Use of complementary and alternative medicine by patients presenting to a paediatric Emergency Department
| العنوان: | Use of complementary and alternative medicine by patients presenting to a paediatric Emergency Department |
|---|---|
| المؤلفون: | Georg Staubli, Lukas Rist, Ana Paula Simões-Wüst, Tycho Jan Zuzak, Isabelle Zuzak-Siegrist |
| المساهمون: | University of Zurich |
| المصدر: | European Journal of Pediatrics. 168:431-437 |
| بيانات النشر: | Springer Science and Business Media LLC, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Complementary Therapies, Parents, Health Knowledge, Attitudes, Practice, Pediatrics, medicine.medical_specialty, animal structures, Adolescent, Attitude of Health Personnel, medicine.medical_treatment, Medizin, Alternative medicine, 610 Medicine & health, Traditional Chinese medicine, Professional-Family Relations, Anthroposophic medicine, Surveys and Questionnaires, Epidemiology, Humans, Medicine, 2735 Pediatrics, Perinatology and Child Health, Child, business.industry, Public health, Infant, Newborn, Infant, Emergency department, Homeopathy, Patient Acceptance of Health Care, Self Care, Cross-Sectional Studies, Present illness, Socioeconomic Factors, Complementary and alternative medicine, El Niño, 10036 Medical Clinic, Child, Preschool, Health Care Surveys, Family medicine, Emergency medicine, Pediatrics, Perinatology and Child Health, Population study, Emergency Service, Hospital, business, Switzerland, Paediatric emergency |
| الوصف: | Information on the use of complementary and alternative medicine (CAM) by paediatric patients presenting to an emergency department is still sparse. Therefore, a cross-sectional survey of the patients presenting to an urban, tertiary paediatric emergency department (integrated in the University Children's Hospital of Zurich) was performed. Between October 2006 and March 2007, 1143 questionnaires (68% of those distributed) became available for analysis. Overall 58% (n=665) of all respondents (parents or other accompanying persons) admitted some form of CAM therapy to their child, 25% (n=291) at present illness. Of the respondents who admitted some form of CAM to their child, 77% (n=511) used remedies of homeopathy, 64% (n=426) of herbal medicine, 24% (n=158) of anthroposophic medicine, 13% of traditional Chinese medicine (n=89), 5% of Ayurveda (n=36) and 34% (n=224) used other kind of CAM therapies. About 31% of the respondents (n=354) used CAM prescribed by a physician, 50% (n=575) as self-medication. The highest use of self-medication was observed in patients using herbal medicine and Ayurveda. Patients presented to the emergency department mostly because of an infection (42% of total; 29% of these used CAM) or a trauma (38% of total; 19% of these used CAM). Parents of CAM users were significantly older, more often born in Switzerland and had significantly higher school education than those of the non-users. Nearly two-third of the administered CAM therapies were not prescribed by a physician and half of the families using CAM did not discuss this with their general practitioner. Parental requirements implied that medical professionals on a paediatric emergency department should know effects and side-effects of CAM therapies and even be able to recommend them. Conclusion: the use of CAM by the study population is very frequent, even in trauma patients. It is characterised by a high rate of self-medication and exclusion of the physicians from the decision process. Homeopathy and herbal medicine are the most commonly used forms of CAM in the study population. The parents demand the consideration of CAM and wish an open discussion with the medical professionals about CAM. |
| وصف الملف: | ZuzakTJ,_2009.pdf - application/pdf; ZORA_NL_31587.pdf - application/pdf |
| تدمد: | 1432-1076 0340-6199 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::48f2de123b9eab4f6833eed63e323a35Test https://doi.org/10.1007/s00431-008-0765-3Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....48f2de123b9eab4f6833eed63e323a35 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14321076 03406199 |
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