Health professionals' attitudes towards acupuncture/acupressure for post-operative nausea and vomiting: a survey and implications for implementation.

Autor:	Zheng, Zhen, Stelmach, Wanda S, Ma, Jason, Briedis, Juris, Hau, Raphael, Tacey, Mark, Atme, Jeannette, Bourne, Debra, Crabbe, Julie, Fletcher, Catherine, Howat, Paul, Layton, Jenny, Xue, Charlie C
Předmět:	SURGICAL complication risk factors VOMITING -- Risk factors NAUSEA -- Risk factors PERIOPERATIVE care THERAPEUTICS MEETINGS HEALTH services accessibility ATTITUDES of medical personnel ACUPUNCTURE ATTITUDE (Psychology) CROSS-sectional method ACUPRESSURE HUMAN services programs NURSE anesthetists OBSTETRICS POSTOPERATIVE period QUESTIONNAIRES HOSPITAL nursing staff PUBLIC hospitals CHI-squared test DESCRIPTIVE statistics SCALE analysis (Psychology) RESEARCH funding LOGISTIC regression analysis DATA analysis software EMAIL
Zdroj:	Acupuncture in Medicine; Feb2023, Vol. 41 Issue 1, p16-26, 11p
Abstrakt:	Purpose: Level 1 evidence supports the use of acupuncture/acupressure (A/A) to manage post-operative nausea and vomiting (PONV). This study aimed to survey healthcare professionals' attitudes towards A/A, influencing factors and barriers to implementing this effective non-drug intervention into peri-operative care. Methods: A validated, anonymous survey with 43 questions was emailed or distributed as a hard copy at meetings to anaesthetists, midwives, nurses, obstetricians, gynaecologists and surgeons at a public hospital in Australia. Descriptive data were presented. Influencing factors were explored using chi-square analysis. Multinomial logistical regression was used to identify the influences of confounding factors. Results: A total of 155 completed surveys were returned, reflecting a response rate of 32%. The majority of participants were female (69%), nurses/midwives (61%) and aged between 20 and 50 years old (76%). Eighty-three percent of respondents considered A/A 'clearly alternative' medicine or 'neither mainstream nor alternative'. Eighty-one percent would encourage patients to use acupressure for PONV if it was offered at the hospital. Previous personal use of A/A was the key factor influencing attitudes and openness to clinical use. The key barriers to implementation were perceived lack of evidence and lack of qualified providers and time. Conclusion: Hospital-based healthcare professionals strongly supported the evidence-based use of A/A for PONV despite considering the therapy to be non-mainstream and having limited A/A education or history of personal use, providing a positive context for an acupressure implementation study. Significant gaps in training and a desire to learn were identified. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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