Medical School of Hangzhou Normal University, No. 16, Xuelin Street, Jianggan District, Hangzhou City, 310036, Zhejiang Province, China.
Zhejiang Chinese Medical University, No. 548, Binwen Road, Binjiang District, Hangzhou City, 310053, Zhejiang Province, China.
BMC Complement Altern Med. 2018 Jul 6;18(1):209. doi: 10.1186/s12906-018-2273-y.
In China, demands for disease prevention and health care and the prevalence of chronic non-communicable diseases have increased. TCM and general hospitals are increasingly utilizing TCM strategies for chronic non-communicable disease care and prevention. This study aimed to investigate health care professionals' (HCPs') perceptions of TCM for prevention, their TCM knowledge, and their abilities to provide such services in TCM and general hospitals.
This cross-sectional study investigated Chinese medicine hospitals and Chinese medicine departments in general hospitals in five Chinese cities. A self-designed questionnaire used to study 400 HCPs focused on basic demographic data, the demand for and effects of TCM for prevention and treatment, and their perceptions of such service implementation. The data analysis included chi-squared tests and descriptive and multi-factor analyses.
The 335 HCP respondents comprised 230 (68.7%) females and 105 (31.3%) males, 75.5% of whom overall had knowledge of TCM preventive and health care services. Respondents older than 40 years (28.6%) had greater knowledge of and satisfaction with TCM for preventive and health care services than younger respondents. Moreover, 97.7% of the older respondents were clearly willing to provide TCM preventive services for chronic diseases, 67.8% of whom indicated that their hospitals already provided TCM for prevention and treatment. According to the chi-squared test results, the TCM service characteristics in hospitals, hospital outlooks regarding TCM and TCM development in hospitals were the primary factors affecting the respondents' perceptions of TCM for chronic disease care and prevention. The multivariate analysis showed high satisfaction as significantly associated with older providers and those with lengthier work experience, particularly among those who worked in hospitals that provided typical TCM services and had positive attitudes towards TCM.
The study HCPs had relatively satisfactory knowledge of and positive attitudes towards TCM for chronic disease care and prevention and would use it in practice. Their perceptions and satisfaction levels correlated closely with the successful application of TCM for preventive care and treatment in hospitals. While the use of TCM for prevention and treatment was well developed in some hospitals, further improvements are warranted.
在中国，人们对疾病预防和保健的需求以及慢性病的患病率不断增加。中医和综合医院越来越多地将中医策略用于慢性病的护理和预防。本研究旨在调查卫生保健专业人员（HCPs）对中医预防的看法、他们的中医知识以及他们在中医和综合医院提供此类服务的能力。
本横断面研究调查了中国五个城市的中医院和综合医院的中医科。使用自行设计的问卷研究了 400 名 HCPs，重点关注中医预防和治疗的需求和效果，以及他们对实施此类服务的看法。数据分析包括卡方检验和描述性及多因素分析。
335 名 HCP 受访者中，230 名（68.7%）为女性，105 名（31.3%）为男性，整体上 75.5%的人了解中医预防保健服务。年龄在 40 岁以上的受访者（28.6%）对中医预防保健服务的了解和满意度均高于年轻受访者。此外，97.7%的老年受访者明确愿意为慢性病提供中医预防服务，其中 67.8%的人表示其医院已经提供中医预防和治疗。根据卡方检验结果，医院的中医服务特点、医院对中医的看法和医院中医发展是影响受访者对慢性病中医护理和预防看法的主要因素。多因素分析显示，满意度高与年龄较大的提供者和工作经验较长的提供者显著相关，尤其是在提供典型中医服务且对中医持积极态度的医院工作的人员。
研究中的 HCPs 对慢性病中医护理和预防有相对满意的知识和积极的态度，并将其应用于实践中。他们的看法和满意度与中医在医院预防保健中的成功应用密切相关。虽然一些医院在中医预防和治疗方面已经得到了很好的发展，但仍需要进一步改进。
