Herbal product use in a sample of Turkish patients undergoing haemodialysis

Abstract

Aim. To examine herbal product use among patients with end‐stage renal disease undergoing haemodialysis. Background. Herbal therapy is a very popular choice for many patients. However, little information is available about herbal product use in renal patients. Design. The study was designed as a cross‐sectional survey. The data were obtained from 114 end‐stage renal disease patients in two haemodialysis centres in Ankara, Turkey between June–August 2007. Methods. Data were collected through face‐to‐face structured interviews. Descriptive statistics and the chi‐square test were conducted. Results. Approximately one‐third of the patients (28·1%) used a herbal product after the diagnosis of chronic kidney disease. Of these, 13·2% reported currently taking herbal products. A minority of participants (12·5%) informed their physician of herbal product use. Marital status was the only variable significantly associated with herbal product use. Conclusions. The results of this study showed that many patients used herbal products, but most did not disclose this use to their physician. Herbal product use was more prevalent among the participants who were married. Relevance to clinical practice. Understanding the patterns and reasons of herbal use is beneficial in efforts to improve the care of patients with end‐stage renal disease. Nurses should be aware of the potential health risks caused by herbal products and should educate the patient and the family.

Herbal products: a survey of students’ perception and knowledge about their medicinal use

“…11 Similarly, poor communication between patients and health care professionals regarding herbal product use was also reported by other studies. 14,19,20 Respondents using herbal medicines without informing the treating physician may have to bear the brunt of serious clinical implications due to the possible herb-drug interactions. It has been found that herbal products interact or interfere with the normal pharmacology of some drugs with potentially fatal consequences.…”

“…13 Similarly, Kara, and Rivera et al reported from studies in the Turkey and USA respectively that people generally follow the trusted advice of family members and friends. 14,15 Reliance on the family advice about herbal use indicates a general lack of scientific attitude among users. Herbal remedies are as old as humankind but their traditional use is not a good indicator of its efficacy.…”

Kronik Böbrek Yetmezliğinde Tamamlayıcı ve Alternatif Tıp Yöntemleri

“…KBY hastalarında TAT yöntemlerinin kullanımının incelendiği çalışmalarda bu tedavileri daha çok kadınların 11,12,13 , 51-70 yaş arasındaki hastaların 11 , eğitim düzeyi yüksek olanların 11,15,16 , evlilerin 17 ve çalışanların 16 tercih ettiği bildirilmiştir.…”

“…KBY hastalarının bitkisel destekleri %16.8 ile %45 arasında değişen oranlarda kullandığı bildirilmiştir 2,11,14,17,20 . En çok tercih edilen bitkisel destekler ise sarımsak 11,15,17,19 , ıhlamur çayı 11,19 , ada çayı 11 , bitki çayları 13 , ısırgan 15,19,20 , maydanoz 15,19 , kutsal mantar (holy mushroom), spiderworth (telgraf çiçeği), boesenbergia (böğürtlen) 2 (38). Özdemir ve ark.…”

“…(2005) HD hastalarında egzersizin etkisiyle ilgili 29 çalışmayı (Sistematik Review) incelemiş ve egzersiz uygulanan HD hastalarinda egzersizin peak oksijen tuketimi (VO 2 peak), sol ventrikul kas indexi, EF, kardiak output ve stroke volum indeksini duzelttigini, kas gucunu artirdiginı, sistolik kan basinci degerlerini, kan sekerini azalttigi, HDL kolesterolu artirdiginı, VLDL ve trigliserit duzeylerini azalttiginı, diyaliz yeterliligini duzelttigini, depresyonu azalttiginı ve yasam kalitesini artirdiginı bildirmiştir. Böbrek hastalarının TAT yöntemlerini kullanma nedenleri incelendiğinde; büyük çoğunluğu hastalıklarını tedavi etmek, kendilerini fiziksel ve duygusal olarak iyi hissetmek 2,11,15 , çaresizlik, tedavilerine ek yarar sağlama, maddi yetersizlik, tedaviden fayda görememe 14,15,20 , sağlık sorunlarını önlemek 15,17 , geleneksel tedavilerden daha güvenli 2 olduğunu düşündükleri için bu yöntemlere başvurmaktadırlar. TAT yöntemleri hakkındaki bilgiyi genellikle böbrek yetmezliği olan diğer hastalardan, aile ve arkadaş çevresinden, internetten, televizyondan, sağlık personelinden ve aktardan aldıklarını bildirmişlerdi 14,15,17,19 .…”