EKEV Akademi Dergisi 1301-6229 2148-0710 Erzurum Kültür Eğitim Vakfı 10.17753/sosekev.1785722 Health Sciences Education and Development of Programs: Medicine, Nursing and Health Sciences Public Health Nursing Sağlık Bilimleri Eğitimi ve Program Geliştirme: Tıp, Hemşirelik ve Sağlık Bilimleri Halk Sağlığı Hemşireliği Sağlık Okuryazarlığı ile Geleneksel ve Tamamlayıcı Tıbba Yöneli̇k Tutum Arasındaki İlişkinin İncelenmesi: Kesitsel Çalışma INVESTIGATION OF THE RELATIONSHIP BETWEEN HEALTH LITERACY AND ATTITUDES TOWARD TRADITIONAL AND COMPLEMENTARY MEDICINE: A CROSS-SECTIONAL STUDY https://orcid.org/0000-0002-3232-6991 Zıvdır Yeşilyurt Pelin TARSUS ÜNİVERSİTESİ, SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU https://orcid.org/0000-0001-5953-219X Karacan Emine GAZİANTEP İSLAM BİLİM VE TEKNOLOJİ ÜNİVERSİTESİ https://orcid.org/0000-0001-9108-3216 Berşe Soner GAZİANTEP ÜNİVERSİTESİ Advanced Online Publication 403 418 09 17 2025 04 17 2026 Copyright © 2013, EKEV Akademi Dergisi 2013 EKEV Akademi Dergisi

Bu araştırma, hemşirelik öğrencilerinin geleneksel ve tamamlayıcı tıp tutumları ile sağlık okuryazarlığı arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Tanımlayıcı-kesitsel türde bir çalışmadır. Örneklemini Mayıs-Temmuz 2022 tarihleri arasında Gaziantep ilinde bir üniversitede öğrenim gören 569 hemşirelik öğrencisi oluşturdu. Araştırmadan elde edilen veriler SPSS 25.0 paket programı ile analiz edilmiştir. Veriler; Tanıtıcı Özellikler Formu, Geleneksel ve Tamamlayıcı Tıp Tutum Ölçeği ve Sağlık Okuryazarlığı Ölçeği kullanılarak toplanmıştır. Araştırmaya katılan öğrencilerin %27,6'sı geleneksel/tamamlayıcı bir tedavi kullandığını, %26,9'u ise kullandığı geleneksel/tamamlayıcı tedaviden fayda gördüğünü belirtmiştir. Öğrencilerin geleneksel ve tamamlayıcı tıp tutum ölçeği puanları ile sağlık okuryazarlığı ölçeği puanları arasında anlamlı ve pozitif bir ilişki olduğu tespit edilmiştir (p<0.05). Bu çalışma sonucunda, sağlık okuryazarlığı yüksek olan hemşirelik öğrencilerinin geleneksel ve tamamlayıcı tıbba yönelik tutumlarının da yüksek olduğu bulunmuştur.

This study was conducted to determine the relationship between traditional and complementary medicine attitudes and health literacy of nursing students. It is a descriptive cross-sectional study. The sample consisted of 569 nursing students studying at a university in Gaziantep province between May-July 2022. The data obtained from the study were analyzed with SPSS 25.0 package program. Data were collected using the Descriptive Characteristics Form, Traditional and Complementary Medicine Attitude Scale and Health Literacy Scale. Among the students who participated in the study, 27.6% stated that they used a traditional/complementary treatment and 26.9% stated that they benefited from the traditional/complementary treatment they used. It was determined that there was a significant and positive relationship between the traditional and complementary medicine attitude scale scores and health literacy scale scores of the students (p<0.05). As a result of this study, the attitudes of nursing students with high health literacy towards traditional and complementary medicine were also found to be high

 Attitude Health literacy Nursing students Traditional and complementary medicine Tutum Sağlık okuryazarlığı Hemşirelik öğrencileri Geleneksel ve tamamlayıcı tıp Akan, H. (2014). Planning and design in scientific research. Ankem Journal, 28(2), 101–104. Akçilek, E. (2017). Examination of health literacy and quality of life in university students (Thesis No. 471567) [Unpublished master’s thesis, Istanbul Medipol University, Health Sciences Institute]. Council of Higher Education National Thesis Center. Akçay, F., & Aktürk, Z. (2010). Complementary and alternative therapies in gastrointestinal system diseases. Türkiye Klinikleri Journal Family Medicine, 1(3), 68–75. Aktaş, B. (2017). Attitudes of nursing students toward holistic complementary and alternative medicine. Journal of Academic Research in Nursing, 3(2), 55–59. https://doi.org/10.5222/jaren.2017.055 Alır-Derbent, G., Büyüközmen, E., Akkaya, M. A., & Polat, Ö. (2024). An application regarding the place of health literacy education in improving individuals' health literacy level: The case of Foça District Public Library. ÇAKÜ Journal of Institute of Social Sciences, 14(2), 388–417. Altan, S., Rahman, S., & Çam, S. (2014). The knowledge and attitudes of the medical school students on the methods of alternative and complementary medicine. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 22(3), 81–88. Ayraler, A., Öztürk, O., Oruç, M. A., & Yavuz, E. (2020). The knowledge level and opinions of medical faculty students about traditional and complementary medicine. Turkish Journal of Family Practice, 24(4), 196–202. https://doi.org/10.15511/tahd.20.00496 Balouchi, A., Rahnama, M., Hastings-Tolsma, M., Shoja, M. M., & Bolaydehyi, E. (2016). Knowledge, attitude and use of complementary and integrative health strategies: A preliminary survey of Iranian nurses. Journal of Integrative Medicine, 14(2), 121–127. https://doi.org/10.1016/S2095-4964(16)60245-5 Baltacı, N., & Koç, E. (2018). Knowledge, use and attitude of intern nursing and midwifery students with regard to complementary and alternative medicine. Samsun Health Sciences Journal, 3(1), 10–16. Buran, G., & Yüksel-Kaçan, C. (2023). Examination of the relationship between nursing students’ health literacy and their attitudes toward traditional and complementary medicine. BAUN Health Science Journal, 12(1), 118–125. https://doi.org/10.53424/balikesirsbd.1039929 Büyüköztürk, Ş. (2019). Inferential statistics. Ankara University Journal of Faculty of Educational Sciences (JFES), 26(2), 409–428. Cinar, N., Akduran, F., & Kose, D. (2016). The attitudes of nursing students regarding the complementary and alternative medicine. Revista Eletrônica de Enfermagem, 18, 1–6. https://doi.org/10.5216/ree.v18.37320 Çevik, K., Bolsoy, N., & Beler, M. (2016). Nurses' knowledge and opinions regarding complementary and alternative treatment. International Peer-Reviewed Journal of Nursing Research, 6, 1–15. Dalcalı, B. K., & Taş, A. S. (2021). The relationship between university students 'attitude to use complementary treatments and perceptions of health: Descriptive research. Journal of Traditional and Complementary Medicine, 4(3), 376–384. https://doi.org/10.5336/jtracom.2021-82949 Dashti, S., Peyman, N., Tajfard, M., & Esmaeeli, H. (2016). E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: A pilot study. Electronic Physician, 9(3), 3966–3973. https://doi.org/10.19082/3966 Değirmenci, E., & Atan, G. (2025). İnvestigation of the relationship between health literacy and attitudes toward holistic complementary and alternative medicine among students of the faculty of health sciences and the vocational school of health services. YOBU Journal of Faculty of Health Sciences, 6(2), 192–201. https://izlik.org/JA36AU94EC Dehghan, M., Mohebi Rad, M., Ahmadi Lari, L., Ghorbani-nejad, B., & Mohebi-Rad, M. (2023). The relationship between use of complementary and alternative medicine and health literacy in chronically ill outpatient cases: A cross-sectional study in southeastern Iran. Frontiers in Public Health, 11, 988388. https://doi.org/10.3389/fpubh.2023.988388. Dursun, S. İ., Vural, B., Keskin, B., Kaçar, H. K., Beyhan, A., & Kadıoglu, H. (2019). The relationship between traditional/complementary medical attitude and health literacy and health perception in adults. Journal of Public Health Nursing, 1(1), 1–10. Ergün, S. (2017). Health literacy in school of health students. Kocaeli Medical Journal, 6(3), 1–6. Güven, D. Y., Bulut, H., & Öztürk, S. (2018). Examining the health literacy levels of health sciences faculty students. Journal of History Culture and Art Research, 7(2), 400–409. https://doi.org/10.7596/taksad.v7i2.1511 Ilgaz, A., & Gözüm, S. (2016). Importance of health literacy for safe use of complementary health approaches. Dokuz Eylül University Faculty of Nursing Electronic Journal, 9(2), 67–77. Jaiswal, K. M., Bajait, C., Pimpalkhute, S., Sontakke, S., Dakhale, G., & Magdum, A. (2015). Knowledge, attitude and practice of complementary and alternative medicine: A patient’s perspective. International Journal of Medicine and Public Health, 5(1), 19–23. https://doi.org/10.4103/2230-8598.151243 Kahraman, A., & Kırkan, Ç. (2020). Investigation of knowledge and attitudes of pediatric nurses toward traditional and complementary medicine practices. Journal of Traditional Medical Complementary Therapies, 3(1), 32–39. https://doi.org/10.5336/jtracom.2019-72348 Kazanç, Ş., & Karagözoğlu, Ş. (2025). Determination of the levels of health literacy and the use of traditional and complementary medicine practices among ındividuals attending a family health center: a cross-sectional study. J Tradit Complement Med, 8(1), 1–11. Kökhan, N., & Biçer, İ. (2025). The effect of students’ attitudes toward traditional and complementary medicine on their ıntention to use health services. Çağ University Journal of Social Sciences, 22(2), 26–42. https://izlik.org/JA37FY67BP Köse, E., Ekerbiçer, H. Ç., & Erkorkmaz, Ü. (2018). Complementary, alternative and conventional medicine attitude scale: Turkish validity reliability study. Sakarya Medical Journal, 8(4), 726–736. https://doi.org/10.31832/smj.478148 Köse, E., Oturak, G., & Ekerbiçer, H. Ç. (2021). Examination of the relationship between traditional and complementary medicine attitude and health literacy in a group of medical faculty students. Sakarya Medical Journal, 11(2), 373–380. https://doi.org/10.31832/smj.856587 Münstedt, K., Harren, H., Von-Georgi, R., & Hackethal, A. (2011). Complementary and alternative medicine: Comparison of current knowledge, attitudes and interest among German medical students and doctors. Evidence-Based Complementary and Alternative Medicine. https://doi.org/10.1093/ecam/nen079 Özhan-Çaparlar, C., & Dönmez, A. (2016). What is scientific research, and how is it conducted? Turk J Anaesthesiol Reanim, 44(4), 212–218. https://doi.org/10.5152/TJAR.2016.34711 Sarımehmet, D., Gümrükçüoğlu, N., Hintistan, S., & Altınbaş, B. Ç. (2020). Knowledge and opinions of university students about complementary therapy applications. Future Visions Journal, 4(3), 34–41. https://doi.org/10.29345/futvis.119 Solmaz, T., & Altay, B. (2019). The status of college students about using complementary and alternative treatment methods. Pamukkale Medical Journal, 12(3), 387–393. https://doi.org/10.31362/patd.526867 Sönmez, C. I., Başer, D. A., Küçükdağ, H. N., Kayar, O., Acar, İ., & Güner, P. D. (2018). Evaluation of knowledge of traditional and complementary medicine of medical school students. Konuralp Medical Journal, 10(3), 276–281. https://doi.org/10.18521/ktd.455211 Şahin, N., Aydın, D., & Akay, B. (2019). The attitudes of nursing students towards holistic complementary and alternative medicine. Balikesir Health Sciences Journal, 8(1), 21–26. Şenol, Y., Erdemli, B., & Demirezen, M. (2020). Investigation of knowledge and behavior about traditional and complementary medicine of medical school students. Anatolian Current Medical Journal, 2(1), 6–12. https://doi.org/10.38053/agtd.617200 Trail-Mahan, T., Mao, C. L., & Bawel-Brinkley, K. (2013). Complementary and alternative medicine: Nurses’ attitudes and knowledge. Pain Management Nursing, 14(4), 277–286. https://doi.org/10.1016/j.pmn.2011.06.001 Tuna, H. (2021). Traditional, complementary and functional medical tourism. Abant Journal of Social Sciences, 21(1), 259–281. https://doi.org/10.11616/basbed.v21i60671.861856 Türkoğlu, N., & Kılıc, D. (2021). Adaptation of health literacy scale to Turkish: Validity and reliability study. Journal of Anatolia Nursing and Health Sciences, 24(1), 25–33. https://doi.org/10.17049/ataunihem.662054