The practice of acupuncture: Who are the providers and what do they do?
The practice of acupuncture: Who are the providers and what do they do?
复制标题
DOI：
10.1370/afm.248
复制
发表时间：
2005-03-01
影响因子：
4.4
通讯作者：
Deyo, RA
中科院分区：
文献类型：
--
作者：
Sherman, KJ;Cherkin, DC;Deyo, RA
目的本研究提供了有关培训和执业针灸师的基本信息。方法随机选择的执业针灸师在马萨诸塞州和华盛顿州进行了采访，并要求记录信息的20个连续的病人visits.Results大多数针灸师在这两个国家有3或4年的学术针灸培训，并已收到额外的“研究生”培训。针灸师治疗了各种各样的疾病，包括肌肉骨骼问题（通常是背部、颈部和肩部）（马萨诸塞州为33%，华盛顿为47%），一般身体症状（分别为12%和9%）如疲劳、神经系统问题（分别为10%和12%）（如头痛）和心理问题（分别为10%和8%）（尤其是焦虑和抑郁）。在这两个州，中医是针灸的主要形式（分别为79%和86%）。大多数访问包括传统的诊断评估（超过99%），定期身体针灸（分别为95%和93%）和其他治疗方式（分别为79%和77%）。其中包括热量和生活方式建议（分别为66%和65%），最常见的饮食建议和运动建议。约三分之一的访问使用了中草药。虽然大多数。患者自我提到针灸，约一半接受伴随治疗的医生。针灸师很少与他们的病人谁是提供护理相同的problem.CONCLUSIONS这项研究有助于新的信息，针灸师和他们提供的护理，应该是有用的临床医生感兴趣的补充或替代医学疗法，以了解他们的病人。
PURPOSE This study provides basic information about the training and practices of licensed acupuncturists.METHODS Randomly selected licensed acupuncturists in Massachusetts and Washington state were interviewed and asked to record information on 20 consecutive patient visits.RESULTS Most acupuncturists in both states had 3 or 4 years of academic acupuncture training and had received additional "postgraduate" training as well. Acupuncturists treated a wide range of conditions, including musculoskeletal problems (usually back, neck, and shoulder) (33% in Massachusetts and 47% in Washington), general body symptoms (12% and 9%, respectively) such as fatigue, neurological problems (10% and 12%, respectively) (eg, headaches), and psychological complaints (10% and 8%, respectively) (especially anxiety and depression). Traditional Chinese medicine (TCM) was the predominant style of acupuncture used in both states (79% and 86%, respectively). Most visits included a traditional diagnostic assessment (more than 99%), regular body acupuncture (95% and 93%, respectively), and additional treatment modalities (79% and 77%, respectively). These included heat and lifestyle advice (66% and 65%, respectively), most commonly dietary advice and exercise recommendations. Chinese herbs were used in about one third of visits. Although most. patients self-referred to acupuncture, about one half received concomitant care from a physician. Acupuncturists rarely communicated with the physicians of their patients who were providing care for the same problem.CONCLUSIONS This study contributes new information about acupuncturists and the care they provide that should be useful to clinicians interested in becoming more knowledgeable about complementary or alternative medical therapies available to their patients.