AİLE SAĞLIĞI MERKEZİNE KAYITLI 65 YAŞ ÜSTÜ HASTALARDA İLAÇ UYUMUNUN TİME KRİTERLERİNE GÖRE DEĞERLENDİRİLMESİ

Öz

AMAÇ: Amacımız polikliniğinimize başvuran 65 yaş ve üstü hastaların başvuru sırasında kullanmakta oldukları ilaçları Türkiye’ye özgü yaşlıda ilaç kullanım kriterlerini ölçen TİME kriterleri ile karşılaştırmaktır. GEREÇ ve YÖNTEM: Bu çalışmada İstanbul Gaziosmanpaşa Duygu Özyurt Aile Sağlığı Merkezi 34.21.068 No'lu ' birime kayıtlı 65 yaş ve üzeri 129 hastaya yüz yüze görüşme methodu ile sosyodemografik özellikleri ve tıbbi öyküyü içeren anket uygulandı . Çalışma verileri değerlendirilirken tanımlayıcı istatistiksel metodların yanısıra niceliksel verilerin karşılaştırılmasında Mann Whitney U testi, niteliksel verilerin karşılaştırılmasında ise Ki-Kare testi, Fisher’s Exact Ki-Kare testi, Fisher Freeman Halton Testi ve Continuity (Yates) Düzeltmesi kullanıldı. BULGULAR: Yaşları 65 ile 89 arasında değişmekte olan Kayıtlı 129 hastanın %41,1 i erkek ;%58,9 u kadındı.Yaş ortalaması 71.89±5.22, %75.2’si evli, . %55.8’i emekli ve sadece , %0.8’i yüksekokul/üniversite mezunudur.Kronik hastalık ortalaması 4.11±2.10 du.Kullanılan ilaç sayısı ortalaması 7.67±3.16 idi.Olguların %89.9’unda polifarmasi, %31.8’inde çoklu polifarmasi mevcuttu.Time to Stop kriterlerine göre herhangi bir sistemde toplam uygunsuz ilaç kullanımı görülme oranı %84.5’tir.Time to Start kriterlerine göre herhangi bir sistemde toplam uygunsuz ilaç kullanımı görülme oranı %100’dür. SONUÇ: Ülkemizdeki ilaç reçeteleme pratiği farklılıkları ve ülkemiz ilaç pazarındaki farklılıklar nedeniyle Türkiye’ye uygun hale getirilmiş TİME kriterleri, en son veriler ve yerel uygulamalar dikkate alınarak oluşturulmuş ve uygulanmaya başlanmıştır.Hastalarımızın ilaçlarının uygunluğunu değerlendirme konusunda büyük kolaylık sağlayacaktır

Anahtar Kelimeler

• polifarmasi
• uygunsuz ilaç kullanımı
• TİME Kriterleri
• START
• STOP
• yaşlı hastalar

EVALUATION OF MEDICATION ADHERENCE IN PATIENTS OVER 65 YEARS OF AGE REGISTERED IN FAMILY HEALTH CENTER ACCORDING TO TIME CRITERIA

Öz

Objective: Our aim is to compare the medications used by patients aged 65 and over who applied to our outpatient clinic with the TIME criteria, which measure drug use criteria in the elderly specific to Turkey. Method In this study, a survey including sociodemographic characteristics and medical history was applied to 129 patients aged 65 and over, registered to Istanbul Gaziosmanpaşa Duygu Özyurt Family Health Center unit No. 34.21.068, by face-to-face interview method. While evaluating the study data, in addition to descriptive statistical methods, Mann Whitney U test was used to compare quantitative data, and Chi-Square test, Fisher's Exact Chi-Square test, Fisher Freeman Halton Test and Continuity (Yates) Correction were used to compare qualitative data. Results: Of the 129 registered patients aged between 65 and 89, 41.1% were men and 58.9% were women. The average age was 71.89±5.22, 75.2% were married. 55.8% are retired and only 0.8% are college/university graduates. The average chronic disease rate was 4.11±2.10. The average number of medications was 7.67±3.16. Polypharmacy was present in 89.9% of the cases, and multiple polypharmacy was present in 31.8%. According to the Time to Stop criteria, the total incidence of inappropriate drug use in any system is 84.5%. According to the Time to Start criteria, the total incidence of inappropriate drug use in any system was The total incidence of inappropriate drug use is 100%. Conclusion: : Due to the differences in drug prescribing practices in our country and the differences in our country's pharmaceutical market, the TIME criteria adapted to Turkey have been created and started to be implemented by taking into account the latest data and local practices. It will provide great convenience to our patients in evaluating the suitability of their drugs.

Anahtar Kelimeler

• polypharmacy
• improper drug use
• TIME Criteria
• START
• STOP
• elderly patient

Kaynakça

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