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Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research

Year 2023, Volume: 8 Issue: 5, 106 - 111, 12.10.2023
https://doi.org/10.22391/fppc.1229259

Abstract

Introduction: The current study was aimed to evaluate the attitudes and behaviors of individuals 90 years and older living in Malatya regarding rational drug use.
Methods: This cross-sectional, descriptive study was carried out with people aged 90 and over (n=1022) living in Malatya province and its districts. Face-to-face interview method was used to collect study data. In the first part of the form used for data collection, the descriptive characteristics of the participants were questioned, and in the second part, the attitudes and behaviors towards rational drug use were examined. Rational drug use features are evaluated by World Health Organization (WHO) prescribing indicators.
Results: The frequency of rational drug use was 84.1%, and the rate of over-the-counter drug use was 19.2% among individuals 90 years and older. 52.3% of the participants had over-the-counter medication at home for use, when necessary, without doctor's recommendation. The most commonly available over-the-counter group of drugs at home were painkillers.
Conclusion: The frequency of rational drug use in individuals aged 90 and older has been determined higher than in the literature on individuals aged 65 and older. Education, guidance and counseling programs can be created to increase rational drug use within elderly people communities.
Keywords: rational drug use; oldest-old; elderly; attitude; behavior

Ethical Statement

The study was approved by the Ethics Committee of Inonu University Non-Interventional Clinical Research Ethics Committee (on 19.02.2019 with the number 2019/4-20). At all stages of the research, the Helsinki Declaration Principles, Research, and Publication Ethics were complied with.

References

  • 1. World Health A. Conference of experts on the rational use of drugs (Nairobi, Kenya, 25-29 November 1985): report by the Director-General. Geneva: World Health Organization; 1986. Available at: https://apps.who.int/iris/handle/10665/37174?show=full (Access Date: March 7, 2023)
  • 2. Demirtas Z, Dagtekin G, Saglan R, Alaiye M, Onsuz MF, Isikli B, et al. Validity and reliability of rational drug use scale. ESTUDAM Public Health J. 2018;3(3):37-46.
  • 3. World Health O. The pursuit of responsible use of medicines: sharing and learning from country experiences. Geneva: World Health Organization, 2012. Report No.:WHO/EMP/MAR/2012.3. Available at: https://apps.who.int/iris/handle/10665/75828 (Access Date: March 7, 2023).
  • 4. Official Gazette of the Republic of Turkey. Turkish pharmaceutical industry strategy document and action plan 2015-2018. Available at: https://www.titck.gov.tr/Dosyalar/Erisim/TMMDABrochure.pdf (Access Date: March 7, 2023)
  • 5. Calikoglu EO, Koycegiz E, Kosan Z, Aras A. Rational drug use and prescribing behavior of family physicians in Erzurum, Turkey. Niger J Clin Pract. 2019;22(5):626-32. https://doi.org/10.4103/njcp.njcp_258_18
  • 6. Oral S. Information and behavior of patients about rational drug use. Abant Med J 2021;10(3):330-44. https://doi.org/10.47493/abantmedj.870503.
  • 7. Turkish Statistical Institute (TURKSTAT) – TUIK. Statistics on the elderly 2020. Available at: https://www.tuik.gov.tr/media/announcements/istatistiklerle_yaslilar_2020.pdf (Access Date: March 7, 2023)
  • 8. Bilgener E, Ozcelikay G. Rational drug use in geriatric woman. Buyukkayaci Duman N, editor. Aging and women’s health. 1. Edi. Ankara: Turkish Clinics 2019:62- 8.
  • 9. Oktay S, Akici A. Drug use and desicion making process for rational pharmacotherapy in elderly. Turk J Geriatr. 2001;4(3):127-33.
  • 10. Dagtekin G, Demirtas Z, Alaiye M, Saglan R, Onsuz MF, Isikli B, et al. Rational drug use attitudes and behaviors of adults who apply for primary health care in semirural areas. ESTUDAM Public Health J. 2018; 3(1),12-23.
  • 11. Yilmazel G. Polypharmacy and comorbidities among elderly women. STED/ J Continuing Med Edu. 2018;27(2):80-5.
  • 12. Santas F, Demirgil B. A study on rational drug use. J Business Sci. 2017;5(1):35-48. https://doi.org/10.22139/jobs.286671
  • 13. Surmelioglu N, Kiroglu O, Erdogdu T, Karatas Y. Measures for prevention of irrational drug use. Arch Med Rev J. 2015;24(4):452-62. https://doi.org/10.17827/aktd.64527
  • 14. Kasar K, Karadakovan A. Elderly individuals investigation of antihypertensive drugs use error. Turk J Cardiovasc Nurs. 2017;8(15):20-7. https://doi.org/10.5543/khd.2017.39200
  • 15. Yapici G, Balikci S, Ugur O. Attitudes and behavior of drug usage in applicants to primary health care center. Dicle Med J. 2011;38(4):458. https://doi.org/10.5798/diclemedj.0921.2011.04.0066
  • 16. Ozdemir L. Akdemir N. Nursing assessment and care practices in the elderly. Editor: Ariogul S. Geriatri ve Gerontoloji Medikal&Nobel Tip Kitabevi, Ankara. 2006:161-81.
  • 17. Gocgeldi E, Ucar M, Acikel CH, Turker T, Hasde M, Atac A. Investigation of frequency of leftover drugs at home and related factors. TAF Prevent Med Bulletin. 2009;8(2).
  • 18. Dolu IC, Bilgili N. Determining the practise and knowledge of medicine usage in a group of elderly people in Ankara. TSK Prevent Physician Bulletin. 2010;9(1):37-44.
  • 19. Fresle DA, Wolfheim C. Public education in rational drug use: a global survey. World Health Organization, 1997. Available at: https://apps.who.int/iris/handle/10665/63823 (Access Date: March 7, 2023)
  • 20. Hatipoglu S, Ozyurt BC. Rational use of medicine in some family health centers in manisa. TAF Prevent Med Bulletin. 2016;15(4):1-8.
  • 21. Ucman T, Uysal N. Rational drug use in adults and determination of affecting factors. Bandirma Onyedi Eylul Uni J Health Sci Res.3(2):126-33. https://doi.org/10.46413/boneyusbad.859525
  • 22. Akkus Y, Karatay G. Knowledge and behaviovur about drug usage of people aged over 60 and live in Kars. Tubav Sci J. 2011;4(3):214-20.
  • 23. Akkoca A, Ozler G, Yengil E, Ozler S, Demirkiran G. Evaluation of geriatric patients’ knowledge and behavior about drug usage. Smyrna Med J. 2015;3:1-6.
  • 24. Barutcu A, Tengilimoglu D, Naldoken U. Rational drug use of citizens, knowledge and attitudes of assessment: Ankara metropolitan districts example. Gazi Uni J Economics Admin Sci. 2017;19(3):1062-78.

90 yaş ve üzeri bireylerin akılcı ilaç kullanımına yönelik tutum ve davranışları: kesitsel araştırma

Year 2023, Volume: 8 Issue: 5, 106 - 111, 12.10.2023
https://doi.org/10.22391/fppc.1229259

Abstract

Giriş: Mevcut çalışma, Malatya il ve ilçelerinde yaşayan 90 yaş ve üzeri bireylerin akılcı ilaç kullanımı ile ilgili tutum ve davranışlarını incelemektir.
Yöntem: Kesitsel tipte, tanımlayıcı nitelikte olan bu araştırma, Malatya il ve ilçelerinde yaşayan 90 yaş ve üzeri kişilerle (n=1022) yapılmıştır. Veriler yüz yüze görüşme yöntemiyle toplanmıştır. Verilerin toplanmasında kullanılan formun birinci bölümünde katılımcıların tanımlayıcı özellikleri, ikinci bölümünde akılcı ilaç kullanımına yönelik tutum ve davranışları sorgulanmıştır. Akılcı ilaç kullanım özellikleri Dünya Sağlık Örgütü’nün (DSÖ) tanımlayıcı belirteçlerine göre değerlendirildi
Bulgular: Araştırmada 90 yaş ve üzeri bireylerde akılcı ilaç kullanım sıklığı %84,1, reçetesiz ilaç kullanma oranı %19,2 olarak bulunmuştur. Katılımcıların %52,3’ünün evde doktor önerisi dışında gerektiğinde kullanmak üzere reçetesiz ilaç bulundurduğu ortaya çıkmıştır. Evde en fazla reçetesiz bulundurulan ilaç grubu ağrı kesiciler olmuştur.
Sonuç: 90 yaş ve üzeri bireylerde akılcı ilaç kullanımı sıklığı literatürdeki 65 yaş ve üzeri bireyler üzerinde yapılan çalışmalara göre daha yüksekti. İleri yaşlı bireylerde akılcı ilaç kullanımını arttırmaya yönelik eğitim, rehberlik ve danışmanlık programları oluşturulabilir.
Anahtar kelimeler: akılcı ilaç kullanımı; ileri yaşlı; yaşlı; tutum; davranış

Ethical Statement

The study was approved by the Ethics Committee of Inonu University Non-Interventional Clinical Research Ethics Committee (on 19.02.2019 with the number 2019/4-20). At all stages of the research, the Helsinki Declaration Principles, Research, and Publication Ethics were complied with.

References

  • 1. World Health A. Conference of experts on the rational use of drugs (Nairobi, Kenya, 25-29 November 1985): report by the Director-General. Geneva: World Health Organization; 1986. Available at: https://apps.who.int/iris/handle/10665/37174?show=full (Access Date: March 7, 2023)
  • 2. Demirtas Z, Dagtekin G, Saglan R, Alaiye M, Onsuz MF, Isikli B, et al. Validity and reliability of rational drug use scale. ESTUDAM Public Health J. 2018;3(3):37-46.
  • 3. World Health O. The pursuit of responsible use of medicines: sharing and learning from country experiences. Geneva: World Health Organization, 2012. Report No.:WHO/EMP/MAR/2012.3. Available at: https://apps.who.int/iris/handle/10665/75828 (Access Date: March 7, 2023).
  • 4. Official Gazette of the Republic of Turkey. Turkish pharmaceutical industry strategy document and action plan 2015-2018. Available at: https://www.titck.gov.tr/Dosyalar/Erisim/TMMDABrochure.pdf (Access Date: March 7, 2023)
  • 5. Calikoglu EO, Koycegiz E, Kosan Z, Aras A. Rational drug use and prescribing behavior of family physicians in Erzurum, Turkey. Niger J Clin Pract. 2019;22(5):626-32. https://doi.org/10.4103/njcp.njcp_258_18
  • 6. Oral S. Information and behavior of patients about rational drug use. Abant Med J 2021;10(3):330-44. https://doi.org/10.47493/abantmedj.870503.
  • 7. Turkish Statistical Institute (TURKSTAT) – TUIK. Statistics on the elderly 2020. Available at: https://www.tuik.gov.tr/media/announcements/istatistiklerle_yaslilar_2020.pdf (Access Date: March 7, 2023)
  • 8. Bilgener E, Ozcelikay G. Rational drug use in geriatric woman. Buyukkayaci Duman N, editor. Aging and women’s health. 1. Edi. Ankara: Turkish Clinics 2019:62- 8.
  • 9. Oktay S, Akici A. Drug use and desicion making process for rational pharmacotherapy in elderly. Turk J Geriatr. 2001;4(3):127-33.
  • 10. Dagtekin G, Demirtas Z, Alaiye M, Saglan R, Onsuz MF, Isikli B, et al. Rational drug use attitudes and behaviors of adults who apply for primary health care in semirural areas. ESTUDAM Public Health J. 2018; 3(1),12-23.
  • 11. Yilmazel G. Polypharmacy and comorbidities among elderly women. STED/ J Continuing Med Edu. 2018;27(2):80-5.
  • 12. Santas F, Demirgil B. A study on rational drug use. J Business Sci. 2017;5(1):35-48. https://doi.org/10.22139/jobs.286671
  • 13. Surmelioglu N, Kiroglu O, Erdogdu T, Karatas Y. Measures for prevention of irrational drug use. Arch Med Rev J. 2015;24(4):452-62. https://doi.org/10.17827/aktd.64527
  • 14. Kasar K, Karadakovan A. Elderly individuals investigation of antihypertensive drugs use error. Turk J Cardiovasc Nurs. 2017;8(15):20-7. https://doi.org/10.5543/khd.2017.39200
  • 15. Yapici G, Balikci S, Ugur O. Attitudes and behavior of drug usage in applicants to primary health care center. Dicle Med J. 2011;38(4):458. https://doi.org/10.5798/diclemedj.0921.2011.04.0066
  • 16. Ozdemir L. Akdemir N. Nursing assessment and care practices in the elderly. Editor: Ariogul S. Geriatri ve Gerontoloji Medikal&Nobel Tip Kitabevi, Ankara. 2006:161-81.
  • 17. Gocgeldi E, Ucar M, Acikel CH, Turker T, Hasde M, Atac A. Investigation of frequency of leftover drugs at home and related factors. TAF Prevent Med Bulletin. 2009;8(2).
  • 18. Dolu IC, Bilgili N. Determining the practise and knowledge of medicine usage in a group of elderly people in Ankara. TSK Prevent Physician Bulletin. 2010;9(1):37-44.
  • 19. Fresle DA, Wolfheim C. Public education in rational drug use: a global survey. World Health Organization, 1997. Available at: https://apps.who.int/iris/handle/10665/63823 (Access Date: March 7, 2023)
  • 20. Hatipoglu S, Ozyurt BC. Rational use of medicine in some family health centers in manisa. TAF Prevent Med Bulletin. 2016;15(4):1-8.
  • 21. Ucman T, Uysal N. Rational drug use in adults and determination of affecting factors. Bandirma Onyedi Eylul Uni J Health Sci Res.3(2):126-33. https://doi.org/10.46413/boneyusbad.859525
  • 22. Akkus Y, Karatay G. Knowledge and behaviovur about drug usage of people aged over 60 and live in Kars. Tubav Sci J. 2011;4(3):214-20.
  • 23. Akkoca A, Ozler G, Yengil E, Ozler S, Demirkiran G. Evaluation of geriatric patients’ knowledge and behavior about drug usage. Smyrna Med J. 2015;3:1-6.
  • 24. Barutcu A, Tengilimoglu D, Naldoken U. Rational drug use of citizens, knowledge and attitudes of assessment: Ankara metropolitan districts example. Gazi Uni J Economics Admin Sci. 2017;19(3):1062-78.

Details

Primary Language English
Subjects Geriatrics and Gerontology
Journal Section Original Research
Authors

Neşe KARAKAŞ 0000-0003-0737-0541

Serdar DENİZ 0000-0002-6941-4813

Recep BENTLİ 0000-0002-7205-0379

Publication Date October 12, 2023
Submission Date January 4, 2023
Acceptance Date September 15, 2023
Published in Issue Year 2023Volume: 8 Issue: 5

Cite

APA KARAKAŞ, N., DENİZ, S., & BENTLİ, R. (2023). Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research. Family Practice and Palliative Care, 8(5), 106-111. https://doi.org/10.22391/fppc.1229259
AMA KARAKAŞ N, DENİZ S, BENTLİ R. Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research. Fam Pract Palliat Care. October 2023;8(5):106-111. doi:10.22391/fppc.1229259
Chicago KARAKAŞ, Neşe, Serdar DENİZ, and Recep BENTLİ. “Attitudes and Behaviors of Individuals Aged 90 and over towards Rational Use of Drugs: Cross-Sectional Research”. Family Practice and Palliative Care 8, no. 5 (October 2023): 106-11. https://doi.org/10.22391/fppc.1229259.
EndNote KARAKAŞ N, DENİZ S, BENTLİ R (October 1, 2023) Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research. Family Practice and Palliative Care 8 5 106–111.
IEEE N. KARAKAŞ, S. DENİZ, and R. BENTLİ, “Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research”, Fam Pract Palliat Care, vol. 8, no. 5, pp. 106–111, 2023, doi: 10.22391/fppc.1229259.
ISNAD KARAKAŞ, Neşe et al. “Attitudes and Behaviors of Individuals Aged 90 and over towards Rational Use of Drugs: Cross-Sectional Research”. Family Practice and Palliative Care 8/5 (October 2023), 106-111. https://doi.org/10.22391/fppc.1229259.
JAMA KARAKAŞ N, DENİZ S, BENTLİ R. Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research. Fam Pract Palliat Care. 2023;8:106–111.
MLA KARAKAŞ, Neşe et al. “Attitudes and Behaviors of Individuals Aged 90 and over towards Rational Use of Drugs: Cross-Sectional Research”. Family Practice and Palliative Care, vol. 8, no. 5, 2023, pp. 106-11, doi:10.22391/fppc.1229259.
Vancouver KARAKAŞ N, DENİZ S, BENTLİ R. Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research. Fam Pract Palliat Care. 2023;8(5):106-11.

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505