血液透析病患使用輔助及另類療法的相關性調查

Factors Related to Use of Complementary and Alternative Medicine in Hemodialysis Patients

本研究目的為探討血液透析病患對輔助及另類療法使用情形及其影響因素。本研究採橫斷性研究調查法，研究對象為中部某醫學中心血液透析門診的病息，於2005年6月至9月共計233位個案參與。以中西醫信念量表、輔助及另類療法之使用情形為研究工具。研究資料以百分比、卡方檢定及t檢定等統計分析。結果發現：血液透析患者尋求輔助及另類療法的比率高達75.1%，其中使用二種以上者佔56.2%，使用種類依序為以中藥居多(47.2%)，其次為健康食品(42.9%)、草藥(30.0%)。另外影響血液透析患者使用之相關因素與中、西醫優勢信念有關，與性別、年齡、教育程度、婚姻狀況及血液透析時間等無顯著差異。本研究結果提供醫護人員了解及正視血液透析患者使用輔助及另類療法狀況及其影響因素，進一步以客觀的態度提供病患適當建議，以提供更人性化周全之護理照護。

The purpose of the study is to investigate the prevalence of complementary and alternative medicine in patients undergoing hemodialysis as well as the contributing factors of such behaviors. To this end, a cross-sectional study was conducted in a medical center. A total of 233 subjects undergoing hemodialysis were recruited in 2005 between June 15 and September 30 at a medical center in Taichung City, Taiwan. Demographic data, belief in Chinese and Western medicine as well as experience with using alternative medicine were acquired through structured questionnaires. Percentage and Chi-square tests were used for data analysis. The results showed that 75.1% of patients undergoing hemodialysis used complementary and alternative medicine. Forty-seven percent patients took Chinese medicine and 42.9% patients used health food. Positive belief in Chinese and Western medicine was significantly related to the use of complementary and alternative medicine. Factors as gender, age, education level, marital status, time of hemodialysis were not statistically significant. The result suggests that health professionals should make more effort to understand the behavior of taking complementary medicine during the care of patients suffering from end stage renal disease.