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巴西统一卫生系统基层医疗单位的专业人员和患者的植物疗法民族医学调查。

An ethnomedicinal survey on phytotherapy with professionals and patients from Basic Care Units in the Brazilian Unified Health System.

机构信息

Postgraduate Program in Dentistry, Pelotas Dental School, Federal University of Pelotas, Gonçalves Chaves Street, 457/504, Centro District, Zipcode 96015-000, Pelotas, RS, Brazil.

出版信息

J Ethnopharmacol. 2012 Mar 27;140(2):428-37. doi: 10.1016/j.jep.2012.01.054. Epub 2012 Feb 7.

DOI:10.1016/j.jep.2012.01.054
PMID:22338646
Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

In this study, an ethnomedicinal survey was conducted in the city of Pelotas, Brazil, with professionals and patients in the Unified Health System (SUS). With the approval of the National Policy on Medicinal Plants and Herbal Medicines, and with the adoption of a National Policy on Integrative and Complementary Practices in the SUS in Brazil, there is growing concern regarding Brazilian medicinal plants and their proper use in medicine. The expansion of the therapeutic options offered to the users of the SUS includes access to medicinal plants and herbal drugs, as well as related services, such as phytotherapy. For improving health and for the social inclusion of phytotherapies, safety, efficacy, and quality are important strategies.

MATERIALS AND METHODS

Interviews of both professionals and patients were conducted at five Basic Care Units, and a sample size of 393 was obtained.

RESULTS

Of the patients attending the Basic Care Units, 91.6% had experienced the use of medicinal plants at least once to treat certain diseases. Of the professionals, 65% had used medicinal plants but only 10% prescribed phytotherapeutics to their patients. Generally, the users were homemakers (26%) of the female gender (71.5%) who were older than 60 years (26%) and had a family income between 1 and 2 Brazilian minimal salaries. The professionals were predominantly female (80%), and a high proportion (80%) believed in the positive effects of phytotherapy (80%), even though these professionals had not been taught phytotherapy as undergraduate students (75%) and had not discussed the topic with their teachers (85%). Patients (81.5%) and professionals (45%) reported that their knowledge of medicinal plants came from their parents or grandparents. From a total of 66 different herbs used by the subjects, mauve (24%) was the most commonly used, often to treat toothaches (24.2%).

CONCLUSION

It is concluded that a high proportion of users and professionals made use of medicinal plants, and of the large number of plants mentioned in the questionnaire, mauve was the most commonly used, mainly for the treatment of toothaches. The major source of the transmission of knowledge concerning herbal medicine was parents or grandparents.

摘要

民族药理学相关性

在这项研究中,对巴西佩洛塔斯市的专业人员和统一卫生系统 (SUS) 的患者进行了民族医学调查。随着国家药用植物和草药政策的批准,以及巴西在 SUS 中采用了综合和补充实践的国家政策,人们对巴西药用植物及其在医学中的正确使用越来越关注。为 SUS 用户提供的治疗选择的扩大包括获得药用植物和草药药物,以及相关服务,如植物疗法。为了改善健康和植物疗法的社会包容,安全性、有效性和质量是重要的策略。

材料和方法

在五个基础护理单位对专业人员和患者进行了访谈,共获得了 393 名样本。

结果

在接受基础护理单位治疗的患者中,91.6%至少曾因治疗某些疾病而使用过药用植物。在专业人员中,65%使用过药用植物,但只有 10%的人给他们的患者开了植物疗法处方。一般来说,使用者是家庭主妇(26%),女性(71.5%),年龄超过 60 岁(26%),家庭收入在 1 到 2 个巴西最低工资之间。专业人员主要是女性(80%),其中很大一部分(80%)相信植物疗法有积极的效果(80%),尽管这些专业人员在本科阶段没有学习过植物疗法(75%),也没有与他们的老师讨论过这个话题(85%)。患者(81.5%)和专业人员(45%)报告说,他们对药用植物的了解来自父母或祖父母。在被调查者使用的 66 种不同草药中,薰衣草(24%)是最常用的草药,常用于治疗牙痛(24.2%)。

结论

研究结论表明,很大一部分使用者和专业人员使用了药用植物,在问卷中提到的大量植物中,薰衣草是最常用的,主要用于治疗牙痛。草药知识传播的主要来源是父母或祖父母。

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