Research Article
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Year 2025, Volume: 15 Issue: 3, 517 - 523, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1516741

Abstract

References

  • Noncommunicable diseases-World Health Organization (WHO 2022) [Erişim tarihi: 28.05.2023]. Erişim linki: [https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases].
  • National Household Health Survey – Prevalence of Noncommunicable Disease Risk Factors in Turkey 2017 (STEPS). Üner S, Balcılar M, Ergüder T editors. World Health Organization Country Office in Turkey, Ankara, 2018.
  • Menon GR, Misra S, Deo V, Yadav J, Joshi P, Varghese C, John D. Economic burden and economic impact associated with non-communicable diseases among countries of the World Health Organization South-East Asia Region: A systematic review protocol. JBI Evid Synth. 2024;22(10):2130-2138. https://doi:10.11124/JBIES-23-00340
  • Goruntla N, Ssesanga J, Bommireddy BR, Thammisetty DP, Kasturi Vishwanathasetty V, Ezeonwumelu JOC, Bukke SPN. 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 Healthc Patient Saf. 2023;15:125-135. https://doi:10.2147/DHPS.S424050
  • Ahmed S, Hamedelniel E, Yousif A. Assessing drug use indicators in health insurance facilities, Gezira State, Sudan, 2017-2018. Pharmacology & Pharmacy 2021;12:237-246. https://doi:10.4236/pp.2021.1210020
  • World Health Organization. (2002). Promoting rational use of medicines: core components [https://iris.who.int/bitstream/handle/10665/67438/WHO_EDM_2002.3.pdf;jsessionid=4461C0E90CE10A40C540163AE4D4B2BD?sequence=1]
  • Lin SC, Chen IJ, Yu WR, Lee SD, Tsai TI. Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: A quasi-experimental study. Geriatr Nurs. 2019;40(5):494-501. https://doi:10.1016/j.gerinurse.2019.03.013
  • Rodrigues S, Isabel Patrício A, Cristina C, Fernandes F, Marcelino Santos G, Antunes I, Pintalhão I, Ribeiro M, Lopes R, Moreira S, Oliveira SA, Costa SP, Simões S, Nunes TC, Santiago LM, Rosendo I. Health literacy and adherence to therapy in type 2 diabetes: a cross-sectional study in Portugal. Health Lit Res Pract. 2024;8(4):194-203. https://doi:10.3928/24748307-20240625-01
  • İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-79. https://doi:10.1016/j.pcd.2020.06.009
  • Tosun N, Hoşgör H. E-sağlık okuryazarlığı ve akılcı ilaç kullanımı farkındalığı arasındaki ilişkinin belirlenmesine yönelik bir araştırma. Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2021;22(2): 82-102. https://doi.org/10.37880/cumuiibf.896847 (Turkish)
  • Li X, Liu Q. Social media use. e-health literacy. disease knowledge. and preventive behaviors in the COVID-19 pandemic: cross-sectional study on Chinese netizens. Journal of Medical Internet Research. 2020;22(10):e19684. https://doi.org/10.2196/19684
  • Fithriyyah Y, Aulawi K. Using mobile phone applications in engaging nurses for preventing healthcare-associated infections: A systematic review. Nursing Practice Today. 2021;9(2):84-101. https://doi.org/10.18502/npt.v9i2.8892
  • Demirtaş Z, Dağtekin G, Sağlan R, Alaiye M, Önsüz MF, Işıklı B, Kılıç FS, Metintaş S. Akılcı ilaç kullanımı ölçeği geçerlilik ve güvenilirliği. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2018;3(3):37-46. (Turkish)
  • Norman CD, Skinner HA. eHEALS: The eHealth literacy scale. J Med Internet Res. 2006; 8(4)e27:1-7. https://doi.org/10.2196/jmir.8.4.e27
  • Uskun E, Doğan E, Önal Ö, Kişioğlu AN. E-sağlık okuryazarlığı ölçeği: 45 yaş üstü yetişkinlerde Türkçe geçerlik ve güvenirlik çalışması. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2022;79(4):674-689. https://doi.org/10.5505/TurkHijyen.2022.75608 (Turkish)
  • Bıçak Ayık D, Buyukbayram Z. The effect of rational drug use on health perception and drug compliance in chronic diseases. International Journal of Caring Sciences 2021;14(1):497-506.
  • Yazicioglu B, Yardan ED. Rational drug use in elderly patients in a primary care center. J Pak Med Assoc. 2021;71(5):1353-1356. https://doi:10.47391/JPMA.909
  • Bayer N, Uzuntarla Y. Kronik hastalığı olan yaşlı bireylerin akılcı ilaç kullanımı ve geleneksel tıp tutumlarının belirlenmesi. J Soc Anal Health. 2022;2(1): 21-27. https://doi.org10.5281/zenodo.6342695 (Turkish)
  • Auta A, Omale S, Folorunsho T, David S, Banwat S. Medicine vendors: selfmedication practices and medicine knowledge. North American Journal of Medical Sciences. 2012;4:24-28. https://doi.org/10.4103/1947-2714.92899
  • Sharma D, Gurung D, Kafle R, Singh S. Knowledge and practice on over-the-counter drugs among adults of age group 20 and above residing in Chapapani. Pokhara. Kaski. Nepal. International Journal of Scientific Reports. 2017;3:79-86. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20170887
  • Connolly KK, Crosby ME. Examining e-health literacy and the digital divide in an underserved population in Hawai'i. Hawai'i Journal of Medicine & Public Health 2014;73(2):44-48.
  • Sütlü S. Medication Adherence and its Affecting Factors among Older Adults. Anatol J Family Med 2023;6(2):81–86. https://doi:10.5505/anatoljfm.2023.83030
  • Kaya SD, Kocaoğlu M, Yüceler A. Health literacy and rational drug use in Türkiye: quantitative and qualitative approaches. Journal of Health Literacy 2022;2(7):9-23. https://doi.org/10.22038/jhl.2022.64209.1277
  • Martins NFF, Abreu DPG, Silva BTD, Semedo DSDRC, Pelzer MT, Ienczak FS. Functional health literacy and adherence to the medication in older adults: Integrative review. Rev Bras Enferm. 2017;70(4):868-874. https://doi:10.1590/0034-7167-2016-0625
  • Palumbo R, Annarumma C, Adinolfi P, Musella M, Piscopo G. The Italian health literacy project: insights from the assessment of health literacy skills in Italy. Health Policy. 2016;120(9):1087-1094. https://doi.org/10.1016/j.healthpol.2016.08.007
  • Tavakoly Sany SB, Behzhad F, Ferns G, Peyman N. Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: A randomized controlled trial. BMC Health Serv Res. 2020;20(1):60. https://doi:10.1186/s12913-020-4901-8
  • Rahaei Z, Mehrjoyan N, Barzegr F, Anbari-Nogyni Z. Is Higher Health Literacy Associated with Better Self-Care in the Elderly? Journal of Health Literacy 2020; 5(3): 26-35. https://doi:10.22038/jhl.2020.53305.1135

Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services

Year 2025, Volume: 15 Issue: 3, 517 - 523, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1516741

Abstract

Objective: Health professionals can provide opportunities to increase the level of e-health literacy by accessing accurate health information on the internet to improve the attitudes and behaviors of rational drug use in the disease management of individuals with chronic diseases. This study aimed to determine the rational drug use and e-health literacy levels of individuals with chronic diseases.
Methods: This descriptive and cross-sectional study was conducted at a training and research hospital of a university in Turkey between March and July 2023. Hospitalized in internal medicine services and with at least one chronic disease were included 381 patients in the study. The study data were collected using the Introductory Information Form, and Rational Drug Use Scale, and E-Health Literacy Scale.
Results: The average age of the patients was 53.44±16.48 years. Of these patients, 60.1% were women and 19.9% had a diagnosis of endocrine system disease. While the average score of the patients on rational drug use was moderate. their e-health literacy levels were found to be low. A weak levels positive correlation was detected between rational drug use and e-health literacy (r=.106. p=.03).
Conclusion: It was concluded that rational drug use among individuals with chronic diseases is moderate and e-health literacy is low. Improving rational drug use and e-health literacy in chronic disease management are important strategies for reducing health expenditures and patient care burden.

References

  • Noncommunicable diseases-World Health Organization (WHO 2022) [Erişim tarihi: 28.05.2023]. Erişim linki: [https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases].
  • National Household Health Survey – Prevalence of Noncommunicable Disease Risk Factors in Turkey 2017 (STEPS). Üner S, Balcılar M, Ergüder T editors. World Health Organization Country Office in Turkey, Ankara, 2018.
  • Menon GR, Misra S, Deo V, Yadav J, Joshi P, Varghese C, John D. Economic burden and economic impact associated with non-communicable diseases among countries of the World Health Organization South-East Asia Region: A systematic review protocol. JBI Evid Synth. 2024;22(10):2130-2138. https://doi:10.11124/JBIES-23-00340
  • Goruntla N, Ssesanga J, Bommireddy BR, Thammisetty DP, Kasturi Vishwanathasetty V, Ezeonwumelu JOC, Bukke SPN. 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 Healthc Patient Saf. 2023;15:125-135. https://doi:10.2147/DHPS.S424050
  • Ahmed S, Hamedelniel E, Yousif A. Assessing drug use indicators in health insurance facilities, Gezira State, Sudan, 2017-2018. Pharmacology & Pharmacy 2021;12:237-246. https://doi:10.4236/pp.2021.1210020
  • World Health Organization. (2002). Promoting rational use of medicines: core components [https://iris.who.int/bitstream/handle/10665/67438/WHO_EDM_2002.3.pdf;jsessionid=4461C0E90CE10A40C540163AE4D4B2BD?sequence=1]
  • Lin SC, Chen IJ, Yu WR, Lee SD, Tsai TI. Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: A quasi-experimental study. Geriatr Nurs. 2019;40(5):494-501. https://doi:10.1016/j.gerinurse.2019.03.013
  • Rodrigues S, Isabel Patrício A, Cristina C, Fernandes F, Marcelino Santos G, Antunes I, Pintalhão I, Ribeiro M, Lopes R, Moreira S, Oliveira SA, Costa SP, Simões S, Nunes TC, Santiago LM, Rosendo I. Health literacy and adherence to therapy in type 2 diabetes: a cross-sectional study in Portugal. Health Lit Res Pract. 2024;8(4):194-203. https://doi:10.3928/24748307-20240625-01
  • İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-79. https://doi:10.1016/j.pcd.2020.06.009
  • Tosun N, Hoşgör H. E-sağlık okuryazarlığı ve akılcı ilaç kullanımı farkındalığı arasındaki ilişkinin belirlenmesine yönelik bir araştırma. Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2021;22(2): 82-102. https://doi.org/10.37880/cumuiibf.896847 (Turkish)
  • Li X, Liu Q. Social media use. e-health literacy. disease knowledge. and preventive behaviors in the COVID-19 pandemic: cross-sectional study on Chinese netizens. Journal of Medical Internet Research. 2020;22(10):e19684. https://doi.org/10.2196/19684
  • Fithriyyah Y, Aulawi K. Using mobile phone applications in engaging nurses for preventing healthcare-associated infections: A systematic review. Nursing Practice Today. 2021;9(2):84-101. https://doi.org/10.18502/npt.v9i2.8892
  • Demirtaş Z, Dağtekin G, Sağlan R, Alaiye M, Önsüz MF, Işıklı B, Kılıç FS, Metintaş S. Akılcı ilaç kullanımı ölçeği geçerlilik ve güvenilirliği. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2018;3(3):37-46. (Turkish)
  • Norman CD, Skinner HA. eHEALS: The eHealth literacy scale. J Med Internet Res. 2006; 8(4)e27:1-7. https://doi.org/10.2196/jmir.8.4.e27
  • Uskun E, Doğan E, Önal Ö, Kişioğlu AN. E-sağlık okuryazarlığı ölçeği: 45 yaş üstü yetişkinlerde Türkçe geçerlik ve güvenirlik çalışması. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2022;79(4):674-689. https://doi.org/10.5505/TurkHijyen.2022.75608 (Turkish)
  • Bıçak Ayık D, Buyukbayram Z. The effect of rational drug use on health perception and drug compliance in chronic diseases. International Journal of Caring Sciences 2021;14(1):497-506.
  • Yazicioglu B, Yardan ED. Rational drug use in elderly patients in a primary care center. J Pak Med Assoc. 2021;71(5):1353-1356. https://doi:10.47391/JPMA.909
  • Bayer N, Uzuntarla Y. Kronik hastalığı olan yaşlı bireylerin akılcı ilaç kullanımı ve geleneksel tıp tutumlarının belirlenmesi. J Soc Anal Health. 2022;2(1): 21-27. https://doi.org10.5281/zenodo.6342695 (Turkish)
  • Auta A, Omale S, Folorunsho T, David S, Banwat S. Medicine vendors: selfmedication practices and medicine knowledge. North American Journal of Medical Sciences. 2012;4:24-28. https://doi.org/10.4103/1947-2714.92899
  • Sharma D, Gurung D, Kafle R, Singh S. Knowledge and practice on over-the-counter drugs among adults of age group 20 and above residing in Chapapani. Pokhara. Kaski. Nepal. International Journal of Scientific Reports. 2017;3:79-86. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20170887
  • Connolly KK, Crosby ME. Examining e-health literacy and the digital divide in an underserved population in Hawai'i. Hawai'i Journal of Medicine & Public Health 2014;73(2):44-48.
  • Sütlü S. Medication Adherence and its Affecting Factors among Older Adults. Anatol J Family Med 2023;6(2):81–86. https://doi:10.5505/anatoljfm.2023.83030
  • Kaya SD, Kocaoğlu M, Yüceler A. Health literacy and rational drug use in Türkiye: quantitative and qualitative approaches. Journal of Health Literacy 2022;2(7):9-23. https://doi.org/10.22038/jhl.2022.64209.1277
  • Martins NFF, Abreu DPG, Silva BTD, Semedo DSDRC, Pelzer MT, Ienczak FS. Functional health literacy and adherence to the medication in older adults: Integrative review. Rev Bras Enferm. 2017;70(4):868-874. https://doi:10.1590/0034-7167-2016-0625
  • Palumbo R, Annarumma C, Adinolfi P, Musella M, Piscopo G. The Italian health literacy project: insights from the assessment of health literacy skills in Italy. Health Policy. 2016;120(9):1087-1094. https://doi.org/10.1016/j.healthpol.2016.08.007
  • Tavakoly Sany SB, Behzhad F, Ferns G, Peyman N. Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: A randomized controlled trial. BMC Health Serv Res. 2020;20(1):60. https://doi:10.1186/s12913-020-4901-8
  • Rahaei Z, Mehrjoyan N, Barzegr F, Anbari-Nogyni Z. Is Higher Health Literacy Associated with Better Self-Care in the Elderly? Journal of Health Literacy 2020; 5(3): 26-35. https://doi:10.22038/jhl.2020.53305.1135
There are 27 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Articles
Authors

Derya Çınar 0000-0002-4926-335X

Demet Ayar 0000-0002-2737-9749

Early Pub Date September 30, 2025
Publication Date September 30, 2025
Submission Date July 16, 2024
Acceptance Date July 31, 2025
Published in Issue Year 2025 Volume: 15 Issue: 3

Cite

APA Çınar, D., & Ayar, D. (2025). Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services. Clinical and Experimental Health Sciences, 15(3), 517-523. https://doi.org/10.33808/clinexphealthsci.1516741
AMA Çınar D, Ayar D. Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services. Clinical and Experimental Health Sciences. September 2025;15(3):517-523. doi:10.33808/clinexphealthsci.1516741
Chicago Çınar, Derya, and Demet Ayar. “Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services”. Clinical and Experimental Health Sciences 15, no. 3 (September 2025): 517-23. https://doi.org/10.33808/clinexphealthsci.1516741.
EndNote Çınar D, Ayar D (September 1, 2025) Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services. Clinical and Experimental Health Sciences 15 3 517–523.
IEEE D. Çınar and D. Ayar, “Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services”, Clinical and Experimental Health Sciences, vol. 15, no. 3, pp. 517–523, 2025, doi: 10.33808/clinexphealthsci.1516741.
ISNAD Çınar, Derya - Ayar, Demet. “Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services”. Clinical and Experimental Health Sciences 15/3 (September2025), 517-523. https://doi.org/10.33808/clinexphealthsci.1516741.
JAMA Çınar D, Ayar D. Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services. Clinical and Experimental Health Sciences. 2025;15:517–523.
MLA Çınar, Derya and Demet Ayar. “Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services”. Clinical and Experimental Health Sciences, vol. 15, no. 3, 2025, pp. 517-23, doi:10.33808/clinexphealthsci.1516741.
Vancouver Çınar D, Ayar D. Rational Drug Use and E-Health Literacy Levels of Inpatients of Internal Medicine Services. Clinical and Experimental Health Sciences. 2025;15(3):517-23.

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