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初级卫生保健中的药用植物和草药:专业人员的看法

[Medicinal plants and herbal medicines in Primary Health Care: the perception of the professionals].

作者信息

Mattos Gerson, Camargo Anderson, Sousa Clóvis Arlindo de, Zeni Ana Lúcia Bertarello

机构信息

Pós-Graduação Mestrado em Saúde Coletiva, Centro de Ciências da Saúde, Universidade Regional de Blumenau, R. São Paulo, 2171, 89030-001 Blumenau SC Brasil.

Curso de Biologia, Departamento de Ciências Naturais, Centro de Ciências Exatas e Naturais, Universidade Regional de Blumenau.

出版信息

Cien Saude Colet. 2018 Nov;23(11):3735-3744. doi: 10.1590/1413-812320182311.23572016.

Abstract

The Ministry of Health through the National Policy on Integrative and Complementary Practices (PNPIC) encourages the offer of Acupuncture, Homeopathy, Herbal Medicine, Hydrotherapy and Anthroposophical Medicine in the Unified Health System (SUS). This study evaluated the profile for the prescription/suggestion and credibility of herbal medicine usage as complementary therapy among the 157 professionals from the 66 Family Health Strategy (FHS) teams in Blumenau city. Data collection was conducted between the years of 2014 and 2015 through a semi-structured questionnaire applied to a sample comprised of 42 (26.8%) physicians, 40 (25.5%) nurses, 66 (42%) nursing technicians, 5 (3.2%) dentists and 4 (2.5%) oral health technicians. Bivariate associations were assessed using the Chi-Square test or Fisher's exact test for variables. Despite 65.6% of respondents being aware of the existence of the PNPIC, the presence of herbal medicines on the National List of Medicines was unknown by 85.4%. The majority (96.2%) of the professionals believe in the therapeutic effects of medicinal plants but do not prescribe this medicine. However, 98.7% agreed with the initiative to offer this complementary and integrative practice through SUS after training in the area.

摘要

卫生部通过《综合与补充疗法国家政策》(PNPIC)鼓励在统一卫生系统(SUS)中提供针灸、顺势疗法、草药医学、水疗法和人智医学。本研究评估了布卢梅瑙市66个家庭健康战略(FHS)团队的157名专业人员中,将草药医学用作补充疗法的处方/建议情况及可信度。2014年至2015年期间,通过向由42名(26.8%)医生、40名(25.5%)护士、66名(42%)护理技术员、5名(3.2%)牙医和4名(2.5%)口腔健康技术员组成的样本发放半结构化问卷进行数据收集。使用卡方检验或费舍尔精确检验评估变量的双变量关联。尽管65.6%的受访者知晓PNPIC的存在,但85.4%的人不知道国家药品清单上有草药。大多数(96.2%)专业人员相信药用植物的治疗效果,但不开具此类药物的处方。然而,98.7%的人同意在接受该领域培训后,通过SUS开展这种补充和综合疗法的倡议。

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