Araştırma Makalesi
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Evaluation of Traditional and Complementary Medicine Practices in Patients Presenting to the Emergency Department

Yıl 2025, Cilt: 20 Sayı: 2, 96 - 102, 21.07.2025

Öz

Objective: This study aims to assess the usage rates, methods, awareness, and perceived effectiveness of traditional, complementary, and alternative medicine (TCAM) practices among patients presenting to the emergency department.
Materials and Methods: This cross-sectional descriptive study was conducted among patients presenting to the emergency department of a university hospital in Kahramanmaraş between March 7, 2024, and May 7, 2024. Written informed consent was obtained from participants, and a questionnaire was administered. The questionnaire included questions regarding the frequency of TCAM use, the methods employed, and the level of awareness about these practices, comprising 17 questions.
Results: The most frequently used TCAM methods were herbal treatments, massage, dietary supplements, and cupping therapy. Of the participants using these methods, 17.4% reported receiving services from healthcare professionals. Additionally, 50.7% of participants perceived TCAM practices as beneficial, while 45.0% reported partial benefits. Reasons for TCAM use included positive feedback from social circles, avoidance of medication side effects, curiosity, immune system enhancement, and perceived inadequacy of conventional medicine. Participants primarily obtained more information about TCAM from close contacts, followed by the internet, media, healthcare workers, and books/journals.
Conclusion: This study demonstrates that patients presenting to the emergency department frequently turn to TCAM practices, predominantly accessed through non-professional people. TCAM use was found to be associated with sociodemographic characteristics. These findings reveal the importance of patients' access to accurate and reliable information.

Kaynakça

  • Waterbrook AL, Southall JC, Strout TD, Baumann MR. The knowledge and usage of complementary and alternative medicine by emergency department patients and physicians. The Journal of Emergency Medicine. 2010;39(5):569-75.
  • Koç Z, Çınarlı T. The determination of complementary and alternative medicine use in patients presenting at the emergency room. Complementary Therapies in Clinical Practice. 2018;31:164-9.
  • Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997–2002. Alternative Therapies in Health and Medicine. 2005;11(1):42-9.
  • Tan M, Uzun O, Akçay F. Trends in complementary and alternative medicine in eastern Turkey. The Journal of Alternative and Complementary Medicine. 2004;10(5):861-5.
  • Akyüz Özdemir A, Erdal R, Haberal M. Factors predisposing to the use of complementary therapies in patients with chronic renal failure. Experimental and Clinical Transplantation. 2018;16(Suppl 1):64-9.
  • Okyay RA, Koçyiğit BF. Assessment of complementary medicine use among patients with pain: a descriptive study from a tertiary hospital. Sakarya Medical Journal. 2018;8(3):603-10.
  • Özkan FS, Karaca A, Sarak K. Complementary and alternative medicine used by infertile women in Turkey. African Journal of Reproductive Health. 2018;22(2):40-8.
  • Turkish Official Gazette. 2014. Regulation on traditional and complementary medical practices [in Turkish] No: 29158. http://www.resmigazete.gov.tr/eskiler/2014/10/20141027-3.htm (accessed 18 August 2018).
  • Jatau AI, Aung MM, Kamauzaman TH, Chedi BA, Sha’aban A, Rahman AF. Use and toxicity of complementary and alternative medicines among patients visiting emergency department: systematic review. Journal of Intercultural Ethnopharmacology. 2016;5(2):191-7.
  • Tulunay M, Aypak C, Yikilkan H, Gorpelioglu S. Herbal medicine use among patients with chronic diseases. Journal of Intercultural Ethnopharmacology. 2015;4(3):217-20.
  • Kim S, Hohrmann JL, Clark S, Munoz KN, Braun JE, Doshi A et al. A multicenter study of complementary and alternative medicine usage among ED patients. Academic Emergency Medicine. 2005;12(4):377-80.
  • Şimşek B, Aksoy DY, Basaran NC, Tas D, Albasan D, Kalayci MZ. Mapping traditional complementary medicine in Turkey. European Journal of Integrative Medicine. 2017;15:68-72.
  • Adib-Hajbaghery M, Hoseinian M. Knowledge, attitude and practice toward com plementary and traditional medicine among Kashan health care staff, 2012. Complementary Therapies in Medicine. 2014;22(1):126-32.
  • Arentz S, Smith CA, Abbott JA, Bensoussan A. A survey of the use of complementary medicine by a self-selected community group of Australian women with polycystic ovary syndrome. BMC Complementary and Alternative Medicine. 2014;14:472.
  • Li JZ, Quinn JV, McCulloch CE, Jacobs BP, Chan PV. Patterns of complementary and alternative medicine use in ED patients and its association with health care utilization. The American Journal of Emergency Medicine. 2004;22(3):187-91.
  • Gözüm S, Tezel A, Koc M. Complementary alternative treatments used by patients with cancer in eastern Turkey. Cancer Nursing. 2003;26(3):230-6.
  • Yates KM, Armour MJ, Pena A. Complementary therapy use amongst emergency medicine patients. Complementary Therapies in Medicine. 2009;17(4): 224-8.

Acil Servise Başvuran Hastalarda Geleneksel ve Tamamlayıcı Tıp Uygulamalarının Değerlendirilmesi

Yıl 2025, Cilt: 20 Sayı: 2, 96 - 102, 21.07.2025

Öz

Amaç: Bu çalışma, geleneksel, tamamlayıcı ve alternatif tıp (GETAT) uygulamalarının acil servise başvuran hastalar arasında hangi yöntemlerle ve ne sıklıkta kullanıldığını, bu uygulamaların bilinirliğini ve hastalar tarafından algılanan etkinliğini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntemler: Bu kesitsel tanımlayıcı çalışma, 07.03.2024-07.05.2024 tarihleri arasında Kahramanmaraş Sütçü İmam Üniversitesi Hastanesi’nin acil servisine başvuran hastalar üzerinde gerçekleştirilmiştir. Katılımcılardan yazılı onam alınmış ve anket formu uygulanmıştır. Anket, GETAT uygulama sıklığı, kullanılan yöntemler ve bilinirlik düzeyini içeren sorulardan oluşmakta ve 17 soru içermektedir.
Bulgular: En sık kullanılan GETAT yöntemleri bitkisel tedavi, masaj, besin takviyeleri ve kupa tedavisi olarak saptanmıştır. Bu yöntemleri kullanan katılımcıların %17,4’ü uygulamaları sağlık çalışanlarından aldığını belirtmiştir. Katılımcıların %50,7’si GETAT uygulamalarından fayda sağladığını ifade ederken, %45,0’ı kısmen fayda gördüğünü bildirmiştir. GETAT kullanma nedenleri arasında çevreden olumlu geri bildirim alma, ilaç yan etkilerinden kaçınma, merak, bağışıklık sistemini güçlendirme ve konvansiyonel tıbbın yetersiz kalması gibi sebepler öne çıkmıştır. Katılımcılar GETAT hakkında en çok bilgiyi yakın çevrelerinden alırken, internet, medya, sağlık çalışanları ve kitap/dergiler gibi diğer bilgi kaynakları olarak sıralanmıştır.
Sonuç: Bu çalışma, acil servise başvuran hastaların sıklıkla GETAT uygulamalarına yöneldiğini ve çoğunlukla sağlık çalışanları dışında kişiler tarafından bu hizmetlerin sağlandığını göstermektedir. GETAT kullanımının sosyo-demografik özelliklerle ilişkili olduğu bulunmuştur. Bu bulgular, hastaların doğru ve güvenilir bilgiye erişimlerinin önemini ortaya koymaktadır.

Kaynakça

  • Waterbrook AL, Southall JC, Strout TD, Baumann MR. The knowledge and usage of complementary and alternative medicine by emergency department patients and physicians. The Journal of Emergency Medicine. 2010;39(5):569-75.
  • Koç Z, Çınarlı T. The determination of complementary and alternative medicine use in patients presenting at the emergency room. Complementary Therapies in Clinical Practice. 2018;31:164-9.
  • Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997–2002. Alternative Therapies in Health and Medicine. 2005;11(1):42-9.
  • Tan M, Uzun O, Akçay F. Trends in complementary and alternative medicine in eastern Turkey. The Journal of Alternative and Complementary Medicine. 2004;10(5):861-5.
  • Akyüz Özdemir A, Erdal R, Haberal M. Factors predisposing to the use of complementary therapies in patients with chronic renal failure. Experimental and Clinical Transplantation. 2018;16(Suppl 1):64-9.
  • Okyay RA, Koçyiğit BF. Assessment of complementary medicine use among patients with pain: a descriptive study from a tertiary hospital. Sakarya Medical Journal. 2018;8(3):603-10.
  • Özkan FS, Karaca A, Sarak K. Complementary and alternative medicine used by infertile women in Turkey. African Journal of Reproductive Health. 2018;22(2):40-8.
  • Turkish Official Gazette. 2014. Regulation on traditional and complementary medical practices [in Turkish] No: 29158. http://www.resmigazete.gov.tr/eskiler/2014/10/20141027-3.htm (accessed 18 August 2018).
  • Jatau AI, Aung MM, Kamauzaman TH, Chedi BA, Sha’aban A, Rahman AF. Use and toxicity of complementary and alternative medicines among patients visiting emergency department: systematic review. Journal of Intercultural Ethnopharmacology. 2016;5(2):191-7.
  • Tulunay M, Aypak C, Yikilkan H, Gorpelioglu S. Herbal medicine use among patients with chronic diseases. Journal of Intercultural Ethnopharmacology. 2015;4(3):217-20.
  • Kim S, Hohrmann JL, Clark S, Munoz KN, Braun JE, Doshi A et al. A multicenter study of complementary and alternative medicine usage among ED patients. Academic Emergency Medicine. 2005;12(4):377-80.
  • Şimşek B, Aksoy DY, Basaran NC, Tas D, Albasan D, Kalayci MZ. Mapping traditional complementary medicine in Turkey. European Journal of Integrative Medicine. 2017;15:68-72.
  • Adib-Hajbaghery M, Hoseinian M. Knowledge, attitude and practice toward com plementary and traditional medicine among Kashan health care staff, 2012. Complementary Therapies in Medicine. 2014;22(1):126-32.
  • Arentz S, Smith CA, Abbott JA, Bensoussan A. A survey of the use of complementary medicine by a self-selected community group of Australian women with polycystic ovary syndrome. BMC Complementary and Alternative Medicine. 2014;14:472.
  • Li JZ, Quinn JV, McCulloch CE, Jacobs BP, Chan PV. Patterns of complementary and alternative medicine use in ED patients and its association with health care utilization. The American Journal of Emergency Medicine. 2004;22(3):187-91.
  • Gözüm S, Tezel A, Koc M. Complementary alternative treatments used by patients with cancer in eastern Turkey. Cancer Nursing. 2003;26(3):230-6.
  • Yates KM, Armour MJ, Pena A. Complementary therapy use amongst emergency medicine patients. Complementary Therapies in Medicine. 2009;17(4): 224-8.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Ali İhsan Kilci 0000-0003-0029-3942

Muhammed Semih Gedik 0000-0003-3854-4794

Hakan Hakkoymaz 0000-0002-8568-8283

Ömer Faruk Küçük 0000-0002-2247-6785

Rasim Gökmen 0000-0001-5211-1528

Muhammet Mustafa Yılmaz 0000-0002-8952-6329

Muhammed Ali Güler 0000-0003-0375-5268

Erdem Aksay 0000-0001-5269-2318

Erken Görünüm Tarihi 21 Temmuz 2025
Yayımlanma Tarihi 21 Temmuz 2025
Gönderilme Tarihi 5 Haziran 2024
Kabul Tarihi 20 Mart 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 20 Sayı: 2

Kaynak Göster

AMA Kilci Aİ, Gedik MS, Hakkoymaz H, vd. Acil Servise Başvuran Hastalarda Geleneksel ve Tamamlayıcı Tıp Uygulamalarının Değerlendirilmesi. KSÜ Tıp Fak Der. Temmuz 2025;20(2):96-102.