Acupuncture professionalisation and patients health implications
DOI:
https://doi.org/10.51422/ren.v19i2.282Keywords:
Analgesia for acupuncture, Complementary therapies, Vocatinal training, Patient SafetyAbstract
Human acupuncture is a complementary therapy in health care. Derived from its high demand in much of the world, the WHO set its position in favor of Traditional and Complementary Medicine (TCM) with the publication "Strategy on traditional medicine 2014-2023", the strategy focuses on two objectives: provide support to Member States in the contribution of TCM in health, well-being and people-centered care and promote its use in a safe and effective way; through the regulation of products, practices and trained professionals.
Development: the strategy raises the need for all TCM practice to be carried out with university training, however, only 30% of member countries (39) have university training and 56% (72) have regulations for their practice in acupuncture.
In Mexico, various MTC courses and diplomas are taught, at the levels of training (technical, undergraduate, specialty and postgraduate) and with different curricular hours. Mexico has regulatory policies on acupuncture and its techniques.
Conclusion: acupuncture has scientific support in anatomy and neurophysiology. It must be applied by professionals in the health area and with training certified by an institution of recognized prestige.
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References
OMS. Estrategia de la OMS sobre medicina tradicional 2014-2023. 1-75. Consultado 7 enero 2020] Disponible en: https://apps.who.int/medicinedocs/documents/s21201es/s21201es.pdf.
WHA62.13. Medicina tradicional. En: 62ª Asamblea Mundial de la Salud, Ginebra,18-22 de mayo de 2009. Resoluciones y decisiones, anexos. Ginebra, Organización Mundial de la Salud, 2009 (WHA62/2009/REC/1; [Consultado 12
enero 2020] Disponible en: https://t.ly/jdwl
OMS. Nuevas directrices de la OMS para fomentar el uso adecuado de las medicinas tradicionales. [Online].; 2017 [Consultado 10 enero 2020] Disponible en: https://t.ly/jBOq
Tang J, Zhan S, Ernst E. Review of randomised controlled trials of Tradicional Chinese Medicine. BMJ. 1999; 319:160-1.
Valarezo-García C, Solis Cartas U, Valerazo Espinoza R. Integración de la medicina alternativa en la malla curricular de las carreras de medicina y enfermería en las universidades peruanas. Educ Med 2019;20(2):118-24. [Consultado 15 febrero 2020]
Valerazo-García C, Valerazo Espinoza P. La medicina alternativa y complementaria en la enseñanza universitaria de las ciencias de la salud en Ecuador. Rev Int Acupuntura 2017;11(4):102-7.
Quintero Barbón CM. La medicina alternativa y complementaria en los programas de pregrado de medicina. 2015 [tesis de maestría]. Bogotá: Universidad Nacional de Colombia, Facultad de Medicina; 2015. [Consultado 08 marzo 2020] Disponible en: https://t.ly/oj5h
Zuluaga G. Reflexiones para un diálogo entre los sistemas tradicionales de salud y la medicina occidental. En: Sánchez Garrafa R. Editores: Medicina tradicional andina: planteamientos y aproximaciones. Cuzco: Centro de Estudios Regionales Andinos Bartolomé de Las Casas (CBC); 2009:255-72.
Comisión Nacional de Protección Social en Salud. Salud (CAUSES) 2019:1:819. [Consultado 10 diciembre 2019] Disponible en: https://t.ly/eKby
National policy on traditional medicine and regulation of herbal medicines Informe de una Encuesta Mundial de la OMS. Ginebra, World Health Organization, 2005 [Consultado 11 diciembre 2019] Disponible en: https://t.ly/6vU5
Secretaria de Salud. Norma Oficial Mexicana NOM-017-SSA3-2012, Regulación de servicios de salud. Para la práctica de la acupuntura humana y métodos relacionados. [Consultado 10 enero 2020] Disponible en: http://dof.gob.mx/nota_detalle.php?codigo=5268976&fecha=18/09/2012
Secretaria de Salud. Norma Oficial Mexicana NOM-005-SSA3-2010, Que establece los requisitos mínimos de infraestructura y equipamiento de establecimientos para la atención médica de pacientes ambulatorios. [Consultado 12 enero 2020] Disponible en: http://www.dof.gob.mx/normasOficiales/4132/Salud/Salud.htm
Secretaría de Salud. Norma Oficial Mexicana NOM-019-SSA3-2013, Para la práctica de enfermería en el Sistema Nacional de Salud, que tiene como finalidad. [Consultado 20 enero 2020] Disponible en: http://www.dof.gob.mx/nota_detalle.php?codigo=5312523&fecha=02/09/2013
Torres Tascón LF, Hernández Leal L. Evaluación sobre la seguridad de la acupuntura en 297.168 punturas. Rev Fac Med 2014;62(3):423-8. [Consultado 18 enero 2020] Disponible en: http://www.scielo.org.co/pdf/rfmun/v62n3/v62n3a12.pdf
Chauffe RJ, Duskin AL. Pneumothorax secondary to acupuncture therapy. South Med J. 2006; 99:1297-9. [Consultado 20 enero 2020] Disponible en: https://t.ly/ZTno
Stenger M, Bauer NE, Licht PB. Is pneumothorax after acupuncture so uncommon? J Thorac Dis 2013; 5:EC144-6.
Hwang JK, Kim J, Lee BJ, Park JJ, Kim JS, Ba k Y T. Pneumoretroperitoneum following acupuncture. J Altern Complement Med. 2008; 14:1299-301. [Consultado 21 enero 2020] Disponible en: http://doi.org/bwb5f6
Xu S, Wang L, Cooper E, Zhang M, Manheimer E, Berman B, et al. Adverse events
of acupuncture: a systematic review of case reports. Evid Based Complement Alternat Med. 2013;581203. [Consultado 20 enero 2020] Disponible en: http://doi.org/whm
Cummings M. Report of adverse event with electroacupuncture. Acupunct Med. 2011; 29:147-51. [Consultado 20 febrero 2020] Disponible en: https://t.ly/xyyF
Zhao L, Zhang FW, Li Y, Wu X, Zheng H, Cheng LH et al. Adverse events associated with acupuncture: three multicentre randomized controlled trials of 1968 cases in China. Trials. 2011; 12:87. [Consultado 26 enero 2020] Disponible en: http://doi.org/c99gs5
G Park JE, Lee MS, Choi JY, Kim BY, Choi SM. Adverse events associated with acupuncture: a prospective survey. J Altern Complement Med. 2010; 16:959-63. http://doi.org/ffwnsq
García Millian AJ, Perdomo Delgado J, Carbonel, LA, Ruiz Salvador AK. Reacciones adversas asociadas a la práctica de acupuntura en cuba. Horizonte Sanitario [Internet]. 2015;14(3):111-118. .[Consultado 24 enero 2020] Disponible en: http://www.redalyc.org/articulo.oa?id=457844966006
Shin HK, Jeong SJ, Lee MS, Ernst E. Adverse events attributed to traditional Korean medical practices: 1999-2010. Bull World Health Organ. 2013; 91:569-75. [Consultado 26 enero 2020] Disponible en: http://doi.org/whz
Han W, Yoon Y, Park C, Park S, Nam O, Rhee I. Staphylococuus aureus pericardial abscess presenting as severe sepsis and septic shock after acupuncture therapy. Korean Circ J 2012; 42:501-3. [Consultado 28enero 2020]Disponible en: http://doi.org/whp
Jung YJ, Kim JH, Lee HJ, Bak H, Hong SP, Jeon SY, et al. A herpes simplex virus infection secondary to acupuncture and cupping. Ann Dermatol 2011;23:67-9. [Consultado 30 enero 2020] Disponible en: http://doi.org/dc2s73
Jeon KH, Lee MH. Two cases of factitial panniculitis induced by lectroacupuncture. Clin Exp Dermatol 2009;34: e170-3. [Consultado 27 enero 2020] Disponible en: https://t.ly/RSqG
Zhang J, Shang H, Gao X, Ernest E. Acupuncture-related adverse events: a systematic review of the Chinese literature. Bull World Health Organ. 2010; 88:915-21C. [Consultado 23 enero 2020] Disponible en: http://doi.org/dg5z2k
Halvorsen TB, Anda SS, Naess AB, Levang OW. Fatal cardiac tamponade after acupuncture through congenital sternal foramen. Lancet 1995; 345:1175. [Consultado 25 enero 2020] Disponible en: http://doi.org/dc3x58
Her AY, Kim YH, Ryu SM, Cho JH. Cardiac tamponade complicated by acupuncture: Hemopericardium due to shredded coronary atery injury. Yonsei Med J 2013; 54:788-90. [Consultado 2 febrero 2020] Disponible en: http://doi.org/whn
He W, Zhao X, Li Y, Xi Q, Guo Y. Adverse events following acupuncture: a systematic review of the Chinese literature for the years 1956-2010. J Altern Complement Med 2012; 18:892-900. [Consultado 3 febrero 2020] Disponible en: http://doi.org/whv
Wheway J, Agbabiaka TB, Ernst E. Patient safety incidents from acupuncture treatments: a review of reports to the National Patient Safety Agency. Int J Risk Saf Med. 2012; 24:163-9.
Zhao L, Zhang FW, Li Y, Wu X, Zheng H, Cheng LH., et al. Adverse events associated with acupuncture: three multicentre randomized controlled trials of 1968 cases in China. Trials 2011; 12:87. [Consultado 3 febrero 2020] Disponible en: http://doi.org/c99gs5
Park SU, Ko CN, Bae HS, Jung WS, Moon SK, Cho KH., et al. Short-term reactions
to acupuncture treatment and adverse events following acupuncture: a cross-sectional survey of patient reports in Korea. J Altern Complement Med 2009; 15:1275-83. [Consultado 6 febrero 2020] Disponible en: https://t.ly/RTqN
Chung A, Bui L, Mills E. Adverse effects of acupuncture. Which are clinically significant? Can Fam Physician 2003; 49:985-9
Yamashita H, Tsukayama H. Safety of acupuncture practice in Japan: patient reactions, therapist negligence and error reduction strategies. Evid Based Complement Alternat Med 2008; 5:391-8. [Consultado 8 febrero 2020] Disponible en: http://doi.org/fgpkc6
Lao L, Hamilton GR, Fu J, Berman BM. Is acupuncture safe? A systematic review of case reports. Altern Ther Health Med 2003; 9:72-83
G Park JE, Lee MS, Choi JY, Kim BY, Choi SM. Adverse events associated with acupuncture: a prospective survey. J Altern Complement Med 2010; 16:959-63. http://doi.org/ffwnsq
Ernst E, White A. Life-threatening adverse reactions after acupuncture? A systematic review. Rev Soc Esp Dolor 1999; 6:24-8.
