Menopoz Semptomlarının Yönetiminde Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler

Abstract

Her kadın yaşamının ilerleyen zamanlarında menopoz sürecini yaşayacaktır. Bu süreçte hayat kalitesini olumsuz etkileyen; sıcak basması, terleme, çarpıntı, baş ağrısı, uykusuzluk, kas-kemik ağrıları, halsizlik, depresyon, dikkat kaybı, unutkanlık, libido azalması, vajinal atrofi ve üriner problemler gibi menopoz semptomlarıyla başa çıkmak için birçok yöntem kullanacaktır. Kullanılacak yöntemler arasında tamamlayıcı ve alternatif tedaviler (TAT) çok önemli bir yere sahiptir. Menopoz dönemindeki kadınların sıklıkla tercih ettiği TAT yöntemleri akupunktur, akupresör, yoga, fitoöstrojen, refleksoloji, diyet, egzersizdir. Derlememiz, menopoz semptomlarını azaltmada kullanılan kanıt temelli tamamlayıcı ve alternatif tedavi uygulamalarını incelemek amacıyla hazırlanmıştır. Derlemenin hazırlanma sürecinde, Cochrane ve PubMed’de yayınlanmış konuyla ilgili makaleler taranmış ve elde edilen makalelerin kanıt düzeyi Joanna Briggs Enstitüsünün kabul ettiği kanıt düzeyi sınıflandırmasına göre incelenmiştir. Bu bağlamda incelenen çalışmaların birçoğu kanıt düzeyi bakımından yetersiz bulunmuştur. Bu alanda daha fazla araştırma yapılması önerilmektedir.

Keywords

• menopoz
• semptomlar
• kanıta dayalı uygulamalar
• tamamlayıcı ve alternatif tedaviler

Evidence-Based Complementary and Alternative Therapies in the Management of Menopausal Symptoms

Abstract

Every woman will experience the menopause process later in her life. They will use many methods to deal with the symptoms of menopause such as hot flashes, sweating, palpitations, headaches, insomnia, muscle-bone pain, weakness, depression, loss of attention, forgetfulness, decreased libido, vaginal atrophy, and urinary problems which affect the quality of their lives negatively in this process. Complementary and alternative therapies (CAM) have significant importance among the methods to be used. CAM methods frequently preferred by menopausal women are acupuncture, acupressure, yoga, phytoestrogen, reflexology, diet, exercise. Our review has been prepared to examine evidence-based complementary and alternative therapies used in reducing menopausal symptoms. During the preparation process of the review, the articles published in Cochrane and PubMed on the subject were scanned and the evidence level of the obtained articles was examined according to the evidence level classification accepted by the Joanna Briggs Institute. Studies examined in this context were found to be insufficient in terms of the level of evidence. More research is recommended in this area.

Keywords

• menopause
• symptoms
• evidence-based practices
• complementary and alternative therapies

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