M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati
M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati
commonly used methods were massage, chiropractic, and acupuncture as well as local herbal therapy (herbal extract ointments). We found no statistically significant association between the gender and use of alternative and complementary therapy (Table 1). Table 1. Association between patients` gender and use of alternative and complementary therapy Gender Users Non-users Total x 2 =0.001 Female 58 20 78 Male 76 26 102 Total 134 46 180 p=0.97 p>0.05 On the other hand, we found a strong statistically significant association between the marital status and use of these therapies. Married patients referred to alternative and complementary medicine much more commonly then single ones (under "single" we included the patients that were never married, those that were divorced and widowed) (Table 2). Table 2. Association between patients` marital status and use of alternative and complementary therapy Marital status Users Non-users Total married 98 15 113 Single (divorced and widowed included) 36 31 67 Total 134 46 180 x 2 =24.068 p0.05 We asked the users if they have informed their physician about the use of alternative and complementary therapy. Our results showed that 82 patients (61,2%) have
informed their doctor for use of alternative and complementary therapy and the rest 52 patients (38.8%) have not disclosed that information to their doctor (Table 4). Table 4. Disclosure of the information for use of alternative and complementary therapy to the doctor DISCUSSION Disclosure of the information for use of alternative and complementary therapy to the doctor Users Yes 82 No 52 Total 134 Our study showed that 134 patients (74.4%) of the patients interviewed used some kind of alternative or complementary measure for treating existing musculoskeletal disorders. Murray and Shephard (1993) [14] found that 43 percent of the patients sampled had used manipulative treatment, including osteopathy, massage, chiropractic, and acupuncture. Pain, specifically when it involves the back, is the most common condition for which alternative medicine therapies were sought. In the study conducted by Eisenberg DM et al, (1993) [15] , 20% of the patients used unconventional therapy for back problems and 29% due to arthritis and sprains or strains. Furthermore, the study by Moore J et al, (1985) [16] confirmed that the most common reason for use of alternative therapy by patients in London is pain (45% of the interviewed), followed by stress, depression and fatigue. In general, studies show that the conditions for which people seek alternative care seem to have one common denominator - they are chronic. It does not appear, however, that patients are abandoning conventional medicine. In fact, many studies have shown that patients who use alternative methods also continue to use traditional medicine [15] [17] . The results of our study showed that massage, chiropractic, acupuncture and local herbal therapy were most commonly used methods among patients suffering from musculoskeletal disorders. The results of similar studies also showed that chiropractic, herbal therapy and food supplements are among the most commonly used alternative measures [11] [13] . Although there are studies showing the therapeutic efficacy of alternative therapy, there are risks and unwanted effects associated with their use. Most commonly, severe unwanted effects occur as a result of spinal manipulations. There is a risk of transmitting infection in cases where not sterile needles were used. The most problematic contraindication of acupuncture is the presence of a cardiac pacemaker when electrical stimulation on needles is indicated. There is a traditional contraindication to using acupuncture in the first trimester of pregnancy and certain points to be avoided thereafter. Some of the forbidden points are anatomically related to the uterus, and some are powerful autonomic switches, so caution is reasonable [18] .
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commonly used methods were massage, chiropractic, and acupuncture as well as local<br />
herbal therapy (herbal extract ointments). We found no statistically significant<br />
association between the gender and use of alternative and complementary therapy (Table<br />
1).<br />
Table 1.<br />
Association between patients` gender and use of alternative and complementary<br />
therapy<br />
Gender Users Non-users Total x 2 =0.001<br />
Female 58 20 78<br />
Male 76 26 102<br />
Total 134 46 180<br />
p=0.97<br />
p>0.05<br />
On the other hand, we found a strong statistically significant association between<br />
the marital status and use of these therapies. Married patients referred to alternative and<br />
complementary medicine much more commonly then single ones (under "single" we<br />
included the patients that were never married, those that were divorced and widowed)<br />
(Table 2).<br />
Table 2.<br />
Association between patients` marital status and use of alternative and<br />
complementary therapy<br />
Marital status Users Non-users Total<br />
married 98 15 113<br />
Single (divorced and<br />
widowed included)<br />
36 31 67<br />
Total 134 46 180<br />
x 2 =24.068<br />
p0.05<br />
We asked the users if they have informed their physician about the use of<br />
alternative and complementary therapy. Our results showed that 82 patients (61,2%) have