The Effect of Nursing Interventions for Rational Drug Use and Raising Awareness in Older Adults: A Randomized Controlled Study Protocol

Yıl 2023, Cilt: 6 Sayı: 3, 439 - 445, 01.07.2023

Tuğçe Salbur Büşra Altınel Ayse Cal

https://doi.org/10.19127/bshealthscience.1295725

Öz

This article presents the protocol developed for a study investigating the effect of nursing interventions applied to older adults through home visits to raise awareness about rational drug use. This study protocol describes a randomized controlled trial with a parallel group design. Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement 2013 checklist will be used in this study. Consolidated Standards of Reporting Trials (CONSORT) flowchart will be followed in the protocol. The research sample will consist of 74 older adults aged 65 and over and living in a rural area in the Central Anatolian Region of Türkiye. The older adults who meet the inclusion criteria will randomly be assigned to the intervention and control groups. Nursing interventions will last seven weeks and consist of individual training, counseling and reminders through home visits. The results will guide interventions to be planned to ensure and maintain rational drug use.

Anahtar Kelimeler

Rational drug, Older adults, Awareness, Nursing

Destekleyen Kurum

Selçuk Üniversitesi Bilimsel Araştırma Projeleri

Proje Numarası

22202013

Kaynakça

• Alp H, Türk S, Yılmaz S, Tiryaki ÜM, Yiğitbaşı M. 2018. Rational drug use. MKU Med J, 9(33): 20-28.
• Asma S, Gereklioğlu Ç, Korur A.P, Erdoğan A.F, 2014. Multidrug use in the elderly patients with multimorbidity: a great problem in family medicine. Turkish J Family Med Primary Care, 8(1): 8-12.
• Arslan M, Keskin Arslan E, Koç EM, Sözmen MK, Kaplan YC, 2020. Altmış beş yaş ve üzeri kişilerde kırılganlık ile ilaç kullanımı ve polifarmasi arasındaki ilişki. Med Bull Haseki, 58 33-41.
• Aktaş H, Selvi H, 2019. Development of consciousness scale towards rational drug use in adults: Validity and reliability study. Mersin Univ J Health Sci, 12(3): 439-447.
• Avellar SA, Supplee LH. 2013. Effectiveness of home visiting in improving child health and reducing child maltreatment. Pediatrics 132(Supplement 2): S90-S99.
• Beger T, Yavuzer H, 2012. The epidemiology of aging and old age. Clin Develop, 25(3): 1-3.
• Bindel L, 2018. Effects of integrated learning: Explicating a mathematical concept in inquiry-based science camps (Vol. 250). Logos, Verlag, Berlin GmbH, Germany, pp. 239.
• Cengiz Z. 2018. The effect of the training provided based on Health Belief Model on rational drug use in patients undergoing hemodialysis. PhD Thesis, İnönü Üniversity, Institute of Health Sciences, Department of Nursing, Malatya, Türkiye, pp. 121.
• Cengiz B, Bahar Z. 2017. Perceived barriers and home care needs when adapting to a fecal ostomy. J Wound Ostomy Contin Nurs, 44(1): 63-68.
• Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, ..., Moher D. 2013. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ, 346.
• Charnock D, Shepperd S, Needham G, Gann R. 1999. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Commun Health, 53(2): 105-111.
• Cohen J. 1988. Statistical power analysis for the behavioral sciences. Routledge, New York, USA, 2nd ed., pp. 567.
• Cooney D, Pascuzzi K. 2009. Polypharmacy in the elderly: focus on drug interactions and adherence in hypertension. Clin Geriatric Med, 25(2): 221-233.
• Dağtekin G, Demirtaş Z, Alaiye M, Sağlan R, Önsüz M.F, Işıklı B, ..., Metintaş S. 2018. Rational drug use attitudes and behaviors of adults who apply for primary health care in semirural areas. Turkish World Implement Res Center Pub Health J, 3: 12-23.
• De Bolle L, Mehuys E, Adriaens E, Remon JP, Van Bortel L, Christiaens T. 2008. Home medication cabinets and self-medication: a source of potential health threats? Annals Pharmacoth, 42(4): 572-579.
• Demirtaş Z, Dağtekin G, Sağlan R, Alaiye M, Önsüz M.F, Işıklı B, ..., Metintaş S, 2018. Validity and reliability of rational drug use scale. ESTUDAM Pub Health J, 3(3): 37-46.
• Ekenler S, Kocoglu D. 2016. Individuals’ knowledge and practices about rational drug use. Hacettepe Univ Nurs Fac J, 3(3): 44-45.
• Gelal A, 2015. Rational drug use in elderly. Türkiye Klin J Pharmacol, Special Topics, 3(1): 57-64.
• Gökdoğan F, 2003. Evaluation of the suitability of written materials (DISCERN). Bullet Oncol Nurs Assoc, 16-17: 8–16.
• Gülmez SE. 2015. Rational use of medicines implementations in the World. Compilation. Türkiye Klin J Pharmacol, Special Topics, 3(1): 34-44.
• Gümüştakım RŞ, Başer DA. 2019. Multiple drug use in elderly in primary care: An example of rural field. Turkish J Family Pract, 23(1): 2-8.
• Huss A, Stuck A, Rubenstein LZ, Egger M, Clough-Gorr KM. 2008. Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trials. J Gerontol, Series A-Biol Sci Med Sci, 63(3): 298-307.
• IBM Corp. Released 2016. IBM SPSS Statistics for Windows Version 24.0. Armonk NY: IBM Corp.
• Lewin GF, Alfonso HS, Alan JJ. 2013. Evidence for the long term cost effectiveness of home care reablement programs. Clin Intervent Aging, 1273-1281.
• Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, ..., Altman DG. 2012. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. Inter J Surg, 10(1): 28-55.
• Morin L, Johnell K, Laroche ML, Fastbom J, Wastesson JW. 2018. The epidemiology of polypharmacy in older adults: register-based prospective cohort study. Clin Epidemiol, 289-298.
• Ohtake PJ, Childs JD. 2014. Why publish study protocols?. Physical Therapy, 94(9), 1208-1209.
• Özen B, Kaya Erten Z, Bülbül T. 2018. Intergeneratıonal ratıonal drug use. Sağlık Bilim Derg, 27(3): 199-204.
• Öztürk GZ, Ardıç C, Toprak D. 2017 Frequency of polypharmacy and use of potentially inappropriate medications in the elderly. Turkish J Geriatrics, 20(4): 296-305.
• Park M. 2011. Effects of interactive pictorial education on community dwelling older adult's self efficacy and knowledge for safe medication. J Korean Acad Nurs, 41(6): 795-804.
• Parulekar M, Mekoth N, Ramesh CM, Parulekar A. 2016. Self medication in developing countries a systematic review. J Pharmaceut Technol Res Manage, 4(2): 103–127.
• Random.org. 2018. Random sequence generator. URL: https:// www.random.org/sequences/?min=1,max=100,col=2,format=html,rnd=new (accessed date: December 12, 2021).
• Samancı TÇ, Kara F. 2018. Aging in Turkey and in the World. IBAD 3(1): 219-229.
• Soyuer F, Soyuer A. 2008. Aging and physical activity. İnönü Üniversitesi J Fac Med, 15(3): 219-224.
• Şahin DS, Özer Ö, Yanardağ MZ. 2018. Investigation of behaviors related to drug use of the elderly individuals in terms of socio-demographic variables. MAKÜ Sag Bilim Enst Derg, 6(1): 15-25.
• TUIK. 2021. Aging with statistics. URL: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar2021-33712 (accessed date: December 12, 2021).
• Tappenden P, Campbell F, Rawdin A, Wong R, Kalita N, 2012. The clinical effectiveness and cost-effectiveness of home-based nurse-led health promotion for older people: a systematic review. Health Technol Assess (Winchester England), 16(20): 1.
• WHO. 2020. World health organization. Essential medicines and health products. URL: https://www.who.int/medicines/areas/rational_use/en (accessed date: December 12, 2021).
• WHO. 2022. World health organization. Ageing and health. URL: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. (accessed date: July 12, 2022).