Tip 2 diabetes mellitusu olan Türk yetişkinlerde tamamlayıcı ve alternatif tıp kullanımı ve öz-etkililik düzeyi

Yıl 2019, Cilt: 44 Sayı: 2, 309 - 318, 30.06.2019

Alime Selçuk Tosun , Handan Zincir , Elif Eliş

https://doi.org/10.17826/cumj.441296

Cited By: 5

Öz

Amaç:  Bu çalışma Tip 2 diabetes mellitus’u olan bireylerin kan glikoz kontrolünde
uyguladıkları tamamlayıcı
ve alternatif tıp, öz-etkililik düzeyi
ve TAT kullanımını etkileyen faktörleri belirlemek amacıyla
yapılmıştır.

Gereç ve Yöntem: Bu çalışma
bir üniversite hastanesinde toplamda 350 diabetes mellitus’u olan birey ile
tanımlayıcı olarak yapılmıştır. Verilerin toplanmasında bireylerin
tanıtıcı ve hastalık özelliklerini içeren kişisel anket formu, Tip 2 Diyabetlilerde Öz-Etkililik (Yeterlik)
Ölçeği ve tamamlayıcı ve alternatif tıp soru formu kullanılmıştır.

Bulgular: Çalışmaya
katılan tüm bireylerin yaş ortalaması 55.83±8.82 (min: 29-max:78 )’dir. Bireylerin
mevcut durumda TAT kullanım oranları %38.3 olduğu tespit edilmiştir. TAT
kullanan hastaların büyük çoğunluğunun bitkisel bir ürün kullandığı
saptanmıştır. Mevcut çalışmada en yaygın kullanılan ilk üç bitkisel ürün tarçın
(%44.0), limon (%22.0) ve çörek otudur (%17.0). Lojistik regresyon analizine
göre de öz-etkililik toplam puanı, açlık kan şekeri, hekim kontrolüne 6 ay
üzerinde gitmenin
TAT
kullanma durumu için önemli
belirleyiciler olduğu saptanmıştır.   

Sonuç: Tamamlayıcı
ve alternatif tedavilerden özellikle bitkisel ürünlerin yaygın olarak
kullanıldığı belirlenmiştir. Hastaların çoğunluğunun rutin kontrollerinde TAT
kullanımı ile ilgili sağlık çalışanlarını bilgilendirmedikleri saptanmıştır. Bu
açılardan diyabet yönetiminde önemli rolleri olan ve hastayla daha fazla zaman
geçiren ve doğrudan bakımlarında görev alan özellikle hemşirelerin TAT kullanım
durumunu sorgulamaları, bireylerin de sağlık çalışanlarını TAT kullanımı
konusunda bilgilendirmelerinin önemi konusunda vurgu yapmak gerekmektedir.

Anahtar Kelimeler

Tip 2 diabetes mellitus, tamamlayıcı ve alternatif tıp, öz-etkililik, hemşirelik

Complementary and alternative medicine use and self-efficacy level in Turkish adults with type 2 diabetes mellitus

Öz

Purpose:This study was conducted to determine the complementary and
alternative medicine used by individuals with type 2 diabetes mellitus for
blood glucose control as well as their self-efficacy level and the factors
affecting the use of CAM. 

Materials and Methods:This descriptive study was conducted with a total of 350
individuals with diabetes mellitus in a university hospital. In order to collect the data,
Personal information form including descriptive and disease characteristics of
the individuals, Self-efficacy Scale for patients with Type 2 Diabetes, and the
complementary and alternative medicine questionnaire were used.  

Results:The average age of all individuals participated in the study
was 55.83±8.82 (min: 29-max:78). The rate of current CAM use of the patients was 38.3%.
According to the logistic regression analysis, self-efficacy total score,
fasting blood glucose, and going to physician control after 6 months were found
to be the important determinants for the use of CAM. 

Conclusion:Especially herbal products from the complementary and
alternative medicine methods were determined to be commonly used. It was also determined that the
majority of the patients did not inform the healthcare professionals about the
use of CAM during their routine controls. In this respect, especially the
nurses, who have important roles in diabetes management, spend more time with
the patients, and involve directly in their care, should question the use of
CAM and the importance of informing the healthcare professionals by the
individuals about the use of CAM should be emphasized.

Anahtar Kelimeler

Type 2 diabetes mellitus, complementary and alternative medicine, self-efficacy, nursing

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