PEDİATRİ HEMŞİRELERİNİN APİTERAPİ HAKKINDAKİ BİLGİ, TUTUM VE DENEYİMLERİNİN BELİRLENMESİ: KESİTSEL ÇOK MERKEZLİ BİR ÇALIŞMA

Abstract

Bal üretimi ve arıcılık uygulamaları Doğu Karadeniz bölgesinde daha fazla yapılmaktadır. Bu araştırma, Doğu Karadeniz bölgesinde bulunan hasta kapasitesi en büyük hastanelerinin pediatri kliniklerinde çalışan pediatri hemşirelerinin kişisel ve profesyonel apiterapi kullanımına ilişkin bilgi, deneyim ve tutumlarının belirlenmesi amacıyla yapılmıştır. Araştırma, Türkiye'nin Doğu Karadeniz Bölgesi'ndeki altı hastanede çalışan, çalışmaya katılmaya gönüllü 227 pediatri hemşiresi ile gerçekleştirilmiştir. Bu araştırmada, cinsiyet, çocuk sahibi olma ve klinik deneyim ile apiterapi kullanımı arasında korelesyon bulunmaktadır. Bal hemşirelerin hem kişisel (%40,4) hem de klinik kullanımda (%39,1) kullandığı en yaygın apiterapötik bir üründür. Hemşireler arı zehirini bilmediklerini, propolis ve arı sütü hakkında ise çok az şey bildiklerini ifade etmişlerdir. Hemşireler, balın “öksürük semptomlarını hafifletme, gastriti tedavi etme, bağışıklık sistemini güçlendirme, yaraları ve yanıkları etkili bir şekilde iyileştirme” gibi olumlu deneyimlerini ve “alerji, baş dönmesi, baş ağrısı ve kaşıntı” gibi yan etkileriyle ilgili olumsuz deneyimlerini belirtmişlerdir. Tamamlayıcı ve alternatif tıp yöntemlerinde yer alan apiterapi yöntemi hakkında hemşirelerin sorumluluk alması ve kanıta dayalı apiterapi yöntemlerini kullanabilmeleri oldukça önemlidir. Hemşirelerin apiterapinin yararları ve yan etkileri konusunda bilgili ve dikkatli olmaları önerilmektedir.

Keywords

• Apiterapi,
• Tutum,
• Bilgi,
• Hemşireler,
• Pediatrik

DETERMINATION OF PEDIATRIC NURSES' KNOWLEDGE, ATTITUDES, AND EXPERIENCES ON APITHERAPY: A CROSS-SECTIONAL MULTICENTER STUDY

Abstract

Honey production and beekeeping practices are more common in the Eastern Black Sea region. This study was conducted to determine the knowledge, experience and attitudes the use of personal and professional apitherapy of pediatric nurses working in the pediatric clinics of the largest hospitals in the Eastern Black Sea region. The study was conducted with 227 pediatric nurses who volunteered to participate in the study, working in six hospitals in Turkey's Eastern Black Sea region. In this study, there is a correlation between gender, having child, clinical experience, and the use of apitherapy. Honey is the most common apitherapeutic product used by nurses both for personal (40,4%) and clinical use (39,1%). Nurses stated that they do not know bee venom, and they know very little about propolis and royal jelly. The nurses listed their positive experiences concerning honey’s capacity to “alleviate cough symptoms, treat gastritis, strengthen immune system, effectively heal wounds and burns” and their negative experiences concerning its side effects, such as allergy, dizziness, headache, and itching”. It is important that nurses take responsibility for the apitherapy method included in complementary and alternative medicine methods and that nurses can use evidence-based apitherapy methods. It was recommended that nurses should be knowledgeable and careful about the benefits and side effects of apitherapy.

Keywords

• Apitherapy,
• Attitude,
• Knowledge,
• Nurses,
• Pediatric

Thanks

The authors are very grateful to the pediatric nurses of Hospitals for their patience and collaboration on this study. Thanks to PhD Mehmet Yıldız for proofread and edited.

References

1. Albayrak, S., Albayrak, S. 2008. Propolis: Doğal antimikrobiyal madde. Ankara J. Fac. Pharm. 37(3): 201- 15.
2. Alvarez-Suarez, JM., Giampieri, F., Battino, M. 2013. Honey as a source of dietary antioxidants: Structures, bioavailability and evidence of protective effects against human chronic diseases. Curr Med Chem. 20(5): 621-38., DOI: 10.2174/092986713804999358.
3. Badet, C., Quero, F. 2011. The in vitro effect of manuka honeys on growth and adherence of oral bacteria. Anaerobe. 17(1): 19-22., DOI: 10.1016/j.anaerobe.2010.12.007.
4. Bogdanov, S., Jurendic, T., Sieber, R., Gallmann, P. 2008.Honey for nutrition and health: A review. J Am Coll Nutr. 27(6): 677-89., DOİ: 10.1080/07315724.2008.10719745.
5. Bölüktepe, FE., Yilmaz, S. 2008. Familiarity and purchase frequency of bee products. Uludag Bee J. 8(2): 53-62.
6. Cherbuliez, T. 2013. Apitherapy-The use of honeybee products. In: Grassberger, M., Sherman, R.A., Gileva, O.S., Kim, C.M.H., Mumcuoglu, K.Y., (editors). Biotherapy-History, Principles and Practice: A Practical Guide to the Diagnosis and Treatment of Disease using Living Organisms. London: Springer Science & Business Media: 113-146.
7. Cırık, V., Efe, E., Öncel, S., Gözüm, S. 2017. Experiences and attitudes of nurses regarding complementary health approaches used by themselves and their patients. J Transcult Nurs. 28(4): 381-90., DOI: 10.1177/1043659616651672.
8. Cohen, HA., Rozen, J., Kristal, H., Laks, Y., Berkovitch, M., Uziel, Y., Kozer, E., Pomeranz, A., Efratet, H. 2012. Effect of honey on nocturnal cough and sleep quality: A double-blind, randomized, placebo-controlled study. Pediatrics. 130(3): 465-71., DOI: 10.1542/peds.2011-3075.

9. Doğaroğlu, M. 2009. Modern Arıcılık Teknikleri, Türkmenler Matbaacılık, Tekirdağ, 290-310.
10. Fratellone, PM., Tsimis, F., Fratellone, G. 2016. Apitherapy products for medicinal use. J Altern Complement Med. 22(12): 1020-2. DOI: 10.1089/acm.2015.0346.
11. General Directorate of Agricultural Research and Policies. Agricultural products markets. Beekeeping. July, 2019. Retrieved from https://arastirma.tarimorman.gov.tr/tepge/Belgeler/PDF, (01.04.2020).
12. Godart, V., Dan, B., Mascart, G., Fikri, Y., Dierick, K., Lepage, P. 2014. Botulisme infantile après exposition à du miel. Arch Pediatr. 21(6): 628-31., DOI: 10.1016/j.arcped.2014.03.009.
13. Ince, N., Kaya, Ş., Esen, Yİ., Parlak, E., Bayar, B. 2020.Use of complementary and alternative medicine in patients with chronic viral hepatitis in Turkey. Complement Ther Med. 48(November 2019): 1–4., DOI: 10.1016/j.ctim.2019.102229.
14. Jeon, HO., Kim, BH., Kim, O. 2019. Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis. Nurs Heal Sci. 21(3): 375-81., DOI: 10.1111/nhs.12609.
15. Jo, M., Hee, M., Saranya, P., Jun, B., Sueb, H., Bae, S. 2012. Anti-cancer effect of bee venom toxin and melittin in ovarian cancer cells through induction of death receptors and inhibition of JAK2 /STAT3 pathway. Toxicol Appl Pharmacol. 258(1): 72-81., DOI:10.1016/j.taap.2011.10.009.
16. Kavurmaci, M., Tan, M. 2019. Determination of knowledge and attitudes of nurses about apitherapy. Complement Ther Clin Pract. 36(May): 39-42., DOI: 10.1016/j.ctcp.2019.05.001.
17. Khorshid, L., Yapucu, Ü. 2005. The Nurse’s Role in Complementary Therapies. J Anatolia Nurs Heal Sci. 8(2): 124-30.
18. Kumar, R., Lorenc, A., Robinson, N., Blair, M. 2011. Parents’ and primary healthcare practitioners’ perspectives on the safety of honey and other traditional paediatric healthcare approaches. Child Care Health Dev. 37(5): 734-43., DOI: 10.1111/j.1365-2214.2010.01186.x.
19. Marangoz, M., Dolu, TZ. 2019. Investigation of purchase behavior and knowledge and confidence levels of bee products of consumers. Uludag Bee Journal. 19 (2): 110-125., DOI: 10.31467/uluaricilik.537602.
20. Morita, H., Ikeda, T., Kajita, K., Fujioka, K., Mori, I., Okada, H. 2012. Effect of royal jelly ingestion for six months on healthy volunteers. Nutr J. 11(1): 77-77., DOI: 10.1186/1475-2891-11-77.
21. Münstedt, K., Momm, F., Hübner, J. 2019. Honey in the management of side effects of radiotherapy- or radio/chemotherapy-induced oral mucositis. A systematic review. Complement Ther Clin Pract. 34: 145-52., DOI: 10.1016/j.ctcp.2018.11.016.
22. Niyaz, CÖ., Demirbaş, N. 2017. General characteristics and consumption preferences of bee products consumers: Case study of Canakkale. Turkish Journal of Agricultural Economics. 23(2): 255-62., DOI: 10.24181/tarekoder.369470.
23. Özkan, S., Bancar, K. 2015. Apitherapy and chid health. Dokuz Eylul Univ Fac Nurs Electron J. 8(4): 247-51.
24. Park, MH., Choi, MS., Kwak, DH., Oh, K., Yoon, DY., Han, SB. 2011. Anti-Cancer effect of bee venom in prostate cancer cells through activation of caspase pathway via inactivation of NF- k B. Prostate. 71(8): 801-12., DOI: 10.1002/pros.21296.
25. Pasupuleti, VR., Sammugam, L., Ramesh, N., Gan, SH. 2017. Honey, propolis, and royal jelly: a comprehensive review of their biological actions and health benefits. Oxid Med Cell Longev., DOI: 10.1155/2017/1259510.
26. Resmi Gazete. (2014, October 27). Organization and duties of the ministry of health and affiliates. Retrieved from http://dosyasb.saglik.gov.tr/Eklenti/3981,apiterapi-sertifikali-egitim-standartlaripdf.pdf (01.05.2020).
27. Semerci, A. 2017. Overall situation of beekeeping in Turkey and future prospects. J Agric Fac Mustafa Kemal Univ. 22(2) :107-18.
28. Sener, DK., Karaca, A. 2020. The use of complementary and alternative medicine treatments by mothers of children with developmental disabilities. Nurs Health Sci. 22(2):328-338., DOI: 10.1111/nhs.12733.
29. Shadkam, MN., Mozaffari, KH., Mozayan, MR. 2010. A comparison of the effect of honey, dextromethorphan, and diphenhydramine on nightly cough and sleep quality in children and their parents. J Altern Complement Med. 16(7): 787-93., DOI: 10.1089/acm.2009.0311.
30. Song, JJ., Twumasi, AP., Salcido, R. 2012. Systematic review and meta-analysis on the use of honey to protect from the effects of radiation-induced oral mucositis. Adv Ski Wound Care. 25(1):23-8., DOI: 10.1097/01.ASW.0000410687.14363.a3.
31. Sukur, SM., Halim, AS., Singh, KKB. 2011. Evaluations of bacterial contaminated full thickness burn wound healing in Sprague Dawley rats Treated with Tualang honey. Indian J Plast Surg. 44(1):112-7., DOI: 10.4103/0970-0358.81459.
32. Tunca, Rİ., Taskin, A., Karadavut, U. 2015. Determination of bee products consumption habits and awareness level in some provinces in Turkey. Turkish J Agric-Food Sci Technol. 3(7): 556-61., DOI: 10.24925/turjaf.v3i7.556-561.324