Astım Hastalarında D Tipi Kişiliğin Bitkisel Ürün Kullanımı ve Astım Kontrolü ile İlişkisi

Yıl 2021, Cilt: 11 Sayı: 1, 114 - 123, 26.01.2021

Zeynep Erdoğan Mehmet Kurçer Bülent Altınsoy

https://doi.org/10.31020/mutftd.799963

Öz

Amaç: Bu tanımlayıcı çalışmanın amacı, astım hastalarında D tipi kişiliğin Bitkisel Ürün (HP) kullanımı ve astım kontrolü ile ilişkisini belirlemektir.
Yöntem: Araştırmanın evrenini 11/01/2019-11/03/2019 tarihleri arasında bir üniversite hastanesi göğüs hastalıkları polikliniğine başvuran astım hastalığı tanısı almış tüm hastalar (n=408) örneklemini ise belirtilen tarihlerde bu polikliniğe başvuran, 18 yaş üstü, iletişim sorunu ve herhangi bir psikiyatrik bozukluk tanısı olmamış, çalışmaya katılmayı kabul eden (n=216) hastalar oluşturmuştur. Araştırma verileri hastaların sosyodemografik ve HP kullanım özelliklerini sorgulayan 17 maddeden oluşan anket formu, D-14 Kişilik Tipi Ölçeği (DS-14) ve Astım Kontrol Testi ile toplanmıştır.
Bulgular: Astım hastalarının %74,1’i son bir yıldır HP kullanmaktadır ve hastaların yaklaşık yarısı (%58,3) D tipi kişiliğe sahiptir. Gelir düzeyi yüksek olanlar (p=0,000), ek bir kronik hastalığı olanlar (p=0,001), D tipi kişiliğe sahip olanlar (p=0,000) ve hastalığı kontrol altına alınamayanlar (p=0,000) daha fazla HP kullanmaktadır. Ek bir kronik hastalık varlığı ve D tipi kişiliğe sahip olma durumu HP kullanımında %0,063 belirleyicidir. (R2=0,063, p=0,000) D tipi kişiliğe sahip olan hastaların ev hanımı oldukları, sigara içtikleri, 2-3 inhaler kullandıkları ve astım kontrolünün kötü olduğu bulunmuştur (p<0,05).
Sonuç: Astım hastalarının çoğunluğu (%74,1) bitkisel ürün kullanmakta olup, yaklaşık yarısı (%58,3) D tipi kişiliğe sahiptir. Bitkisel ürün kullananların ve D tipi kişiliğe sahip olanların astım kontrolü iyi değildir.

Anahtar Kelimeler

Astım, astım kontrolü, Tamamlayıcı ve alternatif Tıp,, bitkisel ürün, , D tipi kişilik

The Relationship of Type D Personality to Herbal Product Use and Asthma Control in Asthma Patients

Öz

Aim: The aim of this descriptive study was to determine the correlation of type D personality with Herbal Product (HP) use and asthma control in asthma patients.
Method: The target population of the study comprised all patients (n=408) who applied to the chest diseases clinic in a university hospital between 11/01/2019-11/03/2019 and were diagnosed with asthma, while the sample comprised patients above 18 years old who applied to the clinic between the afore mentioned dates, had no communication problems, were not diagnosed with any psychiatric disorders, and agreed to take part in the study (n=216). The study data was collected using a 17-item survey form questioning the patients’ sociodemographic and HP use characteristics, the Type D-14 Personality Scale (DS-14) and Asthma Control Test.
Findings: Of the asthma patients, 74.1% has been using HP for the past year and nearly half of them (58.3%) had type D personality. The HP use ratio was higher in the patients with better income (p=0.000), an additional chronic illness (p=0.001), type D personality (p=0.000) and a poor asthma control (p=0.000). The presence of an additional chronic illness and type D personality predicted 0.063% of the HP use (R2=0.063, p=0.000). The patients with type D personality were mostly housewives, had smoking habit, used 2-3 inhalers and had a poor asthma control (p<0.05).
Conclusion: Most of the asthma patients (74.1%) used HP and nearly half of them (58.3%) had type D personality. The patients who used herbal product and had type D personality had a poor asthma control.

Anahtar Kelimeler

Asthma,, asthma control, Complementary and alternative medicine,, herbal product,, type D personality.

Kaynakça

• 1. https://ginasthma.org/wp-content/uploads/2019/06/GINA-2019-main-report-June-2019-wms.pdf. Accessed Date; 04.01.2019
• 2. https://www.chiesi.com.tr/img/download/documenti/934_ttd-astim-tani-ve-tedavi-rehberi-2016.pdf Accessed Date; 21.06.2019
• 3. Erdogan Z, Kurtuncu M. Use of dıetary supplements for weıght loss ın obese patıents ın Zonguldak, Turkey. African Journal of Traditional, Complementary and Alternative Medicines 2018; 15(1): 59-65. https://doi.org/10.21010/ajtcam.vi15.1.6
• 4. Ng TP, et al. The use of complementary and alternative medicine by asthma patients. QJM 2003; 96(10):747-54.
• 5. Huntley A, Ernst E. Herbal medicines for asthma: a systematic review. Thorax 2000; 55(11):925-9.
• 6. Slader CA, et al. Complementary and alternative medicine use in asthma: who is using what? Respirology 2006;11(4):373-87.
• 7. Kim SR, et al. Does type D personality affect symptom control and quality of life in asthma patients? J Clin Nurs. 2015;24(5-6):739-48. doi: 10.1111/jocn.12667. Epub 2014 Sep 25.
• 8. Witusik A, et al. Type D personality and the degree of control of bronchial asthma. Adv Dermatol Allergol 2018; (4): 387–391. DOI: https://doi.org/10.5114/ada.2018.77670
• 9. Denollet J. DS14: standard assessment of negative affectivity, social inhibition. and Type D personality. Psychosom Med 2005;67:89–97
• 10. Alçelik A, et al. A Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. Journal of Mood Disorders 2012;2:1-5.
• 11. Nathan RA, et al. Development of the asthma control test: a survey for assessing asthma control. The Journal of Allergy and Clinical Immunology 2004;113(1):59-65.
• 12. Uysal MA, et al. The validation of the Turkish version of Asthma Control Test. Quality of Life Research: an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 2012;22(7):1773-9. PubMed PMID: 23143589. Epub 2012/11/13. eng.
• 13. Orhan F, et al. Complementary and alternative medicine in children with asthma. Ann Allergy Asthma Immunol 2003;90(6):611-5.
• 14. Kurt E, et al. Use of alternative medicine by allergic patients in Turkey. Allergol Immunopathol (Madr) 2004; 32(5):289-94.
• 15. Tuncel T, et al. Complementary and alternatıve medıcıne ın chıldren wıth asthma and/or allergıc rhınıtıs. Asthma Allergy Immunol 2014;12:146-151
• 16. Erdogan Z, Kurçer MA. Dietary supplement use in gastrointestinal symptom management and effect on hopelessness levels in patients with ırritable bowel syndrome. Holist Nurs Pract 2019, 33(3):155-162
• 17. Erdoğan Z, et al. Use of complementary and alternative medicine methods among elderly people living in nursing homes. Kafkas J Med Sci 2017; 7(1): 60-66 DOI: 10.5505/kjms.2017.09327
• 18. Özkars MY, Kırık S. Use of complementary and alternative therapy in children with asthma: Alternative therapy in asthma. Ortadoğu Medical Journal 2018;10(4): 403-406.
• 19. Shen J, Oraka E. Complementary and alternative medicine (CAM) use among children with current asthma. Prev Med 2012;54(1):27-31. doi: 10.1016/j.ypmed.2011.10.007. Epub 2011 Oct 15.
• 20. Yeh GY, Horwitz R. Integrative medicine for respiratory conditions: Asthma and chronic obstructive pulmonary disease. Med Clinic North America 2017; 101(5):925-941.
• 21. Ward CF, Baptist AP. Characteristics of complementary and alternative medicine (CAM) use among older adults with asthma J Asthma 2016; 53(5):546-552.
• 22. Yağcı İ, et al. Type D personality, childhood traumas, depression, anxiety, and impulsivity in individuals attempting suicide. Anatolian Journal of Psychiatry 2018; 19(6): 551-558. doi: 10.5455/apd.294660
• 23. Yu DS, et al. Validating the Type D personality construct in Chinese patients with coronary heart disease. J Psychosom Res 2010;69(2):111-8. doi: 10.1016/j.jpsychores.2010.01.014.
• 24. Williams L, et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res 2008;64(1):63-9.
• 25. Sajadinejad MS, et al. Personality dimensions and type D personality in female patients with ulcerative colitis. J Res Med Sci 2012;17(10):898-904.
• 26. Kupper N, et al. Cross-cultural analysis of type D (distressed) personality in 6222 patients with ischemic heart disease: a study from the International HeartQoL Project. Int J Cardiol 2013 20;166(2):327-33. doi: 10.1016/j.ijcard.2011.10.084. Epub 2011 Nov 10.
• 27. Fatima M, Parvez M. Comparison study of depression between career and housewives women. International Journal of Modern Social Sciences 2016; 5(2): 133-39
• 28. Kholasezadeh GH, et al. Comparing the mental health of housewives and day shift working women in Yazd County, Iran, 2010. JOHE 2012; 1(1): 29-36
• 29. Imbalzano E, et al. Effect of type D personality on smoking status and their combined impact on outcome after acute myocardial infarction. Clin Cardiol 2018;41(3):321-325. doi: 10.1002 /clc.22865. Epub 2018 Feb 19.
• 30. Bonevski B, Wilson A, Henry D.A. An analysis of news media coverage of complementary and alternative medicine. PLoS One 2008; 3(6): e2406.
• 31. Araz A, Harlak H, Meşe G. Health behaviors and alternative medicine use. Kor Hek 2007; 6 (2): 112-22.