Gawde Suchita R, Shetty Yashashri C, Pawar Dattatray B
Department of Pharmacology and Therapeutics, 1st Floor Main building, Above Dean's office, Seth G.S. Medical College, KEM Hospital, Parel, Mumbai, Maharashtra, India.
Perspect Clin Res. 2013 Jul;4(3):175-80. doi: 10.4103/2229-3485.115380.
Ayurveda is most commonly practiced form of complementary and alternative medicine (CAM) in India. There are very few studies showing the knowledge, attitude, and practices (KAP) of allopathic doctors about Ayurvedic drugs and its use.
The study was initiated to assess KAP toward Ayurvedic medicine use among allopathic resident doctors.
Cross-sectional and prospective study.
After obtaining permission from the Institutional Ethics Committee, allopathic resident doctors from clinical departments were approached personally. They were given pre-formed validated questionnaire to assess KAP toward Ayurvedic medicine use.
Descriptive statistics.
Allopathic residents had little knowledge about basic concepts of Ayurveda, that is, 'panchakarma' and 'tridosha'. Majority residents (99%) had no opportunity to learn basics of Ayurveda, but 67% residents prescribed Ayurvedic medicines to patients. However, many residents (76%) mentioned that cross practice should not be allowed due to lack of knowledge. One resident knew that cross-practice was not allowed by law. The commonly prescribed proprietary Ayurvedic medicines were Liv-52 (39%), Shatavari (13%), Cystone (12%) and common ailments for which these medicines prescribed were liver disorders (34%), arthritis (18%), cough and cold (13%), kidney stones (11%), and piles (10%). Nearly 76% residents felt incorporation of Ayurveda with modern medicine would attract more patients and at the same time most residents (92%) agreed that Ayurvedic medicines need scientific testing before use. Though 50% of the residents agreed for voluntary training in Ayurveda, 80% denied compulsory training. Nearly 63% residents recommended Ayurveda among all CAMs. Most of residents heard of Ayurveda from their colleagues.
This study reveals that allopathic resident doctors had little knowledge about Ayurveda and Ayurvedic medicine use but engaged in prescription of Ayurvedic medicines. So some interventions should be taken to increase the knowledge and awareness of allopathic resident doctors about Ayurvedic medicine use.
阿育吠陀医学是印度最常用的补充和替代医学形式。很少有研究表明西医医生对阿育吠陀药物及其使用的知识、态度和实践情况。
开展这项研究以评估西医住院医生对使用阿育吠陀医学的知识、态度和实践情况。
横断面前瞻性研究。
获得机构伦理委员会许可后,亲自联系临床科室的西医住院医生。给他们发放预先设计好的经过验证的问卷,以评估其对使用阿育吠陀医学的知识、态度和实践情况。
描述性统计。
西医住院医生对阿育吠陀医学的基本概念,即“五疗法”和“三体液”了解甚少。大多数住院医生(99%)没有机会学习阿育吠陀医学基础知识,但67%的住院医生会给患者开阿育吠陀药物。然而,许多住院医生(76%)提到由于知识欠缺,不应允许交叉执业。有一位住院医生知道法律不允许交叉执业。常用的阿育吠陀专利药有Liv-52(39%)、沙塔瓦里(13%)、西司通(12%),开这些药治疗的常见疾病有肝脏疾病(34%)、关节炎(18%)、咳嗽和感冒(13%)、肾结石(11%)以及痔疮(10%)。近76%的住院医生认为将阿育吠陀医学与现代医学相结合会吸引更多患者,同时大多数住院医生(92%)同意阿育吠陀药物在使用前需要进行科学测试。尽管50%的住院医生同意接受阿育吠陀医学的自愿培训,但80%的人拒绝接受强制培训。近63%的住院医生在所有补充和替代医学中推荐阿育吠陀医学。大多数住院医生是从同事那里听说阿育吠陀医学的。
这项研究表明,西医住院医生对阿育吠陀医学及其使用了解甚少,但却从事阿育吠陀药物的处方工作。因此,应采取一些干预措施来增加西医住院医生对阿育吠陀药物使用的知识和认识。