نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، مرکز تحقیقات ایمنی بیمار، انستیتو تحقیقات بالینی، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

2 کارشناس ارشد پرستاری مراقبت های ویژه، عضو هیئت علمی دانشکده پیراپزشکی دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

3 استاد، کاردیولوژیست، بیمارستان سیدالشهدا، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

4 مربی پرستاری داخلی-جراحی، گروه پرستاری، دانشکده پرستاری ملایر، دانشگاه علوم پزشکی همدان، همدان، ایران

5 مربی مامایی، دانشکده پرستاری و مامایی زنجان، زنجان، ایران

6 مربی مامایی، مرکز تحقیقات ایمنی بیمار، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

10.30476/smsj.2021.84925.1098

چکیده

مقدمه: برای درمان نارسایی قلبی از یک رژیم دارویی پیچیده و متنوعی استفاده می شود. این در حالی است که بیماران داروهای دیگری علاوه بر داروهای تجویزی مصرف می کنند. مصرف غیرمنطقی و خودسرانه دارو علاوه بر عدم درمان بیماری باعث ایجاد عوارض دارویی در طولانی مدت و گاه وخامت حال بیماران می شود. لذا این مطالعه با هدف تعیین نگرش و عملکرد بیماران نارسایی احتقانی قلبی نسبت به مصرف خودسرانه دارو در بیماران بستری شده در مراکز آموزشی درمانی دانشگاه علوم پزشکی ارومیه انجام گردید.
روش ها: روش نمونه گیری مطالعه از نوع تصادفی ساده بود. اطلاعات با استفاده از روش های آمار توصیفی در قالب جداول و آمار تحلیلی با استفاده از نرم افزار SPSSنسخه 18مورد تجزیه و تحلیل آماری قرار گرفت. لذا این مطالعه با هدف بررسی استفاده خودسرانه دارو  در 200 نفر از بیماران نارسایی قلبی ارومیه انجام گردید.
یافته ها: 98 درصد بیماران برای تجدید نسخه دارویی نیاز ی به مراجعه به پزشک احساس نمی کردند. 77  % بیماران برای رفع مشکل خود با توصیه دیگران دارو مصرف می کردند. 77 % افراد مورد مطالعه، داروهای بدون نسخه از داروخانه تهیه می کردند.
نتیجه گیری: بی توجهی به مصرف منطقی دارو می تواند پیامد های نامناسبی چون نارضایتی بیمار، طولانی شدن و تشدید بیماری در بر داشته باشد. لذا اقداماتی از قبیل عدم فروش دارو بدون نسخه، افزایش اگاهی مردم در مورد استفاده از داروها و عوارض جانبی مصرف دارو قابل توصیه است.

کلیدواژه‌ها

عنوان مقاله [English]

An Investigation of Arbitrary Use of Drugs in Patients with Congestive Heart Failure Hospitalized in Educational and Treatment Centers of Urmia University of Medical Sciences

نویسندگان [English]

  • Nader Aghakhani 1
  • Afshin Hazrati 2
  • Kamal Khademvatan 3
  • Mehdi Torabi 4
  • Tahereh Shams Ghoraisi 5
  • Maryam Mesgarzadeh 6

1 Associate professor, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran

2 MSc in Nursing, Intensive Care Nursing, School of Allied Medical Sciences, Urmia University of Medical Science, Urmia, Iran

3 Professor, Cardiologist, Seyedolshohada Hospital, Urmia University of Medical Sciences, Urmia, Iran

4 Instructor, Department of Nursing, Instructor of Medical Surgical Nursing, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran

5 Instructor of Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

6 Instructor of Midwifery, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran

چکیده [English]

Introduction: A complex and varied medicinal regime is used to treat heart failure. This is while the patients use other medications in addition to their prescribed drugs. Irrational and arbitrary use of the drug along with lack of treatment of the disease lead to long-term adverse effects of the drug and sometimes deterioration of the patients’ health. Therefore, this study was carried out to investigate arbitrary use of drugs in 200 patients with congestive heart failure.
Methods: A descriptive cross-sectional study performed by simple randomization. Descriptive statistics was used to analyze data along with inferential statistics using SPSS software version 18.
Results: 98% of patients did not feel the need to visit a doctor for prescription renewal. 77% of the patients prepared over-the-counter medications from the pharmacy while the same percent of the patients also claimed using the drugs recommended by others.
Conclusion: Ignoring rational use of the medicine can lead to inappropriate consequences such as prolonged hospitalization, patient dissatisfaction, and exacerbation of the disease. Therefore, restricting over-the-counter medicines, promoting people's awareness about appropriate administration of drugs and their side effects is recommended.

کلیدواژه‌ها [English]

  • Arbitrary
  • Patients
  • Drugs
  • Congestive Heart Failure
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