NICM Health Research Institute, Western Sydney University, Sydney 2517, Australia.
Int J Environ Res Public Health. 2021 Jan 19;18(2):834. doi: 10.3390/ijerph18020834.
Surveys of acupuncture practitioners worldwide have shown an increase in the use of acupuncture to treat women's health conditions over the last ten years. Published studies have explored the effectiveness of acupuncture for various conditions such as period pain, fertility, and labor induction. However, it is unclear what role, if any, peer-reviewed research plays in guiding practice.
Acupuncturists with a significant women's health caseload were interviewed online in three small groups to explore factors that contribute to acupuncturists' clinical decision made around treatment approaches and research.
Eleven practitioners participated in the focus groups. The overarching theme that emerged was one of 'Not mainstream but a stream.' This captured two themes relating to acupuncture as a distinct practice: 'working with what you've got' as well as 'finding the right lens', illustrating practitioners' perception of research needing to be more relevant to clinical practice.
Acupuncture practitioners treating women's health conditions reported a disconnect between their clinical practice and the design of clinical trials, predominantly due to what they perceived as a lack of individualization of treatment. Case histories were popular as a learning tool and could be used to support increasing research literacy.
对全球针灸师的调查显示,在过去十年中,针灸治疗女性健康问题的应用有所增加。已发表的研究探讨了针灸在各种情况下的有效性,如经期疼痛、生育和引产。然而,尚不清楚同行评议研究在指导实践方面起到了什么作用(如果有的话)。
在网上对有大量女性健康病例的针灸师进行了三组在线访谈,以探讨有助于针灸师围绕治疗方法和研究做出临床决策的因素。
11 名从业者参加了焦点小组。出现的首要主题是“非主流但有流派”。这反映了与针灸作为一种独特实践相关的两个主题:“物尽其用”和“找到合适的视角”,说明了从业者认为研究需要更加贴近临床实践。
治疗女性健康问题的针灸师报告说,他们的临床实践与临床试验的设计之间存在脱节,主要是因为他们认为治疗缺乏个性化。病例历史是一种受欢迎的学习工具,可以用于支持提高研究素养。