An examination of rational drug use and traditional complementary medicine in patients hospitalised because of gastrointestinal system bleeding

Abstract

AIM: The aim of this study was to determine the knowledge levels of rational drug use, the attitudes to traditional and complementary medicine, and the relationship between these in patients admitted to the Internal Medicine Clinic because of gastrointestinal system bleeding. METHOD: This descriptive, cross-sectional study was conducted with 124 patients hospitalised in the Internal Medicine Clinic of a training and research hospital with a diagnosis of gastrointestinal bleeding between 01.06.2022 and 01.10.2022. An Information Form including demographic and clinical characteristics, the Rational Drug Use Scale (RDUS), and the Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS) were applied to the patients. The data obtained were analyzed statistically using SPSS vn. 23.0 software. RESULTS: For the whole sample of patients hospitalised with a diagnosis of gastrointestinal system bleeding, the mean RDUS points were determined to be 19.8±4.17 and the mean total CACMAS points were 96.76±15. In the subscales of the CACMAS, the mean points were determined to be 28.15±9.42 for philosophical congruence with complementary medicine, 23.23±10.39 for dissatisfaction with conventional medicine, and 45.38±8.18 for holistic balance. The RDUS points were found to be significantly higher in females (20.33±4.37, p:0.04), patients with a good income status (22.17±4.02, p:0.03) and those who did not use painkillers (21.21±4.00, p:0.01) compared to other subgroups. The CACMAS subscale mean points for philosophical congruence with complementary medicine were determined to be significantly higher in males (29.77±9.52, p:0.03), patients who were single (36.33±9.06, p:0.002), and those who used anticoagulants (32.95±10.77, p: 0.04). The dissatisfaction with conventional medicine subscale points were determined to be significantly higher in females (26.04±9.74, p: 0,03), patients with a low income (30±15.17, p: 0.03) and those who used painkillers (26±10.67, p:0.01), and the holistic balance points were determined to be significantly higher in females (47.24±7.33, p: 0.02) and those who used medication regularly (46.49±8.34, p:0.02) compared to other sub-groups. A statistically significant negative correlation was found between rational drug use and dissatisfaction with conventional medicine (r=-0.381, p<0.001), and a statistically significant positive correlation between rational drug use and holistic balance (r=0.472;p<0.001). Backward step regression analysis was performed to measure the relationship between rational drug use and the 3 quantitative variables of the CACMAS. The linear equation of the relationship to the second model was found to be statistically significant (F =21.759, p<0.001). CONCLUSION: The results of this study demonstrated that rational drug use was low and rational drug use had a proportionate effect on holistic balance in patients hospitalised in the Internal Medicine Clinic because of gastrointestinal bleeding. It can be considered that the development of preventative healthcare services with health education related to rational drug use would have a positive effect on hospitalisations and mortality rates.

Keywords

• Gastrointestinal bleeding
• Alternative Medicine
• Rational Drug Use
• Patinet

Gastrointestinal sistem kanaması sebebiyle yatan hastalarda akılcı ilaç kullanımı ve geleneksel tamamlayıcı tıp kullanımının incelenmesi

Abstract

AMAÇ: Bu çalışmada dahiliye kliniğinde gastrointestinal sistem kanaması sebebiyle yatan hastalarda akılcı ilaç kullanımı bilgi düzeylerinin ve geleneksel ve tamamlayıcı tıpa ilişkin tutumların saptanması ve aralarındaki ilişkinin belirlenmesi amaçlandı. YÖNTEM: Tanımlayıcı ve kesitsel tipteki bu çalışma bir eğitim araştırma hastanesinin 01.06-01.10.2022 tarihleri arasında dahiliye kliniğinde gastrointestinal kanama teşhisi ile yatan 143 hasta ile yürütüldü. Demografik ve klinik özellikleri içeren Bilgi Formu, Akılcı İlaç Kullanımı (AİK) ile Geleneksel ve Tamamlayıcı Tıp Ölçeği (Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS) uygulandı. Verilerin istatistiksel analizi IBM SPSS 23.0 programında yapılmıştır BULGULAR: GİS kanama tanısıyla yatan hastaların AKİ puan ortalaması 19,8±4,17 iken; CACMAS toplam puan ortalaması 96,76±15 olarak belirlendi. CACMAS alt boyut puan ortalamalarının tamamlayıcı tıbba düşünsel bakış 28,15±9,42, modern tıbba karşı tıptan memnuniyetsizlik 23,23±10,39, Sağlığa bütüncül bakış 45,38±8,18 olduğu saptandı. AKİ puanları kadınlarda (20,33±4,37; 0,04), gelir durumu iyi olanlarda (22,17±4,02;0,03) ve ağrı kesici kullanmayanlarda (21,21±4; 0,01) diğer gruplara göre anlamlılık gösterecek şekilde yüksek bulunmuştur. Tamamlayıcı tıbba düşünsel alt bakış puanı erkeklerde (29,77±9,52; 0,03), bekarlarda (36,33±9,06;0,002) ve antikoagülan kullananlarda(32,95±10,77; 0,04), modern tıbba karşı memnuniyetsizlik puanı kadınlarda (26,04±9,74; 0,03), gelir durumu kötü olanlarda (30±15,17; 0,03) ve ağrısı olduğunda ağrı kesici kullananlarda (26±10,67; 0,01), sağlığa bütüncül bakış puanı, kadınlarda (47,24±7,33; 0,02) ve düzenli ilaç kullananlarda (46,49±8,34; 0,02) diğer gruplara göre anlamlılık gösterecek şekilde yüksek bulunmuştur. Akılcı ilaç kullanımı, modern tıbbi tıpa karşı memnuniyetsizlik arasında istatistiksel olarak anlamlı olan negatif yönde (r=-0.381;p<0.001), sağlığa bütüncül bakış arasında istatistiksel olarak anlamlı olan pozitif yönde (r=0.472;p<0.001) korelasyon bulunmuştur. Alternatif tıp ölçeğinin alt boyutları olan 3 nicel değişkeninin birlikte Akılcı ilaç kullanımı ile arasındaki ilişkiyi ölçmek amacı ile Regresyon Analizi- Backward uygulanmıştır. İkinci modele ilişkin doğru denklemi istatistiksel olarak anlamlı bulunmuştur (F=21.759;p<0.001). SONUÇ: Çalışmamızda gastrointestinal kanama sebebiyle dahiliye kliniğine yatış verilen hastaların akılcı ilaç kullanımının düşük olduğu ve akılcı ilaç kullanımı ile doğru orantılı olacak şekilde sağlığa bütüncül bakışın etkilendiği belirlenmiş olup, akılcı ilaç kullanımı ile ilgili sağlık eğitimi ile koruyucu sağlık hizmetlerinin geliştirilmesinin hastaneye yatış ve mortalite oranları üzerine pozitif etkisinin olacağı düşüncesindeyiz.

Keywords

• Gastrointestinal kanama
• Alternatif Tıp
• Akılcı ilaç kullanımı
• Hasta

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