Jong Mats, Lundqvist Veronica, Jong Miek C
Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Louis Bolk Institute, Driebergen, The Netherlands.
Scand J Caring Sci. 2015 Dec;29(4):642-50. doi: 10.1111/scs.12192. Epub 2015 Jan 27.
No data exist on the percentage of licensed nurses in Sweden who practise a form of complementary and alternative medicine (CAM).
To investigate the use, practice, perception and knowledge of CAM among a representative sample of licensed nurses in Sweden.
A cross-sectional descriptive anonymous survey on CAM-related issues was distributed between April and June 2012 to 1200 licensed nurses who were member of the Swedish Association of Health Professionals (Vårdförbundet).
A total of 335 nurses (28%) responded to the survey of which 83% reported to have used at least one CAM method for self-care. Massage (59.7%), dietary supplements (51.3%) and mind-body therapies (24.8%) were most frequently used. CAM practice was reported by 11 and 43% of the nurses wished to practise a CAM method in the future. Main barriers for practise of CAM were lack of knowledge, lack of scientific evidence and little knowledge on legislative issues concerning CAM. A high proportion (73%) of nurses never or seldom asked patients about CAM use although 59.1% opined that health-care personnel should inform clients about CAM when they ask for it. Having knowledge about CAM was found to be significantly (p < 0.05) associated with a higher odds of respondents to ask their patients about CAM use (OR 3.3; CI 1.4-7.6). Similar findings on CAM use, knowledge and perception were observed in a confirmatory analysis among an additional convenience sample of 625 nurses in Sweden.
Licensed nurses in Sweden seemed to have an overall positive attitude towards CAM. Although CAM practice was low, a substantial number wished to practise a CAM method in the future. Main barrier for CAM practise and communication was lack of knowledge and evidence, emphasizing the need for structural education, information and research on CAM in Sweden.
目前尚无关于瑞典执业护士中采用补充和替代医学（CAM）形式的比例的数据。
调查瑞典执业护士代表性样本中CAM的使用、实践、认知和知识情况。
2012年4月至6月间，对瑞典卫生专业人员协会（Vårdförbundet）的1200名执业护士进行了一项关于CAM相关问题的横断面描述性匿名调查。
共有335名护士（28%）回复了调查，其中83%报告曾使用至少一种CAM方法进行自我保健。最常使用的方法是按摩（59.7%）、膳食补充剂（51.3%）和身心疗法（24.8%）。11%的护士报告有CAM实践，43%的护士希望未来采用一种CAM方法。CAM实践的主要障碍是缺乏知识、缺乏科学证据以及对CAM立法问题了解甚少。尽管59.1%的护士认为医护人员应在患者询问时告知其有关CAM的信息，但仍有很大比例（73%）的护士从未或很少询问患者是否使用CAM。发现了解CAM知识与受访者询问患者是否使用CAM的较高几率显著相关（p<0.05）（比值比3.3；置信区间1.4 - 7.6）。在瑞典另外625名护士的便利样本的验证性分析中，观察到关于CAM使用、知识和认知的类似结果。
瑞典执业护士似乎对CAM总体持积极态度。尽管CAM实践较少，但相当一部分人希望未来采用一种CAM方法。CAM实践和沟通的主要障碍是缺乏知识和证据，这凸显了瑞典对CAM进行结构化教育、信息提供和研究的必要性。
