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Bu çalışmanın amacı, dahiliye kliniklerine tedavi edilmek üzere yatırılan 60 yaş üstü hastaların hastane dışı ilaç kullanım tutumlarının ve eksik yönlerinin belirlenmesidir. Çalışma Nisan–Kasım 2017 tarihleri arasında Yunus Emre Devlet Hastanesinin Dahiliye Kliniğinde tedavi gören 60 yaş üstü 110 hasta üzerinde yapılmıştır. Verilerin toplanmasında anket formu kullanılmıştır. Verilerin değerlendirilmesinde ise yüzdelik, ortalama, Ki-kare testi ve lojistik regresyon analizi kullanılmıştır. Tüm katılımcıların yaş ortalaması 70,3 ± 10,7 yıl, %65’i kadın, %85’i okur-yazar, %63,6’sı şehir merkezinde yaşayan, %73,6’sı 1000-2000 TL gelire sahip ve %96,4’ünün bir sağlık güvencesine sahip olduğu saptanmıştır. Katılımcıların %46,4’ü evde hiç kullanılmamış veya arta kalan ilaç bulundurduklarını ve bunları yeniden kullanmak istediklerinde ise %65’inin hekim veya eczacıya danıştığı saptanmıştır. Katılımcıların %72,7’si evde bulundurdukları ilaçları hastalıklarında kullanılıp kullanılmadığına ve %67,3’ü son kullanma tarihine dikkat ettiklerini belirtmişlerdir. Hastaların eğitim düzeyleri ile ilaçların atılması, saklanma koşulları, tavsiye edilen ilaç kullanımı, ilaçlarla birlikte tüketilmemesi gereken yiyecekler ve muadil ilaç kullanımı gibi değişkenler arasındaki ilişki değerlendirildiğinde istatistiksel olarak anlamlı sonuçlar elde edilmiştir (p<0.05). Lojistik regresyon analizinden elde edilen sonuçlara göre okur-yazar olmayan hastaların, okur-yazar olanlara göre 6,748 kat (GA:1,713-26,581) daha fazla tavsiye edilen ile ilaç kullandıkları gösterilmiştir. Ailede sağlık çalışanı bulunanlarda ilaçların saklanma koşulları ve ilaç muadilleri kullanımı konusunda bulunmayanlara göre istatistiksel olarak anlamlı sonuçlar elde edilmiştir (p<0.05). Nezle ve grip gibi üst solunum yolu hastalıklarında ise antibiyotik kullanımı konusunda ailede sağlık çalışanı bulunması ile bulunmaması arasında istatistiksel olarak anlamlı sonuçlar bulunmuştur (p<0.05). Çalışmamızda 60 yaş üstü hastaların ilaç kullanımına ilişkin bilgilerinin yetersiz olduğu, katılımcıların eğitim düzeyi düşük olanları tarafından bu konuda ciddi hataların yapıldığı bulunmuştur.
The aim of this study is to identify the attitudes and aspects of non-hospitalized drug use of patients over the age of 60 who are hospitalized to be treated in hospitalized clinics. The study was conducted on 110 patients over the age of 60 who were treated in the internal clinic of the Yunus Emre State Hospital between April and November 2017. The data collection form was used. In the assessment of the data, the percentage, the average, the Ki-core test and the logistical regression analysis were used. The average age of all participants is 70.3 ± 10.7 years, 65% are women, 85% are readers, 63.6% live in the city centre, 73.6% have 1000-2000 TL income and 96.4% have a health insurance. 46.4 percent of participants found that they had any medications that had never been used or remained in their home, and 65 percent consulted a doctor or pharmacist when they wanted to reuse them. 72.7 per cent of participants said that the medications they had at home were used in their diseases or not, and 67.3 per cent said they noticed the date of termination. A statistically meaningful result has been obtained when the relationship between patients’ educational levels and variables such as removal of medications, storage conditions, recommended drug use, foods that should not be consumed with medications, and arbitrary drug use was assessed (p<0.05). According to the logistical regression analysis, it was shown that non-reader patients used the drug with 6,748 times more recommended (GA:1,713-26,581) than readers. In the family of health workers, statistically meaningful results have been obtained for those who do not know about the storage conditions of the medicines and the use of medicines (p<0.05). In upper respiratory diseases such as angina and flu, statistically significant results have been found between the absence of health care staff in the family on antibiotic use (p<0.05). Our study found that patients over the age of 60 had insufficient information about the use of the medication, and that the participants had serious mistakes in this regard by those who had a low level of education.
The aim of this study is to determine the outpatient drug use attitudes and incomplete aspects of patients over 60 years of age who admitted to internal medicine clinics. The study was performed on 110 patients over 60 years of age who were treated in internal medicine clinics of Yunus Emre State Hospital between April and November 2017. Questionnaires were used in order to collect data. Percentage, mean, Chi-square test and logistic regression analysis were used for the analysing of the data. The average age of all participants was 70.3 ± 10.7 years, 65% were women, 85% were educated, 63.6% were living in the city center, 73.6% had an income of 1000-2000 TL and 96.4% of them have a health insurance. 46,4% of the participants reported that they had used or left remained drugs at home and 65% of them had consulted a physician or pharmacist if they wanted to use them again. 72.7% of the participants reported that the drugs they have at home were used in their diseases and 67.3% of them were paying attention to the expiration date. The relationship between the education level of the patients and variables such as drug withdrawal, storage conditions, recommended drug use, foods to be consumed with drugs and equivalent drug use was statistically significant when compared (p<0.05). According to the results obtained from logistic regression analysis; the educated group has been shown to use drugs with 6,748 times more recommendation (GA: 1,713-26,581) than the uneducated group. The results of drug storage conditions and use of equivalent drug were statistically significant when compared the participants who had health workers in their family with who does not have (p<0.05). The result of using antibiotics in upper respiratory tract disease such as colds and flu was statistically significant difference when compared the groups of the presence of health workers in the family or not (p <0.05) In our study, it was found that the information about drug use of patients over 60 years old was inadequate, serious mistakes were made in this issue and this subject were related to education level of participants.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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