Stefanović-Vojinović, Jelena

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  • Stefanović-Vojinović, Jelena (2)
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Awareness of elderly patients on herbal products in Serbia

Jovanović, Aleksandar; Stefanović-Vojinović, Jelena; Petrović, Silvana; Drobac, Milica; Tadić, Ivana; Catić-Đorđević, Aleksandra; Kukić-Marković, Jelena

(The International Pharmaceutical Federation (FIP), 2023)

TY  - CONF
AU  - Jovanović, Aleksandar
AU  - Stefanović-Vojinović, Jelena
AU  - Petrović, Silvana
AU  - Drobac, Milica
AU  - Tadić, Ivana
AU  - Catić-Đorđević, Aleksandra
AU  - Kukić-Marković, Jelena
PY  - 2023
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/5042
AB  - Background: Although the use of medicinal plants have been known since ancient times, an increased use of herbal products is evident in the last few decades, mainly as a part of self-care treatments. In addition to the positive health effects, the use of herbal products can cause certain side effects as well as interactions with conventional therapy, especially among elderly patients.
Purpose: To examine the awareness, habits and attitudes of elderly patients towards the use of herbal products in the Republic of Serbia.
Method: The quantitative, non-experimental research was conducted using a questionnaire in public pharmacies during February 2020. Patients older than 60 years were included in the study. The study was anonymous, and patients gave informed consent.
Results: The study involved 436 patients, of whom 62.4% were female. Most of the respondents live in the city (72.9%) and have a high school or lower education degree (61.9%). Most patients (32.3%) use herbal products daily, while only 12.1% rarely or never use them. Every fourth patient (24.5%) uses them for treatment, while 69.5% to improve their health. Although the majority of patients purchase herbal products in pharmacies and in health food stores (53.6% and 20.8%, respectively), a significant number (19.3%) collect medicinal plants and prepare herbal preparations themselves. The main sources of information about medicinal plants / herbal products are pharmacists (39.7%) and people from the immediate area (28.4%), followed by the media (18.2%) and physicians (11.1%). Every fourth patient (24.5%) uses herbal products for the treatment of some health issues, while 69.5% of patients use herbal products to improve their health. 48.9% of them believe that herbal products are safe, but with some side effects, while 35.8% believe herbal products are completely free of any side effects. Half of respondents (51.4%) believe that herbal products are as effective as or more effective than synthetic medicines. Less than one-third of patients (29.8%) indicated that they knew the difference between herbal medicinal products and herbal dietary supplements. Still, a third of patients (36.7%) needed additional explanations for the use of herbal products. 76.6% of patients stated that they always receive advice from a pharmacist when purchasing herbal products.
Conclusion: The survey conducted in this work showed that elderly patients use herbal products to a considerable extent, which means that it is necessary to educate elderly patients on this matter. Pharmacists should play a vital role in this process and actively discuss the characteristics and proper use of herbal products with patients, especially having in mind the high possibility of interactions with conventional medicines and occurrence of side effects. Since the quality of some herbal products sometimes could be questionable, especially non-regulated ones, patients should be encouraged to purchase them from pharmacies and consult with pharmacists.
PB  - The International Pharmaceutical Federation (FIP)
C3  - Pharmacy Education
T1  - Awareness of elderly patients on herbal products in Serbia
VL  - 23
IS  - 5
SP  - 29
EP  - 29
DO  - 10.46542/pe.2023.235.138
ER  - 
@conference{
author = "Jovanović, Aleksandar and Stefanović-Vojinović, Jelena and Petrović, Silvana and Drobac, Milica and Tadić, Ivana and Catić-Đorđević, Aleksandra and Kukić-Marković, Jelena",
year = "2023",
abstract = "Background: Although the use of medicinal plants have been known since ancient times, an increased use of herbal products is evident in the last few decades, mainly as a part of self-care treatments. In addition to the positive health effects, the use of herbal products can cause certain side effects as well as interactions with conventional therapy, especially among elderly patients.
Purpose: To examine the awareness, habits and attitudes of elderly patients towards the use of herbal products in the Republic of Serbia.
Method: The quantitative, non-experimental research was conducted using a questionnaire in public pharmacies during February 2020. Patients older than 60 years were included in the study. The study was anonymous, and patients gave informed consent.
Results: The study involved 436 patients, of whom 62.4% were female. Most of the respondents live in the city (72.9%) and have a high school or lower education degree (61.9%). Most patients (32.3%) use herbal products daily, while only 12.1% rarely or never use them. Every fourth patient (24.5%) uses them for treatment, while 69.5% to improve their health. Although the majority of patients purchase herbal products in pharmacies and in health food stores (53.6% and 20.8%, respectively), a significant number (19.3%) collect medicinal plants and prepare herbal preparations themselves. The main sources of information about medicinal plants / herbal products are pharmacists (39.7%) and people from the immediate area (28.4%), followed by the media (18.2%) and physicians (11.1%). Every fourth patient (24.5%) uses herbal products for the treatment of some health issues, while 69.5% of patients use herbal products to improve their health. 48.9% of them believe that herbal products are safe, but with some side effects, while 35.8% believe herbal products are completely free of any side effects. Half of respondents (51.4%) believe that herbal products are as effective as or more effective than synthetic medicines. Less than one-third of patients (29.8%) indicated that they knew the difference between herbal medicinal products and herbal dietary supplements. Still, a third of patients (36.7%) needed additional explanations for the use of herbal products. 76.6% of patients stated that they always receive advice from a pharmacist when purchasing herbal products.
Conclusion: The survey conducted in this work showed that elderly patients use herbal products to a considerable extent, which means that it is necessary to educate elderly patients on this matter. Pharmacists should play a vital role in this process and actively discuss the characteristics and proper use of herbal products with patients, especially having in mind the high possibility of interactions with conventional medicines and occurrence of side effects. Since the quality of some herbal products sometimes could be questionable, especially non-regulated ones, patients should be encouraged to purchase them from pharmacies and consult with pharmacists.",
publisher = "The International Pharmaceutical Federation (FIP)",
journal = "Pharmacy Education",
title = "Awareness of elderly patients on herbal products in Serbia",
volume = "23",
number = "5",
pages = "29-29",
doi = "10.46542/pe.2023.235.138"
}
Jovanović, A., Stefanović-Vojinović, J., Petrović, S., Drobac, M., Tadić, I., Catić-Đorđević, A.,& Kukić-Marković, J.. (2023). Awareness of elderly patients on herbal products in Serbia. in Pharmacy Education
The International Pharmaceutical Federation (FIP)., 23(5), 29-29.
https://doi.org/10.46542/pe.2023.235.138
Jovanović A, Stefanović-Vojinović J, Petrović S, Drobac M, Tadić I, Catić-Đorđević A, Kukić-Marković J. Awareness of elderly patients on herbal products in Serbia. in Pharmacy Education. 2023;23(5):29-29.
doi:10.46542/pe.2023.235.138 .
Jovanović, Aleksandar, Stefanović-Vojinović, Jelena, Petrović, Silvana, Drobac, Milica, Tadić, Ivana, Catić-Đorđević, Aleksandra, Kukić-Marković, Jelena, "Awareness of elderly patients on herbal products in Serbia" in Pharmacy Education, 23, no. 5 (2023):29-29,
https://doi.org/10.46542/pe.2023.235.138 . .

Awareness of patients in the city of Belgrade about herbal products

Jovanović, Aleksandar; Stefanović-Vojinović, Jelena; Kukić-Marković, Jelena; Petrović, Silvana; Drobac, Milica; Tadić, Ivana

(2022)

TY  - CONF
AU  - Jovanović, Aleksandar
AU  - Stefanović-Vojinović, Jelena
AU  - Kukić-Marković, Jelena
AU  - Petrović, Silvana
AU  - Drobac, Milica
AU  - Tadić, Ivana
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4424
AB  - The use of medicinal plants has significant impact on human health (1,2). Approximately 13.000 medicinal plants are used worldwide (1), and in developing countries 65-80% of the population uses them for medicinal purposes (2). 
The aim of the study was to examine the awareness of patients in the city of Belgrade about herbal products. Quantitative, non-experimental research was conducted using a purpose-built questionnaire in public pharmacies during February 2020.
The survey involved 954 respondents, mostly women (66.5%); 39.1% of respondents aged 20-40 years. Most of the respondents were employed (65.2%), with secondary school education (45.2%). The vast majority (97.3%) used medicinal plants/herbal products, mostly occasionally, as needed (38.4%). The main motive for their use was health improvement (75.2%), while 16.2% used them to treat diseases. The primary sources of information on medicinal plants/herbal products are pharmacists (45.1%) and the media (24.2%). About a third of the respondents (37.3%) stated that they knew the difference between herbal medicinal products and dietary supplements. 52.9% of respondents claimed that herbal medicinal products are effective, but less than synthetic drugs, while 61.5% claimed that they are safe, but with certain side effects. A third of respondents (32.9%) had difficulty understanding instructions for use and they needed additional explanations. Majority (70.6%) received advice from a pharmacist when buying a herbal product.
Pharmacists are health professionals who have adequate knowledge of medicinal plants/herbal products and have a key role in advising patients in order to implement the proper use of herbal medicinal and other herbal products.

References
1. Capasso F, Gaginella TS, Grandolini G, Izzo AA. Phytotherapy: a quick reference to herbal medicine. Springer Science & Business Media. 2003.
2. Palhares RM, Gonçalves Drummond M, dos Santos Alves Figueiredo Brasil B, Pereira Cosenza G, das Graças Lins Brandão M, Oliveira G. Medicinal plants recommended by the World Health Organization: DNA barcode identification associated with chemical analyses guarantees their quality. PloS one. 2015;10(5), e0127866.

Acknowledgements
This research was conducted with help and support of Pharmacy „Lilly Drogerie“ and funded by the Ministry of Education, Science and Technological Development, Republic of Serbia through Grant Agreement with University of Belgrade-Faculty of Pharmacy No: 451-03-68/2022-14/200161.
AB  - Primena lekovitih biljaka ima značajan uticaj na ljudsko zdravlje (1,2). U svetu se
koristi oko 13 000 lekovitih biljaka (1), a u zemljama u razvoju 65-80% populacije ih
primenjuje u medicinske svrhe (2). Cilj rada bio je ispitivanje informisanosti pacijenata na
teritoriji grada Beograda o biljnim proizvodima. Sprovedeno je kvantitativno,
neeksperimentalno istraživanje pomoću namenski kreiranog upitnika u javnim apotekama
tokom februara 2020. godine. U istraživanju je učestvovalo 954 ispitanika, od koji 66,5%
ženskog pola; 39,1% starosti 20-40 godina. Većina je bila zaposlena (65,2%), sa
srednjoškolskim obrazovanjem (45,2%). Najveći broj ispitanika (97,3%) je koristio lekovite
biljke/biljne proizvode i to uglavnom povremeno, po potrebi (38,4%). Glavni motiv za
njihovo korišćenje bio je poboljšanje zdravlja (75,2%), dok ih je 16,2% koristilo za lečenje.
Ispitanici su se o delovanju i upotrebi lekovitih biljaka/biljnih proizvoda uglavnom
informisali od farmaceuta u apotekama (45,1%) i putem medija (24,2%). Oko trećine
ispitanika (37,3%) je navelo da zna razliku između biljnih lekovitih proizvoda i dijetetskih
suplemenata. Da su biljni lekoviti proizvodi efikasni, ali manje od sintetskih lekova, smatralo
je 52,9% ispitanika, dok je 61,5% smatralo da su oni bezbedni za upotrebu, ali sa mogućim
neželjenim efektima. Trećina anketiranih (32,9%) imala je poteškoće da razume uputstva za
upotrebu biljnih proizvoda, te su im bila potrebna dodatna objašnjenja. Najveći deo
ispitanika (70,6%) dobijao je savet farmaceuta pri kupovini biljnog proizvoda. Farmaceuti su
zdravstveni profesionalci koji poseduju adekvatna znanja o lekovitim biljkama/biljnim
proizvodima i imaju ključnu ulogu u savetovanju pacijenata u cilju sprovođenja pravilne
primene biljnih lekovitih i drugih biljnih proizvoda.
C3  - Arhiv za farmaciju
T1  - Awareness of patients in the city of Belgrade about herbal products
T1  - Informisanost pacijenata na teritoriji grada Beograda o biljnim proizvodima
VL  - 72
IS  - 4 suplement
SP  - S473
EP  - S474
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4424
ER  - 
@conference{
author = "Jovanović, Aleksandar and Stefanović-Vojinović, Jelena and Kukić-Marković, Jelena and Petrović, Silvana and Drobac, Milica and Tadić, Ivana",
year = "2022",
abstract = "The use of medicinal plants has significant impact on human health (1,2). Approximately 13.000 medicinal plants are used worldwide (1), and in developing countries 65-80% of the population uses them for medicinal purposes (2). 
The aim of the study was to examine the awareness of patients in the city of Belgrade about herbal products. Quantitative, non-experimental research was conducted using a purpose-built questionnaire in public pharmacies during February 2020.
The survey involved 954 respondents, mostly women (66.5%); 39.1% of respondents aged 20-40 years. Most of the respondents were employed (65.2%), with secondary school education (45.2%). The vast majority (97.3%) used medicinal plants/herbal products, mostly occasionally, as needed (38.4%). The main motive for their use was health improvement (75.2%), while 16.2% used them to treat diseases. The primary sources of information on medicinal plants/herbal products are pharmacists (45.1%) and the media (24.2%). About a third of the respondents (37.3%) stated that they knew the difference between herbal medicinal products and dietary supplements. 52.9% of respondents claimed that herbal medicinal products are effective, but less than synthetic drugs, while 61.5% claimed that they are safe, but with certain side effects. A third of respondents (32.9%) had difficulty understanding instructions for use and they needed additional explanations. Majority (70.6%) received advice from a pharmacist when buying a herbal product.
Pharmacists are health professionals who have adequate knowledge of medicinal plants/herbal products and have a key role in advising patients in order to implement the proper use of herbal medicinal and other herbal products.

References
1. Capasso F, Gaginella TS, Grandolini G, Izzo AA. Phytotherapy: a quick reference to herbal medicine. Springer Science & Business Media. 2003.
2. Palhares RM, Gonçalves Drummond M, dos Santos Alves Figueiredo Brasil B, Pereira Cosenza G, das Graças Lins Brandão M, Oliveira G. Medicinal plants recommended by the World Health Organization: DNA barcode identification associated with chemical analyses guarantees their quality. PloS one. 2015;10(5), e0127866.

Acknowledgements
This research was conducted with help and support of Pharmacy „Lilly Drogerie“ and funded by the Ministry of Education, Science and Technological Development, Republic of Serbia through Grant Agreement with University of Belgrade-Faculty of Pharmacy No: 451-03-68/2022-14/200161., Primena lekovitih biljaka ima značajan uticaj na ljudsko zdravlje (1,2). U svetu se
koristi oko 13 000 lekovitih biljaka (1), a u zemljama u razvoju 65-80% populacije ih
primenjuje u medicinske svrhe (2). Cilj rada bio je ispitivanje informisanosti pacijenata na
teritoriji grada Beograda o biljnim proizvodima. Sprovedeno je kvantitativno,
neeksperimentalno istraživanje pomoću namenski kreiranog upitnika u javnim apotekama
tokom februara 2020. godine. U istraživanju je učestvovalo 954 ispitanika, od koji 66,5%
ženskog pola; 39,1% starosti 20-40 godina. Većina je bila zaposlena (65,2%), sa
srednjoškolskim obrazovanjem (45,2%). Najveći broj ispitanika (97,3%) je koristio lekovite
biljke/biljne proizvode i to uglavnom povremeno, po potrebi (38,4%). Glavni motiv za
njihovo korišćenje bio je poboljšanje zdravlja (75,2%), dok ih je 16,2% koristilo za lečenje.
Ispitanici su se o delovanju i upotrebi lekovitih biljaka/biljnih proizvoda uglavnom
informisali od farmaceuta u apotekama (45,1%) i putem medija (24,2%). Oko trećine
ispitanika (37,3%) je navelo da zna razliku između biljnih lekovitih proizvoda i dijetetskih
suplemenata. Da su biljni lekoviti proizvodi efikasni, ali manje od sintetskih lekova, smatralo
je 52,9% ispitanika, dok je 61,5% smatralo da su oni bezbedni za upotrebu, ali sa mogućim
neželjenim efektima. Trećina anketiranih (32,9%) imala je poteškoće da razume uputstva za
upotrebu biljnih proizvoda, te su im bila potrebna dodatna objašnjenja. Najveći deo
ispitanika (70,6%) dobijao je savet farmaceuta pri kupovini biljnog proizvoda. Farmaceuti su
zdravstveni profesionalci koji poseduju adekvatna znanja o lekovitim biljkama/biljnim
proizvodima i imaju ključnu ulogu u savetovanju pacijenata u cilju sprovođenja pravilne
primene biljnih lekovitih i drugih biljnih proizvoda.",
journal = "Arhiv za farmaciju",
title = "Awareness of patients in the city of Belgrade about herbal products, Informisanost pacijenata na teritoriji grada Beograda o biljnim proizvodima",
volume = "72",
number = "4 suplement",
pages = "S473-S474",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4424"
}
Jovanović, A., Stefanović-Vojinović, J., Kukić-Marković, J., Petrović, S., Drobac, M.,& Tadić, I.. (2022). Awareness of patients in the city of Belgrade about herbal products. in Arhiv za farmaciju, 72(4 suplement), S473-S474.
https://hdl.handle.net/21.15107/rcub_farfar_4424
Jovanović A, Stefanović-Vojinović J, Kukić-Marković J, Petrović S, Drobac M, Tadić I. Awareness of patients in the city of Belgrade about herbal products. in Arhiv za farmaciju. 2022;72(4 suplement):S473-S474.
https://hdl.handle.net/21.15107/rcub_farfar_4424 .
Jovanović, Aleksandar, Stefanović-Vojinović, Jelena, Kukić-Marković, Jelena, Petrović, Silvana, Drobac, Milica, Tadić, Ivana, "Awareness of patients in the city of Belgrade about herbal products" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S473-S474,
https://hdl.handle.net/21.15107/rcub_farfar_4424 .