LENFÖDEM TANILI HASTALARDA GELENEKSEL VE TAMAMLAYICI VE ALTERNATİF TEDAVİ KULLANIMI

Year 2024, Volume: 25 Issue: 1 - OCAK 2024 SAYISI, 111 - 116, 17.01.2024

Hilal Yeşil , Sibel Eyigör , Nuran Eyvaz , Menekse İnbat

https://doi.org/10.18229/kocatepetip.1277018

Abstract

AMAÇ: Lenfödem (LÖ) tanısı ile takip edilen hastalarda tamamlayıcı ve alternatif tedavi (TAT) kullanım sıklığının, türünün, bilgi kaynağının, kullanma nedeninin, algılanan yararın ve kullanan grubun özelliklerinin belirlenmesi.
GEREÇ VE YÖNTEM: Çalışmaya meme kanseri ile ilişkili LÖ tanısı ile takip edilmekte olan, 20-90 yaşları arasında 100 hasta dahil edildi. Hastaların sosyodemografik özellikleri, kemoterapi ve radyoterapi seans sayıları ve kullanılan medikal tedavileri yüz yüze görüşme yöntemi ile sorgulandı. Ayrıca hastalardan ‘Meme Kanserine Bağlı Lenfödem Tanılı Hastalarda TAT Kullanım Sıklığı’ başlıklı soru formunu doldurmaları istendi.
BULGULAR: Ortalama yaşları 54.6± 9.3 yıl olan hastaların en az bir TAT yöntemi kullanma oranı %77.0 olarak saptandı . TAT yöntemi olarak en çok masajın (n=40) ve dua etmenin (n=38) tercih edildiği saptandı. Bitki kullanan hasta sayısı 12 idi. Hastaların %48.2'si kullanmaya kendisinin karar verdiğini, %19.2'sinin ise doktor tavsiyesi ile TAT kullanmaya başladığını ifade etti. Doktor tavsiyesi ile TAT kullanan hastalarda tercih edilen yöntemler sırasıyla; kinesiotaping uygulaması (n=24), düşük güçlü lazer uygulaması (n=19) ve yoga (n=7) idi. Çalışmamızda TAT kullanan hastaların sadece %35'inin bu konuda doktoruna bilgi verdiği görüldü.
SONUÇ: LÖ hastalarının yaklaşık yarısının TAT kullanımı ile ilgili sağlık çalışanlarına bilgi vermediği, bir çok hastanın tanı alır almaz veya tedavileri halen devam etmekte iken bu yöntemleri kullandığı belirlenmiştir. Özellikle LÖ ile ilgilenen klinisyenlerin rutin değerlendirme içinde yer alarak TAT yöntemlerini dökümente etmeleri ve TAT yöntemlerinin potansiyel zararları hakkında bilgi sahibi olup hastaları doğru yönlendirmeleri gerekmektedir.

Keywords

Lenfödem, Geleneksel ve tamamlayıcı tedavi, Meme kanseri.

Supporting Institution

Yoktur

THE USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN PATIENTS WITH LYMPHEDEMA

Abstract

OBJECTIVE: Determining the frequency, type, source of information, reason for use, perceived benefit, and characteristics of the user group of complementary and alternative therapy (CAM) in patients with lymphedema (LE).
MATERIAL AND METHODS: A total of 100 patients aged 20-90 years, who were being followed up with the diagnosis of breast cancer-related LE, were included in the study. Sociodemographic characteristics of the patients, number of chemotherapy and radiotherapy sessions and medical treatments were questioned by face-to-face interview method. In addition, patients were asked to fill out the question form titled ‘Frequency of CAM Use in Patients Diagnosed with Lymphedema Due to Breast Cancer’.
RESULTS: In patients with the mean age of 54.6± 9.3 years, 77.0% used at least one CAM method. It was determined that massage (n=40) and praying (n=38) were mostly preferred as CAM methods. The utilization rate of the plant was 12. It was discovered that 48.2% of the patients chose to use it on their own, while 19.2% began using it on the advice of a doctor. The preferred methods in patients using CAM with the advice of a doctor are respectively; kinesiotaping application (n=24), low level laser application (n=19) and yoga (n=7). In our study, it was observed that only 35% of the patients using CAM informed their doctor about this issue.
CONCLUSIONS: It has been determined that about half of LE patients do not inform health professionals about the use of CAM, and many patients use these methods as soon as they receive a diagnosis or while their treatment is still ongoing. Clinicians, especially those interested in LE, should document CAM methods by taking part in routine evaluation and have information about the potential harms of CAM methods and guide patients correctly.

Keywords

Lymphedema, Complementary and alternative therapy, Breast cancer.

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