Fibromiyaljili kadın hastalarda tamamlayıcı ve alternatif tıp yöntemlerinin kullanımı ile sağlık okuryazarlığı arasındaki ilişki

Abstract

Giriş ve amaç: Fibromiyaljili birçok hasta, geleneksel tedaviye ek olarak tamamlayıcı ve alternatif tedavilerden (TAT) yararlanmaktadır. Sağlık okuryazarlığı (SOY), sağlık bilgilerini arama, anlama ve uygulama becerisini ifade eder. Bu çalışmanın amacı fibromiyaljili kadın hastalarda TAT kullanımı ile SOY arasındaki ilişkiyi araştırmaktır. Gereç ve yöntemler: FMS tanısı almış 160 hastaya, TAT tercihlerini de değerlendiren açık uçlu anket uygulandı ve verileri kesitsel analitik tasarımda değerlendirildi. Hastalara ağrı için, görsel analog skala (VAS), fibromiyalji etki anketi (FIQ) ve SOY Anketi (HLS-EU-Q47) uygulandı. Hastalar 2 gruba ayrıldı (TAT kullanan (Grup 1) ; TAT kullanmayan (Grup 2)). Bulgular: Anket sonuçlarına göre SOY puanı 30.94 ± 8.40 olup problemli-sınırlı düzeydeydi. Her iki grup arasında demografik, klinik parametreler, SOY ve alt indeksleri açısından anlamlı fark yoktu (p> 0.05). En sık kullanılan TAT yöntemlerine göre yapılan değerlendirme sonuçları SOY genel puanı ve alt ölçek puanlarına göre ilgili TAT yöntemini kullananlar ile kullanmayanlar arasında fark olmadığını göstermiştir. En çok tercih edilen TAT yöntemleri sırasıyla dua (% 37.9), ıslak kupa (% 21.8), bitkisel tedavi (% 16.30), kuru kupa (% 12.9) ve termal banyo idi (%11.40). Sonuç: Çalışmamızın sonuçları FMS'li kadınlarda TAT kullanımının yaygın olduğunu ve spiritüel yöntemlerin önde gelen yöntemler olduğunu göstermiştir. Ayrıca, her iki grupta hastalık şiddeti ve sağlık okuryazarlığı düzeyleri benzerdi.

Keywords

• Fibromiyalji
• Sağlık Okuryazarlığı
• Tamamlayıcı ve Alternatif Tıp
• Spiritüel Yöntemler
• Bitkisel Tedavi
• Hacamat

Complementary and Alternative Medicine and Health Literacy in Fibromyalgia

Abstract

OBJECTIVE: Many patients with fibromyalgia benefit from complementary and alternative therapies (CAM) in addition to
traditional therapy. Health literacy (HL) refers to the ability to seek, understand and apply health information. The aim of this
study is to investigate the relationship between CAM use and HL in female patients with fibromyalgia.
MATERIALS AND METHODS: An open-ended questionnaire, which also evaluates CAM preferences, was applied to 160 patients
with FMS, and their data were evaluated in a cross-sectional analytical design. Visual analogue scale (VAS) for pain, fibromyalgia
impact questionnaire (FIQ) and HL Questionnaire (HLS-EU-Q47) were applied. The patients were divided into two groups (using
CAM (Group 1); not using CAM (Group 2)).
RESULTS: According to the results of the questionnaire, the HL score was 30.94 ± 8.40 (problematic-limited level). There was no
significant difference between the two groups in terms of demographic, clinical parameters, HL and sub-indices (p> 0.05). The
results of the evaluations made according to the most commonly used CAM methods showed that there is no difference between
those who use the relevant CAM method and those who do not, according to the HL general score and subscale scores. The most
preferred CAM methods were prayer (37.9%), wet cupping (21.8%), herbal therapy (16.30%), dry cupping (12.9%) and thermal bath
(11.40%), respectively.
CONCLUSION: The results of our study showed that the use of CAM is common among women with FMS, and spiritual methods
are the leading methods. In addition, disease severity and health literacy levels were similar in CAM users and non-users.

Keywords

• fibromyalgia
• health literacy
• herbal therapy

References

1. 1. Mease PJ, Arnold LM, Crofford LJ, Williams DA, Russell IJ, Humphrey L, Abet L, Martin SA. Identifying the clinical domains of fibromyalgia: contributions from clinician and patient Delphi exercises. Arthritis Rheum. 2008 Jul 15;59(7):952-60. doi: 10.1002/art.23826.
2. 2. Prabhakar A, Kaiser JM, Novitch MB, Cornett EM, Urman RD, Kaye AD. The Role of Complementary and Alternative Medicine Treatments in Fibromyalgia: A Comprehensive Review. Curr Rheumatol Rep. 2019 Mar 4;21(5):14. doi: 10.1007/s11926-019-0814-0.Queiroz LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep. 2013; 17:356. doi:10.1007/s11916-013- 0356-5
3. 3. Queiroz LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep. 2013 Aug;17(8):356. doi: 10.1007/s11916-013-0356-5.
4. 4. Seto A, Han X, Price LL, Harvey WF, Bannuru RR, Wang C. The role of personality in patients with fibromyalgia. Clin Rheumatol. 2019 Jan;38(1):149-157. doi: 10.1007/s10067-018-4316-7.
5. 5. Aman MM, Jason Yong R, Kaye AD, Urman RD. Evidence-Based Non-Pharmacological Therapies for Fibromyalgia. Curr Pain Headache Rep. 2018 Apr 4;22(5): 33.doi:10.1007/s11916-018-0688-2.
6. 6. Cheifetz AS, Gianotti R, Luber R, Gibson PR. Complementary and Alternative Medicines Used by Patients with Inflammatory Bowel Diseases. Gastroenterology. 2017 Feb;152(2):415-429.e15. doi: 10.1053/j.gastro.2016.10.004.
7. 7. von Conrady DM, Bonney A. Patterns of complementary and alternative medicine use and health literacy in general practice patients in urban and regional Australia. Aust Fam Physician. 2017;46(5):316-320.
8. 8. Zhao S, Otieno F, Akpan A, Moots RJ. Complementary and Alternative Medicine Use in Rheumatoid Arthritis: Considerations for the Pharmacological Management of Elderly Patients. Drugs Aging. 2017 Apr;34(4):255-264. doi: 10.1007/s40266-017-0443-0.

9. 9. Langhorst J, Häuser W, Lauche R, Perrot S, Alegre C, Sarzi Puttini PC. Complementary and alternative medicine for the treatment of fibromyalgia. Evid Based Complement Alternat Med. 2014; 2014:408436. doi: 10.1155/2014/408436.
10. 10. Häuser W., Jung E., Erbslöh-Möller B., et al. German fibromyalgia consumer reports. Benefits and harms of fibromyalgia syndrome therapies. Schmerz. 2012;26(2):150–159. doi: 10.1007/s00482-012-1161-5.
11. 11. Lauche R, Cramer H, Häuser W, Dobos G, Langhorst J. A Systematic Overview of Reviews for Complementary and Alternative Therapies in the Treatment of the Fibromyalgia Syndrome. Evid Based Complement Alternat Med. 2015; 2015:610615. doi: 10.1155/2015/610615.
12. 12. Geisler CC, Cheung CK. Complementary/alternative therapies use in older women with arthritis: Information sources and factors influencing dialog with health care providers. Geriatr Nurs. 2015 Jan-Feb;36(1):15-20. doi: 10.1016/j.gerinurse.2014.08.013.
13. 13. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000;15(3):259–267. doi: 10.1093/heapro/15.3.259.
14. 14. Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients' knowledge of their chronic disease. A study of patients with hypertension and diabetes. Arch Intern Med. 1998 Jan 26;158(2):166-72. doi: 10.1001/archinte.158.2.166.
15. 15. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011 Jul 19;155(2):97-107. doi: 10.7326/0003-4819-155-2-201107190-00005.
16. 16. Chinn D. Critical health literacy: a review and critical analysis. Soc Sci Med. 2011 Jul;73(1):60-7. doi: 10.1016/j.socscimed.2011.04.004.
17. 17. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008 Dec;67(12):2072-8. doi: 10.1016/j.socscimed.2008.09.050.
18. 18. Perry R, Leach V, Davies P, Penfold C, Ness A, Churchill R. An overview of systematic reviews of complementary and alternative therapies for fibromyalgia using both AMSTAR and ROBIS as quality assessment tools. Syst Rev. 2017 May 15;6(1):97. doi: 10.1186/s13643-017-0487-6.
19. 19. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RL, Mease PJ, Russell AS, Russell IJ, Walitt B. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum. 2016 Dec;46(3):319-329. doi: 10.1016/j.semarthrit.2016.08.012.
20. 20. Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol. 2009 Jun;36(6):1304-11. doi: 10.3899/jrheum.081090.
21. 21. HLS-EU Consortium. Comparative report of health literacy in eight EU member states. The European Health Literacy Survey HLS-EU 2012. http://www.healthliteracy.eu
22. 22. Crofford LJ, Appleton BE. Complementary and alternative therapies for fibromyalgia. Curr Rheumatol Rep. 2001 Apr;3(2):147-56. doi: 10.1007/s11926-001-0010-9.
23. 23. Lind BK, Lafferty WE, Tyree PT, Diehr PK, Grembowski DE. Use of complementary and alternative medicine providers by fibromyalgia patients under insurance coverage. Arthritis Rheum. 2007 Feb 15;57(1):71-6. doi: 10.1002/art.22471.
24. 24. Rao JK, Mihaliak K, Kroenke K, Bradley J, Tierney WM, Weinberger M. Use of complementary therapies for arthritis among patients of rheumatologists. Ann Intern Med. 1999 Sep 21;131(6):409-16. doi: 10.7326/0003-4819-131-6-199909210-00003.
25. 25. Wall GC, Krypel LL, Miller MJ, Rees DM. A pilot study of complementary and alternative medicine use in patients with fibromyalgia syndrome. Pharm Pract (Granada). 2007 Oct;5(4):185-90. doi: 10.4321/s1886-36552007000400008. 26. Shreffler-Grant J, Nichols EG, Weinert C. Bee SAFE, a Skill-Building Intervention to Enhance CAM Health Literacy: Lessons Learned. Health Promot Pract. 2018 May;19(3):475-481. doi: 10.1177/1524839917700612.
26. 27. von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007 Dec;61(12):1086-90. doi: 10.1136/jech.2006.053967.
27. 28. Bains SS, Egede LE. Association of health literacy with complementary and alternative medicine use: a cross-sectional study in adult primary care patients. BMC Complement Altern Med. 2011 Dec 30; 11:138. doi: 10.1186/1472-6882-11-138.
28. 29. Charoencheewakul C, Laohasiriwong W, Suwannaphant K, Sopon A. Health Literacy and Complementary and Alternative Medicine Use among Type 2 Diabetes Mellitus Patients in the Northeast of Thailand. Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):107-113.
29. 30. Chong CA, Diaz-Granados N, Hawker GA, Jamal S, Josse RG, Cheung AM. Complementary and alternative medicine use by osteoporosis clinic patients. Osteoporos Int. 2007 Nov;18(11):1547-56. doi: 10.1007/s00198-007-0417-x.
30. 31. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998 Nov 11;280(18):1569-75. doi: 10.1001/jama.280.18.1569.
31. 32. Astin JA, Harkness E, Ernst E. The efficacy of "distant healing": a systematic review of randomized trials. Ann Intern Med. 2000 Jun 6;132(11):903-10. doi: 10.7326/0003-4819-132-11-200006060-00009.
32. 33. Nicassio PM, Schuman C, Kim J, Cordova A, Weisman MH. Psychosocial factors associated with complementary treatment use in fibromyalgia. J Rheumatol. 1997 Oct;24(10):2008-13.