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年龄和专业经验是决定精神神经免疫学研究在临床实践中应用的因素:一项探索性研究。

Age and professional experience as determinants of the utilization of psychoneuroimmunological research in clinical practice: An exploratory study.

机构信息

UFL Private University in the Principality of Liechtenstein, Triesen, Principality of Liechtenstein.

AllDent Zahnzentrum, München, Germany.

出版信息

Medicine (Baltimore). 2023 Aug 25;102(34):e34723. doi: 10.1097/MD.0000000000034723.

Abstract

The immune system is affected by psychosocial stimuli and plays a major role in the development of various diseases. Psychoneuroimmunology (PNI)-based interventions may positively influence the disease course; however, the impact of PNI research findings on clinical practice differs depending on the medical specialties involved. A comprehensive overview of the use of PNI research findings in clinical practice is currently lacking. This exploratory study aimed to provide insight into the dissemination of PNI research findings and their practical applications among clinical practitioners. Data was collected from 50 physicians using an ad hoc online questionnaire. We invited participants to take part in our online survey via an article in the DocCheck Newsletter, a German-language newsletter for physicians. Bivariate nonparametric correlation analysis (Spearman correlation) were used to explore the relationship between independent variables (age, sex, medical specialty, professional experience, and clinical environment) and dependent variables (six questionnaire items concerned with awareness, relevance, and utilization of PNI concepts). While 46% of respondents believed that PNI research findings were relevant to patient treatment, only 22% used PNI-based interventions as part of their therapeutic regimen. Furthermore, 90% of participants could not refer their patients to therapists offering PNI-based interventions. Moderately positive correlations were identified between the increasing age (rs = .48, P < .001) and increasing amount of professional experience (rs = .34, P = .02) of study participants and awareness of the theoretical foundations of PNI research. Although there is some awareness of PNI among medical practitioners, there appears to be a clear barrier inhibiting the implementation of research findings in current treatment practices. Therefore, it is necessary to examine the impact of increasing age and professional experience on the utilization of PNI-based interventions in patient care.

摘要

免疫系统受到心理社会刺激的影响,在各种疾病的发展中起着重要作用。基于心理神经免疫学(PNI)的干预措施可能对疾病进程产生积极影响;然而,PNI 研究结果对临床实践的影响因涉及的医学专业而异。目前缺乏对 PNI 研究结果在临床实践中应用的综合概述。这项探索性研究旨在深入了解 PNI 研究结果在临床医生中的传播及其实际应用。我们使用专门的在线问卷从 50 名医生那里收集了数据。我们邀请参与者通过在德国 DocCheck 新闻通讯上发表的一篇文章参加我们的在线调查,这是一份面向医生的德语新闻通讯。我们使用双变量非参数相关分析(Spearman 相关)来探讨独立变量(年龄、性别、医学专业、专业经验和临床环境)和因变量(六个与 PNI 概念的认识、相关性和应用有关的问卷项目)之间的关系。尽管 46%的受访者认为 PNI 研究结果与患者治疗相关,但只有 22%的人将基于 PNI 的干预措施作为其治疗方案的一部分。此外,90%的参与者无法将他们的患者转介给提供基于 PNI 的干预措施的治疗师。研究参与者的年龄(rs =.48,P <.001)和专业经验(rs =.34,P =.02)的增加与对 PNI 研究理论基础的认识之间存在中度正相关。尽管医学从业者对 PNI 有一定的认识,但在将研究结果应用于当前治疗实践方面显然存在明显的障碍。因此,有必要研究年龄和专业经验的增加对基于 PNI 的干预措施在患者护理中的应用的影响。

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