ankara šocuk endokrin ankara šocuk endokrinoloji doktorlarř
B─░R─░NC─░ BASAMAK SA─×LIK KURULU┼×UNA BA┼×VURAN ER─░┼×K─░NLER─░N AKILCI ─░LA├ç KULLANIM TUTUM VE DAVRANI┼×LARI - RATIONAL DRUG USE ATTITUDES and BEHAVIORS of ADULTS WHO APPLY for PRIMARY HEALTH CARE in SEMIRURAL AREAS | Da─čtekin | Eski┼čehir T├╝rk D├╝nyas─▒ Uygulama ve Ara┼čt─▒rma Merkezi Halk Sa─čl─▒─č─▒ Dergisi (ISSN:2564-6311)

B─░R─░NC─░ BASAMAK SA─×LIK KURULU┼×UNA BA┼×VURAN ER─░┼×K─░NLER─░N AKILCI ─░LA├ç KULLANIM TUTUM VE DAVRANI┼×LARI - RATIONAL DRUG USE ATTITUDES and BEHAVIORS of ADULTS WHO APPLY for PRIMARY HEALTH CARE in SEMIRURAL AREAS

G├Âk├že Da─čtekin, Zeynep Demirta┼č, Melike Alaiye, Ramazan Sa─član, Muhammed Fatih ├ľns├╝z, Burhanettin I┼č─▒kl─▒, Fatma Sultan K─▒l─▒├ž, Selma Metinta┼č

├ľz


├çal─▒┼čmada, yar─▒ k─▒rsal alanda aile sa─čl─▒─č─▒ merkezlerine ba┼čvuran eri┼čkinlerde ak─▒lc─▒ ila├ž kullan─▒m─▒ ile ilgili tutum ve davran─▒┼člar─▒n incelenmesi ama├žland─▒. Eski┼čehir Osmangazi ├ťniversitesi (ESOG├ť) E─čitim Ara┼čt─▒rma B├Âlgesi b├╝nyesinde bulunan d├Ârt Toplum Sa─čl─▒─č─▒ Merkezi(TSM) b├Âlgelerinden, k├╝me ├Ârnekleme y├Ântemiyle rastgele olarak iki TSM b├Âlgesi se├žildi. Se├žilen TSM b├╝nyesindeki aile sa─čl─▒─č─▒ merkezlerine(ASM) ara┼čt─▒rma s├╝resince ba┼čvuran 768 yeti┼čkin ├žal─▒┼čma grubunu olu┼čturdu. Verilerin toplanmas─▒nda kullan─▒lan anket formun birinci b├Âl├╝m├╝ kat─▒l─▒mc─▒lar─▒n sosyodemografik ve ├Âzge├žmi┼č┬á├Âzelliklerini, ikinci b├Âl├╝m ise ak─▒lc─▒ ila├ž kullan─▒m─▒ ile ilgili tutum ve davran─▒┼člar─▒ sorgulayan 13 sorudan olu┼čtu. ├çal─▒┼čmada ak─▒lc─▒ ila├ž kullanma davran─▒┼č─▒ hekimin ├Ânerdi─či miktar ve s├╝rede ila├ž kullanma olarak tan─▒mland─▒. Verilerin analizinde ki kare testi ile ├žoklu lojistik regresyon analizi kullan─▒ld─▒. ├çal─▒┼čmaya kat─▒lan 768 ki┼činin ya┼člar─▒ 18-87 aras─▒nda olup ortalamas─▒┬▒SS 41.9┬▒14.5 y─▒l idi. ├çal─▒┼čma grubunun %90.6ÔÇÖs─▒ hekime ba┼čvurmadan ila├ž kulland─▒─č─▒ bildirirken en s─▒k hekime ba┼čvurmadan kullan─▒lan ila├žlar a─čr─▒ kesicilerdi. ├çal─▒┼čma grubunda ak─▒lc─▒ olmayan ila├ž kullanma s─▒kl─▒─č─▒ %53.4 olarak saptand─▒. ├çal─▒┼čma grubunda ak─▒lc─▒ olmayan ila├ž kullanma davran─▒┼č─▒ 40 ya┼č┬áalt─▒nda, erkeklerde, gelir d├╝zeyi k├Ât├╝ olanlarda riskli olarak saptand─▒. ├çal─▒┼čmada kat─▒l─▒mc─▒larda ak─▒lc─▒ ila├ž kullanma davran─▒┼č─▒n─▒n yetersiz oldu─ču, ├Âzellikle gen├ž ya┼člarda ak─▒lc─▒ ila├ž kullan─▒m─▒n─▒n azald─▒─č─▒ g├Âr├╝ld├╝. Bireylere ak─▒lc─▒ ila├ž kullan─▒m─▒ ile ilgili olumlu tutum ve davran─▒┼člar─▒n kazand─▒r─▒lmas─▒ i├žin sa─čl─▒k e─čitimi verilmesi gerekti─či ve birinci basamak sa─čl─▒k hizmetleri sunumu i├žine hastalarda ak─▒lc─▒ olmayan ila├ž davran─▒┼č─▒na y├Ânelik uygulamalar─▒n yerle┼čtirilmesinin uygun olaca─č─▒ kanaatine var─▒ld─▒.

Anahtar kelimeler:┬áak─▒lc─▒ ila├ž; tutum; davran─▒┼č

RATIONAL DRUG USE ATTITUDES and BEHAVIORS of ADULTS WHO APPLY for PRIMARY HEALTH CARE in SEMIRURAL AREAS

The aim of the study was to investigate attitudes and behaviors related to rational drug use in adults who applied to family health centers in semirural areas. Two Community Health Center (CHC) regions were randomly selected from the four CHC regions of the Eski┼čehir Osmangazi University (EOU) Educational Research Zone by cluster sampling method. A total of 768 adult were recruited to the family health centers within the selected CHC regions during the survey. The first part of the questionnaire used to collect data consisted of questions about the participants' sociodemographic and background characteristics and the second part consisted thirteen questions about attitudes and behaviors related to rational drug use. The rational drug use behavior in the study was defined as the use of the amount prescribed by the physician. Chi-square test and multiple logistic regression analysis were used in the analysis of the data. The mean age of the 768 participants was between 18 and 87 years and the mean ┬▒ SD was 41.9 ┬▒ 14.5 years. 90.6% of participants reported using drug without prescribed by a physician. Painkillers were the most often taken without a prescription. The incidence of irrational drug use in the study group was 53.4%. In the study group, irrational drug use behavior was found risky below 40 years of age, males and with poor income levels. Participants in the study were found inadequate of rational drug use, especially in younger age.It has been concluded that health education should be given to acquire positive attitudes and behaviors related to rational drug use by individuals and it would be appropriate to put non- rational drug behaviors into the provision of primary health care services to patients.

Key words: rational drug; attitude; behavior

 


Tam Metin:

ARTICLE 2

Referanslar


WHO., The Rational use of drugs: report of the conference of experts, Nairobi, 25-29 November 1985. 1987: World Health Organization.

WHO., Antimicrobial resistance: a threat to global health security. Rational use of medicines by prescribers and patients, Apr 2005; A58/14.

Taylor, K., H. Ronte, and S. Hammett, Healthcare and life sciences predictions 2020-a bold future. Deloitte, London, 2014.

Sa─č─▒r, M. and H. Parlakp─▒nar, Ak─▒lc─▒ ila├ž kullan─▒m─▒. 2014.

H─▒fz─▒ss─▒hha, T.S.B.R.S. and M.B.H.M. M├╝d├╝rl├╝─č├╝, Hekimlerin ak─▒lc─▒ re├žeteleme yakla┼č─▒m─▒. Ara┼čt─▒rma Serisi. 8.

Ak─▒c─▒, A. and S. Kala├ža, Topluma Y├Ânelik Ak─▒lc─▒ ─░la├ž Kullan─▒m─▒. ed) Ak─▒c─▒ A, TC Sosyal G├╝venlik Kurumu Ba┼čkanl─▒─č─▒, Ankara, SGK Yay─▒n, 2013(93): p. 40-55.

Yap─▒c─▒, G., S. Bal─▒k├ž─▒, and ├ľ. U─čur, Birinci basamak sa─čl─▒k kurulu┼čuna ba┼čvuranlar─▒n ila├ž kullan─▒m─▒ konusundaki tutum ve davran─▒┼člar─▒. Dicle t─▒p dergisi, 2011. 38(4).

├ľz├želikay, G., Ak─▒lc─▒ ila├ž kullan─▒m─▒ ├╝zerinde bir pilot ├žal─▒┼čma. Ankara Eczac─▒l─▒k Fak├╝ltesi Dergisi, 2001. 30(2): p. 9-18.

┼×endir, M., et al., Determination of rational drug use of incoming individuals to family health care centers. TAF Preventive Medicine Bulletin, 2015. 14(1): p. 15-22.

┼×ahing├Âz, M. and E. Balc─▒, Hem┼čirelerin Ak─▒lc─▒ ─░la├ž Kullan─▒m─▒. TAF Preventive Medicine Bulletin, 2013. 12(1).

Karakurt, P., et al., ├ťniversite ├Â─črencilerinde ila├ž kullan─▒m─▒. TAF Preventive Medicine Bulletin, 2010. 9(5): p. 505-12.

├ľzkan, S., et al., Bir ├╝niversite hastanesine ba┼čvuran hastalar─▒n hasta olduklar─▒ndaki tutumlar─▒ ve ila├ž kullan─▒m al─▒┼čkanl─▒klar─▒. TSK Koruyucu Hekimlik B├╝lteni, 2005. 4(5): p. 223-37.

Akl, O.A., et al., WHO/INRUD drug use indicators at primary healthcare centers in Alexandria, Egypt. Journal of Taibah University Medical Sciences, 2014. 9(1): p. 54-64.

Chareonkul, C., V.L. Khun, and C. Boonshuyar, Rational drug use in Cambodia: study of three pilot health centers in Kampong Thom Province. 2002.

Esin, M.N., Eri┼čkin bireylerin ila├ž kullanma ile ilgili davran─▒┼člar─▒. Florence Nightingale Hem┼čirelik Dergisi, 2007. 15(60): p. 139-145.

G├Â├žgeldi, E., et al., Evlerde Art─▒k ─░la├ž Bulunma S─▒kl─▒─č─▒ ve ─░li┼čkili Fakt├Ârlerin Ara┼čt─▒r─▒lmas─▒. TAF Preventive Medicine Bulletin, 2009. 8(2).

SAYGI, S., D. Battal, and N.O. SAHIN, ├çevre ve insan sa─čl─▒─č─▒ y├Ân├╝nden ila├ž at─▒klar─▒n─▒n ├Ânemi. Marmara Pharmaceutical Journal, 2012. 16(2): p. 82-90.

YILMAZ, S. and S. BUZLU, Antipsikotik Kullanan Hastalarda ─░la├ž Yan Etkileri ve ─░la├ž Uyumu. Florence Nightingale Hem┼čirelik Dergisi, 2012. 20(2): p. 93-103.

AKKU┼×, Y., Kars' ta 60 Ya┼č ├ťst├╝ Bireylerin ─░la├ž Kullan─▒m Davran─▒┼člar─▒n─▒n De─čerlendirilmesi. T├ťBAV Bilim Dergisi, 2011. 4(3): p. 214-220.


Refback'ler

  • ┼×u halde refbacks yoktur.