Is acupuncture an acceptable option in stroke rehabilitation? A survey of stroke patients
Is acupuncture an acceptable option in stroke rehabilitation? A survey of stroke patients
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DOI：
10.1016/j.ctim.2010.05.033
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发表时间：
2010-06-01
影响因子：
3.6
通讯作者：
Wilkinson, Jenny M.
中科院分区：
文献类型：
--
作者：
Yam, Winnie;Wilkinson, Jenny M.
目的：中风是发病和死亡的主要原因，中风幸存者构成康复患者中最大的群体。这些人也是康复时间最长的人之一。有人认为针灸可能对中风后康复有益，在这项研究中，我们研究了中风患者如何评价针灸以及他们对针灸作为康复治疗选择的看法。设计和设置：向加拿大多伦多医院附属三个康复中心接受中风后康复的个人发放了一份调查问卷。结果：273 人完成了调查问卷，受访者群体主要包括 65 岁以上 (68%) 的男性 (62%)。总体而言，29% 的人使用过针灸，其中 16% 的人因中风相关病症接受针灸治疗。几乎所有受访者 (98%) 都想更多地了解针灸在中风康复中的作用，87% 的受访者会考虑将针灸作为一种治疗选择。很少有人 (8%) 表示他们拥有高级针灸知识，大多数人表示具有基础 (48%) 或中级 (33%) 水平，认识到针灸使用细针产生治疗反应。那些有针灸经验的人预计会支付更多的治疗费用。影响针灸治疗决定的主要因素是医生能力（84%）、费用（65%）和绝育问题（40%）。结论：这项研究表明，到传统医院康复中心就诊的患者愿意考虑针灸治疗中风康复，并且缺乏对这种治疗方法的了解并不构成使用的障碍。 (c) 2010 Elsevier Ltd. 保留所有权利。
Objective: Stroke is a leading cause of morbidity and mortality and stroke survivors make up the largest group of patients in rehabilitation. These individuals also have one of the longest lengths of stay in rehabilitation. It has been suggested that acupuncture may be beneficial in post-stroke rehabilitation and in this study we examine how stroke patients value acupuncture and their perceptions of acupuncture as a rehabilitation treatment option.Design and setting: A questionnaire was distributed to individuals undergoing post-stroke rehabilitation at three rehabilitation centers attached to hospitals in Toronto, Canada.Results: Two hundred and seventy-three individuals completed the questionnaire with the respondent group comprising mainly males (62%) over 65 years of age (68%). Overall 29% had used acupuncture with 16% receiving acupuncture treatment for stroke related conditions. Almost all respondents (98%) wanted to know more about acupuncture in stroke rehabilitation and 87% would consider acupuncture as a treatment option. Few (8%) reported that they had advanced level knowledge about acupuncture, with most reporting a basic (48%) or intermediate (33%) level which recognized that acupuncture used fine needles to produce a therapeutic response. Those with prior acupuncture experience expected to pay more for treatment. The main factors influencing decisions to use acupuncture were practitioner competency (84%), cost (65%) and sterilization concerns (40%).Conclusion: This study demonstrates that there is willingness by patients attending conventional hospital-based rehabilitation centers to consider acupuncture in stroke rehabilitation and that lack of knowledge about this treatment is not a barrier to use. (c) 2010 Elsevier Ltd. All rights reserved.