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医护人员对将补充和替代医学实践融入患者治疗中的看法:系统评价。

Perception of integrating complementary and alternative medicine practice in patient's treatment among the healthcare practitioners: a systematic review.

机构信息

Department of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.

Department of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.

出版信息

Pan Afr Med J. 2022 Sep 13;43:19. doi: 10.11604/pamj.2022.43.19.31133. eCollection 2022.


DOI:10.11604/pamj.2022.43.19.31133
PMID:36451723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9674529/
Abstract

There is a growing trend in complementary and alternative medicine (CAM) usage among the population with medical conditions. However, there is hesitancy for medical practitioners to integrate its application with the current treatment modality, despite governance by the authority. Hence, our objective is to systematically evaluate the healthcare perception towards integrating CAM in their practices. We systematically searched three large and renowned databases i.e., Scopus, Web of Science and PubMed, regarding "Perception on Integrating CAM Usage in Patient's Treatment among Healthcare Practitioners" from 2016 until 2020. At least two independent reviewers comprehensively screened and extracted the data from the accepted articles. A total of 15 studies were included in the final qualitative synthesis following a strict and rigorous assessment checked using MMAT 2018 checklist. The studies included providing the richness of information due to the qualitative nature of the study design. There were three main domains extracted i.e. knowledge, attitude, and perspective of the healthcare practitioner towards CAM integration. Limited knowledge of CAM among healthcare providers may be the possible main reason for non-supportive attitude and negative perspective on CAM. However, those who showed an inclination towards CAM were found to be more open and ready to learn about CAM if it provides benefits to the patients. There is a heterogeneity of perception towards CAM integration from healthcare providers' point of view. A proactive and systematic CAM literacy awareness program may help to improve their understanding and possibly gain more trust in its application.

摘要

在有医疗条件的人群中,补充和替代医学(CAM)的使用呈增长趋势。然而,尽管权威机构已经对其进行了管理,但医疗从业者在将其应用与当前的治疗模式相结合方面仍犹豫不决。因此,我们的目的是系统地评估医疗保健人员对将 CAM 纳入其实践的看法。我们系统地在 Scopus、Web of Science 和 PubMed 这三个大型知名数据库中搜索了 2016 年至 2020 年期间关于“医疗保健从业者对将 CAM 纳入患者治疗中的看法”的文献。至少有两名独立评审员对接受的文章进行了全面筛选和提取数据。经过使用 MMAT 2018 清单进行严格和严格的评估,共有 15 项研究纳入最终的定性综合分析。由于研究设计的定性性质,这些研究提供了丰富的信息。提取出三个主要领域,即医疗保健从业者对 CAM 整合的知识、态度和观点。医疗保健提供者对 CAM 的了解有限可能是他们对 CAM 持不支持的态度和负面看法的主要原因。然而,那些对 CAM 有倾向的人如果发现 CAM 对患者有益,他们会更加开放并愿意学习 CAM。从医疗保健提供者的角度来看,对 CAM 整合的看法存在异质性。积极主动的 CAM 文化素养意识计划可能有助于提高他们的理解,并可能获得更多对其应用的信任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1919/9674529/d0a17680f60d/PAMJ-43-19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1919/9674529/ed9b98c6e58f/PAMJ-43-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1919/9674529/d0a17680f60d/PAMJ-43-19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1919/9674529/ed9b98c6e58f/PAMJ-43-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1919/9674529/d0a17680f60d/PAMJ-43-19-g002.jpg

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本文引用的文献

[1]
Treatment satisfaction in Chinese medicine outpatient care: a comparison of patients' and doctors' views.

BMC Complement Altern Med. 2019-11-6

[2]
Stakeholder expectations from the integration of chiropractic care into a rehabilitation setting: a qualitative study.

BMC Complement Altern Med. 2018-12-4

[3]
"I think you can achieve quite a lot if all of the staff stands behind it"-A qualitative study about the experience, knowledge and application of complementary therapies and integrative medicine in pediatrics.

Complement Ther Med. 2018-9-28

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Nurses' Knowledge and Attitudes Toward Complementary and Alternative Medicine for Adult Patients With Cancer in Bandung, West Java, Indonesia: A Qualitative Study.

J Holist Nurs. 2019-6

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BMC Complement Altern Med. 2018-10-29

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J Relig Health. 2020-4

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J Evid Based Integr Med. 2018

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Evid Based Complement Alternat Med. 2018-2-14

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BMC Complement Altern Med. 2018-3-12

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Prim Health Care Res Dev. 2018-5

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