Objective: To determine the knowledge and behaviors of the patients applying to family medicine clinic in a rural area about traditional and complementary medicine (TCM) applications. Methods: This is a descriptive cross-sectional study. A 13-question survey, created by the researchers, was applied to the participants. The research was carried out in a family medicine clinic in B. district of A. province. Volunteers 18 years and above who agreed to participate in the study were included. For statistical analysis of the data, Shapiro-Wilk, Mann-Whitney U and Chi-square tests were applied using SPSS program. Results: A total of 256 individuals volunteered to participate in the study. The mean age was 58.8±15.0 years. Of the participants, 52% (n=133) were female and 48% (n=123) were male. The most common TCM methods known by the participants were leech (70.3%; n=180), cupping (54.7%; n=140) and acupuncture (50%; n=128). While the most frequent source of information on this subject was media (64%; n=146), the rarest information source was the doctor (11.8%, n=27). Of the participants, 14.8% (n=38) had any TCM treatment method before. The most common TCM methods they had were cupping (7%; n=18), leech (3.5%; n=9) and acupuncture (3.5%; n = 9). Of those who had TCM application, 60.5% (n=23) had this treatment done at home environment. Conclusion: TCM methods are interested, becoming more and more popular practices in the world. These practices are recognized by the Ministry of Health and have relevant regulation on this issue. Despite these regulations, it is worrisome that the public chooses the media to reach the right information about TCM and that the place where they have done this application most often is the home environment. It will be beneficial to organize educations and publications by the Ministry of Health on this issue. In addition, healthcare professionals should be more actively involved in training and implementation.
Objective: Chronic Obstructive Pulmonary Disease (COPD) has become increasingly important in recent years. The CAT (COPD Assessment Test) and mMRC (Modified British Medical Research Council) scales can be used in the clinical evaluation of the patients according to GOLD the COPD Protection Diagnosis and Treatment Guideline guideline. Patients were divided into groups A, B, C and D using the scales with the combined assessment scheme proposed by GOLD, and recommended treatment scheme for each step is determined. In this study, it is planned to investigate whether COPD patients getting the optimal treatment according to GOLD guideline. Methods: This is a descriptive, cross-sectional study. 218 patients were included in the study. The questionnaire form of the study was applied to the patients and the patients were evaluated and scored with the help of these scales. Statistical analysis of the data obtained in this way was done by the SPSS program. Results: According to the CAT result, guideline compliance was 9.8% in group A, 22.3% in group B, 5.8% in group C and 77.7% in group D. According to the mMRC result, guideline compliance was 12.5%, 24.4%, 14.2%, 80.8% in the group A,B,C,D respectively. It was determined that 40.8% of patients according to mMRC and 33% according to CAT were receiving the optimal treatment. Conclusions: Patients with stable COPD had significantly higher use of bronchodilator drugs than recommended. The use of this scale by Family Doctors, will be important in determining the needs for treatment and COPD patients follow-up.
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