BackgroundInfertility patients are a vulnerable group that often seeks a non-medical solution for their failure to conceive. World-wide, women use CAM for productive health, but only a limited number of studies report on CAM use to enhance fertility. Little is known about traditional and religious forms of therapies that are used in relation to conventional medicine in Turkey. We investigated the prevalence and types of complementary and alternative medicine (CAM) used by infertile Turkish women for fertility enhancement.MethodsA face-to-face questionnaire inquiring demographic information and types of CAM used for fertility enhancement were completed by hundred infertility patients admitted to a primary care family planning centre in Van, Turkey between January and July 2009.ResultsThe vast majority of infertile women had used CAM at least once for infertility. CAM use included religious interventions, herbal products and recommendations of traditional "hodja's" (faith healers). Of these women, 87.8% were abused in the last 12 months, 36.6% felt not being supported by her partner and 80.5% had never spoken with a physician about CAM.ConclusionsInfertile Turkish women use complementary medicine frequently for fertility enhancement and are in need of information about CAM. Religious and traditional therapies are used as an adjunct to, rather than a substitute for, conventional medical therapy. Physicians need to approach fertility patients with sensitivity and should be able to council their patients about CAM accordingly.
INTRODUCTION The aim of this study was to compare smoking behavior in outpatients in terms of psychological factors with a view to supporting cessation treatment. METHODS We conducted a cross-sectional and analytical study through face-toface interviews by the primary care physician with 765 volunteer participants who applied to our hospital for any reason between March and July 2019. The questionnaire administered had two parts: questions about sociodemographic characteristics and usage of tobacco and tobacco products, and questions of the UCLA Loneliness Scale, Multidimensional Scale of Perceived Social Support (MSPSS), Warwick-Edinburgh Mental Wellbeing Scale (WEMBS), and Fagerström Test for Nicotine Dependence (FTND). RESULTS The study was completed with 765 participants of which 53.1% (n=406) were female and 46.9% (n=359) male. Multidimensional perceived social support scale mean score of the participants was 69.9±15.2 (min=12, max=84). There was a significant relation between mean MPSS and mean WEMBS (p<0.05). As nicotine scores increased, the mean scores both in MPSS and WEMBS decreased (p<0.05). CONCLUSIONS We suggest that the results of the psychometric preliminary evaluations should be customized for individuals applying to smoking cessation clinics and that including the individual's close social connections in the process can facilitate the decision to quit, thus increase smoking cessation rates.
Bu çalışmada sigara bırakma polikliniğimize başvuran hastaların sigara bırakmalarına etkili olması muhtemel poliklinik kontrolüne gelme davranışları ile ilişkili faktörlerin araştırılması amaçlanmıştır. Bu çalışma Ocak 2017-Temmuz 2017 arasında sigara bırakma polikliniğine başvuran hastalar alınarak yapıldı. Sigara bırakma amaçlı belirlenen günden sonra en az 12 ay süre ile sigara içmeyenler sigarayı bırakmış kabul edilerek hastalarımızın dosyaları geriye dönük olarak değerlendirildi. Çalışmamız telefon ile ulaşılamayan ve telefon görüşmesi sırasında çalışmayı kabul etmeyenler haricindeki 223 katılımcı ile tamamlandı. Çalışmamıza katılan 223 kişinin %61,9'u (n:138) erkek, %38,1' (n:85) kadındı. Bir yıl sonraki sigara bırakma oranları %13,5 (n:30) idi. Sağlık çalışanı tarafından sigara bırakma polikliniğine yönlendirilenlerde kontrole gelme sayısı daha yüksekti (p:0,02). Verilen farmakolojik tedaviyi yeterli kullananlarda kontrole gelme sayısı, yeterli kullanmayanlara göre (p:0,02), farmakolojik tedavi verilenlerden devlet desteği ile ilaç tedavisi alanlarda (%78;n:78) 2 ve üzeri poliklinik kontrolüne gelme oranı diğerlerine göre anlamlı derecede yüksekti (p:0,01). Herhangi bir nedenle de olsa daha sık karşılaştığımız hastalarımıza tütün ve tütün ürünleri kullanma durumları sorularak kullananlarda bırakma, başlamamış olanlarda da çevresindekilere nasıl destek olabilecekleri yönünde yapılacak görüşmelerin ve sigara bırakma poliklinikleri çalışma düzenleri hakkında bilgilendirme ile yönlendirme yapılmasının, mevcut durumun iyileştirebilmesi yönünden motivasyon sağlayacağını düşünmekteyiz.
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