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Sağlık Bilimleri Öğrencilerinde Akılcı İlaç Kullanımı ve Etkileyen Faktörler: Kültürlerarası Bir Bakış

Year 2025, Volume: 13 Issue: 1, 102 - 113
https://doi.org/10.33715/inonusaglik.1594026

Abstract

Bu çalışma, ilaç uygulamalarını etkileyen kültürel ve sosyal faktörleri anlamak için Türk ve Suriyeli sağlık bilimleri öğrencilerinin akılcı ilaç kullanımı (AİK) davranışlarını ve etkileyen faktörleri incelemeyi amaçlamaktadır. Veriler Ocak-Mayıs (2024) ayları arasında Türkiye'nin doğusundaki bir üniversitede yüz yüze anket yöntemiyle toplanmıştır. Suriyeli öğrenciler arasında örneklem seçimi yapılmamış ve tüm popülasyon (n=182) çalışmaya dahil edilmiştir. Karşılaştırma yapabilmek için çalışmaya katılan Suriyeli öğrenci sayısı kadar Türk öğrenci basit tesadüfi örnekleme yöntemi ile seçilmiştir. Çalışma 322 öğrenci ile tamamlanmıştır (Suriyeli=161, Türk=161). Suriyeli öğrencilerin AİK puan ortalaması Türk öğrencilerden istatistiksel olarak anlamlı derecede yüksek bulunmuştur (p<0.05). Yaş, cinsiyet, medeni durum ve sınıfın Suriyeli öğrencilerin AİK üzerinde %11'lik bir etki büyüklüğü varken, aynı yordayıcılar Türk öğrencilerde %4'lük bir etki büyüklüğüne sahiptir. Ölçeğin kesme noktası 35 puan olarak alındığında hem Suriyeli hem de Türk öğrencilerin AİK düzeylerinin düşük olduğu belirlenmiştir. Ayrıca sosyodemografik faktörlerin de AİK üzerinde etkili olduğu bulunmuştur.

References

  • Agbor, A. P., Shey, N. D. & Vubu, Y. E. (2024). Examining Barriers to the utilization of malaria control and prevention services in the south west region, Cameroon. Journal of Health, Medicine and Nursing, 10(5), 30–42. https://doi.org/10.47604/jhmn.3038
  • Akkaya, A. & Koçaşlı, S. (2022). Sağlık Bilimleri fakültesinde öğrenim gören üniversite öğrencilerinin akılcı ilaç kullanımı ile ilgili bilgi düzeylerinin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(1), 246–256. https://doi.org/10.37989/gumussagbil.751195
  • Aslan, S., Çinar, E., Ertürk, N. E. F. E. & Baysal, P. (2023). Investigation of the relationship between rational drug use and healthy lifestyle behaviours of university students. Global Health Promotion, 30(3), 23–30. https://doi.org/10.1177/17579759221134054
  • Atif, M., Asghar, S., Mushtaq, I., Malik, I., Amin, A., Babar, Z.-U.-D. & Scahill, S. (2019). What drives inappropriate use of antibiotics? A mixed methods study from Bahawalpur, Pakistan. Infection and Drug Resistance, 687–699.
  • Değer, M. S., Sezerol, M. A. & Atak, M. (2023). Rational drug and antibiotic use status, E-Health Literacy in Syrian Immigrants and related factors: a cross-sectional study. Antibiotics, 12(10), 1531. https://doi.org/10.3390/antibiotics12101531
  • Demirtaş, Z., Dağtekin, G., Sağlan, R., Alaiye, M., Önsüz, M. F., Işıklı, B., …Metintaş, S. (2018). Akılcı ilaç kullanımı ölçeği geçerlilik ve güvenilirliği. ESTÜDAM Halk Sağlığı Dergisi, 3(3), 37–46.
  • Dzansi, G., Tornu, E. & Chipps, J. (2020). Promoters and inhibitors of treatment adherence among HIV/AIDS patients receiving antiretroviral therapy in Ghana: Narratives from an underserved population. PloS One, 15(3), e0230159. https://doi.org/10.1371/journal.pone.0230159
  • Genç, S. (2020). Evaluation of rational drug use practices in terms of medical ethics (Master's thesis, Bursa Uludag University (Turkey)).
  • Goruntla, N., Ssesanga, J., Bommireddy, B. R., Thammisetty, D. P., Kasturi Vishwanathasetty, V., …Bukke, S. P. N. (2023). Evaluation of rational drug use based on who/inrud core drug use indicators in a secondary care hospital: a cross-sectional study in western Uganda. Drug, Healthcare and Patient Safety, 125–135.
  • İEİS. (2023). Dünya ve Türkiye İlaç Pazarı. https://www.ieis.org.tr/tr/dunya-ve-turkiye-ilac-pazari (Access Date: 09.09.2023).
  • IQVIA. (2024). Global Medicine Spending and Usage Trends: Outlook. https://www.iqvia.com/insights/the-iqvia-institute/reports-and-publications/reports/the-global-use-of-medicines-2024-outlook-to-2028 (Access Date: 16.01.2024).
  • Kshirsagar, N. A. (2016). Rational use of medicines: Cost consideration & way forward. Indian Journal of Medical Research, 144(4), 502–505. DOI: 10.4103/0971-5916.200901
  • McQuaid, E. L. & Landier, W. (2018). Cultural issues in medication adherence: disparities and directions. Journal of general internal medicine, 33, 200-206.
  • Ruiz, C. B. T., Vallejo, M. A. I., Abrigo, S. G. T. & Salgado, D. M. G. (2023). Pandemıc by covıd-19, a vıew from the andean cosmovısıon ın the shuar communıty. Enfermería Investiga, 8(4), 3–9. https://orcid.org/0000-0002-9116-8639
  • Şahin, K., Apak, R. & Atar, H. H. (2017). TÜBA-Rational antibiotic use in human and animal health and antibiotic resistance report. TÜBA-Food and Nutrition Working Group. Turkish Academy of Sciences Publications. https://www.tuba.gov.tr/tr/yayinlar/suresiz-yayinlar/raporlar/tuba-insan-ve-hayvan-sagliginda-akilci-antibiyotik-kullanimi-ve-antibiyotik-direnclilik-raporu-1 (Access Date: 18.05.2024).
  • Tomas, A. & Aljadeeah, S. (2022). The overlooked issue of outpatient combination antibiotic prescribing in low-and middle-income countries: an example from Syria. Antibiotics, 11(1), 74. https://doi.org/10.3390/antibiotics11010074
  • WHO. (2022). Promoting rational use of medicines. https://www.who.int/activities/promoting-rational-use-of-medicines/ (Access Date: 10.10.2024).
  • Wiedenmayer, K., Ombaka, E., Kabudi, B., Canavan, R., Rajkumar, S., Chilunda, F., …Stoermer, M. (2021). Adherence to standard treatment guidelines among prescribers in primary healthcare facilities in the Dodoma region of Tanzania. BMC Health Services Research, 21, 1–10. https://doi.org/10.1186/s12913-021-06257-y
  • Yilmaz, D., Altun, N. & Kılıç, M. (2016). Determination of rational drug use behaviors of adult individuals-a cross-sectional study from Turkey. Current Health Sciences Journal, 42(1), 12. doi: 10.12865/CHSJ.42.01.02
  • Yin, C., He, X., Shen, K., Mu, X. & Tang, F. (2022). Knowledge and behavior in rational drug use among college students in Zunyi City. Risk Management and Healthcare Policy, 121–131.

RATIONAL DRUG USE IN HEALTH SCIENCES STUDENTS AND AFFECTING FACTORS: A CROSS-CULTURAL OVERVIEW

Year 2025, Volume: 13 Issue: 1, 102 - 113
https://doi.org/10.33715/inonusaglik.1594026

Abstract

This study aims to examine the Rational drug use (RDU) behaviours and influencing factors of Turkish and Syrian health sciences students to understand the cultural and social factors affecting medication practices. The data were collected between January-May (2024) by face-to-face survey method at a university in eastern Turkey. No sample selection was made among Syrian students and the whole population (n=182) was included in the study. In order to make a comparison, as many Turkish students as the number of Syrian students participating in the study were selected by simple random sampling method. The study was completed with 322 students (Syrian=161, Turkish=161). The mean RDU score of Syrian students was found to be statistically significantly higher than Turkish students (p<0.05). Age, gender, marital status, and grade had an effect size of 11% on Syrian students' RDU, while the same predictors had an effect size of 4% in Turkish students. When the cut-off point of the scale was taken as 35 points, it was determined that both Syrian and Turkish students had low RDU levels. In addition, sociodemographic factors were found to be effective in RDU.

References

  • Agbor, A. P., Shey, N. D. & Vubu, Y. E. (2024). Examining Barriers to the utilization of malaria control and prevention services in the south west region, Cameroon. Journal of Health, Medicine and Nursing, 10(5), 30–42. https://doi.org/10.47604/jhmn.3038
  • Akkaya, A. & Koçaşlı, S. (2022). Sağlık Bilimleri fakültesinde öğrenim gören üniversite öğrencilerinin akılcı ilaç kullanımı ile ilgili bilgi düzeylerinin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(1), 246–256. https://doi.org/10.37989/gumussagbil.751195
  • Aslan, S., Çinar, E., Ertürk, N. E. F. E. & Baysal, P. (2023). Investigation of the relationship between rational drug use and healthy lifestyle behaviours of university students. Global Health Promotion, 30(3), 23–30. https://doi.org/10.1177/17579759221134054
  • Atif, M., Asghar, S., Mushtaq, I., Malik, I., Amin, A., Babar, Z.-U.-D. & Scahill, S. (2019). What drives inappropriate use of antibiotics? A mixed methods study from Bahawalpur, Pakistan. Infection and Drug Resistance, 687–699.
  • Değer, M. S., Sezerol, M. A. & Atak, M. (2023). Rational drug and antibiotic use status, E-Health Literacy in Syrian Immigrants and related factors: a cross-sectional study. Antibiotics, 12(10), 1531. https://doi.org/10.3390/antibiotics12101531
  • Demirtaş, Z., Dağtekin, G., Sağlan, R., Alaiye, M., Önsüz, M. F., Işıklı, B., …Metintaş, S. (2018). Akılcı ilaç kullanımı ölçeği geçerlilik ve güvenilirliği. ESTÜDAM Halk Sağlığı Dergisi, 3(3), 37–46.
  • Dzansi, G., Tornu, E. & Chipps, J. (2020). Promoters and inhibitors of treatment adherence among HIV/AIDS patients receiving antiretroviral therapy in Ghana: Narratives from an underserved population. PloS One, 15(3), e0230159. https://doi.org/10.1371/journal.pone.0230159
  • Genç, S. (2020). Evaluation of rational drug use practices in terms of medical ethics (Master's thesis, Bursa Uludag University (Turkey)).
  • Goruntla, N., Ssesanga, J., Bommireddy, B. R., Thammisetty, D. P., Kasturi Vishwanathasetty, V., …Bukke, S. P. N. (2023). Evaluation of rational drug use based on who/inrud core drug use indicators in a secondary care hospital: a cross-sectional study in western Uganda. Drug, Healthcare and Patient Safety, 125–135.
  • İEİS. (2023). Dünya ve Türkiye İlaç Pazarı. https://www.ieis.org.tr/tr/dunya-ve-turkiye-ilac-pazari (Access Date: 09.09.2023).
  • IQVIA. (2024). Global Medicine Spending and Usage Trends: Outlook. https://www.iqvia.com/insights/the-iqvia-institute/reports-and-publications/reports/the-global-use-of-medicines-2024-outlook-to-2028 (Access Date: 16.01.2024).
  • Kshirsagar, N. A. (2016). Rational use of medicines: Cost consideration & way forward. Indian Journal of Medical Research, 144(4), 502–505. DOI: 10.4103/0971-5916.200901
  • McQuaid, E. L. & Landier, W. (2018). Cultural issues in medication adherence: disparities and directions. Journal of general internal medicine, 33, 200-206.
  • Ruiz, C. B. T., Vallejo, M. A. I., Abrigo, S. G. T. & Salgado, D. M. G. (2023). Pandemıc by covıd-19, a vıew from the andean cosmovısıon ın the shuar communıty. Enfermería Investiga, 8(4), 3–9. https://orcid.org/0000-0002-9116-8639
  • Şahin, K., Apak, R. & Atar, H. H. (2017). TÜBA-Rational antibiotic use in human and animal health and antibiotic resistance report. TÜBA-Food and Nutrition Working Group. Turkish Academy of Sciences Publications. https://www.tuba.gov.tr/tr/yayinlar/suresiz-yayinlar/raporlar/tuba-insan-ve-hayvan-sagliginda-akilci-antibiyotik-kullanimi-ve-antibiyotik-direnclilik-raporu-1 (Access Date: 18.05.2024).
  • Tomas, A. & Aljadeeah, S. (2022). The overlooked issue of outpatient combination antibiotic prescribing in low-and middle-income countries: an example from Syria. Antibiotics, 11(1), 74. https://doi.org/10.3390/antibiotics11010074
  • WHO. (2022). Promoting rational use of medicines. https://www.who.int/activities/promoting-rational-use-of-medicines/ (Access Date: 10.10.2024).
  • Wiedenmayer, K., Ombaka, E., Kabudi, B., Canavan, R., Rajkumar, S., Chilunda, F., …Stoermer, M. (2021). Adherence to standard treatment guidelines among prescribers in primary healthcare facilities in the Dodoma region of Tanzania. BMC Health Services Research, 21, 1–10. https://doi.org/10.1186/s12913-021-06257-y
  • Yilmaz, D., Altun, N. & Kılıç, M. (2016). Determination of rational drug use behaviors of adult individuals-a cross-sectional study from Turkey. Current Health Sciences Journal, 42(1), 12. doi: 10.12865/CHSJ.42.01.02
  • Yin, C., He, X., Shen, K., Mu, X. & Tang, F. (2022). Knowledge and behavior in rational drug use among college students in Zunyi City. Risk Management and Healthcare Policy, 121–131.
There are 20 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Araştırma Makalesi
Authors

Hanife Çelik 0000-0003-4124-4274

Seher Çevik Aktura 0000-0001-7299-1788

Mehmet Kaplan 0000-0003-2504-9508

Early Pub Date February 14, 2025
Publication Date
Submission Date November 30, 2024
Acceptance Date January 13, 2025
Published in Issue Year 2025 Volume: 13 Issue: 1

Cite

APA Çelik, H., Çevik Aktura, S., & Kaplan, M. (2025). RATIONAL DRUG USE IN HEALTH SCIENCES STUDENTS AND AFFECTING FACTORS: A CROSS-CULTURAL OVERVIEW. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 13(1), 102-113. https://doi.org/10.33715/inonusaglik.1594026