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患者和医生对补充与替代医学的态度及实践

Attitude and practice of patients and doctors towards complementary and alternative medicine.

作者信息

Junaid Rabyyan, Abaas Mustafa, Fatima Batool, Anis Irma, Hussain Mehwish

机构信息

Dow Medical College Campus, Karachi.

出版信息

J Pak Med Assoc. 2012 Aug;62(8):865-8.

PMID:23862273
Abstract

OBJECTIVES

To determine the attitude towards complementary and alternative medicine among the doctors and patients.

METHODS

The study was carried out at Civil Hospital Karachi and Liaquat National University Hospital, Karachi during April to September 2010. Two sets of questionnaires were developed separately for doctors and patients. Each set consisted of queries regarding demographic data of patients and doctors. The questionnaire for the patients contained questions reflecting the general attitude, mode of complimentary and alternative medicine usage, disease referred and the underlined reasons behind pricking the options. The questionnaires for doctors in general laid focus on the personal opinion about the practice not only for their own use, but also related to their concern towards those patients who used complimentary and alternative medicine. Predictive analysis software statistics 18 was used for statistical analysis.

RESULTS

Of the patients, 237 (59.3%) used complimentary and alternative medicine. Herbal medicine followed by homeopathic medicine were the most commonly used therapies. Fever and cough were the most common diseases for which patients used the options. The preference was mainly based on inter-personal communications, reliance on complimentary and alternative medicine, and financial restriction. Concealing from the doctors was common in patients. Only 62 (34.4%) out of 180 doctors used complimentary and alternative medicine themselves. Refusal by other doctors was because they considered the option ineffective, obsolete and unsatisfactory. About half of the doctors forbade the patients to use such therapies, but 31% (n=73) patients ignored the doctor's advice.

CONCLUSION

The use of complimentary and alternative medicine is highly prevalent in our society by patients irrespective of their social class. Preference for such therapies, on the other hand, is quite low among medical doctors as they consider allopathic medicine to be effective.

摘要

目的

确定医生和患者对补充替代医学的态度。

方法

2010年4月至9月期间在卡拉奇市民医院和卡拉奇利亚卡特国立大学医院开展该研究。分别为医生和患者设计了两套问卷。每套问卷都包含有关患者和医生人口统计学数据的问题。患者问卷包含反映总体态度、补充替代医学使用方式、提及的疾病以及选择这些方式背后潜在原因的问题。医生问卷总体上不仅关注他们对这种做法的个人看法(不仅是为了自身使用,还涉及他们对使用补充替代医学的患者的关注)。使用预测分析软件统计18进行统计分析。

结果

在患者中,237人(59.3%)使用补充替代医学。草药医学其次是顺势疗法是最常用的疗法。发热和咳嗽是患者使用这些方式最常见的疾病。这种偏好主要基于人际交流、对补充替代医学的依赖以及经济限制。患者向医生隐瞒使用情况很常见。180名医生中只有62人(34.4%)自己使用补充替代医学。其他医生拒绝是因为他们认为这些方式无效、过时且不尽人意。约一半的医生禁止患者使用此类疗法,但31%(n = 73)的患者无视医生的建议。

结论

无论社会阶层如何,补充替代医学在我们社会中患者的使用都非常普遍。另一方面,医生对这类疗法的偏好相当低,因为他们认为西医有效。

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