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Annelerin Evde Reçetesiz İlaç Kullanma Durumlarının Farklı Sosyoekonomik ve Sağlık Okuryazarlık Düzeylerine Göre İncelenmesi

Yıl 2022, Cilt: 11 Sayı: 1, 42 - 49, 28.02.2022
https://doi.org/10.53424/balikesirsbd.1000662

Öz

Amaç: Bu çalışmanın amacı, farklı sosyoekonomik düzey ve sağlık okuryazarlık düzeyine göre annelerin çocuklarına evde reçetesiz ilaç kullanım durumunu ve etkileyen faktörleri incelemektir. Gereç ve Yöntem: Kesitsel tanımlayıcı desende olan bu araştırma farklı sosyoekonomik düzeyde yer alan (düşük-orta-yüksek) üç aile sağlığı merkezinde Eylül 2018- Şubat 2019 tarihlerinde yürütülmüştür. Araştırmanın örneklemini araştırma kriterlerine uygun olan 0-18 yaş grubu çocuğa sahip 300 anne oluşturmuştur. Veriler “Veri Toplama Formu” ve “Yetişkin Sağlık Okuryazarlığı Ölçeği” ile toplanmıştır. Bulgular: Düşük sosyoekonomik grubunda yer alan annelerin çocuklarına evde reçetesiz ilaç kullanma düzeylerinin yüksek olduğu belirlenmiştir. Annelerin sağlık okuryazarlık puan ortalamaları ile sosyoekonomik düzeyleri arasında anlamlı bir ilişki bulunmuştur (p<0.000). Düşük sosyoekonomik grubunda yer alan, çocuklarına evde reçetesiz ilaç kullanan annelerin sağlık okuryazarlık puan ortalamaları, reçetesiz ilaç kullanmayan annelere göre daha düşüktür (p: 0.041). Çocuğun yaşının (OR: 1.01, p: 0.045), annenin düzenli ilaç kullanma durumunun (OR: 2.11, p: 0.014) ve çocuğa ilaç vermeden önce prospektüsü okuma durumunun (OR: 3.14, p: 0.005) annelerin reçetesiz ilaç kullanımını etkilediği belirlendi. Sonuç: Bu araştırma düşük sosyoekonomik ve sağlık okuryazarlık düzeyinin annelerin çocuklarına evde reçetesiz ilaç kullanma durumuna yol açabileceğini vurgulamıştır. Annelerin reçetesiz ilaç kullanmasına etki eden faktörleri göz önünde bulunduran ve sağlık okuryazarlık düzeylerinin arttırılmasını hedefleyen eğitim programları ile reçetesiz ilaç kullanımı azaltılabilir.

Kaynakça

  • Agarwal, S., Yewale, V. N., & Dharmapalan, D. (2015). Antibiotics use and misuse in children: a knowledge, attitude and practice survey of parents in India. Journal of clinical and diagnostic research: Journal of Clinical and Diagnostic Research, 9(11), SC21-SC24. https://doi.org/10.7860/JCDR/2015/14933.6819.
  • Akıcı, N., Gelal, A., Gürbüz, T., Ceran, Ö., & Akıcı, A. (2015). Hastaneye Başvuru Öncesinde Çocuklarda İlaç Kullanımının Araştırılması. Anatolian Journal Of Clinical Investigation, 9(1),10-18.
  • Alqudah, M., Cowin, L., George, A., & Johnson, M. (2019). Child fever management: A comparative study of Australian parents with limited and functional health literacy. Nursing & health sciences, 21(2), 157-163. https://doi.org/10.1111/nhs.12574.
  • Anderson C, Rolfe P and Brennan-Hunter A. Anderson, C., Rolfe, P., & Brennan-Hunter, A. (2013). Administration of Over-the-Counter Medication to Children at Home—A Survey of Parents from Community Health Centers. Journal of community health nursing, 30(3), 143-154. https://doi.org/10.1080/07370016.2013.806716.
  • Aoki, T., & Inoue, M. (2017). Association between health literacy and patient experience of primary care attributes: a cross-sectional study in Japan. PLoS One, 12(9), e0184565. https://doi.org/10.1371/journal.pone.0184565.
  • Bi, P., Tong, S., & Parton, K. A. (2000). Family self-medication and antibiotics abuse for children and juveniles in a Chinese city. Social science & medicine, 50(10), 1445-1450.https://doi.org/10.1016/S0277-9536(99)00304-4.
  • Boztepe, H., Özdemir, H., Karababa, Ç., & Yıldız, Ö. (2016). Administration of oral medication by parents at home. Journal of clinical nursing, 25(21-22), 3345-3353. https://doi.org/ 10.1111/jocn.13460.
  • Calamusa, A., Di Marzio, A., Cristofani, R., Arrighetti, P., Santaniello, V., Alfani, S., & Carducci, A. (2012). Factors that influence Italian consumers’ understanding of over-the-counter medicines and risk perception. Patient education and counseling, 87(3), 395-401. https://doi.org/10.1016/j.pec.2011.10.003.
  • Cinar, N. D., Altun, I., Altınkaynak, S., & Walsh, A. (2014). Turkish parents’ management of childhood fever: a cross-sectional survey using the PFMS-TR. Australasian Emergency Nursing Journal, 17(1), 3-10. https://doi.org/10.1016/j.aenj.2013.10.002.
  • Çınar, A.S., & Mercan, Y. (2020). Rational use of medicines by mothers having children under five years old and factors affecting their medication use. Turkish Journal of Family Medicine and Primary Care, 14, 530-539. https://doi.org/10.21763/tjfmpc.738244.
  • Garbutt, J. M., Sterkel, R., Banister, C., Walbert, C., & Strunk, R. C. (2010). Physician and parent response to the FDA advisory about use of over-the-counter cough and cold medications. Academic pediatrics, 10(1), 64-69. https://doi.org/10.1016/j.acap.2009.07.002.
  • Hämeen‐Anttila, K., Lindell‐Osuagwu, L., Sepponen, K., Vainio, K., Halonen, P., & Ahonen, R. (2010). Factors associated with medicine use among children aged under 12 years—a population survey in Finland. Pharmacoepidemiology and drug safety, 19(4), 400-407. https://doi.org/10.1002/pds.1887.
  • Hampton, L. M., Nguyen, D. B., Edwards, J. R., & Budnitz, D. S. (2013). Cough and cold medication adverse events after market withdrawal and labeling revision. Pediatrics, 132(6), 1047-1054. https://doi.org/10.1542/peds.2013-2236.
  • Harris, L. M., Dreyer, B. P., Mendelsohn, A. L., Bailey, S. C., Sanders, L. M., Wolf, M. S., & Yin, H. S. (2017). Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency. Academic pediatrics, 17(4), 403-410. https://doi.org/10.1016/j.acap.2016.10.001.
  • Hietbrink, E., Bakshi, R., & Moles, R. J. (2014). Australian caregivers’ management of childhood ailments. International Journal of Pharmacy Practice, 22(3), 205-215. https://doi.org/10.1111/ijpp.12067.
  • Jensen, J. F., Gottschau, M., Siersma, V. D., Graungaard, A. H., Holstein, B. E., & Knudsen, L. E. (2014). Association of maternal self-medication and over-the-counter analgesics for children. Pediatrics, 133(2), e291-e298. https://doi.org/10.1542/peds.2013-1107.
  • Lan, Y. H., Wang, K. W. K., Yu, S., Chen, I. J., Wu, H. F., & Tang, F. I. (2014). Medication errors in pediatric nursing: Assessment of nurses' knowledge and analysis of the consequences of errors. Nurse education today, 34(5), 821-828. https://doi.org/10.1016/j.nedt.2013.07.019.
  • Martín‐Pérez, M., Lopez De Andres, A., Barcenilla Gonzalez, M. A., Jiménez‐García, R., Hernández‐Barrera, V., Jiménez‐Trujillo, I., & Carrasco‐Garrido, P. (2016). Parental administration of over‐the‐counter medication to Spanish children: A population‐based national study. Journal for Specialists in Pediatric Nursing, 21(2), 64-73. https://doi.org/10.1111/jspn.12141.
  • Mehndiratta, S. (2012). Strategies to reduce medication errors in pediatric ambulatory settings. Journal of Postgraduate Medicine 58(1), 47–53. https://doi.org/10.4103/0022-3859.93252.
  • Mira, J. J., Lorenzo, S., Guilabert, M., Navarro, I., & Pérez-Jover, V. (2015). A systematic review of patient medication error on self-administering medication at home. Expert opinion on drug safety, 14(6), 815-838. https://doi.org/10.1517/14740338.2015.1026326.
  • Network of the National Library of Medicine (NNLM). (2020). Health Literacy. https://nnlm.gov/initiatives/topics/healthliteracy (Accessed 17 December 2020).
  • Sezer, A., & Kadıoğlu, H. (2014). Yetişkin Sağlık Okuryazarlığı Ölçeği’nin Geliştirilmesi. Journal of Anatolia Nursing and Health Sciences, 17(3).
  • Siponen S, Ahonen R, Kiviniemi V, et al. Siponen, S., Ahonen, R., Kiviniemi, V., & Hämeen-Anttila, K. (2013). Association between parental attitudes and self-medication of their children. International journal of clinical pharmacy, 35(1), 113-120. https://doi.org/10.1007/s11096-012-9715-2.
  • Trajanovska, M., Manias, E., Cranswick, N., & Johnston, L. (2010). Use of over‐the‐counter medicines for young children in Australia. Journal of paediatrics and child health, 46(1‐2), 5-9. https://doi.org/10.1111/j.1440-1754.2009.01609.x.
  • Türkiye İstatistik Kurumu Ulusal Adres Veri Tabanı. (2017). Ankara ili ve ilçelerine ait mahallelerin cadde, sokak ve bulvar bazında gelişmişlik düzeyleri. Bilgi Dağıtım Ve İletişim Daire Başkanlığı. http://www.tuik.gov.tr/PreTabloArama.do?metod=search&araType=vt; 2017 (Accessed 20 January 2017).
  • Walsh, K. E., Dodd, K. S., Seetharaman, K., Roblin, D. W., Herrinton, L. J., Von Worley, A., & Gurwitz, J. H. (2009). Medication errors among adults and children with cancer in the outpatient setting. Journal of Clinical Oncology, 27(6), 891-896. https://doi.org/10.1200/JCO.2008.18.6072.
  • World Health Organization. (1985). The Rational Use of Drugs. Report of the Conference of Experts. Geneva.
  • World Health Organization. (1998). The role of the pharmacist in self-care and self-medication. Report of the 4th WHO Consultive Group on the role of the pharmacist http://apps.who.int/medicinedocs/es/d/Jwhozip32e/10.html/ (Accessed 25 February 2019).
  • Yılmaz, C. K., & Kıl, A. (2018). Individuals’ health literacy level and their knowledge and practices with respect to rational drug use. Kontakt, 20(4), e401-e407. https://doi.org/10.1016/j.kontakt.2018.08.001.
  • Yin, H. S., Mendelsohn, A. L., Nagin, P., van Schaick, L., Cerra, M. E., & Dreyer, B. P. (2013). Use of active ingredient information for low socioeconomic status parents' decision-making regarding cough and cold medications: role of health literacy. Academic pediatrics, 13(3), 229-235. https://doi.org/10.1016/j.acap.2013.01.004.
  • Yin, H. S., Parker, R. M., Wolf, M. S., Mendelsohn, A. L., Sanders, L. M., Vivar, K. L., & Dreyer, B. P. (2012). Health literacy assessment of labeling of pediatric nonprescription medications: examination of characteristics that may impair parent understanding. Academic pediatrics, 12(4), 288-296. https://doi.org/10.1016/j.acap.2012.02.010.
  • Yust, E., & Slattery, A. (2012). Cold and cough medications for children: dangerous and over the counter!. Clinical Pediatric Emergency Medicine, 13(4), 292-299. https://doi.org/10.1016/j.cpem.2012.09.007.

Examination of Mothers' Over-The-Counter-Medication (OTC) Usage at Home According to Different Socioeconomic and Health Literacy Levels

Yıl 2022, Cilt: 11 Sayı: 1, 42 - 49, 28.02.2022
https://doi.org/10.53424/balikesirsbd.1000662

Öz

Aim: The purpose of this study was to examine mothers’ OTC medication usage at home according to different socioeconomic and health literacy levels and the effecting factors. Materials and Methods: This cross-sectional descriptive study was carried out in three family health centers from different socioeconomic levels (low-middle-high) between September 2018 and February 2019. The sample of the study consisted of 300 mothers of 0-18 year old children who met the research criteria. Data were collected through “Data Collection Form” and “Adult Health Literacy Scale”. Results: It was determined that mothers in low socioeconomic group had high level of OTC medication usage to their children at home. A significant relationship was found between the mean scores of mothers’ health literacy and socioeconomic level (p<0.000). The mean scores of mothers’ health literacy in low socioeconomic group who used OTC medication to their children at home are lower than mothers who did not use OTC medication (p: 0.041). It was determined that child’s age (OR: 1.01, p: 0.045), regular medication usage in mother (OR: 2.11, p: 0.014) and reading the prospectus before giving medication to their child (OR: 3.14, p: 0.005) effected to mothers’ OTC medication usage at home. Conclusion: This study emphasized that low socioeconomic and health literacy levels may cause mothers’ OTC medication usage to their children at home. OTC medication usage can be decreased with education programs that take into account the effecting factors to mothers’ OTC medication usage and aim to increase health literacy levels.

Kaynakça

  • Agarwal, S., Yewale, V. N., & Dharmapalan, D. (2015). Antibiotics use and misuse in children: a knowledge, attitude and practice survey of parents in India. Journal of clinical and diagnostic research: Journal of Clinical and Diagnostic Research, 9(11), SC21-SC24. https://doi.org/10.7860/JCDR/2015/14933.6819.
  • Akıcı, N., Gelal, A., Gürbüz, T., Ceran, Ö., & Akıcı, A. (2015). Hastaneye Başvuru Öncesinde Çocuklarda İlaç Kullanımının Araştırılması. Anatolian Journal Of Clinical Investigation, 9(1),10-18.
  • Alqudah, M., Cowin, L., George, A., & Johnson, M. (2019). Child fever management: A comparative study of Australian parents with limited and functional health literacy. Nursing & health sciences, 21(2), 157-163. https://doi.org/10.1111/nhs.12574.
  • Anderson C, Rolfe P and Brennan-Hunter A. Anderson, C., Rolfe, P., & Brennan-Hunter, A. (2013). Administration of Over-the-Counter Medication to Children at Home—A Survey of Parents from Community Health Centers. Journal of community health nursing, 30(3), 143-154. https://doi.org/10.1080/07370016.2013.806716.
  • Aoki, T., & Inoue, M. (2017). Association between health literacy and patient experience of primary care attributes: a cross-sectional study in Japan. PLoS One, 12(9), e0184565. https://doi.org/10.1371/journal.pone.0184565.
  • Bi, P., Tong, S., & Parton, K. A. (2000). Family self-medication and antibiotics abuse for children and juveniles in a Chinese city. Social science & medicine, 50(10), 1445-1450.https://doi.org/10.1016/S0277-9536(99)00304-4.
  • Boztepe, H., Özdemir, H., Karababa, Ç., & Yıldız, Ö. (2016). Administration of oral medication by parents at home. Journal of clinical nursing, 25(21-22), 3345-3353. https://doi.org/ 10.1111/jocn.13460.
  • Calamusa, A., Di Marzio, A., Cristofani, R., Arrighetti, P., Santaniello, V., Alfani, S., & Carducci, A. (2012). Factors that influence Italian consumers’ understanding of over-the-counter medicines and risk perception. Patient education and counseling, 87(3), 395-401. https://doi.org/10.1016/j.pec.2011.10.003.
  • Cinar, N. D., Altun, I., Altınkaynak, S., & Walsh, A. (2014). Turkish parents’ management of childhood fever: a cross-sectional survey using the PFMS-TR. Australasian Emergency Nursing Journal, 17(1), 3-10. https://doi.org/10.1016/j.aenj.2013.10.002.
  • Çınar, A.S., & Mercan, Y. (2020). Rational use of medicines by mothers having children under five years old and factors affecting their medication use. Turkish Journal of Family Medicine and Primary Care, 14, 530-539. https://doi.org/10.21763/tjfmpc.738244.
  • Garbutt, J. M., Sterkel, R., Banister, C., Walbert, C., & Strunk, R. C. (2010). Physician and parent response to the FDA advisory about use of over-the-counter cough and cold medications. Academic pediatrics, 10(1), 64-69. https://doi.org/10.1016/j.acap.2009.07.002.
  • Hämeen‐Anttila, K., Lindell‐Osuagwu, L., Sepponen, K., Vainio, K., Halonen, P., & Ahonen, R. (2010). Factors associated with medicine use among children aged under 12 years—a population survey in Finland. Pharmacoepidemiology and drug safety, 19(4), 400-407. https://doi.org/10.1002/pds.1887.
  • Hampton, L. M., Nguyen, D. B., Edwards, J. R., & Budnitz, D. S. (2013). Cough and cold medication adverse events after market withdrawal and labeling revision. Pediatrics, 132(6), 1047-1054. https://doi.org/10.1542/peds.2013-2236.
  • Harris, L. M., Dreyer, B. P., Mendelsohn, A. L., Bailey, S. C., Sanders, L. M., Wolf, M. S., & Yin, H. S. (2017). Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency. Academic pediatrics, 17(4), 403-410. https://doi.org/10.1016/j.acap.2016.10.001.
  • Hietbrink, E., Bakshi, R., & Moles, R. J. (2014). Australian caregivers’ management of childhood ailments. International Journal of Pharmacy Practice, 22(3), 205-215. https://doi.org/10.1111/ijpp.12067.
  • Jensen, J. F., Gottschau, M., Siersma, V. D., Graungaard, A. H., Holstein, B. E., & Knudsen, L. E. (2014). Association of maternal self-medication and over-the-counter analgesics for children. Pediatrics, 133(2), e291-e298. https://doi.org/10.1542/peds.2013-1107.
  • Lan, Y. H., Wang, K. W. K., Yu, S., Chen, I. J., Wu, H. F., & Tang, F. I. (2014). Medication errors in pediatric nursing: Assessment of nurses' knowledge and analysis of the consequences of errors. Nurse education today, 34(5), 821-828. https://doi.org/10.1016/j.nedt.2013.07.019.
  • Martín‐Pérez, M., Lopez De Andres, A., Barcenilla Gonzalez, M. A., Jiménez‐García, R., Hernández‐Barrera, V., Jiménez‐Trujillo, I., & Carrasco‐Garrido, P. (2016). Parental administration of over‐the‐counter medication to Spanish children: A population‐based national study. Journal for Specialists in Pediatric Nursing, 21(2), 64-73. https://doi.org/10.1111/jspn.12141.
  • Mehndiratta, S. (2012). Strategies to reduce medication errors in pediatric ambulatory settings. Journal of Postgraduate Medicine 58(1), 47–53. https://doi.org/10.4103/0022-3859.93252.
  • Mira, J. J., Lorenzo, S., Guilabert, M., Navarro, I., & Pérez-Jover, V. (2015). A systematic review of patient medication error on self-administering medication at home. Expert opinion on drug safety, 14(6), 815-838. https://doi.org/10.1517/14740338.2015.1026326.
  • Network of the National Library of Medicine (NNLM). (2020). Health Literacy. https://nnlm.gov/initiatives/topics/healthliteracy (Accessed 17 December 2020).
  • Sezer, A., & Kadıoğlu, H. (2014). Yetişkin Sağlık Okuryazarlığı Ölçeği’nin Geliştirilmesi. Journal of Anatolia Nursing and Health Sciences, 17(3).
  • Siponen S, Ahonen R, Kiviniemi V, et al. Siponen, S., Ahonen, R., Kiviniemi, V., & Hämeen-Anttila, K. (2013). Association between parental attitudes and self-medication of their children. International journal of clinical pharmacy, 35(1), 113-120. https://doi.org/10.1007/s11096-012-9715-2.
  • Trajanovska, M., Manias, E., Cranswick, N., & Johnston, L. (2010). Use of over‐the‐counter medicines for young children in Australia. Journal of paediatrics and child health, 46(1‐2), 5-9. https://doi.org/10.1111/j.1440-1754.2009.01609.x.
  • Türkiye İstatistik Kurumu Ulusal Adres Veri Tabanı. (2017). Ankara ili ve ilçelerine ait mahallelerin cadde, sokak ve bulvar bazında gelişmişlik düzeyleri. Bilgi Dağıtım Ve İletişim Daire Başkanlığı. http://www.tuik.gov.tr/PreTabloArama.do?metod=search&araType=vt; 2017 (Accessed 20 January 2017).
  • Walsh, K. E., Dodd, K. S., Seetharaman, K., Roblin, D. W., Herrinton, L. J., Von Worley, A., & Gurwitz, J. H. (2009). Medication errors among adults and children with cancer in the outpatient setting. Journal of Clinical Oncology, 27(6), 891-896. https://doi.org/10.1200/JCO.2008.18.6072.
  • World Health Organization. (1985). The Rational Use of Drugs. Report of the Conference of Experts. Geneva.
  • World Health Organization. (1998). The role of the pharmacist in self-care and self-medication. Report of the 4th WHO Consultive Group on the role of the pharmacist http://apps.who.int/medicinedocs/es/d/Jwhozip32e/10.html/ (Accessed 25 February 2019).
  • Yılmaz, C. K., & Kıl, A. (2018). Individuals’ health literacy level and their knowledge and practices with respect to rational drug use. Kontakt, 20(4), e401-e407. https://doi.org/10.1016/j.kontakt.2018.08.001.
  • Yin, H. S., Mendelsohn, A. L., Nagin, P., van Schaick, L., Cerra, M. E., & Dreyer, B. P. (2013). Use of active ingredient information for low socioeconomic status parents' decision-making regarding cough and cold medications: role of health literacy. Academic pediatrics, 13(3), 229-235. https://doi.org/10.1016/j.acap.2013.01.004.
  • Yin, H. S., Parker, R. M., Wolf, M. S., Mendelsohn, A. L., Sanders, L. M., Vivar, K. L., & Dreyer, B. P. (2012). Health literacy assessment of labeling of pediatric nonprescription medications: examination of characteristics that may impair parent understanding. Academic pediatrics, 12(4), 288-296. https://doi.org/10.1016/j.acap.2012.02.010.
  • Yust, E., & Slattery, A. (2012). Cold and cough medications for children: dangerous and over the counter!. Clinical Pediatric Emergency Medicine, 13(4), 292-299. https://doi.org/10.1016/j.cpem.2012.09.007.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Ayşe Ay 0000-0002-1574-4673

Handan Boztepe 0000-0001-6980-1568

Yayımlanma Tarihi 28 Şubat 2022
Gönderilme Tarihi 25 Eylül 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 11 Sayı: 1

Kaynak Göster

APA Ay, A., & Boztepe, H. (2022). Examination of Mothers’ Over-The-Counter-Medication (OTC) Usage at Home According to Different Socioeconomic and Health Literacy Levels. Balıkesir Sağlık Bilimleri Dergisi, 11(1), 42-49. https://doi.org/10.53424/balikesirsbd.1000662

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