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测试中医咨询模式在补充和替代医学中的依从性

Testing the Traditional Chinese Medicine Consultation Model for Adherence in Complementary and Alternative Medicine.

作者信息

Ding Amally, Patel Jignesh P, Auyeung Vivian

机构信息

Institute of Pharmaceutical Science, King's College London, London SE1 9NH, UK.

Department of Haematological Medicine, King's College Hospital, London SE5 9RS, UK.

出版信息

Evid Based Complement Alternat Med. 2020 Dec 30;2020:8897628. doi: 10.1155/2020/8897628. eCollection 2020.

Abstract

The Traditional Chinese Medicine (TCM) Consultation Model for Adherence conceptualises the consultation process specific to patient adherence. It can be used to improve patient persistence with treatment by TCM practitioners and possibly other health professionals. The aim of this research was to determine the applicability of the TCM Consultation Model for Adherence in the wider complementary and alternative medicine (CAM) setting. A survey containing validated questionnaires and items developed specifically to test the model was administered online in the United Kingdom. SPSS 25 was used to perform Spearman's correlations and Mann-Whitney tests on the data. In total, 101 patients completed the survey. The results showed that patients having a therapeutic relationship and trusting in their practitioner was associated with overall adherence to CAM, while patients feeling supported was associated with all types of adherence to CAM. Specific behaviours of the TCM Consultation Model for Adherence that were positively correlated with adherence to CAM were identified. They could potentially be used by CAM practitioners to improve their patients' adherence with treatment.

摘要

中医依从性咨询模型将患者依从性所特有的咨询过程概念化。它可用于提高中医从业者以及其他可能的健康专业人员治疗时患者的持续性。本研究的目的是确定中医依从性咨询模型在更广泛的补充和替代医学(CAM)环境中的适用性。在英国通过在线方式进行了一项调查,该调查包含经过验证的问卷以及专门为测试该模型而编制的项目。使用SPSS 25对数据进行斯皮尔曼相关性分析和曼-惠特尼检验。共有101名患者完成了调查。结果表明,与从业者建立治疗关系并信任其从业者的患者与对补充和替代医学的总体依从性相关,而感到得到支持的患者与对补充和替代医学的所有类型依从性相关。确定了中医依从性咨询模型中与补充和替代医学依从性呈正相关的具体行为。补充和替代医学从业者可能会利用这些行为来提高患者的治疗依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb7/7790569/ed94df179828/ECAM2020-8897628.001.jpg

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