29th WONCA Europe Conference , Dublin, İrlanda, 25 - 28 Eylül 2024, ss.1, (Özet Bildiri)
Complementary and Alternative Medicine Use Among Diabetes Mellitus Patients in University Family Health Care Centers in İzmir, Turkey: A Cross Sectional Analytic Study
INTRODUCTION
Complementary and alternative medicine (CAM) is widely used among patients in primary care. However, evidence is vague about CAM use among patients with Diabetes Mellitus (DM) which is a chronic metabolic disease with high prevalence. Due to its chronic nature and negative impact on quality of life, patients can seek relief outside or in combination with medication.
AIM
This study aims to determine Complementary and alternative medicine use and attitudes towards CAM in T2 DM patients.
METHOD
A cross-sectional study was conducted at University Health Care Centers. Patients aged ≥18 years old with T2 diabetes were recruited. The sample size was calculated as 307 and using simple random sampling 363 participants were volunteered to participate in the study. A form including Socio-demographic data and Complementary, Alternative and Conventional Medicine Attitude Scale (CACMAS) was used and applied face-to-face.
RESULTS
Of the participants 61.2% were women and mean age was 59,8±11,3 (min-max= 25,0-82,0). The mean DM duration was 9,2±6,2 (min-max= 1,0-25,0) years. Of the patients 51.2% had heard about CAM and 28.1% had used at least one method. Most popular CAM were wet cupping, acupuncture and dry cupping. Total CACMAS score was found to be 99.1±19.1 (min-max= 45.0-176.0). Total CACMAS score was higher in patients >65 age (p=0.008), women (p<0.001), those with retinopathy (p=0.01), neuropathy (p=0.002); and nephropathy (p=0.03).
CONCLUSION
CAM use was high in patients with diabetes. Family physicians which are the most common visited health care providers, should be aware of their patients' use of CAM to ensure treatment optimization, avoid herb-drug interactions, and promote medication compliance in diabetes.