İRRİTABL BAĞIRSAK SENDROMU HASTALARININ İLAÇ DIŞI YÖNTEMLERİ KULLANMA DURUMLARININ İNCELENMESİ

Amaç: Bu araştırma irritabl bağırsak sendromu olan hastaların ilaç dışı yöntemleri kullanma durumlarınınincelenmesi amacıyla yapıldı.Materyal ve Metot: Tanımlayıcı olarak yapılan bu araştırmaya, Ağrı Devlet Hastanesi dahiliye polikliniğineOcak-Haziran 2017 tarihleri arasında gelen 344 irritabl bağırsak sendromu hastası alındı. Verilerintoplanmasında soru formu kullanıldı. Verilerin değerlendirilmesinde standart sapma, ortalama, yüzde,minimum ve maksimum değerleri kullanıldı.Bulgular: Araştırmaya katılan hastaların %10,80’inin ilaç dışı yöntemleri kullandığı belirlendi. İlaç dışı yöntemkullanan hastaların %70,24’ünün bitkisel yöntemleri kullandığı tespit edildi. Bitkisel yöntem kullananhastaların %18,91’inin karışık bitki, %16,21’inin papatya, %2,70’inin kayısı, %5,40’ının yeşil, %2,70’ininrezene ve %2,70’inin nane çayı içtiği, %10,81’inin kayısı, %8,10’unun sebze ve meyve yediği, %2,70’inin ketentohumunu yoğurtla birlikte yediği saptandı. Hastaların %13,51’inin masaj, %10,80’inin egzersiz, %8,10’ununsıcak uygulama ve %5,40’ının el işi yaptığı belirlendi. Hastaların %2,70’inin müzik dinlediği ve %2,70’inin bolsu içtiği belirlendi. Hastaların %64,90’ının ilaç dışı yöntemle birlikte ilaçlarını da kullandığı tespit edildi.Sonuç: İrritabl Bağırsak Sendromu hastalarının ilaç dışı yöntemleri kullanma oranlarının düşük olduğu, en çokbitkisel yöntemlerin kullanıldığı ayrıca hastaların masaj, egzersiz, sıcak uygulama ve el işi yaptığı, müzikdinlediği ve bol su içtiği belirlendi. İlaç dışı yöntem kullanan hastaların tamamı, kullandıkları yöntemlerinşikayetleri üzerinde olumlu etki gösterdiğini belirttiler. İBS hastalarının kullandıkları ilaç dışı yöntemlerinetkilerinin, yan etkilerinin ve muhtemel ilaç etkileşimlerinin araştırılması önerilmektedir.

EXAMINATION OF NONPHARMACOLOGICAL METHOD USES OF PATIENTS WITH IRRITABLE BOWEL SYNDROME

Objectives: This study was conducted to examine the nonpharmacological method uses of patients with irritable bowel syndrome. Materials and Methods: 344 irritable bowel syndrome patients who referred to Ağrı State Hospital Internal Medicine outpatient clinic between January and June 2017 were included in this descriptive study. A questionnaire form was used in the collection of research data. Standard deviation, average, percentage, minimum and maximum values were used in the assessment of data. Results: It was found that 10.80% of the patients included in the study used nonpharmacological methods. It was determined that 70.24% of the patients using non-drug methods used herbal methods. It was found that of the patients who used herbal methods, 18,91% drank mixed herbal tea, 16,21% drank chamomile tea, 2,70% drank apricot tea, 5,40% drank green tea, 2,70% drank fennel tea and 2,70% drank mint tea; while 10,81% ate apricot, 8,10% ate vegetable and fruit and 2,70% ate linseed with yogurt. 13.51% of the patients were found to have abdominal massage, 10.80% were found to have exercise, 8.10% were found to have hot application and 5.40% were found to do handicrafts. 2.70% of the patients were found to listen to music and 2.70% were found to drink too much water. 64.90% of the patients were found to use their medication in addition to nonpharmacological methods. Conclusion: It was found that irritable bowel syndrome patients had low levels of nonpharmacological methods and the most used method was herbal methods, while methods used other than nonpharmacological methods were massage, exercise, hot application and handicraft, listening to music and drinking too much water. All of the patients who used the non-pharmacologic method stated that the methods they used had positive effects on their complaints. It is recommended for the effects, adverse effects and possible drug interactions of non-pharmacologic methods used by irritable bowel syndrome patients to be investigated.

PDF

___

1. Lacy B, Patel N. Rome criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med 2017;6(11):99.
2. Chatila R, Merhi M, Hariri E, Sabbah N, Deeb ME. Irritable bowel syndrome: prevalence, risk factors in an adult Lebanese population. BMC Gastroenterol 2017;17(1):137.
3. Yilmaz Ş, Dursun M, Ertem M, Canoruc F, Turhanoğlu A. The epidemiological aspects of irritable bowel syndrome in Southeastern Anatolia: a stratified randomised community‐based study. Int J Clin Pract 2005;59(3):361-9.
4. Karaman N, Türkay C, Yönem O. Irritable bowel syndrome prevalence in city center of Sivas. Turk J Gastroenterol 2003;14(2):128-31.
5. Ford AC, Lacy BE, Talley NJ. Irritable Bowel Syndrome. N Engl J Med 2017;376(26):2566-78.
6. Kim YS, Kim N. Sex-gender differences in irritable bowel syndrome. J Neurogastroenterol Motil 2018;24(4):544-58.
7. Eriksson EM, Andrén KI, Kurlberg GK, Eriksson HT. Aspects of the non pharmacological treatment of irritable bowel syndrome. World J Gastroenterol 2015;21(40):11439-49.
8. Lahner E, Bellentani S, Bastiani RD, et al. A survey of pharmacological and nonpharmacological treatment of functional gastrointestinal disorders. United European Gastroenterol J 2013;1(5):385-93.
9. Grigoleit H-G, Grigoleit P. Peppermint oil in irritable bowel syndrome. Phytomedicine 2005;12(8):601- 6. 10. Ender S. Bitkiler, binlerce yıldır insanın hizmetinde. Aktarlar Derneği Dergisi 2014;1:8-11
11. 11. Saltan HG. Doğanın mucizelerinden güvenilir şekilde faydalanmak. Aktarlar Derneği Dergisi 2014;1:12-17.
12. Basnayake C. Treatment of irritable bowel syndrome. Aust Prescr 2018;41(5):145–9.
13. Villoria A, Serra J, Azpiroz F, Malagelada J-R. Physical activity and intestinal gas clearance in patients with bloating. Am J Gastroenterol 2006;101(11):2552-7.
14. El-Salhy M. Irritable bowel syndrome: diagnosis and pathogenesis. World J Gastroenterol 2012;8(37):5151–63.
15. 15. Kav T. Use of complementary and alternative medicine: a survey in Turkish gastroenterology patients. BMC Complement Altern Med 2009;9:41.
16. Li C-Y, Li S-C. Treatment of irritable bowel syndrome in China: a review. World J Gastroenterol 2015;21(8):2315-22.
17. Bensoussan A, Kellow JE, Bourchier SJ et al. Efficacy of a Chinese herbal medicine in providing adequate relief of constipation-predominant irritable bowel syndrome: a randomized controlled trial. Clin Gastroenterol Hepatol 2015;13(11):1946-54.
18. Khanna R, MacDonald JK, Levesque BG. Peppermint oil for the treatment of irritable bowel syndrome: a systematic review and meta-analysis. J Clin Gastroenterol 2014;48(6):505-12.
19. Özveren H. Ağrı kontrolünde farmakolojik olmayan yöntemler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2011;18(1):83-92.
20. Sinclair M. The use of abdominal massage to treat chronic constipation. J Bodyw Mov Ther 2011;15(4):436-45.
21. Kim M, Sakong JK, Kim EJ, Kim EH. Effect of aromatherapy massage for the relief of constipation in the elderly. J Korean Acad Nurs 2005;35(1):56-64.
22. Woodbury A, Soong SN, Fishman D, García PS. Complementary and alternative medicine therapies for the anesthesiologist and pain practitioner: a narrative review. Can J Anaesth 2016;63(1):69-85.
23. Johannesson E, Simrén M, Strid H, Bajor A, Sadik R. Physical activity improves symptoms in irritable bowel syndrome: a randomized controlled trial. Am J Gastroenterol 2011;106(5):915-22.
24. Camilleri M, Mayer EA. Developing irritable bowel syndrome guidelines through meta-analyses: does the emperor really have new clothes? Gastroenterology 2009;137(3):766-9.
25. Whitehead WE, Crowell MD, Robinson J, Heller B, Schuster M. Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. Gut 1992;33(6):825-30.
26. Dahl WJ, Stewart ML. Position of the Academy of Nutrition and Dietetics: health implications of dietary fiber. J Acad Nutr Diet 2015;115(11):1861-70.
27. Tan N, Yildirim E, Guldal D. Aile Hekimliği Pratiğinde Sık Görülen Bir Hastalık: İrritabl Bağırsak Sendromu. Turkish Journal of Family Medicine and Primary Care 2014;8(3):75-85.
28. McKay SL, Fravel M, Scanlon C. Management of constipation. Journal of gerontological nursing 2012;38(7):9-15.
29. Uzan MM, Polat AO, Ozan GS ve ark. Aile Hekimliği Polikliniği’ne Başvuran Hastalarda İrritabl Barsak Sendromu Sıklığı ve Bu Hastaların Sosyodemografik, Klinik ve Yaşam Tarzı Özellikleri. Ankara Med J 2018;18(4):690-8.
30. Singh D, Gupta R, Saraf SA. Herbs–are they safe enough? An overview. Crit Rev Food Sci Nutr 2012;52(10):876-98.
31. Lietman PS. Herbal medicine development: a plea for a rigorous scientific foundation. Am J Ther 2012;19(5):351-6.