Onkolojik Cerrahi Uygulanan Hastaların Tamamlayıcı ve Alternatif Tıp Kullanımının Araştırılması

Abstract

Giriş: Kanser hastaları, kanser tedavilerinin yan etkileriyle baş etmek, beslenme desteği sağlamak, bağışıklık sistemini güçlendirmek ve iyileşmeyi hızlandırmak için Tamamlayıcı ve Alternatif Tıp (TAT) kullanmaktadır. Amaç: Bu çalışmada onkolojik cerrahi geçiren hastaların tamamlayıcı ve alternatif tıp kullanımının araştırılması amaçlanmıştır. Yöntem: Tanımlayıcı ve kesitsel olan bu çalışma, 1 Nisan - 1 Ekim 2021 tarihleri arasında Türkiye'nin batısındaki bir üniversite hastanesinin onkoloji ünitesinde kanser tanısı nedeniyle cerrahi müdahale uygulanan 322 hasta ile gerçekleştirildi. Veriler “Hasta Kimlik Formu” ve “TAT Kullanımını Belirleme Formu” kullanılarak toplandı. Bulgular: Onkolojik cerrahi girişim uygulanan hastaların yaklaşık yarısının TAT kullandığı, TAT kullananların % 87,5'inin biyolojik temelli yöntemleri, % 90,6'sının zihin-beden müdahaleleri ve % 78'inin her iki yöntemi bir arada kullandığı belirlendi. TAT kullanan hastaların % 3,1’inde uyguladığı yönteme bağlı yan etki yaşadığı belirlendi. Sonuç: Hastaların sıklıkla ameliyat öncesinde TAT'a başvurdukları ve sonrasında devam ettikleri bulundu. Ayrıca, hastaların yaşadıkları deneyimlerden etkilenerek TAT seçerken bağışıklıklarını güçlendirmeyi, tedaviyi desteklemeyi ve aynı zamanda kendilerini yan etkilerden korumayı amaçladıkları belirlendi.Sağlık çalışanları tarafından, hastaların TAT kullanma nedenlerinin ve uygulanan yöntemlerin belirlenerek kaydedilmesi önerilmektedir.

Keywords

• Tamamlayıcı Tedaviler
• Cerrahi Onkoloji
• Cerrahi

Investigation of the Use of Complementary and Alternative Medicine by Patients Who Underwent Oncological Surgery

Abstract

Background: Cancer patients use Complementary and Alternative Medicine (CAM) to cope with the side effects of cancer treatments, provide nutritional support, strengthen the immune system, and speed recovery. Objectives: This study aimed on the utilization of complementary and alternative medicine in post-oncological surgery patients. Methods: This descriptive and cross-sectional study was conducted between April 1 and October 1, 2021, involving 322 patients who underwent surgical intervention due to a cancer diagnosis in the oncology unit of a university hospital in western Turkey. The data were collected using the "Patient Identification Form" and "Form for Determining the Use of CAM". Results: It was determined that approximately half of the patients who underwent oncological surgery utilized CAM, with 87.5 % of CAM users employing biological-based methods, 90.6 % utilizing mind-body interventions, and 78 % using both methods concurrently. Moreover, it was found that 3.1 % of patients experienced side effects related to the method they employed. Conclusion: Patients were found to frequently utilize CAM both prior to surgery and in the postoperative period. It was determined that patients were influenced by their experiences and aimed to strengthen their immunity, support treatment, and protect themselves from side effects when choosing CAM.It is recommended that healthcare professionals identify and document the reasons for patients' use of CAM and the methods they apply.

Keywords

• Surgical Oncology
• Complementary Therapies
• Surgery

References

1. Abiri, O. T., Sheriff, M. S., Smalle, I. O., Bell, N. V., Kamara, I. F., Kamara, T. B., ... & Samai, M. (2024). Complementary and alternative medicine use and its impact on quality of life among cancer patients in Freetown, Sierra Leone: considerations for a resource-limited setting. Discover Medicine, 1(1), 1-13. https://doi.org/10.1007/s44337-024-00153-0
2. Alay, İ., Dağdeviren, H., Kanawati, A., Eren, E., Kaya, C., & Cengiz, H. (2018). Jinekoloji polikliniğine başvuran hastalarda tamamlayıcı alternatif tıp uygulamalarının kullanımı. Ahi Evran Medical Journal, 2(3), 53–57.
3. Alowais, M. A., & Selim, M. A. E. (2019). Knowledge, attitude, and practices regarding dietary supplements in Saudi Arabia. Journal of Family Medicine and Primary Care, 8(2), 365–372.
4. Asadzandi, M. (2018). Effect of spiritual health (Sound Heart) on the other dimensions of health at different levels of prevention. Clinical Journal of Nursing Care and Practice, 2(1), 018–024.
5. Atalay, D., & Erge, H. S. (2018). Gıda takviyeleri ve sağlık üzerine etkileri. Food and Health, 2(4), 98– 111. https://doi.org/10.3153/FH18010
6. Aydın, C. (2019). Kader inancının savunma mekanizması ve dini başa çıkma kavramları açısından değerlendirilmesi. Hitit Üniversitesi İlahiyat Fakülte- si Dergisi, 18(35), 101–122.
7. Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research, 23(1), 41. https://doi.org/10.1186/s40001-018-0339-4
8. Chui, P. L., Abdullah, K. L., Wong, L. P., & Taib, N. A. (2018). Complementary and alternative medicine use and symptom burden in women undergoing chemotherapy for breast cancer in Malaysia. Cancer Nursing, 41(3), 189. https://doi.org/10.1097/ NCC.0000000000000527

9. Çullu, M., & Ülker, S. (2020). Hastaların ameliyat öncesi dile getirmedikleri düşünce ve istekleri. Yoğun Bakım Hemşireliği Dergisi, 1(24), 1–10.
10. Dalmayrac, E., Quignon, A., & Baufreton, C. (2016). Complementary and alternative medicine in cardi- ac surgery: prevalence and modality of use. Heart, Lung and Circulation, 25(7), 712-718. https://doi. org/10.1016/j.hlc.2016.01.017
11. Firkins, R., Eisfeld, H., Keinki, C., Buentzel, J., Hochhaus, A., Schmidt, T., & Huebner, J. (2018). The use of complementary and alternative medicine by patients in routine care and the risk of interactions. Journal of Cancer Research and Clinical Oncology, 144(3), 551–557. https://doi.org/10.1007/s00432- 018-2587-7
12. Güvelı̇ , H., Uzsoy, A., Özlü, T., Kenger, E., & Ergün, C. (2021). Onkoloji hastalarında tamamlayıcı ve alternatif tıp kullanımı sıklığı ve özel beslenme durumlarının belirlenmesi. European Journal of Science and Technology, 21, 307–312. https://doi.org/10.31590/ ejosat.814348
13. Hill, J., Seguin, R., Manda, A., Chikasema, M., Vaz, O., Li, Q., ...Smith, J. S. (2022). Prevalence of traditional, complementary, and alternative medicine (TCAM) among adult cancer patients in Malawi. Cancer Causes & Control, 33(8), 1047–1057. https:// doi.org/10.1007/s10552-022-01563-0
14. Imeni, M., Sabouhi, F., Abazari, P., & Iraj, B. (2018). The effect of spiritual care on the body ımage of patients undergoing amputation due to type 2 diabetes: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 23(4), 322–326.
15. Khamis, E. A. R., Abu Raddaha, A. H., Nafae, W. H., Al-Sabeely, A. A., Ebrahim, E. E., & Elhadary, S. M. (2023). Effectiveness of aromatherapy in early pal- liative care for oncology patients: Blind controlled study. Asian Pacific journal of cancer prevention: APJCP, 24(8), 2729–2739. https://doi.org/10.31557/ APJCP.2023.24.8.2729
16. Kanak, E. K., Öztürk, S. N., Özdemir, Y., Kübra, A., & Yılmaz, S. Ö. (2021). Gıda takviyeleri kullanım alışkanlıklarının değerlendirilmesi. Niğde Ömer Halisdemir Üniversitesi Mühendislik Bilimleri Dergisi, 10(1), 168–177.
17. Karakoç, M. D. (2020). Onkoloji hastalarının tamamlayıcı ve alternatif tedavi yöntemlerini kullanma du- rumları. Pamukkale Medical Journal, 13(1), 69–80.
18. Kasprzycka, K., Kurzawa, M., Kucharz, M., Godawska, M., Oleksa, M., Stawowy, M., ...Nawrocki, S. (2022). Complementary and alternative medicine use in hospitalized cancer patients—Study from Silesia, Poland. International Journal of Environmental Research and Public Health, 19(3), Article 3. https://doi.org/10.3390/ijerph19031600
19. Keene, M. R., Heslop, I. M., Sabesan, S. S., & Glass, B. D. (2019). Complementary and alternative medicine use in cancer: A systematic review. Complementary Therapies in Clinical Practice, 35, 33–47.
20. Kessel, K. A., Klein, E., Hack, C. C., & Combs, S. E. (2018). Complementary medicine in radiation oncol- ogy. Strahlentherapie und Onkologie, 194(10), 904- 910. https://doi.org/ 10.1007/s00066-018-1345-8
21. Kökcü, Ö. D., & Kutlu, Ö. (2020). Kardiyovasküler sistem hastalıklarında spiritüel bakım. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 36(1), Article 1.
22. Lederer, A. K., Samstag, Y., Simmet, T., Syrovets, T., & Huber, R. (2022). Complementary medicine usage in surgery: a cross-sectional survey in Germany. BMC Complementary Medicine and Therapies, 22(1), 263. https://doi.org/10.1186/s12906-022-03746-3
23. Lopez, G., Salas, C. A., Cadiz, F., Barriga, C., Gon- zalez, P., Acevedo, S., ...Quiroga, M. (2019). Complementary and ıntegrative medicine use in ındividuals seeking conventional medical oncology care in chile: Prevalence and patient characteristics. Journal of Global Oncology, 5, 1–6. https://doi.org/10.1200/ JGO.18.00190
24. Luo, Q., & Asher, G. N. (2017). Complementary and alternative medicine use at a comprehensive cancer center. Integrative Cancer Therapies, 16(1), 104–109. https://doi.org/10.1177/1534735416643384
25. Mani, J., Juengel, E., Arslan, I., Bartsch, G., Filmann, N., Ackermann, H., ...Blaheta, R. A. (2015). Use of complementary and alternative medicine before and after organ removal due to urologic cancer. Patient Preference and Adherence, 9, 1407–1412. https://doi. org/10.2147/PPA.S90061
26. Meyskens, F. L., Jr, Mukhtar, H., Rock, C. L., Cuz- ick, J., Kensler, T. W., Yang, C. S., ...Alberts, D. S. (2016). Cancer prevention: Obstacles, challenges, and the road ahead. JNCI: Journal of the National Cancer Institute, 108(2), djv309. https://doi.org/10.1093/ jnci/djv309
27. National Cancer Institute. (2023). Complementary and alternative medicine. https://www.cancer.gov/ about-cancer/treatment/cam
28. National Center for Complementary and Integrative Health (NIH). (2021a). Complementary, alternative, or integrative health: What’s in a name?.https:// www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
29. National Center for Complementary and Integrative Health (NIH). (2021b). Cancer and Complementary Health Approaches: What you need to know. https:// www.nccih.nih.gov/health/cancer-and-complementary-health-approaches-what-you-need-to-know
30. Odegard, B. R., Ferguson, M. R., Naja, F., Ayoub, J., & Banna, J. (2022). A qualitative investigation of the perceptions of complementary and alternative medicine among adults in Hawaiʻi. BMC Complementary Medicine and Therapies, 22(1), 128. https://doi. org/10.1186/s12906-022-03603-3
31. Puskulluoglu, M., Uchańska, B., Tomaszewski, K. A., Zygulska, A. L., Zielińska, P., & Grela-Wojewo- da, A. (2021). Use of complementary and alternative medicine among Polish cancer patients. Biuletyn Pol- skiego Towarzystwa Onkologicznego Nowotwory, 6(5), 354–361.
32. Rasheed, Z., Al-Rashidy, M., Al-Raqibah, A., Al-Mo- qbel, A., Al-Bakri, A., Al-Harbi, A., ... Al Abdulmonem, W. (2020). Experience of cancer patients for the usage of complementary and alternative medicine therapy. Open Access Macedonian Journal of Medical Sciences, 8(E), 521–527.
33. Savlak, N., Çağındı, Ö., Dedeoğlu, M., İnce, C., & Köse, E. (2022). Türkiyede ve Dünyada takviye edici gıdalara genel bir bakış. GIDA: The Journal of Food, 47(4), 576–590.
34. Schiff, E., Attias, S., Matter, I., Sroka, G., Nae, B., Arnon, Z., ...Ben-Arye, E. (2019). Complementary and alternative medicine interventions for perioperative symptoms: A comparative effectiveness study. Complementary therapies in medicine, 44, 51–55. https://doi.org/10.1016/j.ctim.2019.03.003.
35. Simpson, E., Forster, K., McMillan, S., & Anoo- pkumar-Dukie, S. (2021). The ımpact of an evi- dence-based education on complementary and alternative medicine usage in people with cancer: Pilot study. Journal of Cancer Education, 36(5), 1061– 1068. https://doi.org/10.1007/s13187-020-01734-0
36. Ulusoy, Z. B., & Keskin, A. (2021). Attitudes of oncology patients on traditional and complementary medicine (T&CM). Ankara Medical Journal, 21(3), 374–385.
37. Wode, K., Henriksson, R., Sharp, L., Stoltenberg, A., & Hök Nordberg, J. (2019). Cancer patients’ use of complementary and alternative medicine in Sweden: A cross-sectional study. BMC Complementa- ry and Alternative Medicine, 19(1), 62. https://doi. org/10.1186/s12906-019-2452-5
38. Wolf, C. P. J. G., Rachow, T., Ernst, T., Hochhaus, A., Zomorodbakhsch, B., Foller, S.,...Huebner, J. (2022). Complementary and alternative medicine (CAM) supplements in cancer outpatients: Analyses of usage and of interaction risks with cancer treatment. Journal of Cancer Research and Clinical Oncology, 148(5), 1123–1135. https://doi.org/10.1007/s00432- 021-03675-7
39. Yalcin, S., Hurmuz, P., McQuinn, L., & Naing, A. (2017). Prevalence of complementary medicine use in patients with cancer: A Turkish comprehensive cancer center experience. Journal of Global Oncology, 4, 1-6. https://doi.org/10.1200/JGO.2016.008896
40. Yilmaz, S. (2020). Türk toplumunda geleneksel tedavi yöntemlerinin faydasına inanma ve bu yöntemlere başvurma örüntüleri. ODÜ Sosyal Bilimler Araştırmaları Dergisi (ODÜSOBİAD), 3(10), 941–953. https://doi.org/10.48146/odusobiad.809481