Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Utilization and Awareness of Complementary and Alternative Medicine (CAM) in Rural Hypertension or Diabetes Patients

보건소를 이용하는 고혈압·당뇨병 환자의 보완대체요법에 대한 이용실태 및 인식

  • Received : 2013.11.11
  • Accepted : 2014.01.20
  • Published : 2014.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to investigate the awareness and utilization of Complementary and Alternative Medicine (CAM) in hypertension or diabetes patients to participate in health class in rural community health center. A total of 177 hypertension or diabetes patients were participated in this study. Data were collected using face-to face interviews and were analyzed using the SPSS WIN 18.0 program. About 56.5% of subjects experienced CAM and 16.0% of subjects told heath care providers about CAM. General awareness of CAM was $3.11{\pm}0.58$ in 5 point, and awareness significantly positively correlated with intention to reuse CAM, recommend CAM, and participate in CAM-related education (r=.604, r=.516, r=.419, p<.001). Health care providers such as doctors and nurses need to be concerned about CAM utilization and awareness in chronic disease patients. These findings can be used in developing effective strategies for health care providers and health policy makers to provide right awareness and utilization of CAM for chronic disease patients and the public.

본 연구는 보건소 건강교실을 이용하는 고혈압 당뇨병 환자의 보완대체요법(CAM)에 대한 이용실태 및 인식을 알아보기 위하여 시도된 서술적 조사연구이다. 대상은 보건소 건강교실을 이용하는 고혈압 당뇨병환자 177명을 면대면 인터뷰를 통해 자료를 수집하였고, 자료는 SPSS WIN 18.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, Independent t-test, Pearson correlation분석을 실시하였다. 연구결과 대상자의 56.5%가 CAM을 이용해 본 경험이 있었고, 의료인과 상의한 경험이 있는 사람은 전체의 16.0%에 불과하였다. CAM에 대한 일반적 인식점수는 $3.11{\pm}0.58$점으로 CAM 재이용의도 및 권유의도 및 관련교육 참여의도 간에 통계적으로 유의한 양의 상관관계가 있었다(r=.604, r=.516, r=.419, p<.001). 결론적으로, 만성질환자들의 CAM이용 현황 및 인식에 대하여 의료인들 및 보건당국이 관심을 가져야 할 필요가 있으며, 추후 만성질환자들의 올바른 CAM이용을 위한 효과적인 실행전략 및 정책 마련에 유용한 기초자료로 이용될 수 있다.

Keywords

References

  1. HWM: http://stat.mw.go.kr/front/index.jsp.
  2. HWM: http://stat.mw.go.kr/front/index.jsp.
  3. Ministry for Health, Welfare and Family Affairs. Health & welfare. Seoul: Ministry for Health, Welfare and Family Affairs Press, 2008.
  4. Ministry for Health, Welfare and Family Affairs, & Korea Centers for Disease Control and Prevention. 2008 National Health Nutrition Survey. Seoul: Ministry for Health, Welfare and family Affairs Press, 2010.
  5. Cui Y, Shu XO, Gao Y, Wen W, Ruan ZX, Jin F, et al., Use of complementary and alternative medicine by chinese women with breast cancer. Breast Cancer Research and Treatment, Vol. 85, pp. 263-270, 2004. https://doi.org/10.1023/B:BREA.0000025422.26148.8d
  6. Y. S. Jeong, Survey on using alternative medicine in general population. Unpublished master's thesis, Dong-A University, 1997.
  7. M. A. Kim, Study on the Actual Use and Awareness of Alternative Therapies Among Hypertensives in Rural Regions. Unpublished master's thesis, Chosun university 2007.
  8. M. S. Lee, A Survey of Utilization of complementary Alternative Medicine in Diabetes Mellitus. Journal of Korean Academy of Nursing, Vol. 31, No. 1, pp. 7-19, 2001. https://doi.org/10.4040/jkan.2001.31.1.7
  9. D. C. Um, Y. S. Lee, A Study of the Application of Folk Medicine in Patients with Diabetes Mellitus. Journal of East-West Nursing Research, Vol. 1, No. 1, pp.72-81, 1997.
  10. E. H. Jang, K. S. Park, A comparative study of nurses and physicians' attitudes about complementary and alternative therapy. Korean Journal of Adult Nursing, Vol. 15, No. 3, pp.402-410, 2003.
  11. NCCAM (National Center for Complementary and Alternative Medicine) homepage (2013). .
  12. E. N. Lee, H. M. Son, Predictive factors for use of complementary alternative therapies in rheumatoid arthritis patients. Korean Journal of Adult Nursing, Vol. 14, No. 2, pp.184-193, 2002.
  13. H. Kim, E. Son, M. Kim, E. Lyu, Perception and use of complementary and alternative medicine in diabetic patients in Busan area. Korean Journal of Community Nutrition, VOL. 16, No. 4, pp. 488-496, 2011. https://doi.org/10.5720/kjcn.2011.16.4.488
  14. H. S. Oh, A study on utilization of alternative therapies and related factors among patients with diabetes mellitus. Journal of Honam University, Vol. 28, No. 2, pp. 279-293, 2007.
  15. H. M. Son, M. J. Suh, A Survey of utilization of alternative therapies in chronic liver. Korean Journal of Adult Nursing, Vol. 10, No. 1, pp. 134-147, 1998.
  16. Sun-Haeng Kim, Analysis of the Use of Supplementary Alternative Therapy and Relevant Factors in Hospitalized Cancer Patients. Unpublished master's thesis, Kangwon University, 2008.
  17. H. S. Park, Y. M. Lee, A study on use of alternative therapy in cancer patients. The Korean Journal of Rehabilitation Nursing, Vol. 3, No. 2, pp. 212-227, 2000.
  18. Gui-Sun Jung, Experiences and attitudes of lung cancer patients receiving complementary and alternative therapies. Unpublished master's thesis, Kosin University. 2006.
  19. Soon-Ak Mok, The research on the reality of cerebral apoplexy patients using complementary therapies. Unpublished master's thesis, Dong-Eui University, 2003.
  20. Yoon-Seoung Jin, A study on the realities of use of complementary and alternative therapy and decision making-related factors in patients with stroke. Unpublished master's thesis, Chung-Ang University, 2009.
  21. Hyo-Sook Oh, A study on utilization of alternative therapies and factors related to use among patients with strokes. Journal of Korean Gerontological Nursing, Vol. 10, No. 1, pp. 37-47, 2008.
  22. Y. C. Lee, H. S. Park, A study on use of alternative therapy in chronic ill patients. Journal of Korean Academy of Fundamentals of Nursing, Vol. 6, No. 1, pp. 96-113, 1999.
  23. Soon-Bok Seu, A Study on the perception and the use of the complementary alternative therapy of the elderly patients in combined of western․oriental treatment hospital. Unpublished master's thesis, Ewa University, 2007.
  24. A. J. Park, J. Y. Park, C. H. Han, Utilization pattern of complementary therapy in hypertension, diabetes and chronic arthritis patients visited to local health center. Journal of agricultural medicine and community health, Vol. 28, No. 2, pp. 107-122, 2003.
  25. Lazar, J. S., & O'Connor, B. B., Talking with patients about their use of alternative therapies. Primary Care, Vol. 24, No. 4, pp. pp. 699-714, 1997. https://doi.org/10.1016/S0095-4543(05)70305-5
  26. Byung-Wook Kim, A Study on the Utilization of Cancer Patients using Complementary and Alternative Medicine. Unpublished master's thesis, Yonsei University, 2005.
  27. Won-Moon Hye, A study on the use of the complementary and alternative therapy in female cancer patients. Unpublished master's thesis, Ewa University, 2006.