-04-01
影响因子：
1.7
通讯作者：
Norman, Robert J.
中科院分区：
文献类型：
--
作者：
Stankiewicz, Marcin;Smith, Caroline;Norman, Robert J.
背景：描述补充药物（CM）和治疗在不孕症患者中的使用的研究有限。 目的：（i）检查在不孕不育诊所第一次就诊时和六个月后就诊的受试者对 CM 的使用情况； (ii) 审查男性和女性对这些做法的有效性和安全性的看法； (iii) 检查临床记录中使用 CM 和疗法的记录。设计：对 100 名连续到不孕不育诊所就诊的新患者进行前瞻性调查。受试者被要求在第一次就诊时和六个月后完成一份自填问卷。对 200 份患者记录进行回顾性审核。结果：有效率达 72%。在南澳大利亚不孕不育诊所就诊的患者中有 66% 使用了 CM。初次咨询六个月后，CM 的使用量有所下降。最常用的药物包括多种维生素、草药和矿物质补充剂，受试者最常咨询自然疗法师、脊椎按摩师和针灸师。临床工作人员对 CM 和疗法的使用记录很少。结论：不孕症患者广泛使用补充药物和疗法。医疗保健从业者和生育专家需要积极主动地获取和记录这些做法的使用。有必要向患者提供有关使用 CM 和疗法的更多信息。需要进一步研究检查使用 CM 和疗法的原因。
Background: There is limited research describing the use of complementary medicines (CM) and therapies among patients with infertility.Objective: (i) To examine the use of CM by subjects attending an infertility clinic at their first consultation and six months later; (ii) to examine men's and women's views on the effectiveness and safety of these practices; and (iii) to examine the documentation of the use of CMs and therapies in clinical notes.Design: A prospective survey of 100 consecutive new patients presenting to an infertility clinic. Subjects were requested to complete a self-administered questionnaire at their first visit and six months later. A retrospective audit of 200 patient records.Results: A response rate of 72% was obtained. Sixty-six percent of patients attending the infertility clinic in South Australia used CMs. Six months following the initial consultation the use of CMs had declined. The most commonly used CMs included multivitamins, herbs, and mineral supplements, and subjects consulted most frequently with naturopaths, chiropractors and acupuncturists. The use of CMs and therapies was poorly documented by clinical staff.Conclusion: Complementary medicines and therapies are widely used by patients with infertility. Health-care practitioners and fertility specialists need to be proactive in acquiring and documenting the use of these practices. There is a need to provide further information to patients on the use of CMs and therapies. Further research examining the reasons for use of CMs and therapies is needed.