Self medication among hospitalized patients in selected secondary health facilities in South Western Nigeria

  • Titilayo O. Fakeye
  • Rasaq Adisa
  • Eniola Olatunji
Keywords: Self Medication, Inpatients, Nigeria

Abstract

Practice of self-medication has not been evaluated in hospitalized patients especially in Nigerian hospitals.

Objectives: To evaluate the practice of self-medication among hospitalized patients with an aim to unearth some of the reasons for, and perceptions of benefits of this type of behaviour in secondary health care facilities.

Methods: This study was carried out among 197 in-patients admitted in three secondary health facilities in southwestern Nigeria using structured questionnaire. Effects of variables such as age, gender and marital status on the practice of self medication were also evaluated using the Fisher’s Exact test at p<0.05 as level of significance.

Results: Response rate of the study was 93.8% with 174 respondents (88.3%) perceived that the medications prescribed for them were efficacious. Almost 38% of the respondents were self-medicating, with herbal medicines (29.2%) and western medicines (37%) partly due to side effects of the prescribed medicines. Thirty one (15.7%) respondents obtained medicines for self medication through relatives and friends. Prescription medicines used for self medication constituted 7.5%. Major reasons given for self medication included habit, availability and necessity. Ninety respondents (35.7%) had been informed by health care personnel about possible side effects of the medications. Ninety six respondents (48.7%) experienced side effects with the prescribed medications and was a major reason for self medication. Seventy six respondents (79.2%) who had side effects or other secondary symptoms informed healthcare personnel in the hospital while 16 (16.7%) informed relatives and friends. There was statistically significant association between age and the action taken on whom was informed (p=0.001).

Conclusions: There is need for extra vigilance from health personnel directly responsible for care of hospitalized patients to look for incidences of self-medication and patient education on the negative aspects of administering undisclosed medicines to their health care givers especially while they are hospitalized.

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References

1. World Health Organisation. The Role of the pharmacist in self-care and self-medication. Reports of the 4th WHO Consultative Group on the Role of the Pharmacist. The Hague, The Netherlands. 26th -28th August 1998. WHO/DAP/98.13.

2. World Health Organization. Responsible self-care and self-medication; A worldwide review of consumers’ survey; the World Self-Medication Industry. http://www.wsmi.org. Accessed 27th April, 2010

3. Phalke VD, Phalke DB, Durgawale PM. Self medication practices in rural Maharashtra. Indian J Community Med 2006;31(1):34-35.

4. Goh LY, Vitry AI, Semple SJ, Esterman A, Luszcz MA. Self-medication with over-the-counter drugs and complementary medications in South Australia's elderly population. BMC Complement Altern Med 2009;9:42.

5. Hardon A, Van der Geest S. Hazards of self-medication. Drugs – World Health Forum 1987;8:469-471.

6. Saeed AA. Self medication among primary care patients in Faradak Clinic in Riyadh. Soc Sci Med 1988;27:287-289.

7. Ruebush TK, Kern MK, Campbell CC, Oloo AJ. Self treatment of malaria in a rural area of western Kenya. Bull World Health Organ 1995;73(2):229-236.

8. Ibrahim MIM. Treating one’s own ailments. Primary Health Care, World Health Forum 1996;17:409-410.

9. Durgawale PM. Practice of self-medication among slum dwellers. Indian J Pub Health. 1998;42:53-55.

10. Indermitte J, Reber D, Beutler M, Brunacher R, Hersberger KE. Prevalence and patient awareness of selected potential drug interactions with self medication. J Clin Pharm Ther. 2007;32(2):149-159.

11. World Health Organisation. Self-medication and its impact on essential drug schemes in Nepal: a socio-cultural research project. EDM Research Series No 10. WHO/DAP/93.10.

12. World Health Organization. Caution on self-medication In: Regulatory Action and News, WHO Drug Information 2005; 19(3), 201-242 (Press Release 17th June, 2005. http://www.hsa.gov.org)

13. Batty GM, Oborne CA, Swift CG, Jackson SH. The use of over-the-counter medication by elderly medical in-patients. Postgrad Med J. 1997;73(865):720-722.

14. Oborne CA, Lucaz ML. Over-the-counter medicine use prior to and during hospitalization. Ann Pharmacother. 2005;39(2):268-273.

15. Fakeye TO, Abu T, Adebisi O. A Survey of the Use of Herbs Among Patients Attending Secondary-Level Health Care Facilities in Southwestern Nigeria. J Herbal Pharmacother. 2008;7(3&4):213-227.

16. Lynch N, Berry D. Differences in perceived risks and benefits of herbal, over-the-counter conventional, and prescribed conventional, medicines, and the implications of this for the safe and effective use of herbal products. Complement Ther Med. 2007;15(2):84-91.

17. Hughes CM, McElnay JL, Fleming GF. Benefits and risks of self medication. Drug Saf. 2001;24(14):1027-1037.

18. Michel RH, Neafsey PJ, Cox Dzurec L. Self medication practices among patients taking levothyroxine. Internet J Adv Nurs Pract 2004;6(2). Accessed on the 27th April, 2010.

19. Figueiras A , Caamano F, Gestal-Otero J. Sociodemographic factors related to self-medication in Spain. Eur J Epidemiol. 2000;16(1):19-26.

20. Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract. 2002;3:17.
Published
2010-12-20
Section
Original Research