Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan
Background: Medical staff may have difficulties in using conventional medicine to manage symptoms among terminally ill patients, including adverse effects of the treatment. Traditional Chinese medicine (TCM) is regarded as a complementary or alternative medicine, and has been increasingly used in th...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422020302742 |
| _version_ | 1819155004850700288 |
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| author | Yu-Jia Lin Hsiao-Ting Chang Ming-Hwai Lin Ru-Yih Chen Ping-Jen Chen Wen-Yuan Lin Jyh-Gang Hsieh Ying-Wei Wang Chung-Chieh Hu Yi-Sheng Liou Tai-Yuan Chiu Chun-Yi Tu Yi-Jen Wang Bo-Ren Cheng Tzeng-Ji Chen Fang-Pey Chen Shinn-Jang Hwang |
| author_facet | Yu-Jia Lin Hsiao-Ting Chang Ming-Hwai Lin Ru-Yih Chen Ping-Jen Chen Wen-Yuan Lin Jyh-Gang Hsieh Ying-Wei Wang Chung-Chieh Hu Yi-Sheng Liou Tai-Yuan Chiu Chun-Yi Tu Yi-Jen Wang Bo-Ren Cheng Tzeng-Ji Chen Fang-Pey Chen Shinn-Jang Hwang |
| author_sort | Yu-Jia Lin |
| collection | DOAJ |
| description | Background: Medical staff may have difficulties in using conventional medicine to manage symptoms among terminally ill patients, including adverse effects of the treatment. Traditional Chinese medicine (TCM) is regarded as a complementary or alternative medicine, and has been increasingly used in the field of palliative medicine in recent years. This study aimed to investigate the experiences of and attitudes toward using TCM among palliative care professionals, and to provide preliminary information about its use in palliative care. Methods: This was a cross-sectional survey study conducted in eight inpatient hospice wards in Taiwan between December 2014 and February 2016. The questionnaire was self-administered, and was analyzed with descriptive statistics including Pearson’s Chi-square test and Fisher’s exact test. Results: A total of 251 palliative care professionals responded to the questionnaire, of whom 89.7% and 88.9% believed that the use of TCM could improve the physical symptoms and quality of life in terminally ill patients, respectively. Overall, 59.8%, of respondents suggested that TCM had rare side effects, and 58.2% were worried that TCM could affect the liver and kidney function of patients. In total, 89.7% and 88.0% of professionals agreed there were no suitable clinical practice guidelines and educational programs, respectively, for TCM use in palliative care. Conclusions: Most of the respondents agreed there was insufficient knowledge, skills-training, and continuing education on the use of TCM in terminally ill patients in Taiwan. These results show that to address patient safety considerations, guidelines about use of TCM in palliative care should be established. |
| first_indexed | 2024-12-22T15:30:05Z |
| format | Article |
| id | doaj.art-35dad77882e54081818caa611146415d |
| institution | Directory Open Access Journal |
| issn | 2213-4220 |
| language | English |
| last_indexed | 2024-12-22T15:30:05Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj.art-35dad77882e54081818caa611146415d2022-12-21T18:21:23ZengElsevierIntegrative Medicine Research2213-42202021-06-01102100642Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in TaiwanYu-Jia Lin0Hsiao-Ting Chang1Ming-Hwai Lin2Ru-Yih Chen3Ping-Jen Chen4Wen-Yuan Lin5Jyh-Gang Hsieh6Ying-Wei Wang7Chung-Chieh Hu8Yi-Sheng Liou9Tai-Yuan Chiu10Chun-Yi Tu11Yi-Jen Wang12Bo-Ren Cheng13Tzeng-Ji Chen14Fang-Pey Chen15Shinn-Jang Hwang16Department of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Family Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, TaiwanDepartment of Family Medicine, China Medical University Hospital, Taichung, TaiwanDepartment of Family Medicine, Hualien Tzu Chi Hospital, Hualien, TaiwanDepartment of Family Medicine, Hualien Tzu Chi Hospital, Hualien, TaiwanDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Family Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital Taoyuan Branch, Taoyuan, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanCenter for Traditional Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Corresponding author at: Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Section 2, Shipai Road, Beitou District, Taipei 112, Taiwan.Background: Medical staff may have difficulties in using conventional medicine to manage symptoms among terminally ill patients, including adverse effects of the treatment. Traditional Chinese medicine (TCM) is regarded as a complementary or alternative medicine, and has been increasingly used in the field of palliative medicine in recent years. This study aimed to investigate the experiences of and attitudes toward using TCM among palliative care professionals, and to provide preliminary information about its use in palliative care. Methods: This was a cross-sectional survey study conducted in eight inpatient hospice wards in Taiwan between December 2014 and February 2016. The questionnaire was self-administered, and was analyzed with descriptive statistics including Pearson’s Chi-square test and Fisher’s exact test. Results: A total of 251 palliative care professionals responded to the questionnaire, of whom 89.7% and 88.9% believed that the use of TCM could improve the physical symptoms and quality of life in terminally ill patients, respectively. Overall, 59.8%, of respondents suggested that TCM had rare side effects, and 58.2% were worried that TCM could affect the liver and kidney function of patients. In total, 89.7% and 88.0% of professionals agreed there were no suitable clinical practice guidelines and educational programs, respectively, for TCM use in palliative care. Conclusions: Most of the respondents agreed there was insufficient knowledge, skills-training, and continuing education on the use of TCM in terminally ill patients in Taiwan. These results show that to address patient safety considerations, guidelines about use of TCM in palliative care should be established.http://www.sciencedirect.com/science/article/pii/S2213422020302742Chinese herbal medicineClinical practice guidelinesEducational programsPalliative care professionalsTraditional Chinese Medicine |
| spellingShingle | Yu-Jia Lin Hsiao-Ting Chang Ming-Hwai Lin Ru-Yih Chen Ping-Jen Chen Wen-Yuan Lin Jyh-Gang Hsieh Ying-Wei Wang Chung-Chieh Hu Yi-Sheng Liou Tai-Yuan Chiu Chun-Yi Tu Yi-Jen Wang Bo-Ren Cheng Tzeng-Ji Chen Fang-Pey Chen Shinn-Jang Hwang Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan Integrative Medicine Research Chinese herbal medicine Clinical practice guidelines Educational programs Palliative care professionals Traditional Chinese Medicine |
| title | Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan |
| title_full | Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan |
| title_fullStr | Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan |
| title_full_unstemmed | Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan |
| title_short | Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan |
| title_sort | professionals experiences and attitudes toward use of traditional chinese medicine in hospice palliative inpatient care units a multicenter survey in taiwan |
| topic | Chinese herbal medicine Clinical practice guidelines Educational programs Palliative care professionals Traditional Chinese Medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2213422020302742 |
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