Ustuner Top Fadime, Konuk Sener Dilek, Cangur Sengul
Department of Nursing, School of Health Sciences, Giresun University, Giresun, Turkey.
Department of Nursing, School of Health Sciences, Duzce University, Duzce, Turkey.
J Spec Pediatr Nurs. 2017 Jul;22(3). doi: 10.1111/jspn.12186. Epub 2017 Jun 21.
This study was conducted to determine the pediatric usage of complementary/alternative medicine (CAM) by parents in Turkey, the incidence of using these methods, and the factors affecting their use.
The sectional and relational design of the study included a sample of 497 parents who took children for treatment at the Maternity and Children's Hospital in Giresun, Turkey. Data for the study were collected via the Personal Information Form and the Evaluation Form for Complementary/Alternative Treatment Use. The data collection tools were filled out by the researchers during the face-to-face interviews. Data obtained from the study were analyzed by Pearson chi-square, Fisher-Freeman-Halton and Fisher's exact (posthoc Bonferroni) tests and Z-test.
It was determined that 97.7% of the parents had used at least one CAM method. Moreover, the parents had used CAM methods mostly for respiratory complaints. The CAM methods were most commonly used for the symptoms of fever, diarrhea, and cough. It was observed that the most commonly used alternative methods in the past were vitamin/mineral remedies, cold treatments, and hodja (Islamic teacher) consultations, while the most common alternative methods currently used are massage, music, and cold treatment. In addition, the differences found between CAM users in terms of sociodemographic characteristics were not statistically significant.
It is crucial for nurses to learn the characteristics of the health/disease treatments used by those with whom they work in order to increase the efficiency of the service they provide. Thus, it was recommended that nurses should be knowledgeable and aware of the benefits/side effects, treatment methods, and contraindications of CAM.
本研究旨在确定土耳其父母对儿童补充和替代医学（CAM）的使用情况、这些方法的使用发生率以及影响其使用的因素。
本研究采用横断面和相关性设计，样本为497名带孩子到土耳其吉雷松市妇幼医院就诊的父母。研究数据通过个人信息表和补充/替代治疗使用评估表收集。数据收集工具由研究人员在面对面访谈期间填写。从研究中获得的数据通过Pearson卡方检验、Fisher-Freeman-Halton检验、Fisher精确检验（事后Bonferroni检验）和Z检验进行分析。
确定97.7%的父母至少使用过一种补充和替代医学方法。此外，父母使用补充和替代医学方法主要是针对呼吸道疾病。补充和替代医学方法最常用于发烧、腹泻和咳嗽症状。观察到过去最常用的替代方法是维生素/矿物质疗法、感冒治疗和与霍贾（伊斯兰教教师）咨询，而目前最常用的替代方法是按摩、音乐和感冒治疗。此外，补充和替代医学使用者在社会人口统计学特征方面的差异无统计学意义。
护士了解与其共事者所采用的健康/疾病治疗方法的特点，对于提高他们提供的服务效率至关重要。因此，建议护士应了解并知晓补充和替代医学的益处/副作用、治疗方法及禁忌证。
