Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Kemoterapi Alan Çocuklarda Tamamlayıcı Tedavi Kullanımı
Use of Complementary Medicine in Children Receiving Chemotherapy
Hacer KOBYA BULUTa, Meral BEKTAŞb
aHemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, Karadeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi,
bÇocuk Onkolojisi BD, Karadeniz Teknik Üniversitesi Tıp Fakültesi, Trabzon, TÜRKİYE
J Tradit Complem Med. 2019;2(3):106-17
doi: 10.5336/jtracom.2019-70968
Article Language: TR
Full Text
ÖZET
 Amaç: Kemoterapi alan çocukların tamamlayıcı tedavi kullanma durumlarını, sıklığını, kullanılan ürünleri, kullanma nedenlerini, yarar-zarar görme durumlarını ve tamamlayıcı tedavi kullanımını etkileyen sosyodemografik özellikleri belirlemektir. Gereç ve Yöntemler: Tanımlayıcı olarak yapılan araştırma, pediatrik hematoloji-onkoloji bölümünde kemoterapi alan 66 çocuk ve ebeveyni ile yürütülmüştür. Veriler, araştırmacılar tarafından hazırlanan anket formu kullanılarak toplanmıştır. Elde edilen veriler SPSS (Statistical Package For Social Sciences) 23.0 paket programı kullanılarak değerlendirilmiştir. Sonuçlarda %95 güven aralığı ve anlamlılık seviyesi olarak p<0,05 kullanılmıştır. Bulgular: Kemoterapi alan çocukların %80,3'ünün bitkisel, %97'sinin besinsel ve %97'sinin zihinsel-bedensel ürün ve yöntem kullandıkları belirlenmiştir. Ebeveynler, çocuklarına kullanılan bu ürün ve yöntemleri, kemoterapiye bağlı oluşan enfeksiyon, nötropeni, ağız yarası gibi yan etkileri ve kanser hastalığını iyileştirmek için kullandıklarını ifade etmişlerdir. Bitkisel olarak sıklıkla ıhlamur, zencefil, zerdeçal ve çörek otu; besinsel olarak da sıklıkla bal, nar, keçiboynuzu pekmezi kullandıkları görülmüştür. Ebeveynler, çocuklarına kullandıkları ürünleri doktor (%54,5) ve hemşireler (%69,7) ile paylaşmamaktadır. Ebeveynlerin %74,2'si çocukların kullandıkları ürünlerden yarar gördüğünü ifade etmiştir. Tamamlayıcı tedavi kullanımı ile ebeveynlerin yaşı, eğitim durumu, meslekleri, gelir düzeyi, çocukların yaşı, cinsiyeti, tanısı ve hastalık süresi arasında anlamlılık bulunmamıştır (p>0,05). Sonuç: Ebeveynler, çocuklarının hastalığını ve kemoterapinin yan etkilerini tedavi etmek için yüksek oranlarda tamamlayıcı tedavi kullanılmaktadır. Ebeveynlerin kendileri, tamamlayıcı tedavileri çocuklarına uygulamaktadır. Sağlık profesyonelleri bu hastalarla iletişimlerini geliştirmeli, hastalara güvenilir bilgi sunmalı ve olası kemoterapi ilaçları ile tamamlayıcı tedavide kullanılan ürünlerin etkileşimlerini ve kullanılan ürünlerin kemoterapinin yan etkilerine etkisini belirlemek için araştırmalar başlatmalıdır.

Anahtar Kelimeler: Tamamlayıcı tedaviler; çocuk onkolojisi; kemoterapi; pediatri hemşiresi
ABSTRACT
 Objective: The aim of the study was to determine the possible effects of socio-demographic characteristics of children and their parents on the use of complementary medicine, its frequency of use, the products, the reasons for use, and their benefits and harms in children receiving chemotherapy. Material and Methods: This descriptive study was conducted with 66 children receiving chemotherapy in pediatric hematology-oncology department and their parents. The data were collected using a survey form. Data were analyzed using SPSS (Statistical Package for Social Sciences) 23.0 package program. 95% confidence interval and significance level were used as p<0.05. Results: It was determined that 80.3%, 97% and 97% of children receiving chemotherapy used herbal, nutritional and mind-body products and methods. Parents stated that these products and methods used to treat their children to treat side effects such as infections, neutropenia, mouth sores and cancer. They often used linden, ginger, turmeric and black cumin seeds as herbal products, and honey, pomegranate and carob molasses as nutritional products. The parents stated that they did not inform the physicians (54.5%) and nurses (69.7%) about the products they used and their children benefited from the products (74.2%). No significant difference was found between the use of complementary medicine and socio-demographic characteristics (p>0.05). Conclusion: Complementary medicine methods are considerably used to eliminate the side effects of cancer and chemotherapy in children. Parents themselves apply these therapies to their children. Health professionals should improve their communication with these patients, provide reliable information, and studies should be done to determine the possible interactions of chemotherapy drugs with complementary products and the effects of these products on the side effects of chemotherapy.

Keywords: Complementary therapies; pediatrik oncology; chemotherapy; pediatric nurses
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