Sebo Paul, Haller Dagmar, Sommer Johanna, Excoffier Sophie, Gaboreau Yoann, Maisonneuve Hubert
Primary Care Unit, Faculty of Medicine, University of Geneva, Switzerland.
Primary Care Unit, Faculty of Medicine, University of Geneva, Switzerland / Department of Community, Primary Care and Emergency Medicine & Department of Paediatrics, Geneva University Hospitals, Switzerland.
Swiss Med Wkly. 2018 Oct 28;148:w14676. doi: 10.4414/smw.2018.14676. eCollection 2018 Oct 22.
Nonpharmacological home remedies offer the potential for easily accessible and well-accepted management of common disorders in general practice. We aimed to assess general practitioners' (GPs') perspectives on these remedies in two French-speaking European countries.
In 2017, we conducted a cross-sectional study among community-based GPs in the Geneva (Switzerland) and Grenoble (France) regions. They completed an anonymous questionnaire about forty common home remedies. We asked how often they prescribed each type of remedy and how effective they found them. Descriptive statistics (proportions with 95% confidence intervals [CIs]) were used to summarise the data.
349 GPs returned the questionnaire (172 of 500 Swiss and 177 of 500 French; participation rate 35%; male:female ratio 1:1). In the week before the study, GPs had advised 8.2% patients to use at least one remedy. The remedies that were most frequently prescribed were saline water to treat common colds (69%), mobilising and/or stretching exercises for low back pain (67%) and applying cold water or cold pads for burns (60%). The remedies that were perceived to be most effective were squatting during defaecation as a treatment for constipation (89%), phoning a traditional healer to treat skin diseases or burns (84%) and applying cold water or pads for burns (82%).
These findings suggest that GPs find certain nonpharmacological remedies very useful, even though they do not frequently prescribe them in practice. These remedies should receive more attention from researchers, as they could be considered by GPs as useful to treat a large number of benign conditions in primary care.
非药物家庭疗法为全科医疗中常见疾病提供了易于获取且广泛接受的管理方式。我们旨在评估两个欧洲法语国家的全科医生(GPs)对这些疗法的看法。
2017年,我们在日内瓦(瑞士)和格勒诺布尔(法国)地区的社区全科医生中开展了一项横断面研究。他们完成了一份关于四十种常见家庭疗法的匿名问卷。我们询问了他们每种疗法的开方频率以及他们认为其有效性如何。描述性统计(比例及95%置信区间[CIs])用于汇总数据。
349名全科医生返回了问卷(瑞士500名中的172名,法国500名中的177名;参与率35%;男女比例1:1)。在研究前一周,全科医生曾建议8.2%的患者使用至少一种疗法。最常开具的疗法是用盐水治疗普通感冒(69%)、针对腰痛进行活动和/或伸展运动(67%)以及对烧伤应用冷水或冷敷垫(60%)。被认为最有效的疗法是排便时蹲姿治疗便秘(89%)、打电话给传统治疗师治疗皮肤病或烧伤(84%)以及对烧伤应用冷水或冷敷垫(82%)。
这些发现表明,全科医生发现某些非药物疗法非常有用,尽管他们在实践中并不经常开具这些疗法。这些疗法应受到研究人员更多关注,因为全科医生可能认为它们对治疗初级保健中的大量良性病症有用。