Kronik Obstrüktif Akciğer Hastalarında Geleneksel ve Tamamlayıcı Tıp Yöntemi Kullanımının Değerlendirilmesi

Yıl 2020, Cilt: 5 Sayı: 1, 147 - 154, 31.03.2020

Pınar Yıldız , Fatih Üzer , Ege Güleç Balbay

https://doi.org/10.26453/otjhs.638683

Cited By: 3

Öz

Amaç: Kronik obstrüktif akciğer hastalığında (KOAH) semptomların hafifletilmesinde Geleneksel ve Tamamlayıcı Tıp (GETAT) yöntemlerinin kullanımı giderek artmaktadır. KOAH hastalarının GETAT yöntemlerini kullanım durumlarının belirlenmesini amaçladık.

Materyal ve Metot: Göğüs hastalıkları polikliniğine Aralık 2018 ve Şubat 2019 tarihleri arasında başvuran KOAH hastaları çalışmaya dahil edildi. Hastalara GETAT yöntemleri hakkındaki eğilimlerini ölçen sorular yöneltildi, demografik verileri kaydedildi.

Bulgular: Çalışmaya katılan 94 hastanın yaş ortalaması 65,6±10,0 (minimum: 42, maksimum: 84 yıl) olup vakaların %84’ü erkek (n=79), %16’sı (n=15) kadındı. Hastaların %39,4’ü (n=37) GETAT yöntemlerinden birini kullandığını ve kullanan hastaların %70,3’ü (n=26) yarar gördüğünü ifade etmişlerdi. Bitkisel, apiterapi, apiterapi ve bitkisel tedavileri birlikte kullananlar ve aromaterapi yöntem oranları sırasıyla %73, %8,1, %10,8, %8,1 olarak bulundu. Hastaların %82,2’sinin (n=74) GETAT yöntemleri ile ilgili hekiminden bilgi almak istediği görüldü. KOAH hastaları evrelerine göre ayrıldığında, ileri evre (evre 3-4) hastalarının erken evre ( evre 1-2) hastalara göre GETAT yöntemini daha çok kullandığı gözlendi (p=0,004).

Sonuç: Sağlık personeli tarafından GETAT yöntemlerini kullanım durumlarının sorgulanması gerektiğini düşünmekteyiz.

Anahtar Kelimeler

Geleneksel ve Tamamlayıcı Tıp, Kronik Obstrüktif Akciğer Hastalığı

Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Diseases Patients

Öz

Objective: The use of traditional and complementary medicine (TCAM) methods for the alleviation of symptoms in chronic obstructive pulmonary disease (COPD) is increasing. We aimed to determine the use of TCAM methods in COPD patients.

Materials and Methods: Patients with COPD who were admitted pulmonary diseases clinic between December 2018-February 2019 were included to study. Patients were asked questions measuring their tendency about TCAM methods and demographic data were recorded.

Results: The mean age of the 94 patients was 65.6±10.0 (min:42, max:84) and 84% (79) of the participants was male, 16% (n=15) was female. 39.4% (n=37) of the patients declared that they was used at least one TCAM methods and 70.3% (n=26) of them have benefit from this method. Herbal, apitherapy, apitherapy and herbal treatments together and aromatherapy method rates were 73%, 8.1%, 10.8%, 8.1% respectively. It was seen that 82.2% (n=74) of the patients wanted to get information from their physician about TCAM methods. When patients were divided into groups accor-ding to their stages; it was observed that late stage (end and severe stage) patients used TCAM method more than early and moderate stage (p=0.004).

Conclusion: We think that the use of TCAM methods should be questioned by the health personnel.

Kaynakça

• 1. Tokem Y. Astımlı hastalarda tamamlayıcı ve alternatif tedavi kullanımı. Tüberküloz ve Toraks Dergisi. 2006;54(2):189-196.
• 2. Linde K, Jonas WB, Melchart D, Willich S. The methodological quality of randomized controlled trials of homeopathy, herbal medicines and acupuncture. Int J Epidemiol. 2001;30(3):526-531.
• 3. Orhan F, Sekerel BE, Kocabas CN, Sackesen C, Adalioglu G, Tuncer A. Complementary and alternative medicine in children with asthma. Ann Allergy Asthma Immunol. 2003;90(6):611-615.
• 4. Sirois FM. Provider-based complementary and alternative medicine use among three chronic illness groups:associations with psychosocial factors and concurrent use of conventional health-care services. Complement Ther Med. 2008;16(2):73-80.
• 5. Gray RE, Fitch M, Goel V, Franssen E, Labrecque M. Utilization of complementary/alternative services by women with breast cancer. J Health Soc Policy. 2003;16(4):75-84.
• 6. Ernst E. Complementary/alternative medicine for asthma: we do not know what we need to know. The Chest. 1999;115(1):1-3.
• 7. Şahin ZA, Şahin M. The view of patients with choronic obstructive pulmonary disease (COPD) on complementary and alternative medicine (CAM) in Eastern Turkey. Afr J Tradit Complement Altern Med. 2013;10(4):116-121.
• 8. George J, Ioannides DLL, Santamaria NM, Kong DC, Stewart K. Use of complementary and alternative medicines by patients with chronic obstructive pulmonary disease. Med J Aust. 2004;181(5):248-251.
• 9. Guo R, Pittler MH, Ernst E. Herbal medicines for the treatment of COPD= a systematic review. Eur Respir J. 2006;28(2):330-338.
• 10. Global Initiative for Chronic Obstructive Lung Disease (GOLD). GOLD 2017 global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease, 2017 report. November 17, 2016. http://goldcopd.org/gold-2017-global-strategy-diagnosis-management-prevention. Accessed November 27, 2016.
• 11. Yılmaz CK, Aşiret GD, Çetinkaya F, Kapucu S. Kronik obstrüktif akciğer hastalarının tamamlayıcı ve alternatif tedavi yöntemi kullanımı. DEUHFED. 2017;10 (4):216-221.
• 12. O'Callaghan FV, Jordan N. Postmodern values, attitudes and the use of complementary medicine. Complement Ther Med. 2003;11(1):28-32.
• 13. Krastins M, Ristinen E, Cimino JA, Mamtani R. Use of alternative therapies by a low income population. Acupunct Electrother Res. 1998;23(2):135-142.
• 14. Argüder E, Bavbek S, Sen E, et al. Is there any difference in the use of complementary and alternative therapies in patients asthma and COPD? A cross-sectional survey. J Asthma. 2009;46(3):252-258.
• 15. Mollaoğlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat. 2013;52(2):181-188.
• 16. Abadoglu O, Cakmak E, Kuzucu Demir S. The view of patients with asthma or chronic obstructive pulmonary disease (COPD) on complementary and alternative medicine. Allergol Immunopathol (Madr). 2008;36(1):21-5.
• 17. Akinci AC, Zengin N, Yildiz H, Sener E, Gunaydin B. The complementary and alternative medicine use among asthma and chronic obstructive pulmonary disease patients in the southern region of Turkey. Int J Nurs Pract. 2011;17(6):571-582.
• 18. Haifeng W, Hailong Z, Jiansheng L, et al. Effectiveness and safety of traditional Chinese medicine on stable chronic obstructive pulmonary diseas: A systematic review and meta-analysis. Complement Ther Med. 2015;23(4):603-611.
• 19. Işık Sönmez C, Ayhan Başer D, Küçükdağ HN, Kayar O, Acar İ, Döner Güner P. Tıp fakültesi öğrencilerinin geleneksel ve tamamlayıcı tıp ile ilgili bilgi durumlarının ve davranışlarının değerlendirilmesi. Konuralp Tıp Dergisi. 2018;10(3):276-281.
• 20. Kocabaş A, Atış S, Çöplü L, ve ark. Kronik obstrüktif akciğer hastalığı (KOAH) koruma, tanı ve tedavi raporu 2014. Turk Thorac J. 2014;15:15-19.