Hubungan Jumlah Peresepan Obat Terhadap Potensially Inapropriate Medications Berdasarkan Beers Criteria 2019 Pasien Diabetes Mellitus

Kumala Sari Poespita Dewi Wahyuni, E. Widyaningrum, Erni Anika Sari, Dwitania Noerhalizah
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Abstract

Diabetes melitus can lead to complications if not controlled, the risk of complications in geriatric patiens can lead to an increase in the number of drugs prescribed, so that many geriatric receive polypharmacy drugs. Polypharmacy can be used as a factors to describe Potentially Inappropriate Medications. Potentially Inappropriate Medications are the potential for inappropriate drug use which causes a risk of side effects where there are alternative drug options for the same therapy. This study was to determine the number of drug prescribing for Potentially Inappropriate Medications based on the 2019 Beers Criteria. This studi was an observational descriptive study using retrospective data. The sample used was 195 prescriptions for patients with diabetes mellitus in the period October-December 2020 with purposive sampling technique. Characteristics of the data using the contingency coefficient correlation test. The number of drug prescriptions obtained, a total of 68.21% of patients received 5 kinds of drugs in one prescription based on the assessment of the incidence of Potentially Inappropriate Medications, there were 92.82% of prescriptions indicate an incidence of Potentially Inappropriate Medications. The highest number of Potentially Inappropriate Medications received was category one namely 50,38%. There are difference in the categories of Potentially Inappropriate Medications that patients receive due to diseases suffered by geriatricians where disease that affect many organs cause geriatricians to receive many drugs in health services. Based on a p-value of 0,000 there is a statistically significant relationship between the amount of drug administration with Potentially Inappropriate Medications.
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基于Beers critdel20糖尿病患者的药物剂量注射之间的关系
糖尿病如不控制可导致并发症,老年患者并发症的风险可导致用药数量增加,使许多老年人接受多种药物治疗。多种用药可以作为描述潜在不适当药物的一个因素。潜在不适当药物是指在同一疗法存在替代药物选择的情况下,潜在的不适当药物使用可能导致副作用的风险。本研究旨在根据2019年比尔斯标准确定潜在不适当药物的药物处方数量。本研究是一项使用回顾性数据的观察性描述性研究。采用目的抽样方法,选取2020年10 - 12月糖尿病患者处方195张。数据特征采用权变系数相关检验。从获得的药品处方数量来看,共有68.21%的患者在一张处方中使用了5种药物,其中有92.82%的处方提示存在潜在不适宜用药的发生率。收到的潜在不适当药物最多的是第一类,占50.38%。由于老年医生所患的疾病,患者接受的可能不适当的药物类别有所不同,影响许多器官的疾病导致老年医生在卫生服务中接受许多药物。在p值为0000的基础上,给药量与潜在不适当药物之间存在统计学上显著的关系。
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