scholarly journals Use of Traditional Chinese Medicine for Patients Diagnosed with Postpartum Depression: A Nationwide Population-Based Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jung-Miao Li ◽  
Cheng-Li Lin ◽  
Ke-Ru Liao ◽  
Chung-Chih Liao
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Multivariate Logistic Regression Analysis ◽  
Medical Expenditure ◽  
Research Database ◽  
Care Providers ◽  
Cross Sectional ◽  
Oral Infections

Postpartum depression (PPD) is one of most common postnatal complications, affecting approximately 10%–15% of women after childbirth annually. Traditional Chinese medicine (TCM) has been gaining popularity as the choice of treatment for PPD in Taiwan. Hence, our aim was to analyze the utilization of TCM among PPD patients in Taiwan. A cross-sectional study was conducted using a random sample of one million beneficiaries selected from the Taiwanese National Health Insurance Research Database. We identified patients with PPD who had received either TCM treatment or non-TCM treatment from the database during 2000–2012. Multivariate logistic regression analysis was used to identify the factors associated with the use of TCM. A total of 653 patients with PPD were enrolled. The majority of patients with PPD were 26–30 years old, lived in a highly urbanized area of Taipei, had a monthly income <20,000 NT$, and were private enterprise employees. Around 52.7% of PPD patients had the motivation to seek TCM services. Younger women, who resided in central and southern Taiwan and who had used TCM one year before PPD diagnosis, were more likely to use TCM services. PPD patients who underwent TCM treatment had a lower overall medical expenditure than non-TCM users. Most TCM users chose simple Chinese herbal medicine. The coexisting factors that made PPD patients to seek TCM services were respiratory or oral infections. We demonstrated the characteristics of those that seek TCM for PPD, which may provide useful insights to health care providers towards resource allocation.

scholarly journals A Cross-Sectional Study of Traditional Chinese Medicine Practitioner’s Knowledge, Treatment Strategies and Integration of Practice of Chronic Pelvic Pain in Women

2021 ◽  
Author(s):  
Susan Arentz ◽  
Caroline Smith ◽  
Rebecca Redmond ◽  
Jason Abbott ◽  
Mike Armour
Keyword(s):  
Health Care ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Health Care Providers ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Clinical Decision Making ◽  
Diagnostic Methods ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Chronic pelvic pain (CPP) in women is persistent, intermittent cyclical and non-cyclical lower abdominal pain, lasting for more than 6 months. Traditional Chinese Medicine (TCM) is a popular treatment option for women’s health conditions, but little is known about how treatment for CPP is delivered by TCM practitioners. The aim of this survey was to explore practitioners understanding and treatment of women with CPP, and how they integrate their management and care into the health care system. Method An online cross-sectional survey of registered TCM practitioners in Australia and New Zealand. Survey domains included treatment characteristics (e.g. frequency), evaluation of treatment efficacy, referral networks, and sources of information that informed clinical decision making. Results One hundred and twenty-two registered TCM practitioners responded to this survey, 91.7% reported regular treatment of women with CPP. Treatment decisions were most-often guided by a combination of biomedical and TCM diagnosis (77.6%), and once per week was the most common treatment frequency (66.7%) for acupuncture. Meditation (63.7%) and dietary changes (57.8%) were other commonly used approaches to management. The effectiveness of treatment was assessed using multiple approaches, most commonly pain scales, (such as the numeric rating scale) and any change in use of analgesic medications. Limitations to TCM treatment were reported by over three quarters (83.7%) of practitioners, most commonly due to cost (56.5%) and inconvenience (40.2%) rather than safety or lack of efficacy. Integration within the wider healthcare system was common with over two thirds (67.9%) receiving referrals from health care providers. Conclusion TCM practitioners seeing women with various CPP symptoms, commonly incorporate both traditional and modern diagnostic methods to inform their treatment plan, monitor treatment progress using commonly accepted approaches and measures and often as a part of multidisciplinary healthcare for women with CPP.

scholarly journals A cross-sectional study of traditional Chinese medicine practitioner’s knowledge, treatment strategies and integration of practice of chronic pelvic pain in women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Susan Arentz ◽  
Caroline Smith ◽  
Rebecca Redmond ◽  
Jason Abbott ◽  
Mike Armour
Keyword(s):  
Health Care ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Health Care Providers ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Clinical Decision Making ◽  
Diagnostic Methods ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Chronic pelvic pain (CPP) in women is persistent, intermittent cyclical and non-cyclical lower abdominal pain, lasting for more than 6 months. Traditional Chinese Medicine (TCM) is a popular treatment option for women’s health conditions, but little is known about how treatment for CPP is delivered by TCM practitioners. The aim of this survey was to explore practitioners understanding and treatment of women with CPP, and how they integrate their management and care into the health care system. Method An online cross-sectional survey of registered TCM practitioners in Australia and New Zealand between May and October 2018. Survey domains included treatment characteristics (e.g. frequency), evaluation of treatment efficacy, referral networks, and sources of information that informed clinical decision making. Results One hundred and twenty-two registered TCM practitioners responded to this survey, 91.7% reported regular treatment of women with CPP. Treatment decisions were most-often guided by a combination of biomedical and TCM diagnosis (77.6%), and once per week was the most common treatment frequency (66.7%) for acupuncture. Meditation (63.7%) and dietary changes (57.8%) were other commonly used approaches to management. The effectiveness of treatment was assessed using multiple approaches, most commonly pain scales, (such as the numeric rating scale) and any change in use of analgesic medications. Limitations to TCM treatment were reported by over three quarters (83.7%) of practitioners, most commonly due to cost (56.5%) and inconvenience (40.2%) rather than safety or lack of efficacy. Sources informing practice were most often Integration within the wider healthcare system was common with over two thirds (67.9%) receiving referrals from health care providers. Conclusion TCM practitioners seeing women with various CPP symptoms, commonly incorporate both traditional and modern diagnostic methods to inform their treatment plan, monitor treatment progress using commonly accepted approaches and measures and often as a part of multidisciplinary healthcare for women with CPP.

scholarly journals Utilization Pattern of Traditional Chinese Medicine among Fracture Patients: A Taiwan Hospital-Based Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Chu-Yao Tseng ◽  
Ching-Wen Huang ◽  
Hsin-Chia Huang ◽  
Wei-Chen Tseng
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Early Period ◽  
Clinic Visit ◽  
Research Database ◽  
Late Period ◽  
Utilization Pattern ◽  
Cross Sectional ◽  
Herbal Products ◽  
Tcm Theory

Traditional Chinese medicine (TCM) divides fracture treatment into three stages. Many TCM herbs and formulas have been used to treat fractures for thousands of years. However, research regarding the Chinese herbal products (CHPs) that should be used at different periods of treatment is still lacking. This study aims to identify the CHPs that should be used at different periods of treatment as well as confirm the TCM theory of fracture periods medicine. We used prescriptions of TCM outpatients with fracture diagnoses analyzed using the Chang Gung Research Database (CGRD) from 2000 to 2015. According to the number of days between the date of the fracture and the clinic visit date, all patients were assigned to one of three groups. Patients with a date gap of 0-13 days were assigned to the early period group; those with a date gap of 14-82 days were assigned to the middle period group; and those with a date gap of 83-182 days were assigned to the late period group. We observed the average number of herbal formulas prescribed by the TCM doctor at each visit was 2.78, and the average number of single herbs prescribed was 6.47. The top three prescriptions in the early fracture period were Zheng-gu-zi-jin-dang, Shu-jing-huo-xue-tang, and Wu-ling-san. In the middle fracture period, the top three formulas were Zheng-gu-zi-jin-dang, Shu-jing-huo-xue-tang, and Zhi-bai-di-huang-wan. In the late fracture period, the top three formulas were Shu-jing-huo-xue-tang, Gui-lu-er-xian-jiao, and Du-huo-ji-sheng-tang. The main single herbs used in the early fracture period were Yan-hu-suo, Gu-sui-bu, and Dan-shen. From the middle to the late period, the most prescribed single herbs were Xu-duan, Gu-sui-bu, and Yan-hu-suo. We concluded that the results showed that the CGRD utilization pattern roughly meets the TCM theory at different fracture periods.

scholarly journals The Effectiveness of Traditional Chinese Medicine in Treating Patients with Leukemia

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Yu-Jun Wang ◽  
Chung-Chih Liao ◽  
Hsuan-Ju Chen ◽  
Ching-Liang Hsieh ◽  
Tsai-Chung Li
Keyword(s):  
Health Insurance ◽  
Survival Rate ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
National Health Insurance ◽  
National Health ◽  
Insurance Coverage ◽  
Adult Patients ◽  
Medical Expenditure ◽  
Research Database

Leukemia is the most common malignancy among all childhood cancers and is associated with a low survival rate in adult patients. Since 1995, the National Health Insurance (NHI) program in Taiwan has been offering insurance coverage for Traditional Chinese Medicine (TCM), along with conventional Western medicine (WM). This study analyzes the status of TCM utilization in Taiwan, in both pediatric and adult patients with leukemia. A retrospective cohort study was conducted using population-based National Health Insurance Research Database of Registry of Catastrophic Illness, involving patient data from 2001 to 2010 and follow-up data through 2011. The effectiveness of TCM use was evaluated. Relevant sociodemographic data showed that both pediatric and adult patients who were TCM users one year prior to leukemia diagnosis were more likely to utilize TCM services for cancer therapy. A greater part of medical expenditure of TCM users was lower than that of TCM nonusers, except little discrepancy in drug fee of adult patients. The survival rate is also higher in TCM users. Altogether, these data show that TCM has the potential to serve as an adjuvant therapy when combined with conventional WM in the treatment of patients with leukemia.

scholarly journals Knowledge of Stroke in a Sub-urban Slum Community in Plateau State, North Central Nigeria

2021 ◽  
Vol 4 (1) ◽  
pp. 1-14
Author(s):  
G Osaigbovo ◽  
LC Imoh ◽  
PM Hon ◽  
TO Afolaranmi
Keyword(s):  
Health Care Providers ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
The Body ◽  
Care Providers ◽  
Community Perception ◽  
Cross Sectional ◽  
North Central ◽  
Stroke Symptom ◽  
Plateau State

Background: Despite stroke being a prominent cause of morbidity and mortality in north central Nigeria, there is no information on community perception and knowledge of stroke symptoms. This study was designed to assess the knowledge of stroke in a suburban community. Methods: This was community-based cross sectional observational study conducted at Kabong in Tudun Wada/Kabong ward of Jos North Local Government Area of Plateau State in north central Nigeria. A multi-stage sampling technique was used to select Kabong Community and all adults 18 years and above in the community were invited to participate in the study. The knowledge of stroke symptoms was assessed using an interviewer-administered questionnaire. The main outcome measure was the ability to identify stroke symptoms. Results: There were 196 respondents with a mean age (± standard deviation) of 46.4 (± 16.7) years; their ages ranging from 18 – 84 years. Fifty-four percent could identify only one stroke symptom and this was “sudden weakness or numbness of face, arm or leg especially on one side of the body.” On multivariate logistic regression analysis, previous stroke education (Odds Ratio = 0.034, 95% CI = 0.008 – 0.147, p < 0.001) emerged as the independent predictor of ability to identify this stroke symptom. Conclusion: Knowledge of stroke was poor among participants. Efforts should be made to improve stroke knowledge through deliberate health education of stroke patients, their relatives and the community by health care providers.

scholarly journals Pastoralist Community’s Perception of Tuberculosis: A Quantitative Study from Shinille Area of Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Samuel Melaku ◽  
Hardeep Rai Sharma ◽  
Getahun Asres Alemie
Keyword(s):  
Health Care Providers ◽  
Multivariate Logistic Regression Analysis ◽  
Preventive Measure ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Attitudes And Practices ◽  
Study Participants

Background. In Ethiopia the prevalence of all forms of TB is estimated at 261/100 000 population, leading to an annual mortality rate of 64/100 000 population. The incidence rate of smear-positive TB is 108/100 000 population.Objectives. To assess knowledge, attitudes, and practices regarding TB among pastoralists in Shinille district, Somali region, Ethiopia.Method. A community-based cross-sectional study was conducted among 821 pastoralists aged >18 years and above from February to May, 2011 using self-structured questionnaire.Results. Most (92.8%) of the study participants heard about TB, but only 10.1% knew about its causative agent. Weight loss as main symptom, transmittance through respiratory air droplets, and sputum examination for diagnosis were the answers of 34.3%, 29.9%, and 37.9% of pastoralists, respectively. The majority (98.3%) of respondents reported that TB could be cured, of which 93.3% believed with modern drugs. About 41.3% of participants mentioned covering the nose and mouth during sneezing and coughing as a preventive measure. The multivariate logistic regression analysis indicated that household income >300 Ethiopian Birr and Somali ethnicity were associated with high TB knowledge. Regarding health seeking behaviour practice only 48.0% of the respondents preferred to visit government hospital and discuss their problems with doctors/health care providers.Conclusion. This study observed familiarity with gaps and low overall knowledge on TB and revealed negative attitudes like discrimination intentions in the studied pastoral community.

scholarly journals Acceptance of Traditional Chinese Medicine in the Neonatal Intensive Care Unit: A Launching Point

2020 ◽  
Vol 9 ◽  
pp. 216495612092464
Author(s):  
Julie Johnson Rolfes ◽  
Kimberly Christensen ◽  
Lynn A Gershan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Neonatal Intensive Care Unit ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Treatment Modalities ◽  
Care Providers

Background Because neonatology is a relatively new medical specialty, it is host to on-going, rapid adaptation and evolution of medical treatments and practices. This process has almost exclusively focused on Western, biomedical treatment modalities, without inclusion of potentially beneficial Traditional Chinese Medicine practices. It is unclear how receptive health-care providers in the neonatal intensive care unit (NICU) and families of NICU patients would be to the introduction of adapted Traditional Chinese Medicine treatments into the NICU environment. Objective To assess the potential for engagement of patients, families, and staff in the NICU with Traditional Chinese Medicine therapies and to provide targeted education and low-risk Traditional Chinese Medicine treatments to support the health and well-being of those 3 groups. Methods A feasibility pilot study including weekly walk-in Traditional Chinese Medicine sessions within the NICU for parents and staff, and neonatal patient consultations, both of which included hands-on therapies and education tailored to each participant's unique needs. Pre- and postsurveys were administered over 3 phases. Results Walk-in sessions were attended by 83 adults and participants reported benefits, with no ill effects. There were 5 neonatal consultations with staff expressing an interest in more. Several obstacles to accessing Traditional Chinese Medicine modalities were identified in pre-surveys and were addressed with education and preemptive modifications to the therapies offered. Conclusion Acceptance of Traditional Chinese Medicine modalities in the NICU opens the door to future studies implementing integrative health services into the NICU care model.

Patients' Knowledge of Key Messaging in Drug Safety Communications for Zolpidem and Eszopiclone: A National Survey

2019 ◽  
Vol 47 (3) ◽  
pp. 430-441 ◽  
Author(s):  
Aaron S. Kesselheim ◽  
Michael S. Sinha ◽  
Paula Rausch ◽  
Zhigang Lu ◽  
Frazer A. Tessema ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Drug Safety ◽  
Safety Information ◽  
Patient Survey ◽  
Research Database ◽  
Care Providers ◽  
Cross Sectional ◽  
Safety Issues ◽  
New Drug ◽  
Drug Safety Information

Drug Safety Communications (DSCs) are used by the Food and Drug Administration (FDA) to inform health care providers, patients, caregivers, and the general public about safety issues related to FDA-approved drugs. To assess patient knowledge of the messaging contained in DSCs related to the sleep aids zolpidem and eszopiclone, we conducted a large, cross-sectional patient survey of 1,982 commercially insured patients selected by stratified random sampling from the Optum Research Database who had filled at least two prescriptions for either zolpidem or eszopiclone between July 1, 2012 and June 30, 2013. Among the 594 respondents (32.7% response rate), two-thirds reported hearing generally about drug safety information prior to starting a new drug, with the remaining one-third “rarely” or “never” hearing such information. Providers and pharmacists were primary sources of drug safety information. Two-thirds of zolpidem users and half of eszopiclone users reported having heard about the related DSC messages, ability to accurately identify the major factual messages was limited (overall median 2 correct out of 5, with men and those reporting higher educational level scoring higher [2/5 vs. 1/5, p=0.001]). Respondents reacted to new drug safety information about their sleep aids by reporting that they would want to learn about alternative ways to help them sleep (70%) and seek out more information about the safety of their specific sleeping pill (59-78%). Opportunities may exist for the FDA to work with providers and pharmacies to help ensure the DSC information is more widely received and is more fully understood by those taking the affected medications.

scholarly journals The Relationship between the Second-Generation Antipsychotics Efficacy and the Traditional Chinese Medicine Body Constitutions in Patients with Schizophrenia

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1480
Author(s):  
Tzu-Pei Yeh ◽  
Li-Chi Huang ◽  
Yu-Fen Chen ◽  
Jui-Fen Cheng
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Health Care Providers ◽  
Quantitative Research ◽  
Second Generation ◽  
Estimating Equation ◽  
Care Providers ◽  
Symptom Scale ◽  
Body Constitution ◽  
Second Generation Antipsychotics

Background: Schizophrenia requires lifelong treatment; Second-generation Antipsychotics (SGAs) have become the most prescribed medication for schizophrenia patients. The efficacy of various SGAs treatment may differ in schizophrenia patients with various traditional Chinese medicine (TCM) body constitution (BC) types. Method: This study applied a longitudinal quantitative research design, where a total of 66 participants were recruited. The Positive and Negative Symptom Scale (PANSS) and the Clinical Global Impression (CGI) score were used to evaluate patients’ psychopathology status in hospitalization, and body constitution questionnaires were conducted by face-to-face interviews in the 1st, 3rd, and 6th week of hospitalization. Results: More than 60% of schizophrenia patients who were treated with SGAs were classified to have unbalanced BC types including Yin-Xu, Yang-Xu and Stasis. Generalized estimating equation analysis revealed significant time effects in CGI and PANSS score improvements in both unbalanced and gentleness (balance) BC types, but no significant changes in the group and group-time interaction in the CGI and PANSS scores in different BC type groups. Conclusions: Schizophrenia patients under SGAs treatment had a higher proportion of unbalanced BC types which may lead to poorer physical or mental statuses, such as overweight problems. Health care providers could apply interventions according to patients’ BC types for disease prevention.

COVID-19: knowledge, awareness and perceived stress among Jordanian healthcare providers (Preprint)

2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  
Keyword(s):  
Social Media ◽  
Psychological Stress ◽  
Health Care Providers ◽  
Best Practice ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis ◽  
Source Of Information

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.

Sign in / Sign up

Export Citation Format

Share Document