Castañeda Gail, Romero Sergio, Mudra Stephen, Gingrich Ted, Levy Charles
Veterans Rural Health Resource Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, USA.
Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Med Acupunct. 2021 Apr 1;33(2):159-168. doi: 10.1089/acu.2020.1459. Epub 2021 Apr 19.
To assess provider perceptions regarding battlefield acupuncture (BFA) and integrative medicine at a single Veterans Health Administration facility. A total of 87 allopathic and osteopathic providers trained to provide BFA were invited to participate in a self-report web-based questionnaire assessing provider BFA perceptions and practice. Mixed methodology was used to analyze closed- and open-ended survey responses. Sixty-six providers completed the survey. On average, most providers reported 3-4 BFA treatments per patient (43.2%) and 1-2 weeks of pain relief per treatment (51.4%). A positive correlation was found between post-BFA complementary and alternative medicine (CAM) attitude and (1) average total patients treated with BFA ( = 0.41, = 37, = 0.01) and (2) percentage of patients treated experiencing meaningful pain relief ( = 0.47, = 35, = 0.003). A positive shift in CAM attitudes was observed [(1, 59) = 25.5, < 0.001, = 0.302]. An overworked schedule was the most salient theme across open-ended questions addressing barriers to practice. Provider BFA attitude comments largely encompassed positive views about BFA treatment utility and effectiveness. Our findings provide preliminary evidence that exposure to BFA training and experience practicing BFA can positively affect provider CAM attitudes. Qualitative findings point to positive provider attitudes and beliefs regarding BFA treatment utility and effectiveness for pain management. BFA is an alternative treatment for pain management that many Veterans Affairs providers deem useful and effective, particularly after exposure to BFA training and as more BFA-related practice is attained.
评估在一家退伍军人健康管理局机构中医疗服务提供者对战场针灸(BFA)和整合医学的看法。总共87名接受过BFA培训的全科和骨科医疗服务提供者受邀参与一项基于网络的自我报告问卷调查,以评估医疗服务提供者对BFA的看法和实践情况。采用混合方法分析封闭式和开放式的调查回复。66名医疗服务提供者完成了调查。平均而言,大多数医疗服务提供者报告每位患者接受3 - 4次BFA治疗(43.2%),每次治疗疼痛缓解1 - 2周(51.4%)。发现BFA后补充和替代医学(CAM)态度与以下两项之间存在正相关:(1)接受BFA治疗的平均总患者数(r = 0.41,n = 37,p = 0.01),以及(2)经历有意义疼痛缓解的患者百分比(r = 0.47,n = 35,p = 0.003)。观察到CAM态度有积极转变[(1, 59)= 25.5,p < 0.001,效应量 = 0.302]。在针对实践障碍的开放式问题中,工作安排过度是最突出的主题。医疗服务提供者对BFA态度的评论主要包括对BFA治疗效用和有效性的积极看法。我们的研究结果提供了初步证据,表明接受BFA培训和有BFA实践经验可对医疗服务提供者的CAM态度产生积极影响。定性研究结果表明,医疗服务提供者对BFA治疗在疼痛管理方面的效用和有效性持积极态度和信念。BFA是一种用于疼痛管理的替代疗法,许多退伍军人事务医疗服务提供者认为它有用且有效,特别是在接受BFA培训后以及随着获得更多与BFA相关的实践经验。