Complementary Therapies in Nursing and Midwifery

The primary treatment of choice for venous leg ulceration (VLU) is compression therapy; however, serious clinical issues demand the development of new treatments. An extract believed to promote VLU healing is Horsechestnut Seed Extract (HCSE).The clinical feasibility of HCSE in VLU was explored in a two-stage design. The second stage presented here, was a descriptive survey exploring current opinion and utilisation of natural therapies, venotonics and HCSE in VLU. A questionnaire mailed to 122 district nurses, 73 medical practitioners (MPs) and 53 clients with VLU resulted in a response rate of 32, 31.5 and 81 per cent, respectively.Natural therapy and HCSE use for VLU was minimal in all groups. Half of all groups supported venotonics, with a similar proportion of nurses and clients utilising venotonics in practice. MPs were however less likely to utilise venotonics for VLU.Whilst clinicians indicate that clinical evidence may influence the utilisation of HCSE in clinical practice, the evidence currently does not exist. Positive findings from well-designed trials may ameliorate the integration of natural medicine into mainstream practice.

Matthew J Leach

The clinical feasibility of natural medicine, venotonic therapy and horsechestnut seed extract in the treatment of venous leg ulceration: a descriptive survey

天然药物、静脉活性疗法和七叶树籽提取物治疗静脉性腿部溃疡的临床可行性：一项描述性调查

The second of three papers considers claims made for the perception or detection of vital energy. Many systems of complementary and alternative medicine assume the existence of a vital force that mediates therapeutic efficacy, for example chi or qi in Traditional Chinese Medicine. Vital energy directly perceived or imaged that surrounds living organisms is frequently termed the aura. A range of devices or techniques are claimed to image the aura. These include Kirlian photography, gas discharge visualisation (GDV) and polychromatic interference photography (PIP). This paper explores such claims and argues that the images produced can be explained using concepts from the physical sciences. It is suggested that techniques such as KP, GDV or PIP currently offer insufficient reliable research evidence concerning their use as diagnostic or imaging alternatives. Consequently their clinical use is debateable. Kirlian photography and its derivatives may however be useful as a research tool by providing visual records of complex bodily responses to experimental situations. For example, responses to physiological or psychological stressors.

Tim Duerden

An aura of confusion Part 2: the aided eye—‘imaging the aura?’

困惑的氛围 第二部分：辅助的眼睛——“成像气场？”

Over the past 8 years the number of full time, Complementary Therapies degree courses provided within UK Universities has increased from less than five to currently almost one hundred. In addition, the developments within the Further Education and private sector have added to the increase in provision. With so many different courses on offer, finding the most suitable, quality course is becoming a challenge for applicants. Course titles provide little insight into the philosophy, nature and quality of provision while details within an institute's prospectus or web site frequently do not clearly identify distinguishing features. Key characteristics of quality provision to look for in a course in complementary therapies are discussed. Aspects considered include: the type of institute, modes of study, which therapy and its current regulation, the skills development and clinical experience opportunities, the balance of subjects within a course, the experience of the teaching team and their research activities. Discussion is included of the need for adequate quality assurance procedures to ensure courses evolve to continue to meet the needs of those entering the rapidly developing profession. The relationship of the provider and the appropriate professional bodies is also discussed. A summary of aspects to consider when looking for a comprehensive, quality course has been provided in Table 2.

Brian Isbell

Finding the right complementary therapies course

找到合适的补充疗法课程

Joanna Trevelyan

Counselling skills for nurses, midwives and health visitors

护士、助产士和健康访视员的咨询技能

Denise Rankin-Box

The boiled frog syndrome: your health and the built environment

煮蛙综合症：你的健康与建成环境

Complement Ther Nurs Midwifery

The last decade—complementary therapies in nursing and midwifery. The first decade—complementary therapies in clinical practice

过去十年——护理和助产中的补充疗法。第一个十年——临床实践中的补充疗法

Denise Tiran

The new experience of childbirth

分娩新体验

Pregnant women with a third trimester breech presentation are almost invariably offered Caesarean section as the mode of delivery of first choice, especially when external version has failed to turn the fetus to cephalic. However, increasingly women are resorting to alternatives, to avoid either operative delivery or manipulative intervention in late pregnancy. This paper reviews some of the options for women with breech presentation, focusing especially on integrating these options into conventional maternity care.

Breech presentation: increasing maternal choice

臀位分娩：增加产妇选择

The guide to complementary and alternative medicine of the internet

互联网补充与替代医学指南

This paper outlines an exploratory study charting the circumstances of use and patient perspectives regarding the acupuncture service offered in an antenatal clinic at an Australian public hospital. Study participants were recruited from women attending the antenatal clinic. Upon completion of their course of acupuncture treatment, 52 women were given a questionnaire, of which 37 (71%) were completed and returned. Of the 37 women who attended the acupuncture clinic, 18 (49%) had previously used at least one form of complementary medicine/therapy. The most common reason for treatment was physiological symptoms including back pain, symphysis pubis dysfunction and sciatica. All 37 women stated that the acupuncture improved their well-being and this finding was statistically significant (P<0.001). These findings are offered as a means of identifying potential issues for future investigation in this under-researched area.

N. Hope-Allan

J. Adams

D. Sibbritt

Sally Tracy

The use of acupuncture in maternity care: a pilot study evaluating the acupuncture service in an Australian hospital antenatal clinic

针灸在产科护理中的应用：一项评估澳大利亚医院产前诊所针灸服务的试点研究

Publication Information	Publisher: Elsevier B.V.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1995，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Complementary Therapies in Nursing and Midwifery

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