临床控制和症状严重程度对慢性阻塞性肺病患者整体补充替代医学态度的影响：横断面研究

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2024-11-20 DOI:10.1016/j.eujim.2024.102415

Züleyha Kılıç, Rabiye Çırpan

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引用次数: 0

摘要

导言：慢性阻塞性肺疾病（COPD）的许多症状，如呼吸困难、慢性咳嗽、慢性痰多，以及疾病的进展过程都会对患者的社会心理产生负面影响，降低他们的生活质量。因此，将药物治疗与循证补充替代医学（CAM）方法结合使用，对慢性阻塞性肺病患者进行有效的疾病管理显得尤为重要。本研究的目的是调查临床控制和症状严重程度对慢性阻塞性肺病患者对整体、补充和替代医学的态度的影响。方法本研究对符合研究纳入标准的 150 名慢性阻塞性肺病住院患者进行了描述性和相关性研究。研究采用了问卷调查表、改良医学研究委员会呼吸困难量表（mMRC）、慢性阻塞性肺病临床问卷（CCQ）、慢性阻塞性肺病评估测试（CAT）以及整体补充和替代医学问卷（HCAMQ）来收集数据。结果在研究中，38%的慢性阻塞性肺病患者使用了CAM，其中草药方法最受青睐。平均 HCAMQ 得分为 28.24 ± 5.88。HCAMQ 与 mMRC 和临床慢性阻塞性肺病问卷功能状态评分之间存在统计学意义上的正相关（p < 0.05）。本研究表明，慢性阻塞性肺病患者对 CAM 持积极态度，并且随着呼吸困难程度的增加和慢性阻塞性肺病功能状态控制程度的降低，对 CAM 的积极态度也随之降低。

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Effect of clinical control and symptom severity on attitudes towards holistic complementary alternative medicine in individuals with chronic obstructive pulmonary disease: A cross-sectional study

Introduction

Many symptoms such as dyspnoea, chronic cough, chronic expectoration experienced in chronic obstructive pulmonary disease (COPD) and the progressive course of the disease negatively affect individuals bio-psychosocially and reduce their quality of life. At this point, it is believed to be important to use pharmacological and evidence-based complementary alternative medicine (CAM) methods together for effective disease management in COPD. The purpose of this study was to investigate the effect of clinical control and symptom severity on attitudes towards holistic, complementary, and alternative medicine in individuals with COPD.

Methods

This descriptive and correlational study was conducted with 150 hospitalised individuals with COPD that met the inclusion criteria for the study. A questionnaire form, the Modified Medical Research Council Dyspnoea Scale (mMRC), the Clinical COPD Questionnaire (CCQ), COPD Assessment Test (CAT), and the Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were used to collect the data.

Results

In the study, 38% of the individuals with COPD used CAM, and herbal methods were the most preferred. The mean HCAMQ score was 28.24 ± 5.88. There was a statistically significant positive correlation between HCAMQ and mMRC and Clinical COPD Questionnaire functional status scores (p < 0.05). An increase of one unit in the mMRC scores was correlated with an increase in HCAMQ scores of 1.125 points (p < 0.05).

Conclusion

The present study determined that individuals with COPD had a positive attitude towards CAM, and the positive attitude towards CAM decreased with increasing dyspnoea level and decreasing COPD functional status control.

Funding

None

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.