Evaluation of Multiple Drug Using Status by Sociodemographic Characteristics of Individuals with Chronic Disease

Year 2018, Volume: 12 Issue: 1, 13 - 18, 19.03.2018

Burcu Kayhan Tetik , Işılay Gedik Tekinemre Hacer Gözde Gül Burak Mete , Samima Hassanlı Wadee Alhuraıbı

https://doi.org/10.21763/tjfmpc.399950

Abstract

Introduction: The most common
belief in traditional medicine is necessarily needed to prescribe a drug.  Studies show two-thirds of medical
examinations are ended up with the prescription.  In this study, our aim is showing the effects
and features of polypharmacy on chronic disease patients and assess the
sociodemographic properties, create awareness about them. Method: This descriptive cross-sectional study is done with 340
patients who admit Inonu Unıversity Turgut Ozal Medicine Centre cardiology,
pulmonary disease, neurology, family medicine and psychiatry policlinics.
Statistical analysis is done with SPSS ver. 22.0 and in all tests p<0.05
level is accepted as statistically meaningful. Results: In our study, there are 333 participants and 154 of them
are female (46.2%) 179 of them are male (53.8%) and mean age is 52.37.  Eighty participants are 65 years old or over.
When we evaluate the chronic disease patients, the most common diagnoses are
heart disease which is seen in 177 (52.1%) of participants and hypertension
which is seen in 176 of participants (51.8%). 
184 of participants (54.1%) are using less than 5 drugs and 149 of
participants (43.8 %) are using more than 5 drugs. In the comparison of
multi-drug using and suffer from side effects, 50 of less than 5 drugs using
participants (27.2%) and 29 of more than 5 drugs using participants (19.5%) had
adverse effects, this difference is not statistically meaningful (p=0.100). Conclusion: We are in thought of
family physicians can lower multi-drug using rates collaborating with patients
for managing both acute and chronic diseases in our country where the cost of
drugs are rising day by day. Because of that sociodemographic properties and
drugs should be questioned for all the policlinics appeal of chronic disease
patients and the cessation of drugs should be done according to the proper guidelines,
they should be warned about drug interaction and how to use it.

Giriş: Geleneksel tıpta en yaygın inanış
bir hekim muayenesine gidildikten sonra mutlaka ilaç yazılması gerektiğidir.
Yapılan çalışmalarda hekim muayenelerinin yaklaşık üçte ikisi reçete yazılması
ile sonuçlanmaktadır. Bu çalışmada amacımız kronik hastalığı olan bireylerde
çoklu ilaç kullanımının özelliklerini, bireyin sosyodemografik özelliklerine
göre değerlendirmek ve bu konuda farkındalık yaratmaktır. Yöntem:
Kesitsel tanımlayıcı olan çalışma,
İnönü Üniversitesi Turgut Özal Tıp Merkezi Hastanesi’nin Aile hekimliği,
Kardiyoloji, Göğüs hastalıkları, Nöroloji ve Psikiyatri polikliniklerine müracaat
eden 340 hastada yapılmıştır. Verilerin istatistiksel
değerlendirilmesi SPSS ver. 22.0 yazılımı ile yapılmış ve tüm testlerde p˂0.05
istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Çalışmada toplam 333 katılımcı
mevcut olup, 154’i kadın (%46,2), 179’i erkek (%53,8) ve yaş ortalaması 52.37
yıl idi.80 kişi (%23.5) 65 yaş ve üzerindeydi. Kronik hastalığı olan bireylerin
hastalıkları sorgulandığında en çok 177 kişi (%52,1) kalp hastalığı ve 176 (%51,8)
inde hipertansiyon tanısı mevcuttu. Katılımcıların 184’ü (%54,1) 5’den az ilaç
kullanırken, 149’u (%43,8) 5 ve üzeri ilaç kullanmaktaydı. Çoklu ilaç kullanım
durumlarıyla yan etki görülme durumları kıyaslandığında 5 ten az ilaç
kullananların 50’ si (%27,2), 5 ve üzeri ilaç kullananların 29’ u (%19,5) yan
etki gördüğünü ifade etmiş bu fark istatistiksel olarak anlamsız bulunmuştur
(p=0.100). Sonuç: İlaç maliyetinin
her geçen gün arttığı ülkemizde aile hekimlerinin hastasıyla iş birliği yaparak
hastasının hem akut hem kronik hastalıklarını aynı anda yöneterek çoklu ilaç
kullanım oranlarını düşürebileceği kanaatindeyiz. Bu nedenle kronik hastalığı
olan bireylerin polikliniğe her müracaatında sosyodemografik
özellikleriyle kullandıkları ilaçlar sorgulanmalı, kılavuzlar
eşliğinde gereksiz kullandığı ilaçlar kesilmeli ve etkileşime girebilecek
ilaçlar konusunda hasta uyarılarak, ilaçları nasıl kullanacağı hakkında gerekli
bilgilendirme yapılmalıdır.

Keywords

Chronic disease, polypharmacy, patient education

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