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The use of complementary and alternative medicine (CAM) has become more prevalent among chronic disease patients. Moreover, health-related quality of life (HRQoL) related to cardiovascular disease (CVD) is a vital assessment for health intervention and treatment outcome. Hence, this study attempted to determine the knowledge and use of CAM among CVD patients and their HRQoL. A cross-sectional study was conducted among ninety CVD patients at the cardiology specialist clinic in Hospital Sultanah Bahiyah, Kedah using a purposive and convenience sampling method. A self-administered questionnaire was used to collect their clinical characteristics, knowledge of CAM and pattern usage, while Minnesota Living with Heart Failure Questionnaire was used to determine HRQoL. The data was analysed using multiple response analysis, Mann-Whitney and Chi-Square tests. The knowledge level among respondents was fair with a median score of 53.33%. Furthermore, 63.3% respondents use CAM, while potential improvement in condition (71.9%) and fear of side effects (66.7%) were the most cited reasons for CAM use and non -CAM use, respectively. The most common type of CAM reported was biological-based therapies (91.2%). The main purpose of using CAM was to maintain general health and improve well-being (82.5%). Majority were satisfied with CAM effectiveness (78.9%) and claimed that they did not experience any side effect from CAM use (96.5%). Family and friends (70.2%) were the main sources of CAM recommendation, while 56.1% did not disclose the use of CAM to their doctor. The HRQoL score (median 18) among CVD respondents were deemed to be good. However, no significant difference in HRQoL between CAM users and non-users was noted. In addition, no significant association was found between knowledge level and CAM usage, while only gender and marital status was significantly associated (p<0.05) with CAM use. The use of CAM among CVD patients was not significantly influenced by their knowledge of CAM and did not show any significant improvement in HRQoL although more than half were CAM users.

Knowledge, use of complementary alternative medicine and health-related quality of life among cardiovascular disease patients