Brambila-Tapia Aniel Jessica Leticia, Rios-Gonzalez Blanca Estela, Lopez-Barragan Liliana, Saldaña-Cruz Ana Miriam, Rodriguez-Vazquez Katya
Departamento de Fisiología, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, #950, colonia Independencia Oriente, Guadalajara, Jalisco, Mexico C.P. 44340.
Unidad Médico Familiar #34, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, Mexico.
Explore (NY). 2016 May-Jun;12(3):180-7. doi: 10.1016/j.explore.2016.02.002. Epub 2016 Mar 3.
The use of complementary and alternative medicine (CAM) has increased in many countries, and this has altered the knowledge, attitudes, and treatment recommendations of health professionals in regard to CAM.
Considering Mexican health professionals׳ lack of knowledge of CAM, in this report we surveyed 100 biomedical researchers and Ph.D. students and 107 specialized physicians and residents of a medical specialty in Guadalajara, México (Western Mexico) with a questionnaire to address their attitudes, knowledge, use, and recommendation of CAM.
We observed that significantly more researchers had ever used CAM than physicians (83% vs. 69.2%, P = .023) and that only 36.4% of physicians had ever recommended CAM. Female researchers tended to have ever used CAM more than male researchers, but CAM use did not differ between genders in the physician group or by age in either group. Homeopathy, herbal medicine, and massage therapy were the most commonly used CAMs in both the groups. Physicians more frequently recommended homeopathy, massage therapy, and yoga to their patients than other forms of CAM, and physicians had the highest perception of safety and had taken the most courses in homeopathy. All CAMs were perceived to have high efficacy (>60%) in both the groups. The attitude questionnaire reported favorable attitudes toward CAM in both the groups.
We observed a high rate of Mexican health professionals that had ever used CAM, and they had mainly used homeopathy, massage therapy, and herbal medicine. However, the recommendation rate of CAM by Mexican physicians was significantly lower than that in other countries, which is probably due to the lack of CAM training in most Mexican medical schools.
在许多国家，补充和替代医学（CAM）的使用有所增加，这改变了卫生专业人员关于补充和替代医学的知识、态度及治疗建议。
鉴于墨西哥卫生专业人员对补充和替代医学缺乏了解，在本报告中，我们用一份问卷对墨西哥瓜达拉哈拉市（墨西哥西部）的100名生物医学研究人员和博士生以及107名专科医生和医学专科住院医师进行了调查，以了解他们对补充和替代医学的态度、知识、使用情况及推荐情况。
我们观察到，曾使用过补充和替代医学的研究人员显著多于医生（83%对69.2%，P = 0.023），且只有36.4%的医生曾推荐过补充和替代医学。女性研究人员使用补充和替代医学的比例往往高于男性研究人员，但在医生组中，两性之间的补充和替代医学使用情况并无差异，且两组中各年龄段的使用情况也无差异。顺势疗法、草药和按摩疗法是两组中最常用的补充和替代医学疗法。与其他形式的补充和替代医学相比，医生更频繁地向患者推荐顺势疗法、按摩疗法和瑜伽，医生对安全性的认知最高，且参加顺势疗法课程的次数最多。两组中所有的补充和替代医学疗法都被认为具有较高的疗效（>60%）。态度问卷显示两组对补充和替代医学都持积极态度。
我们观察到，墨西哥卫生专业人员中曾使用过补充和替代医学的比例较高，他们主要使用顺势疗法、按摩疗法和草药。然而，墨西哥医生对补充和替代医学的推荐率显著低于其他国家，这可能是由于大多数墨西哥医学院缺乏补充和替代医学培训。
