DO SURGERY PATIENTS KNOW THEIR MEDICINES?

Year 2016, Volume: 1 Issue: 1, 18 - 38, 30.12.2016

Esra Demirarslan

https://doi.org/10.25279/sak.234987

Abstract

Aim: A descriptive
research was conducted for determination of knowledge and practices of medication use of elderly patients hospitalized
in surgical clinics. The sample consisted of 128 patients over 60 years old,
hospitalized at Hacettepe University Adult Hospital Neurosurgery, General
Surgery, Thoraco/Cardio/Vascular Surgery and Urology departments. Methods: For
data collection, a questionnaire prepared by the researcher based on the
literature was used. The data was collected by the researcher at two stages with
face-to-face and telephone interviews. For evaluation of the data, percentages,
McNemar and Cohran Q tests were used. Results: The frequency of visits to the
physicans/medical facilities were 1.8±1.7 times per year.  Mean prescription rate per year from those
visits was 16.4±1.8. Rate of use of over the counter medicines was 22.7%, use
of herbal medicines was 25% and irregular use of medicines was 16.4%. Within
the participiants that had not been using medicines regularly (16.4%); the most
common reason for not using medicines regularly was “problems experienced
because of medicines” (38.7%). Conclusion: According to the results of this
study; the characteristics which could be the reasons of unrational drug use were
seen about quarter of elder participiants. 

Keywords

geriatric nursing, perioperative nursing, drug toxicity, elder

CERRAHİ KLİNİKLERİNDE YATAN YAŞLI HASTALARIN İLAÇLARINA YÖNELİK BİLGİ VE UYGULAMALARINI ETKİLEYEBİLECEK ÖZELLİKLERİ

Abstract

Amaç:
Araştırma; cerrahi kliniklerinde yatan yaşlı hastaların ilaç kullanımlarını  etkileyebilecek bilgi ve uygulamalarının
belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Örneklemi Hacettepe
Üniversitesi Erişkin Hastanesi’nin Beyin Cerrahi, Genel Cerrahi,
Toraks/Kalp/Damar Cerrahi ve Üroloji kliniklerinde yatan 60 yaş ve üzeri 128
hasta oluşturmuştur. Yöntem: Veri toplama aracı olarak, araştırmacı tarafından
ilgili literatüre doğrultusunda geliştirilen soru formu kullanılmıştır. Veriler
araştırmacı tarafından, yüz yüze görüşme yöntemi ile toplanmıştır. Verilerin
değerlendirilmesinde yüzde hesaplamaları, McNemar ve CohranQ testleri
kullanılmıştır. Bulgular: Araştırmaya katılan hastaların bir yılda ortalama
1.8±1.7 kere hekime/sağlık kuruluşuna başvurduğu ve kendilerine ortalama
16.4±1.8 reçete yazıldığı; %22.7’sinin reçetesiz ilaç, %25’inin bitkisel ürün
kullandığı, %16.4’ünün ilaçlarını düzenli kullanmadığı belirlenmiştir.
İlaçlarını düzenli kullanmadığını belirten hastaların (%16.4) yaklaşık üçte
biri (%38.7) ilaçlarını düzenli kullanmama sebebi olarak “ilaç kullanımı
nedeniyle yaşanan sorunlar” ı göstermiştir. Sonuç: Bu çalışmadan elde edilen
bulgular doğrultusunda; ilaçların akılcı ilaç kullanımı (AİK) ilkelerine uygun
kullanılmalarını engelleyebilecek özelliklerin, yaşlı hastaların yaklaşık
dörtte birinde görüldüğü saptanmıştır.

Keywords

geriatri hemşireliği, perioperatif hemşirelik, ilaç toksisitesi, yaşlı

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