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儿童顺势疗法:一项基于六个欧洲国家和巴西父母对其子女健康相关生活质量的代理报告的前瞻性观察性调查。

Pediatric homeopathy: a prospective observational survey based on parent proxy-reports of their children's health-related Quality of Life in six European countries and Brazil.

作者信息

Van Wassenhoven Michel, Goossens Maria, Anelli Marco, Sermeus Guy, Kupers Peter, Morgado Carlos, Martin Eduardo, Bezerra Melissa

机构信息

European Committee for Homeopathy, Secretarial Office: Medicongress, Noorwegenstraat 49 9940 Evergem, Belgium.

European Committee for Homeopathy, Secretarial Office: Medicongress, Noorwegenstraat 49 9940 Evergem, Belgium.

出版信息

Homeopathy. 2014 Oct;103(4):257-63. doi: 10.1016/j.homp.2014.05.003. Epub 2014 Jun 25.

DOI:10.1016/j.homp.2014.05.003
PMID:25439042
Abstract

BACKGROUND

Many European citizens regularly consult homeopathic doctors. Especially for children there is very little data available about the reasons they visit a homeopathic doctor. What are the expectations of the parents consulting a Homeopath MD with their child, who are they and last but not least are they satisfied with their initiative? This study including 773 children from six European countries and Brazil is aimed to look at parent-proxy satisfaction with homeopathic treatment prescribed for their children by a homeopathic doctor after a follow-up of two months. The questionnaire was developed from the methodology used in a survey of adults published in 2002.

METHOD

An initial questionnaire included demographic information and questions for assessing health-related Quality of Life (QoL). A follow-up questionnaire collected data on changes in QoL.

RESULTS

The demographic characteristics of respondents showed more male children (53.1%) but more female parent-proxies (93.4%). 73.7% of respondents had previously tried conventional treatments; 26.3% non-conventional approaches. Satisfaction with the medical homeopathic consultation was high. Reported differences between baseline and final QoL ondexes are positive for all four studied conditions. It range from 3.206 to 10.188. Considering 7% as a reference value for "minimal clinical difference", this is reached for 2 on 4 conditions (8.473 and 10.188). Changes in complaint limitations visual scales are positive, even if uncertain for skin complaints and influenced parents satisfaction. Conclusions on clinical impact must be cautious. 4.2% of patients experienced side-effects which they attribute to homeopathic treatment. 10.1% of patients reported significant aggravation at the beginning of homeopathic treatment, 19% slight aggravation of symptoms.

CONCLUSIONS

The satisfaction of parents using a medical homeopathic approach for their children is linked to the perceived competence of the doctor homeopath, the perceived improvement of the main complaint limitations and the completeness of the received information.

摘要

背景

许多欧洲公民经常咨询顺势疗法医生。尤其是对于儿童,关于他们拜访顺势疗法医生的原因,可用数据非常少。带着孩子咨询顺势疗法医学博士的父母有哪些期望?他们是谁?最后但同样重要的是,他们对自己的行为是否满意?这项研究涵盖了来自六个欧洲国家和巴西的773名儿童,旨在观察在两个月的随访后,父母作为代理人对顺势疗法医生为其孩子开的顺势疗法治疗的满意度。该问卷是根据2002年发表的一项针对成年人的调查所使用的方法制定的。

方法

初始问卷包括人口统计学信息以及用于评估与健康相关的生活质量(QoL)的问题。随访问卷收集了生活质量变化的数据。

结果

受访者的人口统计学特征显示,男孩较多(53.1%),但女性作为父母代理人的比例更高(93.4%)。73.7%的受访者此前尝试过传统治疗;26.3%尝试过非传统方法。对顺势疗法医学咨询的满意度很高。在所有四种研究病症中,报告的基线和最终生活质量指数之间的差异均为正值。范围从3.206到10.188。将7%作为“最小临床差异”的参考值,在四种病症中有两种达到了该值(8.473和10.188)。症状限制视觉量表的变化是积极的,即使皮肤症状的变化不确定且会影响父母的满意度。关于临床影响的结论必须谨慎。4.2%的患者经历了他们认为归因于顺势疗法治疗的副作用。10.1%的患者报告在顺势疗法治疗开始时症状明显加重,19%报告症状略有加重。

结论

父母使用顺势疗法为孩子治疗的满意度与他们对顺势疗法医生能力的认知、主要症状限制的感知改善以及所获得信息的完整性有关。

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