Hiperlipidemi Tedavisinde Hastaların Kullanıldıkları Fitoterapi Yöntemleri

Yıl 2017, Cilt: 6 Sayı: 1, 6 - 13, 01.01.2017

İzzet Fidancı Onur Öztürk

https://doi.org/10.5505/abantmedj.2017.47965

Öz

Giriş ve Amaç: Çalışmamız, hiperlipidemi hastalarının tercih ettikleri ilaç ve bitkisel tedavi yöntemleri ile bu yöntemlere bakışlarının değerlendirilmesi amacıyla yapılmıştır. Yöntem ve Gereçler: Çalışmamıza, Aile Sağlığı Merkezi'ne başvuran ve hiperlipidemi tanısı almış 389 hasta dahil edildi. Bunlardan 192 %49 hasta düzenli olarak ilaç tedavisi almakta, 197 %51 hasta ilaç tedavisi yerine bitkisel tedavi kullanmakta idi. Hastalara, tedavi tercihlerini öğrenmek amacıyla hazırlanan ve demografik bilgiler de içeren anket uygulandı. Anketler 6 ay ara ile ölçülmüş LDL düzeyleri ile birlikte değerlendirildi. İstatistiksel analiz için SPSS 15.0 paket programı kullanıldı. Bulgular: İlaç dışı tedavi yöntemlerini sorguladığımızda, en sık tercih edilen yiyecek ceviz 42 %21,3 , ardından da 26 %13,2 limon gelmekte idi. Hiperlipidemi süresi 0-1 yıl arasında olan bireylerin ilaç dışı yöntem kullanım oranı, daha uzun süreli hiperlipidemi tanısı olan bireylerden daha yüksek bulunmuştur p

Anahtar Kelimeler

Hiperlipidemi, LDL kolesterol, bitkisel

Phytotherapy methods of the patients in the treatment of hyperlipidemia

Öz

Introduction: Our study was made in order to evaluate the drug and herbal treatment methods preferred by hyperlipidemia patients and their views on these methods. Methods: In our study, 389 patients who admitted to the Family Health Centers and had hyperlipidemia diagnosis were included. Of these, 192 patients 49% were regularly having medicine treatment and 197 patients 51% were using herbal treatment instead of medicine treatment. A questionnaire also including demographical information prepared to learn about treatment preference of patients was applied. Questionnaires were evaluated with LDL levels measured in 6 month intervals. SPSS 15.0 software package was used for statistical analysis. Results: When we questioned non-medicine treatment methods, the most preferred food was walnut in 42 patients 21.3% and then lemon in 26 patients 13.2% . Non-medicine method usage rate of individuals with a hyperlipidemia duration of 0-1 years was found higher than individuals with a longer period of hyperlipidemia diagnosis p

Anahtar Kelimeler

Hyperlipidemia, LDL cholesterol, herbal

Kaynakça

• Ford ES, Giles WH, Mokdad AH. The distribution of 10-Year risk for coronary heart disease among US adults: findings from the National Health and Nutrition Examination Survey III. J Am Coll Cardiol 2004; 43: 1791-6.
• Özkan Y, Koca SS. The Efficiency of Omega-3 Fatty Acid (Fish Oil) in Hyperlipidemia Treatment. Fırat Medical Journal 2006; 11: 40-4.
• Özkan Y, Çolak R, Koca SS, Dağ S, Kılıç Kan E, Sırma N. Diabetes Mellitus and Hyperlipidemia: How Much We Are Successful in the Treatment?. Fırat University Medical Journal of Health Sciences 2008; 22: 97-100.
• NCEP Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults: Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001; 285: 2486–97.
• Haffner SM, Lehto S, Rönnemaa T, Pyörälä K, Laakso M: Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med 1998; 339: 229–34.
• Stein E. The lower the better? Reviewing the evidence for more aggressive cholesterol reduction and goal attainment. Atheroscler 2002 (Suppl); 2: 19-25.
• Gücük İpek E,Güray Y, Demirkan B, Güray Ü, Kafes H, Başyiğit F. The prevalence of alternative herbal medicine and nutritional complementary product intake in patients admitted to out-patient cardiology departments. Arch Turk Soc Cardiol 2013; 41: 218-24.
• Ayaz T, Baydur Şahin S,Şahin OZ, Özyurt N, Akın A. Effect of Walnut or its Juice on Dyslipidemia. J Kartal TR 2015; 26: 202- 6.
• Plat J, Mensink RP. Effects of plant sterols and stanols on lipid metabolism and cardiovascular risk. Nutr Metab Cardiovasc Dis 2001;11: 31–40.
• Berryman CE, Grieger JA, West SG, Chen CY, Blumberg JB, Rothblat GH, et al. Acute consumption of walnuts and walnut components differentially affect postprandial lipemia, endothelial function, oxidative stress, and cholesterol efflux in humans with mild hypercholesterolemia. J Nutr 2013; 143: 788–94.
• Tulunay M, Aypak C, Yikilkan H, Gorpelioglu S. Herbal medicine use among patients with chronic diseases. J Intercult Ethnopharmacol 2015; 4: 217-20.
• Araz A, Harlak H, Meşe G.Health Behaviors and Alternative Medicine Use. Kor Hek 2007; 6: 112-22.
• Akdemir N, Akyar İ. Geriatric Nursing. Akad Geriatri 2009; 1: 73-81.
• Koc Z, Avci IA, Saglam Z. The use of complementary and alternative medicine by older patients that have chronic diseases. HealthMED 2012; 6: 413-22.
• Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm 2000; 57: 1221-30.
• Lee GB, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam Pract 2004; 21: 654-60.
• Yeh GY, Davis RB, Phillips RS. Use of complementary therapies in patients with cardiovascular disease. Am J Cardiol 2006; 98: 673-80.