Acil Tıp Uzmanlarının İlaç Uyumunun MMAS-8 Kullanılarak Değerlendirilmesi

Year 2022, Volume: 12 Issue: 1, 49 - 53, 01.04.2022

Damla Anbarlı Metin Arda Kocataş

Abstract

Amaç: Acil tıp uzmanlığı; yüksek kariyer ve yaşam doyum oranları bildirilmesine rağmen uzun süreli devam edenlerde tükenmişlik ve stres sorunu söz konusudur. Bu stres ve tükenmişlik bir çok uyumsuzluk ve riski de yanında getirmektedir. Tedavi uyumunun değerlendirilmesi için basit, güvenilir ve doğrulanmış bir öz bildirim aracı olarak MMAS-8 ölçeği kullanılmaktadır.
Materyal ve Metot: Çalışmamız, kesitsel tanımlayıcıdır. Online olarak ulaşılan acil tıp uzmanları kendilerini MMAS-8 ile değerlendirdiler. MMAS-8 ölçeği faktör analizi ile değerlendirildi ve acil tıp uzmanların tedavi uyumları kronik hastalık varlığı, gece vardiya sayısı ve kullanılan medikasyon sayısı açısından değerlendirildi.
Bulgular: MMAS-8 ölçeğinin yapı geçerliliği ve yeterli örneklem grubunun değerlendirilmesi için KMO ve Barlett analizleri ile uyumlu olarak değerlendirilmiştir. MMAS-8 skorlaması ortalama değeri 3,99±2,52 olarak değerlendirilmiştir. Kronik hastalık varlığı ve tedavi uyumu değerlendirildiğinde; kronik hastalığı olan vakalarda MMAS-8 skoru düşük uyum olarak değerlendirilmiştir (p=0,025).
Sonuç: Kronik hastalığı mevcut olan hastaların tedavi uyumları oldukça zordur. Çalışmamızda gösterdiği gibi hastanın kendisi doktor olsa da tedavi uyumundaki sorun değişmemektedir. Acil tıp uzmanlarının kronik hastalık eğilimlerinin ve mortalitesinin yüksek olduğunu bilinmektedir. Bu durumun üstüne kronik ya da akut tedavilerine uyumlarının düşük olması var olan risklerini daha da artırmaktadır.

Keywords

acil tıp uzmanı, MMAS-8, tedavi uyum

Assessing Medication Adherence of Emergency Medicine Specialists Using the MMAS-8

Abstract

Aim: Although doctors in the emergency medicine department report high career and life satisfaction rates, burnout and stress may occur after working many years, resulting in several incompatibilities and risks. The Morisky Medication Adherence Scale (MMAS-8) is a simple, reliable, verified self-report measure to assess medication adherence. In our study, we planned to evaluate the treatment compliance of emergency medicine specialists with the MMAS-8 scale. Material and Method: This study employed a cross-sectional descriptive design. The emergency medical experts were contacted online to self-report their medication-taking behaviors using the MMAS-8. The MMAS-8 was evaluated using factor analysis. The treatment combinations of emergency medicine specialists were assessed in terms of chronic disease, the number of night shifts, and the number of medications used.
Results: The MMAS-8 was assessed by KMO and Barlett analyses for structural validity and adequate sampling group evaluation. The average score obtained from the MMAS-8 was found to be 3.99±2.52. When chronic disease and medication adherence were considered, the MMAS-8 scores revealed low adherence in cases of chronic diseases (p=0.025).
Conclusion: The treatment of patients with chronic diseases is very difficult. As found in this study, although the patients were doctors, medication adherence was low. It is known that emergency medical professionals have a high incidence of chronic diseases and mortality. Furthermore, low medication adherence with chronic or acute treatment increases risks.

Keywords

emergency medicine specialist, MMAS-8, medication adherence

References

• 1. Celenza A, Bharath J, Scop J. Improving the attractiveness of an emergency medicine career to medical students: an exploratory study. Emerg Med Australas. 2012;24:625–33.
• 2. Rosen B, Shanahan R. Rules of the Road for Medical Students: The Guide for a Career in Emergency Medicine. In: Kazzi AA, ed. American Academy of Emergency Medicine Resident & Student Association. 2nd ed; 2013.
• 3. Kazzi AA, Langdorf MI, Ghadishah D, Handly N. Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool. Can J Emerg Med. 2001;3:99–104.
• 4. Zeumer C, Coates W, Lewis R. Why do students choose a career in emergency medicine? Acad Emerg Med. 1995;2:411.
• 5. Cydulka RK, Korte R. Career satisfaction in emergency medicine: the ABEM Longitudinal Study of Emergency Physicians. Ann Emerg Med. 2008;51:714–7221.
• 6. Reinhart MA, Munger BS, Rund DA. American Board of Emergency Medicine longitudinal study of emergency physicians. Ann Emerg Med. 1999;33:22–32.
• 7. Lloyd S, Streiner D, Shannon S. Burnout, depression, life and job satisfaction among Canadian emergency physicians. J Emerg Med. 1994;12:559–65.
• 8. Doan-Wiggins L, Zun L, Cooper MA, Meyers DL, Chen EH. Practice satisfaction, occupational stress, and attrition of emergency physicians. Wellness Task Force, Illinois College of Emergency Physicians. Acad Emerg Med. 1995;2:556–63.
• 9. Goldberg R, Boss RW, Chan L, Goldberg J, Mallon WK, Moradzadeh D, et al. Burnout and its correlates in emergency physicians: four years’ experience with a wellness booth. Acad Emerg Med. 1996;3:1156–64.
• 10. Garfield S, Clifford S, Eliasson L, et al. Suitability of measures of self-reported medication adherence for routine clinical use: a systematic review. BMC Med Res Methodol. 2011;11:149.
• 11. Morisky DE and DiMatteo MR. Improving the measurement of self-reported medication nonadherence: response to authors J Clin Epidemiol. 2011;64(3):255–7.
• 12. Moon, SJ, Lee WY, Hwang JS, Hong YP, Morisky DE. Accuracy of a screening tool for medication adherence: A systematic review and meta-analysis of the Morisky Medication Adherence Scale-8. PLoS ONE:2017; 12, e0187139.
• 13. Okello S, Nasasira B, Muiru ANW, Muyingo A. Validity and Reliability of a Self-Reported Measure of Antihypertensive Medication Adherence in Uganda The Harvard community has made this article openly available. PLoS ONE 2018;11:1–11.
• 14. Oğuzülgen IK, Köktürk N, Işıkdoğan Z. Astım Ve Kronik Obstrüktif Akciğer Hastalarında Morisky 8-Maddeli İlaca Uyum Anketinin (MMAS-8)Türkçe Geçerliliğinin Kanıtlanması Çalışması, Tuberk Toraks. 2014;62(2):101–7.
• 15. Hacıhasnaoğlu Aşılar R, Gözüm S, Çapık C, Morisky DE. Reliability and validity of the Turkish Form of The Eight-İtem Morisky Medication Adherence Scale İn Hypertensive Patients, Anadolu Kardiyol Derg. 2014;14:692–700.
• 16. Abegaz MT, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs A systematic review and meta-analysis. Medicine. 2017;96:4(e5641)
• 17. Nakashima A, Nakamura Y, Sakamoto Y, Matsuo K, Goto M, Uchiyama M, et al. Association between medication adherence and illness perceptions in atrial fibrillation patients treated with direct oral anticoagulants: An observational cross-sectional pilot study. PLoS One. 2018;13(9): e0204814.
• 18. Basharat S, Jabeen U, Zeeshan F, Bano I, Bari A, Rathore AW, Adherence to asthma treatment and their association with asthma control in children, J Pak Med Assoc. 2018;68(5):725–728.
• 19. Silavanich V, Nathisuwan S, Phrommintikul A, Permsuwan U. Relationship of medication adherence and quality of life among heart failure patients. Heart Lung. 2019;48(2):105–10.
• 20. Jannoo Z, Khan NM. Medication Adherence and Diabetes SelfCare Activities Among Patients With Type 2 Diabetes Mellitus. Value Health Reg Issues. 2019;18:30–5.
• 21. Whitehead D, Thomas H, Slapper DR. A Rational Approach to Shift Work in Emergency Medicine, Ann Emerg Med. 1992;21:1250–1258.