Bu Bilgiyi Kimden Aldın? (Yaşlı bireylerde tamamlayıcı ve alternatif tedavi (TAT) yöntemleri kullanımı hakkında bir araştırma )
Öz
Amaç: Bu çalışma yaşlı hastaların tamamlayıcı ve alternatif tedaviyi (TAT) kullanma durumlarını, neden bu yöntemleri tercih ettiklerini, tamamlayıcı ve alternatif tedaviye ilişkin tutumlarını belirlemek amacıyla planlanmıştır.
Materyal ve Metot: Çalışma gereken izinler alındıktan sonra bir devlet hastanesi polikliniklerine başvuran 65 yaş ve üzeri 400 katılımcı ile yürütülmüştür. Anketler araştırmacılar tarafından yüz yüze görüşme tekniği ile uygulanarak veriler 1 Ocak 2018- 1 Ocak 2019 tarihleri arasında toplanmıştır. Verilerin toplanması için araştırmacılar tarafından literatüre dayalı hazırlanan 22 soruluk anket formu kullanılmıştır. Araştırmadan elde edilen veriler “SPSS 20.0 for Windows” programı kullanılarak analiz edilmiş, ölçümsel değerler aritmetik ortalama, standart sapma ve sayımla belirlenen değerler sayı yüzde olarak hesaplanmıştır. İkili gruplardaki anlamlılığın hesaplanması için ki-kare testi, karşılaştırmalarda p<0.05 değeri istatistiksel olarak anlamlı kabul edilmiştir.
Bulgular: Yaşlıların TAT uygulamalarını kullanımına ilişkin sosyodemografik değişkenlerin tamamı istatistiksel olarak anlamlı bulundu (p≤0.05). Yaşlı bireylerin kullanmayı en çok tercih ettikleri TAT yönteminin bitkisel terapiler (%87.9), kullanma amaçlarının %91.3 oranında genel sağlık durumunu iyileştirmek ve yöntemi %82.6 oranında diğer kullanıcılardan (eş, dost, akraba, komşu vb.) öğrendikleri saptandı.
Sonuç: Günümüzde güncel tedavi kavramı içerisinde yer alan TAT uygulamaları giderek artış göstermekle birlikte bu uygulamaların bilinçli yapılabilmesi bazı temel bilgi birikimini gerektirmektedir. Bu sebeple sağlık personelleri TAT yöntemleri hakkında yeterli bilgiye sahip olmalı, TAT konusunda bilimsel gelişmeleri takip etmeli ve hastalarını TAT uygulamaları hakkında bilgilendirmeli ve rehberlik etmelidir.
Anahtar Kelimeler
Yaşlı tamamlayıcı terapiler tutum bilgi düzeyi sağlık personeli
Kaynakça
- 1. Faydaoglu E, Sürücüoglu MS. History of theUse of MedicalandAromaticPlantsandtheirEconomicImportance. Kastamonu UniversityJournal of ForestryFaculty 2011;11(1):52-67.
- 2. Khorshid L, Yapucu Ü. TheNurse’s Role in ComplementaryTherapies. Journal of Anatolia NursingandHealthSciences 2005;2:124-30.
- 3. Tashan TT, Koyuncu SB. Traditionalmethodsthatwomen us efor laborandfactorsaffectingthem. ACU HealthScienceJournal 2018;9(2),150-5.
- 4. Kocabas D, Eke E, Demir M. Evaluation of theattitudes of theindividuals on traditionalandalternativemethods in theuse of healthcare. Bolu Abant Izzet Baysal UniversityJournal of Graduate School of SocialSciences 2019;19(1):63-80.
- 5. National Center forComplementaryandIntegrativeHealth (NCCAM). Complementary, AlternativeorIntegrativeHealth:What’sIn a Name?[Internet]. [2018.12.12]. https://nccih.nih.gov/health/integrative-health.
- 6. Sirois FM. Provider-basedcomplementaryandalternativemedicineuseamongthreechronicillnessgroups: associationswithpsychosocialfactorsandconcurrentuse of conventionalhealth-careservices. ComplementTherMedicine 2008;16:73-80.
- 7. Önal Ö, Durukan E. Frequency of polypharmacyand risk factors in theelderly in Burdur. Turkish J Geriatr. 2018;21(4):550–6.
- 8. Tachijan A, Maria V, Jahangir A.Use of herbalproductsandpotentialinteraction in patientswithcardiovasculardisease. Journal of theAmericanCollege of Cardiology 2010;55(6):516-25.
- 9. Altun F,Yazici H.Therelationshipsbetween life satisfaction, gender, socialsecurity, anddepressivesymptomsamongelderly inTurkey. EducGerontol 2015;41: 305–14.
- 10. Oliveria SA, Chen RS, McCarthy BD, Davis CC, Hill MN. Hypertensionknowledge, awareness, andattitudes in a hypertensivepopulation. J Gen İnternMed 2005;20(3):219-25.
- 11. Ernst E. Prevalence of use of complementary/alternativemedicine: a systematicreview. Bulletin of the World HealthOrganization 2000;78(2):258-66.
- 12. Chen YF, Chang JS. Complementaryandalternativemedicineuseamongpatientsattending a hospitaldermatologyclinic in Taiwan. Int J Dermatol 2003;42(8):616-21.
- 13. Nottingham EN. Complementaryandalternativemedicine: nursepractitionereducationandpractice. HolisticNursingPractice 2006;20(5):242-6.
- 14. KavS, Hanoğlu Z, Algier L.Use of ComplementaryandAlternativeMedicinebyCancerPatients in Turkey: A LiteratureReview. International Journal of Hematology&Oncology 2008;18(1):52-7.
- 15. Astin JA. Whypatientsusealternativemedicine: results of a nationalstudy. JAMA 1998;279:1548-53.
- 16. Cohen RC, Ek K, Pan XC. ComplementaryandAlternativeMedicine (CAM) UsebyOlderAdults A Comparison of Self-Report andPhysicianChart Documentation. J Gerontol: MedicalSciences 2002;57(4):223-7.
- 17. Foster DF, Phillips RS, Hamel MB, Eisenberg DM. AlternativeMedicineUse in OlderAmericans. J AmGeriatrSoc 2000;48(12):1560-5.
- 18. Onyiapat JL, Okoronkwo IL, Ogbonnaya NP. ComplementaryandAlternativeMedicineUseAmongAdults in Enugu, Nigeria. BMC ComplementAlternMed 2011;4(11):19-24.
- 19. HanssenB, Grimsgaard S, Launso L, Fonnebo V, Falkenberg T, Rasmussen N. Use of ComplemantaryandAlternativeMedicine in ScandinavianCountries. Scand J PrimHealthCare 2005;23:57-62.
- 20. KhalafAJ, Whitford DL. TheUse of ComplementaryandAlternativeMedicinebyPatientswithDiabetesMellitus in Bahrain: a Cross-sectionalStudy. BMC ComplementAlternMed 2010;14(10):35-42.
- 21. LimMK, Sadarangani P, Chan HL, Heng JY. ComplementaryandAlternativeMedicineUse in MultiracialSingapore. ComplementTherMed 2005;13(1):16-24.
- 22. World HealthOrganization Global Report on TraditionalandComplementary Medicine,2019.[Internet].[2020.01.01].https://dosyamerkez.saglik.gov.tr/Eklenti/30831,whoglobalreportontraditionalandcomplementarymedicine2019pdf.pdf?0
- 23. EisenbergDM, Kessler RC, Foster C, Norlock FE, Calkins DR, DelBanco TL. Unconventionalmedicine in the United States: prevalencecostsandpatterns of use. N Engl J Med 1993;328:246-52.
- 24. AkinciAC, ZenginN, Yildiz H, Sener E, Gunaydin B.Thecomplementaryandalternativemedicineuseamongasthmaandchronicobstructivepulmonarydiseasepatients in thesouthernregion of Turkey. IntJ NursPract 2011;17(6):571-82.
- 25. TaitEM, Laditka JN, Laditka SB, Nies MA, Racine EF, Tsulukidze M.ReasonsWhyOlderAmericansUseComplementaryandAlternativeMedicine: CostlyorIneffectiveConventionalMedicineandRecommendationsfromHealthCare Providers, Family, andFriends. EducGerontol 2013;39(9):684-700.
From Whom Did You Receive This Information? (A study on using complementary and alternative treatment (CAM) methods in elderly individuals)
Öz
Objective: This study was planned to determine elderly patients’ statuses of using complementary and alternative treatment (CAM), why they prefer these methods and their attitudes towards CAM.
Material and Method: After receiving the necessary permissions, the study was carried out with 400 participants at or over the age of 65 who visited the polyclinics of a state hospital. Questionnaires were applied by the researchers with the face-to-face interview method, and the data were collected between 1 January 2018 and 1 January 2019. For data collection, a 22-question questionnaire form that was developed by the researchers based on the literature was utilized. The data were analyzed by using “SPSS 20.0 for Windows”, arithmetic means and standard deviations for the measurement values and percentages for the counted values were calculated. Chi-squared test was used to determine the significance of the difference between two groups, while p<0.05 was accepted to be statistically significant.
Results: All sociodemographic variables were found to be significant regarding the elderly participants’ usage of CAM practices (p≤0.05). Herbal therapies were the most frequently preferred CAM method (87.9%), the participants used CAM for the purpose of improving general health status by 91.3%, and 82.6% of them learned about these methods from other users (relatives, friends, neighbors, etc.).
Conclusion: While CAM practices, which are among the current treatment concepts today, are increasingly abundant, responsible performance of these practices requires a knowledge base. For this reason, healthcare personnel should have sufficient knowledge about CAM methods, follow scientific developments about CAM and inform and guide their patients regarding CAM practices.
Anahtar Kelimeler
Aged complementary therapies attitude knowledge bases health personnel
Kaynakça
- 1. Faydaoglu E, Sürücüoglu MS. History of theUse of MedicalandAromaticPlantsandtheirEconomicImportance. Kastamonu UniversityJournal of ForestryFaculty 2011;11(1):52-67.
- 2. Khorshid L, Yapucu Ü. TheNurse’s Role in ComplementaryTherapies. Journal of Anatolia NursingandHealthSciences 2005;2:124-30.
- 3. Tashan TT, Koyuncu SB. Traditionalmethodsthatwomen us efor laborandfactorsaffectingthem. ACU HealthScienceJournal 2018;9(2),150-5.
- 4. Kocabas D, Eke E, Demir M. Evaluation of theattitudes of theindividuals on traditionalandalternativemethods in theuse of healthcare. Bolu Abant Izzet Baysal UniversityJournal of Graduate School of SocialSciences 2019;19(1):63-80.
- 5. National Center forComplementaryandIntegrativeHealth (NCCAM). Complementary, AlternativeorIntegrativeHealth:What’sIn a Name?[Internet]. [2018.12.12]. https://nccih.nih.gov/health/integrative-health.
- 6. Sirois FM. Provider-basedcomplementaryandalternativemedicineuseamongthreechronicillnessgroups: associationswithpsychosocialfactorsandconcurrentuse of conventionalhealth-careservices. ComplementTherMedicine 2008;16:73-80.
- 7. Önal Ö, Durukan E. Frequency of polypharmacyand risk factors in theelderly in Burdur. Turkish J Geriatr. 2018;21(4):550–6.
- 8. Tachijan A, Maria V, Jahangir A.Use of herbalproductsandpotentialinteraction in patientswithcardiovasculardisease. Journal of theAmericanCollege of Cardiology 2010;55(6):516-25.
- 9. Altun F,Yazici H.Therelationshipsbetween life satisfaction, gender, socialsecurity, anddepressivesymptomsamongelderly inTurkey. EducGerontol 2015;41: 305–14.
- 10. Oliveria SA, Chen RS, McCarthy BD, Davis CC, Hill MN. Hypertensionknowledge, awareness, andattitudes in a hypertensivepopulation. J Gen İnternMed 2005;20(3):219-25.
- 11. Ernst E. Prevalence of use of complementary/alternativemedicine: a systematicreview. Bulletin of the World HealthOrganization 2000;78(2):258-66.
- 12. Chen YF, Chang JS. Complementaryandalternativemedicineuseamongpatientsattending a hospitaldermatologyclinic in Taiwan. Int J Dermatol 2003;42(8):616-21.
- 13. Nottingham EN. Complementaryandalternativemedicine: nursepractitionereducationandpractice. HolisticNursingPractice 2006;20(5):242-6.
- 14. KavS, Hanoğlu Z, Algier L.Use of ComplementaryandAlternativeMedicinebyCancerPatients in Turkey: A LiteratureReview. International Journal of Hematology&Oncology 2008;18(1):52-7.
- 15. Astin JA. Whypatientsusealternativemedicine: results of a nationalstudy. JAMA 1998;279:1548-53.
- 16. Cohen RC, Ek K, Pan XC. ComplementaryandAlternativeMedicine (CAM) UsebyOlderAdults A Comparison of Self-Report andPhysicianChart Documentation. J Gerontol: MedicalSciences 2002;57(4):223-7.
- 17. Foster DF, Phillips RS, Hamel MB, Eisenberg DM. AlternativeMedicineUse in OlderAmericans. J AmGeriatrSoc 2000;48(12):1560-5.
- 18. Onyiapat JL, Okoronkwo IL, Ogbonnaya NP. ComplementaryandAlternativeMedicineUseAmongAdults in Enugu, Nigeria. BMC ComplementAlternMed 2011;4(11):19-24.
- 19. HanssenB, Grimsgaard S, Launso L, Fonnebo V, Falkenberg T, Rasmussen N. Use of ComplemantaryandAlternativeMedicine in ScandinavianCountries. Scand J PrimHealthCare 2005;23:57-62.
- 20. KhalafAJ, Whitford DL. TheUse of ComplementaryandAlternativeMedicinebyPatientswithDiabetesMellitus in Bahrain: a Cross-sectionalStudy. BMC ComplementAlternMed 2010;14(10):35-42.
- 21. LimMK, Sadarangani P, Chan HL, Heng JY. ComplementaryandAlternativeMedicineUse in MultiracialSingapore. ComplementTherMed 2005;13(1):16-24.
- 22. World HealthOrganization Global Report on TraditionalandComplementary Medicine,2019.[Internet].[2020.01.01].https://dosyamerkez.saglik.gov.tr/Eklenti/30831,whoglobalreportontraditionalandcomplementarymedicine2019pdf.pdf?0
- 23. EisenbergDM, Kessler RC, Foster C, Norlock FE, Calkins DR, DelBanco TL. Unconventionalmedicine in the United States: prevalencecostsandpatterns of use. N Engl J Med 1993;328:246-52.
- 24. AkinciAC, ZenginN, Yildiz H, Sener E, Gunaydin B.Thecomplementaryandalternativemedicineuseamongasthmaandchronicobstructivepulmonarydiseasepatients in thesouthernregion of Turkey. IntJ NursPract 2011;17(6):571-82.
- 25. TaitEM, Laditka JN, Laditka SB, Nies MA, Racine EF, Tsulukidze M.ReasonsWhyOlderAmericansUseComplementaryandAlternativeMedicine: CostlyorIneffectiveConventionalMedicineandRecommendationsfromHealthCare Providers, Family, andFriends. EducGerontol 2013;39(9):684-700.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Birinci Basamak Sağlık Hizmetleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Temmuz 2021 |
| Gönderilme Tarihi | 4 Aralık 2019 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 12 Sayı: 3 |
