Nawang Wulan Nago Pitasari, T. Andayani, T. Wijayanti
Drugs are one of the important components of the Back-Referral Program (BRP), so the guarantee of the availability of BRP drugs in pharmacies is a factor in the success of BRP implementation. The purpose of this study was to determine the consumption of antidiabetic drugs using ATC/DDD and 90% DU methods, analyze the cost of consuming antidiabetic drugs, and determine the suitability of antidiabetic drugs with the National Formulary. This study was an observational study with a cross-sectional design and retrospective data collection. The study was conducted at 6 BRP pharmacies, namely Pharmacy A, Pharmacy B, Pharmacy C, Pharmacy D, Pharmacy E, and Pharmacy F in the area of Demak Regency. The antidiabetic drug consumption data was obtained from BRP patient prescriptions from July 2020 to June 2021. The cost data were obtained based on prices in the JKN drug e-catalog system at BRP pharmacies in the area of Demak Regency. In analyzing the data, the researcher calculated DU at 90%, the cost of drugs included in the DU segment at 90%, and the suitability of drugs with the National Formulary. The results showed that the highest consumption of antidiabetic drugs in Back-Referral Program (BRP) pharmacies in the area of Demak Regency was glimepiride (54.72%) and metformin (31.01%). The highest cost of consuming antidiabetic drugs per DDD was insulin (Rp.17,639.73), the lowest cost was glimepiride (Rp.65.35), the total cost of antidiabetic drugs was Rp.53,509,090 and an incompatible drug with National Formulary was pioglitazone. In general, the highest consumption of antidiabetic drugs in Back-Referral Program (BRP) 6th pharmacies in the area of Demak Regency, which was included in the DU segment 90%, were glimepiride, metformin and the suitability of drugs with the National Formulary has not reached 100%.
药品是backreferral Program (BRP)的重要组成部分之一,因此保证BRP药物在药店的可获得性是BRP成功实施的一个因素。本研究的目的是采用ATC/DDD和90% DU法确定降糖药的消费情况,分析降糖药的消费成本,确定降糖药与国家处方集的适宜性。本研究是一项采用横断面设计和回顾性资料收集的观察性研究。本研究在Demak Regency地区的6家BRP药店进行,分别是A药房、B药房、C药房、D药房、E药房和F药房。从2020年7月至2021年6月BRP患者处方中获取降糖药消费数据。成本数据基于Demak Regency地区BRP药店JKN药品电子目录系统中的价格获得。在数据分析中,研究者计算DU为90%,DU段所含药品的费用为90%,药品与国家处方集的适宜性。结果显示,Demak Regency地区backreferral Program (BRP)药房降糖药用量最高的是格列美脲(54.72%)和二甲双胍(31.01%)。每DDD使用降糖药成本最高的是胰岛素(Rp.17,639.73),最低的是格列美脲(Rp.65.35),降糖药总成本为53,509,090 rp,与国家处方不相容的药物为吡格列酮。总体而言,Demak Regency地区BRP第6药房降糖药用量最高的是格列美脲、二甲双胍,且药品与国家处方集的匹配度未达到100%,属于DU段90%。
{"title":"Evaluation of the Use of Antidiabetic Drugs in Patients of Back-Referral Program at the Demak District Pharmacy","authors":"Nawang Wulan Nago Pitasari, T. Andayani, T. Wijayanti","doi":"10.22146/jmpf.73841","DOIUrl":"https://doi.org/10.22146/jmpf.73841","url":null,"abstract":"Drugs are one of the important components of the Back-Referral Program (BRP), so the guarantee of the availability of BRP drugs in pharmacies is a factor in the success of BRP implementation. The purpose of this study was to determine the consumption of antidiabetic drugs using ATC/DDD and 90% DU methods, analyze the cost of consuming antidiabetic drugs, and determine the suitability of antidiabetic drugs with the National Formulary. This study was an observational study with a cross-sectional design and retrospective data collection. The study was conducted at 6 BRP pharmacies, namely Pharmacy A, Pharmacy B, Pharmacy C, Pharmacy D, Pharmacy E, and Pharmacy F in the area of Demak Regency. The antidiabetic drug consumption data was obtained from BRP patient prescriptions from July 2020 to June 2021. The cost data were obtained based on prices in the JKN drug e-catalog system at BRP pharmacies in the area of Demak Regency. In analyzing the data, the researcher calculated DU at 90%, the cost of drugs included in the DU segment at 90%, and the suitability of drugs with the National Formulary. The results showed that the highest consumption of antidiabetic drugs in Back-Referral Program (BRP) pharmacies in the area of Demak Regency was glimepiride (54.72%) and metformin (31.01%). The highest cost of consuming antidiabetic drugs per DDD was insulin (Rp.17,639.73), the lowest cost was glimepiride (Rp.65.35), the total cost of antidiabetic drugs was Rp.53,509,090 and an incompatible drug with National Formulary was pioglitazone. In general, the highest consumption of antidiabetic drugs in Back-Referral Program (BRP) 6th pharmacies in the area of Demak Regency, which was included in the DU segment 90%, were glimepiride, metformin and the suitability of drugs with the National Formulary has not reached 100%.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45306532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personal protective equipment (PPE) usage in health services plays an essential role in ensuring healthcare workers’ (HCW) and patients’ safety, especially during COVID-19 pandemic. On the other hand, the diversity of PPE types in the market, limited hospital budget and supplies, required PPE must be rationally managed. Pharmacists as supply managers and clinical care providers must implement PPE management optimization strategies to ensure PPE’s availability and avoid negative impacts such as increasing health service’s costs or PPE waste. This article aims to provide evidence-based strategies for PPE management in hospitals based on managing supply stages and clinical pharmacy services. The article was prepared using narrative literature review method from Google Scholar, ScienceDirect, and SpringerLink databases. Articles with topics related to PPE management; alternative uses of PPE, selection, planning, distribution, reuse, and clinical pharmacy services during the COVID-19 pandemic were included in this study. Based on the search, 30 articles and 13 policy guidelines were obtained which were included in this literature review. Management strategies included identifying and cohort supply need based on transmission risk, selecting PPE’s type, forecasting with calculation tools, avoiding just-in-time procurement, centrally distributed, and potential reuse. Clinical pharmacy services modification to minimize PPE use was also an optimizing strategy. For its implementation, pharmacists need to collaborate with other professionals in the hospital because it enhances success with a comprehensive approach. The recommended strategies are expected to assist the management of PPE in Indonesian hospitals, but its application must be tailored for each hospital.
{"title":"Optimalisasi Manajemen Alat Pelindung Diri dan Pelayanan Farmasi Klinis selama Pandemi COVID-19: Narrative Review","authors":"Kartika Citra Dewi Permata Sari, Nadia Farhanah Syafhan, Imanuel ' Sianipar","doi":"10.22146/jmpf.71090","DOIUrl":"https://doi.org/10.22146/jmpf.71090","url":null,"abstract":"Personal protective equipment (PPE) usage in health services plays an essential role in ensuring healthcare workers’ (HCW) and patients’ safety, especially during COVID-19 pandemic. On the other hand, the diversity of PPE types in the market, limited hospital budget and supplies, required PPE must be rationally managed. Pharmacists as supply managers and clinical care providers must implement PPE management optimization strategies to ensure PPE’s availability and avoid negative impacts such as increasing health service’s costs or PPE waste. This article aims to provide evidence-based strategies for PPE management in hospitals based on managing supply stages and clinical pharmacy services. The article was prepared using narrative literature review method from Google Scholar, ScienceDirect, and SpringerLink databases. Articles with topics related to PPE management; alternative uses of PPE, selection, planning, distribution, reuse, and clinical pharmacy services during the COVID-19 pandemic were included in this study. Based on the search, 30 articles and 13 policy guidelines were obtained which were included in this literature review. Management strategies included identifying and cohort supply need based on transmission risk, selecting PPE’s type, forecasting with calculation tools, avoiding just-in-time procurement, centrally distributed, and potential reuse. Clinical pharmacy services modification to minimize PPE use was also an optimizing strategy. For its implementation, pharmacists need to collaborate with other professionals in the hospital because it enhances success with a comprehensive approach. The recommended strategies are expected to assist the management of PPE in Indonesian hospitals, but its application must be tailored for each hospital.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42882419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diabetes is a chronic metabolic disease and management of DM begins with a helthy lifestyle with early administration of antidiabetic drug. Metformin is the first line therapy in the management of DM. Combination therapy is given if blood sugar level and HbA1c level cannot be controlled with single therapy. This study aimed to determine the effect of giving metformin and metformin+glimepiride on HbA1c levels in DM2 patients. The inclusion criteria were patients DM, received oral antidiabetic at least 6 months, completed medical record, and can speak Indonesia. Exclusion criteria included DM patients receiving insulin therapy, TB patients, patients with mental disorders, and pregnant/breastfeeding women. Sociodemographic data, description of prescribing patterns, and achievement of HbA1c levels were described descriptively. Data analysis using the Wilcoxon test. Respondents in this study were 69 patients, dominated by women (71%). The types of therapy used were metformin (59.4%) and metformin+glimepiride (40.6%). Achievement of metformin + glimepiride HbA1c levels (67.9%), metformin (48.8%). The difference in decreasing HbA1c levels with metformin (-0.31%±0.38 mg/dL) and metformin+glimepiride -0.33%±0.54 mg/dL (p = 0.000). The results of the analysis showed that there is a significant effect of metformin alone on decreasing HbA1c levels and the addition of glimepiride (metformin + glimepiride) on reducing HbA1c levels in diabetes cannot be controlled with metformin. The implication of this study is as input for comprehensive management guidelines that can be used in an effort to reduce the prevalence of DM. Good management is needed to achieve therapeutic outcomes.
{"title":"Efek Pemberian Metformin dan Metformin+Glimepiride terhadap Kadar HbA1c pada Pasien Diabetes Mellitus Tipe 2","authors":"Fitri Apriliany, Elis Cholisah, Karina Erlianti","doi":"10.22146/jmpf.72192","DOIUrl":"https://doi.org/10.22146/jmpf.72192","url":null,"abstract":"Diabetes is a chronic metabolic disease and management of DM begins with a helthy lifestyle with early administration of antidiabetic drug. Metformin is the first line therapy in the management of DM. Combination therapy is given if blood sugar level and HbA1c level cannot be controlled with single therapy. This study aimed to determine the effect of giving metformin and metformin+glimepiride on HbA1c levels in DM2 patients. The inclusion criteria were patients DM, received oral antidiabetic at least 6 months, completed medical record, and can speak Indonesia. Exclusion criteria included DM patients receiving insulin therapy, TB patients, patients with mental disorders, and pregnant/breastfeeding women. Sociodemographic data, description of prescribing patterns, and achievement of HbA1c levels were described descriptively. Data analysis using the Wilcoxon test. Respondents in this study were 69 patients, dominated by women (71%). The types of therapy used were metformin (59.4%) and metformin+glimepiride (40.6%). Achievement of metformin + glimepiride HbA1c levels (67.9%), metformin (48.8%). The difference in decreasing HbA1c levels with metformin (-0.31%±0.38 mg/dL) and metformin+glimepiride -0.33%±0.54 mg/dL (p = 0.000). The results of the analysis showed that there is a significant effect of metformin alone on decreasing HbA1c levels and the addition of glimepiride (metformin + glimepiride) on reducing HbA1c levels in diabetes cannot be controlled with metformin. The implication of this study is as input for comprehensive management guidelines that can be used in an effort to reduce the prevalence of DM. Good management is needed to achieve therapeutic outcomes.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46118673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kotawaringin Barat Regency carried out the lymphatic filariasis mass drug administration (LF MDA) and in 2016 it was declared to have passed the 3rd transmission assessment survey (TAS). One success factor of 3rd TAS is behavior of adherence to taking preventive drugs from community participated. The purpose of this article is to analyze the relationship between knowledge and attitude of adherence to taking filariasis prevention drugs in two villages in West Kotawaringin Regency. The study was conducted in 2017 using an observational design with a cross-sectional approach. The samples used were 273 people ≥ 15 years. The instrument is a questionnaire of knowledge, attitudes and behavior related to LF MDA. Respondent characteristics and knowledge description were analyzed descriptively. Then chi square test was carried out to determine the relationship between gender, age, education, knowledge and attitudes towards drug-taking behavior. The results of the study found that the percentage of respondents in West Kotawaringin Regency who had good knowledge is 58.2%, the number of respondents with good attitudes is 66.7% and 89.4% of them behaved obediently in taking preventive drugs filariasis. Gender (p = 0.794), age (p = 0.372), education (p = 0.263), knowledge (p = 0.536) and attitude (p = 0.765) were not significantly related adherence behavior to taking filariasis prevention drugs. The conclusion of the study is that there are other factors other than gender, age, education, knowledge and attitude that can affect the behavior of adherence to taking filariasis prevention drugs in two villages in West Kotawaringin Regency.
Kotawaringin Barat Regency开展了淋巴丝虫病大规模药物管理(LF MDA),并于2016年宣布通过了第三次传播评估调查(TAS)。第三期服务的成功因素之一是参与社区对预防用药的依从性。本文的目的是分析西科塔瓦林县两个村庄丝虫病预防药物依从性知识与态度的关系。该研究于2017年进行,采用了横断面方法的观察性设计。所使用的样本为273名年龄≥15岁的人。该工具是一份与LF MDA相关的知识、态度和行为问卷。对被调查者的特征和知识描述进行描述性分析。然后进行卡方检验,确定性别、年龄、文化程度、知识与吸毒态度之间的关系。研究结果发现,西科塔瓦林县受访者对丝虫病预防药物的知晓率为58.2%,态度良好的受访者占66.7%,行为顺从的受访者占89.4%。性别(p = 0.794)、年龄(p = 0.372)、文化程度(p = 0.263)、知识(p = 0.536)、态度(p = 0.765)与丝虫病预防药物依从性无显著相关。本研究的结论是,除性别、年龄、受教育程度、知识和态度外,还有其他因素可以影响西科塔瓦林县两个村庄的丝虫病预防药物依从性。
{"title":"Knowledge, Attitude, and Medicine Taking Behavior of Lymphatic Filariasis Patients in Two Villages in West Kotawaringin Regency","authors":"Yuniarti Suryatinah, N. Rahayu","doi":"10.22146/jmpf.72681","DOIUrl":"https://doi.org/10.22146/jmpf.72681","url":null,"abstract":"Kotawaringin Barat Regency carried out the lymphatic filariasis mass drug administration (LF MDA) and in 2016 it was declared to have passed the 3rd transmission assessment survey (TAS). One success factor of 3rd TAS is behavior of adherence to taking preventive drugs from community participated. The purpose of this article is to analyze the relationship between knowledge and attitude of adherence to taking filariasis prevention drugs in two villages in West Kotawaringin Regency. The study was conducted in 2017 using an observational design with a cross-sectional approach. The samples used were 273 people ≥ 15 years. The instrument is a questionnaire of knowledge, attitudes and behavior related to LF MDA. Respondent characteristics and knowledge description were analyzed descriptively. Then chi square test was carried out to determine the relationship between gender, age, education, knowledge and attitudes towards drug-taking behavior. The results of the study found that the percentage of respondents in West Kotawaringin Regency who had good knowledge is 58.2%, the number of respondents with good attitudes is 66.7% and 89.4% of them behaved obediently in taking preventive drugs filariasis. Gender (p = 0.794), age (p = 0.372), education (p = 0.263), knowledge (p = 0.536) and attitude (p = 0.765) were not significantly related adherence behavior to taking filariasis prevention drugs. The conclusion of the study is that there are other factors other than gender, age, education, knowledge and attitude that can affect the behavior of adherence to taking filariasis prevention drugs in two villages in West Kotawaringin Regency.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44613913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study was conducted by evaluating the rationality of antibiotics as an indicator of the rationality of antibiotic administration with the aim of knowing the level of rationality of the pattern of prescribing antibiotics for urinary tract infections The rationality analysis method of prescribing antibiotics in this study used the Gyssens method as a method in medical research used to determine the rationality of antibiotic administration. This research is a descriptive observational study with a cross-sectional method. The data was obtained from a retrospective search of medical records from January to December 2020 at the medical records section of the Hospital in Surakarta. The results showed that the number of patients with urinary tract infections who were hospitalized during 2020 was 104 patients and the number of patients who received antibiotic prescriptions was 80 patients. The results of rationality analysis showed that the antibiotics used in patients with urinary tract infections were 27 (33.75%) cases of antibiotic use including category 0 (zero) which means rational use of antibiotics. Irrational use of antibiotics occurred in category III-A as 40 cases (50%), II-B as 11 cases (13.75%), and the combination of II B with III A as 2 cases (2.5%).
{"title":"Evaluasi Rasionalitas Penggunaan Antibiotik pada Pasien dengan Infeksi Saluran Kemih di Rumah Sakit X di Surakarta","authors":"Adhi Wardhana Amrullah, Avianti Eka Dewi Aditya Purwaningsih, Rolando Rahardjoputro, Atiek Murharyati","doi":"10.22146/jmpf.73613","DOIUrl":"https://doi.org/10.22146/jmpf.73613","url":null,"abstract":"The study was conducted by evaluating the rationality of antibiotics as an indicator of the rationality of antibiotic administration with the aim of knowing the level of rationality of the pattern of prescribing antibiotics for urinary tract infections The rationality analysis method of prescribing antibiotics in this study used the Gyssens method as a method in medical research used to determine the rationality of antibiotic administration. This research is a descriptive observational study with a cross-sectional method. The data was obtained from a retrospective search of medical records from January to December 2020 at the medical records section of the Hospital in Surakarta. The results showed that the number of patients with urinary tract infections who were hospitalized during 2020 was 104 patients and the number of patients who received antibiotic prescriptions was 80 patients. The results of rationality analysis showed that the antibiotics used in patients with urinary tract infections were 27 (33.75%) cases of antibiotic use including category 0 (zero) which means rational use of antibiotics. Irrational use of antibiotics occurred in category III-A as 40 cases (50%), II-B as 11 cases (13.75%), and the combination of II B with III A as 2 cases (2.5%).","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48254159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The small salary received by pharmacists is one of the reasons for the low attendance of pharmacists in pharmacies. The regional management of the Yogyakarta Special Region of Indonesian Pharmacist Association (PD IAI DIY) has issued a Decree (SK) on Professional Service Standards for Pharmacists in DIY in 2017 so that it can be used as a reference for pharmacists in Yogyakarta who practice in pharmacies. This study aims to determine the implementation of the decree on pharmacists in DIY. Research variables are basic services, additional income and other facilities. The research instrument is a questionnaire. The sampling method used is accidental sampling. To calculate the number of samples used the Slovin formula. With a confidence level of 90%, the minimum sample size is 222 respondents. However, in this study, 268 pharmacists who practice in pharmacies finally obtained respondents. Respondents came from five districts/cities in DIY. Data were collected from August 2019 to February 2020. The research instrument used an e-questionnaire on a google form which was distributed through social media for members of IAI DIY and also distributed directly to several pharmacies in DIY. The data obtained were analyzed through descriptive statistical tests. The results showed that only 11 respondents met all the criteria in the SK. In the category of pharmacists who hold SIA, only seven respondents met all the criteria in the SK, namely three respondents from Sleman, two respondents from Yogyakarta City, and two respondents from Bantul. In the non-SIA pharmacist category, only four respondents met all the criteria in the SK, namely one respondent from Sleman, two respondents from Yogyakarta City, and one respondent from Gunung Kidul. It can be concluded that the SK PD IAI DIY regarding professional service standards has not been fully implemented by DIY pharmacists.
{"title":"Evaluasi Pelaksanaan Peraturan Penetapan Standar Jasa Profesi Apoteker di Daerah Istimewa Yogyakarta","authors":"Ingenida Hadning, Bangunawati Rahajeng, Pinasti Utami, Siti Martini Khairiati, Noviya Wardhani, Nuariska Laila Ramadhani, Nanang Munif Yasin","doi":"10.22146/jmpf.61125","DOIUrl":"https://doi.org/10.22146/jmpf.61125","url":null,"abstract":"The small salary received by pharmacists is one of the reasons for the low attendance of pharmacists in pharmacies. The regional management of the Yogyakarta Special Region of Indonesian Pharmacist Association (PD IAI DIY) has issued a Decree (SK) on Professional Service Standards for Pharmacists in DIY in 2017 so that it can be used as a reference for pharmacists in Yogyakarta who practice in pharmacies. This study aims to determine the implementation of the decree on pharmacists in DIY. Research variables are basic services, additional income and other facilities. The research instrument is a questionnaire. The sampling method used is accidental sampling. To calculate the number of samples used the Slovin formula. With a confidence level of 90%, the minimum sample size is 222 respondents. However, in this study, 268 pharmacists who practice in pharmacies finally obtained respondents. Respondents came from five districts/cities in DIY. Data were collected from August 2019 to February 2020. The research instrument used an e-questionnaire on a google form which was distributed through social media for members of IAI DIY and also distributed directly to several pharmacies in DIY. The data obtained were analyzed through descriptive statistical tests. The results showed that only 11 respondents met all the criteria in the SK. In the category of pharmacists who hold SIA, only seven respondents met all the criteria in the SK, namely three respondents from Sleman, two respondents from Yogyakarta City, and two respondents from Bantul. In the non-SIA pharmacist category, only four respondents met all the criteria in the SK, namely one respondent from Sleman, two respondents from Yogyakarta City, and one respondent from Gunung Kidul. It can be concluded that the SK PD IAI DIY regarding professional service standards has not been fully implemented by DIY pharmacists.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45273774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy is a disorder that is seen as a symptom due to disruption of electrical activity in the brain caused by various causes. Adherence is an important point in the management of epilepsy and suspected discomfort of side effects is a factor that supports adherence of epilepsy patients. The purpose of this study was to analyze the effect of the occurrence of side effects on the level of adherence in the treatment of epilepsy patients. This research was analytical descriptive observational with cross-sectional study. Data was collected by accidental sampling method by giving questionnaires directly to patients who met the inclusion criteria in Arifin Achmad Hospital of Riau Province. Samples are 31 outpatient epilepsy patients. The results showed that the side effects that often occur are headaches with percentages 38,7% and fatigue are 38.7% and 29% while patients with high adherence are 51.62% and low adherence is 48.38%. The results is no correlation between side effects and adherence of epilepsy patients (p = 0.144 and r = -0.269).
{"title":"Korelasi Efek Samping Antiepilepsi terhadap Ketaatan Pasien Epilepsi di RSUD Arifin Achmad Provinsi Riau","authors":"Fina Aryani, Lovina Aldelyn, Ratna Sari Dewi, Septi Muharni, Husnawati Husnawati","doi":"10.22146/jmpf.70942","DOIUrl":"https://doi.org/10.22146/jmpf.70942","url":null,"abstract":"Epilepsy is a disorder that is seen as a symptom due to disruption of electrical activity in the brain caused by various causes. Adherence is an important point in the management of epilepsy and suspected discomfort of side effects is a factor that supports adherence of epilepsy patients. The purpose of this study was to analyze the effect of the occurrence of side effects on the level of adherence in the treatment of epilepsy patients. This research was analytical descriptive observational with cross-sectional study. Data was collected by accidental sampling method by giving questionnaires directly to patients who met the inclusion criteria in Arifin Achmad Hospital of Riau Province. Samples are 31 outpatient epilepsy patients. The results showed that the side effects that often occur are headaches with percentages 38,7% and fatigue are 38.7% and 29% while patients with high adherence are 51.62% and low adherence is 48.38%. The results is no correlation between side effects and adherence of epilepsy patients (p = 0.144 and r = -0.269).","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48901234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hubungan Kepatuhan, Pengobatan Dengan, Kualitas Hidup, Pasien Gagal, Ginjal Kronik, Disertai Hipertensi, dan Menjalani Hemodialisis, Agustina Nila Yuliawati, Pande Made, Desyana Ratnasari, Gusti Ayu, Santhi Pratiwi
End-stage renal disease (ESRD) patients undergoing hemodialysis (HD) could experience several problems, then reducing their quality of life (QOL). Medication adherence (MA), including HD is very important to improve the patient's QOL. This study aimed to analyze the correlation between MA and QOL and its related factors in ESRD patients. This cross-sectional study was conducted at a Public Hospital, Buleleng, Bali in September 2020. A sample of 89 people was obtained by the purposive sampling technique. The inclusion criteria for this study were ESRD patients aged ≥18 years, undergoing HD, filling out the questionnaire completely, and being able to communicate well. Data were collected using ERSD-AQ and EQ-5D-5L questionnaire, also medication records. Data analysis were performed by Perason’s rank correlation, Spearman’s rho, Kendall’s tau-b/c, Mann-Whitney U, or Kruskal Wallis test (CI 95%). Findings showed that mostly respondents were <60 years old (66.3%), male (71.9%), less than high school educational (68.5%), not working (69.7%), lower income (55.1%), having an ESRD duration of <3 years (67.4%), taking ≤6 item medicines (96.6%), having a mean (±SD) QOL-based on a utility value of 0.779±0.172 and a visual analog scale (VAS) of 60.79±18.04. Hence, there was no significant correlation between MA and QOL, as well as patient characteristics to MA (p>0.05).). Otherwise, patients aged <60 years, high levels of education and income, as well as the number of drug items received, tend to have a better QOL (p<0.05).
{"title":"Hubungan Kepatuhan Pengobatan Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Disertai Hipertensi dan Menjalani Hemodialisis","authors":"Hubungan Kepatuhan, Pengobatan Dengan, Kualitas Hidup, Pasien Gagal, Ginjal Kronik, Disertai Hipertensi, dan Menjalani Hemodialisis, Agustina Nila Yuliawati, Pande Made, Desyana Ratnasari, Gusti Ayu, Santhi Pratiwi","doi":"10.22146/jmpf.69974","DOIUrl":"https://doi.org/10.22146/jmpf.69974","url":null,"abstract":"End-stage renal disease (ESRD) patients undergoing hemodialysis (HD) could experience several problems, then reducing their quality of life (QOL). Medication adherence (MA), including HD is very important to improve the patient's QOL. This study aimed to analyze the correlation between MA and QOL and its related factors in ESRD patients. This cross-sectional study was conducted at a Public Hospital, Buleleng, Bali in September 2020. A sample of 89 people was obtained by the purposive sampling technique. The inclusion criteria for this study were ESRD patients aged ≥18 years, undergoing HD, filling out the questionnaire completely, and being able to communicate well. Data were collected using ERSD-AQ and EQ-5D-5L questionnaire, also medication records. Data analysis were performed by Perason’s rank correlation, Spearman’s rho, Kendall’s tau-b/c, Mann-Whitney U, or Kruskal Wallis test (CI 95%). Findings showed that mostly respondents were <60 years old (66.3%), male (71.9%), less than high school educational (68.5%), not working (69.7%), lower income (55.1%), having an ESRD duration of <3 years (67.4%), taking ≤6 item medicines (96.6%), having a mean (±SD) QOL-based on a utility value of 0.779±0.172 and a visual analog scale (VAS) of 60.79±18.04. Hence, there was no significant correlation between MA and QOL, as well as patient characteristics to MA (p>0.05).). Otherwise, patients aged <60 years, high levels of education and income, as well as the number of drug items received, tend to have a better QOL (p<0.05).","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44808725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agustina Nila Yuliawati, Pande Made Desy Ratnasari, Putri Riski Rosalina
Knowledge is important to control blood sugar and prevent complications and subsequently have an impact on the quality of life (QOL) of type 2 diabetes mellitus (T2DM) patients as a response to their health. This study aimed to determine the correlation between level of knowledge and QOL in type 2 DM (T2DM) patients, also its related factors. This cross-sectional study was conducted in a Public Hospitals, Buleleng, Bali on September 2020. Inclusion criteria included T2DM outpatients who ≥aged 18 years, get similar therapy for at least 3 months, filling out the questionnaire completely, able to communicate well, and not in a pregnant/breastfeeding condition. Data were obtained by medical records, questionnaires DKQ-24 (knowledge) and EQ-5D-5L (QOL). Correlation between knowledge and QOL of T2DM patients and its related factors were analyzed using bivariate statistical tests. Finding of 150 respondents demonstrated mostly were ≥60 years old (53.3%), female (50.7%), first educational level (64%), not working (54%), low income (49.3%), >5 years of T2DM duration (44%), no complications (75.3%), taking 4-6 item medicines (66.7%), moderate knowledge level (70.7%) with QOL based on the utility score was 0.892±0.154 and VAS was 59.73±20.07. Statistical tests showed there was a significant correlation between knowledge and QOL based on utility value (p=0.01), but not with VAS value (p=0.165). These was reinforced by age has a significant correlation with knowledge (p=0.042), also employment status and complications condition has a significant correlation with QOL (p<0.05). Patients with a higher level of knowledge have a better QOL, despite different backgrounds.
{"title":"Hubungan Pengetahuan Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Dan Faktor Yang Mempengaruhinya","authors":"Agustina Nila Yuliawati, Pande Made Desy Ratnasari, Putri Riski Rosalina","doi":"10.22146/jmpf.68631","DOIUrl":"https://doi.org/10.22146/jmpf.68631","url":null,"abstract":"Knowledge is important to control blood sugar and prevent complications and subsequently have an impact on the quality of life (QOL) of type 2 diabetes mellitus (T2DM) patients as a response to their health. This study aimed to determine the correlation between level of knowledge and QOL in type 2 DM (T2DM) patients, also its related factors. This cross-sectional study was conducted in a Public Hospitals, Buleleng, Bali on September 2020. Inclusion criteria included T2DM outpatients who ≥aged 18 years, get similar therapy for at least 3 months, filling out the questionnaire completely, able to communicate well, and not in a pregnant/breastfeeding condition. Data were obtained by medical records, questionnaires DKQ-24 (knowledge) and EQ-5D-5L (QOL). Correlation between knowledge and QOL of T2DM patients and its related factors were analyzed using bivariate statistical tests. Finding of 150 respondents demonstrated mostly were ≥60 years old (53.3%), female (50.7%), first educational level (64%), not working (54%), low income (49.3%), >5 years of T2DM duration (44%), no complications (75.3%), taking 4-6 item medicines (66.7%), moderate knowledge level (70.7%) with QOL based on the utility score was 0.892±0.154 and VAS was 59.73±20.07. Statistical tests showed there was a significant correlation between knowledge and QOL based on utility value (p=0.01), but not with VAS value (p=0.165). These was reinforced by age has a significant correlation with knowledge (p=0.042), also employment status and complications condition has a significant correlation with QOL (p<0.05). Patients with a higher level of knowledge have a better QOL, despite different backgrounds.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48676042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shahiroh Haulaini, Anna Wahyuni Widayati, Susi Ari Kristina
Since WHO announced that COVID-19 is a global pandemic, there have been various changes in health services, including pharmaceutical services. Pharmaceutical preparations, medical devices, and consumable medical materials are pharmaceutical products whose management is performed by pharmacists, so they must be managed wisely during this pandemic. This study aims to analyze what factors influence pharmacists' perceptions in doing pharmaceutical service during the COVID-19 pandemic. The study was conducted using a cross-sectional survey in which researchers distributed online questionnaires. Respondents were selected by convenience sampling with inclusion criteria: pharmacists who practice pharmacy services in Pharmacies and/or in Puskesmas and/or in clinics and/or in hospitals in the Riau Islands province; have not participated in qualitative research and are willing to become research respondents. One hundred and fifteen respondents filled out questionnaires. We analyzed descriptively and statistically with Mann Whitney, Spearman Rank, and Kruskal Wallis test in Jamovi version 2.0. The level of significance for all statistical tests was set at p < 0,05. The results showed that of the 6 independent variables: age, gender, place of practice, length of practice experience, experience attending training/seminar related to COVID-19, and external factors, none of them influenced or correlated with the dependent variable: the role of pharmacists in management, the role of pharmacists in clinical pharmacy services as well as the development of the role and capacity of pharmacists during the pandemic. So it can be concluded that there are no certain factors that affect the perception of pharmacists in doing pharmaceutical practices and services during pandemics based on statistical tests that have been done.
{"title":"Faktor yang Mempengaruhi Persepsi dan Praktik Pelayanan Kefarmasian Apoteker selama Pandemi","authors":"Shahiroh Haulaini, Anna Wahyuni Widayati, Susi Ari Kristina","doi":"10.22146/jmpf.70478","DOIUrl":"https://doi.org/10.22146/jmpf.70478","url":null,"abstract":"Since WHO announced that COVID-19 is a global pandemic, there have been various changes in health services, including pharmaceutical services. Pharmaceutical preparations, medical devices, and consumable medical materials are pharmaceutical products whose management is performed by pharmacists, so they must be managed wisely during this pandemic. This study aims to analyze what factors influence pharmacists' perceptions in doing pharmaceutical service during the COVID-19 pandemic. The study was conducted using a cross-sectional survey in which researchers distributed online questionnaires. Respondents were selected by convenience sampling with inclusion criteria: pharmacists who practice pharmacy services in Pharmacies and/or in Puskesmas and/or in clinics and/or in hospitals in the Riau Islands province; have not participated in qualitative research and are willing to become research respondents. One hundred and fifteen respondents filled out questionnaires. We analyzed descriptively and statistically with Mann Whitney, Spearman Rank, and Kruskal Wallis test in Jamovi version 2.0. The level of significance for all statistical tests was set at p < 0,05. The results showed that of the 6 independent variables: age, gender, place of practice, length of practice experience, experience attending training/seminar related to COVID-19, and external factors, none of them influenced or correlated with the dependent variable: the role of pharmacists in management, the role of pharmacists in clinical pharmacy services as well as the development of the role and capacity of pharmacists during the pandemic. So it can be concluded that there are no certain factors that affect the perception of pharmacists in doing pharmaceutical practices and services during pandemics based on statistical tests that have been done.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44182898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}