埃塞俄比亚慢性病患者使用草药的普遍性和相关因素：系统回顾与荟萃分析

Metabolism open Pub Date : 2024-02-23 DOI:10.1016/j.metop.2024.100280

Worku Chekol Tassew , Getaw Wubie Assefa , Agerie Mengistie Zeleke , Yeshiwas Ayal Ferede

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引用次数: 0

摘要

背景在癌症、艾滋病、糖尿病和高血压等慢性病患者中，药用植物与处方药的辅助使用正日益受到广泛关注。因此，本综述旨在确定慢性病患者使用草药的流行率和相关因素。方法本系统性综述和荟萃分析通过搜索 Cochrane 图书馆、谷歌学者、PubMed 和非洲期刊网上的文章进行。使用 Microsoft excel 格式提取数据，并导入 Stata 软件 11 版（Stata Corp LLC，美国德克萨斯州）进行分析。在显著性水平为<0.05时，使用Cochran's Q卡方检验和I2指数对各研究的统计异质性进行调查。结果我们的系统检索从四个数据库（谷歌学者（12800 条）、PubMed（3835 条）、Cochrane 图书馆（30 条）和非洲期刊在线（12 条））中共获得 17665 条记录。经汇总估计，埃塞俄比亚慢性病患者使用草药的比例为 56.94%（95% CI：49.75, 64.12，P < 0.001）。女性（POR = 2.06，95% CI = 1.55，2.75，I2 = 10.0%）、农村居民（POR = 2.80，95% CI = 1.42，5.52，I2 = 89.1%）、病程超过 5 年（POR = 6.42，95% CI = 4.188，9.84，I2 = 48.3%）和有并发症（POR = 4.65, 95% CI = 3.75, 5.77, I2 = 0.0%）是慢性病患者使用中草药的相关因素。女性、农村居民、病程超过 5 年和有并发症是与中草药使用显著相关的因素。埃塞俄比亚慢性病患者使用草药的普遍程度对医疗保健实践具有重要影响。医疗保健专业人员需要采取以患者为中心的策略，促进关于草药使用的公开、无评判的讨论。

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Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis

Background

Complementary use of medicinal plants with prescribed drugs is becoming more widespread concern among people with chronic disease like cancer, HIV/AIDS, diabetes and hypertension. Consequently, the purpose of this review was to determine the prevalence and associated factors of herbal medicine use among patients suffering from chronic disease.

Methods

This systematic review and meta-analysis was conducted by searching articles from Cochrane library, Google scholar, PubMed and African journal online. Data was extracted using Microsoft excel format and imported in to Stata software version 11 (Stata Corp LLC, TX, USA) for analysis. Statistical heterogeneity across the studies was investigated using Cochran's Q chi-square test at the significance level of <0.05 and the I² index. A random-effects model was used to estimate the pooled prevalence of herbal medicine use.

Results

Our systematic search yielded a total of 17,665 records from four databases (Google scholar (12,800), PubMed (3835), Cochrane library (30) and African journal online (12). The pooled estimate of herbal medicine use among patients with chronic disease in Ethiopia is found to be 56.94% (95% CI: 49.75, 64.12, P < 0.001). Being female (POR = 2.06, 95% CI = 1.55, 2.75, I² = 10.0%), rural residence (POR = 2.80, 95% CI = 1.42, 5.52, I² = 89.1%), duration of the disease greater than 5 years (POR = 6.42, 95% CI = 4.188, 9.84, I² = 48.3%) and having complication (POR = 4.65, 95% CI = 3.75, 5.77, I² = 0.0%) were factors associated with herbal medicine use among patients living with chronic disease.

Conclusion

The study found a high prevalence of herbal medicine use among patients living with chronic disease. Being female, rural residence, duration of disease greater than 5 years and having complication were factors that are significantly associated with herbal medicine use. The prevalence of herbal medicine use among persons with chronic disease in Ethiopia presents significant implications for healthcare practice. Healthcare professionals need to adopt a patient-centered strategy that promotes open, judgment-free discussions about herbal medicine usage.