Herbal therapy use by perimenopausal women
Herbal therapy use by perimenopausal women
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DOI：
10.1177/0884217503251706
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发表时间：
2003-03-01
影响因子：
1.8
通讯作者：
Fogel, CI
中科院分区：
文献类型：
--
作者：
Gingrich, PM;Fogel, CI
目的：围绝经期妇女可能会遵循使用草药治疗其症状的趋势。草药的使用可能会影响医疗决策，因为草药的副作用可以模拟医疗条件，草药可以与药物治疗相互作用。然而，卫生保健提供者可能不会询问患者关于他们使用草药的情况。本研究的目的是描述围绝经期妇女中草药使用的流行情况，并探讨向其临床医生披露使用情况。设计：使用问卷调查的草药使用情况描述性调查。设置：健康食品杂货店，位于美国东南部。参与者：40名妇女，年龄40至65岁。主要结果测量：更年期症状，激素或草药治疗，草药使用，有关草药的信息来源，并与卫生保健提供者讨论有关草药use.Results：三分之二的妇女使用草药围绝经期症状。草药使用者比非使用者经历了更多的更年期症状，激素治疗的副作用也更多。草药使用者依赖于替代医疗保健提供者提供的草药信息，而非使用者则依赖于大众媒体和同行。总体而言，不到一半的人被他们的医疗保健提供者询问草药的使用情况。此外，近一半的人对供应商提供的草药信息表示不满。虽然黑升麻是最常用的草药，人参和银杏被认为是最有效的。结论：供应商需要了解，草药治疗围绝经期症状量身定制护理的需要，喜好和哲学的病人。
Objective: Perimenopausal women may be following a trend toward using herbal remedies for their symptoms. Herbal use can affect medical decision making because herbal side effects can mimic medical conditions and herbs can interact with pharmacotherapeutics. Yet, health care providers may not be asking patients about their use of herbals. The purpose of this study was to describe the prevalence of herbal use in a sample of perimenopausal women and to explore disclosure of use to their clinicians.Design: Descriptive survey of herbal use utilizing responses from a questionnaire.Setting: Health food grocery, located in the southeastern United States.Participants: A convenience sample of 40 women, ages 40 to 65 years.Main Outcome Measures: Menopause symptoms, perceived efficacy of hormone or herbal therapy, herbs used, sources of information about herbs, and discussion with health care providers about herbal use.Results: Two thirds of the women had used herbs for perimenopausal symptoms. Herb users had experienced more menopausal symptoms than nonusers and had more side effects from hormone therapy. Herb users relied on information about herbs from alternative health care providers, whereas nonusers relied on popular media and peers. Overall, less than half were asked by their health care providers about herbal use. Furthermore, nearly half expressed dissatisfaction with the information given by providers about herbs. Although black cohosh was the most frequently used herb, ginseng and gingko were perceived to be the most effective.Conclusion: Providers need to become informed about, herbal therapy for perimenopausal symptoms to tailor care to the needs, preferences, and philosophies of their patients.