Hüseyin Tuğrul ATASOY, Bekir Enes DEMİRYÜREK, Ufuk EMRE, Osman KORUCU, Fatma Nida TAŞÇILAR, Banu Özen BARUT

Baş Ağrısı Hastalarında Tamamlayıcı ve Alternatif Tedavi Kullanımı

Giriş: Dünyada baş ağrısında tamamlayıcı ve alternatif tedavi (TAT) yöntemleri kullanımına yönelik çalışmalar artan sıklıkta yapılmakta ve hastaların bu tedaviye başvurma nedenleri araştırılmaktadır. Çalışmamızın amacı ülkemizdeki baş ağrısı hastalarında TAT yöntemlerinin yerini ve nedenlerini belirlemektir. Yöntem: Çalışmamıza nöroloji polikliniğinde primer baş ağrısı tanısı konulmuş çalışmaya katılmayı kabul eden 200 hasta dâhil edildi. Hastaların sosyodemografik verileri, TAT kullanım sıklığı, tercih edilen TAT yöntemi, memnuniyet oranları, TAT’a bakış açısı, tavsiye kaynakları, tıbbi tedaviye devam edip etmedikleri ve TAT’a başvuru sebepleri sorgulandı. Bulgular: Hastaların % 26’sı TAT kullanırken, TAT kullananlarda tedaviden memnuniyet oranı % 55,7 bulundu. TAT kullananlar kullanmayanlara göre daha gençti (p= 0,033). TAT kullanımı işsiz, öğrenci, tam gün çalışan gruplarında diğer meslek gruplarına göre (p= 0,042), bekârlarda evlilere oranla (p= 0,026) ve eğitim düzeyi yüksek olanlar da düşük olanlara göre (p= 0,009) daha fazlaydı. En sık TAT’a başvuru sebebinin ‘Bu tedavinin baş ağrısını etkili şekilde tedavi ettiğine inanma’ olduğu bulundu. TAT kullanan hastaların % 85’i önerilen tıbbi tedaviye de devam etmişti. Sonuç: Bekâr ve eğitim düzeyi yüksek bir hastanın TAT kullanımı için daha yüksek oranda aday olduğunu saptadık. Hastalarımızın önemli oranda TAT ile birlikte medikal tedaviye devam etmesi ülkemizde TAT’lerin tek başına kullanımının halen genel kabul görmediğini göstermektedir.

The Use of Complemantary and Alternative Treatment in Headache Patients

Objective: Complementary and alternative treatment methods (CAM) areused frequently for patient have primary headache patients and manystudies investigate why it is used. Our aim is to determine reason of usingCAM and application locations of CAM in our country.Methods: Two hundred patients who were diagnosed primary headache andaccepted to participate in our study were enrolled. We investigatesociodemographic data, CAM usage frequency, preferred CAM, satisfactionrates, thought on CAM use, recommendation sources, whether medicaltreatment continues or not and reason of CAM usage.Results: The 26% of patients were using CAM and 55,7% of those using CAMwere satisfied with the treatment. Patients using CAM were younger thanthose who did not use (p=0,033). Unemployed, students and all-dayemployees; single people and well-educated people were using CAM moreoften (p=0,042; p=0,026; p=0,009, respectively). The most frequent reason ofCAM usage was 'effective treatment of headache of this treatment methods'.85% of CAM users had also continued medical treatment.Conclusion: We found single and well-educated patients more likelycandidate for CAM. High rates of CAM and medical treatment usageindicates that CAM only treatments are not generally accepted in ourcountry.

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