Knowledge and Attitude on the Usage of Traditional Complimentary Medicine (TCM) Among Patients with Diabetes Mellitus in Kuantan, Malaysia

S. Saidi, Hijrah Md Isa, Thandar Soe Sumaiyah Jamaludin, N. Hassan
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Abstract

Introduction: Traditional complementary medicines (TCM) have long been used to treat diabetes in Malaysia. However, the usage of TCM by the patients not often is revealed thus, the incidence of complications due to the TCM was not able to be monitored. Methods: A cross-sectional quantitative study was conducted on 105 patients with diabetes attended medical specialist clinic and admitted in medical wards in a tertiary hospital in Kuantan Pahang, Malaysia. Knowledge and attitude of the patients towards the usage of TCM were measured using two sets of validated questionnaires consist of 16 items in total. In addition, nine items were used to determine the demographic characteristics of the patients. The data were analyzed descriptively and inferentially with the support of statistical package for Social Sciences (SPSS) version 20. Results: Findings showed that, all patients have used at least one type of TCM to treat diabetes however, majority of them have poor knowledge (69.5%) and poor attitude (60%) towards TCM. Ninety percent (90%) admitted they concealed their usage of TCM from the healthcare professionals. Conclusion: Usage of TCM seems to be very common among patients with diabetes. However, their lack of knowledge, attitude and their decision to conceal their practice from the knowledge of healthcare professional could lead to a serious issue in long-term. A comprehensive assessment procedure needs to be in place to ensure the usage of TCM is identified to minimize the undesirable complications of the usage if TCM and the diabetes itself.
马来西亚关丹地区糖尿病患者对传统补药使用的知识和态度
在马来西亚,传统的补充药物(TCM)长期用于治疗糖尿病。然而,由于患者使用中药的情况并不多见,因此无法监测到中医并发症的发生情况。方法:对马来西亚关丹彭亨市某三级医院专科门诊及病房就诊的105例糖尿病患者进行横断面定量研究。采用两套共16项的有效问卷对患者的中药使用知识和态度进行测量。此外,还使用了9个项目来确定患者的人口统计学特征。数据进行描述性和推理分析与社会科学统计软件包(SPSS)版本20的支持。结果:调查结果显示,所有患者均使用过至少一种中医治疗糖尿病,但大多数患者对中医的认知程度较低(69.5%),对中医的态度较差(60%)。90%(90%)的人承认他们向医护人员隐瞒了自己使用中药的情况。结论:中医药在糖尿病患者中的应用似乎非常普遍。然而,他们缺乏知识,态度和他们的决定隐瞒他们的做法,从医疗保健专业人员的知识可能导致长期严重的问题。需要制定一个全面的评估程序,以确保确定中药的使用情况,以尽量减少中药和糖尿病本身使用的不良并发症。
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