Jastrowski Mano Kristen E, Davies W Hobart
Department of Anesthesiology, Medical College of Wisconsin, Jane B. Pettit Pain and Palliative Care Center, MS 792, Children's Hospital of Wisconsin, 9000 W. Wisconsin Avenue, Milwaukee, WI 53226, USA.
J Altern Complement Med. 2009 Jun;15(6):661-8. doi: 10.1089/acm.2008.0449.
The primary objective of this study was to investigate parental attitudes toward acupuncture for their child. No known research has explored how medical providers discuss acupuncture with families or specific concerns parents have about acupuncture. This study examined whether acupuncture attitudes were influenced by (1) the way acupuncture is explained to parents by a physician and (2) parental experience with acupuncture.
Parents (N = 240) read vignettes that varied in a 2 (Physician Description of Acupuncture: Traditional Chinese Medicine versus biomedical) x 2 (Gender: male versus female) design and responded to questions assessing their attitudes toward acupuncture.
A factor analysis of the vignette questions resulted in two factors: acupuncture acceptability (alpha = 0.88) and information seeking (alpha = 0.70). Previous experience with acupuncture significantly increased acupuncture acceptability and reduced interest in information seeking. Parents with experience were more likely to report wanting to pursue acupuncture for their child. A biomedical explanation led to increased acceptability and interest in pursuing information among parents with experience (d = 0.36), and significantly predicted parental agreement with the vignette item, "I would have my child receive acupuncture treatment." Common acupuncture concerns included fear of needles and acupuncture ineffectiveness.
Parents' experience with acupuncture, regardless of its perceived helpfulness, appears to play an important role in their consideration of acupuncture for their child. Additional research is needed to fully understand the importance of the way acupuncture is presented to families, as it appears to impact parental attitudes in subtle ways. Parents have numerous concerns regarding acupuncture. Our findings suggest that providers would benefit from increased awareness of families' interest in and use of complementary and alternative medicine so as to better monitor safety, provide advice, and discuss treatment expectations and misconceptions.
本研究的主要目的是调查父母对其子女接受针灸治疗的态度。目前尚无已知研究探讨医疗服务提供者如何与家庭讨论针灸治疗,或父母对针灸治疗的具体担忧。本研究考察了针灸态度是否受到以下因素的影响:(1)医生向父母解释针灸的方式;(2)父母的针灸经历。
240名父母阅读了采用2(医生对针灸的描述:中医与生物医学)×2(性别:男与女)设计的不同短文,并回答评估他们对针灸态度的问题。
对短文问题进行因素分析得出两个因素:针灸可接受性(α=0.88)和信息寻求(α=0.70)。先前的针灸经历显著提高了针灸可接受性,并降低了信息寻求兴趣。有过针灸经历的父母更有可能表示希望让孩子接受针灸治疗。生物医学解释使有过针灸经历的父母的可接受性和寻求信息的兴趣增加(d=0.36),并显著预测了父母对短文项目“我会让我的孩子接受针灸治疗”的认同。常见的针灸担忧包括害怕针头和针灸无效。
父母的针灸经历,无论其认为是否有帮助,似乎在他们考虑让孩子接受针灸治疗中起着重要作用。需要进一步研究以充分理解向家庭介绍针灸方式的重要性,因为它似乎以微妙的方式影响父母的态度。父母对针灸有诸多担忧。我们的研究结果表明,医疗服务提供者若能提高对家庭对补充和替代医学的兴趣及使用情况的认识,将有助于更好地监测安全性、提供建议并讨论治疗期望和误解。