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Complementary and alternative medicine use by visitors to rural Japanese family medicine clinics: results from the international complementary and alternative medicine survey

机译:日本农村家庭医学诊所的访客使用补充和替代药物:国际补充和替代医学调查的结果

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Background There is growing interest in the use of complementary and alternative medicine (CAM) throughout the world, however previous research done in Japan has focused primarily on CAM use in major cities. The purpose of this study was to develop and distribute a Japanese version of the International Complementary and Alternative Medicine Questionnaire (I-CAM-Q) to assess the use of CAM among people who visit rural Japanese family medicine clinics. Methods Using a Japanese version of the International Complementary and Alternative Medicine Questionnaire (I-CAM-Q), a cross-sectional survey was conducted in three rural family medicine clinics. All patients and those accompanying patients who met inclusion criteria were eligible to participate. Data were entered into SPSS Statistics and analyzed for use by age, gender, and location. Results Of the 519 respondents who participated in the project, 415 participants reported CAM use in the past 12?months (80.0%). When prayer is excluded, the prevalence of CAM use drops to 77.3% in the past year, or 403 respondents. The most common forms of CAM used by respondents were pain relief pads (n?=?170, 32.8%), herbal medicines/supplements (n?=?167, 32.2%), and massage by self or family (n?=?166, 32.0%). Female respondents, individuals with higher levels of education, and those with poorer overall health status were more likely to use CAM than respondents without these characteristics. Only 22.8% of CAM therapies used were reported to physicians by survey participants. Conclusions These data indicate that CAM use in rural Japan is common. The results are consistent with previous studies that show that Japanese individuals are more interested in forms of CAM such as pain relief pads and massage, than in mind-body forms of CAM like relaxation and meditation. Due to the high utilization of certain CAM practices, and given that most CAM users do not disclose their CAM use to their doctors, we conclude that physicians in rural Japan would benefit by asking about CAM use during patient interviews, and by familiarizing themselves with the potential benefits and risks of commonly used CAM modalities.
机译:背景技术在世界范围内,人们对补充和替代医学(CAM)的使用越来越感兴趣,但是,日本先前的研究主要集中在主要城市的CAM使用。这项研究的目的是开发和分发日文版的《国际补充和替代医学问卷》(I-CAM-Q),以评估在日本农村家庭医学诊所就诊的人对CAM的使用情况。方法使用日文版的《国际补充和替代医学问卷》(I-CAM-Q),在三个农村家庭医学诊所进行了横断面调查。符合入选标准的所有患者和陪伴患者都有资格参加。将数据输入SPSS Statistics,并按年龄,性别和位置进行分析。结果在参与该项目的519名受访者中,有415名参与者报告了过去12个月中使用CAM的情况(占80.0%)。如果不包括祈祷,那么在过去一年中,使用CAM的比例下降到77.3%,即403名受访者。受访者使用的最常见的CAM形式是止痛垫(n?=?170,32.8%),草药/补充剂(n?=?167,32.2%)以及自己或家人进行按摩(n?=? 166,32.0%)。与没有这些特征的被调查者相比,女性被调查者,受教育程度较高的人以及总体健康状况较差的人更可能使用CAM。调查参与者仅向医生报告了使用的CAM治疗的22.8%。结论这些数据表明,在日本农村地区使用CAM很普遍。该结果与先前的研究一致,后者表明日本人对CAM形式(如止痛垫和按摩)的兴趣比对CAM身心形式(如放松和冥想)的兴趣更大。由于某些CAM做法的使用率很高,并且由于大多数CAM用户没有向医生透露其CAM使用情况,因此我们得出结论,在日本农村地区的医生会在患者访谈期间询问CAM的使用情况,并熟悉其使用方法,从而从中受益。常用CAM模式的潜在利益和风险。

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