TY  - JOUR
T1  - The Usage Of Plants as a Traditional and Complementary Medicine Among Diabetic Patients in Karachi, Pakistan: an Urgent Need of Educational İntervention
AU  - Khan, Zakir
AU  - Khan, Junaid
AU  - Kamran, Muhammad
PY  - 2020
DA  - March
DO  - 10.21763/tjfmpc.605176
JF  - Turkish Journal of Family Medicine and Primary Care
JO  - TJFMPC
PB  - Aile Hekimliği Akademisi Derneği
WT  - DergiPark
SN  - 1307-2048
SP  - 1
EP  - 2
VL  - 14
IS  - 1
LA  - en
AB  - A one-month cross-sectional and questionnaire-based studywas carried out in a government-based teaching hospital in Peshawar (Pakistan)during January 2019. Adult population having diabetes and interact with CAM fortreatment purposes were approached. The simple random sampling technique wasused for the participant's enrollment. A participant has a full choice toaccept or reject to participate in the study. All the information collected viaa validated questionnaire and then data were entered into the StatisticalPackage for Social Sciences (SPSS) for further analysis.A total of 100 individuals was investigated during thestudy period. The sample were mostly male (n= 62), came from rural(n= 77), aged group 30-59 years (n= 83), and 56 patients had Illiterate status.The ratio of type-2 patients (n=89) was higherthan as compared to type-1 DM patients (n=11). Out of these patients the prevalence of clinical characteristic included anxiety(47.1%), chronic pain (33.9%), arthritis (30.6%), concomitant heart disease(20.7%), digestive problems (22.3%), renal disease (15.7%) and allergies (4.1%).More patients (n=68) considered conventional therapy more effective for diabetes,while 7 reported CAM and 25 favored CAM plus conventional treatmentstrategies. About 5% of the patients completely better, 35 reportedsatisfactory improvement and 60 reported no change after CAM usage for diabetes.Out of all the patients, 47 patients recommend CAM usage, however, 53 didn’t infavor CAM utilization in the treatment of DM.Caralluma tuberculata (n= 11), Solanum surrattens Burm.f. (n= 10), Fagoniacretica(n= 6), Justicia adhatoda (n= 6), Consolida ambigua (n= 5), Vernonia amydalina (n=4), A. ParvifloraBenth (n=3), Nigella sativa (n= 3), Carumcarvi (n=2), Brberislycium Royle (n=2), Trigonellaemodi Both. (n= 2), Abelmoschus esculentus (n=2)and Citruluscolocynthis (n=2) were the most frequently CAM products. Thepatients further reported that, these CAM products were freely available at lowcost and most often recommended by a friend, neighbor, relative and Hakeem. Anotherinteresting fact was that, ethno medicinal local plants in Pakistan such as,Caralluma tuberculata and Solanum surrattens Burm.f. were the most frequentlyused CAM and highest satisfaction level among DM patients.The use of CAM products among the adult DM patientswas reported in this study. The different type of attitudes, perception andbeliefs towards CAM was also revealed. The patients did not report any sideeffects of CAM use for treatment of DM, but adverse events and side effectshave been well reported previously, hence, further empirical-evidence should requireand necessary about guidance on the safe and appropriate use of CAM.
KW  - Diabetes
KW  - Complementary and alternative medicine
KW  - Education
KW  - Medicine
KW  - Pakistan
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UR  - https://doi.org/10.21763/tjfmpc.605176
L1  - https://dergipark.org.tr/en/download/article-file/978602
ER  -