Objective: Traditional and complementary medicine (TCM) practices are usually performed in the treatment of pain. This research was designed to determine the knowledge and attitude of patients with chronic pain towards TCM practices, and their usage status. Material and Methods: Following the approval of the local ethics committee, eighty-two volunteer patients over 18 years old, who applied to our algology outpatient clinic between 01.09.2019 and 31.12.2019, were included in the study. The data were obtained through a survey, which includes sociodemographic information and the practices of TCM methods. The surveys were implemented through face to face interview method. Results: The mean age of the patients was 52.96±13.64. Of the patients who participated in the research, 85.0% were female, 73.2% were housewives and 56.1% were primary school graduates. Upon the examination of the sources of knowledge related to TCM methods, 74.1% of the patients stated that they learned the practices from television, newspaper, or magazine, while 62.3% of them claimed that they learned from family, relatives, or friends. Considering the treatment practices known by our patients, it was determined that 97.6% of them knew the cupping therapy (Hajamat), while 96.3% of them knew balneotherapy, leech, and acupuncture therapies. The most commonly used practices were cupping therapy (63.4%), hajamat (37.8%), balneotherapy (28%), leech therapy (20.7%), and prayer (20.7%). Conclusion: It has been determined that the most commonly used TCM practices are cupping therapy, hajamat, and balneotherapy, and we think that it will be beneficial to inform the patients with the necessary medical knowledge on these practices.
Keywords: Chronic pain; traditional medicine; complementary therapies
Amaç: Ağrı tedavisinde geleneksel ve tamamlayıcı tıp (GETAT) yöntemleri sıklıkla kullanılmaktadır. Bu çalışma, kronik ağrısı olan hastaların GETAT yöntemleri hakkındaki bilgi, tutum ve kullanım durumlarını tespit etmek amacıyla planlanmıştır. Gereç ve Yöntemler: Yerel etik kurul izni alındıktan sonra, 01.09.2019 ve 31.12.2019 tarihleri arasında algoloji polikliniğimize başvuran 18 yaş üstü 82 gönüllü hasta çalışmaya dâhil edilmiştir. Veriler sosyodemografik bilgi ve GETAT yöntemlerinin kullanımını içeren bir anket ile toplanmıştır. Anketler yüz yüze görüşme yöntemi ile yapılmıştır. Bulgular: Hastaların yaş ortalaması 52,96±13,64 idi. Çalışmaya katılan hastaların %85,0'inin kadın, %73,2'sinin ev hanımı ve %56,1'inin ilkokul mezunu olduğu görülmüştür. GETAT yöntemleri ile ilgili bilgi kaynakları incelendiğinde %74,1'i televizyon, gazete veya dergiden öğrendiğini ve %62,3'ü aile, akraba veya arkadaşlardan öğrendiğini belirtmiştir. Hastalarımızın bildikleri GETAT yöntemleri incelendiğinde %97,6 oranında kupa, hacamat, %96,3 oranında sülük, kaplıca ve akupunktur tedavilerinin bilindiği tespit edilmiştir. En sık kullanılan yöntemlerin ise kupa (%63,4), hacamat (%37,8), kaplıca (%28), sülük (%20,7) ve dua (%20,7) olduğu görülmüştür. Sonuç: En sık kullanılan GETAT yöntemlerinin kupa, hacamat ve kaplıca olduğu tespit edilmiş olup, hastalara bu yöntemler konusunda gerekli tıbbi bilgilendirmelerin yapılmasının yararlı olacağı kanaatindeyiz.
Anahtar Kelimeler: Kronik ağrı; geleneksel tıp; tamamlayıcı tedaviler
- World Health Organization [İnternet]. General guidelines for methodologies on research and evaluation of traditional medicine. Geneva: World Health Organization: WHO Books; 2000. [Link]
- Mollahaliloğlu S, Uğurlu FG, Kalaycı MZ, Öztaş D. Geleneksel ve tamamlayıcı tıp uygulamalarında yeni dönem [The new period in traditional and complementary medicine]. Ankara Medical Journal. 2015;15(2):102-5. [Link]
- Güngörmüş Z, Kıyak E. Ağrı yaşayan bireylerin tamamlayıcı ve alternatif tedaviye ilişkin bilgi, tutum ve davranışlarının değerlendirilmesi [Evaluation of the knowledge, attitude and behaviors of individuals who suffer from pain towards complementary and alternative medicines]. Pain. 2012;24(3):123-9. [Link]
- Şimşek B, Yazgan-Aksoy D, Calik-Basaran N, Taş D, Albasan D, Kalaycı MZ. Mapping traditional and complementary medicine in Turkey. Eu J Integr Med. 2017;15:68-72. [Link]
- Nural A, Çakmak SA. Kronik hastalığı olan bireylerin tamamlayıcı ve alternatif tedavileri kullanma durumu [Status of using complementary and alternative treatments of ındividuals with chronic disease]. J Tradit Complem Med. 2018;1(1):1-9. [Link]
- 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 ındividuals in living rural setting] F.Ü.Sağ. Bil. Tıp Derg. 2013;27(1):19-26. [Link]
- Dossett ML, Davis RB, Lembo AJ, Yeh GY. Complementary and alternative medicine use by US adults with gastrointestinal conditions: Results from the 2012 National Health Interview Survey. Am J Gastroenterol. 2014;109(11):1705-11. [PubMed] [PMC]
- Xue CC, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: a national population-based survey. J Altern Complement Med. 2007;13(6):643-50. [PubMed]
- Upchurch DM, Chyu L, Greendale GA, Utts J, Bair YA, Zhang G, et al. Complementary and alternative medicine use among American women: findings from The National Health Interview Survey, 2002. J Womens Health (Larchmt). 2007;16(1):102-13. [PubMed]
- Harris PE, Cooper KL, Relton C, Thomas KJ. Prevalence of complementary and alternative medicine (CAM) use by the general population: A systematic review and update. Int J Clin Pract. 2012;66(10):924-39. [PubMed]
- Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med. 2002;55(6):1025-37. [PubMed]
- Eardley S, Bishop FL, Prescott P, Cardini F, Brinkhaus B, Santos-Rey K, et al. A systematic literature review of complementary and alternative medicine prevalence in EU. Forsch Komplementmed. 2012;19 Suppl 2:18-28. [PubMed]
- James PB, Wardle J, Steel A, Adams J. Traditional, complementary and alternative medicine use in Sub-Saharan Africa: A systematic review. BMJ Glob Health. 2018;3(5):e000895. [PubMed] [PMC]
- 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. [Link]
- Aktaş YY, Karabulut N. A cross sectional study on complementary and alternative medicine use among a sample of Turkish hospital outpatients with chronic lower back pain. Eur J Integr Med. 2017;16(DEC):33-8. [Link]
- Wazaify M, Alawwa I, Yasein N, Al-Saleh A, Afifi FU. Complementary and alternative medicine (CAM) use among Jordanian patients with chronic diseases. Complement Ther Clin Pract. 2013;19(3):153-7. [PubMed]
- Sharma E, Dubey AK, Malhotra S, Manocha S, Handu S. Use of complementary and alternative medicines in Indian elderly patients. Natl J Physiol Pharm Pharmacol. 2017;7(9):929-34. [Link]
- Joos S, Rosemann T, Szecsenyi J, Hahn EG, Willich SN, Brinkhaus B. Use of complementary and alternative medicine in Germany - a survey of patients with inflammatory bowel disease. BMC Complement Altern Med. 2006;6:19. [PubMed] [PMC]
- Krug K, Kraus KI, Herrmann K, Joos S. Complementary and alternative medicine (CAM) as part of primary health care in Germany-comparison of patients consulting general practitioners and CAM practitioners: a cross-sectional study. BMC Complement Altern Med. 2016;16(1):409. [PubMed] [PMC]
- Ossendorfa A, Schulteb E, Hermannb K, Hagmeisterb H, Schenkb M, Kopfc A, et al. Use of complementary medicine in patients with chronic pain. Eur J Integr Med. 2009;2(1):93-8. [Link]
- Culha İ, Kosgeroglu N, Türe A, Kersu Ö, Ayvazcık A. Complementary and Alternative Medicine (CAM) use among Turkish surgical patients. Int J Caring Sci. 2016;9(2):603. [Link]
- Baron SE, Goodwin RG, Nicolau N, Blackford S, Goulden V. Use of complementary medicine among outpatients with dermatologic conditions within Yorkshire and South Wales, United Kingdom. J Am Acad Dermatol. 2005;52(4):589-94. [PubMed]
- Linde K, Jonas WB, Melchart D, Willich S. The methodological quality of randomized controlled trials of homeopathy, herbal medicines and acupuncture. Int J Epidemiol. 2001;30(3):526-31. [PubMed]
- Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280(18):1569-75. [PubMed]
- Şaş S, Büyükturan Ö, Büyükturan B. Kas iskelet sistemi hastalıklarında tamamlayıcı ve alternatif tıp yöntemleri kullanım sıklığının değerlendirilmesi [Assessment of complementary and alternative medicine methods in patients with musculoskeletal system diseases]. Sakarya Tıp Dergisi. 2018;8(3):481-8. [Link]
.: İşlem Listesi