HEKİMLERİN GELENEKSEL VE TAMAMLAYICI TIP UYGULAMALARINA BAKIŞ AÇISI - PHYSICIANS' POINT of VIEW of TRADITIONAL and COMPLEMENTARY MEDICAL PRACTICES

Year 2019, , 276 - 286, 18.10.2019

Nehir Aslan Yüksel , Bilgehan Açıkgöz , Cengiz Yüksel , Ferruh Niyazi Ayoğlu , Tuğçe Er

https://doi.org/10.35232/estudamhsd.584471

Cited By: 10

Abstract

Son yıllarda dünyada ve ülkemizde “Geleneksel
ve Tamamlayıcı Tıp” (GETAT) uygulamalarında ve ürünlerinin kullanımında artış
izlenmektedir. Hekimler GETAT uygulama ve ürünlerinin gerekliliği, yararı
konusunda ikiye bölünmüş durumdadır. Bir görüş bu uygulamaların medikal
tedavide yeri olduğunu savunmaktayken, diğer görüş kullanımının ve kullanımına
bağlı sonuçların hekimin sorumluluğunda olmadığını savunmaktadır. Bu çalışmada
Zonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi’nde görevli öğretim üyesi ve
araştırma görevlisi hekimlerin GETAT uygulamaları konusundaki bilgi ve
görüşlerini değerlendirmek amaçlanmıştır. Araştırma kesitsel tiptedir. Şubat
2017- Mayıs 2018 tarihlerinde görevli 327 hekimin tümüne ulaşılması
hedeflenmiştir, 262’sine (%80,1) ulaşılmıştır. Verilerin toplanmasında anket
kullanılmıştır. Hekimlerin %66,4’ünün kendi görüşlerine göre GETAT yöntemleri
konusunda bilgi düzeyleri düşüktür, %43,1’i eğitim almak istemektedir, %2,3’ü
GETAT kurs/sertifika programına katılmıştır. Hekimlerin %45,0’ı hastalarının
GETAT kullanma durumunu bilmektedir, bilenlerin %41,5’i hastalarının GETAT
yöntemi kullandığını, en fazla akupunktur (%63,2) ve kupa (%40,8)
kullandıklarını belirtmiştir. Hekimlerin %48,5’i GETAT’ın faydalı olduğunu
düşünmektedir. Hekimlerin hastalarına bir GETAT yöntemi önerme oranı %16,0,
uygulama oranı %4,9’dur. Hekimlerin %15,2’sinin kendisi, %24,4’ünün ailesindeki
bireyler bir GETAT yöntemi kullanmıştır. Öneren hekimlerin en fazla önerdikleri
(%57,1), kullanan hekimlerin en fazla kullandıkları (%45,0) yöntem
akupunkturdur. Hekimlerin GETAT yöntemlerini önerme durumu; kendi görüşlerine
göre GETAT bilgi düzeylerine, kurs/sertifika programına katılma durumlarına,
faydasına dair görüşlerine, hekimin ve ailesinin GETAT kullanma durumuna göre
farklı bulunmuştur. Hekimlerin GETAT eğitimi almak isteme durumu; yaşa,
akademik ünvana, bölüme, faydasına dair görüşlerine göre farklılık
göstermiştir. Hekimlerin yarısından fazlası, GETAT ile ilgili yeterli bilgisi
bulunmadığını belirtmiştir ve hastalarının yöntemleri kullanma durumuyla ilgili
bilgi sahibi değildir. Meslekte geçirdikleri süre daha kısa olan genç hekimler
ve dahili bilimlerde çalışan hekimler daha fazla GETAT eğitimi almak
istemektedirler. Hekimler, tedavileri ile etkileşimleri bakımından hastalarının
GETAT yöntemi kullanma durumunu sorgulamalı, toplumda sık kullanılan yöntemler
konusunda yapılan bilimsel araştırmaları takip etmelidirler. Bununla birlikte
hekimler, GETAT yöntemlerini ancak bilimsel yöntem izlenerek yapılan araştırmalar
sonucunda ulaşılacak bilgiler ışığında tedavi seçeneği olarak düşünebilirler.

Keywords

Geleneksel Tıp, Tamamlayıcı Tıp, Hekim

PHYSICIANS' POINT of VIEW of TRADITIONAL and COMPLEMENTARY MEDICAL PRACTICES

Abstract

In recent
years, there has been an increase in “Traditional and Complementary Medicine” (T&CM)
applications and use of its products in the world and in our country.
Physicians are divided in terms of the necessity and benefit of T&CM
application and products. One opinion argues that these applications have a
place in medical treatment, while the other opinion argues that its use and its
consequences are not the responsibility of the physician. In this study, it was
aimed to evaluate the knowledge and opinions of faculty members and research assistants at
Zonguldak Bülent Ecevit University Faculty of Medicine about T&CM
applications. This
research is cross-sectional. In the research, 262 (80.1%) of the 327 physicians
working at Zonguldak Bülent Ecevit University Faculty of Medicine between
February 2017 and May 2018 were reached. Questionnaire form was used to collect
data. The 66.4 % of physicians have
low level of knowledge according to their opinion, about T&CM, 43.1% are
interested in training about T&CM, 2.3% have participated in T&CM
course / certificate program. 45,0% of physicians have information about
whether their patients use the T&CM and these physicians declared that
acupuncture (63.2%) and cupping (40.8%) are the most used methods. 48.5% think
that T&CM methods are useful. The rate of recommending any T&CM methods
to the patients by the physicians is 16.0% and the physicians’ practice rate is
4.9%. 15.2% of the physicians themselves, family of 24% of doctors have used
any T&CM methods.. Acupuncture is the most recommended method (57.1%) by
physicians who recommended any and it's the most practiced method (45.0%) by
who practices any methods. Physicians' recommendation of T&CM to patients
differs according to their knowledge level that their declaration, to
participate in the T&CM course / certificate program, their opinions on the
usefulness of T&CM and the use of the T&CM by the physicians and their
family. Physicians' request to receive T&CM  training differ according to age, academic title,
department, their opinions on the usefulness of T&CM, physicians'
declaration about use of the T&CM by their patients. More than half of the
physicians stated that they did not have enough information about T&CM methods and had no
information about the use of their patients. Young doctors who spend less time
in their profession and internal medicine doctors want more training in T&CM.
Physicians
should question the patient's use of these methods in terms of their
interactions with their treatment, and follow the scientific researches on the
methods commonly used in the community. However, physicians may consider T&CM
methods as a treatment option in light of the information that will be obtained
as a result of research conducted following scientific method.

Keywords

: Traditional medicine, complementary medicine, physician

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