家庭医学医生关于使用非传统方法管理更年期症状的建议。

Grant Kathryn, Burg Mary Ann, Fraser Kathryn, Gui Serena, Kosch Shae Graham, Nierenberg Barry, Oyama Oliver, Pomm Heidi, Sibille Kimberly, Spruill Timothy, Swartz Virginia

University of Florida, Gainesville, Florida 32610, USA.

J Womens Health (Larchmt). 2007 May;16(4):517-25. doi: 10.1089/jwh.2006.0268.

AIMS

This study explores the beliefs and practices of family medicine physicians regarding the use of nonconventional modalities for menopausal symptom management.

METHODS

Anonymous self-administered questionnaires were distributed to faculty and residents from eight participating family medicine residency programs around Florida, with an overall response rate of 66% (212 respondents). The survey explored what physicians report about patterns of patient inquiries and their responses to patients' inquiries about nonconventional modalities for specific menopausal symptoms and what physicians' report on their advice to patients about using specific herbs and supplements for menopausal symptom relief.

RESULTS

Behavioral approaches were encouraged more than herbal therapies, acupuncture, and body therapies for the treatment of most of the menopausal symptoms. However, the most frequent response category was No advice. Resident physicians were significantly more likely than faculty to encourage acupuncture. Faculty physicians were more likely than residents to recommend particular herbal remedies. The majority of the respondents believed there was not sufficient evidence for recommending any of the herbs and supplements listed.

CONCLUSIONS

These data reveal some important trends about how family medicine physicians respond to nontraditional approaches for menopausal symptom management. Because family medicine physicians typically receive some training in behavioral and psychotherapeutic approaches and there is some evidence for the effectiveness of behavioral strategies in menopausal symptom management, it is not surprising that they are more likely to endorse these approaches. Most family medicine physicians, however, have little or no training in the other nonconventional modalities, and our data show that these modalities received lower levels of endorsement, suggesting that physicians are not clear on their advantages or disadvantages.

目的

本研究探讨家庭医学医生在使用非传统方法管理更年期症状方面的观念和做法。

方法

向佛罗里达州八个参与家庭医学住院医师项目的教职员工和住院医师发放了匿名自填式问卷，总体回复率为66%（212名受访者）。该调查探讨了医生报告的患者咨询模式以及他们对患者关于特定更年期症状的非传统方法咨询的回应，以及医生向患者提供的关于使用特定草药和补充剂缓解更年期症状的建议。

结果

在治疗大多数更年期症状时，行为方法比草药疗法、针灸和身体疗法更受鼓励。然而，最常见的回应类别是不提供建议。住院医师比教职员工更有可能鼓励使用针灸。教职员工比住院医师更有可能推荐特定的草药疗法。大多数受访者认为没有足够的证据推荐所列的任何草药和补充剂。

结论

这些数据揭示了家庭医学医生对更年期症状管理的非传统方法的一些重要趋势。由于家庭医学医生通常在行为和心理治疗方法方面接受过一些培训，并且有一些证据表明行为策略在更年期症状管理中有效，因此他们更有可能认可这些方法并不奇怪。然而，大多数家庭医学医生在其他非传统方法方面几乎没有或没有接受过培训，我们的数据表明这些方法得到的认可程度较低，这表明医生对它们的优缺点并不清楚。