Sevil ÖZGER İLHAN, Hakan TÜZÜN, Mücahit YILDIZ, Asiye UĞRAŞ DİKMEN

Evaluation of irrational drug use of individuals over the age of 18 who applied to a university hospital

Background/aim: Irrational drug use not only causes a delay in the treatment of patients, failure to achieve full well-being, drug interactions and side effects, drug resistance but also creates economic negativities such as waste of resources and unnecessary workload. This study aims to investigate the irrational drug use behaviors of individuals over the age of 18 who applied to a university hospital. Materials and methods: This sectional study included 1247 people over the age of 18 who applied for Gazi University Health, Research and Application Center. A questionnaire was applied to the applicants by face-to-face interview technique. Logistic regression analysis was performed among the factors associated with the subcomponents of irrational drug use. Results: Participants (20.1%) used medication without a doctor’s prescription (self-medication), 3.4% did not comply with the recommended dose and duration for medications, 47.4% applied to the physician to prescribe the medication they wanted, 65% had medication for later use at home. It was determined that 24.1% of them used drugs without looking at the expiration date and 45.5% of them used drugs without reading the patient information leaflet. Among the risk groups identified for the different irrational drug use behaviors mentioned are the following: males, lower educational groups, housewives, not having social insurance, continuous drug users. Conclusion: Irrational drug use behaviors are still observed in society. The fact that the risk is higher in lower education groups is an example of the negative consequences of limited health literacy. The fact that different risk groups have been identified for different behaviors related to irrational drug use shows that intervention studies on this subject should be directed to specific groups. The effect of having social security reveals its connection with universal health coverage and rational drug use.

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1. Akıcı A, Uğurlu MÜ, Gönüllü N, Oktay Ş, Kalaça S. Pratisyen hekimlerin akılcı ilaç kullanımı konusunda bilgi ve tutumlarının değerlendirilmesi. Sürekli Tıp Eğitim Dergisi 2002; 11(7): 253-257 (in Turkish).
2. Ilhan MN, Durukan E, Ilhan SO, Aksakal FN, Ozkan S et al. Self‐medication with antibiotics: questionnaire survey among primary care center attendants. Pharmacoepidemiology and Drug Safety 2009; 18(12): 1150-1157 doi: 10.1002/pds.1829
3. İlhan M, Aydemir Ö, Çakır M, Aycan S. A Study in three districts of Ankara of behaviors associated with irrational use of drugs. Turkish Journal of Public Health 2014; 12(3): 188-200 (in Turkish). doi: 10.20518/thsd.91650
4. Kartal SE, Gündoğar HS. Üniversite öğrencilerinin akılcı ilaç kullanımı hakkındaki görüşleri. Bartın Üniversitesi Eğitim Araştırmaları Dergisi 2017; 1(1): 25-34 (in Turkish).
5. Altındiş S. Akılcı ilaç kullanımına sistematik bir bakış. Journal of Biotechnology and Strategic Health Research 2017; 1(2): 34- 38 (in Turkish).
6. Deniz, S. A research on determining attitudes and behavior on rational drug use. Hacettepe Sağlık İdaresi Dergisi 2019; 22(3): 619-632 (in Turkish).
7. Dağtekin G, Demirtaş Z, Alaiye M, Sağlan, R, Önsüz, MF et al. Rational drug use attitudes and behaviors of adults who apply for primary health care in semirural areas. Eskişehir Türk Dünyası Araştrırmaları Merkezi Halk Sağlığı Dergisi 2018; 3(1): 12-23 (in Turkish).
8. Yaramış Mİ, Ulupınar S. Rational drug use behaviors of individuals registered with a family health center. Ordu University Journal of Nursing Studies 2021; 4(1): 10-20, doi:10.38108/ouhcd.804379 (in Turkish).
9. Hatipoğlu S, Özyurt BC. Manisa ilindeki bazı aile sağlığı merkezlerinde akılcı ilaç kullanımı. . TSK Koruyucu Hekimlik Bülteni 2016; 15(4): 1-8 (in Turkish).
10. Lei X, Jiang H, Liu C, Ferrier A, Mugavin J. Self-medication practice and associated factors among residents in Wuhan, China. International Journal of Environmental Research and Public Health 2018; 15(1): 68. doi: 10.3390/ijerph15010068
11. Arrais PSD, Fernandes MEP, Pizzol TDSD, Ramos LR, Mengue SS et al. Prevalence of self-medication in Brazil and associated factors. Revista De Saude Publica 2016; 50: 13. doi: 10.1590/ S1518-8787.2016050006117
12. Helal RM, Abou-ElWafa HS. Self-Medication in university students from the City of Mansoura, Egypt. Journal of Environmental Public Health 2017; 2017: 9145193. doi: 10.1155/2017/9145193.
13. Açıksöz S, Kurt G, Seyfi M. Hemşirelik öğrencilerinin reçetesiz ilaç kullanma durumları. Koç Üniversitesi Hemşirelikte Eğitim ve Araştirma Dergisi 2020; 17(1): 17-23, |doi:10.5222/ HEAD.2020.017 (in Turkish).
14. Rangari GM, Bhaisare RG, Korukonda V, Chaitanya YL, Hanumanth N. Prevalence of self-medication in rural area of Andhra Pradesh. Journal of Family Medicine and Primary Care 2020; 9(6): 2891-2898. doi: 10.4103/jfmpc.jfmpc_204_20.
15. Doomra R, Goyal A. NSAIDs and self-medication: A serious concern. Journal of Family Medicine and Primary Care. 2020; 9(5): 2183-2185. doi: 10.4103/jfmpc.jfmpc_201_20.
16. Gama ASM, Secoli SR. Self-medication among nursing students in the state of Amazonas–Brazil. Revista Gaucha de Enfermagem 2017; 38. doi:10.1590/1983-1447.2017.01.65111
17. Saygılı M, Türe AK, Kaya M, Sönmez S. Eczaneye başvuran hastalarda akılcı ilaç kullanımı. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 2020; 6(3): 529-540 (in Turkish).
18. Calıkoğlu EO, Koycegiz E, Kosan Z, Aras A. Rational drug use and prescribing behavior of family physicians in Erzurum, Turkey. Nigerian Journal of Clinical Practice 2019; 22(5): 626. doi: 10.4103/njcp.njcp_258_18.
19. Funk OG, Yung R, Arrighi S, Lee S. Medication storage appropriateness in US households. Innovations in Pharmacy. 2021; 12(2). doi:10.24926/iip.v12i2.3822.
20. Özkan S, Özbay OD, Aksakal FN, İlhan MN, Aycan S. Bir üniversite hastanesine başvuran hastaların hasta olduklarındaki tutumları ve ilaç kullanım alışkanlıkları. TSK Koruyucu Hekimlik Bülteni, 2005; 4(5) (in Turkish).