ISSN: 2230-9926 Vol
Total Page:16
File Type:pdf, Size:1020Kb
Available online at http://www.journalijdr.com International Journal of Development Research ISSN: 2230-9926 Vol. 10, Issue, 07, pp. 38336-38339, July, 2020 https://doi.org/10.37118/ijdr.19188.07.2020 RESEARCH ARTICLE OPEN ACCESS HEALTH STUDENTS KNOWLEDGE ABOUT INTEGRATIVE AND COMPLEMENTARY PRACTICES Marinilde Rodrigues Santos1,*, Darlene Oliveira Silva2,Cleandho Marcos de Souza3 Karla Cavalcanti Silva de Morais4, Juliana Barros Ferreira5, Ana Maria Barbosa Argôlo6, Hellen Tamara Ferraz Mathias Lima Silva7,Larice Novais Alves7, Beatriz de Jesus Pereira8 and Felix Meira Tavares9 1Graduating in Physiotherapy at FaculdadeIndependente do Nordeste (FAINOR). 2Physiotherapist graduated by FAINOR. 3Biologist, Master from USP. 4Physiotherapist, Master in Public Health from ENSP / Fiocruz, Professor at UNINASSAU. 5Physiotherapist, Master in Health Technologies from EBMSP, Professor at FAINOR, FTC and UNINASSAU. 6Physiotherapist, Master's student in health sciences from PPGES / UESB. 7Physiotherapist, Post- graduated physiotherapist in pediatrics/FAINOR, working with the PediaSuit method. 8Physiotherapist graduated by UESB, working with the PediaSuit method. 9Physiotherapist, Master of Science from USP, Professor at FAINOR. ARTICLE INFO ABSTRACT ArticleArticle History: History: Integrative and Complementary Practices have gained space in public health policies and interest Article History: Received xxxxxx in them have increased. Health professors must train professionals to develop a more critical Received 17xxxxxx,th April, 2019 2020 Received in revised form Received in revised form thinking, focused on integral health. This study aimed to describe about the knowledge of xxxxxx 24xxxxxxxx,th May, 2020 201 9 physiotherapy students about integrative and complementary health practices. This is a Accepted xxxxxxxxx Accepted 11xxxxxxxxxth June, 2020, 20 19 descriptive, experimental, transverse and quantitative study. The data were quantified and Published online xxxxxxxxxxxxxth xxx Published online 30xxxxx July,, 201 20209 analyzed using descriptive statistics. The results show that although most students reported knowing some Integrative and Complementary Practices (88%), few know the National Policy of Key words: Integrative and Complementary Practices (46%), however the vast majority (90%) would indicate the treatment of some of these practices to any client, friend or family member for believing in Complementary therapies. Unified Health their therapeutic effects. Acupuncture was the best-known practice among students (74%) and the System. Students, Health technique most used by them was auriculotherapy (58%). It is suggested that higher education Occupations.Integrative Medicine. institutions include this theme in their curricular components and knowledge about health care Acupuncture Therapy must become more holistic and humanized. *Corresponding author: Marinilde Rodrigues Santos Copyright © 2020, Marinilde Rodrigues Santos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Citation: Marinilde Rodrigues Santos, Darlene Oliveira Silva, Cleandho Marcos de Souza Karla Cavalcanti Silva de Morais et al. Health students knowledge about integrative and complementary practices”, International Journal of Development Research, 10, 07, 38336-38339. INTRODUCTION addition to knowledge and learning for the population (Brasil, 2012). Health managers and users of the Unified Health Integrative and complementary practices (ICP) started to be System, jointly thought of a durable public policy that could discussed in Brazil by the end of the 70's, after the promote comprehensive health care through CIPs, considering International Conference on Primary Health Care where there not only natural health prevention factors but a more was the Declaration of Alma Ata. In the 1980s, due to the 8th comprehensive way of promoting health, care and recovery of National Health Conference, was highlighted a need in the the health-disease process. Thus, CIP started to be offered in Brazilian society to include an innovative health culture which hree phases of service, primary, secondary and tertiary (Brasil, sought to discuss and question the hegemonic pattern of health 2012). Besides that, the Ministry of Health through Ordinance care, in which it would bring new forms of care, self-care, in No. 971 from May 2006 approved the implementation of the 38337 Marinilde Rodrigues Santos et al. Health students knowledge about integrative and complementary practices National Policy of Integrative and Complementary Practices in “Integrative and Complementary Practices in Health Health (NPICP) (Brasil, 2006). These practices aim at the Promotion”. The Certificate of Presentation of Ethical patient's well-being, assessing him with a more comprehensive Appreciation has the number: 86462318.3.0000.5578, which view and providing more natural procedures, addressing was approved for data collection under the protocol 2.593.674. continuous and humanized care, and providing a welcoming The study procedures were initiated after the institution's listening to the therapeutic bond. These practices value self- approval for data collection by signing and stamping the care and the natural mechanisms to preventing injuries, Institutional Authorization Term for Data Collection by its generating not only physical well-being but also emotional and manager, submission and approval by the Ethics and Research psychological well-being, which can replace conventional Committee of FaculdadeIndependente do Nordeste - FAINOR. treatment or act together with it (Salles, 2011). The NPICP All volunteers were informed about the research and signed an aimed to ensure that Unified Health System users have access Informed Consent Form, respecting the ethical precepts to traditional and complementary medicines, among which, contained in Resolution 466/2012 of the National Health those in the scope of Traditional Chinese Medicine: Council. The research was carried out in a private higher Acupuncture, Homeopathy, Phytotherapy, Anthroposophical education institution in the city of Vitória da Conquista, in Medicine and Thermalism - Crenotherapy (Brasil, 2006). In Bahia state, Brazil. The higher education institution was 2017, 14 new ICP methods were included through/by chosen for this study because it is a training center for health Ordinance No. 849/2017, SUS now offers 19 integrative and professionals who will act directly on health promotion for complementary practices to its users, which are: Homeopathy, others, and, therefore, must be responsible for their insertion in Traditional Chinese Medicine / Acupuncture, Anthropozoic the broader context of BrazilianUnified Health System. Medicine, Medicinal Plants and Phytotherapy, Social Thermalism / Crenotherapy, Art Therapy, Ayurveda, Physiotherapy course students of a higher education institution Biodanza, Circular Dance, Meditation, Music Therapy, participated in the study. Were included in the study Students Naturopathy, Osteopathy, Chiropractic, Reflexotherapy, Reiki, duly enrolled in the physiotherapy course who were attending Shantala, Integrative Community Therapy and Yoga (Brasil, the last year, excluding irregular students. Subsequently, the 2017). students were asked to answer a questionnaire at a time when they were in between classes. A questionnaire was used to Since the public policy brought significant advances for the assess the students’ knowledge about the existence of ICP and access qualification and resolution in the Health Care NPICP, their practices, their personal experiences with ICP, Network, new increments were made. Therefore, in 2018, the and the experience of their family members regarding ICP. new ordinance No. 702 from the Ministry of Health approved Data collection took place in October 2018. The data obtained an addition of 10 more practices to the National Policy of were analyzed using the electronic program Microsoft Office Integrative and Complementary Practices: aromatherapy, Excel 2017 software with procedures for data tabulation and apitherapy, bioenergetics, family constellation, chromotherapy, responses analysis using descriptive statistics, simple geotherapy, hypnotherapy, laying on of hands, ozone therapy percentages including absolute and relative frequencies. and flower therapy (Brasil, 2020). Even with this diffusion of ICP, health professionals are unaware of these practices RESULTS despite the interest in knowing them and in approving their inclusion in health services. The lack of knowledge generates a The sample of this present study was composed of 50 prejudiced view regarding ICP and the non-recognition of their physiotherapy course students from both sexes from the final contributions to health. Also, the lack of scientific evidence to academic year, enrolled on 9th and 10th semester.Table 1 prove these practices generates a prejudice which is sometimes shows students' knowledge about the ICP. Although 88% of passed from the doctor to the patient and even from teachers to the students reported hearing about some ICP, only 24% made students in the health field, thus causing the reduction in the use of any of them. It was also reported by the students that use of these practices today (Gontijo, 2017). Thereby, it only 26% of their relatives have already used any ICP. When depends on health professors to be responsible to instruct asked if they