Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Kronik Hastalığı Olan Bireylerin COVID-19 Pandemisinde Tamamlayıcı Alternatif Tedaviye Yönelik Tutum ve Davranışları: Tanımlayıcı Bir Araştırma
Attitudes and Behaviors of Individuals with Chronic Disease Toward Complementary Alternative Methods in the COVID-19 Pandemic: A Descriptive Study
Gülsüm Nihal ÇÜRÜKa , Hafize ÖZDEMİR ALKANATb
aİzmir Ekonomi Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İzmir, Türkiye
bGiresun Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Giresun, Türkiye
J Tradit Complem Med. 2023;6(3):219-28
doi: 10.5336/jtracom.2023-96486
Article Language: TR
Full Text
ÖZET
 Amaç: Dünyada birçok ülkede kronik hastalıkların artmasıyla birlikte tamamlayıcı ve alternatif tedavi (TAT) yaklaşımlarına yönelim artmıştır. Bu çalışma, kronik hastalığı olan bireylerin pandemi sürecinde kendilerini koronavirüs hastalığı-2019'dan [coronavirus disease2019 (COVID-19)] korumak için TAT kullanımına ilişkin tutum ve davranışlarının değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipte olan çalışmanın örneklemini, bir üniversite hastanesinin dâhiliye polikliniklerine başvuran ve çalışma kriterlerini karşılayan 396 hasta oluşturdu. Veriler, araştırmacılar tarafından geliştirilen kişisel bilgi formu ile Bütüncül Tamamlayıcı ve Alternatif Tıbba Karşı Tutum Ölçeği (BTATÖ) kullanılarak toplandı. İstatistiksel analizler IBM SPSS istatistik programı ile yapıldı. İstatistiksel analiz için tanımlayıcı istatistikler, ki-kare testi, Mann-Whitney U ve Kruskall-Wallis H testi kullanıldı ve p<0,05 anlamlı kabul edildi. Bulgular: Katılımcıların yaş ortalaması 54,9±17,3 yıl (minimum-maksimum: 19-90) ve %61,6'sı kadındı. Katılımcıların %52,3'ü COVID-19 geçirmiş ve %91,4'ü en az bir doz COVID-19 aşısı olmuştu. Hastaların %81,8'i herhangi bir TAT yöntemini kullanıyordu. Katılımcıların ortalama BTATÖ puanı 31,09±4,37 olarak bulundu. En sık kullanılan TAT yöntemleri bitkisel ürünler (%84,3), vitaminler (%84,3) ve dua etmek (%73,8) idi. Kronik hastalığı olan bireylerden COVID-19 pandemisi sürecinde TAT kullananların hem BTATÖ toplam puan ortalaması hem de ölçeğin alt boyutları puan ortalamaları daha düşük olup aradaki farkın istatistiksel açıdan anlamlı olduğu tespit edildi. TAT kullanan ve COVID aşısı olan bireylerin tutum puanlarında olumlu yönde istatistiksel olarak anlamlı fark bulundu. Sonuç: Çalışmada katılımcıların TAT'a yönelik tutumlarının olumlu ve orta düzeyde olduğu saptandı

Anahtar Kelimeler: COVID-19; pandemi; kronik hastalık; tamamlayıcı ve alternatif tedavi; tutum
ABSTRACT
 Objective: The trend towards complementary and alternative medicine (CAM) approaches has increased with the increase of chronic diseases in many countries around the world. This study was conducted to evaluate the attitudes and behaviors of individuals with chronic diseases about the use of complementary alternative methods in order to protect themselves from coronavirus disease-2019 (COVID-19) during the pandemic process. Material and Methods: The sample of the descriptive and cross-sectional study consisted of 396 patients who applied to the internal medicine outpatient clinics of a university hospital between July and September 2022 and met the study criteria. Data were collected using the personal information form developed by the researchers and the Attitudes towards Holistic Complementary and Alternative Medicine Scale (HCAMS). Statistical analyses was done with IBM SPSS statistical program. Descriptive statistics, chi-square test, Mann-Whitney U and Kruskall-Wallis H test were used for statistical analysis, and p<0.05 was considered significant. Results: The mean age of the participants was found at 54.9±17.3 (minimum-maximum: 19-90); 61.6% of them were female. 52.3% of the participants were diagnosed with COVID-19 and 91.4% had received at least one dose of a COVID-19 vaccine. 81.8% of the patients used any of the CAM methods. The mean HCAMS score of the participants was found as 31.09±4.37. The most commonly used CAM therapies were herbal products (84.3%), vitamins (84.3%) and praying (73.8%). Among the individuals with chronic diseases, those who used CAM during the COVID-19 pandemic process had lower mean scores in both the total mean score and the sub-dimensions of the scale, and the difference was found to be statistically significant. There was a statistically significant difference in the attitudes cores of individuals who used CAM and were vaccinated against COVID, and it was found to be positive. Conclusion: In the study, it was found that the attitudes of the participants towards CAM were positive and moderate.

Keywords: COVID-19; pandemic; chronic disease; complementary and alternative medicine; attitude
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