Coping strategies and the request for a consultation on complementary and alternative medicine -- a cross-sectional survey of patients in a psychosomatic and three medical departments of a german university hospital.

R Huber, R Lüdtke, I Beiser, D Koch
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引用次数: 13

Abstract

Objective: To identify factors, predicting which patients of a large German university hospital request for a consultation on complementary and alternative medicine (CAM).

Patients and methods: 350 patients of 3 medical and a psychosomatic department of the University Hospital Freiburg were consecutively surveyed with respect to their coping strategies, health locus of control, anxiety, depression, and the request for a consultation on CAM. Predicting factors were identified via logistic regression models.

Results: The request for a CAM consultation was primarily determined by an active coping strategy (odds ratio 1.66, 95% confidence interval 1.27-2.17, p = 0.0002) and a low Karnofsky index (odds ratio 0.79, 95% confidence interval 0.62-0.99, p = 0.0417). Anxiety, depression or internal health locus of control correlated with each other but could not be proved as independent factors for the request for a CAM consultation.

Conclusion: Patients of a university hospital with an active disease coping have a need for information about CAM.

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应对策略和关于补充和替代医学的咨询请求————对德国一所大学医院的心身科和三个医学系的病人进行的横断面调查。
目的:确定因素,预测德国一家大型大学医院的患者要求咨询补充和替代医学(CAM)。患者和方法:对来自弗莱堡大学医院3个内科和1个心身科的350名患者的应对策略、健康控制点、焦虑、抑郁和CAM咨询请求进行了连续调查。通过逻辑回归模型确定预测因素。结果:主动应对策略(优势比1.66,95%置信区间1.27 ~ 2.17,p = 0.0002)和低Karnofsky指数(优势比0.79,95%置信区间0.62 ~ 0.99,p = 0.0417)决定了就诊请求。焦虑、抑郁或内在健康控制点相互相关,但不能证明是CAM咨询请求的独立因素。结论:某大学附属医院活动性疾病应对患者存在对辅助治疗信息的需求。
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