RESUMEN
OBJECTIVE: This study aimed at evaluating physicians' attitudes towards the rational use of drugs (RUD) at a training and research hospital. SUBJECTS AND METHODS: This cross-sectional study was conducted in a training and research hospital affiliated with the Ministry of Health between December 2014 and April 2015. All 424 active-duty physicians were asked to participate in the survey study. Of these physicians, 193 (45.5%) volunteered to respond to a 64-item survey. A total of 193 (45.5%) physicians volunteered to participate in the study. The chi-squared test, ANOVA, and multiple logistic regression analysis were used for the evaluation of the study data. RESULTS: Of the physicians who participated in the study, 58.0% were male. Prescriptions were dispensed for 52.73% (± 27.44) of the patients, with a mean of 2.67±0.98 items per prescription. The rational use of drugs was defined as prescribing an effective drug for the patient (85.4%), prescribing an appropriate drug for the patient (84.9%), and prescribing a safe drug for the patient (77.2%). Compared to residents, the prescription preferences of specialists were affected 2-fold by follow-up visit (p=0.010, ß 0.694, CI 1.180 3.396), 1-fold by patient examination percentage (p=0.002, ß 0.022, CI 1.008 1.037), and 3.5-fold by prescribing iron supplements (p=0.001, ß 1.274, CI 1.644 7.774) (R2 0.259, p=0.001). CONCLUSIONS: The results of the study showed that tertiary hospital specialists and residents have similar attitudes towards patients, their prescribing preferences and RUD knowledge level. This study provides comprehensive information on physicians' attitudes towards RUD.
Asunto(s)
Prescripciones de Medicamentos , Médicos , Estudios Transversales , Femenino , Humanos , Masculino , Pautas de la Práctica en Medicina , Centros de Atención TerciariaRESUMEN
AIM: We investigated whether pulling the rectus muscle medially during open appendectomy surgery had any effect on postoperative pain in this study. METHODS: This prospective study was performed on patients 6 years and older who were admitted for acute appendicitis. The patients were divided into two groups, open appendectomy was performed by pulling the rectus muscle medially in the first group and splitting the rectus muscle in the second group. Pain was evaluated in both groups at preoperative and 12 and 24 hour postoperative by using a visual analog scale graded. RESULTS: The first group consisted of 31 and the second group of 30 patients. The preoperative and 12 and 24 hour postoperative pain evaluation results were 8.25 ± 1.03, 2.96 ± 1.40 and 1.16 ± 0.93 in the first group and 8.36 ± 0.99, 4.90 ± 1.24 and 2.03 ± 1.06 respectively in the second group. There was no statistically significant difference between the two groups for age, gender, inpatient duration and preoperative pain scores while the 12 and 24 hour postoperative pain scores were lower in the first group than the second group. This difference was statistically significant (P<0.05). CONCLUSION: Performing the appendectomy by pulling the rectus muscle medially in clinics using open appendectomy will provide a more comfortable postoperative period for the children.