Astým Tanýsý ile Takip Edilen Çocuklarda Tamamlayýcý ve Alternatif Týp Kullanýmý ve Ailelerinin Tutumlarý

GÝRÝÞ ve AMAÇ: Astým, yaþam kalitesini etkileyen, hava yolu aþýrý duyarlýlýðýyla iliþkili kronik hava yolu inflamasyonu ile karakterize bir hastalýktýr. Astým tedavisinde dünya genelinde kabul görmüþ tedavi kýlavuzlarý olmasýna raðmen çoðu hasta, hem tedavi sýrasýnda yaþanan sýkýntýlar ve yan etki korkularý hem de uzun süreli ilaç kullanma gibi nedenlere baðlý olarak Tamamlayýcý ve Alternatif Týp (TAT) yöntemlerini tercih edebilmektedir. Bu çalýþmada astým tanýsý ile takip edilen çocuklarda tamamlayýcý alternatif týp kullanýmýnýn ve ailelerin tutumlarýnýn belirlenmesi amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Tanýmlayýcý nitelikteki araþtýrma 3-17 yaþ arasýndaki astým tanýlý çocuklarda gerçekleþtirilmiþtir. Hasta yakýnlarýna, kullandýklarý TAT yöntemlerini belirlemek amacýyla anket formu uygulanmýþtýr. Ailelerinin tutumlarýný tespit edebilmek için Bütüncül Tamamlayýcý ve Alternatif Týbba Karþý Tutum Ölçeði uygulanmýþtýr.
BULGULAR: Aileler tarafýndan TAT yöntemlerinin en sýk “Hastalýk ile savaþmak için mümkün olan her þeyi yapmak” (%46,46) amaçlý tercih edildiði ve bu bilgiyi “aile üyeleri/ arkadaþ/komþu/yakýnlarýn” önerisi (%56,30) ile uyguladýklarý belirlendi. TAT yöntemlerini %66,53 oranýnda 1-6 ay arasýnda kullandýklarý ve bu yöntemin kullanýmýnýn %53,94 oranýnda tedavide baþarý saðladýðýný düþündükleri bulundu. Medikal tedaviden memnuniyetsizlik ve ümitsizlik yaþayan ailelerin ortanca 25 (20-39) puan ile tamamlayýcý ve alternatif týbba karþý pozitif tutumlarýnýn arttýðý ve istatistiksel olarak anlamlý olduðu belirlendi (p=0,035).
TARTIÞMA ve SONUÇ: Çocuklarýnda astým hastalýðý olan ailelerin TAT kullaným oranlarýnýn yüksek olduðu ve TAT kullanýmýna yönelik pozitif tutum sergiledikleri bulunmuþtur. Giderek artan oranlarda TAT kullanýmý, saðlýk çalýþanlarýnýn da bu konuda bilgi sahibi olma ihtiyacýný ortaya koymaktadýr.

The Use of Complementary and Alternative Medicine in Children Followed by Asthma Diagnosis and Attitudes of Families

INTRODUCTION: Asthma is a disease that affects the quality of life and is characterized by chronic airway inflammation associated with airway hypersensitivity. Although there are worldwide accepted treatment guidelines in the treatment of asthma, most patients use Complementary and Alternative Medicine (CAM) methods for many reasons, such as both insufficiencies in treatment and fears of side effects and long-term medication. This study aimed to determine the use of complementary & alternative medicine and the attitudes of families in children followed with the diagnosis of asthma.
METHODS: This descriptive study was carried out in children diagnosed with asthma between the ages of 3-17. A questionnaire was applied to the patients' relatives to determine CAM methods. The Holistic CAM Questionnaire was applied to determine the attitudes of their families.
RESULTS: It was determined by families that they prefer using CAM to “Do everything possible to fight the disease” (46.46%) and use this information with the recommendation “Family members/friends/neighbors/relatives” (56.30%). It was found that they used CAM methods 66.53% between 1-6 months, and they thought that the use of the CAM method achieved 53,94% success in treatment. It was determined that families with dissatisfaction and hopelessness from medical treatment had a positive attitude of 25 (20-39) with complementary and alternative medicine and were statistically significant(p=0.035).
DISCUSSION AND CONCLUSION: It was found that the use of CAM is high in families with asthma in their children and that they have a positive attitude towards CAM use. The increasing use of CAM shows the need for healthcare professionals to be informed about this issue.