Knowledge and Attitude on the Usage of Traditional Complimentary Medicine (TCM) Among Patients with Diabetes Mellitus in Kuantan, Malaysia
DOI:
https://doi.org/10.31436/ijcs.v4i2.185Abstract
Introduction: Traditional complementary medicines (TCM) have long been used to treat diabetes in Malaysia. However, the usage of TCM by the patients not often is revealed thus, the incidence of complications due to the TCM was not able to be monitored. Methods: A cross-sectional quantitative study was conducted on 105 patients with diabetes attended medical specialist clinic and admitted in medical wards in a tertiary hospital in Kuantan Pahang, Malaysia. Knowledge and attitude of the patients towards the usage of TCM were measured using two sets of validated questionnaires consist of 16 items in total. In addition, nine items were used to determine the demographic characteristics of the patients. The data were analyzed descriptively and inferentially with the support of statistical package for Social Sciences (SPSS) version 20. Results: Findings showed that, all patients have used at least one type of TCM to treat diabetes however, majority of them have poor knowledge (69.5%) and poor attitude (60%) towards TCM. Ninety percent (90%) admitted they concealed their usage of TCM from the healthcare professionals. Conclusion: Usage of TCM seems to be very common among patients with diabetes. However, their lack of knowledge, attitude and their decision to conceal their practice from the knowledge of healthcare professional could lead to a serious issue in long-term. A comprehensive assessment procedure needs to be in place to ensure the usage of TCM is identified to minimize the undesirable complications of the usage if TCM and the diabetes itself.
References
Radwan H, Hasan H, Hamadeh R, Hashim M, Abdulwahid Z, Gerashi MH, et al. Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates. BMC Complement Med Ther [Internet]. 2020 [cited 2021 Jun 28];20(1):1–12. Available from: /pmc/articles/PMC7350641/
Vishnu N, Mini GK, Thankappan KR. Complementary and alternative medicine use by diabetes patients in Kerala, India. Glob Heal Epidemiol Genomics. 2017;2.
Kaur, Jaspal & Hamajima, Nobuyuki & Saw, Yu & Kariya, Tetsuyoshi & Soon, Goh & Amin, Ariyani & Halim, Adilla & Aziz, Farhana & Sharon S. Patient satisfaction on the utilization of traditional and complementary medicine services at public hospitals in Malaysia. Complement Ther Med. 2018;42(10).
Malaysia M of H. Traditional & Complementary medicine blueprint 2018-2027: Health Care [Internet]. 1st ed. Kuala Lumpur: Traditional & Complementary Medicine Division Ministry of Health Malaysia; 2017. Available from: http://tcm.moh.gov.my/ms/upload/Blueprint.pdf
Harris, P. E., Cooper, K. L., Relton, C. and Thomas KJ. Prevalence of complementary and alternative medicine (CAM) use by the general population: a systematic review and update. Int J Clin Pract. 2012;66:924–39.
Mayyada Wazaify, Eileen Shields, Carmel M Hughes JCM. Societal perspectives on over-the-counter (OTC) medicines. Fam Pract. 2005;22(2):170–6.
Medagama AB, Bandara R, Abeysekera RA, Imbulpitiya B, Pushpakumari T. Use of Complementary and Alternative Medicines (CAMs) among type 2 diabetes patients in Sri Lanka: a cross sectional survey. BMC Complement Altern Med [Internet]. 2014 Oct;14(1):374. Available from: https://doi.org/10.1186/1472-6882-14-374
Manya K, Champion B, Dunning T. The use of complementary and alternative medicine among people living with diabetes in Sydney. BMC Complement Altern Med [Internet]. 2012 Jan;12(1):2. Available from: https://doi.org/10.1186/1472-6882-12-2
Azizi-Fini I, Adib-Hajbaghery M, Gharehboghlou Z. Herbal medicine use among patients with type 2 diabetes in Kashan, Iran, 2015. Eur J Integr Med [Internet]. 2016 Aug 1 [cited 2019 Jul 8];8(4):570–5. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1876382016300361
Wazaify M, Afifi FU, El-Khateeb M, Ajlouni K. Complementary and alternative medicine use among Jordanian patients with diabetes. Complement Ther Clin Pract [Internet]. 2011 May 1 [cited 2019 Jul 8];17(2):71–5. Available from: https://www.sciencedirect.com/science/article/pii/S1744388111000211
Kamel FO, Magadmi RM, Hagras MM, Magadmi B, AlAhmad RA. Knowledge, attitude, and beliefs toward traditional herbal medicine use among diabetics in Jeddah Saudi Arabia. Complement Ther Clin Pract [Internet]. 2017 Nov 1 [cited 2019 Jul 1];29:207–12. Available from: https://www.sciencedirect.com/science/article/pii/S1744388117304176?via%3Dihub
Ali-Shtayeh MS, Jamous RM, Jamous RM. Complementary and alternative medicine use amongst Palestinian diabetic patients. Complement Ther Clin Pract [Internet]. 2012 Feb 1 [cited 2019 Jul 8];18(1):16–21. Available from: https://www.sciencedirect.com/science/article/pii/S1744388111000776
Kumar, S., Rajiah, K., Veettil, S. et al. A cross-sectional study on knowledge and attitude toward Traditional Chinese Medicine (TCM) among adults in selected regions of Malaysia [Internet]. Vol. 12, Journal of Complementary and Integrative Medicine. 2015. p. 317. Available from: https://www.degruyter.com/view/j/jcim.2015.12.issue-4/jcim-2013-0068/jcim-2013-0068.xml
Rutebemberwa E, Lubega M, Katureebe SK, Oundo A, Kiweewa F, Mukanga D. Use of traditional medicine for the treatment of diabetes in Eastern Uganda: a qualitative exploration of reasons for choice. BMC Int Health Hum Rights [Internet]. 2013 Jan;13(1):1. Available from: https://doi.org/10.1186/1472-698X-13-1
Ching SM, Zakaria ZA, Paimin F, Jalalian M. Complementary alternative medicine use among patients with type 2 diabetes mellitus in the primary care setting: a cross-sectional study in Malaysia. BMC Complement Altern Med [Internet]. 2013 Jun;13(1):148. Available from: https://doi.org/10.1186/1472-6882-13-148
Raja R, Kumar V, Khan MA, Sayeed KA, Zohaib S, Hussain M, et al. Knowledge, Attitude, and Practices of Complementary and Alternative Medication Usage in Patients of Type II Diabetes Mellitus. Fam Med Dr Ruth Pfau Hosp. 2019;
Fabian E, Töscher S, Elmadfa I, Pieber TR. Use of complementary and alternative medicine supplements in patients with diabetes mellitus. Ann Nutr Metab. 2011;
Roy V, Gupta M, Ghosh R. Perception, attitude and usage of complementary and alternative medicine among doctors and patients in a tertiary care hospital in India. Indian J Pharmacol. 2015;
Chang HA, Wallis M, Tiralongo E. Use of complementary and alternative medicine among people with type 2 diabetes in Taiwan: a cross-sectional survey. Evid Based Complement Altern Med. 2011;2010.
Nguyen TD, Lee KJ, Lee MH, Lee GH. A multiresidue method for the determination 234 pesticides in Korean herbs using gas chromatography mass spectrometry. Microchem J [Internet]. 2010 May 1 [cited 2019 Aug 8];95(1):43–9. Available from: https://www.sciencedirect.com/science/article/pii/S0026265X09001398
Davey S. Unintended consequences of regulating traditional medicine. WHO South-East Asia J. 2013;2(December):131–4.
Parle M, Bansap N. Herbal Medicines: Are they safe? Indian J Nat Prod Resour. 2006;5(1):6–14.
Rahma M. Al-Kindi, Muna Al-Mushrafi, Muna Al-Rabaani IA-Z. Complementary and alternative medicine use among adults with diabetes in Muscat region, Oman. Sultan Qaboos Univ Med J. 2011;11(1):62–8.
Alfian Sofa Dewi, Sukandar Hadyana, Arisanti Nita AR. Complementary and alternative medicine use decreases adherence to prescribed medication in diabetes patients. Ann Trop Med Public Heal. 2016;9(3):174–9.
Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pr [Internet]. 2009;15. Available from: https://doi.org/10.1016/j.ctcp.2009.02.003
