Volume 4, Issue 4 (Spring 2019)                   SJNMP 2019, 4(4): 46-57 | Back to browse issues page

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1- Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2- Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3- Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran , Rezaghanei30@yahoo.com
4- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (2892 Views)
Background & Aim: Self-medication is the most common form of self-care, which is affected by social and cultural factors. Due to underlying physical and mental diseases, the elderly people are more prone to use self-medication, compared to other age groups. Therefore, this study aimed to evaluate self-medication and related factors in the elderly population of Sanandaj, Iran.
Materials & Methods: This descriptive and analytical cross-sectional research was performed on 275 elderly people in Sanandaj in 2018. Subjects were selected through convenience sampling, and data were collected using the researcher-made questionnaire of self-medication. In addition, data analysis was performed in SPSS version 16 using descriptive statistics, independent t-test, Chi-square, and logistic regression. Moreover, P-value of 0.05 was considered significant.
Results: In this study, 28.5% of the elderly subjects used self-medication in the past three months. According to the results, there was a correlation between being employed (P=0.004) and living with the spouse and children (P=0.047) with self-medication. Some of the most important causes of self-medication among the elderly population included financial problems and difficulties in scheduling doctor appointments. Furthermore, the most commonly used drugs were analgesics (43.1%), cold tablets (26.4%) and cardiovascular drugs (20.8%).
Conclusion: According to the results of the study, there was a high prevalence rate of self-medication among the elderly population. Considering the damages caused by self-medication, designing specific education programs for the elderlies seems essential.
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Type of Study: Research | Subject: General
Received: 2018/11/9 | Revised: 2019/06/30 | Accepted: 2018/12/14 | Published: 2019/10/24 | ePublished: 2019/10/24

References
1. Nation United. World population prospects: The 2017 revision, key findings and advance tables. 2017.
2. Ahmadi Ahangar A, Saadat P, Hosseini R, Tghipour M, Eftari M, Bijani A. Association of Physical Activity, Depression and Some Demographic Features with Cognitive Impairments in an Elderly Population in Amirkola, North of Iran. J Mazandaran Univ Med Sci. 2017;27(153):49-63. [Persian].
3. Zanjari N, Sharifian Sani M, Hosseini Chavoshi M, Rafiey H, Mohammadi Shahboulaghi F. Comparison of Experts and Older Adults' Viewpoints on Successful Ageing. J North Khorasan Univ Med Sci. 2017;9(2):279-90. [Persian]. [DOI:10.18869/acadpub.jnkums.9.2.279]
4. Safarkhanlou H, Rezaei Ghahroodi Z. The evolution of the elderly population in Iran and the world. Statistics J. 2017;5(3):8-16. [Persian].
5. Mohammadi M KZ, Saremi M, Ghanbari Moghadam A, Ayatnia M Comprehensive geriatric health assessment in nursing homes of Sabzevar in 2016 on the pattern of CGA. Nurs J Vulnerable. 2017;4(11):1-15. [Persian].
6. Arabzadeh M. Relationship Between Basic Psychological Needs and Mental Vitality in the Elderly. Iranian J Ageing. 2017;12 (2): 170-79. [Persian]. [DOI:10.21859/sija-1202170]
7. Afshary P, Mohammadi S, Koshteh S, Pajohideh SZ, Tabesh H. Survey on prevalence and causes of self-medication in women referring to health centers in Ahwaz, in 2013. Iranian South Med J. 2015;18(5):1034-44. [Persian].
8. Almasdy D, Sharrif A. Self-Medication Practice with Nonprescription Medication among University Students: a review of the literature. Arch Pharma Pract. 2011;2(3):95-100.
9. Chouhan K, Prasad SB. Self-medication and their consequences: a challenge to health professional. Asian J Pharm Clin Res. 2016;9(2):314-17.
10. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Safety. 2001;24(14):1027-37. [DOI:10.2165/00002018-200124140-00002]
11. Shrifirad GR, Mohebbi S, Motalebi M, Abbasi MH, Rejati F, Tal A. The prevalence and effective modifiable factors of self-medication based on the health belief model among elderly adults in Gonabad in 2009. Health Syst Research. 2011;7(4):35-42. [Persian].
12. Rezaei Jaberi S HL, Mohseni S. The prevalence of self-medication and identify the reason of it in womenreferring to Health Centers inBandar Abbas 2016. J Med Counc Iran. 2016;1(34):54-61. [Persian].
13. Korani T AT, Darvishporkakhki A, Shahsavari S, Esmaeli R. Assessment of self-medication and associated factors among elderly living in Kermanshah city in 2014. Q J Geriatric Nurs. 2015;3(1):38-48. [Persian]. [DOI:10.21859/jgn.3.1.38]
14. Delshad Noghabi A, Darabi F, Baloochi Beydokhti T, Shareinia H, Radmanesh R. Irrational use of medicine status in elderly population of Gonabad. Q Horizon Med Sci. 2014;19(5):49-56. [Persian].
15. Haider SI, Johnell K, Thorslund M, Fastbom J. Analysis of the association between polypharmacy and socioeconomic position among elderly aged≥ 77 years in Sweden. Clin Ther. 2008;30(2):419-27. [DOI:10.1016/j.clinthera.2008.02.010]
16. Banerjee A, Mbamalu D, Ebrahimi S, Khan AA, Chan TF. The prevalence of polypharmacy in elderly attenders to an emergency department-a problem with a need for an effective solution. Int J Emerg Med. 2011;4(1):22-30. [DOI:10.1186/1865-1380-4-22]
17. Ahmadi B, Alimohamadian M, Mahmoodi M. Polypharmacy among older adults in Tehran. Tehran Univ Med J. 2006;64(9):55-64.
18. Dianati M, Shojaegharebag GA, Mesdaghinia A, Taghadosi M, Shenasa F, Taiebi A, et al. Polypharmacy and its related factors among the elderly population in Kashan, Iran during 2011-2012. KAUMS J (Feyz). 2015;18(6):578-84. [Persian].
19. Tahergorabi Z, Kiani Z, Moodi M. Epidemiological study of self-medication and its associated factors among visitors to Birjand pharmacies, 2015. J Birjand Univ Med Sci. 2016;23(2):158-69. [Persian].
20. Heidari M, Borujeni MG, Ghafourifard M, Sheikhi RA. The Evaluation of the Awareness, Attitude and Practice of the Elderly Toward Self-Medication: A Cross-Sectional Study. Drug Res. 2018:1-6. [DOI:10.1055/a-0583-9896]
21. Karimy M, Heidarnia A, Ghofranipour F. Factors influencing self-medication among elderly urban centers in Zarandieh based on Health Belief Model. Arak Med Univ J. 2011;14(5):70-78.
22. Parmar Z, Malhotra SD, Patel VJ. Prevalence and pattern of self-medication in elderly individuals. Int J Basic & Clin Pharmacol. 2017;4(6):1095-9. [DOI:10.18203/2319-2003.ijbcp20151338]
23. Balbuena FR, Aranda AB, Figueras A. Self-medication in older urban mexicans. Drugs & Aging. 2009;26(1):51-60. [DOI:10.2165/0002512-200926010-00004]
24. Machado-Alba JE, Echeverri-Cataño LF, Londoño-Builes MJ, Moreno-Gutiérrez PA, Ochoa-Orozco SA, Ruiz-Villa JO. Social, cultural and economic factors associated with self-medication. Biomédica. 2014;34(4):580-8. [DOI:10.7705/biomedica.v34i4.2229]
25. Lei X, Jiang H, Liu C, Ferrier A, Mugavin J. Self-Medication Practice and Associated Factors among Residents in Wuhan, China. Int J Environ Res Public Health. 2018;15(1):68-78. [DOI:10.3390/ijerph15010068]
26. Ayalew MB. Self-medication practice in Ethiopia: a systematic review. Patient PreferAdherence. 2017;11(1):401-13. [DOI:10.2147/PPA.S131496]
27. Blenkinsopp A, Bradley C. Over the Counter Drugs: Patients, society, and the increase in self medication. British J Med. 1996;312(7031):629-32. [DOI:10.1136/bmj.312.7031.629]
28. Korani T AT, Darvishporkakhki A, Shahsavari S, Esmaeli R. Assessment of self-medication and associated factors among elderly living in Kermanshah city in 2014. Journal of Geriatric Nursing. 2016;3(1):38-48. [DOI:10.21859/jgn.3.1.38]
29. Phalke V, Phalke D, Durgawale P. Self-medication practices in rural Maharashtra. Indian J Community Med. 2006;31(1):34-35. [DOI:10.4103/0970-0218.54933]
30. Kassie AD, Bifftu BB, Mekonnen HS. Self-medication practice and associated factors among adult household members in Meket district, Northeast Ethiopia, 2017. BMC Pharmacol Toxicol. 2018;19(1):15-21. [DOI:10.1186/s40360-018-0205-6]

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