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Traditional and complementary medicine in a nephrology department: practitioner knowledge and advice

09 April 2020
Professional
02 April 2020
Volume 29 · Issue 7

Abstract

Background:

Knowledge of traditional and complementary medicine (TCM) and its use by patients are essential for patient safety.

Aims:

To examine knowledge of TCM among practitioners in a nephrology unit and their advice to patients.

Methods:

This was a descriptive, observational, cross-sectional study. Sociodemographic data were collected and an ad hoc closed response survey was used.

Findings:

This study included 62 practitioners, of whom: 32.26% had been trained in TCM, with no significant differences between professional groups; 41.93% used TCM and 67.74% recommended TCM to patients, with no significant difference between personal use and training received. The majority (62.90%) approved of TCM being included in clinical practice, 77.42% were in favour of it being included in formal health teaching programmes, 27.42% said patients had requested information on TCM and 50% knew it could interact with conventional treatment.

Conclusion:

Although the majority of practitioners had not been trained in TCM, they were interested in including such treatments in clinical practice. They recommended TCM to patients, but neither training nor personal experience were significant factors in relation to these recommendations. Training in TCM is required to ensure advice is safe.

According to the World Health Organization (2013), traditional medicine involves knowledge, skills and practices based on theories, beliefs and experiences in a variety of cultures. Whether it is supported by evidence or not, traditional medicine is used to maintain health and prevent disease, as well as to diagnose, improve or treat physical and mental health conditions. Similarly, complementary medicine encompasses a broad set of practices that are not part of a country's mainstream healthcare. The concepts of traditional and complementary medicine (TCM) overlap and cover products and practice used to address to health issues (WHO, 2013).

The WHO (2013) supports TCM, since it is a source of treatment (sometimes the only one) for many people around the world. Therefore, the WHO (2013) advocates its safe, rational and informed use and promotes scientific research to provide evidence and ensure responsible use.

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Alternative medicine
Complementary medicine
Traditional medicine
Professional knowledge
Renal care
Clinical education