Abstract：
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.
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.
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.
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.
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.
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.
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.
摘要：
未经证实：1级证据支持使用针灸/穴位按摩（A/A）来管理术后恶心和呕吐（PONV）。这项研究旨在调查医疗保健专业人员对A/A的态度，在围手术期护理中实施有效非药物干预的影响因素和障碍。
未经评估：A已验证，包含43个问题的匿名调查已通过电子邮件发送或在会议上作为硬拷贝分发给麻醉师，助产士,护士,产科医生,澳大利亚一家公立医院的妇科医生和外科医生。提供了描述性数据。采用卡方分析法探讨影响因素。使用多项逻辑回归来识别混杂因素的影响。
UNASIGNED:总共返回了155个已完成的调查，反应率为32%。大多数参与者是女性（69%）。护士/助产士（61％），年龄在20至50岁之间（76％）。83％的受访者认为A/A“明显替代”药物或“既不是主流也不是替代药物”。如果在医院提供，81％的人会鼓励患者使用穴位按摩进行PONV。以前个人使用A/A是影响临床使用态度和开放性的关键因素。实施的主要障碍是缺乏证据，缺乏合格的提供者和时间。
UNASSIGNED：医院的医疗保健专业人员强烈支持基于证据的A/A用于PONV，尽管认为该疗法非主流且A/A教育或个人使用史有限，为穴位按压实施研究提供了积极的背景。确定了培训方面的重大差距和学习愿望。
未经评估：A已验证，包含43个问题的匿名调查已通过电子邮件发送或在会议上作为硬拷贝分发给麻醉师，助产士,护士,产科医生,澳大利亚一家公立医院的妇科医生和外科医生。提供了描述性数据。采用卡方分析法探讨影响因素。使用多项逻辑回归来识别混杂因素的影响。
UNASIGNED:总共返回了155个已完成的调查，反应率为32%。大多数参与者是女性（69%）。护士/助产士（61％），年龄在20至50岁之间（76％）。83％的受访者认为A/A“明显替代”药物或“既不是主流也不是替代药物”。如果在医院提供，81％的人会鼓励患者使用穴位按摩进行PONV。以前个人使用A/A是影响临床使用态度和开放性的关键因素。实施的主要障碍是缺乏证据，缺乏合格的提供者和时间。
UNASSIGNED：医院的医疗保健专业人员强烈支持基于证据的A/A用于PONV，尽管认为该疗法非主流且A/A教育或个人使用史有限，为穴位按压实施研究提供了积极的背景。确定了培训方面的重大差距和学习愿望。
