estudam public health journal

Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi

2564-6311 2564-6311

Eskişehir Osmangazi University

10.35232/estudamhsd.642084

Clinical Sciences

Klinik Tıp Bilimleri

KNOWLEDGE, ATTITUDE and BEHAVIORS of MEDICAL FACULTY STUDENTS about TRADITIONAL and COMPLEMENTARY TREATMENT

TIP FAKÜLTESİ ÖĞRENCİLERİNİN GELENEKSEL VE TAMAMLAYICI TEDAVİ KONUSUNDA BİLGİ, TUTUM VE DAVRANIŞLARI

https://orcid.org/0000-0002-2277-8222

Basatemür

Meryem

https://orcid.org/0000-0003-2021-7103

Güneş

Gülsen

İnönü Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı

https://orcid.org/0000-0002-4287-932X

Aylaz

Rukuye

İnönü Üniversitesi Sağlık Bilimleri Fakültesi Halk Sağlığı Hemşireliği

01 16 2020

5 1 43 52 11 03 2019

2016

ESTUDAM Public Health Journal

The purpose of this study was to evaluate the knowledge,attitudes and behaviors of medical faculty students about traditional andcomplementary treatment (TCT). This study was conducted between December 2017and March 2018 with at Inonu University as descriptive cross-sectional type.The sampling method was calculated as 311 persons by weighted minimum samplesize randomly and selected in proportion to the total class sizes. Thequestionnaire prepared according to the related literature investigation andgiven to 299 students who accepted to participate in the study. Data wereanalyzed using IBM SPSS statistical program, chi-square test, and a value ofp<0.05 statistically significant difference was accepted. Among theparticipating students in the study, 50.2% were woman and 89.3% of them werebetween 18-25 years old. The study revealed that 68.6% of the students did notuse any TCT method and 80% did not receive any TCT training. No significantdifference was found between TCT methods usage and TCT education. The most commonTCT techniques methods used were massage, herbs and hacemat (66.6%), (61.2%),(60.9%) respectively, while acupressure was the less known method. In the studywe found the most common used TCT methods are massage (15.4%), diets (10.4%)and phytotherapy (10.4%). Approximately, two thirds of the participationstudents (73.9%) agreed that TCT should be included in the medical schoolcurriculum. The viewpoint that traditional and complementary treatments aredangerous because they prevent people from receiving complete treatment wassupported from male (14.7%) and female (8.7%) of the students. Generally,findings showed a similar responding about the attitudes and ideas of TCT usagebetween both male and female. As a conclusion, our results demonstrated thatmost of the students did not know TCT techniques although they heard about it,Also it has determined the low rate used of TCT methods among them and the needto receive training in TCT.

Bu çalışmada, Tıp Fakültesi öğrencilerinin Geleneksel veTamamlayıcı Tedavi (GTT) konusunda bilgi, tutum ve davranışlarınıdeğerlendirmek amaçlanmıştır. Tanımlayıcı kesitsel tipteki bu çalışma, Aralık2017- Mart 2018 tarihleri arasında İnönü Üniversitesi Tıp Fakültesiöğrencilerine yapılmıştır. Ağırlıklı Basit Rastgele Örnekleme yöntemi ileminimum örneklem 311 kişi olarak hesaplanmıştır. Sınıf mevcutlarına orantılıolarak örneklem seçilmiştir. Çalışmayakatılmayı kabul eden 299 öğrenciye araştırmacılar tarafından literatürtaranarak oluşturulan anket formu uygulanmıştır. Elde edilen veriler SPSSistatistik programında, sayı, yüzde ve ki-kare testi kullanılarak analizedilmiştir. Anlamlılık değeri p<0.05 olarak kabul edilmiştir. Çalışmayakatılan öğrencilerin %50.2’si kadın ,% 89.3’ü 18-25 yaş arasındadır.Öğrencilerin %68.6’sının herhangi bir GTT yöntemini kullanmadığı ve %80’inin herhangi bir GTT eğitimi almadığıbelirlenmiştir. GTT eğitimi alma durumu ile GTT yöntemlerini kullanma durumuarasında anlamlı bir fark bulunamamıştır. Öğrencilerin en fazla bildikleri GTTyöntemleri masaj (%66.6), bitkiler (%61.2) ve hacamat (%60.9) iken en azbildikleri yöntem akupresör olarak belirlenmiştir. Öğrencilerin en fazlakullandığı GTT yöntemlerinin masaj (%15.4), diyetler (%10.4) ve fitoterapi(%10.4) olduğu tespit edilmiştir. Öğrencilerin%73.9’u Geleneksel ve Tamamlayıcı Tedavi uygulamalarının tıp fakültesimüfredatında yer alması gerektiği görüşüne katılmaktadır. Erkek (%14.7) vekadın (%8.7) öğrenciler Geleneksel veTamamlayıcı Tedaviler kişilerin tam bir tedavi almasına engel olduğu içintehlikelidir görüşünü desteklemektedir (p<0.05). Genel olarak GTTyöntemleriyle ilgili tutum ve düşüncelere erkek ve kadın öğrenciler benzerşekilde cevap vermişlerdir. Sonuç olarak çalışmamızda öğrencilerin çoğunun; GTTyöntemlerini duymalarına rağmen kapsamlı bir şekilde bilmediği, GTTyöntemlerini kullanma oranlarının düşük olduğu ve GTT konusunda eğitim almakistedikleri görülmüştür.

Geleneksel ve tamamlayıcı tedavi tıp fakültesi öğrencileri masaj fitoterapi tutum

Traditional and complementary treatment medical school students massage phytotherapy attitude

1. Koithan M. Introducing complementary and alternative therapies. J Nurse Pr 2009 January 1;5(1):18–20.

2. Hunt KJ, Coelho HF, Wider B, Perry R, Hung SK, Terry R et al. Complementary and alternative medicine use in England: results from a national survey. Int J Clin Pract October 2010;64(11):1496–502.

3. Duraisamy V, Thekkur P, Majella MG, Srinivasan M, Saya GK, Chinnakali P. What diseases do ‘Siddha’ practitioners treat? morbidity profile of adult outpatients attending traditional medicine health facilities in a district of South India. J Ayurveda Integr Med Oct-Dec 2018;9(4):281–4.

4. Shuval JT, Averbuch E. Complementary and alternative health care in Israel. Isr J Health Policy Res 2012;1:1–12.

5. Islahudin F, Shahdan IA, Mohamad-Samuri S. Association between belief and attitude toward preference of complementary alternative medicine use. Patient Prefer Adherence 2017;11:913–8.

6. Gaboury I, Johnson N, Robin C, Luc M, O’Connor D, Patenaude J et al. Complementary and alternative medicine: Do physicians believe they can meet the requirements of the College des medecins du Quebec? Can Fam Physician December 2016;62(12):e772–6.

7. Harris IM, Kingston RL, Rodriguez R, Choudary V. Attitudes towards complementary and alternative medicine among pharmacy faculty and students. Am J Pharm Educ 2006;70(6):1–8.

8. Albadr BO, Alrukban M, Almajed J, Alotaibi K, Alangari A, Bawazir A et al. Attitude of Saudi medical students towards complementary and alternative medicine. J Fam Community Med May-Aug 2018;25(2):120–6.

9. Bjerså K, Stener Victorin E, Fagevik Olsén M. Knowledge about complementary, alternative and integrative medicine (CAM) among registered health care providers in Swedish surgical care: a national survey among university hospitals. BMC Complement Altern Med 2012;12:1–10.

10. Ko GD, Berbrayer D. Complementary and alternative medicine: Canadian physiatrists’ attitudes and behavior. Arch Phys Med Rehabil May 2000;81(5):662–7.

11. James PB, Bah AJ, Kondorvoh IM. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study. BMC Complement Altern Med 2016;16:1–8.

12. Lie D, Boker J. Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students. BMC Med Educ 2004;4:1–9.

13. Kanadiya MK, Klein G, Shubrook JH. Use of and attitudes toward complementary and alternative medicine among osteopathic medical students. J Am Osteopath Assoc July 2012;112(7):437–46.

14. Barnes PM, Bloom B, Nahin RL. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. Natl Health Stat Report 2008 December 10.

15. Awad AI, Al-Ajmi S, Waheedi MA. Knowledge, perceptions and attitudes toward complementary and alternative therapies among Kuwaiti medical and pharmacy students. Med Princ Pract 2012;21(4):350–4.

16. Kwame Ameade EP, Amalba A, Helegbe GK, Mohammed BS. Medical students’ knowledge and attitude towards complementary and alternative medicine – a survey in Ghana. J Tradit Complement Med 2015 Apr 9;6(3):230–236.

17. Alzahrani SH, Bashawri J, Salawati EM, Bakarman MA. Knowledge and attitudes towards complementary and alternative medicine among senior medical students in King Abdulaziz University, Saudi Arabia. Evidence-based Complement Altern Med 2016;2016:1–7.

18. AlMansour MA, Al-bedah AM, AlRukban MO, Elsubai IS, Mohamed EY, El Olemy AT et al. Medical students’ knowledge, attitude, and practice of complementary and alternative medicine: a pre- and post-exposure survey in Majmaah University, Saudi Arabia. Adv Med Educ Pract 2015;6:407–20.

19. Walker BF, Armson A, Hodgetts C, Jacques A, Chin FE, Kow G et al. Knowledge, attitude, influences and use of complementary and alternative medicine (CAM) among chiropractic and nursing students. Chiropr Man Ther 2017;25.

20. Akan H, Izbirak G, Kaspar EÇ, Apaydın Kaya Ç, Aydin S, Demircan N et al. Knowledge and attitudes towards complementary and alternative medicine among medical students in Turkey. BMC Complement Altern Med 2012;12:1–7.

21. Sadeghi M, Rabiepoor S, Forough AS, Jabbari S, Shahabi S. A survey of medical students’ knowledge and attitudes toward complementary and alternative medicine in Urmia, Iran. J Evidence-Based Complement Altern Med 2016;21(4):306–10.

22. Saha BL, Seam OR, Islam M, Das A, Ahamed SK, Karmakar P et al. General perception and self-practice of complementary and alternative medicine (CAM) among undergraduate pharmacy students of Bangladesh. BMC Complement Altern Med 2017;17:1–8.

23. Hussain S, Malik F, Hameed A, Ahmed S, Riaz H, Abbasi N, et al. Pakistani pharmacy students’ perception about complementary and alternative medicine. Am J Pharm Educ 2012;76(2).

24. Münstedt K, Harren H, Von Georgi R, Hackethal A. Complementary and alternative medicine: comparison of current knowledge, attitudes and interest among German medical students and doctors. Evidence-based Complement Altern Med;2011.

25. Lee S-Il, Khang YH, Lee MS, Kang W. Knowledge of, attitudes toward, and experience of complementary and alternative medicine in Western medicine- and oriental medicine-trained physicians in Korea. Am J Public Health December 2002;92(12):1994–2000.

26. Chaterji R, Tractenberg RE, Amri H, Lumpkin M, Amorosi SBW, Haramati A. A large-sample survey of first- and second- year medical student attitudes toward complementary and alternative medicine in the curriculum and in practice. Altern Ther Health Med 2007;13(1):30–5.

27. Chez RA, Jonas WB, Crawford C. A survey of medical students’ opinions about complementary and alternative medicine. Am J Obstet Gynecol 2001;185(3):754–7.