关键词: complementary and alternative medicine mental health nutritional paediatric health physical physiological psychological traditional medicine well-being

来  源:   DOI:10.3390/healthcare12151547   PDF(Pubmed)

Abstract:
While research on complementary and alternative medicine (CAM) for the general population is expanding, there remains a scarcity of studies investigating the efficacy and utilisation of CAM practices, specifically in the paediatric population. In accordance with the World Health Organization (WHO), the prevalence of the parental utilisation of CAM in their dependents is estimated to reach up to 80%. This literature review identified broad, heterogeneous, and inconclusive evidence regarding CAM\'s applications and effectiveness, primarily attributed to variance in sociodemographic factors and differences in national healthcare systems. Additionally, the review identified a lack of consensus and polarised positions among mainstream professionals regarding the mechanisms of action, applications, and effectiveness of CAM. This narrative review presents varied results concerning the efficacy of most CAM therapies and their applications; however, some evidence suggests potential benefits for acupuncture, yoga, tai chi, and massage in improving physical and mental health. Moreover, the available evidence indicates that meditation may enhance mental health, while reiki may only influence patients\' perceptions of comfort. In light of the intricate and multifaceted nature of herbal medicine, it is imperative to assess its efficacy on a case-by-case basis, taking into account the specific compounds and procedures involved. This comprehensive review serves as a valuable resource for health professionals, offering guidance for personalised healthcare approaches that consider the values and beliefs of patients, thereby facilitating integrated, evidence-based practices aimed at enhancing the quality of healthcare services and patient satisfaction.
摘要:
尽管针对普通人群的补充和替代医学(CAM)的研究正在扩大,仍然缺乏研究CAM实践的有效性和利用率的研究,特别是在儿科人群中。根据世界卫生组织(WHO),父母在其家属中使用CAM的患病率估计高达80%。这篇文献综述确定了广泛的,异质,以及关于CAM的应用和有效性的不确定证据,主要归因于社会人口因素的差异和国家医疗保健系统的差异。此外,审查发现主流专业人员在行动机制方面缺乏共识和两极分化的立场,应用程序,CAM的有效性。这篇叙述性综述提出了关于大多数CAM疗法及其应用的疗效的不同结果;然而,一些证据表明针灸的潜在益处,瑜伽,太极,和按摩改善身心健康。此外,现有证据表明冥想可以增强心理健康,而灵气可能只会影响患者的舒适度。鉴于草药的复杂性和多面性,必须逐案评估其功效,考虑到所涉及的具体化合物和程序。这项全面的审查是卫生专业人员的宝贵资源,为考虑患者价值观和信念的个性化医疗保健方法提供指导,从而促进一体化,旨在提高医疗服务质量和患者满意度的循证实践。
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