Year 2025,
Volume: 16 Issue: Erken Çevrimiçi Yayınlar
Seher Zengin
,
Mehmet Karakaş
,
Ebru Çelebi
,
Nurhan Çingöl
References
- 1. World Health Organization. Rational use of medicines: progress in implementing the WHO medicines strategy report by the Secretariat, Executive Board 118/6. 2006. Accessed: 2023-11-10, https://apps.who.int/gb/ebwha/pdf_files/EB118/B118_6-en.pdf
- 2. Demirtaş Z, Dağtekin G, Sağlan R, et al. Validity and reliability of rational drug use scale. Eskişehir Turkish World Application and Research Center Public Health Journal. 2018;3(3):37-46. Accessed: 2020-01-02, https://dergipark.org.tr/tr/download/article-file/573814
- 3. Çifçi S, Bayram Değer V and Ulutaşdemir N. Evaluation of attitudes and knowledge levels of university employess towards rational drug use and health perception. Gümüşhane University Journal of Health Sciences. 2021;10(4):943-54. DOI: https://doi.org/10.37989/gumussagbil.944850
- 4. Alp F and Aslan Y. The relationship between rational drug use and health literacy: A meta-analysis study. 7th İnternational 17th National Health And Disease Management Congress Abstract And Full Text Proceedings Book; 2024. p.288-98. Accessed: 2025-02-17, https://l24.im/WIAfsjY
- 5. World Health Organization. Health literacy the solid facts. 2013. Accessed: 2023-11-09, https://www.who.int/europe/publications/i/item/9789289000154
- 6. Yiğitalp G, Bayram Değer V and Çifçi, S. Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey. BMC Public Health. 2021;21:1109. DOI: https://doi.org/10.1186/s12889-021-11119-7
- 7. Shahid R, Shoker M, Chu LM, et al. Impact of low health literacy on patients' health outcomes: a multicenter cohort study. BMC Health Services Research. 2022;22(1):1148. DOI: https://doi.org/10.1186/s12913-022-08527-9
- 8. Akpınar CV, Mandıracıoğlu A, Ozvurmaz S. et al. Adherence to treatment and health literacy of individuals with chronic diseases in a rural area. Ege Medical Journal. 2023;62(3):406-17. Accessed: 2025-02-20, http://egetipdergisi.com.tr/en/download/article-file/3409804
- 9. Zou H, Liu J, Jiang D, et al. The effect of health literacy on disease management self-efficacy in chronic disease patients: the mediating effects of social support and the moderating effects of ıllness perception. Patient Prefer Adherence. 2024;18:657-66. DOI: https://doi.org/10.2147/PPA.S447320
- 10. Kinoshita S, Hirooka N, Kusano T, et al. Does health literacy influence health-related lifestyle behaviors among specialists of health management? A cross-sectional study. BMC Primary Care. 2024;25(1):29. DOI: https://doi.org/10.1186/s12875-024-02263-1
- 11. Abacıgil F, Gürsoy Turan S, Adana F, et al. Rational use of drugs among ınpatients and ıts association with health literacy. Meandros Medical And Dental Journal. 2019;20:64-73. Accessed: 2020-01-03, https://www.researchgate.net/publication/332752275_Rational_Use_of_Drugs_Among_Inpatients_and_Its_Association_with_Health_Literacy
- 12. Güner TA, Kuzu A and Bayraktaroğlu T. The relationship between health literacy and rational drug use in ındividuals with diabetes. Turkish Journal of Diabetes and Obesity. 2020;4(3):214-23. DOI: https://doi.org/10.25048/tudod.775075
- 13. American Thoracic Society. Health Status, Health Perceptions. 2007. Accessed: 2023-11-13, https://qol.thoracic.org/sections/key-concepts/health-status-health-perceptions.html
- 14. Özişli Ö. Field research on the relationship between smart drug utilization and health perceptıon. International Journal of Social and Humanities Sciences Research. 2023;10(94):981-86. DOI: https://doi.org/10.26450/jshsr.3629
- 15. İncesu E. Rational use in drug health literacy: A public hospital patients on an investigation. Health Academicians Journal. 2017;4(1):28-38. Accessed: 2023-01-07, https://dergipark.org.tr/tr/download/article-file/752001
- 16. Şengül BN and Akyıl MŞ. Investigation of rational drug use and health perception in different generations. Journal of Nursing Science. 2022;5(3):169-78. DOI: https://doi.org/10.54189/hbd.1203565
- 17. Yasa, R. Health literacy in chronic patients and its effect on rational drug use. Current Health Management. 2023;1(1):16-23. Accessed: 2025-02-20, https://dergipark.org.tr/en/download/article-file/3599570
18. Esin MN. Sampling. In: Erdoğan S, Nahcivan N, Esin MN., eds. Research in nursing process, application and critical (167-192). İstanbul: Nobel Tıp Kitabevleri; 2018. p.167-92.
- 19. Aras Z and Bayık Temel A. Evaluation of validity and reliability of the turkish version of health literacy scale. Florence Nightingale Journal of Nursing. 2017;25(2):85-94. Accessed: 2020-01-02, https://dergipark.org.tr/tr/pub/fnjn/issue/30823/333466
- 20. Seçer İ. Practical data analysis with SPSS and LISREL analysis and reporting. Ankara: Anı Yayıncılık; 2017.
- 21. Büyüköztürk Ş. Data analysis handbook for social sciences statistics, Research design SPSS applications and interpretation. Ankara: Pegem Akademi; 2019.
- 22. Bozdemir E and Filiz M. Rational medicine use in Türkiye with the knowledge and attitudes towards systematic review of studies determination of behavior. Dicle University Journal of Social Sciences Institute. 2021;13(27):92-105. Accessed: 2022-01-07, https://dergipark.org.tr/tr/pub/diclesosbed/issue/63252/888820
- 23. Mamo DB and Alemu BK. Rational drug-use evaluation based on World Health Organization core drug-use indicators in a tertiary referral hospital, northeast Ethiopia: a cross-sectional study. Drug, Healthcare and Patient Safety. 2020;12:15–21. DOI: https://doi.org/10.2147/DHPS.S237021
- 24. Kaya SD, Kocaoglu M and Yüceler A. Health literacy and rational drug use in Türkiye: quantitative and qualitative approaches. Journal of Health Literacy. 2020:2(7):9-23. DOI: https://doi.org/10.22038/jhl.2022.64209.1277
- 25. World Health Organization. Promoting rational use of medicines. Accessed: 2023-05-13, https://www.who.int/activities/promoting-rational-use-of-medicines
- 26. Liu H, Wen Y, Wu C, et al. Exploring health literacy in patients with chronic diseases in Chongqing, China: a crosssectional study. BMJ Open. 2023;13:e064609. DOI: https://doi.org/10.1136/bmjopen-2022-064609
- 27. Beygi N, Behzadi S, Kargar L, et al. The relationship between health literacy and quality of life of elderlies with chronic diseases living in Fasa, Iran 2019. Archivos Venezolanos de Farmacologíay Terapéutica. 2021;40(8):753-62. DOI: https://doi.org/10.5281/zenodo.5787191
- 28. Lima ACP, Maximiano-Barreto MA, Martins TCR, et al. Factors associated with poor health literacy in older adults: A systematic review. Geriatric Nursing. 2024;55:242-54. DOI: https://doi.org/10.1016/j.gerinurse.2023.11.016
- 29. Deniz E and Duman İ. The relationship between e-health literacy and polypharmacy in elderly ındividuals. Journal of Geriatric Sciences. 2024;7(3):195-205. DOI: 10.47141/geiatrik.
- 30. Masumoto S, Yamakawa T, Sakamoto N, et al. Association between health literacy and medication comprehension; attitudes toward reporting adverse events in adults using over-the-counter medicines. Journal of Pharmaceutical Policy and Practice. 2023;16(90):1-7. DOI: https://doi.org/10.1186/s40545-023-00596-3
Health Literacy, Health Status Perception, and Educational Background as Predictors of Rational Drug Use Knowledge in Individuals with Chronic Diseases
Year 2025,
Volume: 16 Issue: Erken Çevrimiçi Yayınlar
Seher Zengin
,
Mehmet Karakaş
,
Ebru Çelebi
,
Nurhan Çingöl
Abstract
Purpose: This study aimed to determine the predictive role of health literacy, health status perception and education status on the knowledge level of individuals with chronic diseases regarding rational drug use.
Methods: The model of the study is relationship screening and descriptive. The study group consisted of individuals with chronic diseases (n = 272) who applied to two family health centers in a province in the Western Black Sea Region between March 15 and June 3, 2021. Data were collected using the "Individual Identification Form, Health Literacy Scale and Rational Drug Use Scale". Data were analyzed using descriptive tests, Pearson correlation and hierarchical regression tests.
Results: While health literacy and health status perception variables significantly predicted the level of knowledge on rational drug use of individuals with chronic diseases, educational status was not a significant predictor.
Conclusion: The knowledge levels of individuals with chronic diseases regarding rational drug use are affected by their health literacy levels and health status perception variables. Continuous awareness studies can be conducted to increase the level of knowledge of rational drug use, health literacy levels, and health status perceptions of individuals with chronic diseases.
Ethical Statement
Ethical approval (Date/Number: 2020/12) was obtained from the ethical committee of a university.
Supporting Institution
The author does not declare any funding.
Thanks
The authors thank the individuals who participated in the study.
References
- 1. World Health Organization. Rational use of medicines: progress in implementing the WHO medicines strategy report by the Secretariat, Executive Board 118/6. 2006. Accessed: 2023-11-10, https://apps.who.int/gb/ebwha/pdf_files/EB118/B118_6-en.pdf
- 2. Demirtaş Z, Dağtekin G, Sağlan R, et al. Validity and reliability of rational drug use scale. Eskişehir Turkish World Application and Research Center Public Health Journal. 2018;3(3):37-46. Accessed: 2020-01-02, https://dergipark.org.tr/tr/download/article-file/573814
- 3. Çifçi S, Bayram Değer V and Ulutaşdemir N. Evaluation of attitudes and knowledge levels of university employess towards rational drug use and health perception. Gümüşhane University Journal of Health Sciences. 2021;10(4):943-54. DOI: https://doi.org/10.37989/gumussagbil.944850
- 4. Alp F and Aslan Y. The relationship between rational drug use and health literacy: A meta-analysis study. 7th İnternational 17th National Health And Disease Management Congress Abstract And Full Text Proceedings Book; 2024. p.288-98. Accessed: 2025-02-17, https://l24.im/WIAfsjY
- 5. World Health Organization. Health literacy the solid facts. 2013. Accessed: 2023-11-09, https://www.who.int/europe/publications/i/item/9789289000154
- 6. Yiğitalp G, Bayram Değer V and Çifçi, S. Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey. BMC Public Health. 2021;21:1109. DOI: https://doi.org/10.1186/s12889-021-11119-7
- 7. Shahid R, Shoker M, Chu LM, et al. Impact of low health literacy on patients' health outcomes: a multicenter cohort study. BMC Health Services Research. 2022;22(1):1148. DOI: https://doi.org/10.1186/s12913-022-08527-9
- 8. Akpınar CV, Mandıracıoğlu A, Ozvurmaz S. et al. Adherence to treatment and health literacy of individuals with chronic diseases in a rural area. Ege Medical Journal. 2023;62(3):406-17. Accessed: 2025-02-20, http://egetipdergisi.com.tr/en/download/article-file/3409804
- 9. Zou H, Liu J, Jiang D, et al. The effect of health literacy on disease management self-efficacy in chronic disease patients: the mediating effects of social support and the moderating effects of ıllness perception. Patient Prefer Adherence. 2024;18:657-66. DOI: https://doi.org/10.2147/PPA.S447320
- 10. Kinoshita S, Hirooka N, Kusano T, et al. Does health literacy influence health-related lifestyle behaviors among specialists of health management? A cross-sectional study. BMC Primary Care. 2024;25(1):29. DOI: https://doi.org/10.1186/s12875-024-02263-1
- 11. Abacıgil F, Gürsoy Turan S, Adana F, et al. Rational use of drugs among ınpatients and ıts association with health literacy. Meandros Medical And Dental Journal. 2019;20:64-73. Accessed: 2020-01-03, https://www.researchgate.net/publication/332752275_Rational_Use_of_Drugs_Among_Inpatients_and_Its_Association_with_Health_Literacy
- 12. Güner TA, Kuzu A and Bayraktaroğlu T. The relationship between health literacy and rational drug use in ındividuals with diabetes. Turkish Journal of Diabetes and Obesity. 2020;4(3):214-23. DOI: https://doi.org/10.25048/tudod.775075
- 13. American Thoracic Society. Health Status, Health Perceptions. 2007. Accessed: 2023-11-13, https://qol.thoracic.org/sections/key-concepts/health-status-health-perceptions.html
- 14. Özişli Ö. Field research on the relationship between smart drug utilization and health perceptıon. International Journal of Social and Humanities Sciences Research. 2023;10(94):981-86. DOI: https://doi.org/10.26450/jshsr.3629
- 15. İncesu E. Rational use in drug health literacy: A public hospital patients on an investigation. Health Academicians Journal. 2017;4(1):28-38. Accessed: 2023-01-07, https://dergipark.org.tr/tr/download/article-file/752001
- 16. Şengül BN and Akyıl MŞ. Investigation of rational drug use and health perception in different generations. Journal of Nursing Science. 2022;5(3):169-78. DOI: https://doi.org/10.54189/hbd.1203565
- 17. Yasa, R. Health literacy in chronic patients and its effect on rational drug use. Current Health Management. 2023;1(1):16-23. Accessed: 2025-02-20, https://dergipark.org.tr/en/download/article-file/3599570
18. Esin MN. Sampling. In: Erdoğan S, Nahcivan N, Esin MN., eds. Research in nursing process, application and critical (167-192). İstanbul: Nobel Tıp Kitabevleri; 2018. p.167-92.
- 19. Aras Z and Bayık Temel A. Evaluation of validity and reliability of the turkish version of health literacy scale. Florence Nightingale Journal of Nursing. 2017;25(2):85-94. Accessed: 2020-01-02, https://dergipark.org.tr/tr/pub/fnjn/issue/30823/333466
- 20. Seçer İ. Practical data analysis with SPSS and LISREL analysis and reporting. Ankara: Anı Yayıncılık; 2017.
- 21. Büyüköztürk Ş. Data analysis handbook for social sciences statistics, Research design SPSS applications and interpretation. Ankara: Pegem Akademi; 2019.
- 22. Bozdemir E and Filiz M. Rational medicine use in Türkiye with the knowledge and attitudes towards systematic review of studies determination of behavior. Dicle University Journal of Social Sciences Institute. 2021;13(27):92-105. Accessed: 2022-01-07, https://dergipark.org.tr/tr/pub/diclesosbed/issue/63252/888820
- 23. Mamo DB and Alemu BK. Rational drug-use evaluation based on World Health Organization core drug-use indicators in a tertiary referral hospital, northeast Ethiopia: a cross-sectional study. Drug, Healthcare and Patient Safety. 2020;12:15–21. DOI: https://doi.org/10.2147/DHPS.S237021
- 24. Kaya SD, Kocaoglu M and Yüceler A. Health literacy and rational drug use in Türkiye: quantitative and qualitative approaches. Journal of Health Literacy. 2020:2(7):9-23. DOI: https://doi.org/10.22038/jhl.2022.64209.1277
- 25. World Health Organization. Promoting rational use of medicines. Accessed: 2023-05-13, https://www.who.int/activities/promoting-rational-use-of-medicines
- 26. Liu H, Wen Y, Wu C, et al. Exploring health literacy in patients with chronic diseases in Chongqing, China: a crosssectional study. BMJ Open. 2023;13:e064609. DOI: https://doi.org/10.1136/bmjopen-2022-064609
- 27. Beygi N, Behzadi S, Kargar L, et al. The relationship between health literacy and quality of life of elderlies with chronic diseases living in Fasa, Iran 2019. Archivos Venezolanos de Farmacologíay Terapéutica. 2021;40(8):753-62. DOI: https://doi.org/10.5281/zenodo.5787191
- 28. Lima ACP, Maximiano-Barreto MA, Martins TCR, et al. Factors associated with poor health literacy in older adults: A systematic review. Geriatric Nursing. 2024;55:242-54. DOI: https://doi.org/10.1016/j.gerinurse.2023.11.016
- 29. Deniz E and Duman İ. The relationship between e-health literacy and polypharmacy in elderly ındividuals. Journal of Geriatric Sciences. 2024;7(3):195-205. DOI: 10.47141/geiatrik.
- 30. Masumoto S, Yamakawa T, Sakamoto N, et al. Association between health literacy and medication comprehension; attitudes toward reporting adverse events in adults using over-the-counter medicines. Journal of Pharmaceutical Policy and Practice. 2023;16(90):1-7. DOI: https://doi.org/10.1186/s40545-023-00596-3