Mustafa Ersözlü, Elif Akıncı Aydınlı, Elif Selçuk, Elif Şen
{"title":"慢性阻塞性肺病患者和补充和替代医学的使用:卫生素养在斯里兰卡的作用。","authors":"Mustafa Ersözlü, Elif Akıncı Aydınlı, Elif Selçuk, Elif Şen","doi":"10.1177/14799731251382230","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundChronic obstructive pulmonary disease (COPD) is a heterogeneous and chronic condition characterized by irreversible airflow obstruction. Health literacy may influence the use of complementary and alternative medicine (CAM). This study aims to investigate the role of health literacy in the use of CAM among COPD patients.MethodsThis cross-sectional study was conducted at Ankara University School of Medicine, Department of Chest Diseases, involving patients with COPD between August 2024 and June 2025. Clinical COPD Questionnaire (CCQ) and Health Literacy Scale-Short Form (HLS-SF) were used to assess disease severity and health literacy, respectively.ResultsAmong 190 patients, inadequate and limited health literacy was more common among CAM users compared to non-users (n = 54/89, 61% vs n = 37/101, 37%, respectively, <i>p</i> = 0.007). CAM users were also more likely to have insufficient social support (n = 24/89, 25%, <i>p</i> = 0.047), cough (n = 79/89, 89%, <i>p</i> = 0.049), history of ICU admission (n = 19/89, 21%, <i>p</i> = 0.02), use of long-term oxygen therapy and noninvasive ventilation (n = 50/89, 56% <i>p</i> = <0.001; n = 26/89, 30%, <i>p</i> = <0.001, respectively), had higher rates of GOLD E classification (47/89, 55%, <i>p</i> = <0.001), and had higher median CCQ total scores as 2.78 [Interquantiler Range (IQR): 1.4-4.1, p = 0.002]. Inadequate and limited health literacy was significant predictors of CAM use (OR: 3.78; 95% CI: 1.25-11.4, <i>p</i> = 0.018; OR: 6.78, 95% CI: 1.63-28.0, <i>p</i> = 0.008, respectively), as well as GOLD E classification (OR: 2.71, 95% CI: 1.14-6.45, <i>p</i> = 0.024) and insufficient social support (OR: 2.56, 95% CI: 1.00-6.50, <i>p</i> = 0.048) after adjusting for age, sex, education, and comorbidities.DiscussionThis study revealed the association between COPD symptom severity and frequent exacerbation, insufficient social support, along with lower health literacy and the use of CAM.</p>","PeriodicalId":10217,"journal":{"name":"Chronic Respiratory Disease","volume":"22 ","pages":"14799731251382230"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480810/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patients with chronic obstructive pulmonary disease and the use of complementary and alternative medicine: The role of health literacy in Türkiye.\",\"authors\":\"Mustafa Ersözlü, Elif Akıncı Aydınlı, Elif Selçuk, Elif Şen\",\"doi\":\"10.1177/14799731251382230\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>BackgroundChronic obstructive pulmonary disease (COPD) is a heterogeneous and chronic condition characterized by irreversible airflow obstruction. Health literacy may influence the use of complementary and alternative medicine (CAM). This study aims to investigate the role of health literacy in the use of CAM among COPD patients.MethodsThis cross-sectional study was conducted at Ankara University School of Medicine, Department of Chest Diseases, involving patients with COPD between August 2024 and June 2025. Clinical COPD Questionnaire (CCQ) and Health Literacy Scale-Short Form (HLS-SF) were used to assess disease severity and health literacy, respectively.ResultsAmong 190 patients, inadequate and limited health literacy was more common among CAM users compared to non-users (n = 54/89, 61% vs n = 37/101, 37%, respectively, <i>p</i> = 0.007). CAM users were also more likely to have insufficient social support (n = 24/89, 25%, <i>p</i> = 0.047), cough (n = 79/89, 89%, <i>p</i> = 0.049), history of ICU admission (n = 19/89, 21%, <i>p</i> = 0.02), use of long-term oxygen therapy and noninvasive ventilation (n = 50/89, 56% <i>p</i> = <0.001; n = 26/89, 30%, <i>p</i> = <0.001, respectively), had higher rates of GOLD E classification (47/89, 55%, <i>p</i> = <0.001), and had higher median CCQ total scores as 2.78 [Interquantiler Range (IQR): 1.4-4.1, p = 0.002]. Inadequate and limited health literacy was significant predictors of CAM use (OR: 3.78; 95% CI: 1.25-11.4, <i>p</i> = 0.018; OR: 6.78, 95% CI: 1.63-28.0, <i>p</i> = 0.008, respectively), as well as GOLD E classification (OR: 2.71, 95% CI: 1.14-6.45, <i>p</i> = 0.024) and insufficient social support (OR: 2.56, 95% CI: 1.00-6.50, <i>p</i> = 0.048) after adjusting for age, sex, education, and comorbidities.DiscussionThis study revealed the association between COPD symptom severity and frequent exacerbation, insufficient social support, along with lower health literacy and the use of CAM.</p>\",\"PeriodicalId\":10217,\"journal\":{\"name\":\"Chronic Respiratory Disease\",\"volume\":\"22 \",\"pages\":\"14799731251382230\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480810/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chronic Respiratory Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/14799731251382230\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chronic Respiratory Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/14799731251382230","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/29 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0
摘要
背景:慢性阻塞性肺疾病(COPD)是一种以不可逆气流阻塞为特征的异质性慢性疾病。健康素养可能影响补充和替代医学的使用。本研究旨在探讨健康素养在慢性阻塞性肺病患者使用辅助治疗中的作用。方法本横断面研究在安卡拉大学医学院胸科进行,纳入2024年8月至2025年6月期间的COPD患者。采用慢性阻塞性肺病临床问卷(CCQ)和健康素养简易量表(HLS-SF)分别评估疾病严重程度和健康素养。结果在190例患者中,CAM使用者比非使用者更普遍存在健康素养不足和有限的问题(n = 54/ 89,61% vs n = 37/ 101,37%, p = 0.007)。CAM使用者也更容易出现社会支持不足(n = 24/89, 25%, p = 0.047)、咳嗽(n = 79/89, 89%, p = 0.049)、ICU入院史(n = 19/89, 21%, p = 0.02)、长期吸氧和无创通气(n = 50/89, 56% p = p = p = p = p = 0.018;OR: 6.78, 95% CI: 1.63-28.0, p = 0.008),以及GOLD E分类(OR: 2.71, 95% CI: 1.14-6.45, p = 0.024)和社会支持不足(OR: 2.56, 95% CI: 1.00-6.50, p = 0.048)在调整了年龄、性别、教育程度和合并症后。本研究揭示了慢性阻塞性肺病症状严重程度与频繁加重、社会支持不足以及较低的健康素养和辅助护理使用之间的关联。
Patients with chronic obstructive pulmonary disease and the use of complementary and alternative medicine: The role of health literacy in Türkiye.
BackgroundChronic obstructive pulmonary disease (COPD) is a heterogeneous and chronic condition characterized by irreversible airflow obstruction. Health literacy may influence the use of complementary and alternative medicine (CAM). This study aims to investigate the role of health literacy in the use of CAM among COPD patients.MethodsThis cross-sectional study was conducted at Ankara University School of Medicine, Department of Chest Diseases, involving patients with COPD between August 2024 and June 2025. Clinical COPD Questionnaire (CCQ) and Health Literacy Scale-Short Form (HLS-SF) were used to assess disease severity and health literacy, respectively.ResultsAmong 190 patients, inadequate and limited health literacy was more common among CAM users compared to non-users (n = 54/89, 61% vs n = 37/101, 37%, respectively, p = 0.007). CAM users were also more likely to have insufficient social support (n = 24/89, 25%, p = 0.047), cough (n = 79/89, 89%, p = 0.049), history of ICU admission (n = 19/89, 21%, p = 0.02), use of long-term oxygen therapy and noninvasive ventilation (n = 50/89, 56% p = <0.001; n = 26/89, 30%, p = <0.001, respectively), had higher rates of GOLD E classification (47/89, 55%, p = <0.001), and had higher median CCQ total scores as 2.78 [Interquantiler Range (IQR): 1.4-4.1, p = 0.002]. Inadequate and limited health literacy was significant predictors of CAM use (OR: 3.78; 95% CI: 1.25-11.4, p = 0.018; OR: 6.78, 95% CI: 1.63-28.0, p = 0.008, respectively), as well as GOLD E classification (OR: 2.71, 95% CI: 1.14-6.45, p = 0.024) and insufficient social support (OR: 2.56, 95% CI: 1.00-6.50, p = 0.048) after adjusting for age, sex, education, and comorbidities.DiscussionThis study revealed the association between COPD symptom severity and frequent exacerbation, insufficient social support, along with lower health literacy and the use of CAM.
期刊介绍:
Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.