慢性病患者使用輔助與另類療法之因素探討

The Factors of Using Complementary and Alternative Medicine in Patients With Chronic Diseases

張淑敏(Shu-Min Chang) ； 林雅慧(Ya-Hui Lin) ； 陳佩英(Pei-Ying Chen) ； 何秀玉(Hsiu-Yu Ho) ； 陳建中(Chien-Chung Chen) ； 楊嘉禎(Chia-Chen Yang)

《健康與建築雜誌》 1卷4期 (2014/10) Pp. 52-59

https://doi.org/10.6299/JHA.2014.1.4.R5.52

摘要

背景：慢性病患者有逐年增加的趨勢，除了接受傳統的醫學治療外，有愈來愈多的患者尋求輔助與另類療法，因此值得探討慢性病患者使用輔助與另類療法之因素。目的：（1）了解慢性病患者使用輔助與另類療法的情況。（2）探討影響慢性疾病患者使用輔助與另類療法的因素。方法：本研究為橫斷式相關性之研究設計，採立意取樣，共訪談150位新竹地區某醫院的慢性病住院病患，以基本資料表、中文版情緒狀態簡式量表、慢性病衝擊量表等收集資料，以SPSS17.0進行分析。結果：（1）研究對象的平均年齡為59.1歲（SD=13.4），平均罹病時間為10.1個月（SD=8.8）。（2）研究對象慢性疾病的診斷，前三名為：糖尿病、高血壓、慢性腎疾病。（3）有51.3%的病患曾經使用或正在使用另類療法。（4）57.4%認為另類療法是有效的。（5）使用輔助與另類療法的種類方面，以使用中、草藥者占多數（80.8%），其次是健康食品（27.4%）。（6）曾經使用輔助與另類療法的病患，其情緒困擾中的生氣情緒及疲倦狀態顯著高於未曾使用另類療法的病患。結論／實務應用：本研究發現使用輔助與另類療法的病患顯著的有較多的生氣情緒及疲倦狀態。未來在臨床上，更需關注病患情緒上的照護需求，讓病患的生理、心理皆能和疾病維持良好的共存關係。

關鍵字

慢性病 ； 另類療法 ； 疾病衝擊 ； 情緒

並列摘要

Background: More and more patients with chronic diseases seek out alternative or complementary treatment. It is crucial for the health care provider to identify the factors related to the patients' choices of treatment. Objectives: 1. To understand the patterns of using complementary and alternative medicine in patients with chronic diseases; 2. To identify the factors related to using complementary and alternative medicine in patients with chronic diseases. Methods: This cross-sectional study was conducted in a hospital in Hsin Chu city. One hundred and fifty participants were selected by purposive sampling. The demographic background information sheet, POMSshort form-Chinese version and Chronicity Impact Scale were used to collect data. Data was analyzed using 17.0 SPSS Inc. Software. Results: (1) The average age and illness duration of participants was 59.1 (SD=13.4) years old and 10.1 (SD=8.8) months, respectively. (2) The most common chronic diseases were diabetes, hypertension, and chronic kidney disease, respectively. (3) 51.3% of participants had used or were using complementary and alternative medicine. (4) 57.4% of participants believed alternative medicine to be effective. (5) Chinese and herb medicine (80.8%) were most commonly used and then nutritional supplement was second most commonly used (27.4%). (6) The participants who used complementary and alternative medicine experienced more significant anger and fatigue than those who have never used it. Conclusions: This study found that the patients using complementary and alternative medicine experienced significantly more anger and fatigue, indicating the necessity to closely monitor patients' emotions.

並列關鍵字

chronic disease ； alternative medicine ； disease impact ； emotion