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Τρίτη, 8 Μαρτίου 2011

Υπάρχει ανάγκη μεγαλύτερης καθοδήγησης στις Εναλλακτικές και Συμπληρωματικές Θεραπείες στην μαιευτική!

Στην σελίδα Anaesthesia UK διαβάζουμε ότι η δημοτικότητα των ΣΕΘ αυξάνεται στο πεδίο της μαιευτικής φροντίδας, ωστόσο οι επαγγελματίες υγείας χρειάζονται εκπαίδευση βασιζόμενη στην απόδειξη και καθοδήγηση στην χρήση της σύμφωνα με επισκόπηση του Journal of Advanced Nursing.

Υπάρχει ανάγκη μεγαλύτερου σεβασμού και συνεργασίας μεταξύ συμβατικών και εναλλακτικών επαγγελματιών και βελτιωμένης επικοινωνίας με τους ασθενείς για την ολοένα αυκανόμενη χρήση των ΣΕΘ.

Πανεπιστημιακά μέλη του Network of Researchers in the Public Health of Complementary and Alternative Medicine (NORPHCAM) μελέτησαν 19 έρευνες οι οποίες εξέταζαν τις απόψεις 3000 επαγγλεματιών από των χώρο της μαιευτικής από τις χώρες Αυστραλία, Καναδά, ΗΠΑ, Γερμανία, Νέα Ζηλανδία και Ισραήλ.

Τα κύρια ευρήματα ήταν:

• A survey of 343 midwives from Canada and New Zealand found that 72% had recommended or offered CAM. The most common referrals were to homeopaths (51%), acupuncturists (50%), naturopaths (48%), chiropractors (36%), massage therapists (31%) and osteopaths (20%).

• All but one of the 381 obstetric departments who took part in a German survey said they offered at least one CAM therapy, with acupuncture (97%), homeopathy (93%) and aromatherapy (77%) heading the list.

• 78% of the 227 midwives who took part in an American study reported using CAM and 89% would refer a patient to CAM providers. The three most commonly used treatments were herbal preparations (85%), pharmacologic/biologic treatments (82%) and mind-body interventions (80%).

• A study of 401 American obstetricians found that 98% routinely endorsed, provided or referred patients for at least one CAM treatment. Movement therapies topped the list at 86%, followed by biofeedback and acupuncture (both 80%).

“For example, our study suggests that, in general, midwives have a more positive view of CAM than obstetricians and that understandings and perceptions of CAM appear to be closely linked with wider notions of professionalism and professional identity.

“In particular, the holistic nature of CAM has a close affinity with the philosophy, professional goals and care perspectives of many midwives.” The authors raise concerns that their research review showed that most medical professionals have no CAM training and little understanding of the pharmacological nature of alternative therapies and their possible risks to pregnant women.

“There have recently been calls for nursing and midwifery education to include CAM training” says Dr Adams. “In addition, a number of medical organisations and registration boards, including the Royal College of Midwives and Australian Nursing Federation, have issued position statements endorsing the linking of care standards to education and knowledge of CAM.

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