Ayana JALETA, Shibiru TESEMA, Belay YİMAM

Self-medication practicein Sire town, West Ethiopia:a cross-sectional study

Amaç:Gelişmekte olan ülkelerde bireylerin büyük kısmı, hastalıkları için doktora gitmek yerine kendi kendine tedavi yöntemlerini kullanmaktadır. Kendi kendine tedavide genelde reçetesiz ilaçlar kullanılmakta ve kişisel bakımın birformu olarak desteklenmekteysede reçeteli ilaçlarkişisel tedaviyeuygun olmayıpdesteklenmemelidir. Bu çalışmanın amacı Batı Etiyopya'nın Sire şehrinde kendi kendine tedavi ve ilgili faktörlerin sıklığının saptanmasıdır.Gereç ve Yöntem:Toplum tabanlı bu kesitsel çalışma, sistematik olarak seçilmiş423 aile ile yapılmıştır. Çalışmada veriler yarı yapılandırılmış anket ile toplanmıştır.Bulgular:İkiyüz otuzaileden 243 bireyde, çalışmadan 2 hafta öncesinde hastalık farkedilmiştir, onların dışında, 66 birey (%27.16) kendi kendine tedavi kullanmıştır. Kendi kendine tedavi uygulaması ile hasta ve hasta bakıcısının cinsiyet, eğitim seviyesi, meslek ve kazancı arasında anlamlı bir ilişki saptanmamıştır. Kendi kendine tedavi için en sık karşılaşılan hastalık başağrısıdır. (%37.89). Kendi kendine tedavi için kullanılan ilaçların çoğu (84.84%) eczanelerden sağlanmaktadır. Kendi kendine tedavi uygulamasının en önemli nedeni düşük fiyattır, 21 (%31.82). Tıbbi ajanlar arasında en fazla kullanılanlaranaljeziklerdir 34(%40.96), bunları takiben antibiyotikler 20(%24.10), geleneksel ilaçlar 17(%20.48), sıtma ilaçları 4(%4.71) ve solucanlara karşı olan ilaçlar 3(%3.53) gelmektedir.Sonuç:Kendi kendine tedavi çalışması çok sayıda katılımcı ile gerçekleştirilmiştir. Antimikrobiyaller gibi reçeteli ilaçlarla uygulanan kendi kendine tedavi sıklığı da oldukça yüksektir. Bu tür ilaçların tıbbi danışma almadan kullanılması uygun olmayan kullanıma ve sonuçta ilaç direncine neden olabilmekedir.

Batı Etiyopya'nın Sire şehrinde kendi kendine tedavi uygulaması: kesitsel çalışma

Purpose:Aconsiderablenumberofindividualsin developing countries do not attend physicians for their illnesses;insteadtheycommonlyuseself-medication. Althoughresponsibleself-medicationwithoverthe counter (OTC) drugs is often acceptable and promoted as one form of self-care, self-medication with prescription drugs is inappropriate and should always be discouraged. The aim of this study was to determine prevalence of self-medication and associated factors in Sire town, West Ethiopia. MaterialandMethods:Acommunitybasedcross-sectional study was conducted on 423 households, which were selected systematically. Data was collected by using semi-structured questionnaire.Results:Two hundred forty threeindividuals in 230 households perceived illness twoweeks prior to the study. Out of them, 66 (27.16%) used self-medication. The practice of self-medication was not significantly associated with sex, educational status, occupation and income of the patients or caregivers. The most frequent illness reported forself-medicationwasheadache(37.89%).Most (84.84%)ofthedrugsusedforself-medicationwere obtained from drug stores. The relatively lower cost was the major, 21 (31.82%), reason for using self-medication. Analgesics were the largest category ofmedicinal agents usedforself-medication34(40.96%),followedby antibiotics 20(24.10%), traditional medicines17(20.48%), antimalarials4(4.71%),and anthelminthics3(3.53%).Conclusion:Self-medication was practiced by considerably large number of the study participants. The prevalence of self-medication with prescription drugs like antimicrobialswas also high. Self-medication with these drugswithoutmedicalconsultationmayleadto inappropriate use and thereby contribute to emergence of drug resistance.

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