| Summary: | 碩士 === 國立臺北護理健康大學 === 中西醫結合護理研究所 === 100 === In Taiwan, a wide range of available medical treatments plus the Taiwanese traditional idea of “medical treatments cure diseases, if not they still make you healthy”, therefore, it becomes increasingly common that people use a variety of medical treatments, i.e. the use of complementary and alternative medicine (CAM). The repeated medical treatment and repeated medication affect people’s health and result in the excessive waste of medical resources. However, people still have strong demand of medical resources; they have experience of using CAM through self-examining physical and mental health status. Thus health-care workers should have an in-depth understanding of relevant factors affecting people using CAM in order to reduce the harm of people’s health from side effects of repeated medication. Therefore, the purpose of this study is to explore the impact of Taiwanese population variables and the status of Taiwanese physical and mental health on the number of totaled times of experiencing CAM and multiple types of use.
The study adopts a survey of nation-wide random sampling of Probabilities Proportional to size of Computer-Aid Telephone Interview on the research object of people over the age of 15. The questionnaire includes demographics, physical/mental health status and the experience of using CAM. From November 1 to November 10, 2011, a total of 2,411 valid questionnaires were recovered. After conducting statistical weighing of four data of gender, age, educational level and residential area, the valid samples are 2,408; the successful access rate is 47.59%. The data analysis of this study adopts SPSS 19.0 to conduct analyses of descriptive statistics, Chi-square, T-test, one-way ANOVA, simple linear regression, hierarchical logistic regression and hierarchical multiple regression, etc.
The research results show that, firstly, 58.5% (n=1,408) of people had the experience of using CAM; 36.8% (n=886) of people used CAM in the past year are mainly traditional Chinese medicine and health food. In the past year, Taiwanese used the most of CAM for symptom and disease of back pain, Sprain or strain and cold. Then, Taiwanese used the most of CAM for system diseases of musculoskeletal system and connective tissue diseases. Taiwanese used CAM in the past year mostly through family, friends and books. The reasons of using CAM are "alternative medicine is more effective", "western medicine often has side effects or misdiagnoses of western medicine doctors.” Secondly, comparing to others, Taiwanese who have women, middle-age, highly educated, medical related educational background, jobs, high-income, and living in Taichung, Changhua and Nantou areas in using CAM in the past year(p＜0.05). Thirdly, Taiwanese who have women, 20-59 years old, high education, medical related educational background, jobs, live in north central region, and worse physical/mental health, had more experience (p＜0.05) of using CAM than others in the past year. The times of multiple using CAM were more than others (p＜0.05) in Taiwanese women with high education and jobs as well as medical related educational background whose physical/mental health were not good. Lastly, the odds ratio is high (p <0.05) in Taiwanese women, middle-age, highly educated, with jobs and bad physical health using more CAM than others in the past year. The odds ratio of times of multiple using CAM for Taiwanese women with medical related educational background is more than others (p＜0.05) in the past year.
According to the results, the study suggests: (1) Before implementing CAM technology, the health-care worker should strengthen and enhance their CAM knowledge to give people accurate and effective technology and assistance. (2) It is recommended that clinical units should arrange educational courses of complementary and alternative medicine. Universities and nursing institutes should learn about American education to start planning complementary and alternative medicine courses to prompt health-care workers understand how to properly use complementary and alternative medicine in health prevention and enhance their acceptance of people using CAM. (3) It is recommended that health-care workers should focus on the experimental research of using CAM on physical or mental health to establish the fundamental of CAM related evidence-based nursing, and by the support of empirical research, health-care workers can provide the correct information.
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