The Attitudes of Physicians, Nurses, Physical Therapists, and Midwives Toward Complementary Medicine for Chronic Pain: A Survey at an Academic Hospital

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• 作者：Elé ; onore Aveni ; MD¹ ; Brent Bauer ; MD² ; Anne-Sylvie Ramelet ; RN ; PhD³ ; Yolande Kottelat ; RN⁴ ; Isabelle Decosterd ; MD⁴ ; Guillaume Finti ; BSc ; PT⁵ ; Pierluigi Ballabeni ; PhD¹ ; Eric Bonvin ; MD⁶ ; Pierre-Yves Rodondi ; MD¹ ; ^{pierre-yves.rodondi@chuv.ch" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Complementary therapies ; health knowledge ; practice ; attitude of health personnel ; chronic pain
• 刊名：EXPLORE: The Journal of Science and Healing
• 出版年：2016
• 出版时间：September-October 2016
• 年：2016
• 卷：12
• 期：5
• 页码：341-346
• 全文大小：182 K

文摘

To assess the attitudes of physicians, nurses, physical therapists, and midwives toward complementary medicine (CM) at a Swiss academic hospital and toward its use for treating chronic pain.

Design

The cross-sectional survey took place from October to December 2013.

Setting

An e-mail sent to 4925 healthcare professionals (1969 physicians, 2372 nurses, 145 physical therapists, and 111 midwives) working at Lausanne University Hospital, Switzerland, invited them to answer a web-based questionnaire.

Results

The questionnaire was answered by 1247 healthcare professionals (response rate: 25.3%). Of these, 96.1% strongly agreed or agreed that CM could be useful for the treatment of chronic pain, with more nurses (96.7%) and midwives (100%) than physicians (93.8%) agreeing that CM could be useful (P < .001 for both comparisons). Women had more positive attitude toward CM than men (97.8% versus 91.2%; P < .001). Of the respondents, 96.9% were strongly in favor or in favor of offering CM, especially hypnosis (89.8%), osteopathy (85.5%), and acupuncture (83.4%), at the hospital for treating chronic pain. Respondents listed migraine (74.7%), tension headaches (70.6%), and low back pain (70.1%) as three main conditions for which they would refer patients for acupuncture. The three therapies with which respondents were the most unfamiliar were neuraltherapy (57.2%), mindfulness-based stress reduction (MBSR) (54.1%), and biofeedback (51.9%). Over half of respondents, 58.3%, had never referred a patient to a CM practitioner. A total of 84.3% of the respondents felt that they lacked the knowledge to inform their patients about CM.