Alime SELÇUK TOSUN, Handan ZİNCİR, Elif ELİŞ

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

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

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.

Keywords:

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

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