2018-2020年东北地区民营医院非透析慢性肾病患者口服降压药合理使用评价

Sukma Widayani, Wahyu Nuraini Hasmar
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摘要

慢性肾脏疾病(CKD)是目前世界上最常见的疾病之一,受到关注,包括在印度尼西亚。CKD患者有逐年增加的趋势。高血压是CKD的原因和影响,并有助于其发展。本研究旨在评价2018-2020年东别加西私立医院慢性肾病患者口服降压药的适宜性。方法:本研究采用回顾性观察资料,收集非透析慢性肾病患者的病历资料。研究人群均为东贝卡西私立医院住院诊断为非透析慢性肾脏疾病的患者。样本采用连续抽样法,根据50例患者的入选标准确定样本。结果:本研究的用药评价包括正确的患者、正确的适应证、正确的用药和正确的剂量。结果:患者正确率100%,适应证正确率98%,用药正确率86%,剂量正确率94.84%。结论需要对慢性肾病患者口服降压药的使用情况进行评估,以降低高血压对CKD发展的贡献。
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APPROPRIATE USE OF ORAL ANTIHYPERTENSIVE DRUGS EVALUATION IN NONDIALYSIS CHRONIC KIDNEY DISEASE PATIENT OF PRIVATE HOSPITAL IN EAST BEKASI 2018-2020
Introduction: Chronic Kidney Disease (CKD) is currently one of the most common diseases and being a concern in the world, including in Indonesia. The number of patients with CKD tends to increase year by year. Hypertension is a cause and effect of CKD and contributes to its development. This study aimed to evaluate the appropriateness use of oral antihypertensive drugs in patients with chronic kidney disease of private hospital in East Bekasi for the 2018-2020 period. Method: The method used in this study was observational data taken retrospectively from the medical records of non- dialysis chronic kidney disease patients. The study population were all patients diagnosed with non-dialysis chronic kidney disease at the inpatient installation of private hospital in East Bekasi. The sample was taken by consecutive sampling method where the sample was determined based on the inclusion criteria of 50 patients. Results: Evaluation of drug use in this study included right patient, right indication, right medication and right dose. The following results were obtained: right patient was 100%, right indication was 98%, right medication was 86% and right dose was 94.84%. Conclusion It can be concluded that evaluation of oral antihypertensive drugs usage in patients with chronic kidney disease need to be done so that the contribution of hypertension to CKD development decreases.
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