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Survei Kesediaan Menggunakan Telemedicine Pada Mahasiswa Farmasi Di Daerah Istimewa Yogyakarta 日惹特殊地区药学专业学生远程医疗供应调查
Pub Date : 2023-07-03 DOI: 10.22146/jmpf.81654
Autsan Dwi Banowati, Susi Ari Kristina, Dyah Ayu Puspandari
Telemedicine merupakan bagian dari telehealth yang mengacu semata-mata pada penyediaan layanan perawatan kesehatan dan pendidikan jarak jauh, dengan menggunakan teknologi telekomunikasi. Salah satu faktor yang memengaruhi tingkat pengetahuan, persepsi dan kesediaan menggunakan telemedicine adalah usia, tahun ajaran dan pendidikan orang tua. Tujuan dari penelitian ini untuk menilai tingkat pengetahuan, persepsi dan kesediaan mahasiswa Farmasi dalam menggunakan telemedicine, serta mengetahui faktor-faktor yang memengaruhi tingkat pengetahuan, persepsi dan kesediaan menggunakan telemedicine. Metode pada penelitian ini adalah survey prospective cross-sectional study. Pengambilan data dengan teknik probability sampling. Teknik sampling yang digunakan adalah proportionate stratisfied random sampling. Metode pengumpulan data menggunakan metode kuesioner, dengan cara dilakukan secara daring menggunakan google form. Minimal jumlah sampel pada penelitian ini sebanyak 422 mahasiswa Farmasi untuk memperoleh 95% Confidence Interval (CI) dan margin error 0,05. Hasil penelitian ini yaitu didapatkan 441 mahasiswa yang bersedia mengisi kuesioner. Variabel yang paling memengaruhi faktor tingkat pengetahuan dan persepsi yaitu variabel tingkat tahun ajaran mahasiswa yaitu P-value 0,012 dan 0,000 (<0,05), tingkat pengetahuan dan persepsi saling berhubungan dengan kesediaan menggunakan telemedicine P-value 0,000 (<0,05). Kesimpulan yang didapat mayoritas responden memiliki persepsi positif tentang telemedicine. Responden yang belum pernah menggunakan telemedicine memiliki ketertarikan untuk menggunakannya dimasa depan.
遥测是电信的一部分,它仅仅指利用电信技术提供医疗和远程教育服务。影响知识、感知和移情的一个因素是父母的年龄、教学和教学年龄。本研究的目的是评估药学学生使用遥测的知识、感知和意愿,以及影响知识、感知和使用遥测的意愿的因素。本研究的方法是交叉调查研究。数据采用概率采样技术。采用的抽样技术是比例分类抽样。数据收集方法采用问卷调查法,采用谷歌形式在网上进行。本研究的样本数量至少为422名制药学生获得95%的间隔验证和0.05误差范围。这项研究的结果是有441名学生自愿填写调查问卷。影响最多知识和感知率的变量是P-value 0.012和10000(< 0.05),知识和感知水平与使用P-value 000遥测(< 0.05)的意愿相关。大多数受访者对遥测有积极的看法。从未使用过遥测技术的受访者对未来使用遥测技术感兴趣。
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引用次数: 0
THE ASSESSMENT OF PATIENT SAFETY CULTURE AMONG DOCTORS, NURSES AND PHARMACISTS IN A PUBLIC HOSPITAL IN INDONESIA 印度尼西亚一家公立医院医生、护士和药剂师的病人安全文化评估
Pub Date : 2023-07-03 DOI: 10.22146/jmpf.83575
Baiq Khuwailidia Kartikasari, Samirah Samirah, Elida Zairina, S.Si., MPH., Ph.D., Apt.
Background: Officers who provide health care make it a priority to ensure the safety of their patients. In healthcare, patient safety is a fundamental principle. Understanding the patient safety culture is one step toward improving patient safety. Patient safety culture is the main foundation of patient safety arrangements that aim to improve the quality of service of healthcare facilities by implementing risk management in all service areas.Purpose: This study aimed to determine the cultural picture of patient safety among health workers in a public hospital in East Lombok.Method: This study was observational and cross-sectional using the Hospital Survey of Patient Safety Culture (HSOPSC) questionnaire designed by the Association of Health Care and Research Quality (AHRQ.) The population of this study were healthcare professionals (doctors, pharmacists, pharmaceutical technical personnel, nurses, and midwives) at Dr R. Soedjono Selong Hospital in East Lombok. Descriptive and inferential statistics were used to adjust frequency distribution tables to identify variable relationship differences. The results analysis followed the guidelines from AHRQ, and univariate analysis was carried out.Results: Among the 250 employees invited to participate, 238 (95.2%) completed the surveys. The dimension with the highest percentage of positive responses was organizational learning - continuous improvement (91.3%), and the dimension with the lowest rate of positive responses was staff management (42.5%). Generally, the patient safety culture in health workers at Dr R, Soedjono belongs to the strong category (70.34%).Conclusion: Building a strong patient safety culture is essential to improve service quality.
背景:提供卫生保健的官员优先考虑确保病人的安全。在医疗保健领域,患者安全是一项基本原则。了解患者安全文化是改善患者安全的一步。患者安全文化是患者安全安排的主要基础,旨在通过在所有服务领域实施风险管理来提高医疗机构的服务质量。目的:本研究旨在确定东龙目岛一家公立医院卫生工作者对患者安全的文化认识。方法:采用美国卫生保健与研究质量协会(AHRQ)设计的医院患者安全文化调查问卷(HSOPSC)进行观察性和横断面研究。本研究的人群是东龙目岛Dr R. Soedjono Selong医院的医疗保健专业人员(医生、药剂师、药学技术人员、护士和助产士)。使用描述性和推断性统计来调整频率分布表,以识别变量关系差异。结果分析遵循AHRQ指南,进行单因素分析。结果:250名被邀请参与的员工中,有238人(95.2%)完成了问卷调查。积极回应比例最高的维度是组织学习-持续改进(91.3%),积极回应比例最低的维度是员工管理(42.5%)。一般来说,Dr R, Soedjono卫生工作者的患者安全文化属于强类别(70.34%)。结论:建立牢固的患者安全文化是提高服务质量的关键。
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引用次数: 0
Comparative Study of Cycle Threshold RT-PCR SARS Cov-2 between Saliva Specimen and Nasopharyngeal Swab 唾液标本与鼻咽拭子循环阈值RT-PCR检测SARS - Cov-2的比较研究
Pub Date : 2023-07-03 DOI: 10.22146/jmpf.83451
Citraningtyas Indriana, Tjie Kok
Coronavirus Disease 2019 (Covid-19) is an infectious disease that spreads quickly and attacks respiratory system that can cause death. The main diagnosis of Covid-19 is conducted by nasopharyngeal swab, an invasive method which can in turn increase the risk of transmission from patient to swabber. Hence, there is a need for non-invasive methods development, one of which is using saliva specimen. This study aims to evaluate the potential of using saliva specimen for diagnosis as an alternative of nasopharyngeal swab. The study was conducted on confirmed patients at Hajj Dormitory Embarcation Surabaya. The samples were collected randomly form 35 patients at Hajj Dormitory Embarcation Surabaya and evaluated at Surabaya Regional Health Laboratory. The results showed that there was no significant difference between cycle threshold RT-PCR of nasopharyngeal swab and saliva specimen. The sensitivity and specificity of saliva specimen are 88.2% and 100%, respectively, of nasopharyngeal swab. Hence, saliva specimen has the potential to be used as an non-invasive method for Covid-19 diagnosis.
2019冠状病毒病(Covid-19)是一种迅速传播并攻击呼吸系统的传染病,可导致死亡。Covid-19的主要诊断是通过鼻咽拭子进行的,这是一种侵入性方法,反过来又会增加患者向拭子传播的风险。因此,有必要发展非侵入性的方法,其中之一是使用唾液样本。本研究旨在评估使用唾液标本作为鼻咽拭子替代诊断的潜力。研究对象为泗水朝觐宿舍口岸的确诊患者。在泗水朝觐宿舍口岸随机抽取35例患者样本,并在泗水地区卫生实验室进行评估。结果表明,鼻咽拭子周期阈值RT-PCR与唾液标本无显著差异。唾液标本对鼻咽拭子的敏感性为88.2%,特异性为100%。因此,唾液标本有可能作为一种非侵入性的新冠肺炎诊断方法。
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引用次数: 0
Factor Affecting Job Satisfaction In Community Pharmacists: A Review 影响社区药师工作满意度的因素综述
Pub Date : 2023-07-03 DOI: 10.22146/jmpf.81669
Sintaresmi Kusumah Wardani, S. A. Kristina, N. M. Yasin
Job satisfaction is an employee's emotional reaction to responsibilities at work. it is necessary to pay attention to pharmacists' job satisfaction, because their work is related to patient safety. The aim of this review is to find out what factors influence the job satisfaction of community pharmacists. The review was conducted in December 2022 by searching articles on three search engines namely PubMed, Science Direct, and Google Scholar by taking articles published between 2012 and 2022. The keywords "Job Satisfaction" and "Community Pharmacist" were used to search for articles and 360 articles were obtained. In this review, only 8 articles met all the inclusion criteria. Inclusion criteria included cross-sectional studies, publication in English, published between 2012 and 2022, and research topics on job satisfaction of community pharmacists. The findings showed that there are many factors that can affecting job satisfaction, namely demoghraphy, intrinsic, and extrinsic factors. Of these three factors, there are four most commonly encountered facets that influence community pharmacists' job satisfaction, namely work environment, salary, knowledge and years in practice. The level of overall job satisfaction for community pharmacists is different in each country depending on the regulations. Because job satisfaction is something that can change over time, future research should include other factors that can affect job satisfaction.
工作满意度是员工对工作责任的情绪反应。药师的工作满意度关系到患者的安全,因此有必要关注药师的工作满意度。本研究旨在了解影响社区药师工作满意度的因素。该评价是在2012 ~ 2022年发表的文章中,在PubMed、Science Direct、谷歌Scholar等3个搜索引擎上进行检索后,于2022年12月进行的。以“工作满意度”和“社区药师”为关键词进行检索,共获得文章360篇。在本综述中,只有8篇文章符合全部纳入标准。纳入标准包括发表于2012 - 2022年的英文横断面研究,以及社区药师工作满意度的研究课题。研究结果表明,影响工作满意度的因素有很多,包括人口因素、内在因素和外在因素。在这三个因素中,影响社区药师工作满意度最常见的有四个方面,即工作环境、薪酬、知识和实践年限。根据不同的法规,各国社区药师的整体工作满意度有所不同。因为工作满意度会随着时间的推移而改变,未来的研究应该包括其他影响工作满意度的因素。
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引用次数: 0
Pengetahuan Masyarakat Tentang Penggunaan Suplemen Vitamin untuk Meningkatkan Imunitas Tubuh Selama Pandemi COVID-19 di Kelurahan Klender, Jakarta Timur dan Kecamatan Panimbang, Banten 在雅加达东部克兰德区柯维-19大流行期间,公众对维生素补充剂的了解增强了人体免疫力
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.75298
Maifitrianti Maifitrianti, Tuti Wiyati, Liesca Tria Novalita Zaid, Faridatul Bahiah
Numerous Vitamins have an important role in maintaining the immune system and reducing the risk of COVID-19 infection. This study aimed to determine the level of public knowledge regarding vitamin supplements used during the COVID-19 pandemic to improve the immunity system and associated factors among the community of Klender sub-district, East Jakarta and Panimbang sub-district, Banten. This study was performed from August to October 2021. This study method was observational with cross sectional design.  Respondent’s data included home town, gender, age, education level, occupation, place of obtaining vitamin supplements, types of vitamin supplements consumed and sources of information regarding vitamin supplements were obtained from the questionnaire. Knowledge level assessment was carried out using a validated questionnaire. The respondents of this study were 804 people. Most of the respondents were aged 18-25 years (48.3%) and female (60.9%). The results showed that the majority of respondents had a good level of knowledge (70.5%). The bivariate analysis using the chi square test showed that the level of knowledge was related to the level of education (p<0.005).
多种维生素在维持免疫系统和降低COVID-19感染风险方面发挥着重要作用。本研究旨在确定东雅加达Klender街道和万丹Panimbang街道社区的公众对COVID-19大流行期间使用的维生素补充剂的了解程度,以改善免疫系统和相关因素。本研究于2021年8月至10月进行。本研究采用横断面设计观察法。受访者的资料包括家乡、性别、年龄、受教育程度、职业、获取维生素补充剂的地点、服用维生素补充剂的种类以及维生素补充剂的信息来源。知识水平评估采用有效的问卷进行。本次研究的调查对象为804人。受访者以18-25岁(48.3%)和女性(60.9%)居多。结果显示,大部分受访者(70.5%)的知识水平较好。使用卡方检验的双变量分析显示,知识水平与教育水平相关(p<0.005)。
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引用次数: 0
Perspektif Pendidik dan Tenaga Kependidikan (PTK) di Kabupaten Blitar terkait Kepatuhan Protokol Kesehatan di Sekolah 布利塔区教育学与教育力量视角(PTK)与学校卫生协议相关
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.81244
Rahayenda Ivory Puryono, Anna Wahyuni Widayanti, Susi Ari Kristina
Educators and Education Personnel (EEP) are one of the priorities that take precedence in the stages of the vaccination program as a form of preventing the spread of COVID-19. In August 2022, there were cases of exposure to COVID-19 where the first program reached 86%, the cause was compliance with implementing health protocols. This study aims to determine the level of compliance in implementing the COVID-19 prevention health protocol and identify the factors that influence the level of compliance. This research is a quantitative non-experimental study with a cross-sectional study approach. Questionnaires were distributed to 522 EEP by purposive sampling, 339 EEP respondents were obtained with a response rate of 64.94%, divided into 290 EEP as research samples and 49 samples used for the reliability test. Data collection was carried out in September-November 2022 using an online questionnaire via the GoogleTM form. A reliable questionnaire was used with a Cronbach's α value 0.864. The results were tested of normality then analyzed by using the JAMOVI application. For parametric data, the student t-test was used, while for non-parametric data, Mann-Whitney and Kruskal-Wallis data were used. Spearman correlation is used to determine the factors that influence the level of EEP compliance. As results the level of EEP health protocol compliance was 67.9% in the medium category. Factors that influence the level of PTK compliance are the organizational environment (p-value 0.001) and self-efficacy (p-value 0.001). Meanwhile, the level of knowledge (p-value 0.093) showed no significant correlation on the level of EEP compliance.
教育工作者和教育人员(EEP)是预防新冠肺炎传播的疫苗接种计划各阶段的优先事项之一。2022年8月,出现了接触新冠肺炎的病例,第一个项目达到86%,原因是遵守了实施的健康协议。本研究旨在确定实施新冠肺炎预防健康方案的合规水平,并确定影响合规水平的因素。本研究是一项采用横断面研究方法的定量非实验性研究。通过有针对性的抽样向522名EEP发放问卷,获得339名EEP受访者,应答率为64.94%,分为290个EEP作为研究样本和49个用于可靠性测试的样本。数据收集于2022年9月至11月通过GoogleTM表格使用在线问卷进行。使用了可靠的问卷,Cronbachα值为0.864。对结果进行正态性测试,然后使用JAMOVI应用程序进行分析。对于参数数据,使用学生t检验,而对于非参数数据,则使用Mann-Whitney和Kruskal-Wallis数据。Spearman相关性用于确定影响EEP依从性水平的因素。结果,中等类别的EEP健康协议遵守率为67.9%。影响PTK依从性水平的因素是组织环境(p值0.001)和自我效能感(p值001)。同时,知识水平(p值0.093)与EEP依从性水平没有显著相关性。
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引用次数: 0
Hubungan Tingkat Pengetahuan dan Kepatuhan Setelah Pemberian Brief Counseling Terhadap Luaran Klinik Pasien Hipertensi 面对临床外高血压患者进行简短咨询后的知识水平和反应关系
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.75628
Monia Agni Wiyatami, Nanang Munif Yasin, I. P. Sari
Uncontrolled hypertension is a major health problem in society, so that a good knowledge and adherence are needed to achieve controlling of blood pressure targets. This study aimed to determine correlation between knowledge level and adherence after provided brief counseling by pharmacist to clinical outcomes of prolanis hypertension patients. The study design was a quasi-experimental pretest and posttest with a control group. The form of intervention is brief counseling using poster and follow-up via whatsapp or telephone for hypertension patients who are prolanis participants that entered inclusion criteria with blood pressure > 140/90 mmHg. The study was carried out during September–December 2021 in 6 public health centers in Pangkalpinang city, such as 3 for intervention (kacang pedang, gerunggang, pasir putih) and 3 for control group (melintang, air itam, taman sari). The sample total was 90 peoples, consist of 46 intervention groups and 44 control groups. The data were collected by interviews using questionnaire of Hypertension Knowledge Level Scale (HK-LS) and Morisky Green Levine Scale (MGLS), the clinical outcomes using blood pressure data taken from medical records. Correlation between knowledge level and adherence to clinical outcomes have been analyzed using the Rank Spearman correlation test. The results showed that there was a correlation between changes the level of knowledge on systolic (p=<0,001; R value -0.374) and diastolic (p=0.001; R value -0.349) declines, and also there was a correlation between changes in adherence to systolic decline (p=0.046; R value of -0.211). However, there was no significant correlation between changes in adherence to diastolic decline (p=0.063). From this study it was concluded that there was a significant correlation between the level of knowledge and adherence after provided brief counseling by pharmacist to clinical outcomes of prolanis hypertension patients.
无法控制的高血压是社会中的一个主要健康问题,因此需要良好的知识和坚持来实现血压控制目标。本研究旨在确定药剂师对无孔虫高血压患者的临床结果进行简短咨询后,知识水平和依从性之间的相关性。研究设计是一个准实验性的前测和后测,对照组。干预的形式是使用海报进行简短咨询,并通过whatsapp或电话对血压>140/90mmHg进入纳入标准的无产者高血压患者进行随访。该研究于2021年9月至12月在Pangkalpinang市的6个公共卫生中心进行,其中3个用于干预(卡仓佩当、格隆冈、帕西尔普提赫),3个用于对照组(梅林堂、伊坦空气、塔曼沙里)。样本总数为90人,包括46个干预组和44个对照组。数据通过访谈收集,使用高血压知识水平量表(HK-LS)和Morisky Green Levine量表(MGLS)问卷,临床结果使用医疗记录中的血压数据。使用Rank-Spearman相关检验分析了知识水平与临床结果依从性之间的相关性。结果显示,收缩压知识水平的变化(p=0.001;R值-0.374)和舒张压知识水平(p=0.001,R值-0.349)下降之间存在相关性,对收缩压下降的依从性变化之间也存在相关性(p=0.046;R值为-0.211)。然而,依从性变化与舒张功能下降之间没有显著相关性(p=0.063)。本研究得出结论,在药剂师对脯氨酸高血压患者的临床结果进行短暂咨询后,知识水平与依从性之间存在显著相关性。
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引用次数: 0
Profil Perawatan Sendiri (Self-care) dan Swamedikasi (Self-medication) pada Madrasah Aliyah Berasrama di Aceh Besar selama Masa Pandemi COVID-19
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.71639
Abdul Hakim, Novia Maulina, Hajar Sugihantoro, Humaira Ramzi
The COVID-19 pandemic has brought many changes to society, especially in carrying out daily activities. One of the changes is an increase in self-care and self-medication as an effort to survive during the COVID-19 pandemic. This research was conducted at Madrasah Aliyah (MA) Ruhul Islam Anak Nation Aceh Besar. The school is a boarding school that conducts offline learning activities during the COVID-19 pandemic. The purpose of this study was to find out the description of self-care and self-medication during the COVID-19 pandemic at MA Ruhul Islam Anak Bangsa Aceh Besar. The research method uses descriptive research methods. Data was collected by filling out the questionnaire directly using a sample of 90 respondents. The results showed that the self-care profile showed that respondents who always made efforts to prevent COVID-19 were 21.9% and respondents who always maintained their well-being were 34.4%. In the self-medication profile, data showed that when self-medication, most of the respondents used synthetic drugs (69.5%), most of the respondents received information about self-medication from their parents (57.3%), the purpose of doing self-medication was mostly to increase endurance (45.1%), when doing self-medication, there are respondents who experience side effects, and the most are dizziness (29.1%) and 56.5% of respondents will immediately stop treatment if there are side effects, The most obstacles experienced by respondents in carrying out self-medication was that respondents did not know what medicine to use (40.2%). Based on these results, it can be concluded that it is necessary to increase the prevention of COVID-19 and provide education in conducting self-medication during the COVID-19 pandemic at the Supreme Court of Ruhul Islam Anak Bangsa Aceh Besar. 
新冠肺炎大流行给社会带来了许多变化,特别是在日常活动中。其中一个变化是,作为在COVID-19大流行期间生存的努力,自我保健和自我药疗的增加。这项研究是在阿利亚马德拉萨(MA) Ruhul Islam Anak Nation Aceh Besar进行的。该学校是一所寄宿学校,在新冠肺炎疫情期间开展线下学习活动。本研究的目的是了解在新冠肺炎大流行期间,亚齐邦萨马鲁胡尔伊斯兰医院的自我保健和自我药疗情况。研究方法采用描述性研究方法。数据是通过直接填写问卷的方式收集的,样本为90名受访者。结果显示,自我保健状况显示,始终努力预防新冠肺炎的受访者占21.9%,始终保持健康的受访者占34.4%。在自我药疗资料中,数据显示,自我药疗时,大多数受访者使用合成药物(69.5%),大多数受访者从父母那里获得自我药疗信息(57.3%),自我药疗的目的主要是为了增加耐受性(45.1%),自我药疗时,有受访者出现副作用,其中头晕最多(29.1%),56.5%的受访者在出现副作用时会立即停止治疗。受访者在进行自我药疗时遇到的最大障碍是不知道该用什么药(40.2%)。基于这些结果,可以得出结论,有必要在Ruhul Islam Anak Bangsa Aceh Besar最高法院加强COVID-19的预防,并在COVID-19大流行期间提供自我药物治疗的教育。
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引用次数: 0
Pengaruh Edukasi oleh Apoteker dengan Metode Brief Counseling terhadap Pengetahuan, Kepatuhan dan Glukosa Darah Pasien DM Tipe 2 di Puskesmas Kabupaten Pemalang 药师对游马区DM第二型DM患者的知识、服从和血液葡萄糖的教育影响
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.74821
Irrene Wulan Syafitri, Nanang Munif Yasin, I. P. Sari
The problem currently encountered by Diabetes Mellitus (DM) patients is a decrease interaction in routine activities carried out at first-level health facilities due to the Covid-19 pandemic. This study is to determine the effect of education by pharmacists with media brief counseling on the knowledge, compliance, and clinical outcomes of DM patients. This type of research is a quasi-experimental method with a pretest and posttest design with the control group. This study was conducted prospectively to analyze the effect of brief counseling-based pharmaceutical services by pharmacists on the level of knowledge measured using the Diabetic Knowledge Questionnaire-24 (DKQ-24), the level of compliance was measured using the Morisky Green Levine Scale (MGLS) questionnaire, and the clinical outcomes of type 2 DM patients at the Puskesmas in Pemalang Regency from October to November 2021. The analysis to measure the bivariate differences in one group used the paired sample t-test, and the bivariate differences between groups were measured using the independent sample t-test. This study consisted of 32 patients in each control and intervention groups. The descriptive analysis of this study showed no differences in data on patient characteristics in the control and intervention groups (p>0.05). The results showed that there was an increase in patient knowledge from 12,66±2,43 to 21,75±1,81 (p=0,000) and an increase in patient compliance from 2,03±0,96 to 0,25±0,51 (p=0,000) after being given brief counseling. The clinical outcomes of DM patients showed that there was an improvement from 177,63±82,4 to 159±58,1 (p=0,002). Based on these results, it can be concluded that there is an effect of education by a pharmacist using the brief counseling method on the level of knowledge, compliance, and clinical outcome of type 2 DM patients.
糖尿病(DM)患者目前遇到的问题是,由于新冠肺炎大流行,在一级卫生机构进行的日常活动中的互动减少。本研究旨在确定药剂师通过媒体简短咨询进行的教育对糖尿病患者的知识、依从性和临床结果的影响。这类研究是一种准实验方法,与对照组一起进行前测和后测设计。本研究前瞻性地分析了药剂师基于简短咨询的药物服务对使用糖尿病知识问卷-24(DKQ-24)测量的知识水平、使用Morisky Green Levine量表(MGLS)测量的依从性水平的影响,以及2021年10月至11月在Pemalang Regency Puskesmas的2型糖尿病患者的临床结果。测量一组中双变量差异的分析使用配对样本t检验,组间双变量差异使用独立样本t检验。本研究由32名患者组成,每组为对照组和干预组。本研究的描述性分析显示,对照组和干预组的患者特征数据没有差异(p>0.05)。结果显示,在接受短暂咨询后,患者知识从12,66±2,43增加到21,75±1,81(p=0.000),患者依从性从2,03±0,96增加到0,25±0,51(p=0.000)。DM患者的临床结果显示,从177,63±82,4改善到159±58,1(p=0.002)。基于这些结果,可以得出结论,药剂师使用简短咨询方法进行的教育对2型糖尿病患者的知识水平、依从性和临床结果有影响。
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引用次数: 0
Upaya Peningkatan Keamanan Obat Diabetes Mellitus di Klinik Pratama Swasta dengan Pendekatan Action Research 迈利图斯的药物安全措施在一个拥有行动研究方法的私人诊所进行升级
Pub Date : 2023-03-31 DOI: 10.22146/jmpf.77387
Merita Arini, Ikrima Khaerun Nisa, Harumi Iring Primastuti
Medication safety is one of the patient safety criteria that must be met in healthcare facilities. However, research on medication safety in private primary care remains limited. This study aimed to increase medication safety initiatives for Diabetes Mellitus (DM) patients and healthcare recipients’ (patients') knowledge of medication safety. A cycle of action research (diagnosing, planning, action, and evaluation) was used in a private clinic (PKU Muhammadiyah Srandakan Clinic, Yogyakarta Special Region). The involvement level of research subjects was co-learning. The diagnosing phase was conducted by in-depth interviews and questionnaires distribution with clinical leaders and staff (n=11). The planning stage was completed through medication prescription standard operational (SPO) procedure review and the educational media preparation for patients. In the action stage, in-house training for clinic staff about medication safety and the educational intervention with a quasi-experimental (without control, non-randomization) on PROLANIS DM participants (total sampling, n=50) were conducted. Study results showed that the diagnosing phase exposes the clinic staff's adequate understanding of medication safety. There were obstacles to implementing prescribing services from the patient, staff, operational, and infrastructure aspects. A revised SPO for Prescription Medication Services and educational media were created during the planning stage. There was a significant increase in patients’ knowledge between the pre-test and post-test in the action and evaluation stage (p=0.000), and there was no patient safety incident related to medication safety during this research. In conclusion, staff knowledge was good, there was a significant increase after health education was provided to patients, and complex obstacles need to be resolved comprehensively and continuously.
用药安全是医疗机构必须满足的患者安全标准之一。然而,关于私人初级保健用药安全的研究仍然有限。本研究旨在提高糖尿病患者(DM)用药安全的主动性和医疗保健接受者(患者)的用药安全知识。在一家私人诊所(日惹特区PKU Muhammadiyah Srandakan诊所)采用了行动研究循环(诊断、计划、行动和评估)。研究对象的参与程度为共同学习。诊断阶段通过对临床领导和工作人员的深度访谈和问卷分发进行(n=11)。计划阶段通过药物处方标准操作(SPO)程序审查和对患者的教育媒体准备完成。在行动阶段,对临床工作人员进行用药安全的内部培训,并对PROLANIS DM参与者(总抽样,n=50)进行准实验(无对照,非随机化)的教育干预。研究结果表明,诊断阶段暴露了临床工作人员对用药安全认识的不足。从患者、工作人员、业务和基础设施方面来看,实施处方服务存在障碍。在规划阶段,制定了处方药服务和教育媒体的修订SPO。在行动和评价阶段,患者对试验前和试验后的认知显著增加(p=0.000),且本研究未发生与用药安全相关的患者安全事件。综上所述,工作人员的知识水平较好,对患者进行健康教育后,知识水平明显提高,复杂的障碍需要全面、持续地解决。
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Jurnal Manajemen dan Pelayanan Farmasi
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