Objective: The descriptive study was conducted to determine the knowledge, attitude and practices of nursing students when it comes to complementary health approaches (CHA). Material and Methods: The study was conducted with 264 nursing students who were studying at Recep Tayyip Erdogan University Health School in Turkey. Permission to conduct the study was obtained from the director of the college, students and ethics committee. Descriptive statistical methods were used. Percentage and frequency values were given as descriptive statistics. Spearman correlation coefficient was used to evaluate the relationship between numerical variables not showing normal distribution. p<0.05 was considered statistically significant. Results: The most common CHA were praying, exercising and imagery therapy. One third of the nursing students had received information about CHA. Students stated internet, TV, newspapers, magazines, books and family, respectively as information sources. Additionally, nearly half of the nursing students stated that they have used CHA. The most frequently used CHA by students was praying. About half of the students used CHA in stress situations. Most of the students stated that massage was useful. Three fourth of the students reported that CHA positively affected one's psychology and recovery. There was a statistically significant difference between students' class and use of CHA (p<0.05). A weak positive correlation was found between the status of nursing students benefiting from CHA and recommending CHA (r=0.169; p=0.038), and a positive correlation was found between the knowledge levels of CHA and recommending CHA (r=0.193; p=0.029) and benefitting from CHA (r=0.985; p=0.001). Conclusion: Based on the results of the research, it was determined that nursing students had a generally positive attitude about CHA but their knowledge level and practices related to CHA were insufficient; however, a positive relationship was found between students' levels of knowledge about CHA and their recommending and benefiting status of CHA.
Keywords: Complementary and alternative medicine; complementary health approaches; nursing students
Amaç: Bu tanımlayıcı çalışma, hemşirelik öğrencilerinin tamamlayıcı sağlık yaklaşımları (TSY) konusunda bilgi, tutum ve uygulamalarını belirlemek amacıyla gerçekleştirildi. Gereç ve Yöntemler: Çalışma, Türkiye'de Recep Tayyip Erdoğan Üniversitesi Sağlık Yüksekokulu'ndaki 264 hemşirelik öğrencisiyle yapıldı. Çalışmanın yapılabilmesi için öğrencilerden, okul yöneticisinden ve etik kuruldan izin alındı. Verilerin analizinde tanımlayıcı istatistikler kullanılmıştır. Tanımlayıcı istatistikler olarak yüzde ve frekans değerleri verilmiştir. Normal dağılım göstermeyen sayısal değişkenler arasındaki ilişki ise Spearman korelasyon katsayısı ile değerlendirildi. p<0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Dua, egzersiz ve hayal kurma en sık bilinen TSY idi. Öğrencilerin, üçte biri TSY hakkında bilgi aldıklarını ifade etti. Öğrenciler bilgi kaynaklarının sırasıyla internet, TV, gazete, dergi ve kitap olduğunu belirttiler. Öğrencilerin, yaklaşık yarısı TSY kullandıklarını belirtti. Öğrencilerin en sık kullandığı TSY dua idi. Öğrencilerin, yarıdan fazlası stresli durumlarda TSY'yi kullanmaktadır. Öğrencilerin çoğunluğu masajın yararlı olduğunu ifade etti. Öğrencilerin dörtte üçü TSY'nin bireyin psikolojisini ve iyileşmesini pozitif yönde etkilediğini belirttiler. Öğrencilerin, öğrenim gördükleri sınıflar ile TSY kullanma durumu arasında istatistiksel olarak anlamlı fark bulundu (p<0,05). Hemşirelik öğrencilerinin, TSY'den yarar sağlama ve TSY'yi tavsiye etme durumları arasında (r=0,169; p=0,038) pozitif yönde zayıf bir ilişki olduğu ve TSY hakkında bilgi düzeyi ile TSY'yi tavsiye etme (r=0,193; p=0,029) ve TSY'den yarar sağlama (r=0,985; p=0,001) durumları arasında pozitif yönde bir ilişki olduğu saptandı. Sonuç: Çalışmanın sonuçlarına göre hemşirelik öğrencilerinin, TSY hakkında genelde olumlu tutuma sahip olduğu, konuya ilişkin bilgi ve uygulamalarının yetersiz olduğu ancak öğrencilerin TSY hakkındaki bilgi düzeyi ile tavsiye etme ve yarar sağlama durumları arasında pozitif yönde bir ilişki olduğu bulundu.
Anahtar Kelimeler: Tamamlayıcı ve alternatif tıp; tamamlayıcı sağlık yaklaşımları; hemşirelik öğrencileri
- National Center of Complementary and Integrative Health home page on the Internet. Complementary, Alternative, or Integrative Health: What's In A Name? Updated 10 January 2020; cited 30 January 2020. Available from:[Link]
- Ilgaz A, Gözüm S. [Importance of health literacy for safe use of complementary health approaches]. DEUHFED. 2016;9(2):67-77. [Link]
- Ee C, Templeman K, Grant S, Avard N, de Manincor M, Hunter J, et al. Informing the model of care for an academic integrative healthcare centre: a qualitative study exploring healthcare consumer perspectives. BMC Complement Med Ther. 2020;20(1):58. [Crossref] [PubMed] [PMC]
- O'Regan P, Wills T, O'Leary A. Complementary therapies: a challenge for nursing practice. Nurs Stand. 2010;24(21):35-9. [Crossref] [PubMed]
- Şahin N, Aydın D, Akay B. [The attitudes of nursing students towards holistic complementary and alternative medicine]. Balıkesir Health Sciences Journal. 2019;8(1):21-6. [Link]
- Resmi Gazete (27.10.2014, Sayı No: 29158) Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği; 2014.
- Batur Çağlayan HZ, Ataoğlu EE, Kibaroğlu S. [The assessment of efficiency of traditional and complementary medicine practices in neurology]. Turk J Neurol. 2018;24(2):111-6. [Crossref]
- Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015;(79):1-16. [PubMed] [PMC]
- Bulduklu Y. [Complementary and alternative medicine practices in context of target group]. Selçuk Üniversitesi Türkiyat Araştırmaları Dergisi. 2015;1(37):607-627. [Crossref]
- Jackson C. Trends in the use of complementary health approaches among adults in the United States: new data. Holist Nurs Pract. 2015;29(3):178-9. [Crossref] [PubMed]
- Çay T, Emül TG. Opinions of midwives and nurses about complementary and integrated applications used for premenstrual syndrome. J Tradit Complem Med. 2020;3(1):11-7. [Crossref]
- Mhatre S, Artani S, Sansgiry S. Influence of benefits, barriers and cues to action for complementary and alternative medicine use among university students. J Complement Integr Med. 2011;8. [Crossref] [PubMed]
- Liu MA, Huynh NT, Broukhim M, Cheung DH, Schuster TL, Najm W, et al. Determining the attitudes and use of complementary, alternative, and integrative medicine among undergraduates. J Altern Complement Med. 2014;20(9):718-26. [Crossref] [PubMed] [PMC]
- Al-Omar HA, Al-Arifi MN. Pharmacy students' use, knowledge and attitudes toward complementary and alternative medicine at riyadh region, Saudi arabia. Int J Green Pharm. 2011;5(1):16-23. [Crossref]
- Ujiie Y, Okada H. Factors affecting the use of complementary and alternative medicine among Japanese university students. J Complement Integr Med. 2015;12(1):89-94. [Crossref] [PubMed]
- Araz NÇ, Taşdemir HS, Kılıç SP. [Evaluation of opinions of the faculty of health sciences students about non medical alternative and traditional therapies]. Gümüşhane University Journal of Health Sciences. 2012;1(4):239-51. [Link]
- Yildirim Y, Parlar S, Eyigor S, Sertoz OO, Eyigor C, Fadiloglu C, et al. An analysis of nursing and medical students' attitudes towards and knowledge of complementary and alternative medicine (CAM). J Clin Nurs. 2010;19(7-8):1157-66. [Crossref] [PubMed]
- James PB, Bah AJ. Awareness, use, attitude and perceived need for Complementary and Alternative Medicine (CAM) education among undergraduate pharmacy students in Sierra Leone: a descriptive cross-sectional survey. BMC Complement Altern Med. 2014;14:438. [Crossref] [PubMed] [PMC]
- Uzun O, Tan M. Nursing students' opinions and knowledge about complementary and alternative medicine therapies. Complement Ther Nurs Midwifery. 2004;10(4):239-44. [Crossref] [PubMed]
- Loh KP, Ghorab H, Clarke E, Conroy R, Barlow J. Medical students' knowledge, perceptions, and interest in complementary and alternative medicine. J Altern Complement Med. 2013;19(4):360-6. [Crossref] [PubMed]
- Zimmerman C, Kandiah J. A pilot study to assess students' perceptions, familiarity, and knowledge in the use of complementary and alternative herbal supplements in health promotion. Altern Ther Health Med. 2012;18(5):28-33. Erratum in: Altern Ther Health Med. 2012;18(6):79. [PubMed]
- Murt A. [Complementary and alternative medicine in medical education cirricula]. SD Sağlık Düşüncesi ve Tıp Kültürü Dergisi. 2012;(22):20-3. [Link]
- Ergin A, Hatipoğlu C, Bozkurt Aİ, Mirza E, Kunak D, Karan C, et al. [Knowledge and attitudes of residents and medical students on complementary-alternative medicine].Pamukkale Tıp Dergisi. 2011;4(3):136-43. [Link]
- Versnik Nowak AL, DeGise J, Daugherty A, O'Keefe R, Seward S Jr, Setty S, et al. Prevalence and Predictors of Complementary and Alternative Medicine (CAM) Use Among Ivy League College Students: Implications for Student Health Services. J Am Coll Health. 2015;63(6):362-72. [Crossref] [PubMed]
- Nowak ALV, Dorman SM. Social-cognitive predictors of college student use of complementary and alternative medicine. American Journal of Health Education. 2008;39(2):80-90. [Crossref]
- LaCaille RA, Kuvaas NJ. Coping styles and self-regulation predict complementary and alternative medicine and herbal supplement use among college students. Psychol Health Med. 2011;16(3):323-32. [Crossref] [PubMed]
- Nguyen J, Liu MA, Patel RJ, Tahara K, Nguyen AL. Use and interest in complementary and alternative medicine among college students seeking healthcare at a university campus student health center. Complement Ther Clin Pract. 2016;6(24):103-8. [Crossref] [PubMed]
- Rajashree R, Jirge VVL, Parineetha B, Goudar SS. A survey of attitude towards complementary and alternative medicine among first year undergraduate medical students in Belgaum. Attitude Towards Complementary and Alternative Med. 2016;7(1):83-87. [Link]
- Teixeira Medeiros N, Fontenelle Catrib AM, Anchieta Mendes Melo N, Pessoa Marinho Holanda G, de Mesquita Martins LV, Pereira da Silva Godinho CC, et al. Academic education in health profession programs, knowledge and use of Complementary and Alternative Medicine (CAM) by university students. Complement Ther Med. 2019;44:189-95. [Crossref] [PubMed]
- Xie H, Sang T, Li W, Li L, Gao Y, Qiu W, et al. A survey on perceptions of complementary and alternative medicine among undergraduates in China. Evid Based Complement Alternat Med. 2020;1-8. [Crossref] [PubMed] [PMC]
.: Process List