Use of Complementary and Alternative Medicine Among People With Cardiovascular Diseases in Southeast Georgia

C. Okoli, Stacy L Carswell, Sewuese Akuse, K. Sullivan
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引用次数: 2

Abstract

Background: Heart disease is a leading cause of death in the United States. Proper treatment of patients with cardiovascular disease is essential and can be challenged by non-disclosed use of complementary or alternative treatments. The objective of this study was to assess which demographics were associated with complementary and alternative medicine (CAM) use and if education affects the use of CAM. Methods: A cross-sectional survey was conducted among a stratified random sample of residents of Southeastern Georgia. Sampling was stratified by urban/rural residence in order to reach sufficient rural residents. Participants that indicated they had been diagnosed with hypertension or heart disease were included in this analysis. Participants also self-reported if they used CAM, their reasons for CAM use, frequency of CAM use, source of knowledge and level of satisfaction with CAM. Results: Among the 50 respondents with cardiovascular disease, 17 (34%) reported using CAM. The most commonly used type of CAM was vitamins and minerals (used by 26% or participants) followed by massage (19%) and relaxation/breathing (17%). CAM use was not associated with race, education, income, rural residence, smoking or quality of life, controlling for age and sex. Conclusions: Although there were no associations of socio-demographic characteristics and CAM use, this study highlights the prevalence of CAM use among individuals with heart disease and types of CAM frequently used. These findings should drive future, larger studies to further understand treatment decisions of rural patients with cardiovascular disease.
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格鲁吉亚东南部心血管疾病患者补充和替代医学的使用
背景:心脏病是美国人死亡的主要原因。适当治疗心血管疾病患者是必不可少的,并且可能受到未公开使用补充或替代治疗的挑战。本研究的目的是评估哪些人口统计数据与补充和替代医学(CAM)的使用有关,以及教育是否会影响辅助和替代医学的使用。方法:采用横断面调查方法,对乔治亚州东南部的居民进行分层随机抽样。抽样按城乡居民进行分层,以覆盖足够的农村居民。表明自己被诊断患有高血压或心脏病的参与者也包括在这项分析中。参与者还自我报告了他们是否使用CAM,他们使用CAM的原因,使用CAM的频率,知识来源和对CAM的满意度。结果:在50名患有心血管疾病的受访者中,17名(34%)报告使用CAM。最常用的CAM类型是维生素和矿物质(26%或参与者使用),其次是按摩(19%)和放松/呼吸(17%)。CAM的使用与种族、教育、收入、农村居住、吸烟或生活质量无关,控制了年龄和性别。结论:虽然社会人口学特征与辅助辅助措施的使用没有关联,但本研究强调了辅助辅助措施在心脏病患者中的流行程度和经常使用的辅助辅助措施类型。这些发现将推动未来更大规模的研究,以进一步了解农村心血管疾病患者的治疗决策。
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