Schveitzer Mariana Cabral, Zoboli Elma Lourdes Campos Pavone
School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Department of Nursing in Community Health, School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2014 Aug;48 Spec No:184-91. doi: 10.1590/S0080-623420140000500026. Epub 2014 Aug 1.
Objective To identify the understanding of the healthcare professionals in relation to the role of complementary therapies in primary health care. Method Systematic review by way of the following information sources: PubMed, CINAHL, PeriEnf, AMED, EMBASE, Web of Science, Psicoinfo and Psicodoc, using the keyword Primary Health Care alone, and associated with the following keywords: Medicinal Plants, Herbal Medicine, Homeopathy, Traditional Chinese Medicine, Acupuncture, Anthroposophical Medicine. Results Twenty-two studies from 1986 to 2011 were included. We identified three styles of practice: conventional medicine, complementary therapies and integrative medicine. Positioning professional practices within these three styles may facilitate discussion of concepts of health care, enhancing the health care provided as a result. Conclusion The work process in primary care presents difficulties for conducting integrative and holistic health care, but this practice has been introduced over time by professionals who integrate conventional medicine and complementary therapies, concerned with the care and well-being of patients.
目的 确定医疗保健专业人员对补充疗法在初级卫生保健中作用的理解。方法 通过以下信息来源进行系统综述:PubMed、CINAHL、PeriEnf、AMED、EMBASE、科学网、Psicoinfo和Psicodoc,仅使用关键词“初级卫生保健”,并与以下关键词相关联:药用植物、草药医学、顺势疗法、中医、针灸、人智医学。结果 纳入了1986年至2011年的22项研究。我们确定了三种实践方式:传统医学、补充疗法和整合医学。将专业实践定位在这三种方式中可能有助于对医疗保健概念的讨论,从而提高所提供的医疗保健水平。结论 初级保健中的工作流程给开展整合性和整体性医疗保健带来了困难,但随着时间的推移,关注患者护理和福祉的将传统医学与补充疗法相结合的专业人员引入了这种实践。