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Hiperlipidemi Tedavisinde Hastaların Kullanıldıkları Fitoterapi Yöntemleri

Phytotherapy methods of the patients in the treatment of hyperlipidemia

Journal Name:

Publication Year:

DOI: 
10.5505/abantmedj.2017.47965

Keywords (Original Language):

Abstract (2. Language): 
Introduction: Our study was made in order to evaluate the drug and herbal treatment methods preferred by hyperlipidemia patients and their views on these methods. Methods: In our study, 389 patients who admitted to the Family Health Centers and had hyperlipidemia diagnosis were included. Of these, 192 patients (49%) were regularly having medicine treatment and 197 patients (51%) were using herbal treatment instead of medicine treatment. A questionnaire also including demographical information prepared to learn about treatment preference of patients was applied. Questionnaires were evaluated with LDL levels measured in 6 month intervals. SPSS 15.0 software package was used for statistical analysis. Results: When we questioned non-medicine treatment methods, the most preferred food was walnut in 42 patients (21.3%) and then lemon in 26 patients (13.2%). Non-medicine method usage rate of individuals with a hyperlipidemia duration of 0-1 years was found higher than individuals with a longer period of hyperlipidemia diagnosis (p<0.01). A more regular medicine use was observed in individuals making diet than those who are not and individuals over 65 years of age than those who are under that age (p<0.05). When we examined the change in LDL cholesterol levels measured in 6 month intervals, the highest decrease was observed in medicine use. Conclusion: Although the prevalence in society increases gradually, it is obvious that we cannot treat dyslipidemia satisfactorily. This situation can cause the patient to shift to uncontrolled plant foods. It is necessary to increase the knowledge of doctors first and then the patients in order to overcome the deficiencies.
Abstract (Original Language): 
Giriş ve Amaç: Çalışmamız, hiperlipidemi hastalarının tercih ettikleri ilaç ve bitkisel tedavi yöntemleri ile bu yöntemlere bakışlarının değerlendirilmesi amacıyla yapılmıştır. Yöntem ve Gereçler: Çalışmamıza, Aile Sağlığı Merkezi'ne başvuran ve hiperlipidemi tanısı almış 389 hasta dahil edildi. Bunlardan 192 (%49) hasta düzenli olarak ilaç tedavisi almakta, 197 (%51) hasta ilaç tedavisi yerine bitkisel tedavi kullanmakta idi. Hastalara, tedavi tercihlerini öğrenmek amacıyla hazırlanan ve demografik bilgiler de içeren anket uygulandı. Anketler 6 ay ara ile ölçülmüş LDL düzeyleri ile birlikte değerlendirildi. İstatistiksel analiz için SPSS 15.0 paket programı kullanıldı. Bulgular: İlaç dışı tedavi yöntemlerini sorguladığımızda, en sık tercih edilen yiyecek ceviz 42 (%21,3), ardından da 26 (%13,2) limon gelmekte idi. Hiperlipidemi süresi 0-1 yıl arasında olan bireylerin ilaç dışı yöntem kullanım oranı, daha uzun süreli hiperlipidemi tanısı olan bireylerden daha yüksek bulunmuştur (p<0,01). Diyet yapan bireylerde yapmayanlardan, 65 yaş üstü bireylerde 65 yaş altı bireylerden daha yüksek oranda düzenli ilaç kullanımı gözlendi (p<0,05). Altı ay ara ile ölçülmüş LDL kolesterol düzeylerindeki değişime baktığımızda en fazla düşüş ilaç kullanımında görüldü. Sonuç: Toplumda görülme sıklığı giderek artmasına rağmen dislipidemiyi yeteri kadar tedavi edemediğimiz açıktır. Bu durum hastaların kontrolsüzce bitkisel gıdalara yönelmelerine sebep olabilmektedir. Eksiklikleri gidermek adına hekimlerin başta olmak üzere hastaların da hiperlipidemi tedavisinin önemi hakkında bilgi düzeylerinin arttırılması gerekmektedir.
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