广东省某三甲医院门诊老年患者补充与替代医学使用现状及影响因素分析

doi:10.3969/j.issn.1000-8535.2023.09.015

摘要/Abstract

摘要： 目的了解门诊老年患者补充与替代医学（CAM）使用现状及影响因素。方法采用便利抽样法,选取2020年11月—2021年2月广东省某三甲医院老年科门诊就诊的老年患者作为研究对象,调查方法采用一般资料调查表和CAM使用情况调查表进行横断面调查。应用二元Logistics回归分析探讨门诊老年患者使用CAM的影响因素。结果参与调查的123例老年患者中,有75例（61.0%）老年患者使用CAM,使用CAM的项目主要为中草药、药膳等中国传统医学项目。支付方式是门诊老年患者是否使用CAM的影响因素,使用医保支付的患者较公费、自费患者更愿意使用CAM（OR=5.054,95%CI：1.452~17.590,P<0.05）。结论 CAM在门诊应用广泛,我们应充分发挥我国传统医学优势,为老年人疾病防治提供更多的思路。政府层面也可进一步提高医保覆盖范围,让更多的患者有经济能力可以接受安全、有效的治疗。

关键词: 老年人, 补充与替代医学, 影响因素

Abstract: Objective To investigate the current status of complementary and alternative medicine（CAM）use and the influencing factors of elderly patients in outpatient clinic．Methods Using the convenience sampling method,the elderly patients treated in the geriatric outpatient department of a Class A tertiary Hospital in Guangdong from November 2020 to February 2021 were selected．General data and the CAM usage questionnaire were collected．Binary logistics regression analysis was used to explore the factors influencing CAM use in elderly patients．Results Seventy-five（61.0%）of 123 elderly patients used CAM．Chinese herbal medicine and medicinal diet were the most common CAM．Payment method was a factor affecting whether elderly outpatient patients use CAM．Insured patients were more willing to use CAM than self-funded patients（OR=5.054,95%CI：1.452-17.590,P<0.05）．Conclusions CAM is widely used in outpatient clinics．We should make full use of our country’s traditional medicine,to provide different thoughts of diseases prevention and treatment in elderly patients．The government can also further enlarge the coverage of health insurance,so that more patients can afford safe and effective treatment．

Key words: elderly, complementary and alternative medicine, influencing factors

严晓芬, 王秋燕, 高翔. 广东省某三甲医院门诊老年患者补充与替代医学使用现状及影响因素分析[J]. 广州医药, 2023, 54(9): 84-89.

YAN Xiaofen, WANG Qiuyan, GAO Xiang. Analysis of the current status and influencing factors of complementary and alternative medicine in a tertiary hospital[J]. Guangzhou Medical Journal, 2023, 54(9): 84-89.

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