Aveni Eléonore, Bauer Brent, Ramelet Anne-Sylvie, Kottelat Yolande, Decosterd Isabelle, Finti Guillaume, Ballabeni Pierluigi, Bonvin Eric, Rodondi Pierre-Yves
Institute for Social and Preventive Medicine, Lausanne University Hospital, Switzerland.
Division of General Internal Medicine, Mayo Clinic, Rochester, MI.
Explore (NY). 2016 Sep-Oct;12(5):341-6. doi: 10.1016/j.explore.2016.06.001. Epub 2016 Jun 21.
To assess the attitudes of physicians, nurses, physical therapists, and midwives toward complementary medicine (CM) at a Swiss academic hospital and toward its use for treating chronic pain.
The cross-sectional survey took place from October to December 2013.
An e-mail sent to 4925 healthcare professionals (1969 physicians, 2372 nurses, 145 physical therapists, and 111 midwives) working at Lausanne University Hospital, Switzerland, invited them to answer a web-based questionnaire.
The questionnaire was answered by 1247 healthcare professionals (response rate: 25.3%). Of these, 96.1% strongly agreed or agreed that CM could be useful for the treatment of chronic pain, with more nurses (96.7%) and midwives (100%) than physicians (93.8%) agreeing that CM could be useful (P < .001 for both comparisons). Women had more positive attitude toward CM than men (97.8% versus 91.2%; P < .001). Of the respondents, 96.9% were strongly in favor or in favor of offering CM, especially hypnosis (89.8%), osteopathy (85.5%), and acupuncture (83.4%), at the hospital for treating chronic pain. Respondents listed migraine (74.7%), tension headaches (70.6%), and low back pain (70.1%) as three main conditions for which they would refer patients for acupuncture. The three therapies with which respondents were the most unfamiliar were neuraltherapy (57.2%), mindfulness-based stress reduction (MBSR) (54.1%), and biofeedback (51.9%). Over half of respondents, 58.3%, had never referred a patient to a CM practitioner. A total of 84.3% of the respondents felt that they lacked the knowledge to inform their patients about CM.
评估瑞士一家学术医院的医生、护士、物理治疗师和助产士对补充医学（CM）的态度以及对其用于治疗慢性疼痛的态度。
横断面调查于2013年10月至12月进行。
向瑞士洛桑大学医院工作的4925名医疗保健专业人员（1969名医生、2372名护士、145名物理治疗师和111名助产士）发送电子邮件，邀请他们回答一份基于网络的问卷。
1247名医疗保健专业人员回答了问卷（回复率：25.3%）。其中，96.1%的人强烈同意或同意补充医学对治疗慢性疼痛可能有用，同意补充医学可能有用的护士（96.7%）和助产士（100%）多于医生（93.8%）（两项比较P均<0.001）。女性对补充医学的态度比男性更积极（97.8%对91.2%；P<0.001）。在受访者中，96.9%的人强烈支持或支持在医院提供补充医学，尤其是催眠（89.8%）、整骨疗法（85.5%）和针灸（83.4%）来治疗慢性疼痛。受访者列出偏头痛（74.7%）、紧张性头痛（70.6%）和腰痛（70.1%）为他们会推荐患者接受针灸治疗的三个主要病症。受访者最不熟悉的三种疗法是神经疗法（57.2%）、基于正念的减压疗法（MBSR）（54.1%）和生物反馈（51.9%）。超过一半的受访者（58.3%）从未将患者转诊给补充医学从业者。共有84.3%的受访者认为他们缺乏向患者介绍补充医学的知识。
