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补充和替代医学 - 新西兰医疗保健专业人员的实践、态度和知识:综合评价。

Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review.

机构信息

Centre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.

China-New Zealand Collaboration Centre for Integrative Medicine (CHINZIM), University of Otago, Dunedin, New Zealand.

出版信息

BMC Complement Med Ther. 2021 Feb 13;21(1):63. doi: 10.1186/s12906-021-03235-z.


DOI:10.1186/s12906-021-03235-z
PMID:33583417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7882070/
Abstract

BACKGROUND: The prevalence of CAM use is increasing. This integrative review investigated New Zealand healthcare professionals' practice of, attitudes toward, and knowledge about complementary and alternative medicine (CAM). METHODS: Literature search was conducted in four databases from inception to April 2020. Studies were included if they reported results from primary data collection on practice of, attitudes toward, or knowledge about CAM amongst New Zealand healthcare professionals. RESULTS: Eleven studies (two of 'high-quality', seven of 'moderate-quality', and two of 'low-quality') were identified with 2060 healthcare professionals including general practitioners (GPs), nurses, midwives, pharmacists, physiotherapists, and medical specialists. New Zealand healthcare professionals were generally positive regarding CAM use, but have concerns on the scientific evidence, regulation, safety, financial costs of CAM, and encourage an evidence-based CAM practice and stronger CAM regulation. Findings indicated that around 25% of GPs practise CAM, and 82.3% refer patients to CAM practitioners. When treating pregnant women, 48.4% of physiotherapists practise acupuncture, and 37.3% of midwives recommend CAM. GPs believe that acupuncture is the most helpful CAM modality, and most commonly practiced and referred patients to acupuncture. Up to 58% of GPs and Plunket nurses wanted to receive further education on CAM, and up to 66.7% GPs favour the idea CAM should be included in medical curriculums. CONCLUSIONS: Nine of the 11 included studies were of moderate to high quality, thus enhancing the reliability of the review findings. In order to better manage CAM in New Zealand New Zealand clinical settings, there is a need to invest in CAM research and education, and enhance CAM regulation. This review is a first step in developing an evidence base to offer insights for further development of effective CAM policies regarding safety, efficacy, regulation and integration in New Zealand.

摘要

背景:CAM 的使用越来越普遍。本综述调查了新西兰医疗保健专业人员对补充和替代医学(CAM)的实践、态度和知识。

方法:从建库至 2020 年 4 月,在四个数据库中进行文献检索。如果研究报告了新西兰医疗保健专业人员对 CAM 的实践、态度或知识的主要数据收集结果,则纳入研究。

结果:确定了 11 项研究(2 项为“高质量”,7 项为“中等质量”,2 项为“低质量”),共包括 2060 名医疗保健专业人员,包括全科医生(GP)、护士、助产士、药剂师、物理治疗师和医学专家。新西兰医疗保健专业人员对 CAM 的使用普遍持积极态度,但对科学证据、监管、安全性、CAM 的财务成本以及鼓励基于证据的 CAM 实践和更强的 CAM 监管表示关注。研究结果表明,大约 25%的 GP 实践 CAM,82.3%的 GP 将患者转介给 CAM 从业者。在治疗孕妇时,48.4%的物理治疗师会进行针灸,37.3%的助产士会推荐 CAM。GP 认为针灸是最有帮助的 CAM 方式,也是最常实践和转介患者的方式。多达 58%的 GP 和 Plunket 护士希望接受更多关于 CAM 的教育,多达 66.7%的 GP 赞成 CAM 应该纳入医学课程的想法。

结论:11 项纳入研究中有 9 项为中高质量,从而提高了综述结果的可靠性。为了在新西兰的临床环境中更好地管理 CAM,需要投资于 CAM 研究和教育,并加强 CAM 监管。本综述是为制定有关 CAM 的安全性、有效性、监管和整合的有效 CAM 政策提供证据基础的第一步,为进一步制定新西兰的有效 CAM 政策提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1e/7882070/518906923cba/12906_2021_3235_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1e/7882070/6ba3a28c7f9f/12906_2021_3235_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1e/7882070/518906923cba/12906_2021_3235_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1e/7882070/6ba3a28c7f9f/12906_2021_3235_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1e/7882070/518906923cba/12906_2021_3235_Fig2_HTML.jpg

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[10]
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本文引用的文献

[1]
Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists' opinion and practice.

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[2]
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Complement Ther Med. 2018-2-18

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