School of Health and Biomedical Sciences, College of Science, Technology, Engineering and Mathematics (STEM), RMIT University, Bundoora, VIC, Australia.
Northern Hospital Epping, Northern Health, Epping, VIC, Australia.
Acupunct Med. 2023 Feb;41(1):16-26. doi: 10.1177/09645284221085282. Epub 2022 May 17.
Level 1 evidence supports the use of acupuncture/acupressure (A/A) to manage post-operative nausea and vomiting (PONV). This study aimed to survey healthcare professionals' attitudes towards A/A, influencing factors and barriers to implementing this effective non-drug intervention into peri-operative care.
A validated, anonymous survey with 43 questions was emailed or distributed as a hard copy at meetings to anaesthetists, midwives, nurses, obstetricians, gynaecologists and surgeons at a public hospital in Australia. Descriptive data were presented. Influencing factors were explored using chi-square analysis. Multinomial logistical regression was used to identify the influences of confounding factors.
A total of 155 completed surveys were returned, reflecting a response rate of 32%. The majority of participants were female (69%), nurses/midwives (61%) and aged between 20 and 50 years old (76%). Eighty-three percent of respondents considered A/A 'clearly alternative' medicine or 'neither mainstream nor alternative'. Eighty-one percent would encourage patients to use acupressure for PONV if it was offered at the hospital. Previous personal use of A/A was the key factor influencing attitudes and openness to clinical use. The key barriers to implementation were perceived lack of evidence and lack of qualified providers and time.
Hospital-based healthcare professionals strongly supported the evidence-based use of A/A for PONV despite considering the therapy to be non-mainstream and having limited A/A education or history of personal use, providing a positive context for an acupressure implementation study. Significant gaps in training and a desire to learn were identified.
一级证据支持使用针刺/指压（A/A）来管理术后恶心和呕吐（PONV）。本研究旨在调查医疗保健专业人员对 A/A 的态度、影响因素以及在围手术期护理中实施这种有效非药物干预的障碍。
在澳大利亚的一家公立医院，使用经过验证的、匿名的包含 43 个问题的调查问卷，通过电子邮件或会议分发硬拷贝，向麻醉师、助产士、护士、妇产科医生和外科医生进行调查。呈现描述性数据。使用卡方分析探讨影响因素。使用多项逻辑回归来确定混杂因素的影响。
共收到 155 份完整的调查问卷，反映出 32%的回复率。大多数参与者是女性（69%）、护士/助产士（61%），年龄在 20 到 50 岁之间（76%）。83%的受访者认为 A/A“明显是替代”医学或“既非主流也非替代”。如果医院提供指压治疗，81%的受访者会鼓励患者使用指压治疗 PONV。之前个人使用 A/A 是影响态度和开放性接受临床使用的关键因素。实施的主要障碍是认为缺乏证据以及缺乏合格的提供者和时间。
尽管认为该疗法是非主流的，并且接受 A/A 教育或个人使用经验有限，但基于证据的 A/A 用于治疗 PONV 得到了医院内医疗保健专业人员的强烈支持，为实施指压治疗研究提供了积极的背景。调查还发现了培训方面的明显差距和学习的愿望。
