An investigation into the relationship between health perception and rational drug use among nursing students

Yıl 2025, Cilt: 12 Sayı: 3, 347 - 353, 30.09.2025

Nurgül Bölükbaş , Muharrem Çelik

Öz

Introduction and Aim: Health perception is defined as the ability to self-evaluate one’s health. Those who perceive themselves as healthy exhibit a high awareness of rational drug use. The purpose of this study was to look at the relationship between nursing students' rational drug usage and their perception of their health.
Materials and Methods: Prior to beginning the research, institutional authorisation and ethics committee approval were obtained, which involved 341 volunteering nursing students in the Nursing Department of the Faculty of Health Sciences at a university. The data were collected using the personal information form developed by the researchers (gender, age, marital status, class etc.), a 15-item “Health Perception Scale (HPS)”, and a 21-item “Rational Drug Use Scale (RDUS)” in the classroom environment at the time when the students were available. Descriptive statistical methods in the SPSS package program were used for data analysis.
Results and Conclusion: A statistically significant difference was found between the mean score of HPS and gender; the score of the precision subdimension and the mean score of RDUS; and the students’ alcohol use status, their classes, and the importance of the health subdimension of HPS. A positive, significant relationship was observed between the mean scores of the control center and precision sub-dimensions of the HPS and the importance of the health and awareness sub-dimensions of the HPS. Additionally, there was a positive relationship between the total HPS score and all its subdimension scores. Furthermore, a significant positive relationship emerged between the total scores of the HPS and RDUS and the control center subdimension score of the HPS and between the scores of the HPS and RDUS.
Hemşirelik Öğrencilerinde Sağlık Algısı ve Akıllı İlaç Kullanımının Belirlenmesi
Öz
Amaç: Sağlık algısı kişinin kendi sağlığını değerlendirebilme kabiliyetidir. Bu çalışmanın amacı hemşirelik öğrencilerinin akılcı ilaç kullanımı ve sağlık algılarının belirlenmesidir. Materyal ve Yöntem: Bu tanımlayıcı ve kesitsel araştırmanın örneklemini, Türkiye'de bir üniversitenin Sağlık Bilimleri Fakültesi Hemşirelik Bölümü'nde öğrenim görmekte olan ve çalışmaya katılmayı gönüllü olarak kabul eden 341 hemşirelik öğrencisi oluşturmaktadır. Veriler kişisel bilgi formu, 15 maddelik “Sağlık Algısı Ölçeği” ve 21 maddelik “Akılcı İlaç Kullanımı Ölçeği” kullanılarak öğrencilerin müsait olduğu saatlerde sınıf ortamında toplanmıştır. Verilerin özelliklerine göre parametrik veriler için One Way ANOVA ve t-testi, parametrik olmayan veriler için ise Mann-Whitney U ve Kruskal-Wallis testleri kullanıldı. Veriler arasındaki ilişkinin belirlenmesi amacıyla regresyon analizi yapılmıştır. Bulgular: Toplam sağlık algısı ölçeği puanı ile tüm alt boyut puanları arasında da pozitif yönde anlamlı bir ilişki bulunmuştur. Ayrıca, Sağlık Algısı Ölçeği toplam puanı ile Akılcı İlaç Kullanımı Ölçeği toplam puanı arasında ve Sağlık Algısı Ölçeği’nin Kontrol Merkezi alt boyutu ile Akılcı İlaç Kullanımı Ölçeği puanları arasında da pozitif yönlü anlamlı ilişki saptanmıştır. Sonuç: Çalışmanın örnekleminde yer alan öğrencilerin sağlık algıları ve akılcı ilaç kullanımı düzeyleri iyi düzeyde bulunmuştur.

Anahtar Kelimeler: Sağlık Tutumu, İlaç Kullanma, Hemşirelik Öğrencisi

Anahtar Kelimeler

Health perception , Rational drug use , Nursing students

Etik Beyan

Our study was approved by the Ordu University Ethics Committee (Date: 12/05/2023 decision number: 133).

Destekleyen Kurum

yok

Proje Numarası

No

Teşekkür

We thank the students who participated in the research.

Hemşirelik öğrencilerinde sağlık algısı ve akıllı ilaç kullanımı arasındaki ilişkinin belirlenmesi

Öz

Aim: Health perception is defined as the ability to self-evaluate one’s health. This study aims to determine nursing students' rational drug usage and their perception of their health. Materials and Methods: This research employed a descriptive and cross-sectional design, involving a total of 341 nursing students who voluntarily participated in the study. All participants were enrolled in the Department of Nursing within the Faculty of Health Sciences at a public university in Türkiye. The data were collected using the personal information form, a 15-item “Health Perception Scale”, and a 21-item “Rational Drug Use Scale” in the classroom environment at the time when the students were available. Based on the data characteristics, the One Way ANOVA and t-test were employed for parametric data, while the Mann-Whitney U and Kruskal-Wallis tests were utilized for nonparametric data. Regression analysis was used to ascertain the correlation among the data. Results: There was a positive relationship between the total health perception scale score and all its subdimension scores. Moreover, a statistically significant positive correlation was identified between the overall scores on the Health Perception Scale and the Rational Drug Use Scale, as well as between the control center subdimension of the Health Perception Scale and the Rational Drug Use Scale scores. Conclusion: The findings indicated that the participating students demonstrated a generally high level of health perception and rational drug use.

Anahtar Kelimeler

Attitude to Health , Drug Utilization , Nursing Students

Etik Beyan

Araştırmanın Etik Yönü Çalışmaya katılmaya gönüllü olan öğrencilerden bilgilendirilmiş yazılı onam alınmıştır. Onam formunda, sorulara verilen yanıtlarının gizli kalacağı ve hiçbir yerde paylaşılmayacağı, çalışmaya katılmanın tamamen isteğe bağlı olduğu, hiçbir zorunluluğun olmadığı ve katılımcının çalışmadan istediği zaman çekilebileceğine dair açıklamalar yer almaktadır. E- posta ile “Sağlık Algısı Ölçeği” ve “Akılcı İlaç kullanım Ölçeği” yazarlarından izin alınmıştır. Çalışma için Ordu Üniversitesi Bilimsel Araştırmalar Etik Kurulundan etik onay (Tarih: 12/05/2023 karar sayısı:133) ve çalışmanın yapıldığı üniversitenin Hemşirelik Bölüm Başkanlığı’ndan yazılı izin alınmıştır.

Destekleyen Kurum

No

Proje Numarası

No

Teşekkür

The authors thank the participants

Kaynakça

• Adıbelli, D., Olgun, S., & Turan, G. S. (2017). Healthy Lifestyle Behaviors of Nursing Students and Affecting Factors. Cumhuriyet Nursing Journal, 6(1),: 8-17. http://chd.cumhuriyet.edu.tr/en/download/article-file/486275
• Akl, O. A., Mahalli, A. A., Elkahky, A. A., & Salem, A. M. (2014). WHO/INRUD drug use indicators at primary healthcare centers in Alexandria, Egypt . Journal of Taibah University Medical Sciences, 9(1), 54-64. https://doi.org/10.1016/j.jtumed.2013.06.002
• Altındiş, S. (2017). Systematic Overview of Rational Drug. Journal of Biotechnology and Strategic Health Research, 1(2), 34-38. https://dergipark.org.tr/tr/download/article-file/352686
• Aslam, A., Khatoon, S., Mehdi, M., Mumtaz, S., & Murtaza, B. (2016). Evaluation of rational drug use at Teaching Hospitals in Punjab, Pakistan. Journal of Pharmacy Practice and Community Medicine, 2(2), 54-64. https://doi.org/doi:10.5530/jppcm.2016.2.6
• Çaka, S. Y., Topal, S., Karakaya Suzan, Ö., Çınar, N., Altınkaynak, S. (2017). The relationship between nursing students’ health perception and self-confidence. Journal of Human Rhythm, 3(4), 198-203. https://dergipark.org.tr/tr/download/article-file/396731 .
• Cho, J., Martin, P., Margrett, J., MacDonald, M., & Poon, L. W. (2011). The Relationship between Physical Health and Psychological Well-Being among Oldest-Old Adults. Journal of Aging Research, 2011, 6050411-8. https://doi.org/10.4061/2011/605041
• Çifçi, S., Bayram Değer, V. B., & Ulutaşdemir, N. (2021). Evaluation of Attitudes and Knowledge Levels of University Employess towards Rational Drug Use and Health Perception. Gümüşhane University Journal of Health Sciences, 10 (4), 943-954. https://doi.org/10.37989/gumussagbil.944850 .
• Çilingir, D., & Aydın, A. (2017). Department of nursing students’ perception of health. Florence Nightingale Journal of Nursing, 25(3), 167-176. https://doi.org/10.17672/fnjn.343254
• Demirtaş Z., Dağtekin, G., Sağlan, R., Alaiye, M., Önsüz, M. F., Işıklı, B., Kılıç, F. S., & Metintaş, S. (2018) Valiıdiıty and reliıabiıliıty of ratiıonal drug use scale. Eskişehir Turkish World Application and Research Center Public Health Journal, 3(3), 37-46. https://dergipark.org.tr/tr/download/article-file/573814
• Dessie, B., Atalaye, G., Diress, E., & Getahun, A. (2020). Practice towards rational drug use at Finotselam and Asirade Zewudie Hospitals based on WHO core drug use indicators, Northwest Ethiopia. The Scientific World Journal, 2020(1), 1634294. https://doi.org/10.1155/2020/1634294
• Diamond, J. J., Becker, J. A., Arenson, C. A., Chambers, C. V., & Rosenthal, M. P. (2007). Development of a scale to measure adults’ perceptions of health: Preliminary findings. Journal of Community Psychology, 35(5), 557-561. https://doi.org/ DOI: 10.1002/jcop.20164
• Ercan, T., & Biçer, D.F. (2019). The evaluation of the factors affecting the knowledge levels and behaviors of consumers for rational drug use: Example of Sivas. Business and Management Studies an International Journal, 7(2), 998-1021. http://dx.doi.org/10.15295/bmij.v7i2.1133
• Holloway, K. A.(2011). Combating inappropriate use of medicines. Expert Review of Clinical Pharmacology, 4(3),335-348. https://doi.org/10.1586/ecp.11.14 https://doi.org/10.1586/ecp.11.14
• Kadıoğlu, H., & Yıldız, A. (2012). Validity and reliability of Turkish version of perception of health scale. Journal of Medical Sciences, 32(1), 47-53. https://doi.org/DOI:10.5336/medsci.2010-21761
• Kahraman, M., Karan, M. A., & Nalcaci, M. (2021). Rational drug use habits of patients with chronic diseases: A cross sectional examination focusing on the use of technological devices. International Journal of Clinical Practice, 75(7), e14222. https://doi.org/10.1111/ijcp.14222
• Karakan, T. (2022). TMinistry of Health Türkiye Pharmaceutical Market Monitoring Report-9 market status in 2021 in terms of sales volume and value. .C. Sağlık Bakanlığı Türkiye İlaç Pazarı Gözlem Raporu-9 Satış Hacmi ve Değeri Açısından 2021 Yılı Pazar Durumu. https://titck.gov.tr/storage/Archive/2022/contentFile/P%C4%B0YASA%20G%C3%96ZLEM%20RAPORU%20-9_f828e064-af4b-4665-ae40-5299a5f31f3e.pdf
• Karaoğglu,N., Karaoğlu, K. B., & Yardımcı, H. (2020). Comparıson of health perceptıon and health anxıety levels of socıology and medıcal students. Ankara Medical Journal, 20(3), 615-628. https://doi.org/DOI: 10.5505/amj.2020.43660
• Kim, S., & Oh, J. (2021). The relationship between e-health literacy and health-promoting behaviors in nursing students: A multiple mediation model. International Journal of Environmental Research and Public Health, 18(11), 5804. https://doi.org/10.3390/ijerph18115804
• Kolaç, N., Balcı A. S., Şişman, F., Ataçer, B., & Dinçer, S. (2018). Health perception and healthy lifestyle behaviors in factory workers. Medical Journal of Bakırköy, 14(3), 267 - 274. https://doi.org/10.5350/BTDMJB.20170328092601
• Köse, A. (2022). An Evaluation of Turkish Drug Policies. İstanbul Gelişim UÜniversity Journal of Health Sciences, (18), 1084-1099. https://doi.org/10.38079/igusabder.1030434
• Kurt, O., Oğuzöncül, A. F., Deveci, S. E., & Pirinçci, E. (2020). Evaluatıon of knowledge and behavıors of vocatıonal school of socıal scıences about ratıonal drug use. Eskişehir Turkish World Application and Research Center Public Health Journal, 5(1), 62-72. https://doi.org/10.35232/estudamhsd.553156https://doi.org/10.35232/estudamhsd.553156 Özatik, F. Y., Babaoğlu, Ü. T., Özkaraman, A., Yiğitaslan, S., & Erol, K. (2019). The Knowledge and Attitude of Nursing Students from School of Health Towards Rational Drug Use. Journal of Osmangazi Medicine, 41(4), 315-325. https://dergipark.org.tr/en/download/article-file/491012
• Özdelikara, A., Alkan, S.A., & Mumcu, N. (2018). Determination of health perception, health anxiety and effecting factors among nursing students. Bakırköy Medical Journal, 14(3), 275 - 282. https://doi.org/10.5350/btdmjb.20170310015347 DOI: 10.5350/BTDMJB.20170310015347
• Özkan, Ş., & Aca, Z. (2020). The effect of healthy life skills on rational drug use. Journal of Social Security, 10(2), 273-288. https://doi.org/10.32331/sgd.840669 https://doi.org/10.32331/sgd.840669
• Park, D. Y., & Kim, M. J. (2017). The effects of family function, health perception, and self-efficacy on health promoting behaviors of nursing college students. The Journal of the Korea Contents Association, 17(6), 561-570. https://doi.org/10.5392/JKCA.2017.17.06.561
• Şengül, B. N., & Akyıl, S. (2022). Investigation of Rational Drug Use and Health Perception in Different Generations. Journal of Nursing Science, 5(3), 169-178. https://doi.org/10.54189/hbd.1203565
• Skär, L., & Söderberg, S. (2016). Swedish nursing students’ perceptions of the concept of health: A phenomenographic study. Health Education Journal, 75(4), 385-395. https://doi.org/10.1177/0017896915591370
• Soysal, A., & Şahin, E. (2020). Rational drug use: A research on university students. Health Care Academic Journal, 7(3), 175-182. https://dergipark.org.tr/en/download/article-file/950542 http://dergipark.gov.tr/sagakaderg
• Tosunöz, İ. K. (2021). Can Healthy Life Style Behaviors and Health Perceptions of Nursing Students Be Improved with Health Promotion Course? Journal of Ankara Health Sciences, 10(1), 71-83. https://doi.org/10.46971/ausbid.776410
• Turkish Medicines and Medical Devices AgencyTürkiye İlaç ve Tıbbi Cihaz Kurumu, (2017). Türkiye Rational Drug Use BulletinTürkiye Akılcı İlaç Kullanımı Bülteni . https://titck.gov.tr/haber/turkiye-akilci-ilac-kullanimi-bulteni-nin-35-sayisi-yayimlandi-27122018172945 https://titck.gov.tr/haber/turkiye-akilci-ilac-kullanimi-bulteni-nin-35-sayisi-yayimlandi-27122018172945
• Turkish Statistical Institute, Türkiye İstatistik Kurumu (TÜİK), (2022, Aralık 7). Health Expenditure StatisticsSağlık Harcamaları İstatistikleri, 2022. https://data.tuik.gov.tr/Bulten/Index?p=Saglik-Harcamalari-Istatistikleri-2022
• Ünver, V., Başak, T., İyigün, E., Taştan, S., Demiralp, M., Yıldız, D., Ayhan, H., Köse, G., Yüksel, Ç., Çelikel, S. A., & Hatipoglu, S. (2013). An evaluation of a course on the rational use of medication in nursing from the perspective of the students. Nurse education today, 33(11), 1362-1368. https://doi.org/10.1016/j.nedt.2012.07.005
• World Health Organization (WHO), (2023). Promoting rational use of medicines: core components. WHO Policy Perspectives on Medicines, Geneva. https://www.emro.who.int/uhc-health-systems/access-medicines-health-technologies/rational-use-of-medicines.html https://www.who.int/activities/promoting-rational-use-of-medicines
• Yıldırım, Ö. Ö., Korkmaz, M., & Aydın Avcı, İ. (2021). Investigation of nursing students’ rational drug use awareness and health perceptions. Journal of Adnan Menderes University Health Sciences Faculty, 5(2), 251-260. https://doi.org/10.46237/amusbfd.762631https://doi.org/10.46237/amusbfd.762631
• Yılmaz, M. Ç. (2019). The relatiıonshiıp between nursiıng students’ health perceptiıons and physiıcal actiıviıty levels. Journal of Human Rhythm, 5 (4), 323-338. https://dergipark.org.tr/en/pub/johr/issue/50878/595523 Yılmazel, G., Çetinkaya, F., & Naçar, M. (2013). Health promoting behaviors in Nursing students. TAF Preventive Medicine Bulletin, 12(3), 261-270. https://doi.org/10.5455/pmb.1-1334227851