DO SURGERY PATIENTS KNOW THEIR MEDICINES?

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. 

Anahtar Kelimeler

• geriatric nursing,perioperative nursing,drug toxicity,elder

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

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.

Anahtar Kelimeler

• geriatri hemşireliği,perioperatif hemşirelik,ilaç toksisitesi,yaşlı

Kaynakça

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