Research On Fainting During Acupuncture And Its Influence On Doctor-patient Relationship

Acupuncture refers to Chinese medicine theory, the use of acupuncture as a method of disease control. Acupuncture has wide indications, efficacy is easy to operate, economic security, etc., by the masses and patients welcome. However, invasive acupuncture as a treatment, if the doctors who do not pay attention in the implementation of acupuncture treatment, acupuncture will be often easy to cause some accidents, such as:fainting, bleeding, bleeding, infection, inflammation and other symptoms, while the halo needle is a clinical response to common needle-stick injuries. Acupuncture and patients due to dizziness, nausea, dizziness, palpitations, and even the pale, cold sweat, limbs frosty, blood pressure, pulse dispersion is weak, or even a sudden sense of where forfeiture is called fainting. The cause of fainting a lot is very common in clinical acupuncture. Especially the halo needle, with patients to explain is not enough, lack of communication psychology, fear of acupuncture patients, patients no longer dare to receive acupuncture treatment. As more patients with the hospital, doctors and patients before acupuncture generally do not have sufficient knowledge of acupuncture to inform, not prepared for the patient, the occurrence of fainting or the decree after the treatment of patients satisfied more easily affects on the good doctor-patient relationship at this moment.Since the fainting is difficult to avoid, the best doctor is the health center, so that patients feel your follow-up care for his very warm, but will not stop the damage in the wrong needle, the physician-patient relationship can still be good to continue. Otherwise the halo needle, the patient will often question the physician's technology, resulting in changes in physician-patient relationship. And medical institutions and patients were asked to provide a safe-centered medical care, in this principle, the protection of patient safety, prevention of fainting so as to avoid panic and therefore patients do not trust doctors, doctor-patient relationship is a very important Issues.Therefore, this article summarizes past and present in the cause of fainting, pathogenesis, prevention and control experience and research physician-patient relationship, based on research by reviewing the way in the form of a questionnaire survey, for the physician survey, by Fainting may occur on the relevant factors were analyzed to summarize the risk factors for the occurrence of halo-pin, standard fainting control to maximize protect patients, reduce medical disputes, improve the doctor-patient relationship is more complex. Hope that through this study, allowing clinicians the prevention and treatment of fainting on to a new breakthrough.ObjectiveTo summarize risk factors for the occurrence of halo-pin, standard fainting control to maximize protect patients, reduce medical disputes, improve the doctor-patient relationship is more complex, hope this study will allow clinicians in the prevention and halo-pin Treatment can have a new breakthrough.MethodsIn this paper, literature review and survey of the form, at the conclusion of the fainting ancient and modern causes, pathogenesis, prevention and control experience and research physician-patient relationship, based on research by reviewing the way in the form of a questionnaire survey, For the physician survey, fainting may occur through the relevant factors were analyzed to summarize risk factors for the occurrence of halo-pin, standard fainting control to maximize protect patients, reduce medical disputes, and improve the more complex Doctor-patient relationship. Hope that through this study, allowing clinicians the prevention and treatment of fainting on to a new breakthrough. Fainting first review the literature of ancient and modern literature, ancient and modern in the full understanding of the causes of fainting, pathogenesis, prevention and control experience and the doctor-patient relationship, based on research, design the questionnaire. The halo needle disguised as self-, physician-patient relationship is disguised by the organization chart as the main axis of questionnaire design. This research framework and its purpose is to collect all the information you want to source widely in order to avoid bias of each study or as a result of missing information bias. Needle through the halo as a research medium, to understand how doctors are affected, and build some of the relevant knowledge to help future doctors how to respond to increasingly complex patient relationship.1. Of the questionnaire subjects were Chinese medicine:the main subjects in this study included central and northern Taiwan to study Chinese medicine practitioner clinics in the population, mainly for open medicine.2. Questionnaire distribution methods are:(1) I paid a part of. (2) Please help release people. Commissioned the Institute of Chinese medicine practitioners and pharmacists around. (3) Years of exchanges between the author commissioned a group of great friends to help.3. The questionnaire design process:the preparation of this study subject completed questionnaire, to establish expert validity scales, special invited six experts and scholars reviewed for content and form amendments to the questionnaire, completed expert content validity. Preliminary design is completed the questionnaire, the first Chinese medicine clinic in Taipei farming pretest Germany to five Chinese backfilling, and seek clinical treatment of practitioners of fainting the reliability of the questionnaire. Pre-test is passed, amended and assigned a questionnaire issued after printing Surveying, mainly by a pharmacist to help himself and questionnaires, the consent of the prior consent of the opening of Chinese medicine, then please fill out the questionnaire, and then the scene to recover.4. Used to design the questionnaire for the clinical management of Chinese medicine practitioners fainting scale, design elements, including basic personal information and halo, such as acupuncture are two parts. Part I: general information, namely, basic personal information, practitioners of the basic statistical data, to understand the basic statistical sample processing variables and their relevance fainting. Part II:understanding Chinese medicine, compared with patients in the clinical management of the phenomenon of fainting, fainting encounter will affect their professional competence and patient relationship.The selection of samples in the study, purposive sampling, gender and years of practice and other two characteristics are sampling, questionnaire. From August 2010 until December only, a total of four months of release and time-consuming questionnaires. A total of 150 questionnaires were Surveying, recovered deleted items did not ask respondents the questionnaires, a total of 122 valid questionnaires were valid samples of 81.3%. Then the Chinese version of SPSS 12.0 statistical package for descriptive statistics, correlation analysis, independent sample t test, and ANOVA analysis.Results1. Occurrence of faintingThe survey found that the incidence of fainting high,97.5% of physicians have been met, indicating that in the halo of clinical acupuncture needles is a common occurrence, but the survey found that the cumulative number of times each year under the age of 10 TCM Fainting division accounted for most patients occurred, with 78.7%, that is, physicians encounter every year the number of fainting were not many, but most of the fainting symptoms are not very heavy. Even if there are patients fainting, but also to physicians with less clinical experience easier to hit, that is, the old physician's own experience is not seasoned, but also result in fainting patients was not that easy one of the reasons. The first survey the basic data, more than 31 years of practicing physicians, there is no halo but a higher proportion of needle. Chinese medicine practitioners over the age of 61 are also open to answer the first 25 to reply to this he knows how to deal with, and how health education, so the low number of fainting.2. Gender of patients with different causes of fainting caused byIn the survey we did in the pre-physician before the test found that halo-pin boys more than girls, but the final results of this survey is not particularly clear distinction between (male to female ratio was 22.1%:19.7%), that this Items for many physicians and there is no clear answer to psychological, gender and experience not found a clear relationship between halo-pin, so the girls can not say is easy to easy to halo halo needle or pin male. If we must distinguish between, or more men than women (22.1%:19.7%). Gender difference may be due to different fainting.3. Doctor's negligence could easily lead to the phenomenon of halo-pin(1) physicians to learn, lack of fainting Experience:The survey found that more patients with more clinical physicians, their patients fainting occurred but less likely, which may be due to young physicians, lack of knowledge of the fainting lack of experience, and do not want to learn, self-sustaining their own skilled, ignore reality, failing to panic, but also easily lead to medical disputes inevitable. The same survey shows some experienced physicians, the number of over 301 patients per week, the number of fainting but only less than 10 bits. Acupuncture is the number of them re-examine so many people have little fainting practice were 2-5 years 1 year 3 years,6-10,10-15,16-20 years 5 years 1 person appears that these physicians are a lot of years, so scrutiny of these technical quality of the physicians, in addition to seniority, experience and know how to avoid and easy selection of points outside the halo of effort points, acupuncture and more used to make it more mature look at technology to be a-basic, physicians can quickly gain experience. Alternatively, needle more than 301 patients per week of these doctors, but no older than 50 years old doctor, that is, a time when these physicians are able-bodied of the peak period, a strong body, gas field may be strong, patients have less fainting.(2) physicians do not attach importance to the phenomenon of halo-pin, no more communication with patientsThe survey found that the incidence of halo and halo-pin needle before the patient's physical, body condition, sleep, hunger and satiety have a certain relationship, the general hunger, tiredness, fatigue and sleep in patients with very poor fainting easier, And most doctors and patients before treatment is not more communication, not to ask food, body and so is likely to lead to increased occurrence of fainting one of the reasons, therefore, do not attach importance to change doctors fainting, which is not the status of communication with patients and more, Is currently the clinician worthy of reflection.(3) physicians must pay attention to the phenomenon of halo-pin The incidence of fainting gender relations with physicians is not, but with the doctor's education, technology and other factors related. Depending on the incidence of fainting, season, time of acupuncture and no significant relationship between the original disease, but with the needle of the time, position, status of patients have some relevance, in general, seat, and acupuncture points of the limbs, Poor physical fitness and physical condition of patients in patients with a higher incidence of fainting. Different methods of acupuncture needles and easy halo, such as by needle or needle using the angry law lines were more prone to the phenomenon of fainting.4. Methods to reduce faintingThe results from this questionnaire can be seen, for fainting would result in the main reasons preventing the following aspects:(1) Physicians technology to improve, especially in the needle acupuncture techniques, while fully assess the patient's status and acceptance, to minimize the incidence of fainting.(2) multi-patient communication, reduce the fear of the acupuncture patients, so patients have more trust in doctors, even if the patient does not apply to patients can also be immediate feedback, early prevention.(3) of the patients before acupuncture mission, so that patients do not hide the acupuncture-related adverse circumstances, such as fasting to tell doctors if diarrhea, etc., so that doctors can assess the situation on the body, acupuncture also take a more favorable position, Acupuncture technique, acupuncture strength and less incidence of fainting.Conclusions1. Halo needle time occurrence, analysis revealed that the first barbed needle, sitting, and fasting and the clinical experience of doctors is too small, technology is not skilled and so are most common causes.2. Advance direction can be prevented if doctors give patients peace of mind, and phenomena that may occur prior notice, halo-pin may have a positive effect.3. In the event, the emergency procedures to protect patients avoid accidental way, the needle is the most commonly used approach physicians, will again give massage, drink warm water to make it flat, wipe towels, etc. ways to help patients restore function of the body.4. "Acupuncture to learn, " says:"fainting who will be a large effect to blood Jiaotai the rules. The saying goes, needle does not hurt, what is called also", but the statistics is not the case, be further explored.5. More than 300 times with a needle every week but the patients who are not faint pin physicians, it seems they must have very different from the strengths of the other doctors have such a good result, which is available after the scholars learn from. And this group of physicians, most have such good results that acupuncture's more, can reduce the fainting. Such physicians not only can the quantitative survey research, qualitative in-depth future if further discussion will continue on the research findings.