马拉维Mzuzu中心医院糖尿病患者补充和替代药物的使用：一项横断面研究

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2023-09-01 DOI:10.1016/j.aimed.2023.07.002

Lusekero Mboma Munthali , Enalla Thombozi , Balwani Chingatichifwe Mbakaya

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引用次数: 0

摘要

背景：在世界范围内，不同国家或地理区域的糖尿病患者中，辅助治疗的使用情况差异很大。在一般人群中，与辅助医学使用相关的一些特征有：性别，种族，年龄和教育程度。此外，辅助医学使用的其他预测因素包括不良的健康状况和存在多种健康投诉。此外，糖尿病已被发现是普通人群和糖尿病患者使用CAM的独立预测因子。本研究的主要目的是评估马拉维Mzuzu中心医院糖尿病患者补充和替代药物的使用情况。方法对Mzuzu中心医院就诊的385例糖尿病患者进行描述性横断面定量研究，这些患者在研究开始前至少一个月被诊断为糖尿病。参与者通过简单的随机抽样技术招募。数据收集采用结构化的采访者管理问卷。进行卡方检验以确定CAM使用与社会人口因素之间的关联。采用双变量和多变量（控制社会人口因素）逻辑回归来寻找糖尿病中CAM的预测因素。p值设为0.05,95% CI。结果研究发现，54%的参与者使用CAM来管理他们的病情，点患病率为151 / 1000；然而，累积患病率估计为每1000名患者538例。年龄、受教育程度、职业、糖尿病病程、无健康保险、使用辅助医学的家族史以及文化或宗教信仰是影响辅助医学使用的因素。结论研究结果证实了马拉维Mzuzu中心医院糖尿病患者使用CAM。

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Use of complementary and alternative medicine among persons with diabetes at Mzuzu Central Hospital in Malawi: A cross-sectional study

Background

The prevalence of CAM use among populations with diabetes worldwide varies widely, depending on the country or geographic region. In the general population, some of the characteristics that are associated with CAM use are; gender, race, age and education. In addition other predictors of CAM use include poor perceived health status and the presence of multiple health complaints. Besides, diabetes has been discovered to be an independent predictor of CAM use in the general population and in individuals with diabetes. The primary aim of this study was to assess utilisation of complementary and alternative medicine among patients with diabetes at Mzuzu Central Hospital in Malawi.

Methods

A descriptive cross sectional quantitative study was conducted among 385 clients with diabetes seeking care at Mzuzu Central Hospital who were diagnosed with diabetes for at least one month prior to conducting this study. Participants were recruited through simple random sampling technique. Data was collected using a structured interviewer administered questionnaire. A chi-square test was performed to establish the association between CAM use and socio-demographic factors. Bivariate and multivariate (controlling for socio-demographic factors) logistic regression was done to find predictors of CAM in diabetes. The p-value was set at 0.05 with 95 % CI.

Results

The study found that 54 % of the participants used CAM in managing their condition with the point prevalence of 151 per 1000 patients; however, cumulative prevalence was estimated at 538 per 1000 patients. Age, educational level, occupation, duration of diabetes, no health insurance, family history of CAM use and cultural or religious beliefs were factors influencing use of CAM.

Conclusion

The study findings confirm use of CAM among clients with diabetes at Mzuzu Central Hospital in Malawi.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.