Research Article
BibTex RIS Cite

Türkiye’deki Fizyoterapistlerin Geleneksel ve Tamamlayıcı Tıp Hakkındaki Bilgi Düzeyleri, İnanç ve Tutumları

Year 2022, Volume: 4 Issue: 3, 269 - 277, 25.12.2022

Abstract

Amaç: Tamamlayıcı ve alternatif tıp (TAT) uygulamalarının popülerliği sağlık profesyonelleri arasında giderek artmaktadır. Bu araştırma, fizyoterapistlerin TAT bilgi düzeyleri, uygulama oranları ve bu uygulamalara yönelik inanç ve tutumlarını belirlemek amacıyla planlandı. Yöntem: Türkiye Fizyoterapistler Derneğine üye fizyoterapistlerden, gönüllü olanlar çalışmaya dahil edildi. Katılımcıların TAT hakkında bilgi düzeyleri, uygulama oranları ve bu uygulamalara yönelik inanç ve tutumları bu konudaki literatür temel alınarak hazırlanmış anket formu ile belirlendi.
Bulgular: Formu eksiksiz dolduran 262 katılımcının verileri analiz edildi. Katılımcıların %80,5’i TAT hakkında orta ve üstü düzeyde bilgi seviyesine sahip olduğunu, %90,4’ü fizyoterapistlerin bu alanda bilgi sahibi olmasının orta ve üstü seviyede önemli olduğunu bildirdi. Mezuniyet sonrası en çok eğitimi alınan TAT yönteminin kupa uygulaması (%37), en fazla eğitimi alınmak istenen ve hastalara önerilen TAT yönteminin osteopati (%48,1-%56,5) ve en fazla kullanılan TAT yönteminin masaj (%39,7) olduğu tespit edildi. TAT uygulamaları hakkında olumlu bir bakış açısına sahip olan katılımcıların oranı ise %71,7 olarak bulundu.
Sonuç: Çalışma sonuçları fizyoterapistlerin TAT yöntemlerine karşı olumlu inanç ve tutumlara sahip olduğunu gösterdi. Dahası, mezuniyet sonrası TAT yöntemlerini öğrenmek için eğitim aldıkları, başta manüplatif ve bedene dayalı TAT uygulamaları olmak üzere tedavilerinde bu yöntemlere yer verdikleri belirlenmiştir.

References

  • Bjerså K, Victorin ES, Olsén MF. 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):42. https://doi.org/10.1186/1472-6882-12-42
  • Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children; United States, 2007. 2008. https://doi.org/10.1037/e623942009-001
  • Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Seminars in integrative medicine; 2004: Elsevier. https://doi.org/10.1016/j.sigm.2004.07.003
  • Wells RE, Baute V, Wahbeh H. Complementary and Integrative Medicine for Neurologic Conditions. Med Clin North Am. 2017;101(5):881-93. https://doi.org/10.1016/j.mcna.2017.04.006
  • Sharpe PA, Blanck HM, Williams JE, Ainsworth BE, Conway JM. Use of complementary and alternative medicine for weight control in the United States. J Altern Complement Med. 2007;13(2):217-22. https://doi.org/10.1089/acm.2006.6129
  • Mark JD, Chung Y. Complementary and alternative medicine in pulmonology. Curr Opin Pediatr. 2015;27(3):334-40. https://doi.org/10.1097/MOP.0000000000000217
  • Solberg M, Alræk T, Mdala I, Klovning A. A pilot study on the use of acupuncture or pelvic floor muscle training for mixed urinary incontinence. Acupunct Med. 2016;34(1):7-13. https://doi.org/10.1136/acupmed-2015-010828
  • Ernst E. Musculoskeletal conditions and complementary/alternative medicine. Best Pract Res Clin Rheumatol. 2004;18(4):539-56. https://doi.org/10.1016/j.berh.2004.03.005
  • Akan H, Izbirak G, Kaspar EÇ, Kaya ÇA, Aydin S, Demircan N, et al. Knowledge and attitudes towards complementary and alternative medicine among medical students in Turkey. BMC Complement Med Ther. 2012;12(1):115. https://doi.org/10.1186/1472-6882-12-115
  • Çamurdan Ç, Gül A. Complementary and alternative medicine use among undergraduate nursing & midwifery students in Turkey. Nurse Educ Pract. 2013;13(5):350-4. https://doi.org/10.1016/j.nepr.2012.09.015 Göker K, Yildiz H, Karabacak E, Dogan B. Türkiye'de çalisan dermatologlarin tamamlayici ve alternatif tip yöntemleri hakkinda bilgi ve yaklasimlari/The knowledge and attitudes towards complementary and alternative medicine among dermatologists in Turkey. Turkderm. 2015;49(1):31. https://doi.org/10.4274/turkderm.88964
  • Balouchi A, Mahmoudirad G, Hastings-Tolsma M, Shorofi SA, Shahdadi H, Abdollahimohammad A. Knowledge, attitude and use of complementary and alternative medicine among nurses: A systematic review. Complement Ther Clin Pract. 2018;31:146-57. https://doi.org/10.1016/j.ctcp.2018.02.008
  • Nejatian M, Alami A, Tehrani H, Lael-Monfared E, Jafari A. Perceptions and personal use of Complementary and Alternative Medicine (CAM) by Iranian health care providers. Complement Ther Clin Pract. 2018;32:145-50. https://doi.org/10.1016/j.ctcp.2018.06.002
  • Somer P, Vatanoğlu E. Geleneksel ve tamamlayıcı tıp uygulamaları yönetmeliği'nin hukuki ve etik açıdan değerlendirilmesi. Anadolu Kliniği. 2017;22(1):58-65. https://doi.org/10.21673/anadoluklin.284478
  • Hughes C, Quinn F, Baxter G. Complementary and alternative medicine: perception and use by physiotherapists in the management of low back pain. Complement Ther Clin Pract. 2011;19(3):149-54. https://doi.org/10.1016/j.ctim.2011.03.003
  • Karagozoglu Coskunsu D, Toprak M, Duman C, et al (2018). An assessment of physiotherapists'employment time and status in Turkey. Turk J Physiother Rehabil 2018; 29(2): 44-52.
  • Risberg T, Kolstad A, Bremnes Y, Holte H, Wist E, Mella O, et al. Knowledge of and attitudes toward complementary and alternative therapies: a national multicentre study of oncology professionals in Norway. Eur J Cancer. 2004;40(4):529-35. https://doi.org/10.1016/j.ejca.2003.11.011
  • Schneider CD, Meek PM, Bell IR. Development and validation of IMAQ: integrative medicine attitude questionnaire. BMC Med Educ. 2003;3(1):5. https://doi.org/10.1186/1472-6920-3-5
  • 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):2. https://doi.org/10.1186/1472-6920-4-2
  • Kearney G, Cioppa-Mosca J, Peterson MG, MacKenzie CR. Physical therapy and complementary and alternative medicine: an educational tool for enhancing integration. HSS Journal. 2007;3(2):198-201. https://doi.org/10.1007/s11420-007-9055-2
  • Kelner M, Wellman B, Boon H, Welsh S. Responses of established healthcare to the professionalization of complementary and alternative medicine in Ontario. Soc Sci Med. 2004;59(5):915-30. https://doi.org/10.1016/j.socscimed.2003.12.017
  • Manyanga T, Froese M, Zarychanski R, Abou-Setta A, Friesen C, Tennenhouse M, et al. Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis. BMC Complement Med Ther. 2014;14(1):312. https://doi.org/10.1186/1472-6882-14-312
  • Zhang X-c, Chen H, Xu W-t, Song Y-y, Gu Y-h, Ni G-x. Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. J Pain Res. 2019;12:527. https://doi.org/10.2147/JPR.S186227
  • Liu L, Skinner M, McDonough S, Mabire L, Baxter GD. Acupuncture for low back pain: an overview of systematic reviews. Evid Based Complement Alternat Med. 2015;2015. https://doi.org/10.1155/2015/328196
  • Sewitch MJ, Cepoiu M, Rigillo N, Sproule D. A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev. 2008;13(3):139-54. https://doi.org/10.1177/1533210108325549
  • Ko GD, Berbrayer D. Complementary and alternative medicine: Canadian physiatrists' attitudes and behavior. Arch Phys Med Rehabil. 2000;81(5):662-7. https://doi.org/10.1016/S0003-9993(00)90051-0
  • Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015(79):1.

Knowledge, Practice, and Attitudes About Complementary and Alternative Medicine Among Physiotherapists in Turkey

Year 2022, Volume: 4 Issue: 3, 269 - 277, 25.12.2022

Abstract

Purpose: Complementary and alternative medicine (CAM) practices are steadily growing in popularity among healthcare professionals. In this study we planned to determine the perceived knowledge levels, rates of use, and beliefs and attitudes regarding CAM among physiotherapists in Turkey.
Method: Physiotherapists who were members of the Turkish Physiotherapy Association and willing to participate to this study were included. Data collection took place between June 2017 and January 2018. The participants’ perceived knowledge levels, usage, and beliefs and attitudes regarding CAM were determined by an online questionnaire prepared for this study based on the relevant literature.
Results: Data from 262 participants who returned fully completed questionnaires were analyzed. In terms of knowledge level, 80.5% of the participants rated themselves as having a moderate to high level of knowledge on CAM, and 90.4% stated that physiotherapists’ being knowledgeable in this area is of moderate to high importance. The highest rate of postgraduate education for a CAM method was for cupping (37%), whereas the highest proportion of respondents expressed wanting to learn osteopathy (48.1%). Osteopathy was also the CAM method most recommended to patients (56.5%), while the most used CAM method was massage (39.7%). Overall, 71.7% of the participants stated that they had a positive opinion about CAM practices.
Conclusion: The results of this study showed that physiotherapists have positive beliefs and attitudes towards CAM methods. Moreover, we determined that they received postgraduate education/training to learn CAM methods, particularly manipulative and body-based CAM practices, and that they included these methods in their treatments.

References

  • Bjerså K, Victorin ES, Olsén MF. 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):42. https://doi.org/10.1186/1472-6882-12-42
  • Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children; United States, 2007. 2008. https://doi.org/10.1037/e623942009-001
  • Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Seminars in integrative medicine; 2004: Elsevier. https://doi.org/10.1016/j.sigm.2004.07.003
  • Wells RE, Baute V, Wahbeh H. Complementary and Integrative Medicine for Neurologic Conditions. Med Clin North Am. 2017;101(5):881-93. https://doi.org/10.1016/j.mcna.2017.04.006
  • Sharpe PA, Blanck HM, Williams JE, Ainsworth BE, Conway JM. Use of complementary and alternative medicine for weight control in the United States. J Altern Complement Med. 2007;13(2):217-22. https://doi.org/10.1089/acm.2006.6129
  • Mark JD, Chung Y. Complementary and alternative medicine in pulmonology. Curr Opin Pediatr. 2015;27(3):334-40. https://doi.org/10.1097/MOP.0000000000000217
  • Solberg M, Alræk T, Mdala I, Klovning A. A pilot study on the use of acupuncture or pelvic floor muscle training for mixed urinary incontinence. Acupunct Med. 2016;34(1):7-13. https://doi.org/10.1136/acupmed-2015-010828
  • Ernst E. Musculoskeletal conditions and complementary/alternative medicine. Best Pract Res Clin Rheumatol. 2004;18(4):539-56. https://doi.org/10.1016/j.berh.2004.03.005
  • Akan H, Izbirak G, Kaspar EÇ, Kaya ÇA, Aydin S, Demircan N, et al. Knowledge and attitudes towards complementary and alternative medicine among medical students in Turkey. BMC Complement Med Ther. 2012;12(1):115. https://doi.org/10.1186/1472-6882-12-115
  • Çamurdan Ç, Gül A. Complementary and alternative medicine use among undergraduate nursing & midwifery students in Turkey. Nurse Educ Pract. 2013;13(5):350-4. https://doi.org/10.1016/j.nepr.2012.09.015 Göker K, Yildiz H, Karabacak E, Dogan B. Türkiye'de çalisan dermatologlarin tamamlayici ve alternatif tip yöntemleri hakkinda bilgi ve yaklasimlari/The knowledge and attitudes towards complementary and alternative medicine among dermatologists in Turkey. Turkderm. 2015;49(1):31. https://doi.org/10.4274/turkderm.88964
  • Balouchi A, Mahmoudirad G, Hastings-Tolsma M, Shorofi SA, Shahdadi H, Abdollahimohammad A. Knowledge, attitude and use of complementary and alternative medicine among nurses: A systematic review. Complement Ther Clin Pract. 2018;31:146-57. https://doi.org/10.1016/j.ctcp.2018.02.008
  • Nejatian M, Alami A, Tehrani H, Lael-Monfared E, Jafari A. Perceptions and personal use of Complementary and Alternative Medicine (CAM) by Iranian health care providers. Complement Ther Clin Pract. 2018;32:145-50. https://doi.org/10.1016/j.ctcp.2018.06.002
  • Somer P, Vatanoğlu E. Geleneksel ve tamamlayıcı tıp uygulamaları yönetmeliği'nin hukuki ve etik açıdan değerlendirilmesi. Anadolu Kliniği. 2017;22(1):58-65. https://doi.org/10.21673/anadoluklin.284478
  • Hughes C, Quinn F, Baxter G. Complementary and alternative medicine: perception and use by physiotherapists in the management of low back pain. Complement Ther Clin Pract. 2011;19(3):149-54. https://doi.org/10.1016/j.ctim.2011.03.003
  • Karagozoglu Coskunsu D, Toprak M, Duman C, et al (2018). An assessment of physiotherapists'employment time and status in Turkey. Turk J Physiother Rehabil 2018; 29(2): 44-52.
  • Risberg T, Kolstad A, Bremnes Y, Holte H, Wist E, Mella O, et al. Knowledge of and attitudes toward complementary and alternative therapies: a national multicentre study of oncology professionals in Norway. Eur J Cancer. 2004;40(4):529-35. https://doi.org/10.1016/j.ejca.2003.11.011
  • Schneider CD, Meek PM, Bell IR. Development and validation of IMAQ: integrative medicine attitude questionnaire. BMC Med Educ. 2003;3(1):5. https://doi.org/10.1186/1472-6920-3-5
  • 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):2. https://doi.org/10.1186/1472-6920-4-2
  • Kearney G, Cioppa-Mosca J, Peterson MG, MacKenzie CR. Physical therapy and complementary and alternative medicine: an educational tool for enhancing integration. HSS Journal. 2007;3(2):198-201. https://doi.org/10.1007/s11420-007-9055-2
  • Kelner M, Wellman B, Boon H, Welsh S. Responses of established healthcare to the professionalization of complementary and alternative medicine in Ontario. Soc Sci Med. 2004;59(5):915-30. https://doi.org/10.1016/j.socscimed.2003.12.017
  • Manyanga T, Froese M, Zarychanski R, Abou-Setta A, Friesen C, Tennenhouse M, et al. Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis. BMC Complement Med Ther. 2014;14(1):312. https://doi.org/10.1186/1472-6882-14-312
  • Zhang X-c, Chen H, Xu W-t, Song Y-y, Gu Y-h, Ni G-x. Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. J Pain Res. 2019;12:527. https://doi.org/10.2147/JPR.S186227
  • Liu L, Skinner M, McDonough S, Mabire L, Baxter GD. Acupuncture for low back pain: an overview of systematic reviews. Evid Based Complement Alternat Med. 2015;2015. https://doi.org/10.1155/2015/328196
  • Sewitch MJ, Cepoiu M, Rigillo N, Sproule D. A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev. 2008;13(3):139-54. https://doi.org/10.1177/1533210108325549
  • Ko GD, Berbrayer D. Complementary and alternative medicine: Canadian physiatrists' attitudes and behavior. Arch Phys Med Rehabil. 2000;81(5):662-7. https://doi.org/10.1016/S0003-9993(00)90051-0
  • Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015(79):1.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Gökmen Yapalı 0000-0001-6811-5814

Serdar Arslan 0000-0002-5070-2524

Cihan Caner Aksoy 0000-0003-0538-3613

Publication Date December 25, 2022
Submission Date February 21, 2022
Acceptance Date May 27, 2022
Published in Issue Year 2022 Volume: 4 Issue: 3

Cite

APA Yapalı, G., Arslan, S., & Aksoy, C. C. (2022). Knowledge, Practice, and Attitudes About Complementary and Alternative Medicine Among Physiotherapists in Turkey. Genel Sağlık Bilimleri Dergisi, 4(3), 269-277.


                                                Journal of General Health Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).