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医学生对补充医学的态度:一项横断面研究的结果。

The Attitude of Medical Students Toward Complementary Medicine: Results of a Cross-Sectional Study.

机构信息

Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Epidemiology and Health Economics, Berlin, Germany.

出版信息

J Altern Complement Med. 2021 Dec;27(12):1124-1130. doi: 10.1089/acm.2021.0181. Epub 2021 Sep 3.

Abstract

Complementary medicine (CM) is often used by patients and offered by physicians. The attitude of medical students toward CM in Germany has been given little research attention. The aim was to assess the attitude of medical students toward CM in general and their opinion about the importance of CM university research and teaching. An exploratory cross-sectional study among medical students at the Charité-Universitätsmedizin Berlin was performed at the beginning of the summer term 2019 using an online survey. The attitude toward CM was assessed by the Complementary and Alternative Medicine Health Belief Questionnaire (CHBQ, range 10-70, neutral at 40; a higher score indicates a more positive attitude toward CM). Furthermore, students rated their own CM use and the perceived importance of CM university research and teaching (range 1-7; a higher score indicates more agreement). The study was approved by the Charité Ethics Committee (institutional review board). Out of 1256 contacted students, 349 (27.8%) students (mean age 23.7 ± 4.3 years, 69.0% female) participated. The attitude toward CM based on the CHBQ was rather neutral (mean 44.2 ± 10.7) and more positive among females than males (mean 46.1 ± 10.7 vs. 40.6 ± 9.5,  < 0.001). Medical students favored CM university research (mean 5.4 ± 1.5) and mostly did not agree that CM is currently taught sufficiently at the university (mean 3.4 ± 1.7). The lifetime prevalence of student's own CM use was 48.4% of respondents (79.1% females). Although medical students, in this sample with a high percentage of females, reported a rather neutral attitude toward CM, the authors' findings indicate that medical students promoted research and teaching in CM. Further multicenter cross-sectional studies in German and European medical universities should be undertaken to explore students' attitudes and wishes regarding the integration of CM in university teaching, research, and patient care.

摘要

补充医学(CM)经常被患者使用,也经常由医生提供。德国医学生对 CM 的态度很少受到研究关注。本研究旨在评估医学生对 CM 的总体态度,以及他们对 CM 大学研究和教学重要性的看法。

2019 年夏学期伊始,在柏林夏洛蒂医科大学,采用在线调查的方式,对医学生进行了一项探索性横断面研究。采用补充和替代医学健康信念问卷(CHBQ,范围 10-70,中立值为 40;分数越高表示对 CM 的态度越积极)评估对 CM 的态度。此外,学生还对自身 CM 使用情况以及对 CM 大学研究和教学重要性的看法进行了评分(范围 1-7;分数越高表示越同意)。该研究获得了夏洛蒂医学伦理委员会的批准(机构审查委员会)。

在联系的 1256 名学生中,有 349 名(27.8%)学生(平均年龄 23.7±4.3 岁,69.0%为女性)参与了研究。基于 CHBQ 的 CM 态度较为中立(平均 44.2±10.7),女性比男性更积极(平均 46.1±10.7 比 40.6±9.5,<0.001)。医学生赞成 CM 大学研究(平均 5.4±1.5),并且大多不同意目前大学对 CM 教学足够重视(平均 3.4±1.7)。学生自身 CM 使用的终生患病率为 48.4%的应答者(79.1%为女性)。

尽管该样本中女性比例较高的医学生对 CM 的态度较为中立,但研究结果表明,医学生支持 CM 的研究和教学。应在德国和欧洲医学大学进一步开展多中心横断面研究,以探索学生对 CM 纳入大学教学、研究和患者护理的态度和愿望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e04f/8713257/58ffec6cc600/acm.2021.0181_figure1.jpg

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