Use of natural herbal products in Kırıkkale, Turkey

Öz

Aim: Although herbal products are widely used for different reasons in the community, knowledge on the diversity and side effects are not well known. In this study we evaluated the approaches and practices of adults for natural herbal products.

 

Material and Methods: The study group of this cross-sectional study was consisted of the mothers/fathers of the children admitted to the Kırıkkale University Pediatrics Department. The data was collected by the self-filled questionnaires consisting of 55 questions.

 

Results: A total of 409 persons, 108 (26.4%) male and 301 (73.6%) female were attended. The mean age of the participants was 35.35 (min 20, max 82) years and the average number of children they have was 2.29 and 70.7% had schooling for more than 8 years. Among all, 37.3% stated that they know at least one natural herbal product (herbal tea/natural drug).  The most well-known among them were sideritis (55.1%) and green tea (29.7%). Over the last year 28.4% (14.3% more than one product) used herbals for themselves and 24% (8.7% more than one product) for their children.  Cough was the most common complaint for herbal usage for themselves and their children. The usage of these products showed no difference according to sex, age and literacy levels (P > 0.05). Only a few of the participants stated that they had many benefits from these herbal products (21.2% for themselves and 22.4% for their children respectively).

 

Conclusion: Many of these applications, including the side effects, can change the effectiveness of traditional usage. We want to emphasize the importance of creating an awareness on potential benefits and/or harms of the herbal products not only for community but also among medical personnel.

Anahtar Kelimeler

• children,parents,herbal medicine,health benefit

Kırkkale, Türkiye’de doğal bitkisel ürünlerin kullanımı

Öz

Amaç: Bitkisel ürünler toplumda farklı nedenlerle yaygın olarak kullanılmalarına rağmen, bu ürünlerin çeşitliliği ve yan etkileri bilgisi yeterli değildir. Bu çalışmada, erişkinlerin doğal bitkisel ürünlere yaklaşımları ve bu konudaki pratikleri değerlendirilmiştir.

 

Gereç ve Yöntemler: Bu kesitsel çalışmada, çalışma grubu, Kırıkkale Üniversitesi Çocuk Sağlığı ve Hastalıkları Bölümü’ne başvuran hastaların anne/babalardan (n=409) oluşmuştur. Veriler, kendilerinin doldurduğu ankette sorulan 55 sorudan elde edilmiştir.

 

Bulgular: Tümü içinde, %37,3’ü, en az bir bitkisel ürünü (bitkisel çay/doğal ilaç) bildiğini belirtmiştir. En iyi bilinen ürünler adaçayı (%55,1) ve yeşil çaydır (%29,7). Geçen yıl %28,4’ü kendileri için (%14,3’ü birden fazla ürün) ve %24’ü çocukları için (% 8,7’si birden fazla ürün) bitkisel ürün kullanmıştır. Kendileri ve çocuklarında bitkisel ürün kullanımı için en yaygın nedenler öksürük idi. Bu ürünlerin kullanımı, cinsiyet, yaş ve okuryazarlık düzeylerine göre farklılık göstermemiştir (P > 0,05). Katılımcıların sadece bir kısmı, bu bitkisel ürünlerden çok fayda gördüklerini belirtmişlerdir (sırasıyla kendileri için % 21,2 ve çocukları için % 22,4).

 

Sonuçlar: Bu uygulamaların birçoğu, insanlara zarar vermek de dahil olmak üzere, geleneksel tedavinin etkinliğini değiştirebilir. Biz, bitkisel ürünlerin kullanımı, potansiyel yararları ve/veya zararları konusunda, sadece toplumda değil, aynı zamanda sağlık çalışanları arasında farkındalık yaratmanın önemini vurgulamak istiyoruz.

Anahtar Kelimeler

• çocuklar,ebeveynler,bitkisel tıp,sağlık yararlılığı

Kaynakça

1. Mosihuzzaman M. Herbal medicine in healthcare an overview. Nat Prod Commun 2012; 7: 807-12.
2. Wilt TJ, Ishani A, Stark G, et al. Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 1998; 280: 1604-9.
3. The ABC Clinical Guide to Herbs, Blumenthal M (Ed), American Botanical Council / Thieme, New York, 2003. pp: 9 http://abc.herbalgram.org/site/DocServer/LookInsideTheGuide.pdf?docID=341 (Accessed date: 5.4.2016)
4. WHO traditional medicine strategy 2002-2005. Geneva: WHO; 2002. pp: 23 http:// www. wpro. who.int / health_technology / book_who_traditional_medicine_strategy_2002_2005.pdf (Accessed date: 5.4.2016)
5. Willcox ML, Bodeker G. Traditional herbal medicines for malaria. BMJ 2004; 329: 11569.
6. WHO traditional medicine strategy: 2014-2023.pp:26-30. http:// apps.who.int / iris/bitstream / 10665/92455/1/9789241506090_eng.pdf?ua=1 (Accessed at March19, 2015).
7. Özyazicioğlu N, Ogur P, Tanriverdi G, Vural P. Use of complementary and alternative medicine and the anxiety levels of mothers of children with chronic diseases. Jpn J Nurs Sci 2012; 9: 19-27.
8. Araz N, Bulbul S. Use of complementary and alternative medicine in a pediatric population in southern Turkey. Clin Invest Med 2011; 34: E21-9.

9. Messina BA. Herbal supplements: Facts and myths-talking to your patients about herbal supplements. J Perianesth Nurs 2006; 21: 268-78; quiz 279-81.
10. Stasio MJ, Curry K, Sutton KM, Glassman DM. Over-the-counter medication and herbal or dietary supplement use in college: Dose frequency and relationship to self-reported distress. J Am Coll Health. 2008; 56: 535-47.
11. Ruparel P, Lockwood B. The quality of commercially available herbal products. Nat Prod Commun 2011; 6: 733-44.
12. Traditional Medicine. WHO web site. http:// www.who.int/ mediacentre/ factsheets/ fs134/en/ index.html. (Accessed September 2, 2015).
13. De Smet PA. Herbal medicine in Europe-relaxing regulatory standards. N Engl J Med 2005; 352: 1176-8.
14. Aziz Z, Tey NP. Herbal medicines: prevalence and predictors of use among Malaysian adults Complement Ther Med 2009; 17: 44-50.
15. Karalı Y, Demirkaya M, Sevinir B. Use of complementary and alternative medicine in children with cancer: effect on survival. Pediatr Hematol Oncol 2012; 29: 335-44.
16. Heuschkel R, Afzal N, Wuerth A, et al. Complementary medicine use in children and young adults with inflammatory bowel disease. Am J Gastroenterol 2002; 97: 382-8.
17. Allam S, Moharam M, Alarfaj G. Assessing patients' preference for integrating herbal medicine within primary care services in Saudi Arabia. J Evid Based Complementary Altern Med 2014; 19: 205-10.
18. Satia-Abouta J, Kristal AR, Patterson RE, Littman AJ, Stratton KL, White E. Dietary supplement and medical conditions the VITAL study. Am J Prev Med 2003; 24: 43-51.
19. Taşar A, Potur D, Kara N, Bostancı İ, Dallar Y. Düşük gelir düzeyine sahip ailelerin çocuklarına tamamlayıcı veya alternatif tıp uygulamaları: Ankara Hastanesi verileri. Türkiye Çocuk Hast Derg 2011; 5: 81-8.
20. Dalla Libera D, Colombo B, Pavan G, Comi G. Complementary and alternative medicine (CAM) use in an Italian cohort of pediatric headache patients: the tip of the iceberg. Neurol Sci 2014; 35: 145-8.
21. Ohnishi N, Yokoyama T. Interactions between medicines and functional foods or dietary supplements. Keio J Med. 2004; 53: 137-50.
22. Sparreboom A, Cox MC, Acharya MR, Figg WD. Herbal remedies in the United States: Potential adverse interactions with anticancer agents. J Clin Oncol 2004; 22: 2489-503.
23. Hsieh CF, Huang SL, Chen CL, et al. Increased risk of chronic kidney disease among users of non-prescribed Chinese herbal medicine in Taiwan. Prev Med 2012; 55: 155-9.
24. Dickinson A, Boyonand N, Shao A. Physicians and nurses use and recommend dietary supplements: Report of a survey. Nutr J 2009; 8: 29.
25. Lee MY, Benn R, Wimsatt L, et al. Integrating complementary and alternative medicine instruction into health professions education: organizational and instructional strategies. Acad Med 2007; 82: 939-45.