DÜŞÜK GELİR DÜZEYİNE SAHİP AİLELERİN ÇOCUKLARINA TAMAMLAYICI VEYA ALTERNATİF TIP UYGULAMALARI: ANKARA HASTANESİ VERİLERİ

Abstract

Giriş: Ülkemizde düşük gelir düzeyine sahip ailelerin çocuklarına uyguladıkları “Tamamlayıcı ve Alternatif Tıp” (TAT) yöntemleri hakkında yapılmış çalışma yoktur. Bu çalışma, düşük gelir düzeyine sahip ailelerin TAT uygulamalarını araştırmak için planlandı.Materyal-metot: Çocuk Polikliniğine başvuran ebeveynlere anket formu uygulandı. Demografik özellikler ve TAT uygulamaları sorgulandı.Bulgular: Polikliniğe başvuran 0-15 yaş arası 500 çocuğun ebeveynine anket uygulandı. Ailelerin gelir düzeyi yoksulluk sınırının altındaydı. Ailelerin %87’si TAT yöntemleri kullandıklarını ifade ettiler. TAT başlama yaşı ortancası 0.0 yıl (0-5) olarak saptandı ve ailelerin %52’si yenidoğan döneminde uygulamaya başlamıştı. TAT uygulamalarının en sık nedeni kabızlıktı (n=282). En sık kullanılan TAT uygulamaları bitki çayı içirme (n=156), zeytin/badem yağı içirme (n=140) idi. Anne ve baba eğitim düzeyi ile TAT kullanımı arasında istatistiksel olarak anlamlı ilişki saptandı (p=0.000).Tartışma: Bu çalışmada düşük gelir düzeyine sahip olan ve başkentte yaşayan hasta grubunda TAT uygulamalarının yenidoğan döneminden itibaren başladığı ve sağlıkçıların önerisi olmadan yaygın olarak kullanıldığı sonucuna varıldı.

Keywords

• Tamamlayıcı tıp, alternatif tıp, yenidoğan, çocuk

THE COMPLEMENTARY OR ALTERNATIVE MEDICINE PRACTICES IN CHILDREN OF LOW-INCOME FAMILIES: DATA OF ANKARA HOSPITAL

Abstract

Introduction: In our country, there hasn’t been any study on the “Complementary and Alternative Medicine” (CAM) practices among the children of low-income families yet. In our study our aim was to investigate the CAM practices among low-income families.Material-Method: The questionnaire form was filled by the parents, who admitted to our Pediatric Outpatient Clinic. Demographic data of the families and the CAM used by them were questioned. Evidences: The parents of the children (age between 0-15years) who admitted to our outpatient clinic, filled up the questionnaire form. The income level of all the families was below the poverty line. 87 % (n=345 ) of the families stated that they used CAM methods. The median starting age for CAM using was determined as 0.0 year and 52 % of families started in the newborn period.The most frequent reason for CAM practices was constipation (n=282). The most frequently used CAM practices on children were giving them herbal tea (n=156) and olive/almond oil (n=140). A statistically significant correlation between the educational level of mother and father and their CAM usage was observed (p=0.000). Discussion: Our aim was to remark the CAM practices which are being used beginning from the neonatal period and which are widely used without the ‘health providers’ advice, are applied by our group of parents who have low-income status and live in the capital

Keywords

• Complementary medicine, alternative medicine, neonate, child

References

1. Defining and describing complementary and alternative medicine. Panel on Definition and Description, CAM Research Methodology Conference, April 1995. Altern Ther Health Med 1997;3(2):49-57.
2. Moquin B, Blackman MR, Mitty E, Flores S. Complementary and alternative medicine (CAM). Geriatr Nurs 2009;30(3):196-203.
3. Zollman C, Vickers A. ABC of complementary medicine. Users and practitioners of complementary medicine. BMJ 1999;319(7213):836-8.
4. Kurt E, Bavbek S, Pasaoglu G, Abadoglu O, Misirligil Z. Use of alternative medicines by allergic patients in Turkey. Allergol Im- munopathol (Madr) 2004;32(5):289-94
5. Spigelblatt L, Laîné-Ammara G, Pless IB, Guyver A. The use of alternative medicine by children. Pediatrics 1994;94(6 Pt 1):811-4.
6. Jean D, Cyr C. Use of complementary and alternative medicine in a general pediatric clinic. Pediatrics 2007;120(1):138-41.
7. Orhan F, Sekerel BE, Kocabas CN, Sackesen C, Adalioglu G, Tuncer A. Complementary and alternative medicine in children with asthma. Ann Allergy Asthma Immunol 2003;90(6):611-5.
8. Arikan D, Sivrikaya SK, Olgun N.Complementary alternative medicineuse in children with type 1 diabetes mellitus in Erzurum, Turkey. J Clin Nurs 2009;18(15):2136-44.

9. Genc RE, Senol S, Turgay AS, Kantar M. Complementary and al- ternative medicine used by pediatric patients with cancer in west- ern Turkey. Oncol Nurs Forum 2009;36(3):159-64.
10. Ozturk C, Karayagiz GJ. Exploration of the use of complemen- tary and alternative medicine among Turkish children. Clin Nurs 2008;17(19):2558-64.
11. Hızel Bülbül S, Turgut M, Köylüoğlu S. Çocuklarda Tıp Dışı Alternatif Uygulamalar konusunda Ailelerin Görüşleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2009:52(4):195-203.
12. Gözüm S, Arikan D, Büyükavci M. Complementary and alterna- tive medicine use in pediatric oncology patients in eastern Turkey. Cancer Nurs 2007;30(1):38-44.
13. Muslu Karayağız G, Öztürk C. Tamamlayıcı ve alternatif tedaviler ve çocuklarda kullanımı. Çocuk Sağlığı ve Hastalıkları Dergisi 2008;51(1):62-7.
14. Cohen NM, Kemper K. Complementary therapies in pediatrics: a legal perspective. Pediatrics 2005;115(3):774-80.
15. Türkiye İşçi Sendikaları Konfederasyonu.Erişim:http:/www. tur- kis. org.tr/index.snet. Erişim tarihi: Ağustos 2008
16. National Institutes of Health. National Center for Complementary and Alternative Medicine. Erişim: http://nccam.nih.gov. Erişim tarihi: Ekim 2010.
17. Davis MP, Darden PM. Use of complementary and alternative medicine by children in the United States. Arch Pediatr Adolesc Med 2003;157(4):393-6.
18. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008;10(12):1-23.
19. Birdee GS, Phillips RS, Davis RB, Gardiner P. Factors associated with pediatric use of complementary and alternative medicine. Pe- diatrics 2010;125(2):249-56.
20. Low E, Murray DM, O’Mahony O, O’B Hourihane J. Complemen- tary and alternative medicine use in Irish paediatric patients. Ir J Med Sci 2008;177(2):147-50.
21. Zuzak TJ, Zuzak-Siegrist I, Simões-Wüst AP, Rist L, Staubli G. Use of complementary and alternative medicine by patients pre- senting to a Paediatric Emergency Department. Eur J Pediatr 2009;168(4):431-7.
22. Vlieger AM, van de Putte EM, Hoeksma H. The use of comple- mentary and alternative medicine in children at a general paedi- atric clinic and parental reasons for use. Ned Tijdschr Geneeskd 2006;150(11):625-30.
23. Pitetti R, Singh S, Hornyak D, Garcia SE, Herr S. Complemen- tary and alternative medicine use in children. Pediatr Emerg Care 2001;17(3):165-9.
24. Wilson KM, Klein JD. Adolescents’ use of complementary and al- ternative medicine. Ambul Pediatr 2002;2(2):104-10.
25. Jan MM, Basamh MS, Bahassan OM, Jamal-Allail AA. The use of complementary and alternative therapies in Western Saudi Arabia. Saudi Med J 2009;30(5):682-6.
26. Singer L, Karakis I, Ivri L, Gross M, Bolotin A, Gazala E. The characteristics of complementary and alternative medicine use by parents of asthmatic children in Southern Israel. Acta Paediatr 2007;96(11):1693-7.
27. Bishop FL, Prescott P, Chan YK, Saville J, von Elm E, Lewith GT. Prevalence of complementary medicine use in pediatric cancer: a systematic review. Pediatrics 2010 ;125(4):768-76.
28. Oshikoya KA, Senbanjo IO, Njokanma OF, Soipe A. Use of com- plementary and alternative medicines for children with chronic health conditions in Lagos, Nigeria. BMC Complement Altern Med 2008;8:66.
29. Levy SE, Hyman SL. Use of complementary and alternative treat- ments for children with autistic spectrum disorders is increasing. Pediatr Ann 2003;32(10):685-91.
30. Sawni A. Attention-deficit/hyperactivity disorder and comple- mentary/alternative medicine. Adolesc Med State Art Rev 2008;19(2):313-26.
31. Jacobsson I, Jönsson AK, Gerdén B, Hägg S. Spontaneously re- ported adverse reactions in association with complementary and alternative medicine substances in Sweden. Pharmacoepidemiol Drug Saf 2009;18(11):1039-47.
32. Ernst E. The role of complementary and alternative medicine. BMJ 2000;321(7269):1133-5.