Sağlık Okuryazarlığının Akılcı İlaç Kullanımı Davranışına Etkisi

Yıl 2022, Cilt: 10 Sayı: 2, 475 - 487, 20.06.2022

Fuat Yalman , Mehmet Selami Yıldız , Nazmi Vural

https://doi.org/10.33715/inonusaglik.1057988

Cited By: 1

Öz

Bu çalışmanın temel amacı, bireylerin sağlık okuryazarlık düzeylerini etkileyen faktörlerin, onların akılcı ilaç kullanım düzeylerini etkileyen faktörler üzerindeki etkisini yol analizi ile tespit etmek ve yol katsayılarını önemlilik derecesine göre ortaya koymaktır. Araştırmanın çalışma evrenini Sakarya il merkezlerinde faaliyet gösteren eczanelerden sağlık hizmeti alan hasta ve hasta yakınları oluşturdu. Toplum temelli kesitsel araştırma tasarımı uygulandı. Araştırma verilerine frekans analizleri, açıklayıcı faktör analizi ve yol analizi teknikleri uygulandı. Verilerin analizinde IBM SPSS 23 V ve AMOS paket programları kullanıldı. Fonksiyonel sağlık okuryazarlık düzeyleri, bireylerin; doğru ilaç kullanımını, etkili ilaç kullanımını ve güvenli ilaç kullanımı anlamlı ve pozitif şekilde etkilemiştir. Bunun yanısıra, iletişimsel sağlık okuryazarlık düzeylerinin, bireylerin; doğru ilaç kullanımı, etkili ilaç kullanımı ve güvenli ilaç kullanımı düzeylerini anlamlı ve negatif şekilde etkilediği tespit edilmiştir. Bu araştırmada, toplumun sağlık okuryazarlık düzeyinin yükseltilmesine yönelik eğitim ve bilgilendirme programlarının sağlanması ve doğru akılcı ilaç kullanımı konusunda farkındalık oluşturulması önerilmektedir.

Anahtar Kelimeler

Akılcı ilaç kullanımı, Hastalar, Sağlık okuryazarlığı

Destekleyen Kurum

Destekleyen bir kuruluş yoktur.

THE EFFECT OF HEALTH LITERACY ON RATIONAL DRUG USE BEHAVIOR

Öz

The main purpose of this study is to determine the effects of the factors affecting the health literacy levels of individuals on the factors affecting their rational drug use levels using path analysis and to reveal the path coefficients according to the degree of importance. The study population of the research consisted of patients and their relatives who received health services from pharmacies operating in Sakarya city centres. A population-based cross-sectional research design was applied. Frequency analysis, explanatory factor analysis and path analysis techniques were applied to the research data. IBM SPSS 23 V and AMOS package programs were used in the analysis of the data. Functional health literacy levels of individuals has affected their; correct drug use, effective drug use and safe drug use levels in a statistically significantly and positive manner. In addition, it has been determined that the communicative health literacy levels of individuals affected their; correct drug use, effective drug use and safe drug use levels in a statistically significant and negative way. In this research, it is recommended to provide education and information programs to increase the health literacy level of the society and to raise awareness about the correct rational use of drugs.

Anahtar Kelimeler

Health literacy, Patients, Rational drug use

Kaynakça

• Ahmad, N., Ellins, J., Krelle, H. & Lawrie, M. (2014). Person-centred care: from ideas to action. Health Foundation.
• Baker, D. W., Wolf, M. S., Feinglass, J., Thompson, J. A., Gazmararian, J. A. & Huang, J. (2007). Health literacy and mortality among elderly persons. Arch Intern Med., 167(14), 1503-1509.
• Berkman, N., Davis, T. & McCormarck, L. (2010). Health literacy: what is it? Journal of Health Communication, 15(2), 9-19.
• Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
• Byrne, B. M. (2001). Structural equation modelling with AMOS: Basic concepts, applications, and programming. Lawrence Erlbaum Associates.
• Çelebi, A. (2018). Development of parental attitude scale towards rational drug use. (PhD Thesis). Atatürk Universty, Erzurum.
• Demirtaş, Z., Dağtekin, G., Sağlan, R., Alaiye, M., Önsüz, M. F., …Işıklı, B. (2018). Validity and reliability of rational drug use scale. ESTÜDAM Journal of Public Health, 3(3), 37-46.
• DeWalt, D. A., Berkman, N. D., Sheridan, S., Lohr, K. N. & Pignone, M. P. (2004). Literacy and health outcomes: a systematic review of the literature. Journal of General Internal Medicine, 19, 1228-1239.
• Drug Administration and Control Authority (DACA 1996). Manual on drug supply management. Addis Ababa, Ethiopia: Prepared by the department of DACA.
• Ferguson, B. (2008). Health literacy and health disparities: The role they play in maternal and child health. Nurs Women's Health, 12(4), 286-98.
• Kayser, L., Karnoe, A., Duminski, E., Somekh, D. & Vera-Muñoz, C. (2019). A new understanding of health-related empowerment in the context of active and healthy ageing. BMC Health Serv Res., 19(1), 242.
• La Vonne, A. D. & Zun, L. S. (2008). Assessing adult health literacy in urban healthcare settings. J Natl Med Assoc., 100 (11), 1304-1308.
• Munro, B. H. (2005). Statistical methods for health care research. Philadelphia: Lippincott Williams & Wilkins, 351-376.
• Nielsen-Bohlman, L., Panzer, A. M. & Kindig, D. A. (Eds.). (2004). Health literacy: A prescription to end confusion. Washington, DC: National Academies Press.
• Parker, R. (2000). Health literacy: a challenge for American patients and their health care providers. Health Promot Int., 15(4), 277-283.
• Parker, R. M., Ratzan, S. C. & Lurie, N. (2003). Health Literacy: A policy challenge for advancing high-quality health care. Health Affairs Journal, 22(4), 147-153.
• Peerson, A. & Saunders, M. (2009). Health literacy revisited: what do we mean and why does it matter?. Health Promot Int., 24 (3), 285-296.
• Sudore, R. L., Yaffe, K., Satterfield, S., Harris, T. B., Mehta, K. M. & Simonsick, E. M. (2006). Limited literacy and mortality in the elderly: The health, aging, and body composition study. Journal of General Internal Medicine, 21, 806-812.
• Thai, A. L. & George, M. (2010). The effects of health literacy on asthma self-management. J Asthma Allergy Educ., 1(2), 50-55.
• U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). National action plan to improve health literacy. Washington, DC.
• World Health Organization (WHO 1993). How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators. Geneva: World Health Organization.
• World Health Organization (WHO 2002). Promoting rational use of medicines: core components. World Health Organization Geneva. Retrieved from: https://www.who.int/medicines/publications/policyperspectives/ppm05en.pdf.
• World Health Organization (WHO 2010). The world medicines situations: Chapter 8, rational use of medicines, 2010. Retrieved from: http://apps.who.int/ medicinedocs/en/d/JS/6160e/10.html.
• World Health Organization (WHO 2012). Social determinants of health. Commission on social determinants of health final report. Geneva: World Health Organization.
• Yen, I. H. & Moss, N. (1999). Unbundling education: A critical discussion of what education confers and how ıt lowers risk for disease and death. Annals of the New York Academy of Sciences, 896(1 ), 350 –351.