Araştırma Makalesi
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Tinea Pedis Tedavisinde, Anadolu Propolis Kullanımının, Tinea Pedis Hemşirelik Eğitiminin ve Geleneksel Tıbbi Tedavinin Değerlendirilmesi: Üç Kollu Randomize Çalışma

Yıl 2025, Cilt: 5 Sayı: 1, 75 - 89, 30.04.2025

Rukiye Burucu , Dilek Kabakcı , İsmail Örs , Melike Durmaz , Hasan Karaağaç , İlknur Örs

Öz

Amaç: Bu çalışmada; tinea pedis tedavisinde, Anadolu propolis ekstresinin topikal kullanımının, hemşirelik eğitiminin ve geleneksel tıbbi tedavinin değerlendirilmesi amaçlanmıştır.
Yöntem: Bu üç kollu, randomize, kontrollü bir klinik çalışmadır. Örneklem büyüklüğü (n:96) güç analizi ile belirlenmiştir. Bir gruba plasebo, birine propolis, diğerine ise propolis eğitimin uygulanmıştır. Katılımcılar tinea pedis tanısı alan yetişkin hastalardır. Araştırma için gerekli izinler ve katılımcılardan yazılı onamlar alınmıştır. Veri toplama araçları sosyodemografik veri formu, hekim ve hasta genel değerlendirme formu, Türk Dermatolojik Yaşam Kalitesi İndeksi'dir.
Bulgular: Hasta ve doktor değerlendirmelerine göre tinea pedis lezyonlarında en fazla iyileşmeyi “eğitim” (%71,9) ve “propolis” (%87,1) grupları göstermiştir. Dermatolojik Yaşam Kalitesi İndeksi puan ortalamaları ilk ve son değerlendirmelerde farklı bulunmuştur. Hesaplanan etki büyüklüğü d>0,5 olarak bulunmuştur. Hastaların değerlendirmesinde eğitim grubu “büyük bir iyileşme” (%71,9) yaşadıklarını belirtmiştir. Doktorun değerlendirmesine göre Anadolu propolisi uygulanan grup %78,1 oranıyla “en fazla gelişme” göstermiş olup, her iki değerlendirmede de gruplar arasındaki fark anlamlı bulunmuştur. (p<0,05).
Sonuç: Çalışmaya dahil edilen üç grubun dermatolojik yaşam kalitesi ile hasta ve doktorun değerlendirmeleri arasında farklılık bulunmaktadır. Hastaların ayak bakımı konusunda eğitilmesi sağlığın korunması ve geliştirilmesi açısından önemlidir.

Anahtar Kelimeler

Propolis ayak bakımı hemşirelik eğitimi ayak mantarı

Kaynakça

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  • 2 Adiewere P, Gillis RB, Imran Jiwani S, Meal A, Shaw I, Adams GG. A systematic review and meta-analysis of patient education in preventing and reducing the incidence or recurrence of adult diabetes foot ulcers (DFU). Heliyon. 2018;4(5):e00614. DOI: https://doi.org/10.1016/j.heliyon.2018.e00614
  • 3 Afkhamizadeh M, Aboutorabi R, Ravari H, Fathi Najafi M, Ataei Azimi S, Javadian Langaroodi A, et al. Topical propolis improves wound healing in patients with diabetic foot ulcer: a randomized controlled trial. Nat Prod Res [Internet].2019/08/23.2018;32(17):2096–9. DOI: https://doi.org/10.1080/14786419.2017.1363755
  • 4 Akdemir N, Birol L. İç Hastalıkları ve Hemşirelik Bakımı. 5. Edition. Ankara: Akademisyen Kitabevi; 2020.
  • 5 Aljuboori AAR, Çakar D, Akıllı Şimşek S, Maden S. The Antifungal Effect of Propolis Extract Against Candida albicans Derived from Urinary Tract Infection. Eurasian JHS. 2022;5(2):88–94.DOI: https://doi.org/10.53493/avrasyasbd.1028269
  • 6 Atay S. Dermatolojİde YaŞam Kalİtesİ. Eskişehir Türk Dünyası Uygul ve Araştırma Merk Halk Sağlığı Derg. 2019;4:27–34.DOI: https://doi.org/10.35232/estudamhsd.517027
  • 7 Ateşman E. Türkçe’de Okunabilirliğin Ölçülmesi. Dil Derg. 1997;58:71–4.
  • 8 Cerqueira P, Cunha A, Almeida-Aguiar C. Potential of propolis antifungal activity for clinical applications. J Appl Microbiol [Internet]. 2022 Sep 1;133(3):1207–28. DOI: https://doi.org/ 10.1111/jam.15628
  • 9 Chylińska-Wrzos P, Lis-Sochocka M, Jodłowska-Jędrych B. Use of propolis in difficult to heal diabetic wounds. Short review. Polish J Public Heal. 2017;127(4):173–5.DOI:10.1515/pjph-2017-0037
  • 10 Dudoit A, Mertz C, Chillet M, Cardinault N, Brat P. Antifungal activity of Brazilian red propolis extract and isolation of bioactive fractions by thin-layer chromatography-bioautography. Food Chem [Internet]. 2020/05/27. 2020;327:127060. DOI: https://doi.org/10.1016/j.foodchem.2020.127060
  • 11 Dursun S, Vural B, Keskin B, Kaçar HK, Beyhan A, Kadıoğlu H. Yetişkinlerde Geleneksel/Tamamlayıcı Tıp Tutumu ile Sağlık Okuryazarlığı ve Sağlık Algısı Arasındaki İlişki. Halk Sağlığı Hemşireliği Derg. 2019;1(1):1–10. Available from: https://dergipark.org.tr/tr/pub/jphn/issue/50380/653075
  • 12 Farhan RK. Dermatophytes and Bacterial Super infections in antimicrobial resistant Tinea pedis patients in Dour city, Iraq. Eur J Mol Clin Med. 2021;8(1):1396–408. DOI: https://doi.org/10.15562/bmj.v7i2.77.
  • 13 Fazio S, Edwards J, Miyamoto S, Henderson S, Dharmar M, Young HM. More than A1C: Types of success among adults with type-2 diabetes participating in a technology-enabled nurse coaching intervention. Patient Educ Couns. 2019;102(1):106–12. DOI: https://doi.org/10.1016/j.pec.2018.08.028
  • 14 Frida F. Effect of Health Counseling on Tinea Pedis on Farmers Attitudes in Prevention of Tinea Pedis in Sukodono Village, Karangrejo District, Tulungagung Regency, 2017. J Glob Res Public Heal. 2019;4(1):75–77. Available from: https://www.jgrph.org/index.php/JGRPH/article/view/21
  • 15 Güleç D, Kavlak O. Baba- Bebek Bağlanma Ölçeği’nin Türk Toplumunda Geçerlik Ve Güvenirliğinin İncelenmesi. Int J Hum Sci. 2013;10(2):170–81. Available from: https://www.j-humansciences.com/ojs/index.php/ijhs/article/view/2590/1178
  • 16 Gürel MS, Yanık M, Şimşek Z, Katı M, Karaman A. Skin diseases and Turkish quality of life Gurel et al. REPORT Quality of life instrument for Turkish people with skin diseases. Int J Dermatol. 2005;44:933–8. DOI: : https://doi.org/ 10.1111/j.1365-4632.2004.02225.x
  • 17 Hemmati Maslakpak M, Razmara S, Niazkhani Z. Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial. J Diabetes Res 2017:8404328. DOI: https://doi.org/ 10.1155/2017/8404328
  • 18 Işıkgoz Tasbakan M, Yıldırım Şimşir I, Mermer S, Uysal S, Öztürk M, Cetinkalp S. Intralesional epidermal growth factor therapy fordiabetic foot ulcers: an evaluation of 15 cases. Turk J Med Sci. 2017;47(5):1500–4. DOİ: https:// doi.org/ 10.3906/sag-1703-153
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Combination Treatment with Conventional Medical Therapy with External use of Anatolian Propolis or Nursing Education for Tinea Pedis: A Three-Arm Randomized Controlled Trial

Yıl 2025, Cilt: 5 Sayı: 1, 75 - 89, 30.04.2025

Rukiye Burucu , Dilek Kabakcı , İsmail Örs , Melike Durmaz , Hasan Karaağaç , İlknur Örs

Öz

ABSTRACT
Objective: In this study; it was aimed to evaluate the external use of Anatolian propolis extract and the effect of nursing education in patients diagnosed with tinea pedis.
Methods: This is a three-arm, randomized, controlled clinical trial. Sample size (n=96) was determined by power analysis. One group received placebo, another received propolis, and the third received education Participants were adult patients diagnosed with tinea pedis. Necessary permissions for the study and written consent were obtained from the participants. Evaluation tools are sociodemographic data form, physician and patient global evaluation form, and The Turkish Dermatological Quality of Life Index.
Results: According to patient and doctor evaluations, the “education” (71.9%) and “propolis” (87.1%) groups showed the greatest improvement in tinea pedis lesions. Dermatological Quality of Life Index score averages were different in the first and last evaluations. The calculated effect size was found to be d>0.5. As a result of the research, it was determined that the education group experienced a "great improvement" (71.9%). According to the doctor's evaluation, the group that received Anatolian propolis showed the "greatest improvement" with a rate of 78.1%, and the differences between the groups were significant in both evaluations (p<0.05).
Conclusion: There is a difference between the dermatological quality of life of the three groups included in the study and the evaluations of the patient and the doctor. Educating patients about foot care is important for the protection and development of health.

Anahtar Kelimeler

Propolis podiatry nursing education tinea pedis

Kaynakça

  • 1 Aboelezz G, Bahaa El Din R, Refaat D. Assesment of diabetic foot Risk factor among patients with diabetes attending to zagazig university hospital. Zagazig Univ Med J. 2019;27(1):1–11.DOİ:https://doi.org/ 10.21608/zumj.2019.15123.1361
  • 2 Adiewere P, Gillis RB, Imran Jiwani S, Meal A, Shaw I, Adams GG. A systematic review and meta-analysis of patient education in preventing and reducing the incidence or recurrence of adult diabetes foot ulcers (DFU). Heliyon. 2018;4(5):e00614. DOI: https://doi.org/10.1016/j.heliyon.2018.e00614
  • 3 Afkhamizadeh M, Aboutorabi R, Ravari H, Fathi Najafi M, Ataei Azimi S, Javadian Langaroodi A, et al. Topical propolis improves wound healing in patients with diabetic foot ulcer: a randomized controlled trial. Nat Prod Res [Internet].2019/08/23.2018;32(17):2096–9. DOI: https://doi.org/10.1080/14786419.2017.1363755
  • 4 Akdemir N, Birol L. İç Hastalıkları ve Hemşirelik Bakımı. 5. Edition. Ankara: Akademisyen Kitabevi; 2020.
  • 5 Aljuboori AAR, Çakar D, Akıllı Şimşek S, Maden S. The Antifungal Effect of Propolis Extract Against Candida albicans Derived from Urinary Tract Infection. Eurasian JHS. 2022;5(2):88–94.DOI: https://doi.org/10.53493/avrasyasbd.1028269
  • 6 Atay S. Dermatolojİde YaŞam Kalİtesİ. Eskişehir Türk Dünyası Uygul ve Araştırma Merk Halk Sağlığı Derg. 2019;4:27–34.DOI: https://doi.org/10.35232/estudamhsd.517027
  • 7 Ateşman E. Türkçe’de Okunabilirliğin Ölçülmesi. Dil Derg. 1997;58:71–4.
  • 8 Cerqueira P, Cunha A, Almeida-Aguiar C. Potential of propolis antifungal activity for clinical applications. J Appl Microbiol [Internet]. 2022 Sep 1;133(3):1207–28. DOI: https://doi.org/ 10.1111/jam.15628
  • 9 Chylińska-Wrzos P, Lis-Sochocka M, Jodłowska-Jędrych B. Use of propolis in difficult to heal diabetic wounds. Short review. Polish J Public Heal. 2017;127(4):173–5.DOI:10.1515/pjph-2017-0037
  • 10 Dudoit A, Mertz C, Chillet M, Cardinault N, Brat P. Antifungal activity of Brazilian red propolis extract and isolation of bioactive fractions by thin-layer chromatography-bioautography. Food Chem [Internet]. 2020/05/27. 2020;327:127060. DOI: https://doi.org/10.1016/j.foodchem.2020.127060
  • 11 Dursun S, Vural B, Keskin B, Kaçar HK, Beyhan A, Kadıoğlu H. Yetişkinlerde Geleneksel/Tamamlayıcı Tıp Tutumu ile Sağlık Okuryazarlığı ve Sağlık Algısı Arasındaki İlişki. Halk Sağlığı Hemşireliği Derg. 2019;1(1):1–10. Available from: https://dergipark.org.tr/tr/pub/jphn/issue/50380/653075
  • 12 Farhan RK. Dermatophytes and Bacterial Super infections in antimicrobial resistant Tinea pedis patients in Dour city, Iraq. Eur J Mol Clin Med. 2021;8(1):1396–408. DOI: https://doi.org/10.15562/bmj.v7i2.77.
  • 13 Fazio S, Edwards J, Miyamoto S, Henderson S, Dharmar M, Young HM. More than A1C: Types of success among adults with type-2 diabetes participating in a technology-enabled nurse coaching intervention. Patient Educ Couns. 2019;102(1):106–12. DOI: https://doi.org/10.1016/j.pec.2018.08.028
  • 14 Frida F. Effect of Health Counseling on Tinea Pedis on Farmers Attitudes in Prevention of Tinea Pedis in Sukodono Village, Karangrejo District, Tulungagung Regency, 2017. J Glob Res Public Heal. 2019;4(1):75–77. Available from: https://www.jgrph.org/index.php/JGRPH/article/view/21
  • 15 Güleç D, Kavlak O. Baba- Bebek Bağlanma Ölçeği’nin Türk Toplumunda Geçerlik Ve Güvenirliğinin İncelenmesi. Int J Hum Sci. 2013;10(2):170–81. Available from: https://www.j-humansciences.com/ojs/index.php/ijhs/article/view/2590/1178
  • 16 Gürel MS, Yanık M, Şimşek Z, Katı M, Karaman A. Skin diseases and Turkish quality of life Gurel et al. REPORT Quality of life instrument for Turkish people with skin diseases. Int J Dermatol. 2005;44:933–8. DOI: : https://doi.org/ 10.1111/j.1365-4632.2004.02225.x
  • 17 Hemmati Maslakpak M, Razmara S, Niazkhani Z. Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial. J Diabetes Res 2017:8404328. DOI: https://doi.org/ 10.1155/2017/8404328
  • 18 Işıkgoz Tasbakan M, Yıldırım Şimşir I, Mermer S, Uysal S, Öztürk M, Cetinkalp S. Intralesional epidermal growth factor therapy fordiabetic foot ulcers: an evaluation of 15 cases. Turk J Med Sci. 2017;47(5):1500–4. DOİ: https:// doi.org/ 10.3906/sag-1703-153
  • 19 Jiang XJ, Jiang H, Lu YH, Liu SL, Wang JP, Tang RS, et al. The effectiveness of a self-efficacy-focused structured education programme on adults with type 2 diabetes: A multicentre randomised controlled trial. J Clin Nurs.2019/05/09. 2019;28(17–18):3299–309.DOI: https:// doi.org/ 10.1111/jocn.14908
  • 20 Kang R, Lipner S. Consumer preferences of antifungal products for treatment and prevention of tinea pedis. J Dermatolog Treat .2019;30(8):745–9. DOI: https://doi.org/10.1080/09546634.2019.1572862
  • 21 Karabaş Kılıç ZG, Erdem S, Kabakcı D, Akdeniz G. Recent Studies in the Use of Propolis as Traditional Medicine: A Review. Bee Stud Apic Res Inst. 2020;12(1):13–7. DOI: https://doi.org/10.51458/BSTD.2021.3
  • 22 Karaca E, Yıldırım G. Lise Öğrencilerine Uygulanan Kişisel Bakım Eğitiminin Öz Benlik Saygısı ve Öz Bakım Üzerine Etkisi. Ankara Sağlık Bilim Derg. 2022;11(1):69–81.DOI:https://doi.org/10.46971/ausbid.880339
  • 23 Kara Polat A, Akın Belli A, Alataş ET, Doğan G. Comparison of Efficacy and Safety of Topical 1% Butenafine and Topical 1% iclopirox Olamine in the Treatment of Tinea Pedis and Evaluation of the Effects on the Quality of Life of These Treatmens: A Randomized Single-Blind Trial. Turkish J Dermatology / Türk Dermatoloji Derg. 2017;11:174–8. DOI: https://doi.org/10.4274/tdd.3324
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  • 28 Lipner SR. Pharmacotherapy for onychomycosis: new and emerging treatments. Expert Opin Pharmacother. 2019;20(6):725–35. DOI: https://doi.org/ 10.1080/14656566.2019.1571039
  • 29 Liu J, Lu Q, Pang D, Yang P, Jin S, Yuan G, et al. Foot Care Education Among Patients With Diabetes Mellitus in China: A Cross-sectional Study. J Wound Ostomy Cont 2020;47(3):276–83.DOI: https://doi.org/ 10.1080/14656566.2019.1571039
  • 30 McLendon SF. Interactive Video Telehealth Models to Improve Access to Diabetes Specialty Care and Education in the Rural Setting: A Systematic Review. Diabetes Spectr.2017;30(2):124–36. DOI: https://doi.org/ 10.2337/ds16-0004
  • 31 Mohdaly AAA, Mahmoud AA, Roby MHH, Smetanska I, Ramadan MF. Phenolic Extract from Propolis and Bee Pollen: Composition, Antioxidant and Antibacterial Activities. J Food Biochem. 2015;39(5):538–47.DOI: https://doi.org/10.1111/jfbc.12160
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  • 33 Mutlu Sariguzel F, Berk E, Koc AN, Sav H, Demir G. Antifungal Activity of Propolis Against Yeasts Isolated From Blood Culture: In Vitro Evaluation. J Clin Lab Anal [Internet]. 2016 Sep;30(5):513–6. Available from: https://onlinelibrary.wiley.com/doi/10.1002/jcla.2188940.
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Toplam 53 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Rukiye Burucu 0000-0002-9284-5486

Dilek Kabakcı

İsmail Örs 0000-0001-9778-5585

Melike Durmaz 0000-0002-6028-5592

Hasan Karaağaç

İlknur Örs 0000-0001-7994-5098

Erken Görünüm Tarihi 29 Nisan 2025
Yayımlanma Tarihi 30 Nisan 2025
Gönderilme Tarihi 10 Haziran 2024
Kabul Tarihi 10 Şubat 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 1

Kaynak Göster

APA Burucu, R., Kabakcı, D., Örs, İ., Durmaz, M., vd. (2025). Tinea Pedis Tedavisinde, Anadolu Propolis Kullanımının, Tinea Pedis Hemşirelik Eğitiminin ve Geleneksel Tıbbi Tedavinin Değerlendirilmesi: Üç Kollu Randomize Çalışma. Güncel Hemşirelik Araştırmaları Dergisi, 5(1), 75-89.
 Kapak Resmi İndir

Güncel Hemşirelik Araştırmaları Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.