关于城市人口中喘青少年使用补充疗法的最新情况
Gary K Soffer1,2, Termeh Feinberg3,4, Hillary Kroll5
1Department of Pediatric Pulmonary, Allergy, Immunology and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.
概括
补充和替代医学 (CAM) 的使用在患有喘的城市青少年中普遍存在,具有高的感知效果,但与喘控制无关. 处方坚持可能与CAM使用相关.
科学领域:
- 儿科肺病学 儿科肺病学
- 综合医学是一个整体的医学.
- 青少年健康 青少年健康
背景情况:
- 补充和替代医学 (CAM) 在儿科喘管理中很常见.
- 之前的研究强调,需要了解城市青少年群体中CAM患病率和感知有效性.
- 评估CAM的使用与喘严重程度和治疗坚持是全面护理的关键.
研究的目的:
- 评估CAM在患有喘的城市青少年中使用的流行率和感知有效性.
- 为了确定CAM使用是否与喘严重程度,喘控制和遵守处方喘药物的相关性.
- 更新以前关于CAM在这个人口群体中的使用的里程碑式研究的发现.
主要方法:
- 在纽约布朗克斯,对203名患有喘的青少年 (13-18岁) 进行了一项调查.
- 收集的数据包括CAM利用率,感知CAM有效性,处方遵守率和喘控制测试 (ACT) 成绩.
- 喘严重程度和处方数据是从电子健康记录中获得的;逻辑回归分析了关联.
主要成果:
- 82%的青少年报告使用至少一种形式的CAM治疗喘.
- 心身和自然产品是最常用的CAM疗法,具有高的感知效率 (81%).
- 使用CAM与控制喘没有显著的关联 (ACT得分),但处方遵守与使用CAM有很强的正相关性 (AOR:7.79).
结论:
- 在患有喘的城市青少年中,CAM使用仍然很普遍,类似于2002年的发现.
- 尽管CAM的有效性很高,但CAM的使用与改善的喘控制没有相关性.
- 青少年可以将CAM纳入他们的健康实践,作为更广泛的健康促进行为的一部分,包括遵守传统治疗.
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