scholarly journals EVALUASI PENGGUNAAN OBAT ANTITUBERKULOSIS (OAT) PADA PASIEN TB PARU DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020

2021 ◽  
Vol 3 (2) ◽  
pp. 69-73
Author(s):  
Amanda Safithri Sinulingga ◽  
Novidawati Boru Situmorang ◽  
Mas Gabena Siregar

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis, a first- line anti-tuberculosis drug, namely Isoniazid (H) and Rifampicin (R). The increase in the number of Tb Lung patients from 2019 to 2020 at the RS Grandmed Lubuk Pakam encouraged researchers to conduct this study. The purpose of this study was to determine the description of the use of antituberculosis drugs and the rationality of the use of anti-tuberculosis drugs in pulmonary TB patients in RS Grandmed Lubuk Pakam in 2019. This study was a descriptive (non-experimental) study with retrospective data collection taken from patient medical records. Pulmonary tuberculosis at RS Grandmed Lubuk Pakam. Data was collected using purposive sampling technique in accordance with the inclusion criteria and exclusion criteria using the Data Collection Sheet. The number of samples used in the study is 76 medical records of patients diagnosed with pulmonary TB. Data analysis was performed using the Univariate with the help of SPSS. Results of the distribution of treatment duration data that most patients underwent treatment for <6 months, as many as 31 people (19.9%). Followed by patients with exactly 6 months length of 30 people (0.39%). Whereas patients from 6 months 16 people (21.1%). And the number of Chronic Disease that suffered by Diabetes Mellitus patients was 24 patients (14.5%). All three have a significant relationship to the patient's treatment outcomes. Whereas at the age range 18-24 years, 44 people (57.9%) were affected by pulmonary TB. and The results of the evaluation of the rationality of pulmonary TB treatment are the exact indications of (97.4%), (74 patients), the right patients by 100% (76 patients), the right drugs by (97.4%) (74 patients), and the correct dosage of 100% ( 76).

2021 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
Dini Mayasari ◽  
Delfi Mutiara Hutahean ◽  
Debi Dinha Octora

Gastritis is a disease caused by the bacterium Helicobacter phylory, this first gastritis drug, namely Antacids, Omeprazole, and Ranitidine. The increasing number of Gastritis patients from 2019 to 2020 at Grandmed Lubuk Pakam Hospital is encouraging researchers to conduct this study. The purpose of this study was to determine the description of the use of Gastritis drugs and the rationality of the use of Gastritis medications in Gastritis patients at Grandmed Lubuk Pakam Hospital in 2019. This study was a descriptive (non-experimental) study with retrospective data collection taken from patient medical records. Gastritis at Grandmed Lubuk Pakam Hospital. Data were collected using a purposive sampling technique in accordance with the inclusion criteria and exclusion criteria using the Data Collection Sheet. The number of samples used in this study were 64 medical records of patients diagnosed with gastritis. Data analysis was performed using Univariat with the help of SPSS. Results of distribution of duration of treatment data for which most patients undergo treatment. And the number of Chronic Diseases suffered by Diarrhea patients is 20 patients (31.2%). All three have a significant relationship with patient care outcomes. While in the age range 31-60 years, 45 people (70.3%) affected by gastritis. and The results of evaluating the rationality of treatment for gastritis are the right indications (96.9%), (62 patients), 100% correct patients (64 patients), the right medication by (96.9%) (62 patients), and the correct dosage 100% correct (64).


2019 ◽  
Vol 15 (1) ◽  
pp. 19-28
Author(s):  
Rika Paramitha Saputri ◽  
Elina Endang Sulistyawati ◽  
Meta Kartika Untari

Schizophrenia is a chronic heterogeneous syndrome characterized by irregular mindset, delusion, hallucination, improper behavioral changes, and psychosocial dysfunction. The purpose of this research was to know the pattern of antipsychotic use and rationality of antipsychotic use in schizophrenia patient at Inpatient Installation of Atma Husada Mahakam Psychiatric Hospital Samarinda  in 2016 based on right indication, right drug selection, right patient, and right dose. The study was use descriptive non-experimental method with retrospective data collection from medical record of patients with purposive sampling technique. The samples used was 94 patients who received antipsychotic with age range 17-55 years and had a complete medical history. The data obtained were analyzed according to Guideline Texas Medication Algorithm Project Procedural Manual of Schizophrenia Treatment Algorithms. Based on the results obtained data of single antipsychotic the most widely used was haloperidol as 39 prescriptions (53.42%). The use of the most commonly prescribed combination of two antipsychotic was combination of clozapine-haloperidol as 19 prescriptions (38,00%), while combination of three prescribed antipsychotic was combination of chlorpromazine-risperidone-clozapine and haloperidol-risperidone-clozapine each as 1 prescription (50,00%). The rationale of antipsychotic use obtained percentage of right indication was 100%, right drug selection 95,20%, right patient 100%, and right dose 100%.


2020 ◽  
Vol 3 (3) ◽  
pp. 113-118
Author(s):  
Hidayatul Kurniawati ◽  
Marianti

Background. Typhoid fever is a common health problem in developing countries. Antibiotics are used to treat typhoidfever which is caused by a bacterial infection. Selection and use of appropriate and rational antibiotic therapy candetermine a success in treatment to avoid bacterial resistance and minimize drug side effects. This study aims todetermine the rationality of the use of antibiotics in adult patients diagnosed with typhoid fever in the InpatientInstallation of X Hospital in Yogyakarta. Method. Non-experimental research with descriptive observational researchdesign and retrospective data collection. The sample of this study was inpatients with a diagnosis of typhoid fever andwas recorded at the X Hospital Medical Records Installation in Yogyakarta for the period January 2016 - December2017 which was included in the inclusion criteria. Result. Data taken came from 75 medical records that were includedin the inclusion criteria. Patients were dominated by female patients as many as 64% and the adult age range was 18-30 years. The single most widely used antibiotic was levofloxacin in 27 cases (36%). The use of antibiotics with theright indication was 75 patients (100%), the right type was 75 patients (100%), the exact duration of administrationwas 64 patients (85.33%), the right dose was 73 patients (97.33%), the right interval was 73 patients (97.33%) and theright route of administration were 75 patients (100%). Conclusion. The rationality of using antibiotics is good withaccuracy> 75%.


2019 ◽  
Vol 9 (01) ◽  
pp. 61-66
Author(s):  
Yunilda Rosa ◽  
Masnir Alwi ◽  
Monica Julianti

The case of dengue fever (DF) is one of the health problems in the world which its prevalence increased hence the accuracy of therapy is needed to reduce morbidity. One one aspects that related to this is rationality treatment. This study aims to obtain an overview of rationality treatment in patients who suffered dengue fever (DF) in the Islamic Hospital Siti Khadijah Palembang in 2017. This research is a non-experimental research. The research subjects were all the patients who were diagnosed with dengue fever at the Siti Khadijah Islamic Hospital Palembang in 2017. The data was take based on medical record, the used data were retrospective data which were taken by using purposive sampling technique. The obtained data were 30 respondents who met the inclusion-exclusion criteria. The data analysis used is univariate analysis. The result showed that there was an inaccurate dose of (6.66%). A description of the rationality of treatment carried out from 30 patient stated that treatment rationality was (93,33%) and treatment irrationality was (6,66%). It is suggested that efforts be made to increase compliance for health professionals in hospitals in the completeness of recording in medical records.


2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables


2021 ◽  
Vol 15 (1) ◽  
pp. 57
Author(s):  
Rafiah Maharani Pulungan ◽  
Putri Permatasari

The increase in pulmonary TB cases is related to the success of treatment. Rough treatment will lead to multi-drug resistant TB (MDR TB). The purpose of this study was to analyze the relationship of Predisposing, and enabling factors with the successful treatment of pulmonary TB in the Cikulur Community Health Center, Lebak Regency. This study used a Case-control research design. The sampling technique was purposive sampling, and a sample size of 82 people. The independent variables were predisposing factors (age, gender, education level, employment status, motivation, knowledge and attitudes), enabling factors (medication adherence, drug side effects, and access to health facilities). The dependent variable was the success of TB treatment. Data analysis using Chi-Square test and multiple logistic regression. The results showed that a person with pulmonary TB with non-working status, adherence to treatment, and access to health facilities was 5.002 times easy to succeed in TB treatment. The factors most related to the success of treatment were occupational status, medication adherence and access to health facilities. It is suggested that health services need to increase the accessibility of TB patients in the fulfillment of treatment so that patients can improve their success in recovery in therapy. Also, sufferers take medication regularly and according to the recommendations for success of treatment


2021 ◽  
Vol 9 (1) ◽  
pp. 64-73
Author(s):  
Alima Frida Merani ◽  
Bambang Iskamto ◽  
Yafi Sabila Rosyad

Background: Motivation is a strength, drive, need, pressure and a psychological mechanism that is forced to be an accumulation of internal and external factors. Knowledge also has an important role in pulmonary TB patients while undergoing pulmonary TB treatment. The Objective: To examine the relationship between the level of knowledge about pulmonary tuberculosis and the motivation of patients to carry out treatment at the Umbulharjo 1 health center in Yogyakarta. The Research Methods: This type of research is quantitative, the method used is correlation with cross sectional design approach. The population in this study were 46 people with up to 30 respondents taken using purposive sampling technique. The Results: Somer’s D correlation test results of .346 are smaller than 0.005, meaning that there is a significant relationship between the level of knowledge and patient motivation in undergoing treatment at the Umbulharjo 1 Health Center in Yogyakarta. The Conclusion:  There is a relationship between the level of knowledge and patient motivation in undergoing treatment at the Umbulharjo 1 Health Center in Yogyakarta.  


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern


2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
RR Dian Tristiana ◽  
Richa Kumalasari ◽  
Makhfudli Makhfudli

Introduction: Pulmonary TB clients who undergoing intensive phase treatment often feel sad, bored, reject conditions, useless and helpless, complaining about changes in conditions experienced. This study aims to describe the experience of pulmonary TB clients who undergoing intensive phase treatment in Taji Community Health Center of Magetan DistrictMethod: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Result: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Conclusion: The experience of pulmonary TB clients who undergoing intensive phase treatment needs of various support from themselves and others such as family, neighbors, friends, and health workers to overcome the obstacles transversed. It is hoped that this research could be the basis for further research on health promotion and sustainable accompaniment to pulmonary TB clients who undergoing intensive phase treatment by involving family and community.


2018 ◽  
Vol 8 (1) ◽  
pp. 71-77
Author(s):  
Sri Haryani

The drug is one of the most important part of the healing process, healthrestoration and also prevention of a disease. The preparation and administration of drugsshould be done accurately by nurses. JCHO data obtained also showed that 44,000 of the98,000 deaths that occur in hospital every year due to medical errors. Objective Todetermine what factors are associated with the application of the principle of the rightdrug at the hospital six Curup 2014. The method used is descriptive cross sectionalAnalytical approach. Research done in the area of obstetrics and children's hospitalsCurup on April 1 - April 14, 2014. This study use total sampling technique that is 35person. Data collection tool used was a questionnaire and observation sheet. Applicationof the principle of the right drug at the hospital six Curup majority of respondents 23(65.7%) applying the principle of "Six Right" exactly. There is no relationship betweenage, education, and knowledge of the proper application of the six principles ofmedicine. But, there is a relationship between length of employment with the properapplication of the six principles of medicine. It is expected that the hospitaladministration can oversee the implementation of the six principles right.


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