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    Impact of rational drug use on chronic illness adaptation in elderly patients: A study from southeast Turkiye
    (Mosby-Elsevier, 2026) Genc, Zeliha Buyukbayram; Saritas, Seyhan Citlik
    Background: People are aging worldwide. Chronic diseases are also increasing with aging. For older individuals with chronic illnesses, adaptation to their illness and rational drug use are crucial in managing their chronic illness. Objective: This study aimed to evaluate the impact of rational drug use on chronic illness adaptation in elderly patients. Method: Utilizing a descriptive and relational determination design, this investigation included 210 chronic disease patients over 65 years of age hospitalized of a hospital in southeast Turkiye. The study spanned from June 2023 to May 2024. Data were gathered through the Patient Information Questionnaire, Rational Drug Use Scale (RDUS), and Adaptation to Chronic Illness Scale (ACIS). Descriptive statistics and multiple regression analysis were conducted to analyze the data. Results: The study found that patients' mean scores in behavioral beliefs, control beliefs, attitude, subjective norm, intention, and information subcomponents, along with overall rational drug use levels, were 14.05 f 2.79, 10.71 f 1.88, 3.95 f 1.64, 3.11 f 0.82, 6.90 f 1.56, 14.11 f 1.65, and 52.85 f 6.12, respectively. For chronic illness adaptation, the mean scores in physical, social, and psychological adaptation subcomponents, along with total adaptation, were 36.54 f 4.34, 18.70 f 3.74, 20.94 f 3.07, and 76.20 f 9.38, respectively. Rational use of medication has a positive effect on patients' compliance with chronic diseases. Conclusion: In this study, patients' rational drug use and disease adjustment levels were found to be above average according to the scale score average. Rational drug usage significantly enhances illness adaptation, underscoring the importance of promoting rational drug use in improving health outcomes in elderly patients with chronic conditions. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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    Investigation of attitudes of hypertension patients toward holistic complementary and alternative medicine
    (Elsevier, 2025) Genc, Zeliha Buyukbayram; Saritas, Seyhan Citlik
    Background: Hypertension is one of the most common cardiovascular diseases. Purpose: This study was conducted to examine the attitudes of patients diagnosed with hypertension toward holistic complementary and alternative medicine. Method: This descriptive and cross-sectional study was carried out with 230 adult patients diagnosed with hypertension who applied to the internal medicine and cardiology outpatient clinics of a Training and Research Hospital. Data were collected using the Personal Information Form and the Attitude Scale towards Holistic Complementary and Alternative Medicine. Data were analyzed with descriptive statistics, independent groups ttest, Kruskal-Wallis, and ANOVA tests. In addition, the Dunn-Bonferroni test was used to determine the difference between groups. Results: The study revealed that the mean age of the patients was 54.36 +/- 13.09, while 59.1 % were women, 81.3 % were married, 27.4 % were literate, and 61.3 % were unemployed. Also, it was observed that 41.3 % of the patients were diagnosed with hypertension between 1 and 5 years, 58.7 % had no other chronic illnesses, and 60.0 % had a family hypertension history. Additionally, 77.0 % of the patients used CAM, 24.9 % got information from the Internet/media via CAM, 27.1 % used CAM in addition to medical treatment, 56.5 % found CAM methods safe, 38.4 % used herbal agents, 76.3 % It has been determined that ten of them benefit from the use of CAM. The patients' total mean score participating in the study in HCAMQ was 28.80 +/- 6.73. Conclusion: It was determined that the patients' attitudes toward CAM were positive and moderate. Additionally, the findings disclosed that the education level of the patients affected their use of CAM, their benefit from CAM, and their attitudes towards CAM.