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The Attitude, Use and Adverse Effects of Complementary and Alternative Medicine (CAM) Therapies among Vulnerable, Community Dwelling Old Adults

재가 취약계층 노인의 보완대체요법에 대한 태도, 이용 및 유해반응

  • Received : 2013.09.23
  • Accepted : 2014.03.21
  • Published : 2014.03.31

Abstract

Purpose: The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community. Methods: 1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and ${\chi}^2$-test were used to analyze the data. Results: The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was $4.1{\pm}3.44$ (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%). Conclusion: These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.

Keywords

References

  1. Lee SJ. The roll of complementary and alternative medicine in integrative medicine. Hanyang Medical Reviews. 2010;30(2): 75-83. https://doi.org/10.7599/hmr.2010.30.2.75
  2. Korean Academy of Medical Sciences.Korean Medical Association. Development and application of evidence level for complementary therapy-summary. Seoul: Korean Medical Association; 2005. 14 p.
  3. National Center for Complementary and Alternative Medicine. Get the facts: What is complementary and alternative medicine [Internet]. Maryland: National Center for Complementary and Alternative Medicine (NCCAM). 2005. [cited 2012 July 15] Available from: http://nccam.nih.gov/health/whatiscam/
  4. Cho NH, Kim SH, Woo EK, Lee J, Lee S, Cho HS. Utilization level and associated factors of complementary and alternative medicine in the older population before death. The Korean Journal of Hospice and Palliative Care. 2004;7(1):37-48.
  5. Park HM, Jang IS, Lee SD. Hepatotoxic events associated with herbal medicinal products, folk remedies and food supplements in Korea. Journal of Korean Medicine. 2005;26(2): 152-165.
  6. Yamashita H, Tsukayama H, Sugishita C. Popularity of complementary and alternative medicine in Japan: A telephone survey. Complementary Therapies in Medicine. 2002;10(2): 84-93. https://doi.org/10.1054/ctim.2002.0519
  7. Horrigan BG. New NHIS survey reveals that 38% of American adults use CAM. Explore (New York, N.Y.). 2009;5(2):71-73. http://dx.doi.org/10.1016/j.explore.2008.12.006
  8. Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Alternative Therapies in Health and Medicine. 2005;11(1):42-49.
  9. Xue CC., Zhang, AL. Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: A national population-based survey. Journal of Alternative and Complementary Medicine(New York, N.Y.). 2007;13(6):643-650. https://doi.org/10.1089/acm.2006.6355
  10. Ock SM, Choi JY, Cha YS, Lee J, Chun MS, Huh CH, et al. The use of complementary and alternative medicine in a general population in South Korea: results from a national survey in 2006. Journal of Korean Medical Science. 2009;24(1):1-6. http://dx.doi.org/10.3346/jkms.2009.24.1.1
  11. Shin KR, Park SY, Shin SJ. A study on the use patterns of alternative therapy in the elderly. The Korean Academic Society of Adult Nursing. 2004;16(1):111-122.
  12. Oh K, Kim KS, Kwon SH, Park JW. Research trend of complementary and alternative medicine. Journal of Korean Academy of Nursing. 2006;36(5):721-731. https://doi.org/10.4040/jkan.2006.36.5.721
  13. Jang EH, Park KS. A comparative study of nurses and physicians' attitudes about complementary and alternative therapy. The Korean Academic Society of Adult Nursing. 2003;15(3): 402-410.
  14. Kim BW. A study on the utilization of cancer patients using complementary and alternative medicine [master's thesis]. [Seoul]: Yonsei University; 2005. 63 p.
  15. Han KS, Im NY, Song KA, Hong YH, Kim JI, Kim KH, et al. The analysis of trends in complementary and alternative therapy (CAT) in nursing research in Korea. The Journal of Fundamentals of Nursing. 2003;10(3):392-398.
  16. Jun MH, Uhm DC, Jeong S. The analysis of the Korean nursing research trends on complementary and alternative therapies for cancer patients. Asian Oncology Nursing. 2009;9(1): 67-75.
  17. Yang NY, Shin KR. The analysis of research trend about complementary and alternative therapy (CAT) in nursing of Korea. The Korean Academic Society of Adult Nursing. 2003;15(2): 226-235.
  18. Ko Y, Lee IS. Factors affecting the self-rated health of vulnerable elderly. Journal of Korean Academy of Community Health Nursing. 2009;20(1):31-40.
  19. Ernst E, Cassileth BR. How useful are unconventional cancer treatments? European Journal of Cancer. 1999;35(11):1608-1613. https://doi.org/10.1016/S0959-8049(99)00198-7
  20. Cho SH, Kim MR, Kim SJ. Cyanide poisoning after consuming a large amount of gingko nuts. Journal of the Korean Society of Emergency Medicine. 2003;14(4):458-461.
  21. Cho SY, Lee SJ, Cho SB. Multiple scarring following removal of pigmented nevi by acupuncture in an oriental clinic. Korean Journal of Dermatology. 2010;48(6):537-539.
  22. Kim SC. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Acupuncture. 2008;25(4):117-125. http://dx.doi.org/10.3831/KPI.2013.16.017
  23. Shin HC. The study on acupuncture treatment of recurrent cystitis and lower urinary tract infection. The Journal of East- West Medicine. 2010;35(4):49-64.
  24. Jang IS, Yang CS, Lee SD, Han CH. A review of herbal medicinal products associated with toxic events in Korea. Journal of Korean Medicine. 2007;28(1):1-10.
  25. Burns N, Grove SK. The practice of nursing research; appraisal, synthesis, and generation of evidence. 6th ed. St. Louis, Missouri: Saunders; 2009. 750 p.
  26. Lee KE, Yom Y. Knowledge, experience and attitude of nurses toward complementary and alternative therapies. Journal of Korean Clinical Nursing Research. 2004;10(2):61-73.
  27. Oh HS. A study on utilization of alternative therapies and factors related to use among patients with strokes. Journal of the Korean Gerontological Nursing. 2008;10(1):37-47.
  28. Kim EB. A study on uses of the complementary therapies in patients with low back pain [master's thesis]. [Seoul]: Yonsei University; 2003. 63 p.
  29. Lee EN, Son HM. Predictive factors for use of complementary . alternative therapies in rheumatoid arthritis patients. The Korean Academic Society of Adult Nursing. 2002;14(2):84-193.

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