利用补充和替代医学治疗颞下颌疾病:来自东南亚患者的见解。

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Adrian Ujin Yap, Abd Aziz Alias, Vengu Nedunchelian, Zuraiza Mohamad Zaini
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引用次数: 0

摘要

目的:本研究首次探讨了东南亚颞下颌疾病(TMD)患者使用补充和替代医学(CAM)的情况。它检查了特定的辅助医疗方式、使用模式、满意度、感知有效性以及与辅助医疗用于tmd相关的因素。方法:参与者从多学科TMD诊所招募,使用TMD诊断标准(DC/TMD)进行诊断。获得社会人口学信息、TMD特征、心理状态和CAM治疗细节,包括使用模式。采用李克特量表评估CAM模式的满意度和感知有效性。数据分析采用卡方/非参数检验和logistic回归(α = 0.05)。结果:在110名参与者中,30.0%没有使用CAM,而70%使用CAM,其中约五分之三的CAM用户将其用于tmd。在后一组中,77.8%的患者采用了两种或两种以上的辅助治疗方式,其中77.9%的辅助治疗作为tmd的唯一治疗方法。最常用的三种辅助医学疗法是按摩(55.6%)、维生素/膳食补充剂(40.0%)和捏脊疗法(24.4%)。参与者发现下列辅助医学疗法对颞下颌关节痛既满意又有效:指压疗法、脊椎指压疗法、按摩、瑜伽和冥想。马来人比华人更有可能使用CAM治疗tmd (OR = 8.18;95% ci = 1.13-59.29)。结论:东南地区TMD患者对CAM的使用率较高,使用率达40.9%。种族似乎是与CAM用于tmd相关的唯一决定因素,这表明种族文化因素的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilisation of Complementary and Alternative Medicine for Temporomandibular Disorders: Insights From Southeast Asian Patients.

Objectives: This study is the first to explore the utilisation of Complementary and Alternative Medicine (CAM) among Southeast Asian temporomandibular disorder (TMD) patients. It examined specific CAM modalities, usage patterns, satisfaction, perceived effectiveness and the factors associated with CAM use for TMDs.

Methods: Participants were recruited from a multidisciplinary TMD clinic, with diagnoses established using the Diagnostic Criteria for TMDs (DC/TMD). Socio-demographic information, TMD features, psychological status and details of CAM therapies, including usage patterns, were obtained. Satisfaction and perceived effectiveness of CAM modalities were assessed with Likert scales. Data were analysed using Chi-square/non-parametric tests and logistic regression (α = 0.05).

Results: Among the 110 participants, 30.0% did not use CAM, while 70% did, with approximately three-fifths of CAM users applying it for TMDs. Of the latter group, 77.8% employed two or more CAM modalities, with 77.9% of CAM therapies acting as the sole treatment for TMDs. The three most frequently used CAM therapies for TMDs were massage (55.6%), vitamins/dietary supplements (40.0%) and chiropractic care (24.4%). Participants found the following CAM therapies to be both satisfying and effective for TMDs: acupressure, chiropractic care, massage, yoga and meditation. Malay participants were more likely than their Chinese counterparts to utilise CAM for TMDs (OR = 8.18; 95% CI = 1.13-59.29).

Conclusions: The utilisation of CAM in Southeast TMD patients was high, with 40.9% using it for TMDs. Race appears to be the sole determinant associated with CAM use for TMDs, suggesting the influence of ethno-cultural factors.

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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
期刊介绍: Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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