The role of naturopathy in hospital care

The role of naturopathy in hospital care
reference
romeyke t, Nöhammer E, Scheuer HC, Stummer H. Integration of naturopathy into acute -facing care: an approach for patient -centered medicine under diagnostic groups. Complete Ther Clin Pract . 2017; 28: 9-17.
objective
Assessment of patient satisfaction and perception in relation to the use of naturopathy as part of acute stationary care
draft
This prospective study interviewed patients who received complementary naturopathic treatment in an approved acute hospital. The survey included questions about the experience and views of the patients about the treatment obtained. The study was carried out over a period of 2 years and all patients who entered the acute care facility were invited to participate.
participant
A total of 1,711 (376 men and 1,335 women) patients of a acute hospital for general medicine were interviewed in Germany; The average patient age was 63.3 years and the average hospital stay 11.9 days.
Intervention
Patient care was monitored by integrated health teams, which were put together on the basis of the patient's specific needs. These teams included specialists in general medicine, specialists for naturopathy, anesthetists, orthopedic surgeons and neurologists as well as related health service providers (e.g. dietary, massage therapists, balneotherapists, physiotherapists, occupational therapists and psychotherapists). The health teams determined treatment goals based on the diagnosis or the diagnoses associated with every patient.
The high patient satisfaction and the strong therapy loyalty in holistic acute care facilities such as those considered here should arouse the interest of the hospital administration.
Naturopathic treatment in hospitals in Germany is regulated by the operating and procedural catalog (OPS), which defines the requirements for naturopathic care in these facilities. For example, it is stipulated that the care team has to evaluate the treatment goals at least twice a week. Specific naturopathic therapies and the minimum of management are also determined. For example, at least 5 out of 8 designated management facilities must be used in naturopathic care. Naturopathic care in this inpatient setting was followed by the European traditions of naturopathy and Asian naturopathic practices
Naturopathic care initially included methods with scientifically proven effectiveness. If no study evidence was available, the use of methods with many years of empirical evidence was considered acceptable.
study parameters evaluated
In the study, patient diagnoses were recorded according to the classification system Diagnosis Related Groups (DRG). The diagnoses were further classified and a main diagnosis category (MDC) using the diagnostic codes of the international classification of diseases (ICD) -10.hospital patients were examined before the medical admission based on extensive validated questionnaires, so that all members of the nursing team had sound information about the health status of the patients. The questionnaires included the Hanover Functional Status Questionnaire, the Visual Analogue Scale, the Mainz Pain Staging System and the Nottingham Health Profile. Diagnoses (primary and secondary) were provided or confirmed after taking it.
At the end of their hospital stay, the patients filled up surveys in writing and anonymously, who after their satisfaction with the integration of naturopathic care, including their perception of the therapy loyalty and their satisfaction with the time required by the nursing staff, asked them during their inpatient stay. Disruptive factors were reduced by using the same conditions for distributing the surveys.
primary result measurements
The primary result measurements included the following, which resulted from the surveys: 1) the evaluation of holistic care measures; 2) holistic care measures and influence on adherence; and 3) the time that the nursing staff expends to communication with the patients. The patients used the following grades to assess satisfaction: grade 1 = very good; Grade 2 = good; Grade 3 = satisfactory; Note 4 = sufficient; Note 5 = bad, grade 6 = insufficient; draw. The grading scale was adapted to the German school grading system so that it is generally understandable.
important knowledge
holistic care measures, including naturopathy, were rated “very good” by 62 % of respondents and 28 % with “good”; 42.5 % of the participants answered the question. The perception of the effect of care on the loyalty to therapy was similarly positive, with 69 % of the therapy loyalty as "very good" and 24 % as "good"; The return rate was 43.5 %. The time that the nursing staff has spent on communication with patients was rated by 61 % of the participants with "very good", 28 % with "good" and 5 % with "satisfactory". The response rate for this question was 42.5 %.
The assignment of the diagnoses showed that most patients were taken up due to diseases and disorders of the musculoskeletal system and the connective tissue, followed by diseases of the nervous system, mental illnesses and disorders, diseases of the circulatory system as well as diseases of the endocrine system and metabolism.
practice implications
The results of the patient surveys in this study showed a high level of satisfaction with the combination of naturopathy and conventional medicine (in the work defined as "evidence -based conventional medicine, which is guaranteed by specialists") within an inpatient acute facility in Germany. Studies of this kind provide information that speak for a stronger integration of naturopathic care in the medical care systems of the countries around the world.
According to a report by the National Center for Health Statistics, the use of therapies of complementary and alternative medicine (CAM) has increased in the United States between 2002 and 2007; In 2007, 38 % of adults used some form of cam.
The high patient satisfaction and the strong therapy loyalty in holistic acute care facilities such as those considered here should arouse the interest of the hospital administration. The Canadian College of Naturalopathic Medicine operates a teaching clinic for outpatient care in the Brampton Civic Hospital and has patient satisfaction of more than 90 % in patients in the clinic. In addition, there is increasing evidence of the effectiveness of naturopathic treatments
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