scholarly journals PELAKSANAAN KONSELING OBAT OLEH APOTEKER DI APOTEK KABUPATEN BADUNG

Author(s):  
Ni Putu Ruscita Anggreni

Republic of Indonesia Health Minister Regulation No. 73 of 2016 states that counseling is one of the pharmaceutical services at the Pharmacy. This study aims to determine the implementation of drug counseling by Pharmacists to patients in the Pharmacy in accordance with Republic of Indonesia Health Minister Regulation No. 73 of 2016. This type of research is non experimental with cross sectional design. In this study the data was taken using a questionnaire via Google Form. Fill out the google form by the pharmacists in Badung Regency. The data obtained were analyzed and then the percentage was made. Based on the data obtained, as many as 100% of respondents had counseled patients with varying time periods. Respondents had counseled within 1-10 minutes. When providing counseling, as many as 55.55% of respondents asked that there were those who needed help, such as lack of time, place and knowledge. Provision of information in the implementation of counseling, namely how to use and store drugs (100%), time of drug use (88.89%), drug dosage and duration of drug use (77.78%), and drug side effects (66.67%). This is good enough to increase patient approval for taking the drug. However, counseling documentation and recording patient documentation is still not effective in its implementation due to various factors. In terms of the pharmacist's knowledge regarding the laws governing the performance of pharmaceutical personnel, 88.89% of respondents already knew that. Therefore, it is expected that pharmacists can carry out their duties properly in accordance with statutory regulations.

2019 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Chynthia Pradiftha Sari ◽  
Okti Ratna Mafruhah ◽  
Rizki Nurul Fajria ◽  
Alia Meta

ABSTRAK    Pemerintah Indonesia menetapkan standar pelayanan kefarmasian di apotek berupa Peraturan Menteri Kesehatan (PMK) Nomor 35 tahun 2014, secara keseluruhan evaluasi terhadap pelayanan kefarmasian di apotek belum mencapai skor maksimal. Pada pelayanan resep kajian administrative dan penyampaian konseling obat jarang dilakukan. Tujuan penelitian ini adalah untuk mengevaluasi pelaksanaan standar kefarmasian dalam pelayanan resep di apotek tempat PKPA wilayah Yogyakarta. Metode penelitian yang digunakan adalah desktiptif observasional dengan rancangan potong lintang melibatkan 4 area apotek diwilayah Yogyakarta dengan total 108 resep yang diamati, 77 resep yang dijadikan sampel penelitian. Pengumpulan data dilakukan dengan mengisi lembar observasi, dan wawancara dengan apoteker pengelola apotek sejumlah 10 apoteker dan 11 TTK (tenaga teknis kefarmasian). Data hasil lembar observasi dianalisis dengan statistik deskriptif menggunakan Microsoft Excel, kemudian disimpulkan dalam bentuk persentase. Hasil penelitian menunjukkan, dalam melakukan pelayananan resep berupa pengkajian resep, peracikan dan pengemasan obat, serta penyerahan obat di tempat PKPA dilakukan oleh apoteker dan TTK, dengan rincian persentase rata-rata pengkajian resep oleh apoteker (77,84%) dan TTK (22,16%), peracikan dan pengemasan 64,99% dilakukan apoteker dan 35,01% dilakukan TTK, penyerahan obat 67,19% dilakukan apoteker dan 32,81% dilakukan TTK. Pelaksanaan standar kefarmasian dalam melakukan pelayanan resep terdapat aspek yang tidak dilakukan terkait pemeriksaan data (berat badan, tinggi badan, riwayat keluarga, riwayat penyakit, riwayat pengobatan, dan alergi) dan pemberian informasi obat (efek samping obat, cara penyimpanan, makanan dan minumamn yang harus dihindari). Kata Kunci: Standar pelayananan Kefarmasian, evaluasi pelayanan resep, apotekABSTRACT                The Indonesian government has set a pharmaceutical service standard in the pharmacy in the form of Minister of Health Regulation (PMK) Number 35 of 2014, as a whole the evaluation of pharmacy services at the pharmacy has not yet reached the maximum score. In prescription services administrative studies and delivery of drug counseling are rarely done. The purpose of this study was to evaluate the implementation of pharmaceutical standards in prescription services at the PKPA place in Yogyakarta. The research method used was observational desktiptif with a cross-sectional design involving 4 pharmacy areas in the Yogyakarta region with a total of 108 prescriptions observed, 77 prescriptions being used as research samples. Data collection was carried out by filling out the observation sheet, and interviewing pharmacists managing pharmacies with 10 pharmacists and 11 TTK (pharmaceutical technical personnel). Data from the observation sheet were analyzed by descriptive statistics using Microsoft Excel, then concluded in the form of a percentage. The results showed, in conducting prescription services in the form of prescription studies, compounding and packaging of drugs, and the delivery of drugs at the PKPA site conducted by pharmacists and TTK, with a detailed percentage of prescription studies by pharmacists (77.84%) and TTK (22, 16%), compounding and packaging 64.99% were carried out by pharmacists and 35.01% were performed TTK, drug delivery 67.19% was carried out by pharmacists and 32.81% were carried out TTK. The implementation of pharmaceutical standards in prescribing services contained aspects that were not carried out related to examining data (weight, height, family history, disease history, medical history, and allergies) and providing drug information (drug side effects, methods of storing, food and drinking). must be avoided).  Keyword: Pharmaceutical service standards, prescription service evaluation, pharmacy


2021 ◽  
Vol 3 (2) ◽  
pp. 105-108
Author(s):  
Jamshid Ayatollahi ◽  
◽  
Abolhasan Halvani ◽  
Mohammadhesam Gharaei Khezri ◽  
Hossein Shahcheraghi ◽  
...  

Introduction: Tuberculosis infection caused by Mycobacterium tuberculosis is one of the most common infectious diseases, especially in countries such as Iran. The course of treatment and the number of drugs used vary depending on the severity of the disease and the parts of the body involved. The resistant tuberculosis to treatment has increased in recent years. Thus, this study was conducted to investigate the frequency distribution of response to treatment of patients with tuberculosis in Sirjan, Iran. Methods: This descriptive cross-sectional study investigated all patients with tuberculosis in Sirjan city who had referred to health centers during the years 2011-2019. The data collection tool was a pre-prepared checklist that included information on age, sex, sputum smear results, sputum culture results, diabetes, patients' nationality, drug side effects, and response to treatment. Finally, data was entered into SPSS version 22, and analyzed. Results: In this study, the overall response rate was 83% and the mortality rate was 10%. Between the frequency distribution of response to treatment in terms of gender, age, sputum smear results, sputum culture results, patients' nationality and diabetes was not statistically significant difference. Also, no statistically significant difference was found between the frequency distribution of pulmonary TB treatment response in terms of drug allergy, drug hepatitis and other drug side effects. Conclusion: According to results, can be concluded that none of the variables: age, sex, smear and culture result, and history of diabetes have no an effect on response to treatment and mortality of tuberculosis.


Author(s):  
Ayu Imamatun Nisa ◽  
Awalia Awalia ◽  
Jusak Nugraha

Introduction: Rheumatoid arthritis (RA) is an autoimmune disease which mainly attacks synovial membrane and causes systemic manifestation. During treatment, controlling disease activity is needed to prevent further complication. On the other hand, medications used in the treatment of RA may bring various side effects. It is important to evaluate side effects from the given therapy.Methods: This study aimed to evaluate response and side effects of therapy in RA patients. The samples were collected from 59 RA patients at Rheumatology Division of Outpatient Clinic in Department of Internal Medicine Dr. Soetomo General Hospital Surabaya in 2017. This study method was descriptive observational with cross sectional design using medical records.Results: Pain was reduced in 83.1% patients, Erythrocyte Sedimentation Rate (ESR) increased in 61.4% patients, and C-Reactive Protein (CRP) decreased in 50% patients. Based on the statistic analysis, ESR decreased significantly (p = 0.012) while CRP decreased not significantly (p = 0.415). The side effects were observed from clinical and laboratory data. Based on clinical symptoms, there were alopecia in 1.7% patient, dyspepsia in 78% patients, infection in 27.1% patients, and other symptoms including itchy skin, neuropathy, hyperuricemia, hyperkalemia and Acute Kidney Injury (AKI). Meanwhile, abnormalities in laboratory data include increased aspartate transaminase (AST) in 3.8% patients, increased alanine transaminase (ALT) in 26.1% patients, increased Blood Urea Nitrogen (BUN) in 7.9% patients, increased creatinine serum in 7.9% patients, decreased hemoglobin in 15.5% patients, and decreased leukocytes in 3.4% patients.Conclusion: Most patients had a good therapeutic response based on decreased pain, while ESR had a significant decrease and CRP did not have significant decrease. Side effects discovered in patients were various


2019 ◽  
Vol 28 (spe) ◽  
Author(s):  
Fay Williams ◽  
Bruna Brands

ABSTRACT Objective: determine the prevalence of drug use and to investigate the relationship between knowledge of consequences and drug consumption as well as the relationship between academic performance and drug consumption among university undergraduate students in Jamaica. Method: the study uses a cross sectional design. A total of 250 undergraduate students were selected through a randomized cluster sampling process. A modified survey instrument consisting of over 70 items relating to socio-demographics, knowledge of consequences, drug consumption and academic performance measures was used to test the research question and hypothesis. Results: the findings revealed low levels of drug usage as well as problematic usage, however, there was a weak negative yet statistically significant correlation between the academic performance and alcohol use (r=-.139, p=.028) which suggested that an increase in alcohol usage is associated with reduction in academic performance. The independent T test also revealed a statistically significant difference between those who used alcohol and those who did not use alcohol in the past 12 months based on academic performance. Conclusion: the findings will inform policy decisions regarding drug use and the provision of intervention services. It is recommended that this research should be extended to other universities in Jamaica.


Author(s):  
Jafer Siraj ◽  
Turi Abateka ◽  
Oliyad Kebede

Introduction: A number of medications have been demonstrated to lower blood glucose. However, current-day management has failed to achieve and maintain the optimal glycemic level for diabetic patients. Patients’ non-adherence is among the most contributing factors. Therefore, the aim of this study was to explore the prevalence of non-adherence to anti-diabetic medications and associated factors. Methods: A hospital based cross-sectional study was conducted from November 2020 to January 2021. A systematic random sampling technique was used. Data were collected by structured questionnaire adapted from different literatures. Then, data were entered into SPSS version 25 and analyzed. To determine the association of dependent and independent variables, multiple logistic regression was done. P-value <.05 was considered statistically significant. Results: A total of 275 study participants were interviewed with a response rate of 100%. From this 53.8% were females, 59.3% were in the age group of 41-60 years, 35.3% were college/university graduates and 79.3% were not using social drugs. One hundred eighty-seven (68%) of them were adherent to their anti-diabetic medication. Factors found to be significantly associated with anti-diabetic medication adherence were age >60 years (AOR = .276, 95% CI = .124-.611) attending higher education (AOR = 6.203, 95% CI = 1.775-21.93), retired (AOR = 7.771, 95% CI = 1.458-41.427), housewife (AOR = 7.023, 95% CI = 1.485-33.215), average monthly income 1001birr-2000 birr (AOR = .246, 95% CI = .067-.911) and social drug use (AOR = 3.695, 95% CI = 1.599-8.542). Forgetfulness, not affording, side effects, misunderstanding of instructions, and poly-pharmacy were identified reasons for non-adherence. Conclusions and Recommendations: Patients’ adherence to anti-diabetic medications in the current study is sub-optimal. Age, monthly income, level of education, occupational status, and social drug use were associated with adherence. Forgetfulness, not affording, and side effects were reasons identified to contribute to non-adherence. Therefore, adherence counseling, use of alarms, and the way to mitigate non-affordability, including anti-diabetic medications into a program drug should be considered.


2012 ◽  
Vol 6 (6) ◽  
pp. 255
Author(s):  
Yuli Amran ◽  
Riastuti Kusumawardani ◽  
Nita Supriyatiningsih

Berdasarkan data Kementerian Sosial, jumlah usia lanjut (usila) di Indonesia tahun 2004 tercatat 16.522.311 jiwa dan 3.092.910 jiwa atau se- kitar 20% adalah usila terlantar. Nutrisi yang kurang pada usila berdampak pada kesehatan sehingga relatif mudah terjangkit penyakit infeksi dan gangguan zat gizi. Selain itu, asupan makanan berhubungan dengan depresi, jumlah gigi, gangguan gigi, penggunaan obat, penyakit, dukungan sosial seperti kunjungan keluarga atau orang terdekat, dan rasa makanan. Tujuan penelitian ini adalah mengetahui berbagai faktor yang berhubungan dengan asupan makanan pada usila. Penelitian menggunakan desain studi cross sectional dilakukan terhadap 58 orang usila di Panti Sosial Tresna Werdha Budi Mulia 01 Cipayung pada periode bulan Mei-Juni tahun 2010. Metode analisis multivariat digunakan untuk melihat faktor dominan yang berpengaruh terhadap asupan makanan. Sekitar 62,1% usila di panti sosial yang diteliti mempunyai asupan makanan yang kurang. Berdasarkan hasil analisis multivariat, makanan, penyakit, dan jumlah gigi merupakan faktor yang paling dominan memengaruhi asupan makanan pada usila.Kata kunci: Asupan makanan, lanjut usiaAbstractBase on Ministry of Sosial Welfare, the number of elder in Indonesia 2004 was recorded 16.522.311 and 3.092.910 or about 20% were negleted elders. Poor nutrition will impact on the health of the elders that directly related the infectious disease and the level of food intake. Besides, food intake is also associated with depression, the number of theet, the dental disorders, drug use, diseases, social support include the visit of the family or the people around them, and the taste of the food. The objective of study is to describe the factors that associated with food intake on the elders. This study that was conducted in Mei-June 2010 used cross sectional design. The sample that was suitable with criteria used in this study is about 58 people. The study used multivariate analysis to know the dominant factors that affected food intake. The result showed that 62,1% of elders in Panti Sosial Tresna Werdha Budi Mulia 01 Cipayung has less food intake. Based on the results, the diseases, depression, number of the teeth, and taste of the food are associated with food intake of the elders.Key words: Food intake, erderly


2012 ◽  
Vol 9 (8) ◽  
pp. 1138-1145 ◽  
Author(s):  
Kerry Ann Vander Ploeg ◽  
Biao Wu ◽  
Jon McGavock ◽  
Paul J. Veugelers

Background:Schools are frequently cited as a favorable venue to promote physical activity (PA), however little data exist describing times when students are least active. Our objective was to overcome this limitation and describe time periods when students are least active.Methods:We used a cross-sectional design to assess patterns of PA in 923 grade 5 students [mean age: 10.9 (± 0.4) years] from 30 schools in Alberta, Canada. Students wore time-stamped pedometers for 9 consecutive days, providing 7 full days of data. We compared step counts adjusted for nonwear time between school days and nonschool days as well as during school hours and after school hours.Results:689 (75%) students provided complete data. The average daily step count was higher on school days (boys 13,476 ± 4123 step/day; girls 11,436 ± 3158 steps/day) than nonschool days (boys 11,009 ± 5542 steps/day; girls 10,256 ± 5206 steps/day). More steps were also taken during school hours than nonschool hours (boys +206 ± 420 steps/hour, P < .001; girls 210 ± 347, P < .001 steps/hour).Conclusions:PA levels of children are below Canadian recommended levels for optimal growth and health. Health promotion should emphasize PA particularly among girls, outside school hours, and weekends.


2020 ◽  
Author(s):  
Kingori Ndungu ◽  
Peter Gichangi ◽  
Marleen Temmerman

Abstract Background:Pre-exposure prophylaxis (PrEP) is a biomedical approach for preventing the acquisition of HIV in populations at substantial risk for HIV. PrEP acceptability has been high among the men who have sex with men (MSM) but the uptake and adherence has been low. The study seeks to determine the determinants of PrEP uptake among the MSM.Methods: A cross-sectional exploratory study design was employed targeting MSM in Nairobi city and its environs. Purposive sampling was used to identify sites, where data was collected and snowballing technique employed to reach the respondents. The data was collected between November 2018 to June 2019.Results: Majority of the respondents were aged between 18-24 years at (64.75%). There was a significant association between frequency of HIV testing and ever used PrEP at a P- Value of 0.019. The place of last test and PrEP uptake was also associated at a P-Value of 0.019. A majority of the respondents at 181 (59.0%) indicated that they prefer blood self-test kit. Respondents who indicated that they prefer top were 132 (38.0%) with versatile being 142 (40.9%) and bottom at 73 (16.6%). Participants who were more aware of PrEP had a higher probability of taking PrEP at P-Value 0.002. There was an association between risk perception and taking PrEP at a P-Value of 0.0001. Some of the factors that hindered PrEP uptake include; Alcohol/drug use, there was a statistically significant association between anal sex after alcohol/hard drug use and never used PrEP at P-value of 0.027. Other factors include Stigma, discrimination, adherence and perceived side effects associated with the drugs.Conclusions: Our study shows a number of factors facilitate PrEP uptake including; being a young MSM, inconsistent condom use, frequent HIV testing, being tested for HIV in a drop in centre, reporting frequent receptive anal intercourse, being aware of PrEP, perceived high risk of HIV infection and the believe about the effectiveness of PrEP. Barriers to PrEP uptake include; concomitant PrEP use with alcohol or hard drugs, stigma, discrimination, adherence, perceived PrEP side effects and medical mistrust.


2018 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
M.Caecilia N.Setiawati

Corticosteroids was the mainstay therapy for SLE, an autoimmune chronic desease. Prolonged use of Corticosteroid caused many side effects’ risk. This study was aimed to evaluate corticosteroid drug use in SLE outpatients. This study was conducted on April 2017 to August 2017. Cross sectional design was used and presented with analytical descriptive. The result is, 192 SLE outpatients pass the inclusion criteria and 98,96% are women. Methylprednisolon per oral is the most corticosteroid used for SLE outpatients, combine with 1 other immnunsuppresant ( 65,10  %) and combine with 2 other immunsuppresant ( 8,33% ). From  BMI, 26,05% subjects are overweight, perhaps because of corticosteroids side effect, such as weight gain. More than a half SLE outpatients (58,33%) get Calcium supplement and vitamin D3 as prophylactive for osteoporosis because of prolonged use of  corticosteroid and  61 SLE outpatients get drug for gastrointestinal use to avoid peptic ulcer. There are   44  cases of  potential corticosteroid interaction with other drug that are given together, the most are corticosteroid and aspirin interaction, on 14 patients.


2018 ◽  
Vol 13 (4) ◽  
Author(s):  
Pritta Yunitasari

ABSTRAKLatar belakang : Ketergantungan narkoba dapat direhabilitasi secara medis namun rehabilitasi tidak menjamin pecandu narkoba akan sembuh dari ketergantungannya. Tujuan Penelitian : Untuk mengetahui pengaruh dukungan keluarga terhadap lama berhenti menggunakan narkoba pada pasien yang pernah direhabilitasi. Jenis penelitian : merupakan penelitian analitik dengan rancangan cross sectional bertempat di RSJ Grhasia Yogyakarta. Hasil penelitian : Menunjukkan bahwa dukungan keluarga secara keseluruhan berpengaruh terhadap lama berhenti menggunakan narkoba setelah direhabilitasi, namun Aspek-aspek dukungan keluarga tidak ada yang berpengaruh secara signifikan terhadap lama berhenti menggunakan narkoba setelah direhabilitasi.Kata Kunci : Dukungan Keluarga, Narkoba ABSTRACT Drug dependence can be medically rehabilitated but rehabilitation does not guarantee drug addicts will recover from their dependence. This study aims to determine the effect of family support on long stops using drugs in patients who have been rehabilitated. This type of research is an analytical research with cross sectional design located at RSJ Grhasia Yogyakarta. The results of this study indicate that overall family support has an effect on long term stopping of drug use after rehabilitation, but no family support aspects have a significant effect on long stopping use of drugs after rehabilitation.namun rehabilitasi tidak menjamin pecandu narkoba akan sembuh dari ketergantungannya. Tujuan Penelitian : Untuk mengetahui pengaruh dukungan keluarga terhadap lama berhenti menggunakan narkoba pada pasien yang pernah direhabilitasi. Jenis penelitian : merupakan penelitian analitik dengan rancangan cross sectional bertempat di RSJ Grhasia Yogyakarta. Hasil penelitian : Menunjukkan bahwa dukungan keluarga secara keseluruhan berpengaruh terhadap lama berhenti menggunakan narkoba setelah direhabilitasi, namun Aspek-aspek dukungan keluarga tidak ada yang berpengaruh secara signifikan terhadap lama berhenti menggunakan narkoba setelah direhabilitasi.Kata Kunci : Dukungan Keluarga, Narkoba 


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