补充和整合医学：儿科临床医生知识、信念和实践的观察性研究。

Complementary and integrative medicine: An observational study on pediatric clinicians' knowledge, beliefs and practices.

机构信息

Community Health Center, University of Connecticut, Connecticut, USA.

Frank H. Netter School of Medicine, Quinnipiac University, United States.

出版信息

Complement Ther Med. 2021 May;58:102693. doi: 10.1016/j.ctim.2021.102693. Epub 2021 Feb 27.

DOI:10.1016/j.ctim.2021.102693

PMID:33652091

Abstract

OBJECTIVE

Complementary and Integrative Medicine (CIM) is a group of diverse health care therapies that often serve as adjuncts to conventional medical treatments. Our aim for this study was to evaluate the current knowledge, beliefs and practices of pediatric clinicians regarding CIM.

METHODS

Clinicians from the pediatric unit of a large US based teaching hospital in Connecticut were surveyed, through self-administered questionnaires.

RESULTS

We sampled 70 participants with a response rate of 99 %. Of the 70, 32 were Registered Nurses, 9 were Attendings, 7 were Fellows, 15 were Residents and 4 were Nurse Practitioners. Regarding use, 24 % had referred a patient to a CIM practitioner, 43 % reported using CIM while 47 % had a family member who had used CIM in the past year. Respondents were most familiar with massage (70 %) and yoga (69 %) least familiar with Ayurvedic medicine (20 %) and Qi Gong (24 %). Regarding attitude, 67 % believed that some CIM therapies hold promise for the treatment of symptoms while 59 % believed that incorporation of CIM would increase patient satisfaction. Most of the respondents indicated that they did not have easy access to clinical information on many CIM treatment modalities. Nurses were more familiar (p = 0.024), had more positive attitudes and beliefs (p = 0.001) and thought CIM therapies had a higher impact (p = 0.002) on patient care compared to physicians, even when controlled for gender.

CONCLUSION

This study highlights the need to bridge the gap in evidence based medicine and clinician's knowledge with the rise in CIM use. It also stresses the need for standardized learning competencies in the field of PIM.

摘要

目的

补充和整合医学（CIM）是一组多样化的医疗保健疗法，通常作为传统医疗治疗的辅助手段。我们这项研究的目的是评估儿科临床医生对 CIM 的现有知识、信念和实践。

方法

通过自我管理问卷对康涅狄格州一家大型美国教学医院儿科的临床医生进行了调查。

结果

我们对 70 名参与者进行了抽样，回应率为 99%。在这 70 名参与者中，有 32 名注册护士、9 名主治医生、7 名研究员、15 名住院医师和 4 名执业护士。在使用方面，24%的人曾向 CIM 从业者转介过患者，43%的人报告使用过 CIM，47%的人在过去一年中有家庭成员使用过 CIM。受访者最熟悉按摩（70%）和瑜伽（69%），最不熟悉阿育吠陀医学（20%）和气功（24%）。在态度方面，67%的人认为一些 CIM 疗法有可能治疗症状，而 59%的人认为纳入 CIM 会提高患者满意度。大多数受访者表示，他们不容易获得许多 CIM 治疗方法的临床信息。护士更熟悉（p = 0.024），态度和信念更积极（p = 0.001），并认为 CIM 疗法对患者护理的影响更大（p = 0.002），与医生相比，即使在控制性别因素后也是如此。