The use of complementary and alternative therapies among middle-aged and older cardiac patients
The use of complementary and alternative therapies among middle-aged and older cardiac patients
复制标题
DOI：
10.1177/106286060201700105
复制
发表时间：
2002-01-01
影响因子：
1.4
通讯作者：
Bolling, SF
中科院分区：
文献类型：
--
作者：
Ai, AL;Bolling, SF
本研究调查了中年和老年患者心脏手术前使用补充和替代疗法（CAM）的患病率、模式、感知获益和预测因素。通过面对面访谈获得了246名前来进行术前医学评估的患者的全面信息。手术前一天通过电话获得CAM效用225。计算机化的STS心脏外科成人心脏数据库提供了患者的医疗信息。182名患者（80.9%）证实CAM使用，包括放松技巧，生活方式饮食调整，精神治疗，巨维生素治疗，按摩，草药或民间疗法，以及图像。受教育程度、功能状态、非心脏性慢性疾病的数量、前吸烟者、公众宗教信仰和充血性心力衰竭预测CAM的效用更大，而脑血管疾病和心律失常倾向于预测较少使用。研究结果表明，有相当大的CAM使用在这个心脏样本。医生和其他医疗服务提供者应该调查患者的CAM效用，并促进合作医疗。
This study investigated the prevalence, pattern, perceived benefits, and predictors of the use of complementary and alternative therapies (CAM) among middle-aged and older patients prior to cardiac surgery. Comprehensive information of 246 patients who came for preoperative medical assessment was obtained through face-to-face interviews. CAM utility of 225 was obtained by telephone the day before surgery. A computerized STS Adult Cardiac Database of Cardiac Surgery provided patients' medical information. One hundred eighty-two patients (80.9%) confirmed CAM use, including relaxation techniques, lifestyle-diet modification, spiritual healing, megavitamin therapy, massage, herbs or folk remedies, and imagery. Education, functional status, the number of noncardiac chronic conditions, status as former cigarette smoker, public religiosity, and congestive heart failure predicted greater CAM utility, whereas cerebrovascular diseases and arrhythmia tended to predict less use. Findings suggest that there is considerable CAM use in this cardiac sample. Physicians and other health providers should investigate patients' CAM utility and promote collaborative medical care.