7-14 Yaş Arası Üst Solunum Yolu Enfeksiyonu Geçiren Çocuklara Yönelik Ebeveynlerin Uyguladıkları Geleneksel ve Tamamlayıcı Tıp Yöntemlerinin ve Tutumlarının Belirlenmesi
Year 2024,
Volume: 14 Issue: 4, 376 - 387
Dilek Demir Kösem
,
Şenay Demir
,
Murat Bektaş
Abstract
Amaç: Üst solunum yolu enfeksiyonu olan çocuklarda ebeveynler tarafından geleneksel ve tamamlayıcı tıp yöntemleri kullanılmakta olup, ebeveynlerin bu yöntemlere bağlı oluşabilecek yan etkiler konusunda bilgilendirilmesi gerekmektedir.Bu çalışma, 7-14 yaş arası üst solunum yolu enfeksiyonu geçiren çocuklara yönelik ebeveynlerin uyguladıkları geleneksel ve tamamlayıcı tıp yöntemlerinin ve tutumlarının belirlenmesi amacı ile yapılmıştır.
Gereç ve Yöntemler: Çalışma, tanımlayıcı tipte bir araştırma olup, Kasım 2023-Ocak 2024 tarihleri arasında gerçekleştirilmiştir. Veriler, “Sosyo-Demografik Veri Toplama Formu” ve “Bütüncül Tamamlayıcı ve Alternatif Tıbba Karşı Tutum Ölçeği” kullanılarak toplanmıştır. Çalışmaya 310 ebeveyn çevrimiçi katılmıştır.
Bulgular:Ebeveynlerin üst solunum yolu enfeksiyonu geçiren çocuklarda geleneksel ve tamamlayıcı tıp kullanım oranı %91.6’dır. Ebeveynlerin kullandıkları bu yöntemler arasında en sık ateş durumunda çocuğa duş aldırma/ılık uygulama yaptığı, boğaz ağrısı durumunda çocuğa ballı süt, zencefilli bal, pekmez yedirdiği, burun tıkanıklığı durumunda çocuğun burnunu tuzlu su ile yıkama yaptığı, kulak ağrısı durumunda çocuğun kulağının üzerine sıcak havlu koyduğu ve öksürüğü azaltmak/kesmek için çocuğa bal-pekmez verdiği belirlenmiştir. Ebeveynlerin Bütüncül Tamamlayıcı ve Alternatif Tıbba Karşı Tutum Ölçeği puan ortalaması 29.51±3.79 olarak bulunmuştur. Çocuğun yaşı (β=1.258) ve ailenin ekonomik durumu (β=2.916) arttıkça ebeveynlerin geleneksel ve tamamlayıcı tıp kullanma durumlarının arttığı saptanmıştır.
Sonuç: Ebeveynlerin büyük çoğunluğu üst solunum yolu enfeksiyonu geçiren 7-14 yaş arası çocuklara geleneksel ve tamamlayıcı tıp uygulamalarını kullanmaktadır. Ebeveynlerin geleneksel ve tamamlayıcı tıp yöntemlerine karşı tutumlarının olumlu ve orta düzeyde olduğu belirlenmiştir.
References
- Konuk Şener D. Use of traditional and complementary medicine methods in children: Is it effective and safe? J Educ Res Nurs 2022;19(4):456-465.
- World HealthOrganization. WHO global report on traditional and complementary medicine. Geneva: World Health Organization; 2019. [Cited: February 25, 2024]. Available from: https://iris.who.int/handle/10665/312342.
- Lucas S, Kumar S, Leach MJ, Phillips A. Parent use of complementary medicine remedies and services for the management of respiratory tract infection in children: A qualitative study. J Multidiscip Healthc 2019;12:749-766. https://doi.org/10.2147/JMDH.S216687.
- Mancak Karakuş M, Tapısız A, Mutlu Karakaş N, Deniz M, Koca Çalışkan U. Use of herbal tea/herbal preparations for children with symptoms of viral upper respiratory infections. Turk J Pharm Sci 2023;20(1):8-15.
- Dzięciołowska-Baran E, Gawlikowska-Sroka A, Mularczyk M. Diseases of the upper respiratory tract in preschool and school age children in ambulatory ear nose throat practice. Adv Exp Med Biol 2015;873:35-41. https://doi.org/10.1007/5584_2015_132.
- ThomasM,Bomar PA. Upper respiratory tract infection. In: StatPearls. Treasure Island (FL): Stat Pearls Publishing; 2023.[Cited: January 30, 2024]. Availablefrom: https://www.ncbi.nlm.nih.gov/books/NBK532961.
- Al Rajeh AM, Naser AY, Siraj R, Alghamdi A, Alqahtani J, Aldabayan Y, et al. Acute upper respiratory infections admissions in England and Wales. Medicine (Baltimore) 2023;102(21):e33616.https://doi.org/10.1097/MD.0000000000033616.
- Turkiye Statistical Institute. Türkiye Health Survey;2022.[Cited: October 13, 2023]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Health-Survey-2022-49747.
- Al-Jabi SW, Khader M, Hamarsha I, Atallh D, Bani-Odeh S, Daraghmeh A, et al.Complementary and alternative medicine use among pediatrics in Palestine: A cross-sectional study. BMC Pediatr 2021;21(1):503. https://doi.org/10.1186/s12887-021-02985-6.
- Asrat D, Alle A, Kebede B, Dessie B. Factors associated with parental traditional medicine use for children in Fagita Lekoma Woreda Northwest Ethiopia: A cross-sectional study. SAGE Open Med 2020;8:2050312120978008. https://doi.org/10.1177/2050312120978008.
- Rake JP, Vos BO, Vlieger AM. Baat het niet, het kan wel schaden [No harm, no foul? Adverse events in pediatric complementary and alternative medicine use]. Ned Tijdschr Geneeskd 2021;165:D6099.
- Vernon-Roberts A, Denny A, Day AS. Point prevalence of complementary or alternative medicine use among children attending a tertiary care hospital. Children (Basel) 2023;10(1):132. https://doi.org/10.3390/children10010132.
- Wang C, Preisser J, Chung Y, Li K. Complementary and alternative medicine use among children with mental health issues: Results from the National Health Interview Survey. BMC Complement Altern Med 2018;18(1):241. https://doi.org/10.1186/s12906-018-2307-5.
- Niggemann B, Grüber C. Side-effects of complementary and alternative medicine. Allergy 2003;58(8):707-16. https://doi.org/10.1034/j.1398-9995.2003.00219.x.
- Aydın D, Çiftçi EK, Kahraman S, Şahin N. Alternativetreatmentpractices of motherswhosechildren had respiratorytractinfection. J Pediatr Res2015;2(4):212-7. https://doi.org/10.4274/jpr.19483.
- Kaplan B, Bayat M, Çalışkan Z, Evgin D, Caner N. Akut solunum yolu enfeksiyon belirtilerinde ailelerin çocuklarında uyguladıkları alternatif tedavi yöntemleri: Kesitsel bir araştırma [Alternative treatment methods used by families on their children for symptoms of acute respiratory infection: A cross-sectional research]. Türkiye Klinikleri J Nurs Sci 2023;15(1):24-31. https://doi.org/10.5336/nurses.2021-87335.
- Hyland ME, Lewith GT, Westoby C. Developing a measure of attitudes: The holistic complementary and alternative medicine questionnaire. Complement Ther Med 2003;11(1):33-8. https://doi.org/10.1016/s0965-2299(02)00113-9.
- Erci B. Attitudes towards holistic complementary and alternative medicine: A sample of healthy people in Turkey. J Clin Nurs 2007;16(4):761-8. https://doi.org/10.1111/j.1365-2702.2006.01655.x.
- Lucas S, Leach M, Kumar S. Complementary and alternative medicine utilisation for the management of acute respiratory tract infection in children: A systematic review. Complement Ther Med 2018;37:158-166. https://doi.org/10.1016/j.ctim.2018.03.001.
- Hazır Y, Bozkurt G.Üstsolunum yolu enfeksiyonu geçiren çocuklarda tamamlayıcı ve alternatif tedavi uygulamalarının incelenmesi[Investigation of complementaryandalternativetreatmentpractices in childrenwithupperrespiratorytractinfection]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2020;13(3):117-23. https://doi.org/10.46483/deuhfed.558449.
- Kurt F, Güvenir H, Asarkaya M, Buğa H, Yakut Hİ, Mısırlıoğlu ED.Acil servise solunum sistemi şikayetiyle başvuran çocuk hastalarda tamamlayıcı ve alternatif tıp kullanımının değerlendirilmesi[Evaluation of theuse of complementary and alternative medicine in children with complaints of respiratory system in the emergency department]. Türkiye Çocuk Hast Derg 2019;13(5):341-7. https://doi.org/10.12956/tchd.537438.
- Ustuner Top F, Ekim A, Ozdemir Alkanat H. Use of complementary and alternative medicine in pediatric respiratory diseases. Holist Nurs Pract 2021;35(2):92-97. https://doi.org/10.1097/HNP.0000000000000434.
- Öztürk YE, Akman Dömbekci H, Ünal S.Geleneksel tamamlayıcı ve alternatif tıp kullanımı[The use of traditional complementary and alternative medicine]. Bütünleyici ve Anadolu Tıbbı Dergisi 2020;1(3):23-35.
- Yurdakul ES, Sarı O. Geleneksel ve tamamlayıcı tıp uygulamalarının etik yönden incelenmesi [The examination of traditional and complementary medicine applications in terms of ethical side]. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2020;10(3):404-414. https://doi.org/10.31020/mutftd.720120.
- Welz AN, Emberger-Klein A, Menrad K. Why people use herbal medicine: Insights from a focus-group study in Germany. BMC Complement Altern Med 2018;18(1):92. https://doi.org/10.1186/s12906-018-2160-6.
- Hepokur ŞN, Uzunçakmak T. Sık görülen çocuk sağlığı sorunlarına karşı annelerin uyguladıkları geleneksel ve tamamlayıcı tıp yöntemlerinin belirlenmesi: Tanımlayıcı çalışma. [Determining the traditional complementary medicine methods used by mothers against common child health problems: Descriptive study]. J Tradit Complem Med 2023;6(2):112-9. https://doi.org/10.5336/jtracom.2022-94172.
- Topaloğlu N, Yıldırım Ş, Tekin M, Uludağ A, Özgen K. Türkiye’nin batısında solunum yolu enfeksiyonu geçiren çocuklarda alternatif tedavi uygulamaları[Alternative treatment applications in children with respiratory tract infections in the west of Turkey]. Güncel Pediatri 2013;11(1):23-26. https://doi.org/10.4274/Jcp.11.04.
- Kahraman A, Kırkan Ç. Pediatri hemşirelerinin geleneksel ve tamamlayıcı tıp uygulamalarına yönelik bilgi ve tutumlarının incelenmesi [Investigation of knowledge and attitudes of pediatric nurses toward traditional and complementary medicine practices]. J Tradit Complem Med 2020;3(1):32-9. https://doi.org/10.5336/jtracom.2019-72348.
- Eliaçık K, Kanık A, Oyman G, Rastgel H, Güngör S, Anıl, M, Bakiler AR. Knowledge, belief and misconceptions of the parents about fever. Meandros Medical and Dental Journal 2012;13(1):5-7.
- King D, Mitchell B, Williams CP, Spurling GK. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database Syst Rev 2015;2015(4):CD006821. https://doi.org/10.1002/14651858.CD006821.pub3.
- Marchisio P, Picca M, Torretta S, Baggi E, Pasinato A, Bianchini S, et al. Nasal saline irrigation in preschool children: A survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy. Ital J Pediatr 2014;40:47. https://doi.org/10.1186/1824-7288-40-47.
- Akçay D, Yıldırımlar A. Çocuklarda tamamlayıcı ve alternatif tedavi kullanımı ve ebeveyn bilgilerinin değerlendirilmesi. [Use of complementary and alternative therapy in children and evaluation of parental ınformation]. Çocuk Dergisi 2017;17(4):174-181. https://doi.org/10.5222/j.child.2017.174.
- Araz N, Bulbul S. Use of complementary and alternative medicine in a pediatric population in southern Turkey. Clin Invest Med 2011;34(1):E21-9.https://doi.org/10.25011/cim.v34i1.14909.
- Tuncel T, Şen V, Kelekçi S, Karabel M, Şahin C, Uluca Ü, et al. Use of complementary and alternative medicine in children who have no chronic disease. Turk Pediatri Ars 2014;49(2):148-53. https://doi.org/10.5152/tpa.2014.1498.
Determination of the Traditional and Complementary Medicine Methods Used by Parents for Their 7-14-Year-Old Children with Upper Respiratory Tract Infection and Their Attitudes
Year 2024,
Volume: 14 Issue: 4, 376 - 387
Dilek Demir Kösem
,
Şenay Demir
,
Murat Bektaş
Abstract
Background: Traditional and complementary medicine methods are used by parents in children with upper respiratory tract infections, and parents should be informed about the side effects that may occur due to these methods. This study was conducted to determine the traditional and complementary medicine methods utilized by parents for their 7-14-year-old children with upper respiratory tract infections and their attitudes.
Method: A descriptive research design was used. The study was conducted between November 2023 and January 2024. Data were collected using a “Socio-Demographic Data Form” and the “Attitude towards Holistic Complementary and Alternative Medicine Scale.” A total of 310 parents participated in the study online.
Results: The rate of parents’ use of traditional and complementary medicine in children with upper respiratory tract infections was 91.6%. These methods that parents most frequently used were showering the child or tepid sponging in case of fever, giving the child milk with honey, ginger, molasses in case of sore throat, washing the child’s nose with salt water in case of nasal congestion, putting a hot towel on the child’s ear in case of earache, and giving the child honey-molasses to reduce/cut the cough. Parents’ mean score on the Attitude towards Holistic Complementary and Alternative Medicine Scale was found to be 29.51±3.79. As the age of the child (β=1.258) and the economic status of the family (β=2.916) increased, parents’ use of traditional and complementary medicine increased, as well.
Conclusion: The majority of parents used traditional and complementary medicine methods for their 7-14-year-old children who had upper respiratory tract infections. It was determined that parents’ attitudes towards traditional and complementary medicine methods were positive and moderate.
References
- Konuk Şener D. Use of traditional and complementary medicine methods in children: Is it effective and safe? J Educ Res Nurs 2022;19(4):456-465.
- World HealthOrganization. WHO global report on traditional and complementary medicine. Geneva: World Health Organization; 2019. [Cited: February 25, 2024]. Available from: https://iris.who.int/handle/10665/312342.
- Lucas S, Kumar S, Leach MJ, Phillips A. Parent use of complementary medicine remedies and services for the management of respiratory tract infection in children: A qualitative study. J Multidiscip Healthc 2019;12:749-766. https://doi.org/10.2147/JMDH.S216687.
- Mancak Karakuş M, Tapısız A, Mutlu Karakaş N, Deniz M, Koca Çalışkan U. Use of herbal tea/herbal preparations for children with symptoms of viral upper respiratory infections. Turk J Pharm Sci 2023;20(1):8-15.
- Dzięciołowska-Baran E, Gawlikowska-Sroka A, Mularczyk M. Diseases of the upper respiratory tract in preschool and school age children in ambulatory ear nose throat practice. Adv Exp Med Biol 2015;873:35-41. https://doi.org/10.1007/5584_2015_132.
- ThomasM,Bomar PA. Upper respiratory tract infection. In: StatPearls. Treasure Island (FL): Stat Pearls Publishing; 2023.[Cited: January 30, 2024]. Availablefrom: https://www.ncbi.nlm.nih.gov/books/NBK532961.
- Al Rajeh AM, Naser AY, Siraj R, Alghamdi A, Alqahtani J, Aldabayan Y, et al. Acute upper respiratory infections admissions in England and Wales. Medicine (Baltimore) 2023;102(21):e33616.https://doi.org/10.1097/MD.0000000000033616.
- Turkiye Statistical Institute. Türkiye Health Survey;2022.[Cited: October 13, 2023]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Health-Survey-2022-49747.
- Al-Jabi SW, Khader M, Hamarsha I, Atallh D, Bani-Odeh S, Daraghmeh A, et al.Complementary and alternative medicine use among pediatrics in Palestine: A cross-sectional study. BMC Pediatr 2021;21(1):503. https://doi.org/10.1186/s12887-021-02985-6.
- Asrat D, Alle A, Kebede B, Dessie B. Factors associated with parental traditional medicine use for children in Fagita Lekoma Woreda Northwest Ethiopia: A cross-sectional study. SAGE Open Med 2020;8:2050312120978008. https://doi.org/10.1177/2050312120978008.
- Rake JP, Vos BO, Vlieger AM. Baat het niet, het kan wel schaden [No harm, no foul? Adverse events in pediatric complementary and alternative medicine use]. Ned Tijdschr Geneeskd 2021;165:D6099.
- Vernon-Roberts A, Denny A, Day AS. Point prevalence of complementary or alternative medicine use among children attending a tertiary care hospital. Children (Basel) 2023;10(1):132. https://doi.org/10.3390/children10010132.
- Wang C, Preisser J, Chung Y, Li K. Complementary and alternative medicine use among children with mental health issues: Results from the National Health Interview Survey. BMC Complement Altern Med 2018;18(1):241. https://doi.org/10.1186/s12906-018-2307-5.
- Niggemann B, Grüber C. Side-effects of complementary and alternative medicine. Allergy 2003;58(8):707-16. https://doi.org/10.1034/j.1398-9995.2003.00219.x.
- Aydın D, Çiftçi EK, Kahraman S, Şahin N. Alternativetreatmentpractices of motherswhosechildren had respiratorytractinfection. J Pediatr Res2015;2(4):212-7. https://doi.org/10.4274/jpr.19483.
- Kaplan B, Bayat M, Çalışkan Z, Evgin D, Caner N. Akut solunum yolu enfeksiyon belirtilerinde ailelerin çocuklarında uyguladıkları alternatif tedavi yöntemleri: Kesitsel bir araştırma [Alternative treatment methods used by families on their children for symptoms of acute respiratory infection: A cross-sectional research]. Türkiye Klinikleri J Nurs Sci 2023;15(1):24-31. https://doi.org/10.5336/nurses.2021-87335.
- Hyland ME, Lewith GT, Westoby C. Developing a measure of attitudes: The holistic complementary and alternative medicine questionnaire. Complement Ther Med 2003;11(1):33-8. https://doi.org/10.1016/s0965-2299(02)00113-9.
- Erci B. Attitudes towards holistic complementary and alternative medicine: A sample of healthy people in Turkey. J Clin Nurs 2007;16(4):761-8. https://doi.org/10.1111/j.1365-2702.2006.01655.x.
- Lucas S, Leach M, Kumar S. Complementary and alternative medicine utilisation for the management of acute respiratory tract infection in children: A systematic review. Complement Ther Med 2018;37:158-166. https://doi.org/10.1016/j.ctim.2018.03.001.
- Hazır Y, Bozkurt G.Üstsolunum yolu enfeksiyonu geçiren çocuklarda tamamlayıcı ve alternatif tedavi uygulamalarının incelenmesi[Investigation of complementaryandalternativetreatmentpractices in childrenwithupperrespiratorytractinfection]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2020;13(3):117-23. https://doi.org/10.46483/deuhfed.558449.
- Kurt F, Güvenir H, Asarkaya M, Buğa H, Yakut Hİ, Mısırlıoğlu ED.Acil servise solunum sistemi şikayetiyle başvuran çocuk hastalarda tamamlayıcı ve alternatif tıp kullanımının değerlendirilmesi[Evaluation of theuse of complementary and alternative medicine in children with complaints of respiratory system in the emergency department]. Türkiye Çocuk Hast Derg 2019;13(5):341-7. https://doi.org/10.12956/tchd.537438.
- Ustuner Top F, Ekim A, Ozdemir Alkanat H. Use of complementary and alternative medicine in pediatric respiratory diseases. Holist Nurs Pract 2021;35(2):92-97. https://doi.org/10.1097/HNP.0000000000000434.
- Öztürk YE, Akman Dömbekci H, Ünal S.Geleneksel tamamlayıcı ve alternatif tıp kullanımı[The use of traditional complementary and alternative medicine]. Bütünleyici ve Anadolu Tıbbı Dergisi 2020;1(3):23-35.
- Yurdakul ES, Sarı O. Geleneksel ve tamamlayıcı tıp uygulamalarının etik yönden incelenmesi [The examination of traditional and complementary medicine applications in terms of ethical side]. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2020;10(3):404-414. https://doi.org/10.31020/mutftd.720120.
- Welz AN, Emberger-Klein A, Menrad K. Why people use herbal medicine: Insights from a focus-group study in Germany. BMC Complement Altern Med 2018;18(1):92. https://doi.org/10.1186/s12906-018-2160-6.
- Hepokur ŞN, Uzunçakmak T. Sık görülen çocuk sağlığı sorunlarına karşı annelerin uyguladıkları geleneksel ve tamamlayıcı tıp yöntemlerinin belirlenmesi: Tanımlayıcı çalışma. [Determining the traditional complementary medicine methods used by mothers against common child health problems: Descriptive study]. J Tradit Complem Med 2023;6(2):112-9. https://doi.org/10.5336/jtracom.2022-94172.
- Topaloğlu N, Yıldırım Ş, Tekin M, Uludağ A, Özgen K. Türkiye’nin batısında solunum yolu enfeksiyonu geçiren çocuklarda alternatif tedavi uygulamaları[Alternative treatment applications in children with respiratory tract infections in the west of Turkey]. Güncel Pediatri 2013;11(1):23-26. https://doi.org/10.4274/Jcp.11.04.
- Kahraman A, Kırkan Ç. Pediatri hemşirelerinin geleneksel ve tamamlayıcı tıp uygulamalarına yönelik bilgi ve tutumlarının incelenmesi [Investigation of knowledge and attitudes of pediatric nurses toward traditional and complementary medicine practices]. J Tradit Complem Med 2020;3(1):32-9. https://doi.org/10.5336/jtracom.2019-72348.
- Eliaçık K, Kanık A, Oyman G, Rastgel H, Güngör S, Anıl, M, Bakiler AR. Knowledge, belief and misconceptions of the parents about fever. Meandros Medical and Dental Journal 2012;13(1):5-7.
- King D, Mitchell B, Williams CP, Spurling GK. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database Syst Rev 2015;2015(4):CD006821. https://doi.org/10.1002/14651858.CD006821.pub3.
- Marchisio P, Picca M, Torretta S, Baggi E, Pasinato A, Bianchini S, et al. Nasal saline irrigation in preschool children: A survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy. Ital J Pediatr 2014;40:47. https://doi.org/10.1186/1824-7288-40-47.
- Akçay D, Yıldırımlar A. Çocuklarda tamamlayıcı ve alternatif tedavi kullanımı ve ebeveyn bilgilerinin değerlendirilmesi. [Use of complementary and alternative therapy in children and evaluation of parental ınformation]. Çocuk Dergisi 2017;17(4):174-181. https://doi.org/10.5222/j.child.2017.174.
- Araz N, Bulbul S. Use of complementary and alternative medicine in a pediatric population in southern Turkey. Clin Invest Med 2011;34(1):E21-9.https://doi.org/10.25011/cim.v34i1.14909.
- Tuncel T, Şen V, Kelekçi S, Karabel M, Şahin C, Uluca Ü, et al. Use of complementary and alternative medicine in children who have no chronic disease. Turk Pediatri Ars 2014;49(2):148-53. https://doi.org/10.5152/tpa.2014.1498.