Ataman Hacer, Aba Yılda Arzu, Güler Yasemin
Department of Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey (Dr Ataman); Department of Nursing, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, Turkey (Dr Aba); and Memorial Sisli Hospital, Fertility Center, Istanbul, Turkey (Ms Güler).
Holist Nurs Pract. 2019 Sep/Oct;33(5):303-311. doi: 10.1097/HNP.0000000000000339.
The purpose of this study is to assess the rate of women receiving treatment of infertility who use complementary and alternative medicine (CAM), CAM methods, and the effect of these methods on their quality of life. This cross-sectional and descriptive study was conducted with 797 women applying to the in vitro fertilization center of a private hospital located in Istanbul, Turkey. The data were collected using the Personal Information Form and the "Fertility Quality of Life Questionnaire." Fertility Quality of Life Questionnaire is scored between 0 and 100. High scores signify high quality of life. The data were assessed by using mean, standard deviation, number, percentage, t test, and 1-way analysis of variance test. It was found that 36.9% of the women used CAM and 17.9% used CAM along with the infertility treatment. Educational level of infertile women, educational level of their husbands, income level, regular drug use, infertility factor, the use of CAM, and the use of CAM and infertility treatment statistically significantly affected the quality of life (P < .05). The mostly preferred CAM was prayer/worship (25.1%) and phytotherapy (15.2%). The participants had a mean score of 68.79 ± 12.99 from overall Fertility Quality of Life Questionnaire questionnaire. The quality of life of the participants was at a good level. The use of acupuncture and phytotherapy significantly affected the quality of life. Since phytotherapy may interact with the drugs, it is important for nurses to routinely ask patients about their use of phytotherapy. Further evidence-based studies on these practices need to be conducted.
本研究的目的是评估使用补充和替代医学(CAM)的不孕妇女接受治疗的比例、CAM方法,以及这些方法对其生活质量的影响。这项横断面描述性研究是对797名申请位于土耳其伊斯坦布尔一家私立医院体外受精中心的女性进行的。数据通过个人信息表和“生育生活质量问卷”收集。生育生活质量问卷的评分范围为0至100分。高分表示生活质量高。数据通过均值、标准差、数量、百分比、t检验和单因素方差分析进行评估。结果发现,36.9%的女性使用CAM,17.9%的女性在接受不孕治疗的同时使用CAM。不孕女性的教育水平、其丈夫的教育水平、收入水平、常规药物使用情况、不孕因素、CAM的使用,以及CAM与不孕治疗的联合使用在统计学上对生活质量有显著影响(P < 0.05)。最常使用的CAM是祈祷/礼拜(25.1%)和植物疗法(15.2%)。参与者在生育生活质量问卷总体上的平均得分为68.79 ± 12.99分。参与者的生活质量处于良好水平。针灸和植物疗法的使用对生活质量有显著影响。由于植物疗法可能与药物相互作用,护士定期询问患者植物疗法的使用情况很重要。需要对这些做法进行进一步的循证研究。