Wolthers O D
Ugeskr Laeger. 1989 Jan 9;151(2):87-90.
A questionnaire investigation was sent to 402 patients attending a paediatric outpatient clinic. 94% replied. 31% had received alternative treatment. At the time of the investigation 8% were receiving treatment. In 70% of the children receiving alternative treatment, the reason for this treatment was identical with the diagnosis in the outpatient clinic. No sex differences were observed in seeking alternative treatment. The frequency was lowest for children aged 0-1 years (21%) and highest for children aged 6-7 years (42%). Fewest of the children came from social group V (25%) and the most numerous were from social group II (38%). 49% had paid less than 1,000 Danish crowns (approximately 80 pounds: -) and 9% had paid more than 2,000 Danish crowns (approximately 160 pounds: -) for the treatment. In 60% of the children, alternative treatment was sought on prompting from the family and friends. The commonest reasons for treatment were asthma/allergy (47%) and back/joint symptoms (11%). The commonest forms of treatment were osteopathy (50%), zone therapy (19%) and homeopathy (18%). 41% of the children receiving alternative treatment received orthodox medical treatment simultaneously. 77% of these continued the orthodox treatment prescribed by their practitioner unchanged. Thus, the patients thus sought manual and technical forms of therapy, frequently as a supplement rather than a genuine alternative to the treatment prescribed by the practitioner.
我们向402名儿科门诊患者发放了问卷调查。94%的患者进行了回复。31%的患者接受过替代疗法。在调查时,8%的患者正在接受治疗。在接受替代疗法的儿童中,70%接受该疗法的原因与门诊诊断一致。在寻求替代疗法方面未观察到性别差异。0至1岁儿童寻求替代疗法的比例最低(21%),6至7岁儿童最高(42%)。来自社会阶层V的儿童寻求替代疗法的比例最低(25%),来自社会阶层II的儿童最多(38%)。49%的儿童为替代疗法支付的费用不到1000丹麦克朗(约80英镑),9%的儿童支付超过2000丹麦克朗(约160英镑)。60%的儿童是在家人和朋友的建议下寻求替代疗法的。最常见的治疗原因是哮喘/过敏(47%)和背部/关节症状(11%)。最常见的治疗方式是整骨疗法(50%)、区域疗法(19%)和顺势疗法(18%)。接受替代疗法的儿童中有41%同时接受了传统医学治疗。其中77%的儿童继续按照医生开的传统治疗方案接受治疗,没有改变。因此,这些患者寻求手法和技术形式的治疗,通常是作为补充,而不是真正替代医生开的治疗方案。