慢性病成年人中补充和替代医学使用的流行率和模式:系统性审查和元分析

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Updated: Sep 20, 2025

08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

16.4K

Jia Wen Chin¹, Rafidah Abdullah², Benjamin Wei Wang Tan³

¹Nutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Malaysia.

Journal of integrative medicine

|May 28, 2025

概括

补充和替代医学 (CAM) 在慢性病 (CKD) 患者中很常见,其中43%的人使用这些疗法. 显著的66%的用户没有向医疗保健提供者披露CAM使用情况,这凸显了公开沟通的必要性.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
综合医学是一个整体的医学.
公共卫生公共卫生

背景情况:

补充和替代医学 (CAM) 的使用在患有慢性疾病的个体中很普遍.
慢性病 (CKD) 患者往往会在传统治疗之外探索各种治疗选择.

研究的目的:

系统地审查和分析CAM在CKD患者中使用CAM的全球流行情况.
调查CKD人口中CAM使用的模式,原因和相关因素.
确定未向医疗保健提供者披露CAM使用的比例.

主要方法:

在PubMed,Embase和CINAHL Plus数据库中的系统文献搜索.
包括关于CAM在成人 (≥18岁) 中使用的原始文章,包括任何阶段的CKD或替代疗法.
使用随机效应模型进行元分析,以计算CAM使用和非披露的综合流行率.

主要成果:

在CKD患者中,CAM使用的综合流行率为43% (95%CI:34%,51%).
营养方法 (草药/食补充剂) 是最常见的,其次是心理,物理和传统医学模式.
66% (95%CI:61%,72%) 的CAM使用者没有向医疗保健提供者披露他们的使用情况.

结论:

在患有慢性病的成年人中,CAM使用是广泛的做法.
医疗保健提供者对CAM使用的重大报告不足需要改善患者-提供者沟通.
强调合理的CAM使用对于减轻潜在危害和确保综合患者护理至关重要.

关键词:

慢性脏疾病慢性脏疾病补充和替代医学补充和替代医学进行元分析分析.系统性审查系统性审查传统医学是传统的医学.

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