Patient Experiences using Complementary and Alternative Medicine for Type 2 Diabetes Mellitus in Thailand
Keywords:
complementary and alternative medicine, nursing, Phenomenology, Qualitative, Thailand, Type 2 diabetes mellitusAbstract
The use of complementary and alternative medicine among patients with diabetes is becoming more common. However, knowledge is limited about this in Thailand. This study explored experiences of CAM use in Thai patients with type 2 diabetes. A phenomenological methodology was undertaken in the study. Thirty-one Thai patients with diabetes were interviewed in depth and data were analyzed by Colaizzi’s method.
The participants’ experiences were categorized into 3 themes: seeking CAM information from various sources, CAM use patterns, and disclosing CAM use to health care providers. The participants gained knowledge of CAM from family, friends, CAM providers, and multi-media. Importantly they often did not disclose their use of alternative medicines if their health providers did not ask about them. Findings indicate that nurses should foster open communication and create a non-threatening environment where these patients will feel comfortable about CAM conversation. It is imperative that medical staff know about CAM use when other more traditional medicines are prescribed so as to avoid complications.
References
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18. Al-Eidi S, Tayel S, Al-Slail F, Qureshi NA, Sohaibani I, Khalil M, Al-Bedah AM. Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementaryand alternative medicine. J Integr Med. 2016; 14(3): 187–196.
19. UI Haq N, Saeed S, Iqbal Q, Naseem A, Razaq G, & Faroogui M. Purpose, belief and rate of disclosure of CAM use among diabetic patients in Quetta, Pakistan.Value Health. 2015; 18:A865-6. doi: 10.1016/j.jval.2015.09.517. Epub 2015 Oct 20.
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23. Lincoln YS, Guba E. Naturalistic inquiry. Beverly Hills (CA):Sage; 1985.
24. Chang HY, Wallis M, Tiralongo E, Wang HL. Decision-makingrelated to complementary and alternative medicine use by people with Type 2 diabetes: A qualitative study. J Clin Nurs. 2012; 21: 3205-3215.
25. Rutebemberwa E, Lubega M, Katureebe SK, Oundo A, Kiweewa F, Mukanga D. Use of traditional medicine for the treatment of diabetes in Eastern Uganda: A qualitative exploration of reasons for choice. BMC Int Health Hum Rights. 2013; 13. [cited 2016 March 18]. Available from URL: https://www.biomedcentral.com/1472-698X/ 13/1.
26. Low LL Tong SF, Low WY. Social influences of help-seeking behaviour among patients with type 2 diabetes mellitus in Malaysia. Asia Pac J Public Health. 2016; 28: 17S-25S. doi: 10.1177/1010539515596807.
27. Nakasone RY. Eye on religion: Buddhism. Southern Med J. 2007; 100: 652-653.
28. Meecharoen W, Northouse LL, Sirapo-ngam Y Monkong S. SAGE Open 2013; 3: DOI:10.1177/2158244013 500280
29. Tangkiatkumjai M, Boardman H, Praditpornsilpa K, Walker DM. Reasons why Thai patients with chronic kidney disease use or do not use herbal and dietary supplements. BMC Complement Altern Med. 2014; 14: 473. doi: 10.1186/1472- 6882-14-473.
30. Atwine F, Hultsjö S, Albin B, Hjelm K. Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: A study of focus group interviews. Pan Afr Med J. 2015; 20: 76. doi: 10.11604/pamj.2015.20.76.5497. eCollection 2015.
31. Sirisupluxana P, Sripichyakan K, Wonghongkul T, SethaboupphaH, Pierce PF. The meaning of complementary therapy from the perspective of Thai women with breast cancer. Nurs Health Sci. 2009;11: 64-70.
32. Tangkiatkumjai M, Boardman H, Praditpornsilpa K, Walker DM. Reasons why Thai patients with chronic kidney disease use or do not use herbal and dietary supplements. BMC Cmoplement Altern Med. 2014 Dec 6;14:473. doi: 10.1186/1472-6882-14-473.
33. Jansiraninatarajan. Diabetic compliance: A qualitative study from the patient’s perspective in developing countries. Journal of Nursing and Health Science 2013; 1: 29-38.
2. International Diabetes Federation Diabetes Atlas, 7th ed. [cited 2016 April 6]. .Available from URL: https://www.diabetesatlas.org/faq.html.
3. Bureau of Non Communicable diseases, Ministry of Public Health, Thailand. The number and rate of new patients with diabetes mellitus (E10-E14) per 100,000 population (all diagnoses), year 2007 to 2014, classified by province, district health services, and the whole country (including Bangkok). [cited 2016 April 6]. Available from URL: https://thaincd.com/information-statistic/non-communicable-disease-data.php.
4. Low LL, Tong SF, Low WY. Selection of treatment strategies among patients with type 2 diabetes mellitus in Malaysia: A grounded theory approach. PLoS ONE. 2016; 118 : e0147127. doi:10.1371/journal.pone.0147127.
5. Chang H, Wallis M, Tiralongo E. Use of complementary and alternative medicine among people living with diabetes: literature review. J Adv Nurs. 2007. 58: 307-319.
6. Naja F, Mousa D, Alameddine M, Shoaib H, Itani L, Mourad Y. Prevalence and correlates of complementary and alternative medicine use among diabetic patients in Beirut, Lebanon: a cross-sectional study. BMC Complement Altern Med. 2014; 14: 185.
7. Fan PE, Chan MF, Chan YL, Koh SL. Patterns of complementaryand alternative medicine use among a group of patients with type 2 diabetes receiving outpatient care in Singapore. International Journal of Nursing Practice. 2013; 19: 44-55.
8. Lui CW, Dower J, Donald M, Coll JR. Patterns and determinants of complementary and alternative medicine practitioner use among adults with diabetes in Queensland, Australia. Evid Based Complement Alternat Med. 2012; 659419. doi: 10.1155/2012/659419. Epub 2012 Aug 7.
9. National Center for Complementary and Integrative Health. Complementary, alternative, or integrative health: what’s in a name? [cited 2016 March l8].Available from URL: https://nccih.nih.gov/health/integrative-health#types.
10. Ali-Shtayeh MS, Jamous RM, Jamous RM. Complementary and alternative medicine use amongst Palestinian diabetic patients. Complement Ther Clin Prac. 2012; 18: 16-21.
11. Chang HY, Wallis M, Tiralongo E. Use of Complementary and alternative medicine among people with type 2 diabetes in Taiwan: A cross-sectional survey. Evid Based Complement Alternat Med. 2011 doi: 10.1155/2011/983792. Epub 2010 Sep 8.
12. Mollaoğlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat. 2013; 52: 181-188.
13. Ching SM, Zakaria ZA, Paimin F, Jalalian M. Complementary alternative medicine use among patients with type 2 diabetes mellitus in the primary care setting: A cross-sectional study in Malaysia. BMC Complement Altern Med. 2013; 13: 148.
14. Ernst E. Complementary medicine: its hidden risks. Diabetes Care 2001; 24: 1486-1488.
15. Huri HZ, Lian GTP, Hussain S, Pendek R, Teguh R. A survey amongst complementary alternative medicine (CAM) users with type 2 diabetes. Int J Diabetes & Metabolism. 2009;17: 9-15.
16. Birdee GS & Yeh G. Complementary and alternative medicine therapies for diabetes: A clinical review. Clinical Diabetes. 2010; 28: 147-155.
17. Moolasarn S, Sripa S, Kuessirikiet V, Sutawee K, Huasary J, Chaisila C, Chechom N, Sankan S. Usage of and cost of complementary/alternative medicine in diabetic patients. J Med Assoc Thai. 2005; 88: 1630-1637.
18. Al-Eidi S, Tayel S, Al-Slail F, Qureshi NA, Sohaibani I, Khalil M, Al-Bedah AM. Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementaryand alternative medicine. J Integr Med. 2016; 14(3): 187–196.
19. UI Haq N, Saeed S, Iqbal Q, Naseem A, Razaq G, & Faroogui M. Purpose, belief and rate of disclosure of CAM use among diabetic patients in Quetta, Pakistan.Value Health. 2015; 18:A865-6. doi: 10.1016/j.jval.2015.09.517. Epub 2015 Oct 20.
20. Montross-Thomas LP, Meier EA, Reynolds-Norolahi K, Raskin EE., Slater D, Mills PJ., MacElhern L, & Kallenberg G. J Altern Complement Med. 2017, ahead of print. doi: 10.1089/acm.2016.0288.
21. Lambert, VA & Lambert CE. Philosophical basis for phenomenological research. Pacific Rim Int J Nurs Res. 2010; 14: 183-185.
22. Colaizzi P. Psychological research as the phenomenologist viewsit. In R Vale & M King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48-71). New York: Oxford University Press, 1978.
23. Lincoln YS, Guba E. Naturalistic inquiry. Beverly Hills (CA):Sage; 1985.
24. Chang HY, Wallis M, Tiralongo E, Wang HL. Decision-makingrelated to complementary and alternative medicine use by people with Type 2 diabetes: A qualitative study. J Clin Nurs. 2012; 21: 3205-3215.
25. Rutebemberwa E, Lubega M, Katureebe SK, Oundo A, Kiweewa F, Mukanga D. Use of traditional medicine for the treatment of diabetes in Eastern Uganda: A qualitative exploration of reasons for choice. BMC Int Health Hum Rights. 2013; 13. [cited 2016 March 18]. Available from URL: https://www.biomedcentral.com/1472-698X/ 13/1.
26. Low LL Tong SF, Low WY. Social influences of help-seeking behaviour among patients with type 2 diabetes mellitus in Malaysia. Asia Pac J Public Health. 2016; 28: 17S-25S. doi: 10.1177/1010539515596807.
27. Nakasone RY. Eye on religion: Buddhism. Southern Med J. 2007; 100: 652-653.
28. Meecharoen W, Northouse LL, Sirapo-ngam Y Monkong S. SAGE Open 2013; 3: DOI:10.1177/2158244013 500280
29. Tangkiatkumjai M, Boardman H, Praditpornsilpa K, Walker DM. Reasons why Thai patients with chronic kidney disease use or do not use herbal and dietary supplements. BMC Complement Altern Med. 2014; 14: 473. doi: 10.1186/1472- 6882-14-473.
30. Atwine F, Hultsjö S, Albin B, Hjelm K. Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: A study of focus group interviews. Pan Afr Med J. 2015; 20: 76. doi: 10.11604/pamj.2015.20.76.5497. eCollection 2015.
31. Sirisupluxana P, Sripichyakan K, Wonghongkul T, SethaboupphaH, Pierce PF. The meaning of complementary therapy from the perspective of Thai women with breast cancer. Nurs Health Sci. 2009;11: 64-70.
32. Tangkiatkumjai M, Boardman H, Praditpornsilpa K, Walker DM. Reasons why Thai patients with chronic kidney disease use or do not use herbal and dietary supplements. BMC Cmoplement Altern Med. 2014 Dec 6;14:473. doi: 10.1186/1472-6882-14-473.
33. Jansiraninatarajan. Diabetic compliance: A qualitative study from the patient’s perspective in developing countries. Journal of Nursing and Health Science 2013; 1: 29-38.
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Published
2017-08-07
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Wanchai A, Phrompayak D. Patient Experiences using Complementary and Alternative Medicine for Type 2 Diabetes Mellitus in Thailand. PRIJNR [Internet]. 2017 Aug. 7 [cited 2024 Apr. 20];21(4):331-40. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/73147
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