臨床的ガイドラインと通常の慣行による糖尿病管理:ネパールのアーユルヴェーダの医師と患者の間で実施可能性試験に基づく定性研究
Kaushik Chattopadhyay1,2, Nisha Rana3, Shristi Karki3
1Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK.
Therapeutic advances in endocrinology and metabolism
|February 16, 2026
まとめ
ネパールのアーユルヴェーダの医師は,2型糖尿病 (T2DM) のためのエビデンスベースの臨床実践ガイドライン (EB-CPG) が有益であることを発見しました. この可行性試験は,前向きな経験を示し,伝統的な医療の管理に関する将来の大規模な研究で改善すべき分野を強調しました.
科学分野:
- 統合医療とは一体化医療です.
- 公衆衛生は公衆衛生である.
- クリニカル・プラクティスのガイドライン
背景:
- 2型糖尿病 (T2DM) はネパールで流行しており,多くの患者がアーユルヴェーダの伝統医学を利用しています.
- T2DMの既存のアーユルヴェーダの臨床実践は,ケアの一貫性と品質の課題に直面しています.
- アユルヴェーダのシステム内でT2DM管理のためのエビデンスベースの臨床実践ガイドライン (EB-CPGs) が不足しています.
研究 の 目的:
- アユルヴェーダの実践におけるT2DM管理のためのEB-CPGを開発する.
- EB-CPGの実現可能性試験を実施し,より大きな最終的な試験を参考にします.
- EB-CPGベースのケアと通常のケアとの間の医師と患者の経験を調査する.
主な方法:
- 建設主義的な質的研究デザインが採用されました.
- 41人のアーユルヴェーダの医師と患者の半構造面接が行われました.
- 誘導的アプローチを用いたテーマ分析と,データ分析にはフレームワーク法が用いられました.
主要な成果:
- 参加者は,T2DMのEB-CPGベースのケアについて,主にポジティブな経験を報告しました.
- 治験の募集,患者ケア,医薬品の遵守に関するファシリテーターと課題を特定しました.
- 医療従事者は,患者の動機付け,試験参加,EB-CPGを自分の診療に統合する際の物流上の課題について議論しました.
結論:
- アユルヴェーダの実践におけるT2DM管理のためのEB-CPGアプローチは,よく受け入れられ,通常のケアより優れていると認識されました.
- 実現可能性試験の経験は,EB-CPG.の可能性を示す,大部分がポジティブでした.
- 試験中に特定された課題は,クラスターランダム化対照試験を含む将来の決定的な研究で対処する必要があります.
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