PDF(Pubmed)
Abstract：
Background: Although use of complementary and alternative medicine (CAM) is rising among older adults, many do not discuss these healthcare practices with their primary care practitioners (PCPs). This study sought to determine the prevalence of CAM use and to identify factors associated with CAM disclosure among patients ages 65 and older. Methods: Participants completed an anonymous survey, which evaluated their CAM use over the past year and disclosure of CAM to a PCP. Additional questions queried demographics, patient health, and relationships with one\'s PCP. Analyses included descriptive statistics, chi-square tests and logistic regression. Results: One hundred seventy-three participants answered surveys. Sixty percent reported use of at least one form of CAM in the past year. Among those using CAM, 64.4% disclosed use to their PCP. Patients disclosed supplements/herbal products and naturopathy/homeopathy/acupuncture at a higher rate than body work techniques and mind-body practices (71.9% and 66.7% vs. 48% and 50%). The only factor significantly associated with disclosure was trust in one\'s PCP (odds ratio = 2.97; confidence interval = 1.01-8.73). Conclusions: Clinicians may improve CAM disclosure rates in older adults by inquiring about all types of CAM and continuing to invest in their patient relationships, specifically by building trust.
摘要：
背景：虽然补充和替代医学（CAM）的使用在老年人中正在上升，许多人不与他们的初级保健医生(PCP)讨论这些医疗保健实践.这项研究旨在确定65岁及以上患者使用CAM的患病率，并确定与CAM披露相关的因素。方法：参与者完成了一项匿名调查，评估了他们在过去一年中的CAM使用情况，并向PCP披露了CAM。其他问题查询人口统计，患者健康,以及与PCP的关系。分析包括描述性统计，卡方检验和逻辑回归。结果：一百七十三名参与者回答了调查。60％的人报告说在过去一年中使用了至少一种形式的CAM。在那些使用CAM的人中，64.4%的人公开使用他们的PCP。患者发现补充剂/草药产品和自然疗法/顺势疗法/针灸的比率高于身体工作技术和身心实践（71.9％和66.7％vs.48%和50%）。与披露显着相关的唯一因素是对个人PCP的信任（比值比=2.97；置信区间=1.01-8.73）。结论：临床医生可以通过询问所有类型的CAM并继续投资于他们的患者关系来提高老年人的CAM披露率，特别是建立信任。
