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全国儿科医生补充和替代医学知识和使用情况的调查结果。

Results of a national survey on knowledge and use of complementary and alternative medicine by paediatricians.

机构信息

Comité de Medicamentos de la Asociación Española de Pediatría (CM-AEP), Madrid, Spain.

Comité de Medicamentos de la Asociación Española de Pediatría (CM-AEP), Madrid, Spain.

出版信息

An Pediatr (Engl Ed). 2022 Jan;96(1):25-34. doi: 10.1016/j.anpede.2020.09.012. Epub 2021 Dec 11.

Abstract

INTRODUCTION

The use of certain Complementary and Alternative Medicines (CAM) in children has been documented in Spain. The main aim of this study is to estimate the knowledge, recommendations, and use of CAM by Spanish paediatricians.

MATERIAL AND METHODS

A national study was conducted from June to July 2020 using an online questionnaire. Two e-mails were sent to paediatricians who were members of the Spanish Association of Paediatrics (AEP).

RESULTS

Out of 1414 responses received, acupuncture was considered as a science by 31.8%. Homeopathy was recommended to parents by 28.1%. CAM was used by 21.3% of physicians, at least once, to improve their own health. Only 3.8% had ever replaced a conventional treatment with CAM. The following variables were associated with a greater disposition to prescribe homeopathy: female, age over 45 years old, paediatricians working in Primary Care, and paediatricians working in private healthcare.

CONCLUSIONS

This AEP Committee on Medicines questionnaire provides new data that should be considered alarming and should ask for a serious thinking on the use of CAM in Spain. Some paediatricians are recommending parents to give treatments not supported by scientific evidence to their children. This practice could be potentially harmful, especially when conventional treatment is being replaced.

摘要

简介

在西班牙,有文献记录表明某些补充和替代医学(CAM)在儿童中得到了应用。本研究的主要目的是评估西班牙儿科医生对 CAM 的了解、建议和使用情况。

材料和方法

2020 年 6 月至 7 月期间,采用在线问卷进行了一项全国性研究。向西班牙儿科学会(AEP)的成员儿科医生发送了两封电子邮件。

结果

在收到的 1414 份回复中,31.8%的医生认为针灸是一门科学。28.1%的医生向家长推荐顺势疗法。21.3%的医生至少曾使用过 CAM 来改善自己的健康状况。只有 3.8%的医生曾经用 CAM 替代过常规治疗。以下变量与更倾向于开顺势疗法处方有关:女性、年龄超过 45 岁、在初级保健机构工作的儿科医生和在私营医疗保健机构工作的儿科医生。

结论

AEP 药物委员会的这份调查问卷提供了新的数据,这些数据令人担忧,应该促使我们认真思考在西班牙使用 CAM 的问题。一些儿科医生建议家长给孩子使用没有科学证据支持的治疗方法。这种做法可能是潜在有害的,尤其是在替代常规治疗的情况下。

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