Çoklu Ýlaç Kullanan Yetiþkin Bireylerin Tedaviye Uyumu Ve Öz-Etkililik Düzeyleri

GÝRÝÞ ve AMAÇ: Amaç: Bu çalýþmada çoklu ilaç kullanan yetiþkin hastalarýn tedaviye uyumlarýný, öz-etkililik düzeylerini ve uyumu etkileyen faktörlerin etkisini deðerlendirmeyi amaçladýk.


YÖNTEM ve GEREÇLER: Materyal ve method: Daha önce kronik hastalýk tanýsý konmuþ ve son 2 aydýr birden fazla ilaç kullanan 35 yaþ ve üzeri bireyler çalýþmaya alýndý. Hastalara sosyodemografik özelliklerini, hastalýk durumu ve kullanýlan ilaç türlerini belirlemek amacýyla araþtýrmacýlar tarafýndan hazýrlanmýþ bir anket formu, Ýlaç Tedavisine Uyum Öz-Etkililik Ölçeði Kýsa Formu (MASES-SF) ve Modifiye Morisky Ölçeði (MMÖ) uygulanmýþtýr.
BULGULAR: Bulgular: Çalýþmaya dahil edilen 275 hastanýn %39,6’u (n=109) erkek, %60,4’ü (n=166) kadýn, yaþ ortalamasý 67,42±11,5 yaþ idi. Hastalarýn %53,8’inin ilaçlarýný düzenli olarak kullandýðý, %44,7’sinin ise “unutkanlýk” nedeniyle ilaçlarýný düzenli kullanmadýðý tespit edildi. Deðerlendirilmeye alýnan hastalarýn MASES-SF puan ortalamasý 33,65±8,6 (17-52) puan bulundu. Çalýþmamýzda 65 yaþ altý olanlarýn, evli olanlarýn, ilköðretim ve üstü eðitimli olanlarýn, geliri giderine eþit veya fazla olanlarýn, il merkezinde eþi ile yaþanlarýn ve hastalýðýnýn tedavisi hakkýnda bir saðlýk çalýþaný tarafýndan eðitim verilmiþ olanlarda hem tedaviye uyum puanlarý, hem de MMÖ’den aldýklarý motivasyon ve bilgi skorlarý daha yüksek bulundu (p<0,001).

TARTIÞMA ve SONUÇ: Sonuç: Çalýþmamýza katýlan hastalarýn %46,2’si düzenli ilaç kullanmamaktadýr. Hastalýklarý ve tedavi süreci hakkýnda bir saðlýk çalýþaný tarafýndan eðitim verilmiþ hastalarýn ilaç uyum ve tedaviye motivasyon oranlarýnýn artmýþ olduðu görülmüþtür.

Treatment Adherence And Self-Efficacy Levels Of Adults Using Multiple Drugs

INTRODUCTION: Background: In this study, we aimed to evaluate the treatment adherence, self-efficacy levels of adult patients using multiple drugs and the effects of individual factors affecting adherence.


METHODS: Methods: A 35-year-old or older patients who has been diagnosed with chronic disease who has been using more than one medication for the last 2 months were included in the study. A questionnaire prepared by the researchers to determine sociodemographic characteristics, disease status and drug types, a Short Form of Self-Efficacy Scale for Adherence/Adaptation to Medical Treatment and Modifiye Morisky Scale were applied to the patients.

RESULTS: Results: Of the participants, 39.6% (n = 109) were male, 60.4% (n = 166) were female and the mean age was 67.42 ± 11.5 years. While 53.8% of patients said they were using their medication regularly, 44.7% were unable to use their medication regularly due to forgetfulness. The mean score of the Self-Efficacy Scale for Adherence/Adaptation to Medical Treatment was 33.65 ± 8.6 (17-52). In our study, it was found that those who were under 65 years of age, those who were married, those who were educated by elementary school or higher, those who were equal or higher than the income, those who lived with their wife in the city center, those who have been trained by a health worker about the treatment of the disease had higher both treatment adherence and Modified Morisky motivation and knowledge scores (p<0,001).
DISCUSSION AND CONCLUSION: Conclusion: Of the participants, 46.2% do not use regular drugs. It has been observed that the patients who were trained by a health worker about their disease and treatment process have increased the rate of drug compliance and treatment motivation.