Shawahna Ramzi, Taha Assim
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 19, Office: 1340, P.O. Box 7, Nablus, Palestine.
An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, Palestine.
BMC Complement Altern Med. 2017 Apr 8;17(1):204. doi: 10.1186/s12906-017-1717-0.
Nausea and vomiting of pregnancy (NVP) affect approximately 80-90% of the pregnant women. Ginger (Zingiber officinale Roscoe) is the most widely used herbal therapy in the management of NVP. Like conventional therapies, herbal therapies have potential harms and benefits that patients need to be informed about in order to develop their therapy preferences. The aim of this study was to achieve consensus among women who suffered NVP and physicians often consulted by pregnant women on a core list of potential harms and benefits of using ginger to manage NVP to be addressed during clinical consultations.
In this study, the Delphi technique was used to achieve consensus on a core list of important harms and benefits of using ginger in the management of NVP to be addressed during the clinical consultation. A Delphi process was followed in two panels in parallel sessions. One panel was composed of 50 gynecologists and other physicians who are often consulted by pregnant women suffering NVP and the other panel was composed of 50 women who suffered NVP.
Consensus was achieved on 21 (75%) of the 28 potential harms presented to the panelists. Panelists agreed that potential harms of the anticoagulant effects of ginger, risk with other co-morbidities, and risk of potential allergic reactions are important to address during the clinical consultation. Of the 14 potential benefits presented to the panelists in both panels, consensus was achieved on 13 (92.9%). Partial consensus on 7 potential harms and 1 potential benefit was achieved in both panels.
Addressing important potential harms and benefits of using ginger for the management of NVP during the clinical consultations is important in promoting congruence and reducing patient dissatisfaction in clinical practice. Consensus was achieved on a core list of important harms and benefits of using ginger for the management of NVP to be addressed during the clinical consultations by a panel of women and a panel of physicians. Further studies are still needed to investigate what is being addressed during clinical consultations.
妊娠恶心和呕吐（NVP）影响约80 - 90%的孕妇。生姜（姜科植物姜）是治疗NVP最广泛使用的草药疗法。与传统疗法一样，草药疗法也有潜在的危害和益处，患者需要了解这些信息以便形成自己的治疗偏好。本研究的目的是在患有NVP的女性和经常为孕妇提供咨询的医生之间就使用生姜治疗NVP的潜在危害和益处的核心列表达成共识，以便在临床咨询中进行讨论。
在本研究中，采用德尔菲技术就使用生姜治疗NVP在临床咨询中需讨论的重要危害和益处的核心列表达成共识。在两个平行会议的小组中进行了德尔菲流程。一个小组由50名妇科医生和其他经常为患有NVP的孕妇提供咨询的医生组成，另一个小组由50名患有NVP的女性组成。
向小组成员提出的28项潜在危害中有21项（75%）达成了共识。小组成员一致认为，生姜的抗凝作用的潜在危害、与其他合并症相关的风险以及潜在过敏反应的风险在临床咨询中很重要。在两个小组中向小组成员提出的14项潜在益处中，有13项（92.9%）达成了共识。两个小组在7项潜在危害和1项潜在益处上达成了部分共识。
在临床咨询中讨论使用生姜治疗NVP的重要潜在危害和益处，对于在临床实践中促进一致性和减少患者不满很重要。一个由女性小组和医生小组就使用生姜治疗NVP在临床咨询中需讨论的重要危害和益处的核心列表达成了共识。仍需进一步研究调查临床咨询中讨论的内容。
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