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    Complementary and Alternative Medicine in Cancer Patients - Analysis of Influencing Factors in Turkey
    (Asian Pacific Organization Cancer Prevention, 2009) Malak, Arzu Tuna; Karayurt, Oezguel; Demir, Emel; Yumer, Aylin Sami
    Objective: This cross-sectional and descriptive study analysed complementary and alternative medicine (CAM) practices of patients with cancer diagnoses and influencing factors. Methods: The subjects consisted of 55 cancer patients hospitalized in Canakkale State Hospital between November 2008 and March 2009 and who were willing to participate in the study. Research data were collected using a sociodemographic characteristics form regarding CAM practices of cancer patients and the Beck Hopelessness Scale (total points 20, rising with the degree of hopelessness). Written consent from the head physician of Canakkale State Hospital and verbal consents of the patients were obtained in order for the research to be performed. The data were analysed usign the SPSS 13.0 program (numbers and percentages, chi-squared and Mann Whitney U tests). Findings: Of the patients (49.1%, female and 50.9% male) 78.2% had been living with a cancer diagnosis for more than two years. Of the 23.6% of patients with breast cancer and 21.8% with lung cancer, 87.2% uses CAM (72.7% received alternative treatment and 65.5% complementary treatment). Alternative treatments apply herbal treatments concomitantly such as honey, garlic; balsam apple, iscum album, tar oil and 29.1% of them only use stinging nettle. As a complementary treatment; 60% of patients pray for healing and 16.4% of them have massage regularly. Patients explained that they were using the alternative medicine in order to mitigate effects of the disease, to prevent its recurrence, to increase blood values, to feel psychologically relieved; and they were using complementary medicine just to feel psychologically relieved. Of 60% patients chose not to share their CAM practice with doctors and nurses. 36.4% of them use CAM on friend advice, 20% under media influence, 36.4% on their own initiative and 21.8% under family influence. The satisfaction from CAM is 61.1%. The rate of those who find alternative medicine expensive is 21.8%. There is statistically no correlation between CAM practice and age, gender, marital status, location they live for a long time, education and financial status of patients (p>0.05). The average of total hopelessness score of patients is 8.09 +/- 2.59, there is no statistically meaningful correlation between hopelessness score average of patients who use CAM and who do not use (p>0.05). Conclusion: The cancer patients in the study who live in Canakkale province and in its districts use CAM. CAM practice does not vary by selected sociodemographic characteristics and the hope level. It is important that the health care professionals (nurse, doctor, etc.) should be conscious of CAM-drug interactions and notify the patients about the risk.
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    Öğe
    Complementary and alternative medicine in cancer patients-analysis of influencing factors in Turkey
    (Asian Pacific Organization for Cancer Prevention, 2009) Malak, Arzu Tuna; Karayurt, Özgül; Demir, Emel; Yümer, Aylin Sami
    Objective: This cross-sectional and descriptive study analysed complementary and alternative medicine (CAM) practices of patients with cancer diagnoses and influencing factors. Methods: The subjects consisted of 55 cancer patients hospitalized in Çanakkale State Hospital between November 2008 and March 2009 and who were willing to participate in the study. Research data were collected using a sociodemographic characteristics form regarding CAM practices of cancer patients and the Beck Hopelessness Scale (total points 20, rising with the degree of hopelessness). Written consent from the head physician of Çanakkale State Hospital and verbal consents of the patients were obtained in order for the research to be performed. The data were analysed usign the SPSS 13.0 program (numbers and percentages, chi-squared and Mann Whitney U tests). Findings: Of the patients (49.1%, female and 50.9% male) 78.2% had been living with a cancer diagnosis for more than two years. Of the 23.6% of patients with breast cancer and 21.8% with lung cancer, 87.2% uses CAM (72.7% received alternative treatment and 65.5% complementary treatment). Alternative treatments apply herbal treatments concomitantly such as honey, garlic; balsam apple, iscum album, tar oil and 29.1% of them only use stinging nettle. As a complementary treatment; 60% of patients pray for healing and 16.4% of them have massage regularly. Patients explained that they were using the alternative medicine in order to mitigate effects of the disease, to prevent its recurrence, to increase blood values, to feel psychologically relieved; and they were using complementary medicine just to feel psychologically relieved. Of 60% patients chose not to share their CAM practice with doctors and nurses. 36.4% of them use CAM on friend advice, 20% under media influence, 36.4% on their own initiative and 21.8% under family influence. The satisfaction from CAM is 61.1%. The rate of those who find alternative medicine expensive is 21.8%. There is statistically no correlation between CAM practice and age, gender, marital status, location they live for a long time, education and financial status of patients (p>0.05). The average of total hopelessness score of patients is 8.09 ± 2.59, there is no statistically meaningful correlation between hopelessness score average of patients who use CAM and who do not use (p>0.05). Conclusion: The cancer patients in the study who live in Çanakkale province and in its districts use CAM. CAM practice does not vary by selected sociodemographic characteristics and the hope level. It is important that the health care professionals (nurse, doctor, etc.) should be conscious of CAM-drug interactions and notify the patients about the risk.
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    Öğe
    Osmanlı Devleti'nde hapishane reformu: Çanakkale Hapishanesi örneği
    (Çanakkale Onsekiz Mart Üniversitesi, 2013) Demir, Emel; Sönmez, Ali
    ?Osmanlı Devleti'nde Hapishane Reformu: Çanakkale Hapishanesi Örneği? adlı başlığı taşıyan tezde, Osmanlı'da özellikle XIX. yüzyılın ikinci yarısından sonra gerçekleşen hapishane reformu süreci ve bu reform sürecinin Kal'a-i Sultaniye hapishanesine yansıması değerlendirilmiş olup çalışmamız üç bölüm olarak hazırlanmıştır.Tezin birinci bölümünde Osmanlı şer'i ve örfi hukuku bağlamında suç ve cezanın tanımı yapılarak, hadd, kısas ve hapis cezasının dayanağı olan tazir suçları tanımlanmıştır. Ayrıca sadece hapsetmeye yönelik bir yapı olan hapishane kurumu ortaya çıkmadan önce hapis mekânı olarak kullanılan Osmanlı zindanları anlatılmış, hapis türleri olarak nitelendirilen kalebentlik, pranga, kürek ve tomruk cezaları açıklanmıştır.Tezin ikinci bölümünde Osmanlı modernleşme sürecinde hapishane ıslahatı ele alınmıştır. İlk olarak zindan ve mahbesten hapishaneye geçişin yaşandığı Tanzimat döneminde ceza anlayışının değişimi 1840, 1851 ve 1858 tarihlerinde çıkarılan Ceza kanunnameleri ışığında değerlendirilmiştir. Ardından Osmanlı hapishanelerinin düzenlenmesi sürecine geçilerek, 1859 Muhakemât Nizamnâmesi, 1880 ve 1916 Hapishaneler Nizamnâmeleri ele alınmıştır. Ayrıca bu nizamnâmelere ait maddelerin İstanbul ve taşra hapishanelerine yansımaları ile bu süreçte gerek yabancı gerek devlet erkânının yapmış olduğu hapishane teftişleri ve sonuçları değerlendirilerek, Tanzimat ve Meşrutiyet dönemlerinde Osmanlı hapishane kurumundaki değişim ortaya konulmaya çalışılmıştır.Tezin üçüncü bölümünde ise Kal'a-i Sultaniye hapishanesi arşiv belgeleri ışığında ve tüm yönleriyle ele alınmaya çalışılmıştır.Anahtar KelimelerÇanakkale, Kala-i Sultaniye Mahbes, Hapishane, Islahat.