JOMPAC

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
An examination of rational drug use and traditional complementary medicine in patients hospitalized because of gastrointestinal system bleeding
Aims: The aim of this study was to determine the knowledge levels of rational drug use, the attitudes toward traditional and complementary medicine, and the relationship between these in patients admitted to the Internal Medicine Clinic because of gastrointestinal system bleeding.
Methods: This descriptive, cross-sectional study was conducted with 124 patients hospitalized in the Internal Medicine Clinic of a training and research hospital with a diagnosis of gastrointestinal bleeding between 10.07.2022 and 10.12.2022. An information form including demographic and clinical characteristics, the Rational Drug Use Scale (RDUS), and the Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS) were applied to the patients. The data obtained were analyzed statistically using SPSS vn. 23.0 software.
Results: For the whole sample of patients hospitalized with a diagnosis of gastrointestinal system bleeding, the mean RDUS points were determined to be 19.8±4.17 and the mean total CACMAS points were 96.76±15. In the subscales of the CACMAS, the mean points were determined to be 28.15±9.42 for philosophical congruence with complementary medicine, 23.23±10.39 for dissatisfaction with conventional medicine, and 45.38±8.18 for holistic balance. A statistically significant negative correlation was found between rational drug use and dissatisfaction with conventional medicine (p?0.001), and a statistically significant positive correlation was found between rational drug use and holistic balance (p?0.001). A backward-step regression analysis was performed to measure the relationship between rational drug use and the three quantitative variables of the CACMAS. The linear equation of the relationship to the second model was found to be statistically significant (p?0.001).
Conclusion: The results of this study demonstrated that rational drug use was low and that rational drug use had a proportionate effect on holistic balance in patients hospitalized in the Internal Medicine Clinic because of gastrointestinal bleeding.


1. Kaçmaz H. Approach to acute gastrointestinal bleeding. In:Serdar Olt, eds. Health&Science: Internal Medicine Emergencies.Efeakademi Publishing. 2022:151-160.
2. Nkurunziza L, Bacha H, Gharbi T, Benzzoubeir N, Errabih I.Upper gastrointestinal bleeding:a prospective epidemiologicalstudy about 72 cases and review of the literature. SJMPS.2022;8(7):319-326. doi:10.36348/sjmps.2022.v08i07.001
3. Rodrigues A, Carrilho A, Almeida N, et al. Interventionalalgorithm in gastrointestinal bleeding-an expert consensusmultimodal approach based on a multidisciplinary team. Clin ApplThromb Hemost. 2020;26:1-19. doi:10.1177/1076029620931943
4. Luo PJ, Lin X-H, Lin C-C, et al. Risk factors for uppergastrointestinal bleeding among aspirin users: an old issue withnew findings from a population-based cohort study. J FormosMed Assoc. 2019;118(5):939-944. doi:10.1016/j.jfma.2018.10.007
5. Panchal NK, Sabina EP. Non-steroidal anti-inflammatory drugs(NSAIDs):A current insight into its molecular mechanismeliciting organ toxicities. Food Chem Toxicol. 2023;172:113598.doi:10.1016/j.fct.2022.113598
6. Bahraini A, Koneri R. Prescription pattern analysis ofnonsteroidal antiÿ inflammatory drugs in the SoutheasternKarnataka population, India. APP. 2021;11(1):116-119.
7. Hosnia M, Rahala M, Tamimb H, et al. Increased rebleedingand mortality in patients with gastrointestinal bleeding treatedwith anticoagulant drugs compared to antiplatelet drugs. EurJ Gastroenterol Hepatol. 2021;33(1):e490-e498. doi:10.1097/MEG.0000000000002148.
8. Alshammri MR, Altamimi NO, Dera RM, et al. The use of overthe counter aspirin as prophylaxis for cardiovascular diseasesamong adult people in Saudi Arabia. Med Sci. 2022;26:136e2155.doi:10.54905/disssi/v26i122/ms136e2155
9. García Rodríguez L, Lanas A, Soriano-Gabarró M, Vora P, CeaSoriano L. Effect of proton pump inhibitors on risks of upper andlower gastrointestinal bleeding among users of low-dose aspirin:apopulation-based observational study. J Clin Med. 2020;9(4):928.doi:10.3390/jcm9040928
10. Awuchi CG. Medicinal Plants:the medıcal, food, and nutrıtıonalbıochemıstry and uses. IJAAR. 2019;5(11):220-241. doi:10.46654/ij.24889849
11. Banerjee S. Safety concerns of dietary and herbal supplementsfor typical patients. Int J Pharm Chem Anal. 2021;8(4):141-144.doi:10.18231/j.ijpca.2021.027
12. Abebe W. Review of herbal medications with the potential tocause bleeding:dental implications, and risk prediction andprevention avenues. EPMA J. 2019;10(1):51-64. doi:10.1007/s13167-018-0158-2.
13. Dağlar N, Dağdeviren HN. The place of phytotherapy intraditional and complementary medicine applications. Euras JFam Med. 2018;7(3):73-77.
14. Demirtaş Z, Dağtekin G, Sağlan R, et al. Validity and reliabilty ofrational drug use scale. ESTÜDAM J Public Health. 2018;3(3):37-46.
15. Köse E, Ekerbiçer HÇ, Erkorkmaz Ü. Complementary, alternativeand conventional medicine attitude scale: Turkish validityreliability study. Sakarya Med J. 2018;8(4):726-736. doi:10.31832/smj.478148
16. Oral S. Information and behavior of patients about rationaldrug use. Abant Med J. 2021;10(3):330-344. doi:10.47493/abantmedj.2021.870503.
17. Apaydın M. Investıgatıon of the knowledge and attıtudesregardıng ratıonal drug use, and affectıng factors of adults whoapply to an internal medıcıne outpatıent In: Bahçecik N. MasterThesis. İstanbul. 2022
18. Kuyifatih A, Yenimahalleli YG, Günaltay MM. Rational drug use:an application in Ankara University Faculty of Health Sciences.FSECON. 2022;6(1):251-277. doi:10.25295/fsecon.1040173.
19. Acar AB, Özen M. Evaluation of aspirin use in patients admittedto the family medicine outpatient clinic. Cukurova Med J.2021;46(3):1026-1032. doi:10.17826/cumj.907395
20. Soriano LC, Lanas A, Soriano-Gabarró M, Garcia RodriguezLA. Incidence of upper and lower gastrointestinal bleedingin new users of low-dose aspirin. Clin Gastroenterol Hepatol.2019;17(5):887-895. doi:10.1016/j.cgh.2018.05.061
21. Biçer İ, Yalçın Balçık P. Tradıtıonal and complementarymedıcıne:investıgatıon of Turkey and the selected countrıes.Hacettepe J Health Administration. 2019;22(1):245-257.
22. Özer Z, Turan G.B, Bakır E. Attitude of patients admittedto internal diseases polyclinic towards conventional andcomplementary medicine and the affecting factors. J Health ProRes. 2020;2(3):102-112.
23. Foley H, Steel A, Cramer H, Wardle J, Adams J. Disclosure ofcomplementary medicine use to medical providers: a systematicreview and meta-analysis. Sci Rep. 2019;9(1):1573. doi:10.1038/s41598-018-38279-8.
24. Solak Y, Kaya E, Yoldaşcan BE. Knowledge and attitudes aboutherbal products and herbal medicine in people applying to familyhealth care center. Fırat Med J. 2020;25(4):213-218
25. Barlin D, Ercan A, Conditions of use of food and vegetableproducts in the adults having digestive system problems. Turk JAcad Gastroenterol. 2020;19(1):31-37. doi:10.17941/agd.708506
26. Carlsson JM, Vestin M, Bjerså K. Use of complementary andalternative medicine (CAM) among emergency department(ED) patients in Sweden. BMC Complementary Med Ther.2020;20(1):327. doi:10.1186/s12906-020-03126-9
27. Şensoy N, Özdinç Ş, Yılmaz O, et al. The attıtudes and behavıors ofpatıents admıtted to unıversıty hospıtal towards complementaryand alternatıve therapies. Kocatepe Med J. 2020;21(3):258-263.doi:10.18229/kocatepetip.676401
28. Çavuşoğlu M, Yılmaz M. Attitudes and behaviors of migratedpeople from bulgaria regarding traditional and complementarytherapy methods. JPHN. 2020;2(2):57-72.
29. Kaur J, Hamajima N, Yamamoto E, et al. Patient satisfactionon the utilization of traditional and complementary medicineservices at public hospitals in Malaysia. CTIM. 2019;42:422-428.doi:10.1016/j.ctim.2018.12.013
Volume 4, Issue 5, 2023
Page : 436-443
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