Gastrointestinal sistem kanaması sebebiyle yatan hastalarda akılcı ilaç kullanımı ve geleneksel tamamlayıcı tıp kullanımının incelenmesi

Abstract

AIM: The aim of this study was to determine the knowledge levels of rational drug use, the attitudes to traditional and complementary medicine, and the relationship between these in patients admitted to the Internal Medicine Clinic because of gastrointestinal system bleeding. 
 METHOD: This descriptive, cross-sectional study was conducted with 124 patients hospitalised in the Internal Medicine Clinic of a training and research hospital with a diagnosis of gastrointestinal bleeding between 01.06.2022 and 01.10.2022.
 An Information Form including demographic and clinical characteristics, the Rational Drug Use Scale (RDUS), and the Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS) were applied to the patients. The data obtained were analyzed statistically using SPSS vn. 23.0 software. 
 RESULTS: For the whole sample of patients hospitalised with a diagnosis of gastrointestinal system bleeding, the mean RDUS points were determined to be 19.8±4.17 and the mean total CACMAS points were 96.76±15. In the subscales of the CACMAS, the mean points were determined to be 28.15±9.42 for philosophical congruence with complementary medicine, 23.23±10.39 for dissatisfaction with conventional medicine, and 45.38±8.18 for holistic balance. 
 The RDUS points were found to be significantly higher in females (20.33±4.37, p:0.04), patients with a good income status (22.17±4.02, p:0.03) and those who did not use painkillers (21.21±4.00, p:0.01) compared to other subgroups. The CACMAS subscale mean points for philosophical congruence with complementary medicine were determined to be significantly higher in males (29.77±9.52, p:0.03), patients who were single (36.33±9.06, p:0.002), and those who used anticoagulants (32.95±10.77, p: 0.04). The dissatisfaction with conventional medicine subscale points were determined to be significantly higher in females (26.04±9.74, p: 0,03), patients with a low income (30±15.17, p: 0.03) and those who used painkillers (26±10.67, p:0.01), and the holistic balance points were determined to be significantly higher in females (47.24±7.33, p: 0.02) and those who used medication regularly (46.49±8.34, p:0.02) compared to other sub-groups. A statistically significant negative correlation was found between rational drug use and dissatisfaction with conventional medicine (r=-0.381, p