Yaşlı Bireylerin Akılcı İlaç Kullanımıyla İlgili Bilgi ve Uygulamaları (original) (raw)
Related papers
Rational Drug Use in the Elderly
Journal of gerontology and geriatric research, 2012
Polypharmacy is a commonly addressed problem in the elderly. It is the use of a minimum of four medicines simultaneously. However, the elderly population suffers not only from the overuse of the medicines but also from the underuse. Furthermore, not uncommonly, use of a minimum of four medicines designated as polypharmacy, may be rational in many clinical circumstances in the elderly. In this article, we review the principles of rational drug use in the elderly. The main aim of the geriatric management increasing the quality of life should also be the purpose of the drug therapy. The physiological changes that occur by aging should be taken into account. The patient or caregiver should be informed on the drug list, instruction on use, possible side effects and indication of the current regimen. The drugs taken by the patient should be checked against the recommended regimen. The regimen should be reviewed for indication, appropriateness and possible switch to a safer or cheaper agen...
A Population-Based Study: The Appropriateness of Drug Use in the Elderly According to Beers Criteria
The Turkish Journal of Geriatrics
The elderly population has the highest rates of drug use and is more sensitive to drug effects. Inappropriate drug use can cause unwanted effects in such a population. We aimed to evaluate inappropriate drug use in the elderly population according to Beers criteria. Materials and Method: This cross-sectional, descriptive study used a simple systematic method to select individuals aged ˃65 years residing in Kepez district of Canakkale. All medicines used by participants were identified and evaluated according to Beers criteria. Results: The mean age of the participants was 74.1±6.5 (65-91) years. In our study, 95.7% of the participants had at least one chronic illness and 84.5% had at least three chronic illnesses. The mean total number of drugs used was 5.0±3.2 (0-15). According to Beers criteria, inappropriate drug use was detected in 35 (30%) instances. Non-steroidal anti-inflammatory drugs were the most frequent inappropriately used drugs in the study population [n=13 (11.2%)]. Conclusion: In this study, the rates of inappropriate drug use (35; 30%) were lower than those previously reported. Our findings underline the importance of adhering to guidelines for rational drug use in prescribing medications to elderly.
Assessment of Older Adults' Knowledge and Attitudes towards Polypharmacy
Background: Oder adults are more prone to polypharmacy that much more complex than just the number of medications. Poor medication knowledge can have a negative impact on medication adherence and patient safety. Older adult's attitudes about medications are a major determinant of patients' behaviors. Aim: Assess older adults' knowledge and attitudes towards polypharmacy. Design: Descriptive cross sectional design was used .Setting: This study was conducted at health insurance and health maintenance expense pharmacies in Bany Ebied Specialty hospital and Dikrnes General hospital in Dakahlia Governorate. Subjects: A purposive sample of 352 geriatric patients with polypharmacy was enrolled in the study. Tools: Data was collected using 3 tools; Demographic data and Medications information, Medication Knowledge evaluation questionnaire and Patients' Attitudes towards Deprescribing questionnaire. Results: Age of the studied older adults' patients ranged from 60 to 89 years, with a mean age of 68.35±6.017 year, males were more prevalent. Among the studied older adults 63.1%have insufficient knowledge about their medication. Majority of older adult patients(65.9%) agree with feeling having a large amount of medication, 69.6% not agree with feeling comfort with the number of their medications and 67.0% of older adults would to stop one or more of their medication to pay fewer. In addition, a strong negative correlation was found between older adult age and mean of knowledge (P=.000**)and positive correlation was found between educational level and mean of knowledge(P= .000**), there is no statistical significant relation was found between willing to deprescribe and older adult age (P= .348). Conclusion: Older adults knowledge about their medications was low and majority of them would to stop one or more of their medication. Recommendation: Designing an educational program for improving understanding of the pharmacotherapy should be implemented with the use of designs, colors and symbols to improve older adults' knowledge and attitudes about pharmacotherapy.
Drug Use Pattern Among Elderly People Referred to the Retirement Centers
shiraz e medical journal, 2018
Background: Elderly people are more susceptible to common chronic diseases based on their age-related physiological changes and also use drugs more commonly, than younger people. Objectives: The aim of the present study was to determine the pattern of drug use and related factors in elderly people who referred to the retirement centers covered by the national retirement fund in Rasht. Methods: This cross-sectional study was conducted on 381 consecutive randomly selected elderly people in Rasht during 2017. Data was collected using a questionnaire that included demographic characteristics, common chronic diseases, pattern of drug use, and medication adherence by face-to-face interviewing at the centers covered by the retirement fund. Data analysis was carried out using descriptive statistics and Chi-square tests. Results: Of 381 people, 88.5% took drugs. The average number of drugs used and the self-medication frequency were 3.95 per day, and 35.7%, respectively. The most common causes of self-medication included previous use of the same drug and symptom recovery. The most commonly used drug group among the research groups included lipid-lowering agents (48.8%). Atorvastatin, Aspirin, and Losartan were the most commonly used drugs in the elderly that most of subjects (53.4%) had medium medication adherence. Conclusions: Since the elderly suffer from multiple diseases simultaneously, they often use several drugs. Therefore, selfmedication and also medication adherence are the most important issues in this period. Educational interventions on the proper pattern of drug use among older people seem to be necessary.
Purpose: The aim of this study was to determine rational drug usage behaviour of adults. 18-30 age range, 57.4% (n: 74) were male, 42.6% (n: 55) were graduated from primary school, 34.9% (n: 45) were housewife, and 32.6% (n: 42) have chronic disease. 52.7% (n: 68) of the individuals, found that they used irregular their drugs, 70.6% (n: 48) did not comply the hours of taking drug, 23.3% (n: 30) used drug before consulting a doctor, 69% (n: 89) read the prospectus of drugs, 73,5% (n: 95) was prescribed the most analgesic drugs, and 65.9% (n: 85) didn't stop before the end of the antibiotic group drugs. It was found that there did have a significant difference between the presence of chronic disease of the individuals who participated in the study and their habits of regular drug using and their situation of drug prospectus reading (p<0.05). Conclusions: As a result, it was found that individuals do not comply for rational drug use. In this respect; it is recommended to organiz...
An Investigation on Inappropriate Medication Applied among Elderly Patients
World Applied Sciences …, 2012
Objective: Studies have shown that older people suffer from chronic diseases more than other age groups, resulting in more consumption of drugs. Age-related changes in the pharmacokinetics and pharmacodynamics of drugs alter drug disposition and response to medications in elderly patients. Recognizing these medications and avoiding their prescription for the elderly prevents the adverse effects and promotes the quality of medical services to them. This study aimed to assess inappropriate drug use in the elderly. Materials and Methods: In this descriptive-analytical study, we recruited 212 elderly patients aged 60 years and above who were admitted and then discharged from four public hospitals, including two teaching and two nonteaching hospitals, affiliated to Tehran University of Medical Sciences. The Beers Criteria were used as the assessment tool to determine inappropriate medication use in the elderly aged 60 and over. Results: The mean age of the participants was 69.32.The rate of inappropriate drug use was 20.75%. The most common inappropriately used drugs were Alprazolam (16.66%), Chlordiazepoxide (14.28%), Fluoxetine (11.90%) and Oxazepam (11.90%). The most frequently prescribed class of drugs was Benzodiazepines (47.72%). There was a significant relationship between inappropriate drug use and income (p=0.041). Conclusion: Inappropriate drug use was high in the study population in comparison with many other countries. Our findings showed the necessity of developing scientific guidelines for drug use, promoting the criteria for drug prescription and enhancing physicians' knowledge, which can result in careful monitoring of the drug regimens of the elderly.
Elderly and drugs: risks and necessity of rational use
Brazilian Journal of Pharmaceutical Sciences, 2010
In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can affect the safety and quality of life in the elderly. Thus, the aim of this review was to identify drugs that should be used with caution in elderly patients in order to avoid intoxication and/or adverse drug events.
Healthcare utilisation and knowledge concerning prescribed drugs among older people
European Journal of Clinical Pharmacology, 2010
Purpose: The aim of this study was to explore healthcare consumption in relation to more versus less knowledge concerning prescribed drugs among older people with functional dependency and repeated healthcare contacts and to explore determinants for more versus less knowledge Methods: The sample comprised 63 persons (mean age 82.8). Data concerning use and knowledge about drugs, demographics, health complaints and self-reported diseases were collected from the baseline measure in an ongoing RCT and merged with data from two public registers about healthcare consumption two years prior to baseline measurement. Data were analysed descriptively and using regression analysis.
International Journal of Drug Research in Clinics
Background: Multimorbidity in older people leads to an increase in the number of used drugs and leads to more drug interactions. If irrational and unsafe drug consumption is added to this situation, the burden of the problems of the older adults and the society will increase. So, studying the pattern of drug consumption can provide the possibility of designing interventions to improve it. The purpose of this study was to investigate the pattern of drug use among older adults living in Tabriz. Methods: This cross-sectional study was conducted using the data from a study entitled Tabriz Older People Health Survey (TOPS). The participants were selected from a representative sample of community-dwelling older people aged≥60 years who were living in Tabriz using the probability proportional to size sampling method. All the drugs used by the participants were checked, and their drug interactions and pattern of drug consumption were studied using the World Health Organization (WHO) prescri...
2022
Background: Incorrect and unnecessary drug use is a problem tha t affects health. Irrational drug therapy causes reduced treatment compliance, drug interactions, re sistance to some drugs, recurrence of diseases, pro longed treatment, increased frequency of side effects and increased treatment costs. Therefore, it is importa nt o evaluate the rational drug use of patients. Obective: The purpose of the study is to find out the knowled ge and behaviors of inpatients in internal medicine clinics about rational drug use. Methods: It is cross-sectional study. The study was conducte d in internal medicine clinics of a hospital. The study was conducted with 372 patients in internal m edicine clinics between May 2017 and November 2017. Data collected with “Rational Drug Use Inpatient Su rvey” prepared by the Republic of Turkey. Results: It was determined that 74.2% of the patients in res earch group had at least one chronic illness, 61% o f them used drug consistently, 48.1% of the patients...