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医疗专业人员对市售静脉营养疗法的看法:初步报告

Health Professionals' Perspectives on Commercially Available Intravenous Nutrient Therapies: A Preliminary Report.

作者信息

Karasiewicz Monika, Lipiak Agnieszka, Jóźwiak Paulina, Giernaś Bogusz, Cofta Mateusz, Chawłowska Ewelina

机构信息

Laboratory of International Health, Department of Preventive Medicine, Poznan University of Medical Sciences, Święcickiego 6, 60-781 Poznań, Poland.

Department of Preventive Medicine, Poznan University of Medical Sciences, Święcickiego 6, 60-781 Poznań, Poland.

出版信息

Healthcare (Basel). 2024 Feb 2;12(3):386. doi: 10.3390/healthcare12030386.

DOI:10.3390/healthcare12030386
PMID:38338271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10855962/
Abstract

BACKGROUND

Intravenous nutrient therapies (IVNTs) have gained popularity on the commercial market. Targeted at people with a variety of ailments and needs, the procedures allegedly offer numerous benefits and quick results, widely advertised on the websites of drip bars and health clinics as well as in the available literature. What is less often presented is the point of view of the customers of such services and the opinions of health personnel. Although the latter perspective seems to be crucial, little is known about it. Therefore, the purpose of this study was to present the opinions and experiences of health professionals ( = 188) on commercially available IVNTs dedicated to adults.

METHODS

The study was conducted between April 2019 and March 2020 by means of a survey using an ad hoc questionnaire made available mainly to health professionals attending public health postgraduate courses at the Poznan University of Medical Sciences, Poland.

RESULTS

As many as 91.5% of the respondents had heard of commercially available IVNTs (mostly from the media), and 47.3% knew of a facility offering such services. Among the possible situations where the use of IVNTs would be justified, the most commonly mentioned was a diagnosed nutrient deficiency (37.8%), while the least common ones were libido problems (1.1%) and the need to speed up metabolism (2.1%). For 25.5% of the respondents, there was no good rationale for using IVNTs. As many as 15.4% had no opinion on the subject. Health risks of IVNTs were recognised by 95.2% of professionals, with the biggest concerns being the lack of full information on patients' health status and medical contraindications (84%), the risk of overdose and interactions (77.1%), and hypersensitivity or allergic reactions (75.5%). Among the reasons for IVNTs' popularity, the respondents listed not only fads spread by celebrities and social media (89.4%) and the need for quick, effortless remedies (77.1%), but also reasons inherent in the Polish healthcare system. As many as 80.3% of the respondents stressed the need for public health institutions to take a stand on commercial IVNTs. Knowing of an IVNT facility was not significantly associated with the opinions of professionals in key areas.

CONCLUSION

Postgraduate public health courses are a good opportunity to engage health professionals in discussions about the current challenges, trends, and needs in the area of health promotion and healthcare. This study's findings shed some light on the opinions about IVNTs held by health professionals, who are important stakeholders of the healthcare system. Thus, these findings may help to better understand the popularity of IVNTs and incorporate health professionals' perspectives in future efforts aiming to increase the awareness of IVNT-related health risks among both professionals and patients.

摘要

背景

静脉营养疗法(IVNTs)在商业市场上越来越受欢迎。这些疗法针对患有各种疾病和有不同需求的人群,据称具有诸多益处且见效快,在滴注吧和健康诊所的网站以及现有文献中都有广泛宣传。而此类服务客户的观点以及卫生人员的意见则较少被提及。尽管后一种观点似乎至关重要,但对此了解甚少。因此,本研究的目的是呈现卫生专业人员(n = 188)对面向成年人的市售静脉营养疗法的看法和经验。

方法

本研究于2019年4月至2020年3月期间进行,采用问卷调查的方式,主要向波兰波兹南医科大学参加公共卫生研究生课程的卫生专业人员发放了一份专门设计的问卷。

结果

多达91.5%的受访者听说过市售静脉营养疗法(大多是从媒体得知),47.3%的人知道有提供此类服务的机构。在使用静脉营养疗法可能合理的情况中,最常被提及的是诊断出营养缺乏(37.8%),而最不常见的是性欲问题(1.1%)和加快新陈代谢的需求(2.1%)。对于25.5%的受访者来说,使用静脉营养疗法没有充分的理由。多达15.4%的人对此问题没有看法。95.2%的专业人员认识到静脉营养疗法的健康风险,最大的担忧是缺乏关于患者健康状况和医学禁忌的全面信息(84%)、过量和相互作用的风险(77.1%)以及超敏反应或过敏反应(75.5%)。在静脉营养疗法受欢迎的原因中,受访者不仅列出了名人及社交媒体传播的时尚潮流(89.4%)和对快速、轻松疗法的需求(77.1%),还提到了波兰医疗体系固有的原因。多达80.3%的受访者强调公共卫生机构需要对商业性静脉营养疗法表明立场。了解静脉营养疗法机构与专业人员在关键领域的看法没有显著关联。

结论

公共卫生研究生课程是让卫生专业人员参与讨论健康促进和医疗保健领域当前挑战、趋势及需求的好机会。本研究结果揭示了卫生专业人员对静脉营养疗法的看法,他们是医疗体系的重要利益相关者。因此,这些结果可能有助于更好地理解静脉营养疗法的受欢迎程度,并将卫生专业人员的观点纳入未来的努力中,以提高专业人员和患者对静脉营养疗法相关健康风险的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4b/10855962/50e525e1d929/healthcare-12-00386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4b/10855962/50e525e1d929/healthcare-12-00386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4b/10855962/50e525e1d929/healthcare-12-00386-g001.jpg

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