Fibromiyaljili kadın hastalarda tamamlayıcı ve alternatif tıp yöntemlerinin kullanımı ile sağlık okuryazarlığı arasındaki ilişki

Öz

Giriş ve amaç: Fibromiyaljili birçok hasta, geleneksel tedaviye ek olarak tamamlayıcı ve alternatif tedavilerden (TAT) yararlanmaktadır. Sağlık okuryazarlığı (SOY), sağlık bilgilerini arama, anlama ve uygulama becerisini ifade eder. Bu çalışmanın amacı fibromiyaljili kadın hastalarda TAT kullanımı ile SOY arasındaki ilişkiyi araştırmaktır. Gereç ve yöntemler: FMS tanısı almış 160 hastaya, TAT tercihlerini de değerlendiren açık uçlu anket uygulandı ve verileri kesitsel analitik tasarımda değerlendirildi. Hastalara ağrı için, görsel analog skala (VAS), fibromiyalji etki anketi (FIQ) ve SOY Anketi (HLS-EU-Q47) uygulandı. Hastalar 2 gruba ayrıldı (TAT kullanan (Grup 1) ; TAT kullanmayan (Grup 2)). Bulgular: Anket sonuçlarına göre SOY puanı 30.94 ± 8.40 olup problemli-sınırlı düzeydeydi. Her iki grup arasında demografik, klinik parametreler, SOY ve alt indeksleri açısından anlamlı fark yoktu (p> 0.05). En sık kullanılan TAT yöntemlerine göre yapılan değerlendirme sonuçları SOY genel puanı ve alt ölçek puanlarına göre ilgili TAT yöntemini kullananlar ile kullanmayanlar arasında fark olmadığını göstermiştir. En çok tercih edilen TAT yöntemleri sırasıyla dua (% 37.9), ıslak kupa (% 21.8), bitkisel tedavi (% 16.30), kuru kupa (% 12.9) ve termal banyo idi (%11.40). Sonuç: Çalışmamızın sonuçları FMS'li kadınlarda TAT kullanımının yaygın olduğunu ve spiritüel yöntemlerin önde gelen yöntemler olduğunu göstermiştir. Ayrıca, her iki grupta hastalık şiddeti ve sağlık okuryazarlığı düzeyleri benzerdi.

Anahtar Kelimeler

• Fibromiyalji
• Sağlık Okuryazarlığı
• Tamamlayıcı ve Alternatif Tıp
• Spiritüel Yöntemler
• Bitkisel Tedavi
• Hacamat

Complementary and Alternative Medicine and Health Literacy in Fibromyalgia

Öz

OBJECTIVE: Many patients with fibromyalgia benefit from complementary and alternative therapies (CAM) in addition to
traditional therapy. Health literacy (HL) refers to the ability to seek, understand and apply health information. The aim of this
study is to investigate the relationship between CAM use and HL in female patients with fibromyalgia.
MATERIALS AND METHODS: An open-ended questionnaire, which also evaluates CAM preferences, was applied to 160 patients
with FMS, and their data were evaluated in a cross-sectional analytical design. Visual analogue scale (VAS) for pain, fibromyalgia
impact questionnaire (FIQ) and HL Questionnaire (HLS-EU-Q47) were applied. The patients were divided into two groups (using
CAM (Group 1); not using CAM (Group 2)).
RESULTS: According to the results of the questionnaire, the HL score was 30.94 ± 8.40 (problematic-limited level). There was no
significant difference between the two groups in terms of demographic, clinical parameters, HL and sub-indices (p> 0.05). The
results of the evaluations made according to the most commonly used CAM methods showed that there is no difference between
those who use the relevant CAM method and those who do not, according to the HL general score and subscale scores. The most
preferred CAM methods were prayer (37.9%), wet cupping (21.8%), herbal therapy (16.30%), dry cupping (12.9%) and thermal bath
(11.40%), respectively.
CONCLUSION: The results of our study showed that the use of CAM is common among women with FMS, and spiritual methods
are the leading methods. In addition, disease severity and health literacy levels were similar in CAM users and non-users.

Anahtar Kelimeler

• fibromyalgia
• health literacy
• herbal therapy

Kaynakça

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