scholarly journals Peningkatan Kepatuhan Minum Obat Melalui Konseling Apoteker pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Halmahera Kota Semarang

2021 ◽  
Vol 6 (1) ◽  
pp. 41
Author(s):  
Chilmia Nurul Fatiha ◽  
Farroh Bintang Sabiti
Keyword(s):  
Diabetes Mellitus ◽  
Medication Adherence ◽  
Pill Count ◽  
P Value ◽  
The One

Ketidakpatuhan obat merupakan salah satu permasalahan dalam pengobatan Diabetes Mellitus (DM). Kepatuhan minum obat pasien DM berperan penting dalam menjaga kadar gula darah dalam rentang normal dan mencegah komplikasi. Peran apoteker diperlukan untuk meningkatkan pengetahuan dan perilaku pengobatan sehingga tingkat kepatuhan dikatakan baik. Tujuan penelitian ini adalah untuk mengetahui pengaruh konseling pada kepatuhan obat dan kadar gula darah pada pasien DM tipe 2 di Puskesmas Halmahera Semarang. Penelitian ini merupakan penelitian pre-eksperimental dengan rancangan <em>The One Group Pretest-Posttest</em>. Pengambilan data dilakukan pada periode April-Mei 2019 di Puskesmas Halmahera Semarang dan di rumah pasien. Kepatuhan obat diukur menggunakan instrument <em>Morisky, Green, and Levine Medication Adherence Questionnaire </em>(MGL MAQ) dan <em>pill count</em>. Kepatuhan berdasarkan MGL MAQ dianalisis menggunakan uji<em> Wilcoxon</em><em>, </em>dan didapatkan<em> p-value</em> 0,000 sehingga dapat dikatakan kepatuhan minum obat sebelum dan sesudah konseling apoteker berbeda signifikan. Kepatuhan obat menggunakan <em>pill count</em> didapatkan hasil patuh 62,80% dan tidak patuh 37,14%. Dapat disimpulkan bahwa konseling apoteker di Puskesmas Halmahera Semarang berpengaruh pada kepatuhan minum obat pasien DM tipe 2.

scholarly journals Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan pada Pasien Diabetes Mellitus Rawat Jalan di RSUD Sukoharjo

2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
Tri Yulianti ◽  
Lusi Anggraini
Keyword(s):  
Diabetes Mellitus ◽  
Medication Adherence ◽  
Diabetes Mellitus Type 2 ◽  
Sampling Technique ◽  
Diabetes Mellitus Type ◽  
P Value ◽  
Affecting Factors ◽  
Chi Square ◽  
Cross Sectional

Diabetes mellitus is a chronic metabolic with high prevalence and it can increase the risk of the complications, if it not handled properly. Medication adherence is one of the determining factor to achive therapeutic outcome. This research aims to determine the affecting factors of adherence in  diabetes mellitus type 2 outpatient at RSUD Sukoharjo in 2020. This research type is  cross sectional with a purposive sampling technique. A total of 85 patients diabetes mellitus type 2 outpatient at RSUD Sukoharjo with inclusion criteria received OAD therapy (Oral Antidiabetic Drugs) or a combination of OAD with insulin for at least 1 month, recruited in this study. The data was collected from medical records and questionnaires. Adherence was measured by using the MARS 5 questionnaire (Medication Adherence Report Scale 5). Factors contributing to medication adherence was analyzed by using chi-square test. The results showed that 37 respondents (43.5%) were obedient. The significant factors of medication adherence are monthly income (p-value = 0.018 and OR = 2.887), Medication (p - value = 0.007 and OR = 3,551), the frequency of treatment (p-value = 0.006 and OR = 3,529) and blood glucose level (p-value = 0.006 and OR = 3,529).

scholarly journals Hubungan Komunikasi Interpersonal Perawat Terhadap Kepatuhan Minum Obat Pasien Diabetes Melitus Tipe 2

2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Irene Febriani
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Health Center ◽  
Interpersonal Communication ◽  
Sampling Technique ◽  
P Value ◽  
Therapeutic Success

Compliance with drug use is an effort to achieve therapeutic success, adherence to the use of antidiabetic drugs is important because if not achieved will lead to therapy failure, which can cause complications. One strategy to increase obedience is to improve communication between doctors and nurses and patients to foster and improve interpersonal relationships. To find out the relationship between nurses' interpersonal communication and medication adherence for patients with type 2 diabetes mellitus at Pahandut Palangka Raya Health Center. This research is quantitative research. The study population was all 103 patients with type 2 diabetes mellitus. Using a purposive sampling technique of 52 respondents. This research was conducted from April to May 2019. There was a relationship between nurses' interpersonal communication and medication adherence in patients with type 2 diabetes mellitus at Pahandut Palangka Raya Health Center with a P-value = 0,000 (

scholarly journals Impact of pharmacist directed counseling on knowledge, attitude, practices and medication adherence among hypothyroidism patients: a quasi-experimental design

2019 ◽  
Vol 10 (3) ◽  
pp. 1891-1899
Author(s):  
Narayana Goruntla ◽  
Vijayajyothi Mallela ◽  
Devanna Nayakanti
Keyword(s):  
Medication Adherence ◽  
Experimental Design ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Pill Count ◽  
P Value ◽  
Chi Square ◽  
Validated Questionnaire ◽  
Quasi Experimental ◽  
Chi Square Test

The pharmacist plays an important role in providing counseling services to patients suffering with various chronic disorders and to improve health outcomes. The study aims to evaluate the effect of pharmacist mediated counseling on Knowledge, Attitude, and Practice (KAP) and medication adherence (MA) among hypothyroidism patients attending outpatient department of a secondary care referral hospital. This is a Quasi-Experimental design without control. A total of 403 patients were enrolled and subjected for KAP assessment by pre-validated questionnaire, and medication adherence levels by pill count and visual analogue scale methods. All patients were counselled by the pharmacist regarding hypothyroidism and its management. After three months, post-KAP and medication adherence levels were measured. Chi-square test was used to compare the adequacy of KAP levels. The paired t-test was used to compare mean medication adherence and mean KAP percentage levels. The mean KAP percentage levels were significantly improved after counselling (80.5±16.4; 86.2±15.7; 67.5±13.8) compared to before (34.1±21.7; 33.8±22.9; 24.5±20.9) with a P value less than <0.0001. There was a significant improvement in mean medication adherence levels measured by visual analogue scale method and pill count method after counselling (92.4±4.8, 97.4±3.2) compared to before counselling (76.8±6.8, 80.3±6.4). The study illustrates how pharmacist plays an integral part in improving medication adherence and KAP towards hypothyroidism management. Improving KAP and medication adherence levels will promote positive clinical outcomes and prevents complications associated with hypothyroidism.

scholarly journals PENGARUH MINYAK ZAITUN (OLIVE OIL) TERHADAP KERUSAKAN INTEGRITAS KULIT PADA PASIEN DM TIPE II DI KECAMATAN PAGAR MERBAU

2021 ◽  
Vol 1 (1) ◽  
pp. 125-129
Author(s):  
Kardina Hayati ◽  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Raynald Ignasius Ginting ◽  
Widya Widya
Keyword(s):  
Diabetes Mellitus ◽  
Olive Oil ◽  
Design Research ◽  
Total Sample ◽  
P Value ◽  
Type Ii ◽  
Diabetes Mellitus Type Ii ◽  
Before And After ◽  
Patients With Diabetes ◽  
The One

The success of changing the damage to the integrity of the skin in patients with Diabetes Mellitus Type II depends not only on early detection, but also on understanding the causative mechanism. One condition that can cause damage to the integrity of the skin was the xerosis and pruritus on skin . The purpose of this study to determine the effect of Oil Olive to damage the integrity of the skin in patients with DM type II in the District of Pagar Merbau. This type of research uses the Quasy Experiment Method using the One-Group Pretest-Posttest Design research design. Determination of the sample was done by purposive sampling, with a total sample of 22 people. Data analysis was performed using Paired Sample T Test with 95% confidence interval and α= 0.05. The results of this study indicate the change in damage to the integrity of the skin before and after given a basting oil olives with a p-value = 0.000 (α> 0.05). Conclusion, there was an influence of olive oil on damage to skin integrity in patients with type II DM in Pagar Merbau District which was carried out in accordance with standards. For Health Institutions the need for supervision and counseling to the community that the importance of maintaining skin health especially in patients with diabetes mellitus in Pagar Merbau District        

scholarly journals PENGARUH PENDIDIKAN KESEHATAN TERHADAP UPAYA PENCEGAHAN DIABETES MELLITUS GESTASIONAL PADA IBU HAMIL DI PUSKESMAS TAMALANREA JAYA KOTA MAKASSAR

2019 ◽  
Vol 14 (4) ◽  
pp. 376-380
Author(s):  
Andi Hasliani ◽  
Rahmawati Rahmawati
Keyword(s):  
Diabetes Mellitus ◽  
P Value ◽  
Design Data ◽  
The One ◽  
Diabetes Melitus

Diabetes mellitus gestasional menjadi masalah kesehatan masyarakat sebab penyakit ini berdampak langsung pada kesehatan ibu dan janin. Dampak yang ditimbulkan oleh ibu penderita diabetes melitus gestasional adalah ibu berisiko tinggi terjadi penambahan berat badan berlebih, terjadinya preklamsia, eklamsia, bedah sesar, dan komplikasi kardiovaskuler hingga kematian ibu. Pendidikan kesehatan dilakukan pada ibu hamil untuk meningkatkan pengetahuan dan diharapkan ada upaya yang dilakukan untuk mencegah penyakit tersebut. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan terhadap upaya pencegahan diabetes mellitus gestasional di Puskesmas Kapasa Kota Makassar. Penelitian ini menggunakan jenis penelitian kuantitatif dengan studi desain quasi ekspriment dengan pendekatan the one group pretest-posttest design. Data yang terkumpul diolah dan dianalisis dengan menggunakan program computer dengan uji t berpasangan atau uji wilcoxon dengan tingkat kemaknaan α  = 0,05. Penelitian ini akan dilaksanakan di Wilayah Kerja Puskesmas Kapasa Kota Makassar pada bulan Februari sampai Agustus Tahun 2019. Populasi dalam penelitian ini adalah ibu hamil yang berada di wilayah kerja Puskesmas Kapasa dan terdata di rekam medik, teknik sampling menggunakan accidental sampling sehingga besaran sampel tidak ditentukan. Hasil penelitian menunjukkan ada hubungan yang signifikan antara upaya pencegahan diabetes mellitus gestasional sebelum dan sesudah dilakukan pendidikan kesehatan dengan nilai P Value : 0,000 lebih kecil dari nilai α  = 0,05. Kesimpulan dari penelitian ini adalah ada pengaruh pendidikan kesehatan pada ibu hamil trimester I terhadap upaya pencegahan diabetes mellitus gestasional di Puskesmas Tamalanrea Jaya Kota Makassar

scholarly journals An Evaluation of Medication Adherence to Antidiabetic Drugs: A Prospective Study

2021 ◽  
Vol 11 (1-s) ◽  
pp. 31-34
Author(s):  
Nimmy N John ◽  
V J Arjun ◽  
DARATH DAVID ◽  
H. Doddayya
Keyword(s):  
Diabetes Mellitus ◽  
Medication Adherence ◽  
General Medicine ◽  
P Value ◽  
Diabetic Patients ◽  
Uncontrolled Diabetes ◽  
High Adherence ◽  
Adherence Scale ◽  
A Prospective Study

Adherence to prescribed medication is an imperative issue which can be directly linked with the management of diabetes mellitus. WHO identifies poor adherence is the most significant cause of uncontrolled blood sugar level. A prospective observational study was conducted in in-patients admitted to general medicine department diagnosed with diabetes mellitus from September 2019 to February 2020. Data was collected from case sheets of patients for age, gender, and socio- economic data. Informed consent was obtained from patients or bystanders before study. Direct interview was conducted with patients using standardized questionnaire known as MMAS-8. Patient’s adherence to medications was assessed using scores obtained from the adherence scale. Among 100 in-patients 62 (62%) patients were male and 38 (38%) patients were female. Most of the patients had low adherence among both genders. Patients under age group of 41-60 years were more (58%) in which 46% had low adherence. It was observed that, married patients were more with low adherence (58%) followed by unmarried. When taking account of education of the patient, graduates and above were only 22 patients (22%) but most of them (16% ) had moderate/high adherence. Education of the patients had a significant positive correlation (i.e., p value = 0.0000002) between low adherence and high adherence of patients. This study showed that the adherence to anti-diabetic medications in diabetic patients were very less. It needs to be continuously evaluated in order to reduce complications and improve quality of life of patients. Keywords: Medication adherence, MMAS-8, Uncontrolled diabetes

scholarly journals Predicting Medication Adherence Based on Personality Characteristics in Individuals with Type 2 Diabetes Mellitus

2020 ◽  
Author(s):  
Abdulaziz Aflakseir ◽  
Farzad Nikroo ◽  
Javad Mollazade
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Rating Scale ◽  
Health Centers ◽  
Personality Factors ◽  
P Value ◽  
Big Five Personality ◽  
Neo Five Factor Inventory

Objective: Diabetes mellitus is a chronic illness and adherence to medications is vital to manage the illness. The purpose of this study was to examine the prediction of medication adherence based on personality factors in a group of individuals with type 2 diabetes in Yasuj. Materials and Methods: One hundred twenty individuals with type 2 diabetes who visited health centers were selected for this study through convenience sampling. The participants completed the NEO-Five Factor Inventory and Medication Adherence Rating Scale (MARS). The data were analyzed by mean, standard deviation, and multiple regression analysis using SPSS software. Results: The results showed that among the big-five personality factors, only neuroticisms significantly predicted adherence to medications (β= -0.31, P-value< 0.003). Furthermore, the model explained only 19% of the variance in medication adherence (R2= 0.19, P-value< 0.01). Conclusion: This study indicated that a large proportion of patients with type 2 diabetes did not adhere to their medications. This study highlighted that the personality trait of neuroticism was important in predicting medication adherence in patients with type 2 diabetes.

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

Efektifitas Ekstrak Daun Sirih Hijau (Piper Betle) sebagai Insektisida Nabati terhadap Mortalitas Lalat Rumah (Musca domestica)

2019 ◽  
Vol 10 (2) ◽  
pp. 44-50
Author(s):  
Rinaldi Daswito ◽  
Rima Folentia ◽  
M Yusuf MF
Keyword(s):  
Musca Domestica ◽  
Leaf Extract ◽  
Effective Concentration ◽  
P Value ◽  
Piper Betle ◽  
Microbiology Laboratory ◽  
House Flies ◽  
Betel Leaf ◽  
The One ◽  
One Way Anova

One of the diseases that can be transmitted by flies is diarrhea. Green betel leaf contains essential oils, chavicol, arecoline, phenol, and tannins which function as plant-based insecticides. This study aimed to determine the effectiveness of green betel leaf extract (Piper betel) as a plant-based insecticide on the number of mortality of house flies (Musca domestica). The research was an experimental study used After Only Design used the One Way Anova test with a 95% confidence level. The samples used were 360 ​​house flies. Each treatment of 30 house flies with 4 repetitions and used three concentrations of green betel leaf extract (25%, 50%, 75%). The study was conducted at the Chemistry and Microbiology Laboratory of Health Polytechnic Tanjungpinang, while the location of the fly collection was at the Tokojo Garbage Collection Station in Bintan Regency. The number of mortality of house flies at a concentration of 25% was 81 heads (67.5%), 50% concentrations were 93 heads (77.5%), and at a concentration of 75% were 103 heads (85.83%). There was an effect of green betel leaf extract on the mortality of house flies (p-value 0.0001 <0.05) with the most effective concentration of 75%. Further research is needed to obtain a finished product utilizing green betel leaf extract as a vegetable insecticide, especially in controlling the fly vector. Need further research on the use of green betel leaf extract as a vegetable insecticide controlling the fly vector by taking into account the amount of spraying and the age of the fly.   Keywords: Green betel leaf extract , organic insecticide, houseflies

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