Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Complementary and Alternative Medicine (CAM) Therapies Use and its Perceived Effectiveness among Cardiac Patients


Affiliations
1 National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
     

   Subscribe/Renew Journal


Complementary and alternative medicine (CAM) is one of the health care approaches commonly used by patients with various health problems to promote health or to treat diseases or symptoms. The aim of the present study was to assess the use and perceived effectiveness of complementary and alternative medicine (CAM) therapies among cardiac patients. The study was carried out in cardiology OPD, Advanced Cardiac Centre (ACC), PGIMER, Chandigarh. Descriptive research design was adopted. Data were collected from 530 out-patients who met eligibility criteria using semi-structured interview schedule. The results revealed that the mean age of subjects was 56 years. Most of the subjects were from joint family. Maximum subjects belonged to middle socioeconomic class and believed in Hinduism. Most prevalent diagnosis was CAD with MI and most of them underwent PCI. Among co-morbidities diabetes and hypertension (HTN) were the most common present in the study subjects. Half of the subjects were still in pre-hypertensive stage of HTN with present treatment. Self rated health status was fair for most of the subjects (63%). Among total subjects, 225(42.7%) were using CAM. Among them, mostly half of the subjects were continuing their CAM use with conventional medicine. Ayurveda, homeopathy, garlic, low salt diet, aloevera and exercises were the most preferred CAM approaches used by the subjects. Lesser side effect was the most common reason cited by the users for CAM use. Majority of the subjects perceived CAM use to be effective and were ready to use CAM in future also. The findings suggest that essential steps should be adopted for incorporating those CAM therapies into mainstream health care services for which evidence of effectiveness exists.

Keywords

Complementary and Alternative Medicine, Perceived Effectiveness, Cardiac Patients.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Austin, J.A. (1998). Why patients use alternative medicine. Journal of the American Medical Association, 279, 1548-1553.
  • Adeyeye, O.O., Onadeko, B.O., Oguleye, O., Bamisile, R.T., & 01ubusi,A. (2011). The use of complementary and alternative medicine by asthma patients receiving care in an urban tertiary centre in Nigeria. International Journal of Biological and Medical Research, 2(4), 1026-1030. [article on internet], [cited 2016 Jan 9]; Available from: www. biomedscidirect.com.
  • Bahall, M., & Edwards, M. (2015). Perceptions of complementary and alternative medicine among cardiac patients in South Trinidad: A qualitative study. BMC Complementary and Alternative Medicine, 26(15), 99. [Abstract on internet], [cited 2015 Nov bmccomplementalternmed.biomedcentral.com/articles/10.1186/sl2906-015-0577-8
  • Bond, RE., & Latta, M.S. (2009). Complementary and alternative medical approaches in cardiovascular disease: Cardiac nursing (6 ed.). Williams and Wilkins: Philadelphiapress,pp. 906-917.
  • Ceylan, S., Azal, O., Taslipinar, A., Turker, T, Acikel, C.H., & Gulec, M. (2009). Complementary and alternative medicine among Turkish diabetic patients. Complementry Therapies in Medicine, 17, 78-83.
  • Centres for Medicare & Medicaid Services (1997). National health expenditures survey. [article on internet]. 2010 [cited 2015 Dec 23]. Available from http ://www.cms.hhs.gov/statistics/nhe.
  • Dwivedi, S., & Aggarwal, M.P. (1994). Antianginal and cardioprotective effects of Terminalia arjuna 'an indigenous drug' in coronary artery disease. Journal of the Association of Physicians of India, 42(4), 287-289.
  • Dwivedi, S., & Jauhari, R. (1997). Beneficial effects of Terminalia arjuna in coronary artery disease. Indian HeartJournal, 49(5), 507-510.
  • Department of AYUSH (2016). AYUSHherbs, [article on internet]. 2016 [cited 2016 sep 22]. Available fromhttp://www.ayush.com/.
  • Grant, S.J., Bin, Y.S., Kiat, H., & Chang, D.H. (2012). The use of complementary and alternative medicine by people with cardiovascular disease: A systematic review. BMC Public Health, 12, 299. [article on internet], [cited 2015 Nov26]; Available from: http://dx.doi.org/10.1155/2013/672097.
  • Gupta, M., Shafiq, N., Kumari, S., & Pandhi, P. (2002). Pattern and perceptions of complementary and alternative medicine (CAM) among leukaemia patients visiting haematology clinic of a north Indian tertiary care hospital. Pharmacoepidemiology and Drug Safe, 11(S), 671-676.
  • Hu, H., Li, G., Duan, J., & Arao, T (2013). Prevalence, purposes, and perceived effectiveness of complementary and alternative medicine use in a hypertension population: A questionnaire survey. ISRN Public Health [article on internet]. 2013 [cited 2015 Dec 16], Available from: https://www.hindawi.com/journals/isrn/2013/137472/
  • Kamboj, V.P (2000). Herbalmedicine. Current Science, 78, 35-39.
  • Kumar, D., Goel, N.K., Pandey, A.K., & Sarpl, S.S. (2016). Complementary and alternative medicine use among the cancer patients in Northern India. South Asian Journal of Cancer, 5(1), 8-11. [article on internet], [cited 2016 July 08]; Available from: http://www.journal.saic.Org/text.asp72016/5/l8/179689.
  • Molassiotis, A., Scott, A.J., Pud, D., Ozden, G., Scott, J.A., Panteli, V., Margulies, A., Browall, M., Magri, M., Selvekerova, S., Madsen, E., Milovics, L., Bruyns, I., Gudmundsdottir, G., Hummerston, S., Ahmad, A.M., Platin, N., Kearney, N., & Patiraki, E. (2005). Use of complementary and alternative medicine in cancer patients: a European survey. Annals of Oncology, 16, 655-663. [article on internet], [cited 2016 Jan 8]; Available from: http://annonc.oxfordjournals.Org/doi /10.1093/annonc/mdillO.
  • Ngo, Q.M., Nguyen, N.N., & Shah, S.A. (2010). Oral aloevera for treatment of diabetes mellitus and dyslipidemia. American Journal of Health-System Pharmacy, 67(21), 1804-1811. [article on internet, cited 2016 July 13]; Available from: http://www.medscape.com/viewarticle/731244_l.
  • Prasad, K., Sharma, V, Lackore, K., Jenkins, S.M.,Prasad, A., & Sood,A. (2013). Use of complementary therapies in cardiovascular disease. American Journal of Cardiology, 11(1), 339-345.
  • Rabito, M.J., & Kaye, A.D. (2013). Complementary and alternative medicine and cardiovascular disease: An evidence-based review. Evidence-Based Comp-lementary and Alternative Medicine [abstract from internet] .2013 [cited 2015 Novll]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3654705/
  • Smeltzer, S.C., & Bare, B.G. (2012). Brunner and Suddarth's Textbook of Medical Surgical Nursing. William and Wilkins.
  • Shafiq, N., Gupta, M., Kumari, S., & Pandhi, P. (2003) Prevalence and pattern of complementary and alternative medicine (CAM) in hypertensive patients of a tertiary care centre in India. International Journal Clinical Pharmacology Therapeutic, 41(1), 294-298.
  • U.S. department of health & human services (2015). AARP and national center for complementary and alternative medicine survey report. Doi: 30.10.2015. https://nccih.nih.gov/sites/nccam.nih.gov/files/news/.../NCCAM_aarp_surveypdf
  • Watjana, WW, Bello, N., Bakir, W, & Worsley, A. (2012). Prevalence and perceived outcomes of complementary and alternative medicine use in hospitalized British patient. Archives of Pharmacy Practice, 4(5), 265-273. [article on internet], [cited 2016 Jan9]; http://www.archivepp.eom/text.asp72012/3/4/265/106242.
  • Wazaify, M.,Alawwa, I.,Yasein, N.,Al-Saleh,A., &Afifi, F.U. (2013). Complementary and alternative medicine use among Jordanian patients with chronic diseases. Complementary Therapies in Clinical Practice, 19(3), 153-157. [article on internet], 2013[cited 2016 July 08];https://www.ncbi.nlm.nih.gov/pubmed/23890462
  • Wood, M., Stewart, R., Merry, H., Johnstone, D., & Cox, J. (2002). Use of complementary and alternative medical therapies in patients with cardiovascular disease. American Heart Journal, 145(5), 806-812.
  • World health organization (2016). Traditional medicine strategy 2014-2023. Doi: 10.01. www.who.int/medicines/publications/traditional/trm_strategyl4_23/en/
  • Zhang, A.L. (2006). Complementary and alternative medicine use in Australia: Results of a national population-based survey. Division of Chinese Medicine School of Health Sciences RMIT University August [abstract from internet], [retrieved 2015 Dec 12]. Available from: http://www.rmit.edu.au//Zhang.pdf

Abstract Views: 499

PDF Views: 1




  • Complementary and Alternative Medicine (CAM) Therapies Use and its Perceived Effectiveness among Cardiac Patients

Abstract Views: 499  |  PDF Views: 1

Authors

Monika Dutta
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Parminder Singh
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Sandhya Ghai
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Geetanjali Garg
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Kajal Duggal
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Pawanpreet Kaur
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Priya Dogra
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India
Mandeep Dhillon
National Institute of Nursing Education (NINE), PGIMER, Chandigarh, India

Abstract


Complementary and alternative medicine (CAM) is one of the health care approaches commonly used by patients with various health problems to promote health or to treat diseases or symptoms. The aim of the present study was to assess the use and perceived effectiveness of complementary and alternative medicine (CAM) therapies among cardiac patients. The study was carried out in cardiology OPD, Advanced Cardiac Centre (ACC), PGIMER, Chandigarh. Descriptive research design was adopted. Data were collected from 530 out-patients who met eligibility criteria using semi-structured interview schedule. The results revealed that the mean age of subjects was 56 years. Most of the subjects were from joint family. Maximum subjects belonged to middle socioeconomic class and believed in Hinduism. Most prevalent diagnosis was CAD with MI and most of them underwent PCI. Among co-morbidities diabetes and hypertension (HTN) were the most common present in the study subjects. Half of the subjects were still in pre-hypertensive stage of HTN with present treatment. Self rated health status was fair for most of the subjects (63%). Among total subjects, 225(42.7%) were using CAM. Among them, mostly half of the subjects were continuing their CAM use with conventional medicine. Ayurveda, homeopathy, garlic, low salt diet, aloevera and exercises were the most preferred CAM approaches used by the subjects. Lesser side effect was the most common reason cited by the users for CAM use. Majority of the subjects perceived CAM use to be effective and were ready to use CAM in future also. The findings suggest that essential steps should be adopted for incorporating those CAM therapies into mainstream health care services for which evidence of effectiveness exists.

Keywords


Complementary and Alternative Medicine, Perceived Effectiveness, Cardiac Patients.

References