老年人哮喘的补充和替代疗法的特点
2016/08/22
摘要
目的：越来越多的哮喘患者正在使用补充和替代疗法（CAM）。以前的研究还没有检测老年人使用补充和替代疗法（CAM）的效果。
方法：2011行为危险因素监测调查（BRFSS），一项全国电话调查，哮喘电话回拨调查（ACBS），即参与者汇报有哮喘的行为危险因素监测调查（BRFSS）,这些调查数据都用于分析。研究对象包括7685名年龄在55岁或以上的目前患有哮喘的人。用逻辑回归分析补充和替代疗法与人口和哮喘结果的关系。
结果：39%（3030）的人使用了补充和替代疗法（CAM）。呼吸技术是最常报道的补充和替代疗法。与CAM相关的人口因素包括女性性别（OR 1.36，P＜0.002），至少有大学学历（OR 1.76，P＜0.001），医疗保健资金短缺（OR 1.43，P＜0.001），和生活在西方（OR 1.31，P＜0.01）。收入和CAM的使用呈反比关系。那些接受了哮喘行动计划（OR 1.29，P＜0.005），现在的吸烟者（OR 1.35，P＜0.02），或不良的哮喘控制（如影响睡眠的症状，限制活动的症状，和抢救药物的使用）更有可能使用补充和替代疗法（OR 1.37，P＜0.001，OR 1.38， P< 0.001，OR 1.2, P＜0.046）。
结论：较大比例的哮喘老年人使用补充和替代疗法。此外，那些使用了CAM的老年人哮喘患者哮喘控制较差，并需要进一步的研究来确定因果作用。
（苏欣 审校）
J Asthma. 2016 Jun;53(5):546-52.doi:10.3109/02770903.2015.1116090.Epub 2016 Jan 19.
Characteristics of Complementary and Alternative Medicine (CAM) use among older adults with asthma.
Ward CE1, Baptist AP1.
Author information
Abstract
OBJECTIVE:A growing number of asthma patients are using Complementary and Alternative Medicine (CAM). Prior studies have not examined CAM use among the older adult population.
METHODS:Data from the 2011 Behavioral Risk Factor Surveillance Survey (BRFSS), a national telephone survey, and the Asthma Call-Back survey (ACBS), a survey conducted among BRFSS individuals reporting asthma, were used for the analyses. The study population consisted of 7685 individuals aged 55 years or older with current asthma. The relationship of CAM use with demographic and asthma outcomes was analyzed using logistic regression.
RESULTS:CAM use was reported by 39% (3030). Breathing techniques were the most commonly reported CAM therapy. Demographic factors associated with CAM use include female gender (OR 1.36, p < 0.002), having at least a college education (OR 1.76, p < 0.001), cost barrier to healthcare (OR 1.43, p < 0.001), and living in the West (OR 1.31, p < 0.01). An inverse relationship was noted between income and CAM use. Those who had received an asthma action plan (OR 1.29, p < 0.005), current smokers (OR 1.35, p < 0.02), or impaired asthma control (as defined by symptoms affecting sleep, symptoms limiting activities, and rescue medication use) were more likely to use CAM (OR 1.37, p < 0.001; OR 1.38, p < 0.001; and OR 1.2, p < 0.046, respectively).
CONCLUSIONS:A large proportion of asthmatic older adults use CAM. In addition, older adults with asthma who use CAM have decreasedasthma control, and further studies are needed to determine a causal role.
KEYWORDS:Asthma; alternative medicine; breathing exercises; complementary therapy; elderly; management/control; older adults
J Asthma. 2016 Jun;53(5):546-52.doi:10.3109/02770903.2015.1116090.Epub 2016 Jan 19.
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