KNOWLEDGE, ATTITUDE and BEHAVIORS of MEDICAL FACULTY STUDENTS about TRADITIONAL and COMPLEMENTARY TREATMENT

Öz

The purpose of this study was to evaluate the knowledge, attitudes and behaviors of medical faculty students about traditional and complementary treatment (TCT). This study was conducted between December 2017 and March 2018 with at Inonu University as descriptive cross-sectional type. The sampling method was calculated as 311 persons by weighted minimum sample size randomly and selected in proportion to the total class sizes. The questionnaire prepared according to the related literature investigation and given to 299 students who accepted to participate in the study. Data were analyzed using IBM SPSS statistical program, chi-square test, and a value of p<0.05 statistically significant difference was accepted. Among the participating students in the study, 50.2% were woman and 89.3% of them were between 18-25 years old. The study revealed that 68.6% of the students did not use any TCT method and 80% did not receive any TCT training. No significant difference was found between TCT methods usage and TCT education. The most common TCT techniques methods used were massage, herbs and hacemat (66.6%), (61.2%), (60.9%) respectively, while acupressure was the less known method. In the study we found the most common used TCT methods are massage (15.4%), diets (10.4%) and phytotherapy (10.4%). Approximately, two thirds of the participation students (73.9%) agreed that TCT should be included in the medical school curriculum. The viewpoint that traditional and complementary treatments are dangerous because they prevent people from receiving complete treatment was supported from male (14.7%) and female (8.7%) of the students. Generally, findings showed a similar responding about the attitudes and ideas of TCT usage between both male and female. As a conclusion, our results demonstrated that most of the students did not know TCT techniques although they heard about it, Also it has determined the low rate used of TCT methods among them and the need to receive training in TCT.          

Anahtar Kelimeler

• Traditional and complementary treatment
• medical school students
• massage
• phytotherapy
• attitude

TIP FAKÜLTESİ ÖĞRENCİLERİNİN GELENEKSEL VE TAMAMLAYICI TEDAVİ KONUSUNDA BİLGİ, TUTUM VE DAVRANIŞLARI

Öz

Bu çalışmada, Tıp Fakültesi öğrencilerinin Geleneksel ve Tamamlayıcı Tedavi (GTT) konusunda bilgi, tutum ve davranışlarını değerlendirmek amaçlanmıştır. Tanımlayıcı kesitsel tipteki bu çalışma, Aralık 2017- Mart 2018 tarihleri arasında İnönü Üniversitesi Tıp Fakültesi öğrencilerine yapılmıştır. Ağırlıklı Basit Rastgele Örnekleme yöntemi ile minimum örneklem 311 kişi olarak hesaplanmıştır. Sınıf mevcutlarına orantılı olarak örneklem seçilmiştir.  Çalışmaya katılmayı kabul eden 299 öğrenciye araştırmacılar tarafından literatür taranarak oluşturulan anket formu uygulanmıştır. Elde edilen veriler SPSS istatistik programında, sayı, yüzde ve ki-kare testi kullanılarak analiz edilmiştir. Anlamlılık değeri p<0.05 olarak kabul edilmiştir. Çalışmaya katılan öğrencilerin %50.2’si kadın ,% 89.3’ü 18-25 yaş arasındadır. Öğrencilerin %68.6’sının herhangi bir GTT yöntemini kullanmadığı ve  %80’inin herhangi bir GTT eğitimi almadığı belirlenmiştir. GTT eğitimi alma durumu ile GTT yöntemlerini kullanma durumu arasında anlamlı bir fark bulunamamıştır. Öğrencilerin en fazla bildikleri GTT yöntemleri masaj (%66.6), bitkiler (%61.2) ve hacamat (%60.9) iken en az bildikleri yöntem akupresör olarak belirlenmiştir. Öğrencilerin en fazla kullandığı GTT yöntemlerinin masaj (%15.4), diyetler (%10.4) ve fitoterapi (%10.4) olduğu tespit edilmiştir. Öğrencilerin  %73.9’u Geleneksel ve Tamamlayıcı Tedavi uygulamalarının tıp fakültesi müfredatında yer alması gerektiği görüşüne katılmaktadır. Erkek (%14.7) ve kadın (%8.7)  öğrenciler Geleneksel ve Tamamlayıcı Tedaviler kişilerin tam bir tedavi almasına engel olduğu için tehlikelidir görüşünü desteklemektedir (p<0.05). Genel olarak GTT yöntemleriyle ilgili tutum ve düşüncelere erkek ve kadın öğrenciler benzer şekilde cevap vermişlerdir. Sonuç olarak çalışmamızda öğrencilerin çoğunun; GTT yöntemlerini duymalarına rağmen kapsamlı bir şekilde bilmediği, GTT yöntemlerini kullanma oranlarının düşük olduğu ve GTT konusunda eğitim almak istedikleri görülmüştür.

Anahtar Kelimeler

• Geleneksel ve tamamlayıcı tedavi
• tıp fakültesi öğrencileri
• masaj
• fitoterapi
• tutum

Kaynakça

1. 1. Koithan M. Introducing complementary and alternative therapies. J Nurse Pr 2009 January 1;5(1):18–20.
2. 2. Hunt KJ, Coelho HF, Wider B, Perry R, Hung SK, Terry R et al. Complementary and alternative medicine use in England: results from a national survey. Int J Clin Pract October 2010;64(11):1496–502.
3. 3. Duraisamy V, Thekkur P, Majella MG, Srinivasan M, Saya GK, Chinnakali P. What diseases do ‘Siddha’ practitioners treat? morbidity profile of adult outpatients attending traditional medicine health facilities in a district of South India. J Ayurveda Integr Med Oct-Dec 2018;9(4):281–4.
4. 4. Shuval JT, Averbuch E. Complementary and alternative health care in Israel. Isr J Health Policy Res 2012;1:1–12.
5. 5. Islahudin F, Shahdan IA, Mohamad-Samuri S. Association between belief and attitude toward preference of complementary alternative medicine use. Patient Prefer Adherence 2017;11:913–8.
6. 6. Gaboury I, Johnson N, Robin C, Luc M, O’Connor D, Patenaude J et al. Complementary and alternative medicine: Do physicians believe they can meet the requirements of the College des medecins du Quebec? Can Fam Physician December 2016;62(12):e772–6.
7. 7. Harris IM, Kingston RL, Rodriguez R, Choudary V. Attitudes towards complementary and alternative medicine among pharmacy faculty and students. Am J Pharm Educ 2006;70(6):1–8.
8. 8. Albadr BO, Alrukban M, Almajed J, Alotaibi K, Alangari A, Bawazir A et al. Attitude of Saudi medical students towards complementary and alternative medicine. J Fam Community Med May-Aug 2018;25(2):120–6.

9. 9. Bjerså K, Stener Victorin E, Fagevik Olsén M. Knowledge about complementary, alternative and integrative medicine (CAM) among registered health care providers in Swedish surgical care: a national survey among university hospitals. BMC Complement Altern Med 2012;12:1–10.
10. 10. Ko GD, Berbrayer D. Complementary and alternative medicine: Canadian physiatrists’ attitudes and behavior. Arch Phys Med Rehabil May 2000;81(5):662–7.
11. 11. James PB, Bah AJ, Kondorvoh IM. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study. BMC Complement Altern Med 2016;16:1–8.
12. 12. Lie D, Boker J. Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students. BMC Med Educ 2004;4:1–9.
13. 13. Kanadiya MK, Klein G, Shubrook JH. Use of and attitudes toward complementary and alternative medicine among osteopathic medical students. J Am Osteopath Assoc July 2012;112(7):437–46.
14. 14. Barnes PM, Bloom B, Nahin RL. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. Natl Health Stat Report 2008 December 10.
15. 15. Awad AI, Al-Ajmi S, Waheedi MA. Knowledge, perceptions and attitudes toward complementary and alternative therapies among Kuwaiti medical and pharmacy students. Med Princ Pract 2012;21(4):350–4.
16. 16. Kwame Ameade EP, Amalba A, Helegbe GK, Mohammed BS. Medical students’ knowledge and attitude towards complementary and alternative medicine – a survey in Ghana. J Tradit Complement Med 2015 Apr 9;6(3):230–236.
17. 17. Alzahrani SH, Bashawri J, Salawati EM, Bakarman MA. Knowledge and attitudes towards complementary and alternative medicine among senior medical students in King Abdulaziz University, Saudi Arabia. Evidence-based Complement Altern Med 2016;2016:1–7.
18. 18. AlMansour MA, Al-bedah AM, AlRukban MO, Elsubai IS, Mohamed EY, El Olemy AT et al. Medical students’ knowledge, attitude, and practice of complementary and alternative medicine: a pre- and post-exposure survey in Majmaah University, Saudi Arabia. Adv Med Educ Pract 2015;6:407–20.
19. 19. Walker BF, Armson A, Hodgetts C, Jacques A, Chin FE, Kow G et al. Knowledge, attitude, influences and use of complementary and alternative medicine (CAM) among chiropractic and nursing students. Chiropr Man Ther 2017;25.
20. 20. Akan H, Izbirak G, Kaspar EÇ, Apaydın Kaya Ç, Aydin S, Demircan N et al. Knowledge and attitudes towards complementary and alternative medicine among medical students in Turkey. BMC Complement Altern Med 2012;12:1–7.
21. 21. Sadeghi M, Rabiepoor S, Forough AS, Jabbari S, Shahabi S. A survey of medical students’ knowledge and attitudes toward complementary and alternative medicine in Urmia, Iran. J Evidence-Based Complement Altern Med 2016;21(4):306–10.
22. 22. Saha BL, Seam OR, Islam M, Das A, Ahamed SK, Karmakar P et al. General perception and self-practice of complementary and alternative medicine (CAM) among undergraduate pharmacy students of Bangladesh. BMC Complement Altern Med 2017;17:1–8.
23. 23. Hussain S, Malik F, Hameed A, Ahmed S, Riaz H, Abbasi N, et al. Pakistani pharmacy students’ perception about complementary and alternative medicine. Am J Pharm Educ 2012;76(2).
24. 24. Münstedt K, Harren H, Von Georgi R, Hackethal A. Complementary and alternative medicine: comparison of current knowledge, attitudes and interest among German medical students and doctors. Evidence-based Complement Altern Med;2011.
25. 25. Lee S-Il, Khang YH, Lee MS, Kang W. Knowledge of, attitudes toward, and experience of complementary and alternative medicine in Western medicine- and oriental medicine-trained physicians in Korea. Am J Public Health December 2002;92(12):1994–2000.
26. 26. Chaterji R, Tractenberg RE, Amri H, Lumpkin M, Amorosi SBW, Haramati A. A large-sample survey of first- and second- year medical student attitudes toward complementary and alternative medicine in the curriculum and in practice. Altern Ther Health Med 2007;13(1):30–5.
27. 27. Chez RA, Jonas WB, Crawford C. A survey of medical students’ opinions about complementary and alternative medicine. Am J Obstet Gynecol 2001;185(3):754–7.