Xie Hui, Zhou Yaqiu, Li Muhan, Chen Zhaoqi, Zheng Yuling
The First Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Heliyon. 2024 May 9;10(10):e30915. doi: 10.1016/j.heliyon.2024.e30915. eCollection 2024 May 30.
Complementary and alternative medicine (CAM) has emerged to combat the global COVID-19 pandemic. However, no studies have been conducted to evaluate the attitudes, knowledge, and barriers of Chinese clinical and nursing students in implementing CAM during this period.
The aim of this study was to investigate the attitude, knowledge, and barriers of Chinese clinical and nursing students in using CAM in the context of COVID-19.
An online-based cross-sectional survey was carried out among Chinese medical students, majoring in clinical medicine or nursing, in Nanjing, Jiangsu Province, and Zhengzhou, Henan Province from May to July 2022. A total of 402 clinical and 644 nursing students responded to a self-administered questionnaire through the Questionnaire Star and WeChat APPs. SPSS 25 (version 25) was used for data analysis. Proportions were compared by Chi-square test. Level of significance between groups was analyzed using independent student t-test and Mann-Whitney test.
The average score of attitude was 46.63 (SD: 7.38) in clinical students and 49.84 (SD: 6.76) in nursing students. The top four most commonly used CAM treatments in China were proprietary Chinese medicine, diet therapy, decoction, and acupuncture and moxibustion (59.66 %, 22.28 %, 11.66 %, 9.85 %). The students had a good mastery of knowledge about CAM-based prevention and control of COVID-19 (mean score 7.36). The score of CAM knowledge in nursing students was significantly higher than that in clinical students (7.56 VS 7.04, = 0.000). Gender, grade, previous use, age, and knowledge score could affect students' attitude towards CAM. The main barriers in spreading CAM use included time-consumption, bad taste, and fear of treatment-related pain (24.5 %). Compared with clinical students, nursing students were more likely to recommend CAM to patients in the future ( = 0.002).
During the COVID-19 pandemic, nursing students were more positive towards CAM use, had a better mastery of CAM knowledge than clinical students. CAM is expected to provide better outcomes in COVID-19 patients. Future studies should focus on the changes in students' attitudes over time and exploration of influencing factors on CAM use.
补充与替代医学（CAM）已出现以应对全球新冠疫情。然而，尚未有研究评估在此期间中国临床和护理专业学生在实施补充与替代医学方面的态度、知识和障碍。
本研究旨在调查中国临床和护理专业学生在新冠疫情背景下使用补充与替代医学的态度、知识和障碍。
2022年5月至7月，在江苏省南京市和河南省郑州市对临床医学或护理专业的中国医学生进行了一项基于网络的横断面调查。共有402名临床专业学生和644名护理专业学生通过问卷星和微信应用程序对一份自填式问卷做出回应。使用SPSS 25（版本25）进行数据分析。比例通过卡方检验进行比较。组间显著性水平使用独立样本t检验和曼-惠特尼检验进行分析。
临床专业学生的态度平均得分为46.63（标准差：7.38），护理专业学生为49.84（标准差：6.76）。在中国最常用的四种补充与替代医学疗法是中成药、食疗、汤剂以及针灸（59.66%、22.28%、11.66%、9.85%）。学生们对基于补充与替代医学的新冠防控知识掌握良好（平均得分7.36）。护理专业学生的补充与替代医学知识得分显著高于临床专业学生（7.56对7.04，P = 0.000）。性别、年级、既往使用情况、年龄和知识得分会影响学生对补充与替代医学的态度。推广补充与替代医学使用的主要障碍包括耗时、味道不佳以及害怕治疗相关疼痛（24.5%）。与临床专业学生相比，护理专业学生未来更有可能向患者推荐补充与替代医学（P = 0.002）。
在新冠疫情期间，护理专业学生对使用补充与替代医学更为积极，比临床专业学生对补充与替代医学知识掌握得更好。补充与替代医学有望为新冠患者带来更好的疗效。未来研究应关注学生态度随时间的变化以及对补充与替代医学使用影响因素的探索。
