scholarly journals EVALUASI PENGGUNAAN OBAT GASTRITIS PADA PASIEN RAWAT INAP DI RS GRANDMED LUBUK PAKAM TAHUN 2020

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).

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 10 (1) ◽  
pp. 120
Author(s):  
Yulia M. Nur ◽  
Elnita Rahmi ◽  
Eliza Eliza

Neonatal jaundice is a common problem in the care of normal newborns. West Pasaman Regional Hospital data states that in 2018 there were 41 cases of neonatal jaundice out of 369 deliveries. The research objective was to determine the effect of exclusive breastfeeding and phototherapy on the incidence of neonatal jaundice. The research method is retrospective, namely conducting research on past events. The research was conducted at RSUD Pasaman Barat with a population of 20 people. Sampling was done by total sampling technique, so that the sample size is 20 people. Data collection was carried out by means of observation at the West Pasaman Regional Hospital. The approach used is cross sectional, namely independent and dependent data collection is done at the same time. The data that has been collected is then processed manually and analyzed by computerized univariate and bivariate analysis. This type of research is descriptive with a cross sectional design. The study population was all babies in West Pasaman Regional Hospital with a total of 41 people, the sample size was determined by the total sampling so that the sample was 41 people. The data was collected by means of a documentation study using a checklist. Data processing was carried out by univariate computerization. The results showed that as many as 13 respondents (31.7%) were breast-fed, 63.4% were carried out with phototherapy and 24.4% of respondents had neonatal jaundice. Based on the bivariate analysis obtained p value 0.049 (Breastfeeding) and 0.001 (Phototherapy). The results of the Chi Square test, it can be concluded that there is an effect of breastfeeding and phototherapy on the incidence of neonatal jaundice


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%.


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.


2017 ◽  
Vol 1 (1) ◽  
pp. 119
Author(s):  
Wahyu Wijanarko ◽  
Ririn Nasriati ◽  
Saiful Nurhidayat

AbstractJellyfish are marine animals that are harmful to humans. Jellyfish often attack the beach tourists through the sting they have. The stings of a jellyfish can cause burning and even death if it does not get proper handling. So it is very necessary first aid on the right victim. But one of the societal habits for the first aid on jellyfish stings using urine or ammonia, and it is not justified. If urine is alkaline it will increase the effect of toxins. The purpose of this study is to determine the level of knowledge of tourists about first aid in victims of jellyfish stings. The research design used was descriptive with coastal tourist population of Teleng Ria beach Pacitan as many as 492 respondents, The sample as much 98 respondents. The sampling technique used is Purposive Sampling. Data collection using questionnaires, then performed data processing using Coding, Scoring, Tabulating, and analyzed based on percentage. The results of this study indicate that of 98 respondents, 72 respondents or 73.5% had less knowledge, while 22 respondents or 22.4% knowledgeable sufficient, and 4 respondents or 4.1% have good knowledge. The result of this research can be concluded that knowledge influence to handling jellyfish sting procedure accordingly so as to prevent health problems like respiratory disturbance, pain disorder, and tissue damage, hence needed improvement of knowledge about handling jellyfish sting.Keywords: Knowledge, Tourists, First Aid On The Survivors of Jellyfish StingsAbstrak`Ubur-ubur merupakan binatang laut yang berbahaya, dan sering menyerang para wisatawan pantaimelalui sengatannya. Korban sengatan ubur-ubur dapat semakin parah bahkan berakibat fatal bila tidak mendapat penanganan yang tepat. Kebiasaan masyarakat yang salah menggunakan amoniak dalam memberikan pertolongan pertama sengatan ubur-ubur harus diperbaiki. Tujuan penelitian ini untuk mengetahui tingkat pengetahuan wisatawan tentang pertolongan pertama pada korban sengatan ubur-ubur.Desain penelitian yang digunakan adalah deskriptif dengan populasi wisatawan pantai Teleng Ria Pacitan sebanyak 492 responden, sampelnya berjumlah 98 responden. Teknik sampling yang digunakan adalah Purposive Sampling. Pengumpulan data menggunakan kuesioner, kemudian dilakukan pengolahan data menggunakan Coding, Scoring, Tabulating, dan dianalisis berdasarkan prosentase.Hasil penelitian ini menunjukan bahwa dari 98 responden, didapatkan 72 responden atau 73.5% memiliki pengetahuan kurang, sedangkan 22 responden atau 22.4% berpengetahuan cukup, dan 4 responden atau 4.1% memiliki pengetahuan baik.Hasil penelitian dapat disimpulkan bahwa pengetahuan berpengaruh terhadap penanganan sengatan ubur-ubur yang sesuai prosedur sehingga mencegah masalah kesehatan seperti gangguan pernapasan, gangguan rasa nyeri, dan kerusakan jaringan, maka diperlukan peningkatan pengetahuan tentang penanganan sengatan ubur-ubur.Kata Kunci: Pengetahuan Wisatawan, Pertolongan Pertama, Sengatan Ubur-Ubur


2021 ◽  
Vol 4 (1) ◽  
pp. 111-120
Author(s):  
Ni Komang Wijiani Yanti ◽  
◽  
Dwi i Andayani

One of the mental disorders caused by the inability of individuals to make adjustments is schizophrenia. Schizophrenia is a chronic and severe disorder that affects a person thinks, feels, and acts. The management of schizophrenia treatment one of which uses antipsychotics. Evaluation parameters include the right drug, right dose, right patient, and right frequency of drug use. This research is a descriptive with data collection retrospectively. Data collection was carried out by using purposive sampling method by looking at the medical record data of inpatient schizophrenia in the period of January - December 2019 as many as 87 medical records. Schizophrenia was more experienced by men (79.31%) and aged 26-35 years (56.32%). The most common type of schizophrenia is paranoid as many as 75 patients (86.21%). The most common use of antipsychotics is the typical + atypical antipsychotic combination group of 44 patients (50.57%). The evaluating the accuracy of the use of antipsychotics obtained 88.51% right of the drug; 100% right patient; 98.85% correct dosage; and 96.55%% exact frequency. The use of drugs during hospitalization is good, but evaluation and monitoring are needed because there are still inaccuracies in the drug, dosage, and frequency in the use of antipsychotic drugs.


2019 ◽  
Vol 1 (1) ◽  
pp. 57-70
Author(s):  
Murniwati Murniwati ◽  
Rizanda Machmud ◽  
Suci Rahmasari

Dental records  must comply with National Standard of Dentistry, Medical Record must contain data that identity of the patient, patient's general condition, odontogram, dental care data and the name and signature of the dentist and dental records are more important filled completely. This study aim to know the knowledge of all dentists in Padang to dentall record. The design of this study is Descriptive. The populations in this study were all dentists who working in health centers and hospitals of Padang. The sampling technique is Total Sampling and data collection through questionnaires and observation of dental  records. The results showed that the rate of the level of knowledge about the importance of dentall record low according to national standards where knowledge about medikolegal aspects is the subject to a level of knowledge is low, reaching only 4.2%. Knowledge of dentists about the medical records dental national standards is low because of the lock of socialization and conducted a related-party factor. It could be need to socialization and provide the policy of dental record based on national standard for all dentists.


PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e1466 ◽  
Author(s):  
Amour B.U. Patel ◽  
Anna Reyes ◽  
Gareth L. Ackland

Background.Postoperative morbidity has immediate and delayed consequences for surgical patients, including excess risk of premature death. Capturing these data objectively and routinely in large electronic databases using tools such as the Postoperative Morbidity Survey (POMS) would offer tremendous clinical and translational potential. However, POMS has thus far only utilised prospective data collection by research staff. We hypothesised that retrospective data collection from routinely collated hospital data from paper and electronic charts, medical and nursing notes was non-inferior to prospective data collection requiring research staff capturing POMS-defined morbidity in real-time.Methods.Morbidity was recorded by a trained investigator as defined by POMS prospectively on postoperative days 3 and 7. Separately, an independent investigator blinded to prospectively acquired data retrospectively assessed the same patients’ morbidity as defined by POMS criteria, using medical charts, nursing summaries and electronic data. Equivalence was accepted when the confidence limits for both modes of data collection fell completely inside the equivalence bounds, with the maximum equivalence difference (i.e., the largest value of the difference in sensitivities deemed to reach a conclusion of equivalence) set a priori at 0.2. Differences for confidence limits between retrospective and prospective data collection were based on Nam’s RMLE method. The relationship between morbidity on postoperative day 3 as recorded by each data collection method on time to become morbidity free and length of hospital stay was compared using the log-rank test.Results.POMS data from 85 patients undergoing elective or emergency surgery were analyzed. At postoperative day 3, POMS-defined morbidity was similar regardless of whether data were collected prospectively or retrospectively (95% CI [−0.13–0.013];p< 0.001). Non-inferiority for sensitivity was observed for all other POMS domains and timepoints. Time to become morbidity free Kaplan–Meier plots were indistinguishable between POMS obtained prospectively or retrospectively (hazard ratio: 1.09 (95% CI [0.76–1.57]);p= 0.33, log rank test). Similarly, the mode of data collection did not alter the association between early postoperative morbidity on postoperative day 3 and delayed hospital discharge.Conclusions.Postoperative morbidity as defined by the Post Operative Morbidity Survey can be assessed retrospectively. These data may therefore be easily captured using electronic patient record systems, thereby expanding the potential for bioinformatics approaches to generate new clinical and translational insights into recovery from surgery.


2020 ◽  
Vol 2 (3) ◽  
pp. 218-231
Author(s):  
Reschiwati Reschiwati ◽  
Maria Christina Leda Meo Maria Christina Leda Meo

Objective – The accuracy of providing audit opinions is very important for stakeholders in the context of business decision making. In order to provide the right opinion, the auditor must have sufficient expertise, independence and experience to support his work. This study aims to analyze the influence of the factors of expertise, independence and experience of auditors on the accuracy of giving audit opinions.Design/methodology – Data collection techniques used in this study are primary data in the form of questionnaires distributed to auditors working in public accounting firms in the Central Jakarta area. The population in this study was 61 KAPs located in Central Jakarta registered in the IAPI 2019 directory. Sampling in this study used a purposive nonprobability sampling technique. There are 78 auditors working in 15 KAP in central Jakarta selected as respondents. This study uses Structure Equation Models (SEM) to achieve the objectives.Results - The results showed that all factors tested namely expertise, independence and experience of auditors affect the accuracy of giving audit opinions, both partially and simultaneously.


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