传统、补充和综合医学的认知、实践和预测因素：对埃塞俄比亚西北部贡达尔市卫生保健专业人员的调查

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2025-04-30 DOI:10.1016/j.eujim.2025.102488

Abyot Endale Gurmu , Bayih Endalew Bitew , Zemene Demelash Kifle , Fitsum Sebsibe Teni

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引用次数: 0

摘要

传统医学（TM）被描述为源自土著文化，用于预防、诊断和治疗疾病以及促进健康的实践的总和。文献探索的观点和经验的卫生保健专业人员对传统的补充和综合医学（TCIM）在埃塞俄比亚是有限的。因此，本研究旨在评估埃塞俄比亚西北部贡达尔市卫生保健专业人员对TCIM的看法、做法和相关因素。方法于2019年2月至4月对贡达尔大学转诊医院和该市卫生中心的卫生保健专业人员进行了一项横断面研究，采用自填问卷。共有348名医疗保健专业人员参与了这项研究。调查对象是根据收集数据时各机构现有的调查对象进行方便抽样选择的。对数据进行描述性分析，以总结医疗保健专业人员对TCIM的看法和实践。进行单变量和多变量逻辑回归分析，以确定对TCIM的认知和实践的预测因子。结果348名调查对象中，女性占64.9%，30岁以下占68.1%。超过三分之二（69.2%）的受访者认为TCIM有有用的元素。绝大多数（81.6%）的受访者还报告说，TCIM在诊断准确性和副作用方面有其缺点。在受访者中，71.0%表示他们/他们的家人过去曾使用过TCIM。大多数受访者还对与TCIM合作（84.8%）及其融入现代医疗实践（90.2%）表示积极看法。在社会人口特征中，医生/卫生官员和药剂师对TCIM持积极看法的可能性是护士的3倍多。职业（卫生推广工作者的可能性较低）和教育（医学博士/理学硕士的可能性低于具有文凭水平的人）也与受访者/家庭过去使用TCIM有关。结论本研究显示，大多数医护人员对TCIM的有效性持肯定态度，并在其家庭中使用过TCIM。建议医疗保健专业人员和TCIM从业人员之间进行协作，以获得更好的医疗保健。

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Perceptions, practices, and predictors of traditional, complementary, and integrative medicines: A survey of healthcare professionals in Gondar City, northwestern Ethiopia

Introduction

Traditional medicine (TM) is described as the totality of practices, emanating from indigenous cultures, for the prevention, diagnosis, and treatment of diseases as well as promotion of health. The literature exploring the views and experiences of healthcare professionals toward traditional complementary and integrative medicine (TCIM) in Ethiopia is limited. Thus, this study aimed to assess the perceptions, and practices toward TCIM and associated factors among healthcare professionals in Gondar City, northwestern Ethiopia.

Methods

A cross-sectional study was conducted between February and April 2019 among healthcare professionals at the University of Gondar Referral Hospital and health centers in the city using self-administered questionnaires. A total of 348 healthcare professionals were included in the study. Respondents were selected through convenience sampling by approaching those available at the institutions at the time of data collection. The data was analyzed descriptively to summarize the perceptions and practices of healthcare professionals toward TCIM. Univariable and multivariable logistic regression analyses were performed to identify predictors of perceptions and practices toward TCIM.

Results

Among the 348 respondents, 64.9 % were female while 68.1 % were under 30 years of age. More than two-thirds (69.2 %) of the respondents believed that TCIM has useful elements. A large majority (81.6 %) of the respondents also reported that TCIM has its downsides in terms of accuracy of diagnosis and side effects. Of the respondents, 71.0 % reported that they/their families had used TCIM in the past. The majority of the respondents also expressed positive views toward cooperation (84.8 %) with TCIM and its integration (90.2 %) into modern medical practice. Among socio-demographic characteristics, doctors/health officers and pharmacists were more than 3 times more likely than nurses to have positive views of TCIM. Profession (lower likelihood among health extension workers) and education (lower likelihood among those with MD/MSc than those with a diploma level) were also associated with past use of TCIM among respondents/families.

Conclusion

The study showed that the majority of healthcare professionals in the study had positive views on the usefulness of TCIM and had used it in their families. Collaborative work between healthcare professionals and TCIM practitioners is recommended for better healthcare.

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.