Publication: Samsun Aziziye ve Pelitköy Eğitim Aile Sağlığı Merkezlerine Başvuran 18 Yaş ve Üzeri Kişilerde Reçetesiz İlaç Kullanımının Sıklığı, Nedenleri ve Değerlendirilmesi
Abstract
Giriş ve Amaç: Dünya Sağlık Örgütü'ne göre, ilaçların yarısından fazlası uygunsuz kullanılmaktadır. Hastaların yaklaşık yarısı ilaçlarını doğru şekilde kullanamamakta ve dünya nüfusunun yaklaşık üçte biri temel ilaçlara erişim sağlayamamaktadır. Türkiye'deki veriler, bu global tahminlerin ülkemiz için de geçerli olduğunu göstermektedir. Ancak, bu konuda çalışma sayısı sınırlıdır. Bu çalışma ile reçetesiz ilaç kullanma alışkanlığı ortaya konulacaktır. Reçetesiz ilaç ve akılcı ilaç kullanımı konularında farkındalık oluşturulup, sağlık sistemi ve hastalar açısından fayda ve zararları literatüre kazandırılacaktır. Gereç ve Yöntem: Samsun Aziziye ve Pelitköy Eğitim Aile Sağlığı Merkezlerine kayıtlı 18 yaş ve üstü çalışmaya katılmayı kabul eden 280 gönüllüyle yüz yüze anket uygulayarak gerçekleştirilmiş kesitsel analitik çalışmadır. Veri analizinde SPSS 26 kullanılmıştır. Veriler sayı, yüzde, ortalama, standart sapma veya ortanca, minimum, maksimum değerleri ile sunulacaktır. Reçetesiz ilaç kullanım durumları ile demografik değişkenler ve diğer değişkenler arasındaki ilişkide ki-kare kullanılmıştır. Anlamlı çıkan ki-kare sonucu ise Bonferroni düzeltmesi uygulanarak hangi gruplar arasında olduğu belirlenmiştir. p<0,05 anlamlı kabul edilmiştir. Bulgular: Katılımcıların %50,4'ü reçetesiz ilaç kullanmakta olup en sık kullanılan ilaç grubu Nsaii' lerdir (%70,2). Lisans ve üzeri eğitimlilerde, 18-44 yaş arasındakilerde, haneye giren toplam gelir asgari ücretten fazla olanlarda, memurlarda, reçetesiz ilaç kullanmayı sağlık açısından doğru bulanlarda, herhangi bir sağlık problemi yaşadıklarında ilaç kullanmadan iyileşeceğini düşünenlerde, benzer şikayetleri olan kişilere ilaç önerenlerde, reçetesiz ilaç kullanıp sonrasında hekime reçete ettirmeye çalışan katılımcılarda reçetesiz ilaç kullananların oranı; ilkokul ve altı eğitim düzeyindekilerde, 45 yaş ve üzerindekilerde, haneye giren toplam gelir asgari ücretten az olanlarda, ev hanımı ve emeklilerde, Aile Sağlığı Merkezine ulaşımın kolay olduğunu belirtenlerde, reçetesiz ilaç kullanmayı sağlık açısından doğru bulmadığını belirtenlerde, herhangi bir sağlık problemi yaşadıklarında ilaç kullanmadan iyileşeceğine inandığını kesinlikle düşünmeyenlerde, benzer şikayetleri olan kişilere ilaç önermeyenlerde, reçetesiz ilaç kullanıp sonrasında hekime reçete ettirmeyenlerde, ASM'ye ulaşımı kolay katılımcılarda reçetesiz ilaç kullanmayanların oranı anlamlı yüksek bulunmuştur (p<0,05). Sonuç: Katılımcıların yarısından fazlası (%50,4) reçetesiz ilaç kullanmış. Reçetesiz ilaç kullanımı ile eğitim düzeyi, yaş, meslek, haneye giren toplam gelir, ilaç tavsiye etmek, sağlık kuruluşuna ulaşım zorluğu, ilaç kullanmadan da iyileşeceğini düşünmek, reçetesiz ilaç kullanımını doğru bulmak, reçetesiz ilaç kullandıktan sonra reçete ettirmeye çalışmak arasında ilişki bulunmuştur. Anahtar Sözcükler: Reçetesiz ilaç kullanımı, Kendi kendine ilaç kullanımı, Akılcı ilaç kullanımı
Introduction and Purpose: According to the World Health Organization, more than half of medicines are used inappropriately. Approximately half of the patients can't use their medications correctly and about one-third of the world's population doesn't have access to essential medicines. Data in Turkey show that these global predictions are also valid for our country. However, the number of studies on this subject is limited. This study will reveal the habit of using non-prescription drugs. Awareness will be raised on non-prescription drug use and rational drug use, and its benefits and harms for the health system and patients will be included in the literature. Materials and Methods: It is a cross-sectional analytical study conducted by applying a face-to-face survey to 280 volunteers who agreed to participate in the study, aged 18 and over, registered to Samsun Aziziye and Pelitköy Education Family Health Centers. SPSS 26 was used in data analysis. Data will be presented as numbers, percentages, mean, standard deviation or median, minimum and maximum values. Chi-square was used in the relationship between non-prescription drug use and demographic variables and other variables. The significant chi-square result was determined between which groups by applying Bonferroni correction. p<0.05 was considered significant. Findings: %50,4 of the participants used non-prescription drugs. The most common used drug group is NSAID's (%70,2). The rate of people using non-prescription drugs is higher among participant who those with a bachelor's degree or above, those between the ages of 18-44, those whose total household income is more than the minimum wage, officers, who think that using non-prescription drugs is good for their health,who think that they will get better without using drugs when they experience any health problems, who recommend drugs to people with similar complaints, who use non-prescription drugs and then try to get a prescription from a doctor. The proportion of those who don't use medicine without a prescription is among those with primary school education or below, those aged 45 and over, those whose total household income is less than the minimum wage, housewives and retirees, those who state that it is easy to reach the Family Health Center, those who state that using over the-counter medicine is not healthy, those who do not have any health problems. It was found to be high in participants who did not believe at all that they would get better without using medication when they experienced it, in those who did not recommend medication to people with similar complaints, in those who used over-the-counter medication but did not have it prescribed by a physician, and in participants who had easy access to the Family Health Centers (p<0,05). Conclusion: More than half of the participants (50.4%) used non-prescription drugs. A relationship was found between the use of non-prescription drugs and education level, age, profession, total income, recommending drugs, difficulty in reaching a health institution, thinking that one will get better without using drugs, finding it correct to use non-prescription drugs, and trying to get a prescription after using non prescription drugs. Keywords: Using Non-Prescription Drug, Self-Medication, Rational Drug Use
Introduction and Purpose: According to the World Health Organization, more than half of medicines are used inappropriately. Approximately half of the patients can't use their medications correctly and about one-third of the world's population doesn't have access to essential medicines. Data in Turkey show that these global predictions are also valid for our country. However, the number of studies on this subject is limited. This study will reveal the habit of using non-prescription drugs. Awareness will be raised on non-prescription drug use and rational drug use, and its benefits and harms for the health system and patients will be included in the literature. Materials and Methods: It is a cross-sectional analytical study conducted by applying a face-to-face survey to 280 volunteers who agreed to participate in the study, aged 18 and over, registered to Samsun Aziziye and Pelitköy Education Family Health Centers. SPSS 26 was used in data analysis. Data will be presented as numbers, percentages, mean, standard deviation or median, minimum and maximum values. Chi-square was used in the relationship between non-prescription drug use and demographic variables and other variables. The significant chi-square result was determined between which groups by applying Bonferroni correction. p<0.05 was considered significant. Findings: %50,4 of the participants used non-prescription drugs. The most common used drug group is NSAID's (%70,2). The rate of people using non-prescription drugs is higher among participant who those with a bachelor's degree or above, those between the ages of 18-44, those whose total household income is more than the minimum wage, officers, who think that using non-prescription drugs is good for their health,who think that they will get better without using drugs when they experience any health problems, who recommend drugs to people with similar complaints, who use non-prescription drugs and then try to get a prescription from a doctor. The proportion of those who don't use medicine without a prescription is among those with primary school education or below, those aged 45 and over, those whose total household income is less than the minimum wage, housewives and retirees, those who state that it is easy to reach the Family Health Center, those who state that using over the-counter medicine is not healthy, those who do not have any health problems. It was found to be high in participants who did not believe at all that they would get better without using medication when they experienced it, in those who did not recommend medication to people with similar complaints, in those who used over-the-counter medication but did not have it prescribed by a physician, and in participants who had easy access to the Family Health Centers (p<0,05). Conclusion: More than half of the participants (50.4%) used non-prescription drugs. A relationship was found between the use of non-prescription drugs and education level, age, profession, total income, recommending drugs, difficulty in reaching a health institution, thinking that one will get better without using drugs, finding it correct to use non-prescription drugs, and trying to get a prescription after using non prescription drugs. Keywords: Using Non-Prescription Drug, Self-Medication, Rational Drug Use
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