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Evaluation of the Use of Antidiabetic Drugs in Patients of Back-Referral Program at the Demak District Pharmacy Demak地区药房反向转诊项目患者使用降糖药的评价
Pub Date : 2022-07-05 DOI: 10.22146/jmpf.73841
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%。
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引用次数: 0
Optimalisasi Manajemen Alat Pelindung Diri dan Pelayanan Farmasi Klinis selama Pandemi COVID-19: Narrative Review 新冠肺炎大流行期间优化自我保护工具管理和临床药物服务:叙述性综述
Pub Date : 2022-06-30 DOI: 10.22146/jmpf.71090
Kartika Citra Dewi Permata Sari, Nadia Farhanah Syafhan, Imanuel ' Sianipar
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.
卫生服务中个人防护装备的使用在确保医护人员和患者的安全方面发挥着至关重要的作用,特别是在COVID-19大流行期间。另一方面,市场上个人防护装备种类繁多,医院预算和物资有限,必需的个人防护装备必须合理管理。作为供应管理人员和临床护理提供者的药剂师必须实施个人防护装备管理优化战略,以确保个人防护装备的可用性,并避免诸如增加卫生服务成本或个人防护装备浪费等负面影响。本文旨在从供应阶段管理和临床药学服务管理两方面为医院PPE管理提供循证策略。本文采用叙述性文献综述法,检索谷歌Scholar、ScienceDirect和SpringerLink数据库。与PPE管理相关的文章;本研究包括COVID-19大流行期间个人防护用品的替代使用、选择、规划、分发、再利用和临床药学服务。通过检索,共获得30篇文献和13项政策指南,纳入本文献综述。管理策略包括根据传播风险确定和队列供应需求、选择个人防护装备类型、使用计算工具进行预测、避免及时采购、集中分发和潜在的重复使用。修改临床药学服务以尽量减少个人防护装备的使用也是一种优化策略。为了实施它,药剂师需要与医院的其他专业人员合作,因为它通过综合方法提高了成功率。所建议的战略预计将有助于印度尼西亚医院个人防护装备的管理,但其应用必须针对每家医院量身定制。
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引用次数: 0
Efek Pemberian Metformin dan Metformin+Glimepiride terhadap Kadar HbA1c pada Pasien Diabetes Mellitus Tipe 2 二型糖尿病患者中二甲胺和二甲甲胺+糖丸对乙二醇水平的影响
Pub Date : 2022-06-30 DOI: 10.22146/jmpf.72192
Fitri Apriliany, Elis Cholisah, Karina Erlianti
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.
糖尿病是一种慢性代谢性疾病,糖尿病的管理始于健康的生活方式和早期服用抗糖尿病药物。二甲双胍是治疗糖尿病的一线药物,如果单次治疗不能控制血糖和糖化血红蛋白水平,则采用联合治疗。本研究旨在确定给予二甲双胍和二甲双胍+格列美脲对DM2患者HbA1c水平的影响。纳入标准为糖尿病患者,口服降糖药至少6个月,完整的医疗记录,会讲印尼语。排除标准包括接受胰岛素治疗的糖尿病患者、结核病患者、精神障碍患者和孕妇/哺乳期妇女。描述性地描述了社会人口学数据、处方模式描述和HbA1c水平的实现。数据分析采用Wilcoxon检验。本研究的应答者为69例,以女性为主(71%)。使用的治疗类型为二甲双胍(59.4%)和二甲双胍+格列美脲(40.6%)。达到二甲双胍+格列美脲HbA1c水平(67.9%),二甲双胍(48.8%)。二甲双胍(-0.31%±0.38 mg/dL)与二甲双胍+格列美脲(-0.33%±0.54 mg/dL)降低HbA1c水平的差异(p = 0.000)。分析结果显示,单用二甲双胍对降低HbA1c水平有显著作用,加用格列美脲(二甲双胍+格列美脲)降低糖尿病患者HbA1c水平不能用二甲双胍控制。本研究的意义是作为综合管理指南的输入,可用于减少糖尿病的患病率。良好的管理是实现治疗效果所必需的。
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引用次数: 0
Knowledge, Attitude, and Medicine Taking Behavior of Lymphatic Filariasis Patients in Two Villages in West Kotawaringin Regency 西哥打瓦林县两个村庄淋巴丝虫病患者的知识、态度和服药行为
Pub Date : 2022-06-30 DOI: 10.22146/jmpf.72681
Yuniarti Suryatinah, N. Rahayu
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。
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引用次数: 0
Evaluasi Rasionalitas Penggunaan Antibiotik pada Pasien dengan Infeksi Saluran Kemih di Rumah Sakit X di Surakarta 日喀市X医院膀胱感染患者使用抗生素的合理性评估
Pub Date : 2022-06-30 DOI: 10.22146/jmpf.73613
Adhi Wardhana Amrullah, Avianti Eka Dewi Aditya Purwaningsih, Rolando Rahardjoputro, Atiek Murharyati
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%).
本研究通过评价抗生素的合理性作为抗生素给药合理性的指标,旨在了解尿路感染抗生素处方模式的合理性水平。本研究的抗生素处方合理性分析方法采用Gyssens法作为医学研究中确定抗生素给药合理性的方法。本研究采用横断面方法进行描述性观察性研究。数据是通过对2020年1月至12月在泗水医院病历科进行的医疗记录的回顾性检索获得的。结果显示,2020年住院尿路感染患者104例,抗生素处方患者80例。合理性分析结果显示,尿路感染患者使用抗生素27例(33.75%),其中0类(零)为合理使用抗生素。III-A类不合理使用抗生素40例(50%),II-B类11例(13.75%),II-B与III-A合用2例(2.5%)。
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引用次数: 0
Evaluasi Pelaksanaan Peraturan Penetapan Standar Jasa Profesi Apoteker di Daerah Istimewa Yogyakarta 日惹特别地区药剂师职业服务标准执行条例评估
Pub Date : 2022-06-30 DOI: 10.22146/jmpf.61125
Ingenida Hadning, Bangunawati Rahajeng, Pinasti Utami, Siti Martini Khairiati, Noviya Wardhani, Nuariska Laila Ramadhani, Nanang Munif Yasin
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.
药剂师的工资很低是药剂师在药店出勤率低的原因之一。印尼药剂师协会日惹专区的地区管理层(PD IAI DIY)于2017年发布了一项关于DIY药剂师专业服务标准的法令(SK),以供在药店执业的日惹药剂师参考。本研究旨在确定药剂师在DIY中的法令实施情况。研究变量包括基本服务、额外收入和其他设施。研究工具是一份问卷。所使用的采样方法是意外采样。为了计算样本数量,使用Slovin公式。在90%的置信水平下,最小样本量为222名受访者。然而,在这项研究中,268名在药店执业的药剂师最终获得了受访者。受访者来自五个地区/城市。数据收集于2019年8月至2020年2月。该研究工具使用了谷歌表格上的电子问卷,该问卷通过社交媒体为IAI DIY成员分发,也直接分发给几家DIY药店。通过描述性统计检验对获得的数据进行分析。结果显示,只有11名受访者符合SK中的所有标准。在持有SIA的药剂师类别中,只有7名受访者满足SK中的全部标准,即3名来自Sleman的受访者、2名来自Yogyakarta市的受访者和2名来自Bantul的受访者。在非SIA药剂师类别中,只有四名受访者符合SK的所有标准,即一名来自Sleman的受访者、两名来自日惹市的受访者和一名来自Gunung Kidul的受访者。可以得出的结论是,SK PD IAI关于专业服务标准的DIY药剂师尚未完全实施。
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引用次数: 0
Korelasi Efek Samping Antiepilepsi terhadap Ketaatan Pasien Epilepsi di RSUD Arifin Achmad Provinsi Riau 廖内阿克马德港癫痫患者不服从的副作用
Pub Date : 2022-04-04 DOI: 10.22146/jmpf.70942
Fina Aryani, Lovina Aldelyn, Ratna Sari Dewi, Septi Muharni, Husnawati Husnawati
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).
癫痫是一种由各种原因引起的大脑电活动中断引起的症状。依从性是癫痫治疗的一个重要方面,疑似副作用不适是支持癫痫患者依从性的一个因素。本研究的目的是分析癫痫患者治疗中副作用的发生对依从性水平的影响。本研究采用分析描述性观察和横断面研究相结合的方法。数据是通过意外抽样方法收集的,直接向廖内省Arifin Achmad医院符合纳入标准的患者发放问卷。样本为31名门诊癫痫患者。结果表明,癫痫患者常见的副作用是头痛,其发生率分别为38.7%和29%,而高依从性患者为51.62%,低依从性患者则为48.38%。
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引用次数: 0
Hubungan Kepatuhan Pengobatan Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Disertai Hipertensi dan Menjalani Hemodialisis 慢性肾衰竭患者与生活质量的药物亲和力关系,伴有高血压和血液透析
Pub Date : 2022-03-31 DOI: 10.22146/jmpf.69974
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).
接受血液透析(HD)的终末期肾病(ESRD)患者可能会遇到一些问题,从而降低他们的生活质量(QOL)。药物依从性(MA),包括HD对改善患者的生活质量非常重要。本研究旨在分析ESRD患者MA与生活质量的相关性及其相关因素。这项横断面研究于2020年9月在巴厘岛布莱伦的一家公立医院进行。通过有目的的抽样技术获得了89人的样本。本研究的纳入标准为年龄≥18岁、接受HD、完整填写问卷并能够良好沟通的ESRD患者。使用ERSD-AQ和EQ-5D-5L问卷以及药物记录收集数据。数据分析采用Perason秩相关、Spearman rho、Kendall tau-b/c、Mann-Whitney U或Kruskal-Wallis检验(CI 95%)。调查结果显示,大多数受访者为0.05)。否则,年龄<60岁、受教育程度和收入水平高以及接受药物项目数量多的患者往往有更好的生活质量(p<0.05)。
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引用次数: 1
Hubungan Pengetahuan Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Dan Faktor Yang Mempengaruhinya 了解2型糖尿病患者生活质量的关系及其影响因素
Pub Date : 2022-03-31 DOI: 10.22146/jmpf.68631
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.
知识对于控制血糖和预防并发症很重要,并随后对2型糖尿病(T2DM)患者的生活质量(QOL)产生影响,作为对其健康的反应。本研究旨在确定2型糖尿病(T2DM)患者的知识水平与生活质量之间的相关性及其相关因素。这项横断面研究于2020年9月在巴厘岛布莱伦的一家公立医院进行。纳入标准包括年龄≥18岁、接受类似治疗至少3个月、完整填写问卷、能够良好沟通且未处于怀孕/哺乳状态的T2DM门诊患者。数据通过病历、问卷DKQ-24(知识)和EQ-5D-5L(生活质量)获得。采用双变量统计检验分析2型糖尿病患者知识与生活质量的相关性及其相关因素。150名受访者的调查结果表明,大多数受访者年龄≥60岁(53.3%),女性(50.7%),第一文化水平(64%),不工作(54%),低收入(49.3%),T2DM持续时间>5年(44%),无并发症(75.3%),服用4-6项药物(66.7%),中等知识水平(70.7%),基于效用得分的生活质量为0.892±0.154,VAS为59.73±20.07。统计检验表明,基于效用值,知识与生活质量之间存在显著相关性(p=0.01),而与VAS值之间没有显著相关性(p=0.165)。这些相关性随着年龄的增长而增强,与知识具有显著相关性(p=0.042),就业状况和并发症状况也与生活质量显著相关(p<0.05)。知识水平越高的患者生活质量越好,尽管背景不同。
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引用次数: 0
Faktor yang Mempengaruhi Persepsi dan Praktik Pelayanan Kefarmasian Apoteker selama Pandemi 影响药师在大流行期间的感知和实践的因素
Pub Date : 2022-03-31 DOI: 10.22146/jmpf.70478
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.
自世卫组织宣布2019冠状病毒病为全球大流行以来,包括药品服务在内的卫生服务发生了各种变化。药物制剂、医疗器械和医用耗材是由药剂师进行管理的药品,因此在本次大流行期间必须对其进行明智管理。本研究旨在分析新冠肺炎大流行期间影响药师药学服务观念的因素。这项研究是通过横断面调查进行的,研究人员在调查中分发在线问卷。通过方便抽样选择调查对象,纳入标准为:在廖内群岛省药房和/或Puskesmas和/或诊所和/或医院从事药学服务的药剂师;没有参加过定性研究,并愿意成为研究对象。115名受访者填写了调查问卷。采用Jamovi 2.0版的Mann Whitney、Spearman Rank和Kruskal Wallis检验进行描述性和统计学分析。所有统计检验的显著性水平设为p < 0.05。结果显示,年龄、性别、执业地点、执业年限、参加新冠肺炎相关培训/研讨会的经历、外部因素6个自变量中,药师在管理中的作用、药师在临床药学服务中的作用、大流行期间药师角色和能力的发展等因变量均不受影响或与之相关。因此,根据已经完成的统计测试,可以得出结论,在流行病期间,没有某些因素影响药剂师在药物实践和服务方面的看法。
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Jurnal Manajemen dan Pelayanan Farmasi
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