AİLE HEKİMLERİ VE İÇ HASTALIKLARI HEKİMLERİNİN TAKVİYE VE TEDAVİ AMAÇLI MAGNEZYUM KULLANIMINA İLİŞKİN BİLGİ VE DAVRANIŞLARI

Öz

Amaç: Bu çalışmanın amacı, aile hekimleri ve iç hastalıkları hekimlerinin magnezyum kullanım endikasyonlarını ve hekimlerin magnezyum preparatlarının içerdiği magnezyum formlarına ilişkin bilgi ve davranışlarını belirlemektir. Yöntem: Tanımlayıcı tipteki çalışmamız 18 Ocak 2023 ile 20 Nisan 2023 tarihleri arasında Google-Forms üzerinden online olarak gerçekleştirilmiştir. Araştırmanın evrenini Ankara'daki aile hekimleri (pratisyen, asistan ve uzmanlar) ve iç hastalıkları hekimleri (asistan ve uzmanlar) oluşturmuştur. Araştırmamızda tüm hekimlere ulaşılmaya çalışılmış olup, örneklem hesaplaması yapılmamıştır. Anketimizde 15 soru bulunmaktadır. Bulgular: Çalışmamıza katılan hekimlerin yaş ortalaması 30.47±4.94 yıl (min=25, max=48) ve %62.2'si kadındı. Katılımcıların %69,7'si aile hekimi, %30,3'ü iç hastalıkları hekimi, %77,3'ü araştırma görevlisi ve %22,7'si uzman hekimdi. Magnezyum tedavisi için en yaygın endikasyonlar kas krampları (%89,1) ve hipomagnezemi (%87,4), en yaygın kullanılan preparatlar ise magnezyum oksit (%79,8) ve magnezyum sülfat (%32,8) idi. Kendisi magnezyum kullanan hekimler en sık kramp (%32,4) ve uykusuzluk (%13,5) endikasyonları ile, en sık magnezyum oksit (%26,3), magnezyum sitrat+malat+glisinat (%13,1) ve magnezyum biglisinat (%13,1) preparatlarını kullanmaktaydı. Beş yıldan uzun süredir çalışan hekimler, beş yıl veya daha kısa süredir çalışan hekimlere kıyasla hastalara daha sık magnezyum reçete etmekte (p=0,010), hasta ve yakınlarına daha sık magnezyum takviyesi önermekte (p=0,020) ve kendileri daha sık magnezyum takviyesi kullanmaktaydı (p=0,025). Uzman hekimlerin asistan hekimlere kıyasla hastaların vitamin-mineral takviyesi kullanımını daha fazla sorguladığı (p=0,044) ve hastalarına daha fazla magnezyum takviyesi önerdiği (p=0,001) tespit edildi. Aile hekimlerinin hastaların kullandığı magnezyumu, dahiliye hekimlerine göre daha fazla reçete ettiği (p<0,001) ve hastalara magnezyumdan zengin beslenmeyi ile ilgili daha çok bilgi verdiği (<0,001) bulundu. Sonuç: Çalışmamıza katılan hekimler, hastaları için sosyal güvenlik kurumu geri ödeme kapsamında olan magnezyum preparatlarını tercih ederken, kendi kullanımları için biyoyararlanımı daha yüksek olan formları tercih etmişlerdir. Aile hekimlerinin dahiliye hekimlerine göre hastalarına daha fazla magnezyumdan zengin beslenme önerilerinde bulundukları ve hastaların kullandığı magnezyumu daha sık reçete ettikleri görülmüştür.

Anahtar Kelimeler

• Magnezyum
• beslenme
• besin takviyesi.

KNOWLEDGE AND BEHAVIORS OF FAMILY PHYSICIANS AND INTERNAL MEDICINE PHYSICIANS REGARDING THE USE OF MAGNESIUM FOR SUPPLEMENTATION AND TREATMENT

Öz

Objective: To identify indications for magnesium use and assess physicians' knowledge of different formulations of magnesium in medication and supplements Method: A descriptive study was conducted online via Google Forms between January 18 and April 20, 2023. The study population consisted of family physicians (general practitioners, residents, and specialists) and internal medicine physicians (residents and specialists) in Ankara. All physicians were attempted to be reached, and no sampling calculation was made. The survey consisted of 15 questions. Results: A total of 119 physcians completed the survey. The mean age of the physicians who participated in our study was 30.47±4.94 years (min=25, max=48) and 62.2% were female. Of them, 69.7% were family physicians, 30.3% were internal medicine physicians, 77.3% were research assistants and 22.7% were specialists. The most common indications for magnesium treatment were muscle cramps (89.1%) and hypomagnesemia (87.4%); the most commonly used preparations were magnesium oxide (79.8%) and magnesium sulfate (32.8%). The most common indications of using magnesium were cramps (32.4%) and insomnia (13.5%); the most frequently used preparations were magnesium oxide (26.3%), magnesium citrate+malate+glycinate (13.1%), and magnesium biglycinate (13.1%). Physicians who had been practicing for more than 5 years prescribed magnesium more (p=0.010), recommended magnesium supplements more (p=0.020), and used magnesium supplements themselves more (p=0.025) than physicians who had been practicing for 5 years or less. It was found that specialists questioned patients' use of vitamin-mineral supplements more (p=0.044) and recommended magnesium supplements more (p=0.001) than residents. It was found that family physicians prescribed the magnesium used by patients more (p<0.001) and recommended more magnesium-rich nutrition to patients (<0.001) than internal medicine physicians. Conclusion: The physicians who participated in our study preferred magnesium forms covered by social security institution reimbursement for their patients, whereas they preferred forms with higher bioavailability for their own use. It was observed that family physicians provided more magnesium-rich dietary recommendations and prescribed the magnesium used by the patients than internal medicine physicians.

Anahtar Kelimeler

• Magnesium
• nutrition
• dietary supplement

Kaynakça

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