Use of Complementary Alternative Medicine and Traditional Chinese Medicine among Women Attending a Menopausal-related Psychosomatic Clinic in Taiwan

某臺灣更年期身心門診求醫婦女使用整體與輔助療法及傳統中醫治療之探討

蕭美君(Mei-Chun Hsiao) ； 劉嘉逸(Chia-Yih Liu) ； 林義雄(Yi-Hsiung Lin) ； 林幼儀(Yonie Lin) ； 黃子玶(Tzu-Ping Huang) ； 王素貞(Su-Chen Wang)

《台灣精神醫學》 23卷1期 (2009/03) Pp. 53-61

https://doi.org/10.29478/TJP.200903.0006

摘要

目的：更年期婦女主因為雌激素濃度的減少及波動，容易出現身心症狀。荷爾蒙治療為主要處理方式，但在東亞接受度較低，且近來對荷爾蒙的可能副作用有更多存疑，整體與輔助療法及傳統中醫治療似乎日益普遍。此研究主要在探討某東亞區之某醫學中心更年期身心門診中，使用整體與輔助療法及傳統中醫治療的比率與型態種類。方法：以橫斷面調查，在某醫學中心更年期身心門診求醫治療之女性。研究對象為Greene更年期量表中出現至少一項中重度加上另一項至少輕度以上症狀者，且其醫院焦慮與憂鬱量表分數大於8分的40-65歲女性。結果：共收案103名，95名個案同意加入研究（反應率92.2%）。其中有90.5%使用過整體與輔助療法，前三名依序為鈣片(43.2%)、大豆異黃酮(38.9%)及綜合維他命(32.6%)；有48.4%個案表示過去6個月中曾使用傳統中醫治療。教育程度較高與過去有荷爾蒙療法使用史者，有較高比例使用整體與輔助療法。結論：具中重度更年期症狀之更年期婦女，有較高比例使用整體與輔助療法。整體與輔助療法或傳統中藥治療，與精神藥物可能產生的的藥物交互作用值得注意。未來大規模研究是必須的，特別是針對一般大眾或健康的更年期婦女，以利比較其差異性。

關鍵字

更年期 ； 整體與輔助療法 ； 傳統中醫治療 ； 醫院焦慮與憂鬱量表

並列摘要

Background: Menopausal women suffer from physical and mood symptoms mainly due to estrogen level fluctuation. Hormone therapy (HT) has been the mainstream treatment, but East Asian societies have lower acceptance of HT and the benefit of HT has been scrutinized harshly recently. Complementary and alternative therapy (CAM) and traditional Chinese medicine (TCM) are getting more popular. The aims of the study were to investigate the characteristics of CAM and TCM use in a menopause-related psychosomatic clinic in Taiwan. Method: This study was a cross-sectional survey of women who sought treatment at one menopause- related psychosomatic clinic in a large medical center. The studying subjects under study were woman between 40-65 years with at least one moderate to severe climacteric symptom and at least another mild symptom according to the Greene Climacteric Scale. The scores of Hospital Anxiety Depression Scale had to be over 8. Results: One hundred and three women met the inclusion criteria and 95 subjects agreed to join the study (response rate 92.2%). Among the study subjects, 86(90.5%) had used CAM. The three most common CAM used were calcium (43.2%), isoflavone (38.9%), and megavitamins (32.6%). Forty eight (48.4%) of them reported that they had used TCM in the past 6 months. The usage rate of CAM is related to higher years of education and previous use of HT. Conclusion: We found that CAM use among Asian menopausal women is quite common. The role of education about CAM or TCM and their interactions with current medications should be taken into serious consideration. Further larger sample studies are necessary, especially in the general population or healthy menopausal women, to compare the possible differences.

並列關鍵字

menopause ； complementary alternative medicine ； traditional Chinese medicine ； hospital anxiety depression scale

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