临床传统医学和药理学（英文）2025，Vol.6Issue(3)：9-15,7.DOI:10.1016/j.ctmp.2025.200232
加纳某三级医疗机构中终末期肾病血液透析患者传统、补充与替代医学(TCAM)的使用率、使用模式及影响
The prevalence,pattern of use and impact of traditional,complementary and alternative medicine(TCAM)among patients with end stage renal disease undergoing haemodialysis at a tertiary health facility in Ghana
Joseph Acquah-Mills 1Isaac Tabiri Henneh 2Stephen Mensah Arhin 1Martins Ekor1
作者信息
- 1. Department of Pharmacology,School of Medical Sciences,University of Cape Coast,Cape Coast,Ghana
- 2. Department of Pharmacotherapeutics and Pharmacy Practice,School of Pharmacy and Pharceutical Sciences,University of Cape Coast,Cape Coast,Ghana
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摘要
Abstract
Background:The drive to improve or recover after being diagnosed with chronic conditions often leads many patients to explore alternative treatments alongside conventional medical care.
Despite the availability of advanced conventional medicines,there is a growing trend towards the use of tradi-tional,complementary and alternative medicine(TCAM),particularly among patients with end-stage renal disease(ESRD).However,there is limited information on TCAM use among ESRD patients undergoing hemodialysis.Objective:This study evaluated the prevalence and pattern of TCAM use among ESRD patients receiving hemodial-ysis at a tertiary healthcare facility in Ghana.
Methods:A retrospective analysis was conducted on 246 ESRD patients who underwent hemodialysis at the Cape Coast Teaching Hospital from 2018 to 2021.The sample population was selected using systematic random sampling.Data analysis was performed using Stata version 14,and logistic regression was employed to examine the associations between TCAM use and various sociodemographic factors.
Results:It was observed that 54.5％of the patients utilized some form of TCAM,which were mostly herbal therapies.Except for religious beliefs,factors such as gender,education,occupation,and marital status were significantly associated with TCAM usage.Although 89.4％of the patients who used TCAM showed improvement during treatment,a notable proportion of the mortalities(85.7％,n=14)was linked to TCAM use.
Conclusion:TCAM use was highly prevalent among ESRD patients undergoing hemodialysis at the Cape Coast Teaching Hospital,though it was less associated with successful disease management.It is recommended that stakeholders,healthcare providers,and policymakers should enhance regulation,quality assurance,and evidence-based research on TCAM to ensure the safety of patients.关键词
传统、补充与替代医学/终末期肾病/血液透析/草药医学/回顾性分析Key words
Traditional,complementary and alternative medicine/End-stage renal disease/Haemodialysis/Herbal medicine/Retrospective analysis引用本文复制引用
Joseph Acquah-Mills,Isaac Tabiri Henneh,Stephen Mensah Arhin,Martins Ekor..加纳某三级医疗机构中终末期肾病血液透析患者传统、补充与替代医学(TCAM)的使用率、使用模式及影响[J].临床传统医学和药理学（英文）,2025,6(3):9-15,7.
