{"id":1956,"date":"2012-10-01T01:00:00","date_gmt":"2012-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/impact-des-medecines-complementaires-sur-la-qualite-de-vie-des-patients-ayant-une-maladie-inflammatoire-de-lintestin-resultats-de-lenquete-summac\/"},"modified":"2018-10-20T18:40:04","modified_gmt":"2018-10-20T16:40:04","slug":"impact-des-medecines-complementaires-sur-la-qualite-de-vie-des-patients-ayant-une-maladie-inflammatoire-de-lintestin-resultats-de-lenquete-summac","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/impact-des-medecines-complementaires-sur-la-qualite-de-vie-des-patients-ayant-une-maladie-inflammatoire-de-lintestin-resultats-de-lenquete-summac\/","title":{"rendered":"IMPACT DES MEDECINES COMPLEMENTAIRES SUR LA QUALITE DE VIE DES PATIENTS AYANT UNE MALADIE INFLAMMATOIRE DE L\u2019INTESTIN: RESULTATS DE L\u2019ENQUETE SUMMAC"},"content":{"rendered":"

2012<\/strong><\/p>\n

S. Nahon 1, P. Lahmek 2, A. Buisson 3, A. Olympie 3, C. Poupardin, B. Lesgourgues 1, V. Abitbol 4,*
\n1gastroenterology, GHI Le Raincy-Montfermeil, Montfermeil, 2Hopital Emile Roux, Limeil-Brevannes, 3Association Fran\u00e7ois Aupetit, 4gastroenterology, Hopital Cochin, Paris, France<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02012-05-07 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction
\nLes m\u00e9decines compl\u00e9mentaires (MCOM) sont largement utilis\u00e9es au cours des MICI. Cependant, leur impact sur la qualit\u00e9 de vie n\u2019a gu\u00e8re \u00e9t\u00e9 \u00e9valu\u00e9.
\nPatients et m\u00e9thode
\nDe D\u00e9cembre 2011 \u00e0 Mars 2012, nous avons conduit une enqu\u00eate sur l\u2019utilisation des MCOM aupr\u00e8s des patients atteints de MICI par l\u2019interm\u00e9diaire du site Internet de l\u2019Association Fran\u00e7ois Aupetit (AFA) (enqu\u00eate SUMMAC pour \u00ab Sur l\u2019Utilisation dans les Mici des M\u00e9decines dites Associ\u00e9es ou Compl\u00e9mentaires \u00bb). Les patients appartenant ou non \u00e0 l\u2019association et utilisant ou non ces m\u00e9decines \u00e9taient invit\u00e9s \u00e0 r\u00e9pondre \u00e0 un questionnaire cr\u00e9\u00e9 \u00e0 l\u2019aide du logiciel LimeSurvey. Le questionnaire \u00e9tait compos\u00e9 de quatre parties : 1) donn\u00e9es sociod\u00e9mographiques de la MICI, 2) traitements de la MICI, 3) type de MCOM [a) naturopathie, b) th\u00e9rapies physiques et\/ou relaxation, c) m\u00e9decines traditionnelles et hom\u00e9opathie, d) produits di\u00e9t\u00e9tiques et e) m\u00e9ditation et approche spirituelle], 4) donn\u00e9es socio-\u00e9conomiques et small IBDQ (SIBDQ). De plus, le patient notait sur une \u00e9chelle de 0 \u00e0 100 l\u2019impact de la MCOM sur les sympt\u00f4mes de sa MICI et sur sa qualit\u00e9 de vie.
\nR\u00e9sultats
\n767 (82.3%) patients ont r\u00e9pondu \u00e0 toutes les questions du questionnaire. 503 (65.6%) utilisaient une MCOM, 172 (22.4 %) n\u2019en avaient jamais utilis\u00e9e et 92 (12%) en avaient utilis\u00e9e. Les MCOM \u00e9taient bas\u00e9es sur la naturopathie dans 15.2% des cas, sur les th\u00e9rapies physiques et\/ou de relaxation dans 25.1% des cas, sur les m\u00e9decines traditionnelles ou l\u2019hom\u00e9opathie dans 19.6% des cas, sur des produits di\u00e9t\u00e9tiques dans 30.7% des cas et sur la m\u00e9ditation ou une approche spirituelle dans 9.1% des cas. Les utilisateurs de MCOM (comparativement aux non-utilisateurs) : avaient plus souvent une maladie de Crohn (OR=1.52, p=0.02), \u00e9taient en r\u00e9mission clinique (OR=1.42, p=0.06), \u00e9taient membres de l\u2019AFA (OR=1.95, p=0.0001), avaient un niveau d\u2019\u00e9tude sup\u00e9rieur (OR=1.51, p=0.02), arr\u00eataient plus fr\u00e9quemment leur traitement (OR=9.3, p50 (OR=1.64, p=0.01). Les r\u00e9sultats concernant l\u2019am\u00e9lioration des sympt\u00f4mes de la MICI et de la qualit\u00e9 de vie par la MCOM sont pr\u00e9sent\u00e9s dans le tableau 1. Le gastroent\u00e9rologue \u00e9tait inform\u00e9 par son patient de l\u2019utilisation d\u2019une MCOM dans 46% des cas.<\/p>\n

Table 1
\n \tAm\u00e9lioration des sympt\u00f4mes de la MICI\tAm\u00e9lioration de la qualit\u00e9 de vie<\/p>\n

\tM\u00e9diane (IQR)\tMoyenne \u00b1 SD\tM\u00e9diane (IQR)\tMoyenne \u00b1 SD
\nNaturopatie\t50 (20-71)\t47\u00b130.3\t60 (25-80)\t52.8\u00b131.6
\nTh\u00e9rapies physiques et\/ou de relaxation\t60 (20-72)\t49.1\u00b130.8\t70 (41-80)\t60.1\u00b129.6
\nm\u00e9decines traditionnelles et hom\u00e9opathie\t60 (20-76)\t50.4\u00b132.2\t68 (25-80)\t54.4\u00b131.1
\nProduits di\u00e9t\u00e9tiques\t63 (22-80)\t53.4\u00b132.9\t65 (25-80)\t55.5\u00b132.6
\nM\u00e9ditation et approche spirituelle\t34 (0-70)\t38.7\u00b135.7\t50 (0-80)\t43.5\u00b137.8
\nCONCLUSION:
\nCette \u00e9tude confirme la large utilisation des MCOM au cours des MICI. Les utilisateurs de MCOM semblent avoir une meilleure qualit\u00e9 de vie et ont tendance \u00e0 arr\u00eater plus fr\u00e9quemment leur traitement. Tous les types de MCOM am\u00e9liorent \u00e0 la fois les sympt\u00f4mes de la MICI et la qualit\u00e9 de vie except\u00e9e pour les approches spirituelles. Il para\u00eet utile d\u2019aborder ce th\u00e8me avec nos patients afin notamment de les encourag\u00e9s \u00e0 poursuivre leur traitement.<\/p>\n","protected":false},"excerpt":{"rendered":"

2012 S. Nahon 1, P. Lahmek 2, A. Buisson 3, A. Olympie 3, C. Poupardin, B. Lesgourgues 1, V. Abitbol 4,* 1gastroenterology, GHI Le Raincy-Montfermeil, Montfermeil, 2Hopital Emile Roux, Limeil-Brevannes, 3Association Fran\u00e7ois Aupetit, 4gastroenterology, Hopital Cochin, Paris, France Gastroent\u00e9rologie – \u00a02012-05-07 –\u00a0CO – ________________________________ Introduction Les m\u00e9decines compl\u00e9mentaires (MCOM) sont largement utilis\u00e9es au cours des […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[23],"class_list":["post-1956","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-23"],"yoast_head":"\nIMPACT DES MEDECINES COMPLEMENTAIRES SUR LA QUALITE DE VIE DES PATIENTS AYANT UNE MALADIE INFLAMMATOIRE DE L\u2019INTESTIN: RESULTATS DE L\u2019ENQUETE SUMMAC - 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