Araştırma Makalesi
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DO SURGERY PATIENTS KNOW THEIR MEDICINES?

Yıl 2016, , 18 - 38, 30.12.2016
https://doi.org/10.25279/sak.234987

Öz

Aim: A descriptive
research was conducted for determination of
knowledge and practices of medication use of elderly patients hospitalized
in surgical clinics. The sample consisted of 128 patients over 60 years old,
hospitalized at Hacettepe University Adult Hospital Neurosurgery, General
Surgery, Thoraco/Cardio/Vascular Surgery and Urology departments. Methods: For
data collection, a questionnaire prepared by the researcher based on the
literature was used. The data was collected by the researcher at two stages with
face-to-face and telephone interviews. For evaluation of the data, percentages,
McNemar and Cohran Q tests were used. Results: The frequency of visits to the
physicans/medical facilities were 1.8±1.7 times per year.  Mean prescription rate per year from those
visits was 16.4±1.8. Rate of use of over the counter medicines was 22.7%, use
of herbal medicines was 25% and irregular use of medicines was 16.4%. Within
the participiants that had not been using medicines regularly (16.4%); the most
common reason for not using medicines regularly was “problems experienced
because of medicines” (38.7%). Conclusion: According to the results of this
study; the characteristics which could be the reasons of unrational drug use were
seen about quarter of elder participiants. 

Kaynakça

  • Akıcı A, Uğurlu M Ü, Gönüllü N, Oktay Ş, & S., K. (2002). Evaluating the knowledge and attitudes of general practitioners about rational drug use. STED, 253-257.
  • Akın, B., Seviğ, Ü., & Karataş, N. (2001). Gerontological nursing education in Turkey (1): an education programme development study for certificate-the foundations of programme. C.Ü. Hemşirelik Yüksekokulu Dergisi, 5(1), 33-39.
  • Araz A, Harlak H, & G., M. (2007). Health behaviours and alternative therapy use. TSK Koruyucu Hekimlik Bülteni, 6(2), 112-122.
  • Arslan, G. G., & Eşer, İ. (2005a). The effect of education given on drug usage adaptation in the elderly. Turkish Journal of Geriatrics, 8(3), 134-140.
  • Arslan, G. G., & Eşer, İ. (2005b). Self-medication compliance in elderly and nurses’ role. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 21(2), 147-157.
  • Atlı, K., & Boncuk, N. A. (2002). Telemore and cellular aging. Turkish Journal of Geriatrics, 5(3), 111-114.
  • Bilgili, N., & Karatay, G. (2005). Determination of some practices about drug consumption of ındividuals living ın Sait Yazıcı Health Center Area. Hacettepe Üniversitesi Hemsirelik Yüksekokulu Dergisi., 12(1), 39-48.
  • Björkman, I. (2006). Towards Improved Medication Use: Increasing Understanding of Professional Efforts. (doctorate), Uppsala University. Retrieved from https://www.diva-portal.org/smash/get/diva2:169301/FULLTEXT01.pdf
  • C, H. L., & A., C. (2011). The Pharmacist’s New Role as Part of an Interdisciplinary Care Team. The Pharmacist’s New Role, 35(4), 62-68.
  • Demirol, A., Bozdağ, G., Kart, C., & Gürgan, G. (2006). Physiology and related theories of aging. Turkish Journal of Geriatrics, 9(4), 250-255.
  • Dökmeci, D. (2006). polypharmacy in elderly and toxicity. Türkiye Klinikleri J Surg Med Sci, 2(46), 53-58.
  • Erdil, F. (2007). Nurses-pharmacists cooperation for drug use in elders . Geriatri ve Gerontoloji (pp. 139-146). Ankara: Fersa Matbaacılık.
  • Ertemür, E., & Erdil, F. (2012). Determination of knowledge and practices of medication use of elderly patients hospitalized at surgical units. Turkish Journal of Geriatrics, 15(2), 201-207.
  • Green, J., Hawley, J., & Rask, K. (2007). Is the Number of Prescribing Physcians an Iindependent Risk Factor for Adverse Drug Events in an Elderly? American Journal of Geriatric Pharmacotherapy, 5(1), 31-39.
  • Hardon, A., Hodgkin, C., & Fresle, D. (2004). How to Investigate the Use of Medicines by Consumers? http://www.who.int/drugresistance/Manual1_HowtoInvestigate.pdf. Retrieved from
  • J, L., H, P. B., & W., C. P. (1998). Incidence of Adverse Drug Reactions in Hospitalized Patients: a Metaanalysis of Prospective Studies. JAMA, 279(15), 1200-1205.
  • Kabalak, A. U. (2002). herbal medicine and anaesthasia risks. Anestezi Dergisi, 10(2), 75-82.
  • Kanpolat, Y. (2003). Vision 2023. technology foresight project health and medicine panel Final Report. http://www.tubitak.gov.tr/tubitak_content_files/vizyon2023/si/EK-21.pdf. Retrieved from
  • M., B. (2004). Enhancing Older People's Concordance with Taking Their Medication. British Journal of Nursing, 13(11), 669-674.
  • Mallet, L., Spinewine, A., & Huang, A. (2007). Prescribing in Elderly People 2: The Challenge of Managing Drug Interactions in Elderly People. Lancet, 379(9582), 185-191.
  • Nations, U. (2002). Political Declaration and Madrid International Plan of Action on Aging. Retrieved from http://www.un.org/en/events/pastevents/pdfs/Madrid_plan.pdf.
  • O'Neill, G., & Barry, P. P. (2000). Training Physicians in Geriatric Care: Responding to Critical Need. Public Policy and Aging Report, 13(2), 17-21.
  • Oktay, S., & Akıcı, A. (2001). Drug use and decision makıng process for rational pharmacotherapy in elderly. Turkish Journal of Geriatrics, 4(3), 127-133.
  • Orhaner, E. (2006). health care financing and general health ınsurance in Turkey . Ticaret ve Turizm Eğitim Fakültesi Dergisi(1), 1-22.
  • Rai, J. (2005). Popularity of Herbal Drugs -A Challenge to Rational Practice (Time to Amend Undergraduate Curriculum). JK Science, 7(3), 180.
  • Rothschild, J. M., Leape, L. L., & Smith, A. H. (2000). The Nature and Extent of Medical Injury in Older Patients: Executive Summary. Retrieved from http://assets.aarp.org/rgcenter/health/2000_17_injury.pdf
  • Şahin, G., & Baydar, T. (2004). Drug use in elders. . In Y. G. Kutsal (Ed.), Yaşlılık Gerçeği (pp. 47-55). Ankara: GEBAM.
  • Warshaw, G. (2006). Introduction: Advances and Challenges in Care of Older People with Chronic Illness. Generations, 30(3), 5-10.
  • World Health Organization, M. M. F. (2000). Towards an international consensus on policy for long-term care of the ageing. Retrieved from http://apps.who.int/iris/handle/10665/66339.

CERRAHİ KLİNİKLERİNDE YATAN YAŞLI HASTALARIN İLAÇLARINA YÖNELİK BİLGİ VE UYGULAMALARINI ETKİLEYEBİLECEK ÖZELLİKLERİ

Yıl 2016, , 18 - 38, 30.12.2016
https://doi.org/10.25279/sak.234987

Öz

Amaç:
Araştırma; cerrahi kliniklerinde yatan yaşlı hastaların ilaç kullanımlarını  etkileyebilecek bilgi ve uygulamalarının
belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Örneklemi Hacettepe
Üniversitesi Erişkin Hastanesi’nin Beyin Cerrahi, Genel Cerrahi,
Toraks/Kalp/Damar Cerrahi ve Üroloji kliniklerinde yatan 60 yaş ve üzeri 128
hasta oluşturmuştur. Yöntem: Veri toplama aracı olarak, araştırmacı tarafından
ilgili literatüre doğrultusunda geliştirilen soru formu kullanılmıştır. Veriler
araştırmacı tarafından, yüz yüze görüşme yöntemi ile toplanmıştır. Verilerin
değerlendirilmesinde yüzde hesaplamaları, McNemar ve CohranQ testleri
kullanılmıştır. Bulgular: Araştırmaya katılan hastaların bir yılda ortalama
1.8±1.7 kere hekime/sağlık kuruluşuna başvurduğu ve kendilerine ortalama
16.4±1.8 reçete yazıldığı; %22.7’sinin reçetesiz ilaç, %25’inin bitkisel ürün
kullandığı, %16.4’ünün ilaçlarını düzenli kullanmadığı belirlenmiştir.
İlaçlarını düzenli kullanmadığını belirten hastaların (%16.4) yaklaşık üçte
biri (%38.7) ilaçlarını düzenli kullanmama sebebi olarak “ilaç kullanımı
nedeniyle yaşanan sorunlar” ı göstermiştir. Sonuç: Bu çalışmadan elde edilen
bulgular doğrultusunda; ilaçların akılcı ilaç kullanımı (AİK) ilkelerine uygun
kullanılmalarını engelleyebilecek özelliklerin, yaşlı hastaların yaklaşık
dörtte birinde görüldüğü saptanmıştır.

Kaynakça

  • Akıcı A, Uğurlu M Ü, Gönüllü N, Oktay Ş, & S., K. (2002). Evaluating the knowledge and attitudes of general practitioners about rational drug use. STED, 253-257.
  • Akın, B., Seviğ, Ü., & Karataş, N. (2001). Gerontological nursing education in Turkey (1): an education programme development study for certificate-the foundations of programme. C.Ü. Hemşirelik Yüksekokulu Dergisi, 5(1), 33-39.
  • Araz A, Harlak H, & G., M. (2007). Health behaviours and alternative therapy use. TSK Koruyucu Hekimlik Bülteni, 6(2), 112-122.
  • Arslan, G. G., & Eşer, İ. (2005a). The effect of education given on drug usage adaptation in the elderly. Turkish Journal of Geriatrics, 8(3), 134-140.
  • Arslan, G. G., & Eşer, İ. (2005b). Self-medication compliance in elderly and nurses’ role. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 21(2), 147-157.
  • Atlı, K., & Boncuk, N. A. (2002). Telemore and cellular aging. Turkish Journal of Geriatrics, 5(3), 111-114.
  • Bilgili, N., & Karatay, G. (2005). Determination of some practices about drug consumption of ındividuals living ın Sait Yazıcı Health Center Area. Hacettepe Üniversitesi Hemsirelik Yüksekokulu Dergisi., 12(1), 39-48.
  • Björkman, I. (2006). Towards Improved Medication Use: Increasing Understanding of Professional Efforts. (doctorate), Uppsala University. Retrieved from https://www.diva-portal.org/smash/get/diva2:169301/FULLTEXT01.pdf
  • C, H. L., & A., C. (2011). The Pharmacist’s New Role as Part of an Interdisciplinary Care Team. The Pharmacist’s New Role, 35(4), 62-68.
  • Demirol, A., Bozdağ, G., Kart, C., & Gürgan, G. (2006). Physiology and related theories of aging. Turkish Journal of Geriatrics, 9(4), 250-255.
  • Dökmeci, D. (2006). polypharmacy in elderly and toxicity. Türkiye Klinikleri J Surg Med Sci, 2(46), 53-58.
  • Erdil, F. (2007). Nurses-pharmacists cooperation for drug use in elders . Geriatri ve Gerontoloji (pp. 139-146). Ankara: Fersa Matbaacılık.
  • Ertemür, E., & Erdil, F. (2012). Determination of knowledge and practices of medication use of elderly patients hospitalized at surgical units. Turkish Journal of Geriatrics, 15(2), 201-207.
  • Green, J., Hawley, J., & Rask, K. (2007). Is the Number of Prescribing Physcians an Iindependent Risk Factor for Adverse Drug Events in an Elderly? American Journal of Geriatric Pharmacotherapy, 5(1), 31-39.
  • Hardon, A., Hodgkin, C., & Fresle, D. (2004). How to Investigate the Use of Medicines by Consumers? http://www.who.int/drugresistance/Manual1_HowtoInvestigate.pdf. Retrieved from
  • J, L., H, P. B., & W., C. P. (1998). Incidence of Adverse Drug Reactions in Hospitalized Patients: a Metaanalysis of Prospective Studies. JAMA, 279(15), 1200-1205.
  • Kabalak, A. U. (2002). herbal medicine and anaesthasia risks. Anestezi Dergisi, 10(2), 75-82.
  • Kanpolat, Y. (2003). Vision 2023. technology foresight project health and medicine panel Final Report. http://www.tubitak.gov.tr/tubitak_content_files/vizyon2023/si/EK-21.pdf. Retrieved from
  • M., B. (2004). Enhancing Older People's Concordance with Taking Their Medication. British Journal of Nursing, 13(11), 669-674.
  • Mallet, L., Spinewine, A., & Huang, A. (2007). Prescribing in Elderly People 2: The Challenge of Managing Drug Interactions in Elderly People. Lancet, 379(9582), 185-191.
  • Nations, U. (2002). Political Declaration and Madrid International Plan of Action on Aging. Retrieved from http://www.un.org/en/events/pastevents/pdfs/Madrid_plan.pdf.
  • O'Neill, G., & Barry, P. P. (2000). Training Physicians in Geriatric Care: Responding to Critical Need. Public Policy and Aging Report, 13(2), 17-21.
  • Oktay, S., & Akıcı, A. (2001). Drug use and decision makıng process for rational pharmacotherapy in elderly. Turkish Journal of Geriatrics, 4(3), 127-133.
  • Orhaner, E. (2006). health care financing and general health ınsurance in Turkey . Ticaret ve Turizm Eğitim Fakültesi Dergisi(1), 1-22.
  • Rai, J. (2005). Popularity of Herbal Drugs -A Challenge to Rational Practice (Time to Amend Undergraduate Curriculum). JK Science, 7(3), 180.
  • Rothschild, J. M., Leape, L. L., & Smith, A. H. (2000). The Nature and Extent of Medical Injury in Older Patients: Executive Summary. Retrieved from http://assets.aarp.org/rgcenter/health/2000_17_injury.pdf
  • Şahin, G., & Baydar, T. (2004). Drug use in elders. . In Y. G. Kutsal (Ed.), Yaşlılık Gerçeği (pp. 47-55). Ankara: GEBAM.
  • Warshaw, G. (2006). Introduction: Advances and Challenges in Care of Older People with Chronic Illness. Generations, 30(3), 5-10.
  • World Health Organization, M. M. F. (2000). Towards an international consensus on policy for long-term care of the ageing. Retrieved from http://apps.who.int/iris/handle/10665/66339.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Konular Hemşirelik
Bölüm Orjinal Makaleler
Yazarlar

Esra Demirarslan Bu kişi benim

Yayımlanma Tarihi 30 Aralık 2016
Gönderilme Tarihi 8 Haziran 2016
Kabul Tarihi 25 Aralık 2016
Yayımlandığı Sayı Yıl 2016

Kaynak Göster

APA Demirarslan, E. (2016). CERRAHİ KLİNİKLERİNDE YATAN YAŞLI HASTALARIN İLAÇLARINA YÖNELİK BİLGİ VE UYGULAMALARINI ETKİLEYEBİLECEK ÖZELLİKLERİ. Sağlık Akademisi Kastamonu, 1(1), 18-38. https://doi.org/10.25279/sak.234987

Sağlık Akademisi Kastamonu, 2017 yılından itibaren UAK doçentlik kriterlerine göre 1-b dergiler (SCI, SSCI, SCI-expanded, ESCI dışındaki uluslararası indekslerde taranan dergiler) sınıfında yer almaktadır. SAĞLIK AKADEMİSİ KASTAMONU Dergi kapağı Türk Patent Enstitüsü tarafından tescil edilmiştir.