Information and Behaviors of Patients Applying to Chest Diseases Outpatient Clinic Regarding Rational Use of Drugs

Abstract

Aim: Rational Drug Use (RUD), which aims to use drugs when necessary, in the appropriate amount and in an appropriate way, is required from the physician with the rational choice of drugs and prescribing; health policies cover a process that includes other individuals in the society, pharmacists, healthcare professionals and consists of many steps, from the conscious and correct consumption of drugs to the patient. In determining RUD, it is important to reveal the knowledge and behavioral characteristics of individuals at these stages. Irrational drug use is one of the major health problems in developing countries, including our country. In our study, it was aimed to evaluate the patient parameter in RUD. For this purpose, it was tried to determine the knowledge and behaviors of the patients who applied to Chest Diseases outpatient clinic for any reason. Materials and Methods: This descriptive study was carried out with 163 volunteers who applied to the 3rd Stage Health Institution Chest Diseases Policlinic due to any respiratory symptoms. The data were obtained by face to face descriptive questionnaire. The questionnaire consisted of 16 questions about the sociodemographic characteristics of the patients and their knowledge and behavior regarding drug use. The response rates and compliance with the RUD were evaluated. Results: According to the analysis results, most of the patients were between the ages of 51-64 and primary school graduates (n = 71, 43.6%). The number of female patients was 80 (49.1%) and the number of male patients was 83 (50.9%), and the distribution of patients was found to be similar in terms of gender. 33.1% of the patients prescribed medication and kept them at home without being sick, thinking that it might be necessary, and most of these drugs were pain relievers (29.4%). Only 10.4% were taking medication or demanding a prescription from their doctor with the advice of their neighbors and / or relatives. 11.1% of them used antibiotics on their own, without being examined due to complaints such as flu, cold, and cold. Discussion and conclusion: In our study, the characteristics of knowledge and behavior in accordance with RUD were determined to the patient who applied to the chest diseases outpatient clinic. Rational drug use is very important in terms of preventing unnecessary national expense, side effects, adverse effects, and decreasing mortality and morbidity. In order to raise the awareness of individuals on drug use in the society; Health policy, healthcare professionals, media and educators have important responsibilities.

Keywords

• Rational drug use
• medicine
• chest diseases

References

1. Oktay Ş, Kayaalp S. Prescription rules and rational drug use. Medical pharmacology in terms of rational treatment, twelfth edition, Pelikan Medical and Technical Bookstore Ltd. Şti. 2009.
2. Quick J.D et al. Twenty-five years of essential medicines. Bulletin of the World Health Organization 2002; 80: 913-914.
3. Organization, W.H. Promoting rational use of medicines: core components. Geneva: World Health Organization, 2002.
4. Çelik Y. The evaluation of the appropriateness of the level of Turkey's health spending and health spending analysis. Journal of Social security 2011; 1(1): 62-81.
5. Akıcı A. et al. Evaluation of knowledge and attitudes of general practitioners on rational drug use. Sted 2002; 11(7): 253-257.
6. Türkiye İlaç ve Tıbbi Cihaz Kurumu www.akilciilac.gov.tr
7. Yapıcı, G, Balıkçı S, Uğur Ö. Attitudes and behaviors of those applying to primary health care institutions about drug use. Dicle Medical Journal 2011; 38(4): 458-465.
8. Aydın B, Gelal A. Ratıonal Drug Use: Promotıon and the Role Of Medical Educatıon. DEÜ Journal of the Faculty of Medicine 2012; 26(1): 57-63.

9. Oktay Ş. History of Rational Use. Turkiye Klinikleri J Pharmacol-Special Topics 2015; 3(1): 11-8.
10. Gülmez SE. Rational Use of Medicines Implementations in the World. Compilation. Turkiye Klinikleri J Pharmacol-Special Topics 2015; 3(1): 34-44.
11. Özer E, Özdemir L. Rational Use of Drugs in the Elderly and Responsibilities of the Nurse. Hacettepe University Journal of Nursing Faculty 2009; 16(2): 042-51.
12. Şendir M, Çelik Z, Güzel E, Büyükyılmaz F. Determination of rational drug use habits in individuals applying to family health centers. TAF Preventive Medicine Bulletin 2015; 14(1): 15-22.
13. ilhan MN, Aydemir Ö, Çakır M, Aycan S. Irrational drug use behaviors: Three district examples in Ankara. Turkey Journal of Public Health 2014; 12(3): 188-200.
14. Organization, W.H., The pursuit of responsible use of medicines: sharing and learning from country experiences. 2012 World Health Organization.
15. Holloway K, Van Dijk L. Rational use of medicines. Chapter in: The world medicines situation 2011, Geneva. World Health Organization 2011.
16. Ercan, T, Biçer, D. F. Consumers' Knowledge Levels and Assessment of Factors Affecting Their Behaviors: Sivas Province Case. BMIJ 2019; 7(2): 998-1021.
17. Ouédraogo D-D, Zabsonré JW, Tiendrebeogo EZ, Kakpovi KG, Kaboré F, Drabo JY, et al. Prevalence and factors associated with self-medication in rheumatology in Sub-Saharan Africa. Eur J Rheumatol 2015; 2: 52-6.
18. Lu Y, Hernandez P, Abegunde D. The world medicines situation 2011; 35-38.
19. Acar A, Yeğenoğlu. Pharmacoeconomics and hospital formularies from the window of rational drug use. J. Fac. Pharm 2005; 34(3): 207-218.
20. Varol Y, Karakurt Z, Çırak AK, et al. Inappropriate antibiotic use in COPD exacerbations. Turk Thorac J 2020; 21(6): 397-403.
21. Demirci B, Çilengir Ayhan F, Abacıgil F. Attitudes of Pharmacy Workers on Rational Drug Therapy: A Cross Sectional Survey. Med Bull Haseki 2019; 57: 339-344.
22. Türk S. Using medicine with care. Mustafa Kemal University Medical Journal 2018; 9(33): 33-41.
23. Kıroğlu O, Berktaş F, Şahan E, Karataş Y. Knowledge and awareness of research assistants about rational drug use. Cukurova Medical Journal 2018; 43(1)1: 164-171.
24. Araştırmacı iİaç Firmaları Derneği https://www.aifd.org.tr/akilci-ilac-kullanimi/