A cross-sectional study of traditional Chinese medicine practitioner's knowledge, treatment strategies and integration of practice of chronic pelvic pain in women.
A cross-sectional study of traditional Chinese medicine practitioner's knowledge, treatment strategies and integration of practice of chronic pelvic pain in women.
复制标题
中医对女性慢性盆腔疼痛的知识、治疗策略及结合实践的横断面研究。
DOI：
10.1186/s12906-021-03355-6
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发表时间：
2021-06-24
影响因子：
3.9
通讯作者：
Armour M
中科院分区：
文献类型：
--
作者：
Arentz S;Smith C;Redmond R;Abbott J;Armour M
慢性盆腔痛（CPP）是女性持续性、间歇性、周期性和非周期性下腹痛，持续时间超过6个月。传统中医（TCM）是女性健康状况的一种流行治疗选择，但对中医从业者如何治疗CPP知之甚少。这项调查的目的是探讨从业人员的理解和治疗妇女与CPP，以及他们如何将其管理和护理纳入医疗保健系统。2018年5月至10月期间对澳大利亚和新西兰注册中医师进行的在线横断面调查。调查领域包括治疗特征（如频率）、治疗疗效评价、转诊网络和为临床决策提供信息的信息来源。122名注册中医师回答了这项调查，91.7%的人报告经常治疗妇女CPP。治疗决策最常由生物医学和中医诊断相结合指导（77.6%），每周一次是针灸最常见的治疗频率（66.7%）。冥想（63.7%）和饮食改变（57.8%）是其他常用的管理方法。使用多种方法评估治疗的有效性，最常见的是疼痛量表（如数字评定量表）和镇痛药物使用的任何变化。超过四分之三（83.7%）的从业者报告了中医治疗的局限性，最常见的原因是成本（56.5%）和不便（40.2%），而不是安全性或缺乏疗效。在更广泛的医疗保健系统中整合是常见的，超过三分之二（67.9%）的人接受医疗保健提供者的转诊。中医医生看到妇女有各种CPP症状，通常结合传统和现代诊断方法来告知他们的治疗计划，使用普遍接受的方法和措施监测治疗进展，并经常作为CPP妇女多学科医疗保健的一部分。在线版本包含补充材料，可通过10.1186/s12906-021-03355-6获得。
Chronic pelvic pain (CPP) in women is persistent, intermittent cyclical and non-cyclical lower abdominal pain, lasting for more than 6 months. Traditional Chinese Medicine (TCM) is a popular treatment option for women’s health conditions, but little is known about how treatment for CPP is delivered by TCM practitioners. The aim of this survey was to explore practitioners understanding and treatment of women with CPP, and how they integrate their management and care into the health care system. An online cross-sectional survey of registered TCM practitioners in Australia and New Zealand between May and October 2018. Survey domains included treatment characteristics (e.g. frequency), evaluation of treatment efficacy, referral networks, and sources of information that informed clinical decision making. One hundred and twenty-two registered TCM practitioners responded to this survey, 91.7% reported regular treatment of women with CPP. Treatment decisions were most-often guided by a combination of biomedical and TCM diagnosis (77.6%), and once per week was the most common treatment frequency (66.7%) for acupuncture. Meditation (63.7%) and dietary changes (57.8%) were other commonly used approaches to management. The effectiveness of treatment was assessed using multiple approaches, most commonly pain scales, (such as the numeric rating scale) and any change in use of analgesic medications. Limitations to TCM treatment were reported by over three quarters (83.7%) of practitioners, most commonly due to cost (56.5%) and inconvenience (40.2%) rather than safety or lack of efficacy. Sources informing practice were most often Integration within the wider healthcare system was common with over two thirds (67.9%) receiving referrals from health care providers. TCM practitioners seeing women with various CPP symptoms, commonly incorporate both traditional and modern diagnostic methods to inform their treatment plan, monitor treatment progress using commonly accepted approaches and measures and often as a part of multidisciplinary healthcare for women with CPP. The online version contains supplementary material available at 10.1186/s12906-021-03355-6.
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影响因子：
2.9
作者：
Jackson, Sue;Scambler, Graham
通讯作者：
Scambler, Graham
DOI：
10.1155/2016/3467067
发表时间：
2016
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Armour M;Dahlen HG;Smith CA
通讯作者：
Smith CA
影响因子：
3
作者：
de Sousa, Tatiane Regina;de Souza, Bruna Cruz;Sperandio, Fabiana Flores
通讯作者：
Sperandio, Fabiana Flores
影响因子：
4.6
作者：
Armour M;Sinclair J;Ng CHM;Hyman MS;Lawson K;Smith CA;Abbott J
通讯作者：
Abbott J
影响因子：
3.7
作者：
Armour, Mike;Lawson, Kenny;Abbott, Jason
通讯作者：
Abbott, Jason