Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Relationship of Factors Affecting Traditional and Complementary Medicine Practices with Regular Drug Use, Presence of Chronic Disease and Level of Knowledge: A Cross-Sectional Research
Geleneksel ve Tamamlayıcı Tıp Uygulamalarını Etkileyen Faktörlerin Düzenli İlaç Kullanımı, Kronik Hastalığın Varlığı ve Bilgi Düzeyi ile İlişkisi: Kesitsel Bir Araştırma
Fuat YALMANa, Tekin SANCARb
aDepartment of Health Management, Düzce University Faculty of Business, Düzce, Türkiye
bRepublic of Turkey Ministry of Health, İstanbul, Türkiye
J Tradit Complem Med. 2022;5(1):31-9
doi: 10.5336/jtracom.2021-84840
Article Language: EN
Full Text
ABSTRACT
 Objective: The main purpose of this study is to determine the factors that are effective in the preference of traditional and complementary medicine practices and to investigate the relationship between these factors with regular drug use, the presence of chronic disease and the level of knowledge. Material and Methods: Community-based cross-sectional study design was used. The population of the study consisted of middle and elderly individuals who applied to a Family Health Center operating in Düzce province in SeptemberOctober-November-December 2020. The data were conducted over 400 people using face-to-face questionnaire technique. In the study, convenience sampling method was preferred. Results: Factors affecting the preference of traditional and complementary medicine practices according to the results of explanatory and confirmatory factor analysis; it has been found as 'effectiveness', 'accessibility', 'having fewer side effects' and 'philosophically compatibility'. According to the results of confirmatory factor analysis, it was seen that the model goodness of fit indexes were at an acceptable fit level. In addition, significant relationships were found between regular drug use, having a chronic disease, and the level of traditional and complementary medicine knowledge with the reasons for preference of traditional and complementary medicine practices. Conclusion: It has been observed that individuals who regularly use drugs, have any chronic diseases and have a high level of knowledge about traditional and complementary medicine practices have a more positive attitude towards traditional and complementary medicine treatments.

Keywords: Traditional and complementary medicine practices; regular drug use; chronic disease; awareness; community
ÖZET
 Amaç: Bu çalışmanın temel amacı, geleneksel ve tamamlayıcı tıp uygulamalarının tercih edilmesinde etkili olan faktörleri belirlemek ve bu faktörlerin düzenli ilaç kullanımı, kronik hastalığın varlığı ve bilgi düzeyi ile ilişkilerini tespit etmektir. Gereç ve Yöntemler: Toplum tabanlı kesitsel çalışma tasarımı kullanılmıştır. Araştırmanın evrenini, Düzce il merkezinde faaliyet gösteren bir Aile Sağlığı Merkezine, 2020 yılı Eylül-Ekim-Kasım-Aralık aylarında başvuran orta ve ileri yaş grubu bireyler oluşturmuştur. Veriler yüz yüze anket tekniği kullanılarak 400 kişi üzerinden toplanmıştır. Araştırmada kolayda örnekleme yöntemi tercih edilmiştir. Bulgular: Açıklayıcı ve doğrulayıcı faktör analizi sonuçlarına göre geleneksel ve tamamlayıcı tıp uygulamalarının tercih edilmesinde etkili olan faktörler; 'etkililik', 'ulaşılabilirlik', 'daha az yan etkiye sahip olması' ve 'felsefi açıdan uyumlu olması' olarak bulunmuştur. Doğrulayıcı faktör analizi sonuçlarına göre model uyum indekslerinin kabul edilebilir uyum düzeyinde olduğu görülmüştür. Ayrıca geleneksel ve tamamlayıcı tıp uygulamalarının tercih sebepleri ile düzenli ilaç kullanımı, kronik bir hastalığa sahip olma ve geleneksel ve tamamlayıcı tıp bilgi düzeyi arasında anlamlı ilişkiler tespit edilmiştir. Sonuç: Düzenli ilaç kullanan, herhangi bir kronik hastalığı olan ve geleneksel ve tamamlayıcı tıp uygulamaları konusunda bilgi düzeyi yüksek olan bireylerin, geleneksel ve tamamlayıcı tıp tedavilerine yönelik daha olumlu bir tutum içerisinde oldukları görülmüştür.

Anahtar Kelimeler: Geleneksel ve tamamlayıcı tıp uygulamaları; düzenli ilaç kullanımı; kronik hastalık; farkındalık; toplum
REFERENCES:
  1. World Health Organization (WHO) [Internet]. [Cited: 12.03.2021]. WHO traditional medicine strategy: 2014-2023. Geneva: WHO; 2014. Available from: [Link] 
  2. World Health Organization (WHO) [Internet]. [Cited: 15.03.2021]. WHO traditional medicine strategy 2014-2023. Geneva: WHO; 2013. Available from: [Link] 
  3. Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract. 2009;15(3):152-7. [Crossref]  [PubMed] 
  4. Puataweepong P, Sutheechet N, Ratanamongkol P. A survey of complementary and alternative medicine use in cancer patients treated with radiotherapy in Thailand. Evid Based Complement Alternat Med. 2012; 2012: 670408. [Crossref]  [PubMed]  [PMC] 
  5. Coton X, Poly S, Hoyois P, Sophal C, Dubois V. The healthcare-seeking behaviour of schizophrenic patients in Cambodia. Int J Soc Psychiatry. 2008;54(4):328-37. [Crossref]  [PubMed] 
  6. Chung VCh, Lau CH, Yeoh EK, Griffiths SM. Age, chronic non-communicable disease and choice of traditional Chinese and western medicine outpatient services in a Chinese population. BMC Health Serv Res. 2009;9: 207. [Crossref]  [PubMed]  [PMC] 
  7. Kew Y, Chia YL, Lai SM, Chong KY, Ho XL, Liew DW, et al. Traditional and Complementary Medicine (TCM) among Study Population with Cardiovascular Risk; use and Substitution for Conventional Medicine in Pahang, Malaysia. Med J Malaysia. 2015;70(2):86-92. [PubMed] 
  8. Yi S, Ngin C, Tuot S, Chhoun P, Fleming T, Brody C. Utilization of traditional, complementary and alternative medicine and mental health among patients with chronic diseases in primary health care settings in Cambodia. Int J Ment Health Syst. 2017;11:58. [Crossref]  [PubMed]  [PMC] 
  9. Oral B, Öztürk A, Balcı E, Sevinç N. Aile sağlığı merkezine başvuranların geleneksel/alternatif tıpla ilgili görüşleri ve kullanım durumu [State of opinions and use about traditional/alternative medicine who applied to family health center]. TAF Prev Med Bull. 2016;15(2):75-82. [Crossref] 
  10. Joos S, Musselmann B, Szecsenyi J. Integration of complementary and alternative medicine into family practices in Germany: Results of a national survey. Evid Based Complement Alternat Med. 2011;2011:495813. [Crossref]  [PubMed]  [PMC] 
  11. Corbin Winslow L, Shapiro H. Physicians want education about complementary and alternative medicine to enhance communication with their patients. Arch Intern Med. 2002;162(10): 1176-81. [Crossref]  [PubMed] 
  12. Wassie SM, Aragie LL, Taye BW, Mekonnen LB. Knowledge, attitude, and utilization of traditional medicine among the communities of Merawi Town, Northwest Ethiopia: A cross-sectional study. Evid Based Complement Alternat Med. 2015;2015:138073. [Crossref]  [PubMed]  [PMC] 
  13. Belachew N, Tadesse T, Gube AA. Knowledge, attitude, and practice of complementary and alternative medicine among residents of Wayu town, Western Ethiopia. J Evid Based Complementary Altern Med. 2017;22(4):929-35. [Crossref]  [PubMed]  [PMC] 
  14. Bahall M, Legall G. Knowledge, attitudes, and practices among health care providers regarding complementary and alternative medicine in Trinidad and Tobago. BMC Comp lement Altern Med. 2017;17(1):144. [Crossref]  [PubMed]  [PMC] 
  15. Plichta SB, Kelvin EA. Munro's Statistical Methods for Health Care Research. 6th ed. philadelphia: Lippincott Williams & Wilkins; 2013.
  16. Brown TA. Confirmatory Factor Analysis for Applied Research. 1st ed. New York: Guilford Press; 2006. p.113-4. [Link] 
  17. Byrne BM. Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming. 1st ed. Mahwah: Lawrence Erlbaum Associates; 2001. p.79-80. [Link] 
  18. Kav S, Hanoğlu Z, Algier L. Türkiye'de kanserli hastalarda tamamlayıcı ve alternatif tedavi yöntemlerinin kullanımı: Literatür taraması [Use of complementary and alternative medicine by cancer patients in Turkey: A literature review]. Uluslararası Hematoloji-Onkoloji Dergisi. 2008;18(1):32-8. [Link] 
  19. Kucukoner M, Bilge Z, Isıkdogan A, Kaplan MA, Inal A, Urakci Z. Complementary and alternative medicine usage in cancer patients in southeast of Turkey. Afr J Tradit Complement Altern Med. 2012;10(1):21-5. [Crossref]  [PubMed]  [PMC] 
  20. Elolemy AT, Albedah AM. Public knowledge, attitude and practice of complementary and alternative medicine in riyadh region, Saudi Arabia. Oman Med J. 2012;27(1):20-6. [Crossref]  [PubMed]  [PMC] 
  21. Sağkal T, Demiral S, Odabaş H, Altunok E. Kırsal kesimde yaşayan yaşlı bireylerin tamamlayıcı ve alternatif tedavi yöntemlerini kullanma durumları [Complementary and alternative treatment methods among elderly individuals in living rural setting]. F.Ü. Sağ. Bil. Tıp Derg. 2013;27(1):19-26. [Link] 
  22. Robinson MM, Zhang X. The World Medicine Situation 2011; Traditional Medicines: Global Situation Issues and Challenges. Geneva: WHO; 2011. [Link] 
  23. Shumer G, Warber S, Motohara S, Yajima A, Plegue M, Bialko M, et al. Complementary and alternative medicine use by visitors to rural Japanese family medicine clinics: results from the international complementary and alternative medicine survey. BMC Complement Altern Med. 2014;14:360. [Crossref]  [PubMed]  [PMC] 
  24. Altınbaş Y, İster E. Sağlık yüksekokulu öğrencilerinin tamamlayıcı ve alternatif tedaviler hakkındaki görüş, bilgi ve uygulamaları [Opinions, information and applications about complementary and alternative therapies of health school students]. SAUHSD. 2019;2(1): 47-60. [Link] 
  25. Kocabaş D, Eke E, Demir M. Sağlık hizmeti kullanımında bireylerin geleneksel ve alternatif yöntemlere ilişkin tutumlarının değerlendiril mesi [Evaluation of the attitudes of the individuals on traditional and alternative methods in the use of health care]. BAİBÜ Sosyal Bilimler Enstitüsü Dergisi. 2019;19(1):63-80. [Crossref] 

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