帕金森病中医治疗现状分析及政策建议

Analysis and policy recommendations of current status of traditional Chinese medicine treatment on Parkinson′s disease

目的 了解帕金森病(PD)患者对中医治疗的需求、认知情况及实际应用现状,探索中医服务需求和利用的影响因素。方法 采用自填式问卷于2018年8月面向全国30个省份的PD患者进行调查,调查内容为一般情况及疾病基本情况,接受中医治疗服务的情况,对中医治疗服务的使用意愿等。结果 共发放问卷435份,回收问卷417份,有效回收率为95.86%。73.14%被调查者愿意使用中医治疗服务,52.76%被调查者已接受过中医治疗,睡眠障碍、便秘、僵直等症状改善率较高,而仍有39.09%被调查者认为中医治疗并未改善任何症状。中医治疗效果不理想是影响其进行中医治疗的主要原因。中药汤剂是被选择最多的中医治疗方式。结论 PD患者对中医治疗服务的使用意愿及认知程度较高,但中医治疗实际使用情况与意愿不甚相符,患者就诊需求的实际满足率不甚理想,中医具体治疗项目的选择不均衡。

Objective To comprehend the needs,cognitive status and practical application status of traditional Chinese medicine treatment from patients with Parkinson′s disease(PD)and to explore the influencing factors of service needs and utilization in traditional Chinese medicine.Methods The self-made questionnaire survey as the method was adopted to analyze PD patients in 30 provinces and regions in China in August 2018.The questions include but not limited to individual information,basic health conditions,experiences in traditional Chinese medicine treatment services in the past,and the will to consider the traditional Chinese medicine treatment services in the future.Results A total of 435 questionnaires were distributed and 417 questionnaires were recovered.The effective recovery rate was 95.86%.73.14%of the respondents were willing to use traditional Chinese medicine treatment services,and 52.76%of the respondents who have received traditional Chinese medicine treatment believed that the symptoms like sleep disorders,constipation,and muscle stiffness are relieved.However,39.09%of the respondents thought that traditional Chinese medicine treatment did not improve their symptoms.The unsatisfactory efficacy of traditional Chinese medicine treatment was the main reason of influencing utilization of the traditional Chinese medicine treatment.Traditional Chinese medicine decoction was the most widely used method in traditional Chinese medicine.Conclusion PD patients had great enthusiasm and cognition to traditional Chinese medicine treatment services,but the number of people who used traditional Chinese medicine treatment is not consistent with the numbers of people who are willing to practice traditional Chinese medicine.Patients′actual satisfaction rate of treatment needs is not satisfactory,while the choices of traditional Chinese medicine treatment items are not balanced.