Syahrizal Ramadhani, Arie Fidiawan, T. Andayani, Dwi Endarti
Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.
{"title":"Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2","authors":"Syahrizal Ramadhani, Arie Fidiawan, T. Andayani, Dwi Endarti","doi":"10.22146/JMPF.44535","DOIUrl":"https://doi.org/10.22146/JMPF.44535","url":null,"abstract":"Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43767168","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}
Antibiotic resistance causes reduced therapeutic effectiveness. Understanding of people's behavior plays an important role in countering antibiotic resistance especially by preventing irrational use of antibiotics. The purpose of the study was to depict the experience of respondents in using antibiotics without prescription and the relationship of characteristics of respondents with unwillingness to remain a customer at a pharmacy that had refused to provide antibiotics without a prescription. The study design applied cross-sectional using a questionnaire, and sampling was done by purposive sampling. Respondents were people who used antibiotics without a doctor's prescription. The survey was conducted in Yogyakarta in September-October 2018. The data were analyzed descriptively and used multivariate logistic regression. As many as 44.2% of the total 670 respondents used antibiotics the last time more than a year ago; 69.5% received information about antibiotics from previous treatments; 93.4% received antibiotics from pharmacies, and 69.2% stated that the most used antibiotic was amoxicillin. More than half (62.2%) of respondents were still willing to become customers at a pharmacy that had refused to provide antibiotics without a prescription. Respondents with high school education or lower as the latest education degree (OR = 1.513; 95% CI 1.017-2.252); from family income below the regional minimum wage (OR = 1.858; 95% CI 1.302-2.651), and from Sleman Regency (OR = 1.457; 95% CI 1.016-2.089) became a predictor of the unwillingness of respondents to become customers at a pharmacy who had refused to provide antibiotics without a prescription. Supervision of antibiotic (especially amoxicillin) in pharmacies and education to the community needs to be used as part of a strategy against irrational use of antibiotics. In addition, education needs to be given to pharmacists to reduce fears of decreased in the number of their customers because they refuse to deliver antibiotics without a prescription.
{"title":"The Depiction of Antibiotic Use without Presciption and Community Attitudes Towards Drugstores that Refused to Sell Antibiotic without Prescription","authors":"M. Rokhman, S. Satibi","doi":"10.22146/JMPF.44661","DOIUrl":"https://doi.org/10.22146/JMPF.44661","url":null,"abstract":"Antibiotic resistance causes reduced therapeutic effectiveness. Understanding of people's behavior plays an important role in countering antibiotic resistance especially by preventing irrational use of antibiotics. The purpose of the study was to depict the experience of respondents in using antibiotics without prescription and the relationship of characteristics of respondents with unwillingness to remain a customer at a pharmacy that had refused to provide antibiotics without a prescription. The study design applied cross-sectional using a questionnaire, and sampling was done by purposive sampling. Respondents were people who used antibiotics without a doctor's prescription. The survey was conducted in Yogyakarta in September-October 2018. The data were analyzed descriptively and used multivariate logistic regression. As many as 44.2% of the total 670 respondents used antibiotics the last time more than a year ago; 69.5% received information about antibiotics from previous treatments; 93.4% received antibiotics from pharmacies, and 69.2% stated that the most used antibiotic was amoxicillin. More than half (62.2%) of respondents were still willing to become customers at a pharmacy that had refused to provide antibiotics without a prescription. Respondents with high school education or lower as the latest education degree (OR = 1.513; 95% CI 1.017-2.252); from family income below the regional minimum wage (OR = 1.858; 95% CI 1.302-2.651), and from Sleman Regency (OR = 1.457; 95% CI 1.016-2.089) became a predictor of the unwillingness of respondents to become customers at a pharmacy who had refused to provide antibiotics without a prescription. Supervision of antibiotic (especially amoxicillin) in pharmacies and education to the community needs to be used as part of a strategy against irrational use of antibiotics. In addition, education needs to be given to pharmacists to reduce fears of decreased in the number of their customers because they refuse to deliver antibiotics without a prescription.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44279104","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 development of the health sector is an important concern in the international commitments set out in the Millennium Development Goals (MDGs). One of the indicators is the availability and affordability of drugs. Therefore, good management of drugs is needed. This study aims to evaluate planning and distribution of drug programs in 2017 at the Southeast Sulawesi Provincial Health Office and the factors that influence it. This study was conducted in September – October 2018. The programs’ drugs evaluated were for malaria, leprosy, tuberculosis and Humman Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS). This is a descriptive research with quantitative data obtained retrospectively and qualitative data obtained through observations and interviews with interviewees selected by purposive sampling. The data was analyzed using indicators and then compared with the research results. The results showed that the planning and distribution of the drugs had not been fully in accordance with the standard. It was indicated that there were 8 indicators had not meet the standards, namely the accuracy of planning; planning irregularities; level of drug availability; percentage of drugs expired; percentage of deviations from drugs distributed; Inventory Turn Over Ratio (ITOR); average time of drug emptiness; the percentage of dead drug stock, and there were 7 indicators which had met the standars, namely the drug structuring system; the matching number of real goods with stock; organizational management; responsible person; the number of human resources; and financial and information systems. The factors that influence is team coordination; recording and reporting; and operational funds.
{"title":"Evaluasi Perencanaan dan Distribusi Obat Program di Dinas Kesehatan Provinsi Sulawesi Tenggara","authors":"Yuliana Boku, S. Satibi, Nanang Munif Yasin","doi":"10.22146/JMPF.42951","DOIUrl":"https://doi.org/10.22146/JMPF.42951","url":null,"abstract":"The development of the health sector is an important concern in the international commitments set out in the Millennium Development Goals (MDGs). One of the indicators is the availability and affordability of drugs. Therefore, good management of drugs is needed. This study aims to evaluate planning and distribution of drug programs in 2017 at the Southeast Sulawesi Provincial Health Office and the factors that influence it. This study was conducted in September – October 2018. The programs’ drugs evaluated were for malaria, leprosy, tuberculosis and Humman Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS). This is a descriptive research with quantitative data obtained retrospectively and qualitative data obtained through observations and interviews with interviewees selected by purposive sampling. The data was analyzed using indicators and then compared with the research results. The results showed that the planning and distribution of the drugs had not been fully in accordance with the standard. It was indicated that there were 8 indicators had not meet the standards, namely the accuracy of planning; planning irregularities; level of drug availability; percentage of drugs expired; percentage of deviations from drugs distributed; Inventory Turn Over Ratio (ITOR); average time of drug emptiness; the percentage of dead drug stock, and there were 7 indicators which had met the standars, namely the drug structuring system; the matching number of real goods with stock; organizational management; responsible person; the number of human resources; and financial and information systems. The factors that influence is team coordination; recording and reporting; and operational funds.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48618725","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}
S. A. Kristina, Ni Putu Ayu Linda Permitasari, Ahmad Intihan, Dima Nurrohmah Hayati, Kharisma Aprilita Rosyidah
The popularity of electronic nicotine delivery systems (ENDS), also known as e-cigarette, has been growing rapidly in the past years. Therefore, it is also important to explore how e-cigarette users perceive its harm and addiction risk. The aim of this study is to review and determine perceived harm and addictiveness of e-cigarette among e-cigarette users. We conducted a systematic review for published articles in English that had reported about perceived harm and addictiveness of e-cigarette published during year 2008 to 2018. Relevant studies were located through an extensive search from three electronic databases (PubMed, Science Direct, and Cochrane Database of Systematic Reviews) and Google Scholar on October 2018. Key terms used were “perceived harm”, “perceived risk”, “harm and addictiveness”, “belief”, “electronic cigarette”, “e-cigarette”, and “vaping”. A result of 88 studies were retrieved and reviewed. After further inspection of references from the collected studies, only 5 selected studies met all inclusion criteria. The final studies consisted of three cross-sectional studies, one longitudinal, and one prospective study. E-cigarette were perceived harmless and less addictive than cigarettes among its users with many predictors associated, including sex, age, race, education, advertisement and health belief for smoking cessation. Compared to non-users, e-cigarette users were significantly less likely to worry about the health risks, either its harm or addictiveness. E-cigarette was perceived harmless and less addictive than tobacco cigarettes. Further study about e-cigarette profile is particularly important to design public health messages that accurately interpret the scientific data on the potential harm and addictiveness of e-cigarette.
电子尼古丁输送系统(ENDS)，也被称为电子烟，在过去几年里一直在迅速普及。因此，探索电子烟使用者如何看待其危害和成瘾风险也很重要。本研究的目的是审查和确定电子烟用户对电子烟的感知危害和成瘾性。我们对2008年至2018年期间发表的关于电子烟感知危害和成瘾性的英文文章进行了系统回顾。2018年10月，通过对三个电子数据库(PubMed、Science Direct和Cochrane Database of Systematic Reviews)和谷歌Scholar的广泛搜索，找到了相关研究。使用的关键词是“感知伤害”、“感知风险”、“伤害和成瘾性”、“信念”、“电子烟”、“电子烟”和“vaping”。我们检索并回顾了88项研究的结果。在对所收集研究的参考文献进行进一步检查后，只有5项入选研究符合所有纳入标准。最后的研究包括三个横断面研究，一个纵向研究和一个前瞻性研究。电子烟的使用者认为电子烟是无害的，比香烟更不容易上瘾，这与许多预测因素有关，包括性别、年龄、种族、教育程度、广告和戒烟的健康信念。与非使用者相比，电子烟使用者明显不太可能担心健康风险，无论是危害还是成瘾性。电子烟被认为是无害的，而且比香烟更不容易上瘾。进一步研究电子烟的概况对于设计公共卫生信息，准确解释有关电子烟潜在危害和成瘾性的科学数据尤为重要。
{"title":"Perceived Harm and Addictiveness of e-Cigarette: A Systematic Review","authors":"S. A. Kristina, Ni Putu Ayu Linda Permitasari, Ahmad Intihan, Dima Nurrohmah Hayati, Kharisma Aprilita Rosyidah","doi":"10.22146/JMPF.43783","DOIUrl":"https://doi.org/10.22146/JMPF.43783","url":null,"abstract":"The popularity of electronic nicotine delivery systems (ENDS), also known as e-cigarette, has been growing rapidly in the past years. Therefore, it is also important to explore how e-cigarette users perceive its harm and addiction risk. The aim of this study is to review and determine perceived harm and addictiveness of e-cigarette among e-cigarette users. We conducted a systematic review for published articles in English that had reported about perceived harm and addictiveness of e-cigarette published during year 2008 to 2018. Relevant studies were located through an extensive search from three electronic databases (PubMed, Science Direct, and Cochrane Database of Systematic Reviews) and Google Scholar on October 2018. Key terms used were “perceived harm”, “perceived risk”, “harm and addictiveness”, “belief”, “electronic cigarette”, “e-cigarette”, and “vaping”. A result of 88 studies were retrieved and reviewed. After further inspection of references from the collected studies, only 5 selected studies met all inclusion criteria. The final studies consisted of three cross-sectional studies, one longitudinal, and one prospective study. E-cigarette were perceived harmless and less addictive than cigarettes among its users with many predictors associated, including sex, age, race, education, advertisement and health belief for smoking cessation. Compared to non-users, e-cigarette users were significantly less likely to worry about the health risks, either its harm or addictiveness. E-cigarette was perceived harmless and less addictive than tobacco cigarettes. Further study about e-cigarette profile is particularly important to design public health messages that accurately interpret the scientific data on the potential harm and addictiveness of e-cigarette.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633748","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}
R. Haris, Rahmat Makmur, T. Andayani, Susi Ari Kristina
Quality of life (HRQoL) is a measure of a person's health in physical, spiritual, and emotional, and role functions in the society. Measurement of quality of life (HRQoL) is an important thing to understand and evaluate. Measurements are carried out not only on patients but also on the general population with the use of specific or generic instruments. The instrument used requires a psychometric properties test to ensure its validity and reliability. This article aims to conduct a systematic review of the psychometric properties of quality of life (HRQoL) instruments in the general population. Articles were collected in December 1st to 5th, 2018, from Pubmed and Google Scholar. The assessment was carried out using the checklist properties according to the cohen criteria and included the content validity, construct validity, internal consistency reliability, test-retest, ceiling effect and the level of credibility of the instruments. Among 80 articles obtained there were 24 articles that fulfilled the inclusion criteria. Short Form-36 (SF-36) instrument is the most widely used instrument in measuring the quality of life in the general population (26.6%). Some instruments have not been tested according to the criteria, while almost all instruments show a good level of validation of construct validity using convergent and discriminat validity with cronbach alpha values > 0.7. Test-retest reliability provides a good correlation. Some instruments show a ceiling effect. According to the assessment, the SF-36, SF-6D, EQ-5D, SF-12 and PedsQoL instruments are considered as established instruments. Further validation testing is needed to provide and support the measurement of subsequent quality of life (HRQoL) instruments.
{"title":"Penilaian Properti Psikometrik Instrumen Kualitas Hidup (HRQol) pada Populasi Umum: Tinjauan Sistematik","authors":"R. Haris, Rahmat Makmur, T. Andayani, Susi Ari Kristina","doi":"10.22146/JMPF.41911","DOIUrl":"https://doi.org/10.22146/JMPF.41911","url":null,"abstract":"Quality of life (HRQoL) is a measure of a person's health in physical, spiritual, and emotional, and role functions in the society. Measurement of quality of life (HRQoL) is an important thing to understand and evaluate. Measurements are carried out not only on patients but also on the general population with the use of specific or generic instruments. The instrument used requires a psychometric properties test to ensure its validity and reliability. This article aims to conduct a systematic review of the psychometric properties of quality of life (HRQoL) instruments in the general population. Articles were collected in December 1st to 5th, 2018, from Pubmed and Google Scholar. The assessment was carried out using the checklist properties according to the cohen criteria and included the content validity, construct validity, internal consistency reliability, test-retest, ceiling effect and the level of credibility of the instruments. Among 80 articles obtained there were 24 articles that fulfilled the inclusion criteria. Short Form-36 (SF-36) instrument is the most widely used instrument in measuring the quality of life in the general population (26.6%). Some instruments have not been tested according to the criteria, while almost all instruments show a good level of validation of construct validity using convergent and discriminat validity with cronbach alpha values > 0.7. Test-retest reliability provides a good correlation. Some instruments show a ceiling effect. According to the assessment, the SF-36, SF-6D, EQ-5D, SF-12 and PedsQoL instruments are considered as established instruments. Further validation testing is needed to provide and support the measurement of subsequent quality of life (HRQoL) instruments.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46127801","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}
This study aims to analyze the relationship between the compliance with the implementation of clinical pathways to therapeutic outcomes (ILO events, length of stay, pain intensity) and the total real cost of cesarean section patients. The study was conducted at a type C private hospital in Yogyakarta. This study is a non-experimental analytical study (observational analytic) with a cross sectional design using a retrospective data collection method and analyzed using Chi square test and non parametric regression test. Descriptive analysis for compliance with the implementation of clinical pathways was carried out by assessing the compliance of each care point contained in the clinical pathway section of the cesarean consisting of 12 points of care and will be grouped into two categories namely low compliance category with the average compliance value for clinical pathway <85% and good compliance with the average compliance value for clinical pathway ≥85%. Descriptions of adherence to the implementation of clinical pathway cesarean section each patient showed that as many as 686 patients (98%) had a good average compliance score and 14 patients (2%) had a low average compliance score. Outcome description 700 patients with cesarean section were found 1 patient experienced ILO, LOS according to clinical pathway (≤3 days) as many as 620 patients and 700 patients with pain scale ≤3. The results of the analysis of the relationship between the compliance and the implementation of the clinical pathway to the outcome of therapy (ILO events, length of stay, and pain intensity) showed the existence of a compliance relationship to the implementation of the clinical pathway with a value of p<0.05. The analysis of the relationship between the compliance to the implementation of the clinical pathway and the total real costs shows the relationship between the compliance with the implementation of the caesarean section clinical pathway at a type C private hospitals in Yogyakarta with the total real costs with p value of 0,000 and r value of 0.014.
{"title":"Analysis of Cesarean Section Clinical Pathway Compliance at a Private Hospital in Yogyakarta","authors":"Beta Haninditya, T. Andayani, N. M. Yasin","doi":"10.22146/JMPF.42264","DOIUrl":"https://doi.org/10.22146/JMPF.42264","url":null,"abstract":"This study aims to analyze the relationship between the compliance with the implementation of clinical pathways to therapeutic outcomes (ILO events, length of stay, pain intensity) and the total real cost of cesarean section patients. The study was conducted at a type C private hospital in Yogyakarta. This study is a non-experimental analytical study (observational analytic) with a cross sectional design using a retrospective data collection method and analyzed using Chi square test and non parametric regression test. Descriptive analysis for compliance with the implementation of clinical pathways was carried out by assessing the compliance of each care point contained in the clinical pathway section of the cesarean consisting of 12 points of care and will be grouped into two categories namely low compliance category with the average compliance value for clinical pathway <85% and good compliance with the average compliance value for clinical pathway ≥85%. Descriptions of adherence to the implementation of clinical pathway cesarean section each patient showed that as many as 686 patients (98%) had a good average compliance score and 14 patients (2%) had a low average compliance score. Outcome description 700 patients with cesarean section were found 1 patient experienced ILO, LOS according to clinical pathway (≤3 days) as many as 620 patients and 700 patients with pain scale ≤3. The results of the analysis of the relationship between the compliance and the implementation of the clinical pathway to the outcome of therapy (ILO events, length of stay, and pain intensity) showed the existence of a compliance relationship to the implementation of the clinical pathway with a value of p<0.05. The analysis of the relationship between the compliance to the implementation of the clinical pathway and the total real costs shows the relationship between the compliance with the implementation of the caesarean section clinical pathway at a type C private hospitals in Yogyakarta with the total real costs with p value of 0,000 and r value of 0.014.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41835936","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}
Several types of medicines for pediatric patients are not commercially available in appropriate dosage forms. While divided powder resulted from compounding process is an alternative to address this problem, the dosage accuracy is still profoundly a major issue. This research was aimed at comparing student’s ability prior to and after taking compounding practical work and analyzing weight accuracy of divided powders compounded by students. This research was designed as a pre-post study. Students who were taking compounding practical work (for 12 weeks) in 2017 were asked to fill a prescription contained divided powders in the beginning and the end of the semester, given enriched learning material of compounding technique videos and feedback as evaluation of their pretest results. The data is presented in the form of a percentage, while differences between pretest and post-test are compared utilizing Wilcoxon test. This study suggests that there was a significant increase of students’ ability in calculating the amount of each ingredient required to fill the prescription, choice of label color, approximating the beyond-use date, folding the divided powders, and making a copy of the prescription. However, there was a small number of students (15.3%) whose divided powders they have dispensed were in the allowed weight range. This study documents the need for quality assessment of medications prepared by students quantitatively and this assessment serves as a parameter of student performance.
{"title":"Evaluation of Students’ Skills in Compounding of Divided Powders","authors":"M. Rokhman, Hardika Aditama, Angi Nadya Bestari","doi":"10.22146/JMPF.42802","DOIUrl":"https://doi.org/10.22146/JMPF.42802","url":null,"abstract":"Several types of medicines for pediatric patients are not commercially available in appropriate dosage forms. While divided powder resulted from compounding process is an alternative to address this problem, the dosage accuracy is still profoundly a major issue. This research was aimed at comparing student’s ability prior to and after taking compounding practical work and analyzing weight accuracy of divided powders compounded by students. This research was designed as a pre-post study. Students who were taking compounding practical work (for 12 weeks) in 2017 were asked to fill a prescription contained divided powders in the beginning and the end of the semester, given enriched learning material of compounding technique videos and feedback as evaluation of their pretest results. The data is presented in the form of a percentage, while differences between pretest and post-test are compared utilizing Wilcoxon test. This study suggests that there was a significant increase of students’ ability in calculating the amount of each ingredient required to fill the prescription, choice of label color, approximating the beyond-use date, folding the divided powders, and making a copy of the prescription. However, there was a small number of students (15.3%) whose divided powders they have dispensed were in the allowed weight range. This study documents the need for quality assessment of medications prepared by students quantitatively and this assessment serves as a parameter of student performance.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41869159","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}
Patients with diabetes mellitus (DM) are patients with a low level of treatment adherence. Low adherence is often the cause of treatment failure, so the risk of complications is higher and can affect the quality of life of patients. This study aimed to determine the relationship between treatment adherence to clinical outcomes and the quality of life of patients with type 2 DM. This study used a cross sectional design involving patients with type 2 DM who met the inclusion and exclusion criteria in three health centers in Bantul, Yogyakarta. Data on patient medication compliance was obtained using medication adherence report scale questionnaire (MARS-5), patient quality of life data using Short-Form 6 Dimensions questionnaire (SF-6D), data on fasting blood glucose levels (GDS / GDP) from medical records, socio demographic data obtained from respondents and medical records. The relationship between the level of adherence to clinical outcomes using Chi-square analysis while the relationship between the level of adherence to quality of life using Spearman Rho analysis. The total number of respondents involved was 179 patients, the majority had a low level of adherence (57%), clinical outcomes that had not been achieved (68.7%), and the average utility score was high (0.816). There was a relationship between medication adherence to clinical outcomes (P = 0.002; OR = 2.875). Similarly, between adherence to quality of life, there is a significant relationship (P = 0.006) with a weak correlation level (r = 0.204). Therefore, patients and Health professionals, especially pharmacists, need to pay attention to medication adherence to achieve optimal clinical outcomes and a better quality of life.
{"title":"The Correlation of Treatment Adherence with Clinical Outcome and Quality of Life in Patients with Type 2 Diabetes","authors":"Syaiful Katadi, T. Andayani, D. Endarti","doi":"10.22146/JMPF.42927","DOIUrl":"https://doi.org/10.22146/JMPF.42927","url":null,"abstract":"Patients with diabetes mellitus (DM) are patients with a low level of treatment adherence. Low adherence is often the cause of treatment failure, so the risk of complications is higher and can affect the quality of life of patients. This study aimed to determine the relationship between treatment adherence to clinical outcomes and the quality of life of patients with type 2 DM. This study used a cross sectional design involving patients with type 2 DM who met the inclusion and exclusion criteria in three health centers in Bantul, Yogyakarta. Data on patient medication compliance was obtained using medication adherence report scale questionnaire (MARS-5), patient quality of life data using Short-Form 6 Dimensions questionnaire (SF-6D), data on fasting blood glucose levels (GDS / GDP) from medical records, socio demographic data obtained from respondents and medical records. The relationship between the level of adherence to clinical outcomes using Chi-square analysis while the relationship between the level of adherence to quality of life using Spearman Rho analysis. The total number of respondents involved was 179 patients, the majority had a low level of adherence (57%), clinical outcomes that had not been achieved (68.7%), and the average utility score was high (0.816). There was a relationship between medication adherence to clinical outcomes (P = 0.002; OR = 2.875). Similarly, between adherence to quality of life, there is a significant relationship (P = 0.006) with a weak correlation level (r = 0.204). Therefore, patients and Health professionals, especially pharmacists, need to pay attention to medication adherence to achieve optimal clinical outcomes and a better quality of life.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44421693","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}
N. N. Widyakusuma, C. Wiedyaningsih, Fivy Kurniawati
The term health literacy has been emerging since the last decades. Poor health literacy had been realized as a main factor for poor health outcomes, higher medical costs, greater risk of death, and poor health status. With the health care system becoming increasingly complicated and the abundance of unclear health information, the ability to understand health information is important for the patients. Health literacy in the context of medicine was also being studied using different terms. It is rather difficult to compile when interventions to improve health literacy is in need of review. At the moment, the term “medication literacy” has been defined internationally by experts. With this definition, medication literacy studies will have the same concept and will be easier in benchmarking between studies. It is very important for pharmacists to recognize and assist patients with limited medication literacy. Although there are several barriers to do improvement in medication literacy, pharmacists can help both individually and through the system. Some of the interventions that can be carried out by pharmacists are assistance with drug information using literacy-sensitive techniques such as repetition, open questions, devices, demonstration on how to use drugs, and using printed materials to ensure patients understand their condition and treatment plans. Unfortunately, practicing pharmacists are lack of knowledge and even interest in medication literacy.
{"title":"Medication Literacy for Pharmacists: A Review","authors":"N. N. Widyakusuma, C. Wiedyaningsih, Fivy Kurniawati","doi":"10.22146/jmpf.41550","DOIUrl":"https://doi.org/10.22146/jmpf.41550","url":null,"abstract":"The term health literacy has been emerging since the last decades. Poor health literacy had been realized as a main factor for poor health outcomes, higher medical costs, greater risk of death, and poor health status. With the health care system becoming increasingly complicated and the abundance of unclear health information, the ability to understand health information is important for the patients. Health literacy in the context of medicine was also being studied using different terms. It is rather difficult to compile when interventions to improve health literacy is in need of review. At the moment, the term “medication literacy” has been defined internationally by experts. With this definition, medication literacy studies will have the same concept and will be easier in benchmarking between studies. It is very important for pharmacists to recognize and assist patients with limited medication literacy. Although there are several barriers to do improvement in medication literacy, pharmacists can help both individually and through the system. Some of the interventions that can be carried out by pharmacists are assistance with drug information using literacy-sensitive techniques such as repetition, open questions, devices, demonstration on how to use drugs, and using printed materials to ensure patients understand their condition and treatment plans. Unfortunately, practicing pharmacists are lack of knowledge and even interest in medication literacy.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43437611","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}
S. Satibi, A. Fudholi, Eirene Copalcanty Tuko, Gabriela Larasati Swastiandari
The drugs availability is still a problem in the health system in Indonesia. The number of JKN participants increasing the need for generic drugs. Pharmaceutical industry has a role to produce affordable and good quality medicines by implementing good supply chain. The purpose of this study was to identify the role of inventory control, storage and distribution facilities in the pharmaceutical industry in supporting drugs availability in the JKN era. This is a descriptive research with qualitative method and uses purposive sampling. Data was collected in depth interview with employees from the PPIC and SCM in Pharma A, Pharma B, Pharma C and Pharma D that collaborated with BPJS Kesehatan and become drug providers in e-catalogue tender. Data analysis consisted of making interview transcripts, interpreting data, and triangulation. The results of the analysis showed that inventory control has an influence in the pharmaceutical industry in supporting the drugs availability due to a mismatch between demand and need, thereby increasing the occurrence of stock over or stock out. Facilities of storage has an influence in the pharmaceutical industry in supporting the drugs availability due to overload storage facilities so that the storage method was not optimal and has to pay other costs to rent warehouses. Distribution has an influence in the pharmaceutical industry in supporting the drugs availability because the costs for distribution must reach a minimum order to be distributed and the choice of transportation modes for distribution may be increased the lead time that caused the drug vacancies.
{"title":"The Inventory Control, Storage Facilities and Distribution at Pharmaceutical Industry in Supporting Drugs Availability of JKN Era","authors":"S. Satibi, A. Fudholi, Eirene Copalcanty Tuko, Gabriela Larasati Swastiandari","doi":"10.22146/JMPF.43162","DOIUrl":"https://doi.org/10.22146/JMPF.43162","url":null,"abstract":"The drugs availability is still a problem in the health system in Indonesia. The number of JKN participants increasing the need for generic drugs. Pharmaceutical industry has a role to produce affordable and good quality medicines by implementing good supply chain. The purpose of this study was to identify the role of inventory control, storage and distribution facilities in the pharmaceutical industry in supporting drugs availability in the JKN era. This is a descriptive research with qualitative method and uses purposive sampling. Data was collected in depth interview with employees from the PPIC and SCM in Pharma A, Pharma B, Pharma C and Pharma D that collaborated with BPJS Kesehatan and become drug providers in e-catalogue tender. Data analysis consisted of making interview transcripts, interpreting data, and triangulation. The results of the analysis showed that inventory control has an influence in the pharmaceutical industry in supporting the drugs availability due to a mismatch between demand and need, thereby increasing the occurrence of stock over or stock out. Facilities of storage has an influence in the pharmaceutical industry in supporting the drugs availability due to overload storage facilities so that the storage method was not optimal and has to pay other costs to rent warehouses. Distribution has an influence in the pharmaceutical industry in supporting the drugs availability because the costs for distribution must reach a minimum order to be distributed and the choice of transportation modes for distribution may be increased the lead time that caused the drug vacancies.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42137240","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}
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