PREMENSTRÜEL SEMPTOMLARININ YÖNETİMİNDE KANITA DAYALI GELENEKSEL VE TAMAMLAYICI TEDAVİ UYGULAMALARI

Abstract

PREMENSTRÜEL SEMPTOMLARININ YÖNETİMİNDE KANITA DAYALI GELENEKSEL VE TAMAMLAYICI TEDAVİ UYGULAMALARI ÖZET Premenstrüel sendrom birçok semptomun bir arada görülebildiği komplike bir sendromdur. Dünya’da ve Türkiye’de premenstrüel semptomların görülme sıklığı oldukça yaygındır. Kadın yaşam döneminin büyük bir kısmını etkileyebilen bu semptomlar ile baş edebilmek için çeşitli farmakolojik (antidepresanlar, diüretikler, progesteron, östrojen implantları, oral kontraseptif haplar ve piridoksin veya gonadotropin hormon agonistleri vb.) ve farmakolojik olmayan (beslenmenin düzenlenmesi, cerrahi yöntemler ve psikoterapi vb.) tedaviler kullanılabilmektedir. Premenstrüel semptomların tedavisinde geleneksel ve tamamlayıcı tedavi uygulamaları da kullanılmaktadır. PMS semptomlarının yönetiminde GETAT kullanımının en önemli nedeni yöntemlerin daha güvenli ve daha az maliyetli olmasıdır. Kullanılan bu yöntemler arasında yaşam tarzı değişiklikleri, bitkisel takviyeler, akupunktur, yoga, kahkaha yogası vb. yer alır. Bu derleme çalışması, premenstrüel sendromda kullanılan geleneksel ve tamamlayıcı tedavi uygulamalarının kanıt düzeylerini incelemek amacıyla hazırlanmıştır. Derlemenin hazırlanmasında kullanılan çalışmalara, veri tabanlarında yer alan ve son 15 yıl içinde yayınlanmış makaleler taranarak ulaşılmıştır. Makalelerin kanıt düzeylerinin değerlendirilmesinde Joanna Briggs Enstitüsü tarafından belirlenmiş sınıflandırma sisteminden faydalanılmıştır. Bu derleme çalışması, premenstrüel sendrom üzerine çalışması yapılmış, kanıtı bulunan GETAT uygulamaları ile sınırlandırılmıştır. Premenstrüel sendrom semptomlarını, şiddetini azaltmada etkili olduğu yüksek düzeyde kanıtlarla saptanmış uygulamalar; alternatif tedavilerden olan akupunktur/akupröser kullanımı ve bunun yanında biyolojik temelli uygulamalardan hayıt bitkisinin kullanımı olduğu bulunmuştur. Kanıt düzeyleri incelendiğinde GETAT yöntemleriyle ilgili yüksek kanıt düzeyine sahip daha çok çalışmaya ihtiyaç duyulduğu görülmektedir. Anahtar Kelimeler: Hemşirelik; Kanıt temelli uygulamalar; Tamamlayıcı tedavi uygulamaları; Premenstrüel sendrom

Keywords

• hemşirelik
• kanıt temelli uygulamalar
• tamamlayıcı tedavi uygulamaları
• premenstrüel sendrom

EVİDENCE-BASED TRADİTİONAL AND COMPLEMENTARY TREATMENT PRACTİCES İN THE MANAGEMENT OF PREMENSTRUAL SYMPTOMS

Abstract

EVİDENCE-BASED TRADİTİONAL AND COMPLEMENTARY TREATMENT PRACTİCES İN THE MANAGEMENT OF PREMENSTRUAL SYMPTOMS ABSTRACT Premenstrual syndrome is a complex chain of syndromes where multiple symptoms can occur together. To manage these symptoms that can affect a significant portion of a woman's life, various pharmacological (such as antidepressants, diuretics, progesterone, estrogen implants, oral contraceptive pills, pyridoxine, or gonadotropin hormone agonists) and non-pharmacological (such as nutrition, surgery, psychotherapy, etc.) treatments can be used. Complementary and alternative treatment methods are also frequently used in treating premenstrual symptoms. The most important reason for using GETAT in the management of PMS symptoms is that the methods are safer and less costly. Among these methods are lifestyle changes, herbal supplements, acupuncture, cognitive behavioral therapies, and others. This review aims to examine the levels of evidence for complementary and alternative practices used in premenstrual syndrome. The studies included in the review were accessed through a search covering the last 15 years using keywords such as 'premenstrual syndrome,' 'complementary and alternative medicine,' and 'evidence-based practices' in multiple databases. The classification system defined by the Joanna Briggs Institute was utilized to assess the levels of evidence of the articles." Practices that have been proven with a high level of evidence to be effective in reducing the symptoms and severity of premenstrual syndrome; It has been found that there is the use of acupuncture/acupuncture, which is one of the alternative treatments, as well as the use of the vitex agnus, which is one of the biologically based practices. When the evidence levels are examined, it is seen that more studies with a high level of evidence regarding GETAT methods are needed. Keywords: Nursing, Evidence-based practices; Complementary treatment practices; Premenstrual syndrome

Keywords

• Nursing
• Evidence-based practices
• Complementary treatment practices
• Premenstrual syndrome

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