The progress in technological and scientific fields in the 20th century has transformed and shaped the lives of people remarkably. In healthcare, technology can be described as the application of the methods, systems, medicines, devices, vaccines and organized information to improve the quality of life by providing solutions for the needs of both professionals and patients. Besides its potential of reducing fragmentation and costs while increasing the safety, utilization of technology can be considered as the key to achieving a safe, sustainable, and person-centered healthcare environment. Virtual Reality (VR) is a computer-generated three-dimensional interactive environment that stimulates multiple sensory methods. Considering the fact that VR is one of the crucial technological trends of this century, it has the potential of affecting the health industry until 2025 extremely. It is a real-time graphic simulation that includes visual, auditory, and tactile experiences. In the field of health, VR is used for multiple purposes as training of medical students for critical surgeries, education of nursing candidates, and treatment of some diseases. As essential members of the healthcare team, nurses should be a strict follower of the rapidly evolving technology to provide efficient and quality care. The utilization of VR in nursing education has the advantage of decreasing faulty interventions, which enhances patient safety as well as the quality of the healthcare services in the future.
Funding Acknowledgements Type of funding sources: None. Main funding source(s): Researcher Introduction Anticoagulant drugs are quite narrow in their therapeutic range, which should be closely monitored throughout the treatment. In addition to monitoring the responses to the drug in patients who are taking anticoagulant medication, informing the patient and his family is one of the important responsibilities of the nurse within the scope of the counseling and training roles. Aim The aim of this comparative study is to investigate the factors affecting drug compliance in young adult (18-65 years) and elderly (over 65 years) patients who using anticoagulant drugs. Method This research was carried out descriptively and cross-sectionally in a public hospital between October 1 and December 31, 2018, and was conducted with 100 patients in Cardiovascular Surgery and Cardiology outpatient clinics and clinics. Research data was obtained by; Patient Information Form (55 questions) and Morisky Medication Adherence Scale (9 questions). Results 56% of the patients were female and 44% were male, the mean age of the patients was 63.3 ± 14.67 years. The mean scale score of young adult patients was 5.41 ± 2.44 (compatible) and the mean scale score of elderly patients was found to be 8.95 ± 2.21 (incompatible). 48.2% of the female patients and 54.5% of the male patients were found to be compatible with the treatment. When the relationship between the knowledge level of anticoagulant drugs and their compliance with the treatment according to age group is evaluated; patients in all age groups who expressed their own level of knowledge inadequately, were found to be incompatible with treatment. 46.2% of young adult patients who stated that they had hospitalization due to the drug and 64.3% of young adult patients who stated that they applied to the emergency department, were highly compatible; 93.8% of elderly patients who stated that they had hospitalized and 88.6% of the elderly patients who stated that they applied to the emergency department, had a low compliance. (p ˂0,05) Conclusions and Recommendations: Many factors such as age, education, other people who they live together, level of knowledge about anticoagulant medication, forgetting to use the drug, thinking the treatment damages themselves or not wanting the treatment, carrying information about medication beside themselves and using other medications without asking a doctor were found as many cases which affect the compliance with the treatment. It was found that compliance with treatment in older patients was found to be more incompatible with treatment compared to young adult patients. It is recommended that healthcare professionals in healthcare environments in our country specialize in anticoagulant therapy management and establish certification programs. It is suggested to provide effective continuity of these programs by planning trainings for patients receiving anticoagulant therapy by specialized healthcare professionals.
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