Araştırma Makalesi
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Anesthesiologists’ perspective, knowledge and practice in traditional and complementary medicine

Yıl 2019, Cilt: 44 Sayı: 4, 1237 - 1242, 29.12.2019
https://doi.org/10.17826/cumj.484542

Öz

Purpose: The aim of this study is to determine the perspectives of anaesthesia physicians on traditional and complementary medicine (TCM) practices, their personal experiences, the training they have received and the professional application areas of these practices.

Materials and Methods: A questionnaire was sent by e-mail to the faculty members, specialists and assistant doctors who can be reached and work in the field of anaesthesia in Turkey. In the research, in addition to the demographic characteristics and the questions regarding the perspective on TCM practice, its reliability and its clinical use, 24 questions about these individuals' perspective on graduate education, the training they have received, their scientific publications and the need for prospective publications were asked. 

Results: Four hundred and sixtytwo participants were included in the study. 75.3% of the anaesthesiologists did not use TCM methods we questioned. 61.3% of the participants were women. The most commonly applied (12%), most widely known (71.9%), most trusted (72.9%) and most trained (17%) TCM method was acupuncture. 75.4% of the participants were willing to use at least one TCM method in their profession. Chronic pain and anxiety were noted as the most common known indications (67.5% and 62.6% respectively). 53.9% of the participants were in favour of graduate education.

Conclusion: Most of the anesthesiologists in Turkey are leaning towards the use of traditional and complementary medicine in their profession. We believe that the traditional and complementary medicine practices will increase when the appropriate clinical setting is provided.


Kaynakça

  • 1. Aveni E, Bauer B, Ramelet AS, Decosterd I, Ballabeni P, Bonvin E, Rodondi PY. Healthcare professionals' sources of knowledge of complementary medicine in an academic center. Healthcare professionals' attitude toward complementary medicine. 2017. PLoS ONE 12(9): e0184979. https://doi.org/ 10.1371/journal.pone.0184979
  • 2. Soós SA, Jeszenői N, Darvas K, and Harsányi L. Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary. Complementary and Alternative Medicine. 2016;16:443. DOI 10.1186/s12906-016-1426-0
  • 3. Organization WH. WHO traditional medicine strategy 2014-2023, vol. 2013;p.306-21.
  • 4. Faircloth A. Perceptions of Acupuncture and Acupressure by Anesthesia Providers (thesis). Virginia: Virginia Commonwealth University Richmond; September, 2014.
  • 5. Wahner-Roedler DL, Vincent A, Elkin PL, Loehrer LL, Cha SS, Bauer BA. physicians’ attitudes toward complementary and alternative medicine and their knowledge of specific therapies: a survey at an academic medical center. eCAM 2006;3:495-501. doi:10.1093/ecam/nel036
  • 6. Lim MK, Sadarangani P, Chan HL, Heng JY. Complementary and alternative medicine use in multiracial Singapore. Complementary Therapies in Medicine. 2005;13:16-24.
  • 7. Brugnoli MP, Pesce G, Pasin E, Basile FM, Tamburin S, Polati E. The role of clinical hypnosis and self-hypnosis to relief pain and anxiety in severe chronic diseases in palliative care: a 2-year longterm follow-up of treatment in a nonrandomized clinical trial. Ann Palliat Med. 2018;7:17-31
  • 8. Sim CK, Xu PC, Pua HL, Zhang G, Lee TL. Effects of electroacupuncture on intraoperative and postoperative analgesic requirement. Acupunct Med. 2002;20:56-65.
  • 9. Garcia MK, McQuade J, Haddad R, Patel S, Lee R, Yang P, Palmer JL, Cohen L. Systematic Review of Acupuncture in Cancer Care: A Synthesis of the Evidence. J Clin Oncol. 2013;31:952-960.
  • 10. Zhou, J, Chi H, Cheng T, Chen T, Wu Y, Zhou W, Yuan L. Acupuncture anesthesia for open heart surgery in contemporary China. International Journal of Cardiology. 2011;150:12-16.
  • 11. Arendt KW, Tessmer-Tuck JA. Nonpharmacologic Labor Analgesia. Clin Perinatol. 2013;40:351–37. http://dx.doi.org/10.1016/j.clp.2013.05.007
  • 12. Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia. 2005:60:978-981.
  • 13. Facco E. Hypnosis and anesthesia: back to the future. Minerva Anestesiol. 2016;82:1343-56.
  • 14. Sun Y. Gan TJ, Dubose JW, Habib AS. Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials. Br J Anaesth. 2008;101:151-60.
  • 15. Montgomery GH, Hallquist MN, Schnur JB et al. Mediators of a brief hypnosis intervention to control side effects in breast surgery patients: Response expectancies and emotional distress. J Consult Clin Psychol. 2010; 78: 80-88.
  • 16. T.C. Sağlık Bakanlığı, geleneksel ve tamamlayıcı tıp uygulamaları daire başkanlığı. yönetmelikler http://www.getatportal.saglik. gov.tr/tr,8460/yönetmelikler.html, Güncelleme Tarihi: 24/11/2014 Erişim Tarihi (5 Şubat 2015)
  • 17. Furlow ML, Patel DA, Sen A, Liu JR. Furlow Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology. BMC Complementary and Alternative Medicine 2008; 8:35.
  • 18. Akkuzu G, Yılmaz B. Ün DD. Başkent üniversitesi öğrencilerinin bütüncül tıp (integratif tıp) konusundaki farkındalıklarının incelenmesi. J Tradit Complem Med 2018;1:10-7.
  • 19. Sadeghi M, Rabiepoor S, Forough AS, Jabbari S, Shahabi S. A Survey of Medical Students’ Knowledge and Attitudes Toward Complementary and Alternative Medicine in Urmia. Journal of Evidence-Based Complementary & Alternative Medicine. 2016;21:306-310.

Anestezistlerin geleneksel ve tamamlayıcı tıbba bakışı, bilgi ve uygulamaları

Yıl 2019, Cilt: 44 Sayı: 4, 1237 - 1242, 29.12.2019
https://doi.org/10.17826/cumj.484542

Öz

Amaç: Bu çalışmada amaç, anestezi doktorlarının geleneksel ve tamamlayıcı tıp  (GETAT) uygulamalarına bakışı, kişisel deneyim, mesleki uygulama alanları ve aldıkları eğitimi belirlemektir.

Gereç ve Yöntem: Türkiye’deki ulaşılabilen anestezi öğretim üyesi, uzman ve asistan doktorlara elektronik posta ile anket formu gönderilmiştir. Araştırmada demografik özellikler yanısıra, GETAT uygulamasına bakış, güven ve klinik kullanımları ile ilgili sorulara ek olarak bu konuda üniversitede eğitime bakışları, aldıkları eğitimler, bilimsel yayınları ve prospektif yayın ihtiyacı ile ilgili toplam 24 soru sorgulandı. 

Bulgular: Araştırmaya 462 katılımcı dahil olmuştur. Anestezistlerin %75.3’ü sorguladığımız GETAT yöntemlerini kullanmıyordu. Katılımcıların %61.3’ü kadındı. Anestezistler tarafından en çok uygulanan, en fazla bilgisi olunan, güvenilen ve eğitimi alınan GETAT yöntemi akupunktur idi (sırasıyla, %12, 71.9, 72.9 ve %17). Katılımcıların %75.4’ü ise mesleğinde en az bir GETAT yöntemini kullanmak istiyordu. Kronik ağrı ve anksiyete kullanımı bilinen endikasyonların başında belirtildi (sırasıyla, %67.5 ve %62.6). Üniversitelerde eğitim verilmesine katılımcıların %53’9’u olumlu yanıt verdi.

Sonuç: Türkiye’de anestezistlerin çoğunluğu mesleğinde geleneksel ve tamamlayıcı tıbbı kullanmaya sıcak bakmaktadır. Eğitim ile birlikte klinik uygun ortam sağlandığında geleneksel ve tamamlayıcı tıp uygulamalarının artacağını düşünüyoruz.


Kaynakça

  • 1. Aveni E, Bauer B, Ramelet AS, Decosterd I, Ballabeni P, Bonvin E, Rodondi PY. Healthcare professionals' sources of knowledge of complementary medicine in an academic center. Healthcare professionals' attitude toward complementary medicine. 2017. PLoS ONE 12(9): e0184979. https://doi.org/ 10.1371/journal.pone.0184979
  • 2. Soós SA, Jeszenői N, Darvas K, and Harsányi L. Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary. Complementary and Alternative Medicine. 2016;16:443. DOI 10.1186/s12906-016-1426-0
  • 3. Organization WH. WHO traditional medicine strategy 2014-2023, vol. 2013;p.306-21.
  • 4. Faircloth A. Perceptions of Acupuncture and Acupressure by Anesthesia Providers (thesis). Virginia: Virginia Commonwealth University Richmond; September, 2014.
  • 5. Wahner-Roedler DL, Vincent A, Elkin PL, Loehrer LL, Cha SS, Bauer BA. physicians’ attitudes toward complementary and alternative medicine and their knowledge of specific therapies: a survey at an academic medical center. eCAM 2006;3:495-501. doi:10.1093/ecam/nel036
  • 6. Lim MK, Sadarangani P, Chan HL, Heng JY. Complementary and alternative medicine use in multiracial Singapore. Complementary Therapies in Medicine. 2005;13:16-24.
  • 7. Brugnoli MP, Pesce G, Pasin E, Basile FM, Tamburin S, Polati E. The role of clinical hypnosis and self-hypnosis to relief pain and anxiety in severe chronic diseases in palliative care: a 2-year longterm follow-up of treatment in a nonrandomized clinical trial. Ann Palliat Med. 2018;7:17-31
  • 8. Sim CK, Xu PC, Pua HL, Zhang G, Lee TL. Effects of electroacupuncture on intraoperative and postoperative analgesic requirement. Acupunct Med. 2002;20:56-65.
  • 9. Garcia MK, McQuade J, Haddad R, Patel S, Lee R, Yang P, Palmer JL, Cohen L. Systematic Review of Acupuncture in Cancer Care: A Synthesis of the Evidence. J Clin Oncol. 2013;31:952-960.
  • 10. Zhou, J, Chi H, Cheng T, Chen T, Wu Y, Zhou W, Yuan L. Acupuncture anesthesia for open heart surgery in contemporary China. International Journal of Cardiology. 2011;150:12-16.
  • 11. Arendt KW, Tessmer-Tuck JA. Nonpharmacologic Labor Analgesia. Clin Perinatol. 2013;40:351–37. http://dx.doi.org/10.1016/j.clp.2013.05.007
  • 12. Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia. 2005:60:978-981.
  • 13. Facco E. Hypnosis and anesthesia: back to the future. Minerva Anestesiol. 2016;82:1343-56.
  • 14. Sun Y. Gan TJ, Dubose JW, Habib AS. Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials. Br J Anaesth. 2008;101:151-60.
  • 15. Montgomery GH, Hallquist MN, Schnur JB et al. Mediators of a brief hypnosis intervention to control side effects in breast surgery patients: Response expectancies and emotional distress. J Consult Clin Psychol. 2010; 78: 80-88.
  • 16. T.C. Sağlık Bakanlığı, geleneksel ve tamamlayıcı tıp uygulamaları daire başkanlığı. yönetmelikler http://www.getatportal.saglik. gov.tr/tr,8460/yönetmelikler.html, Güncelleme Tarihi: 24/11/2014 Erişim Tarihi (5 Şubat 2015)
  • 17. Furlow ML, Patel DA, Sen A, Liu JR. Furlow Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology. BMC Complementary and Alternative Medicine 2008; 8:35.
  • 18. Akkuzu G, Yılmaz B. Ün DD. Başkent üniversitesi öğrencilerinin bütüncül tıp (integratif tıp) konusundaki farkındalıklarının incelenmesi. J Tradit Complem Med 2018;1:10-7.
  • 19. Sadeghi M, Rabiepoor S, Forough AS, Jabbari S, Shahabi S. A Survey of Medical Students’ Knowledge and Attitudes Toward Complementary and Alternative Medicine in Urmia. Journal of Evidence-Based Complementary & Alternative Medicine. 2016;21:306-310.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma
Yazarlar

Seyda Efsun Özgünay 0000-0003-1501-9292

Dilek Özcengiz 0000-0003-4095-6712

Yayımlanma Tarihi 29 Aralık 2019
Kabul Tarihi 13 Mart 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 44 Sayı: 4

Kaynak Göster

MLA Özgünay, Seyda Efsun ve Dilek Özcengiz. “Anestezistlerin Geleneksel Ve tamamlayıcı tıbba bakışı, Bilgi Ve Uygulamaları”. Cukurova Medical Journal, c. 44, sy. 4, 2019, ss. 1237-42, doi:10.17826/cumj.484542.