만성 피로 및 만성 통증 환자에서의 보완 대체 요법의 이용 양상
Patterns of Complementary and Alternative Medicine Therapies in Patients with Chronic Fatigue or Pain
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연구배경: 만성 피로나 만성 통증을 호소하는 환자들에서 보 완 대체 요법에 대한 요구가 높다. 본 연구에서는 만성 피로나 통증을 호소하는 외래 환자들을 대상으로 보완 대체 요법의 이용 양상을 알아보았다. 방법: 2005년 10월부터 12월까지 만성 피로나 만성 통증을 주 소로 내원한 외래 환자들을 대상으로 인구사회학적 특성과 건강습관관련 항목, 질병 관련 항목 및 보완 대체 요법 관련 항 목에 대해서 설문 조사를 실시하여 분석하였다. 결과: 총 143명의 응답자 중에서 지난 10년간 만성 피로나 만 성 통증 증상으로 보완 대체 요법을 경험한 사람은 모두 73명 (51.0%)이었으며, 최근 1년간 경험한 사람은 56명(39.2%)이었다. 가장 많이 경험한 보완 대체 요법의 종류는 한약이었으며, 그 효과에 있어서 의사 처방약과 거의 비슷하다고 느끼고 있 었다. 단독 요법보다는 주로 정통적인 서양 치료에 병용하고 있었다. 70% 이상이 보완 대체 요법을 사용하면서 의사와 상 담하지 않고 있었다. 보완 대체 요법 이용에 영향을 주는 요인 으로는 만성 피로 및 만성 통증의 이환 기간, 피로의 중증도, 통 증 강도였다. 결론: 만성 피로나 만성 통증을 호소하는 환자들의 상당수가 보완 대체 요법을 이용하고 있었다. 그들 중 대다수에서 보완 대체 요법 사용시 의사와 상담을 하지 않고 있었다.
Abstract
Background: It is well-known that patients with chronic fatigue or frequent pain seek complementary and alternative medicine therapies (CAT) in Western countries. We conducted this study to determine the pattern of CAT use and the factors related to CAT use in patients with chronic fatigue or pain in Korea. Methods: This was a cross-sectional study. The participants (n = 143) with chronic fatigue or pain completed a self-reported questionnaire including demographic characteristics and lifestyle as well as disease-related and CAT-related items. Results: The frequency of CAT use was 51.0% and 39.2% over the past 10 years and 1 year, respectively. The most common type of CAT used was herbal medicine. The therapeutic effects of the CAT were similar to physicians’ prescriptions. CAT were most often used in combination with conventional medicine rather than alone. More than 70.0% of subjects did not consult their physicians for the use of CAT. The duration of illness, severity of fatigue and pain was signifi cantly related to the use of CAT. Conclusion: Many patients with chronic fatigue or pain use CAT. Most of these patients do not consult their physicians regarding CAT use.
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