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題名：慢性病患者使用輔助與另類療法之因素探討
書刊名：健康與建築雜誌
作者：張淑敏／林雅慧／陳佩英 引用關係／何秀玉 引用關係／陳建中／楊嘉禎
作者(外文)：Chang, Shu-min／Lin, Ya-hui／Chen, Pei-ying／Ho, Hsiu-yu／Chen, Chien-chung／Yang, Chia- chen
出版日期：2014
卷期：1:4
頁次：頁52-59
主題關鍵詞：慢性病；另類療法；疾病衝擊；情緒；Chronic disease；Alternative medicine；Disease impact；Emotion
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:34
  • 點閱點閱:11
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。
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.
期刊論文
1.Frass, M.、Strassl, R. P.、Friehs, H.、Miillner, M.、Kundi, M.、Kaye, A. D.(2012)。Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review。Ochsner Journal，12(1)，45-56。  new window
2.丁志音(20030600)。誰使用了非西醫的補充與另類療法？社會人口特質的無區隔性與健康需求的作用。臺灣公共衛生雜誌，22(3)，155-166。new window  延伸查詢new window
3.曾月霞、林岱樺、洪昭安(20050600)。臺中地區社區成人輔助療法使用現況。中山醫學雜誌，16(1)，59-68。  延伸查詢new window
4.胡月娟(1994)。慢性病衝擊量表信度、效度的初步探討。亞洲護理學雜誌，1(1)，51-55。  延伸查詢new window
5.章美英、劉介宇、朱美綺、吳宗懋、陳美麗、朱梅綾(20130200)。國人使用輔助與替代醫療現況及其相關因素：2011年全國性調查分析。臺灣公共衛生雜誌，32(1)，85-99。new window  延伸查詢new window
6.Furnham, A.、Kirkcaldy, B.(1996)。The health beliefs and behaviors of orthodox and complementary medicine clients。British Journal of Clinical Psychology，35(1)，49-61。  new window
7.Hasan, S. S.、Ahmed, S. I.、Bukhari, N. I.、Loon, W. C.(2009)。Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics。Complementary Therapies in Clinical Practice，15(3)，152-157。  new window
8.Hawk, C.、Ndetan, H.、Evans, M. W. Jr.(2012)。Potential role of complementary and alternative health care providers in chronic disease prevention and health promotion: An analysis of national health interview survey data。Preventive Medicine，54(1)，18-22。  new window
9.Kaboli, P. J.、Doebbeling, B. N.、Saag, K. G.、Rosenthal, G. E.(2001)。Use of complement a r y and alternative medicine by older patients with arthritis: A population-based study。Arthritis Care and Research，45(4)，398-403。  new window
10.Kending, H.、Browning, C. J.、Young, A. E.(2000)。Impact of illness and disability on the well-being of order people。Disability and Rehabilitation，22(1/2)，15-22。  new window
11.Kingsbury, S. J.(2000)。Adaptation to chronic illness。The Harvard Mental Health Letter，17(6)，4-5。  new window
12.Lee, G. B. W.、Charn, T. C.、Chew, Z. H.、Ng, T. P.(2004)。Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs。Family Practice，21(6)，654-660。  new window
13.Morgan, W.、Center, H.、Arms-Chavez, C.、LoBello, S. G.(2013)。Complementary and alternative medicine use and asthma: relation to asthma severity and comorbid chronic disease。Journal of Asthma，51(3)，333-338。  new window
14.Risberg, T.、Jacobsen, B. K.(2003)。The association between mental distress and the use of alternative medicine among cancer patients in North Norway。Quality of Life Research，12(5)，539-544。  new window
15.Saydah, S. H.、Eberhardt, M. S.(2006)。Use of complementary and alternative medicine among adults with chronic diseases: United States 2002。Journal of Alternative and Complementary Medicine，12(8)，805-812。  new window
16.Sirois, F. M.(2008)。Provider-based complementary and alternative medicine use among three chronic illness groups: associations with psychosocial factors and concurrent use of conventional health-care services。Complementary Therapies in Medicine，16(2)，73-80。  new window
17.Ward, B. W.、Schiller, J. S.、Goodman, R. A.(2014)。Multiple chronic conditions among US adults: A 2012 update。Preventive Chronic Disease，11(E62)，130389。  new window
18.Vincent, C.、Furnham, A.(1996)。Why do patients turn to complementary medicine? An empirical study。British Journal of Clinical Psychology，35(1)，37-48。  new window
19.胡月娟、林豐裕(20050600)。慢性病患之疾病衝擊、健康行為與因應結果之模式檢定。實證護理，1(2)，140-148。new window  延伸查詢new window
20.Langmead, L.、Chitnis, M.、Rampton, D. S.(2002)。Use of complementary therapies by patients with IBD mayindicate psychosocial distress。Inflammatory Bowel Diseases，8(3)，174-179。  new window
研究報告
1.行政院衛生福利部(2013)。死因2012統計。  延伸查詢new window
其他
1.NCCAM(2008)。Complementary, alternative, or integrative health: What's in a Name?，http://nccam.nih.gov/health/whatiscam， 。  new window
2.W. H. O.(2014)。Noncommunicable Diseases Country Profiles 2014，http://www.who.int/topics/noncommunicable_diseases/en/。  new window
 
 
 
 
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