RESUMEN
OBJECTIVE: To assess the usage, knowledge and attitudes of elderly individuals living in residential homes in the Anatolian region of Istanbul, with particular reference to analgesic/nonsteroidal antiinflammatory drugs (NSAIDs) and antihypertensives. METHODS: This cross-sectional study was carried out with 247 representative individuals who were >or= 65 years old, and were living in residential homes in Istanbul. They scored >or= 24 in a Mini Mental Status Examination and were not suffering from speech, understanding or expression disorders, nor was any serious disease included in the study. Each medication that participants held, was recorded at sight. After asking about the dose, frequency, duration, purpose and side effects related with antihypertensives and analgesic/NSAIDs, the individual's weight, height and blood pressure were measured and activities of daily living and falling status were evaluated. RESULTS: 47% of the participants were male and the mean age was 76 +/- 7.2 years. 47% of the participants were using antihypertensives and 45% of them were using analgesic/NSAIDs. 30% of subjects who declared that they had hypertension were not on therapy. There was a statistically significant relationship between NSAID usage and having hypertension (p = 0.013, OR 2.064, 95% CI 1.16 - 3.65). 78 of the antihypertensive and 88% of the analgesic/NSAIDs users explained the purpose of the drug usage properly. However, only 9 and 18% were aware of the effects, respectively. CONCLUSIONS: Although these results suggest that regarding the antihypertensive and analgesic/NSAIDs administration, individuals were treated with proper drugs and doses, but a considerable number of old people are not sufficiently aware about their diseases and drugs.
Asunto(s)
Antiinflamatorios no Esteroideos/uso terapéutico , Antihipertensivos/uso terapéutico , Utilización de Medicamentos/estadística & datos numéricos , Instituciones Residenciales/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Polifarmacia , TurquíaRESUMEN
In accordance with a recent decision of the High Health Council, which is the highest advisory Council of the Ministry of Health, and following 6 months of debate, the clinical application of sex selection methods when there are no medical indications has been restricted in Turkey. The participants of the debate were the Turkish counterparts of Dr R.J. Ericsson, who is the owner of the patent of the sperm separation method, the General Directorate of Mother and Child Health and Family Planning, the Ethical Committee of the Turkish Medical Association, the Legal Consultancy of the Ministry of Health and the whole community through the press and television programmes. Many reports concerning sex selection were prepared that were opposed to the application of the Ericsson method when there were no medical indications, depending on ethical and technical considerations. The debate also induced ethical discussions about other related subjects, such as recent improvements in reproductive technologies, prenatal diagnosis and the Human Genome Project.