5 research outputs found
A komplementer terápiás gyógymódok ismerete és elfogadottsága a perioperatív ellátásban dolgozók és általános sebészeti betegek között
Gyógynövények használata elektív műtéti beavatkozás előtt. Kérdőíves felmérés egy egyetemi klinika és egy városi kórház betegei körében = The use of herbal remedies prior to elective surgical procedures at an urban hospital and a university clinic in Hungary. Descriptive study
Absztrakt:
Bevezetés: A gyógynövények alkalmazása egyre szélesebb körben
terjed világszerte, használatuk során azonban számos gyógyszer-interakcióval,
mellékhatással kell számolni. Magyarországon még nem végeztek vegyes műtéti
profilú beteganyagon gyógynövények alkalmazásával kapcsolatos vizsgálatot.
Célkitűzés: Vizsgálatunk célja az volt, hogy felmérjük egy
városi kórház és egy egyetemi klinika betegei között a leggyakrabban használt
gyógynövények fajtáit, alkalmazási gyakoriságukat és ennek hajlamosító
tényezőit. Módszer: Anonim, kérdőíves felmérést végeztünk két
helyen: a Jávorszky Ödön Kórházban és a Semmelweis Egyetem I. Sz. Sebészeti
Klinikáján. Összesen ezer kérdőívet osztottunk ki, melyből 612 kérdőív került
feldolgozásra leíró statisztikai elemzéssel, χ2-próbával és
Fisher-féle egzakt teszttel. Eredmények: A válaszadók 34,3%-a
használt már valaha gyógynövényt, 19,6%-uk a műtét előtti két hétben. A
legnépszerűbb gyógynövény az élettartam-prevalenciát tekintve a fokhagyma, a
kamilla és a citromfű volt, míg a műtét előtti kéthetes időintervallumban a
fokhagyma, a gyömbér és a csipkebogyó. A felmérésben szereplők 58,5%-a
szenvedett valamilyen társbetegségben, melyek közül a daganatos betegségek,
gastrooesophagealis reflux és endokrin betegség esetén a
gyógynövény-felhasználás szignifikánsan gyakoribb volt. A betegek 64,4%-a
általános sebészeti beavatkozásra várt, köztük a gyógynövény-felhasználás
népszerűbb. A szociodemográfiai tényezőket vizsgálva elmondható, hogy a
gyógynövények alkalmazására hajlamosít a női nem, a magas iskolázottság, a 60 év
feletti életkor és a fővárosi környezet. Következtetés:
Vizsgálatunk alapján az elektív műtétre váró betegek harmada használt
gyógynövénykészítményeket, ötödük a műtétet megelőző két hétben. Alkalmazásuk
gyakoribb a női nem, magas iskolázottság, daganatos vagy endokrin betegség és 60
év feletti életkor esetén. A gyógynövények fogyasztásáról az alkalmazók alig
ötöde számolt be a kezelőorvosának. Orv Hetil. 2020; 161(1): 17–25.
|
Abstract:
Introduction: Herbal medicine use has become widespread in
recent years. This is the first study in Hungary evaluating the use of
nutraceutical agents in patients undergoing elective surgery.
Aim: The aim of this study was to assess the types,
frequency of use and predisposing factors of the most commonly used herbs among
patients of an urban hospital and a university clinic. Method:
We conducted an anonymous survey questionnaire at the Jávorszky Ödön Hospital
and at the 1st Department of Surgery of Semmelweis University. A total of 1000
questionnaires were distributed. Results: In total, 612
questionnaires were returned. 34.3% of patients used herbal remedies, 19.6% of
them two weeks prior to surgery. The most commonly used herbs were garlic,
chamomile and lemongrass, while in the two-week period before surgery were
garlic, ginger and rosehips. 58.5% of the patients had some type of
co-morbidity; in this group, the use of herbal remedies was significantly more
frequent. 64.4% of patients were expected to undergo general surgical
intervention; in this group, the use of herbs was more popular. Analyzing the
sociodemographic factors, women, people with a higher level of education, the
ones that live in the capital and are over 60 years of age are more likely to
use these compounds. Conclusion: One third of patients waiting
for surgery used herbal remedies, one fifth of them two weeks prior to surgery.
Only one fifth of the patients reported the use of these compounds to their
doctors. Orv Hetil. 2020; 161(1): 17–25
A primer melanoma malignum ritka gastrointestinalis lokalizációi [Gastrointestinal locations of primary melanoma]
Herbal medicine use by surgery patients in Hungary: a descriptive study
BACKGROUND: The popularity of non-conventional treatments, especially the consumption of herbs is showing an increasing tendency all over the world. The consumption of herbal medicines might cause several complications during perioperative care. METHODS: The survey was conducted at the First Department of Surgery of Semmelweis University and focused on the demographics of patients consuming herbal medicines who had undergone elective surgery between July 1(st) 2014 and February 28(th) 2015. A one-page questionnaire, that the patients filled in individually and anonymously, was used. The response rate was 17.3 %. RESULTS: Out of the 390 patients who filled in the questionnaire, 7.2 % (28 patients) used herbal medicines, 3.6 % (14 patients) of them two weeks prior to their hospitalization. The other 3.6 % (14 patients) took herbal medicines sometime in the past. The majority of those who have ever consumed herbs are women (18/28), have completed secondary or tertiary education (23/28), more than half of them suffer from tumorous diseases and only a quarter of them (7/28) informed their physician about their use of herbal medication of their own accord. CONCLUSIONS: Attention must be paid to the exploration of herb consumption habits of surgery patients during the preoperative examinations in order to avoid potential side effects, complications or drug interactions. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12906-015-0890-2) contains supplementary material, which is available to authorized users
Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary
BACKGROUND: Despite their worldwide popularity the question of using non-conventional treatments is a source of controversy among medical professionals. Although these methods may have potential benefits it presents a problem when patients use non-conventional treatments in the perioperative period without informing their attending physician about it and this may cause adverse events and complications. To prevent this, physicians need to have a profound knowledge about non-conventional treatments. METHODS: An anonymous questionnaire was distributed among surgeons and anaesthesiologists working in Hungarian university clinics and in selected city or county hospitals. Questionnaires were distributed by post, online or in person. Altogether 258 questionnaires were received from 22 clinical and hospital departments. RESULTS: Anaesthesiologists and surgeons use reflexology, Traditional Chinese Medicine, herbal medicine and manual therapy most frequently in their clinical practice. Traditional Chinese Medicine was considered to be the most scientifically sound method, while homeopathy was perceived as the least well-grounded method. Neural therapy was the least well-known method among our subjects. Among the subjects of our survey only 3.1 % of perioperative care physicians had some qualifications in non-conventional medicine, 12.4 % considered themselves to be well-informed in this topic and 48.4 % would like to study some complementary method. Women were significantly more interested in alternative treatments than men, p = 0.001427; OR: 2.2765. Anaesthesiologists would be significantly more willing to learn non-conventional methods than surgeons. 86.4 % of the participants thought that non-conventional treatments should be evaluated from the point of view of evidence. Both surgeons and anaesthesiologists accept the application of integrative medicine and they also approve of the idea of teaching these methods at universities. CONCLUSIONS: According to perioperative care physicians, non-conventional methods should be evaluated based on evidence. They also expressed a willingness to learn about those treatments that meet the criteria of evidence and apply these in their clinical practice