Genç Kızlarda Analjezik Kullanımı ve Dismenore

Abstract

Amaç

Bu çalışmada; genç kızlarda dismenore prevalansı ve menstrüasyon özellikleri ile dismenorenin  analjezik kullanımında herhangi bir fark oluşturup oluşturmadığının belirlenmesi amaçlanmıştır.

Gereç ve Yöntem

Bu kesitsel çalışma Başkent Üniversitesi Medikososyal Merkezi’ne başvuran kız öğrencilerde yapılmıştır.

Bulgular

Çalışma grubunda 190 ve kontrol grubunda 80 katılımcı bulunmaktadır. Dismenore prevalansı %70’dir. Dismenore grubunda ilaç prospektüsünün okunması kontrol grubuna göre daha yüksektir (%69,9’e karşı %46,8; p<0,05). Dismenore grubunda kendi ilacını bir başkasına önerme (%67,8’e karşı %53,3; p <0,05) ve önerilen ilaç kullanım süresine dikkat edilmemesi kontrollere göre yüksek (%72,5’e karşı %59,7; p<0,05) bulunmuştur. Dismenore grubunda son kullandıkları ağrı kesiciyi alma nedeni kontrol grubuyla aynı sırada baş ağrısı veya karın ağrısı olup karın ağrısı oranı çalışma grubunda daha yüksektir (%30,0’a karşı %11,5;p<0,05). Son kullanılan ağrı kesicinin adını hatırlayamama oranı çalışma grubunda daha yüksek bulunmuştur (%24,2’ye karşı %17,5; p<0,05). Herhangi üç farklı ağrı kesici ilacın adını bilme oranı çalışma grubunda daha yüksek olmuştur (%81,6’ya karşı %80,4; p<0,05).

Sonuç

Kronik hastalıklar nedeniyle ilaç kullanmak durumunda olan üniversite öğrencileri ilaçlarla daha sık karşılaşmaktadır. Bu öğrencilerde akılcı ilaç kullanımı konusunda davranışların geliştirilmesi verimli sonuçlar sağlayabilecektir. Öğrencilere reçetesiz ilaç kullanmanın zararlarına yönelik bilgilendirme toplantıları düzenlenmesi bu konuda etkili olabilecektir. 

Keywords

• Adolesan,Analjezikler,Dismenore,Kendi kendine ilaç kullanımı

Usage of Analgesics among Young Girls and Dysmenorrhea

Abstract

Objective

This study aimed to determine dysmenorrhea prevalence and menstruation characteristics among young girls and whether dysmenorrhea affects the use of analgesics.

Methods

This cross-sectional study was conducted in female university students who applied to Baskent University’s Medicosocial Center. 

Results

There were 190 participants in the dysmenorrhea group and 80 participants in the control group. The prevalence of dysmenorrhea was 70%. Reading of the drug prospectus in the dysmenorrhea group was higher than in the control group (69.9% vs. 46.8%, p <0.05). Recommending one's own drug to someone else (67.8% versus 53.3%, p <0.05) and not paying attention to the recommended drug use duration (72.5% vs. 59.7%; p <0.05) was higher in the dysmenorrhea group than in the control group. In the dysmenorrhea group, the reasons to take the last used pain relievers were headache or abdominal pain in the same order as the control group and the rate of abdominal pain was higher in the study group (30.0% versus 11.5%, p <0.05). The inability to remember the name of the last used pain reliever was higher in the study group (24.2% versus 17.5%, p <0.05). The rate of knowing the name of any three different pain relievers was higher in the study group (81.6% versus 80.4%, p <0.05). 

Conclusion

University students who are in need of medication due to chronic diseases more frequently encounter drugs. Developing behaviors on rational drug use in these students may provide productive results. It may be effective to organize informative meetings for students on the use of non-prescription drugs.

Keywords

• Adolescent,analgesics,dysmenorrhea,self-medication

References

1. Iptes S, Khorshid L. The investigation of the university students' drug usage. Journal of Ege University Nursing Faculty. 2004; 20(1):97-106.
2. Karakurt P, Hacihasanoglu R, Yildirim A, et al. [Medication Use among University Students]. TAF Prev Med Bull. 2010; 9(5): 505-512.
3. Yildirim Bas F, Cankara FN, Yesilot S. Evaluation of nonprescription drug usage on faculty of medicine students. SDU Journal of Health Science Institute. 2013; 4(2): 46-53.
4. Amanda LG. Hans VH. Flora MH. Intervention Research in Rational Use of Drugs: A Review. Healt Policy and Planning. 1999; 14: 89-102.
5. Aksoy M, Alkan A, Isli F. Rational Drug Use Promotional Activities of Ministry of Health. Türkiye Klinikleri J Pharmacol-Special Topics 2015;3(1):19-26.
6. Wertheimer AI, Serradell J. A discussion paper on self-care and its implications for pharmacists. Pharm World Sci. 2008 Aug;30(4):309-15.
7. Mansouri A, Sarayani A, Ashouri A, et al. Is 'self-medication' a useful term to retrieve related publications in the literature? A systematic exploration of related terms. PLoS One. 2015 May 1;10(5):e0125093.
8. James H, Handu SS, Al Khaja KA, et al. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract. 2006;15(4):270-5.

9. Klemenc-Ketis Z, Hladnik Z, Kersnik J. Self-medication among healthcare and non-healthcare students at University of Ljubljana, Slovenia. Med Princ Pract. 2010;19(5):395-401.
10. Pereira FS, Bucaretchi F, Stephan C, et al. Self-medication in children and adolescents. J Pediatr (Rio J). 2007 Sep-Oct;83(5):453-8.
11. Azami-Aghdash S, Mohseni M, Etemadi M, et al. Prevalence and Cause of Self-Medication in Iran: A Systematic Review and Meta-Analysis Article. Iran J Public Health. 2015 Dec;44(12):1580-93.
12. Aljinovic-Vucic V, Trkulja V, Lackovic Z. Content of home pharmacies and self-medication practices households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J 2005;46:74–80.
13. World Health Organization. Guidelines for the medical assessment of drugs for use in self-medication. Copenhague: WHO, Regional Oce for Europe, 1986.
14. Togoobaatar G, Ikeda N, Ali M, et al. Survey of nonprescribed use of antibiotics for children in an urban community in Mongolia. Bull World Health Organ. 2010; 88(12): 930–936.
15. Ilhan MN, Durukan E, Ilhan SO, et al. Self-medication with antibiotics: questionnaire survey among primary care center attendants. Pharmacoepidemiol Drug Saf. 2009; 18(12): 1150–1157.
16. Skliros E, Merkouris P, Papazafiropoulou A, et al. Self-medication with antibiotics in rural population in Greece: a cross-sectional multicenter study. BMC Fam Pract. 2010; 11: 58.
17. Nazir S, Goel K, Mittal A, et al. Parent induced self-medication among under five children:an observational cross sectional study. TAF Prev Med Bull 2015;14(2):81-86.
18. Grigoryan L, Haaijer-Ruskamp FM, Burgerhof JG, et al. Self-medication with antimicrobial drugs in Europe. Emerg Infect Dis. 2006 Mar;12(3):452-9.
19. Chagas OF, Éckeli FD, Bigal ME, et al. Study of the use of analgesics by patients with headache at a specialized outpatient clinic (ACEF). Arq Neuropsiquiatr. 2015 Jul;73(7):586-92.
20. Ministry of Health Turkish Medicine and Medical Devices Agency Economic Assessments and Laboratory Services. Turkish Pharmaceutical Market Report. Ankara, 2014.
21. Aktas D. Prevalence and Factors Affecting Dysmenorrhea in Female University Students: Effect on General Comfort Level. Pain Manag Nurs. 2015 Aug;16(4):534-43.
22. Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. 2014 Dec;15(4):768-77.
23. Midilli TS, Yasar E, Baysal E. Dysmenorrhea Characteristics of Female Students of Health School and Affecting Factors and Their Knowledge and Use of Complementary and Alternative Medicine Methods. Holist Nurs Pract. 2015 Jul-Aug;29(4):194-204.
24. Yasir S, Kant B, Dar MF. Frequency of dysmenorrhoea, its impact and management strategies adopted by medical students. J Ayub Med Coll Abbottabad. 2014 Jul-Sep;26(3):349-52.
25. Eryilmaz G, Ozdemir F. Evaluation of menstrual pain management approaches by Northeastern Anatolian adolescents. Pain Manag Nurs. 2009 Mar;10(1):40-7.
26. Esen I, Oğuz B, Serin HM. Menstrual Characteristics of Pubertal Adolescent Girls: A Questionnaire Based Study in Turkey. J Clin Res Pediatr Endocrinol. 2015 Dec 18.
27. Sugumar R, Krishnaiah V, Channaveera GS, et al. Comparison of the pattern, efficacy, and tolerability of self-medicated drugs in primary dysmenorrhea: a questionnaire based survey. Indian J Pharmacol. 2013 Mar-Apr;45(2):180-3.
28. O'Connell K, Davis AR, Westhoff C. Self-treatment patterns among adolescent girls with dysmenorrhea. J Pediatr Adolesc Gynecol. 2006 Aug;19(4):285-9.