Ding Juen-Li, Taylor David McD, Lee Marina, Johnson Olivia G, Ashok Aadith, Griffiths Meg, Simma Leopold, Craig Simon S, Cheek John A, Babl Franz E
Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Emergency Department, Austin Health, Melbourne, Victoria, Australia.
Emerg Med Australas. 2017 Apr;29(2):136-142. doi: 10.1111/1742-6723.12744. Epub 2017 Feb 28.
While complementary medicine use among ED paediatric patients is common, the use of alternative therapies (ATs; physical or spiritual therapies) is unknown. We aimed to determine the 12 month period prevalence and nature of AT use among paediatric patients and parent perceptions of AT use.
We undertook a cross-sectional survey of a convenience sample of parents of paediatric patients in three EDs in metropolitan Melbourne, Australia (January-June, 2015). Parents were invited to complete a validated, anonymous, self-administered questionnaire. The main outcomes were AT use by the patient and parent perceptions of ATs.
A total of 806 parents were enrolled. In the previous 12 months, 393 (48.8%) patients had received at least one AT. There were no gender or ethnicity differences between AT users and non-users. AT use was more common among older patients (P < 0.05). Patients with chronic illness tended to use more ATs (P = 0.12). A total of 1091 courses of 43 different ATs had been provided. The most common were massage (16% of patients), chiropractic therapy (9.8%), relaxation (7.2%), meditation (6.2%) and aromatherapy (6.1%). ATs were generally used for musculoskeletal problems, health maintenance, stress and anxiety. Parents who arranged the ATs were significantly more likely to report that ATs are safe, prevent and treat illness, assist prescription medicines and offer a more holistic approach to healthcare (P < 0.001).
AT use is common among paediatric ED patients. Parents who arrange AT have differing perceptions of AT usefulness and safety from those who do not.
虽然在急诊科儿科患者中使用补充医学很常见，但替代疗法（ATs；物理或精神疗法）的使用情况尚不清楚。我们旨在确定儿科患者中ATs使用的12个月期间患病率及性质，以及家长对ATs使用的看法。
我们对澳大利亚墨尔本大都市三个急诊科的儿科患者家长便利样本进行了横断面调查（2015年1月至6月）。邀请家长完成一份经过验证的、匿名的、自我管理的问卷。主要结果是患者使用ATs情况以及家长对ATs的看法。
共纳入806名家长。在过去12个月中，393名（48.8%）患者至少接受过一种ATs。ATs使用者和非使用者之间在性别或种族上没有差异。ATs在年龄较大的患者中使用更为常见（P<0.05）。患有慢性病的患者倾向于使用更多的ATs（P=0.12）。总共提供了1091个疗程的43种不同的ATs。最常见的是按摩（占患者的16%）、脊椎按摩疗法（9.8%）、放松疗法（7.2%）、冥想（6.2%）和芳香疗法（6.1%）。ATs通常用于肌肉骨骼问题、健康维护、压力和焦虑。安排ATs的家长更有可能报告ATs是安全的、能预防和治疗疾病、辅助处方药并提供更全面的医疗保健方法（P<0.001）。
ATs在儿科急诊科患者中使用很常见。安排ATs的家长与未安排的家长对ATs的有用性和安全性看法不同。
