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Pengaruh Dukungan Keluarga terhadap Kepatuhan Minum Obat pada Pasien Lansia dengan Hipertensi: The Effect of Family Support on Medication Adherence in Elderly Patients with Hypertension A’yun, Hanindira Qurrotu; Susanti, Irma; Octavia, Devi Ristian
Jurnal Sains dan Kesehatan Vol. 7 No. 4 (2025): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v7i4.2485

Abstract

Old age is the phase of life that reaches the end of the human cycle in the world. One of the challenges faced by the elderly is a decrease in the function of the cardiovascular system, including hypertension problems. If not treated seriously, hypertension in the elderly can result in various complications such as heart attacks, coronary heart disease, kidney failure and stroke. Hypertension sufferers need family support to comply with taking antihypertensive medication. This study aims to determine the effect of family support on medication adherence in elderly patients with hypertension. This research was conducted on all elderly hypertensive patients with or without complications who were undergoing hypertension therapy at the Babat Community Health Center in the period December-January 2024. This research method used Cross-Sectional, samples were taken using the Purposive Sampling method. Data were analyzed using the Chi Square test. The research results show that the Asymp Sig. (2 tailed) obtained is 0.00, this proves that family support influences the level of compliance of elderly patients in taking medication for hypertension. Keywords:          Family support, Hypertension, Compliance with taking medication   Abstrak Usia lanjut adalah fase kehidupan yang mencapai akhir siklus manusia di dunia. Salah satu tantangan yang dihadapi oleh lansia adalah penurunan fungsi sistem kardiovaskular, termasuk masalah hipertensi. Jika tidak ditangani dengan serius, hipertensi pada lansia dapat mengakibatkan berbagai macam komplikasi seperti penyakit serangan jantung, jantung koroner, gagal ginjal, dan stroke. Penderita hipertensi membutuhkan dukungan keluarga agar patuh dalam minum obat antihpertensi. Penelitian ini bertujuan untuk mengetahui pengaruh dukungan keluarga terhadap kepatuhan minum obat pada pasien lansia dengan hipertensi. Pada penelitian ini dilakukan terhadap seluruh pasien lansia hipertensi dengan atau tanpa komplikasi yang sedang menjalani terapi hipertensi di Puskesmas Babat pada periode bulan Desember-Januari tahun 2024. Metode penelitian ini menggunakan Cross-Sectional, sampel diambil menggunakan metode Purposive Sampling. Data dianalisis dengan uji Chi Square. Hasil penelitian menunjukkan  bahwa nilai Asymp Sig. (2 tailed) yang didapatkan yaitu 0,00, ini membuktikan bahwa dukungan keluarga memengaruhi tingkat kepatuhan pasien lansia dalam mengonsumsi obat untuk hipertensi. Kata Kunci:         Dukungan keluarga, Hipertensi, Kepatuhan minum obat
KETAHANAN TENAGA FARMASI DALAM MELAKSANAKAN PRAKTIK FARMASI YANG BAIK Dicky Chandra, Muhammad; Octavia, Devi Ristian; Prastiwi Handayani, Riana
Jurnal Surya Vol 17 No 2 (2025): Volume 17 Issue 02 2025
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v17i2.1275

Abstract

Introduction: Quality pharmaceutical services are highly dependent on the implementation of Good Pharmacy Practice (GPP). To optimally implement GPP, pharmacy workforce are required to possess resilience, or psychological resilience, in the face of work pressure. This study aims to determine the relationship between resilience and GPP implementation.   Method: This study used a quantitative cross-sectional design conducted from December 2024 to May 2025. A sample of 75 respondents was selected using a simple random sampling technique. Data were collected using the F10RBS questionnaire to measure resilience and the GPP questionnaire to measure the implementation of Good Pharmacy Practice. The analysis was carried out using the Rank-Spearman correlation test.   Results: A total of 97.3% of respondents had a good level of resilience, and 98.7% of respondents demonstrated good implementation of GPP. The correlation test results showed a strong and significant relationship between pharmacy workforce resilience and GPP implementation, with a correlation coefficient (r) of 0.654 and a significance value of p = 0.000.   Conclusion: Based on the results of research on the Resilience of Pharmaceutical Workers in the Implementation of Good Pharmacy Practice in Lamongan Regency, it can be concluded that there is a significant and strong relationship with the resilience of pharmaceutical workers in the implementation of Good Pharmacy Practice.
Implementation of Telemedicine through “Apoteker Keluarga Online” Application as an Effort for Rational Headache Self-Medication Octavia, Devi Ristian; Utami, Primanitha Ria; Susanti, Irma
JURNAL INFO KESEHATAN Vol 21 No 1 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss1.890

Abstract

People who seek self-medication for acute headaches in pharmacies are not properly diagnosed and treated. Irrational drug use has a high potential for causing medication errors. The AKO application is one of the digital counseling service apps managed by a pharmacist who has a strategic role in educating patients on self-medication behavior in telemedicine services. The objective of this study is to identify the benefits of AKO use in increasing rational self-medication behavior in headache complaints. It is a descriptive analysis study with a case-control design. The population is the Lamongan community who have had headache self-medication. Samples were taken by purposive sampling technique. A total of 130 participants were divided into two groups: the intervention group and the control group. A headache self-medication questionnaire was employed as the instrument. The collected data was then analyzed using the Mann Whitney test to determine the value of the AKO application in increasing knowledge of the rationality of self-medication in headache complaints. The data from the measurement of the level of knowledge of the rationality of headache self-medication revealed that the majority of the intervention group (92.3%) had good knowledge and none had poor knowledge. While there are still respondents with less knowledge (15.3%) in the control group. The statistical test results for the benefits of AKO application assistance on the level of knowledge of the rationality of headache self-medication revealed a p value = 0.000, indicating a significant difference between the intervention and treatment groups. The use of telemedicine via the AKO application can increase public awareness of the rational use of headache medications. Digital health services can be used as a medium for counseling and remote patient health monitoring.      
Hubungan Tingkat Pengetahuan dengan Perilaku Penggunaan Antibiotik Tanpa Resep pada Mahasiswa Fakultas Ilmu Kesehatan di Universitas Muhammadiyah Lamongan Al wahida, Nur Aini; Octavia, Devi Ristian; Sahara, Sri Bintang
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i12.7008

Abstract

Antibiotik adalah obat yang digunakan untuk mengatasi infeksi bakteri. penggunaan yang tidak wajar dapat memicu terjadinya resistensi antibiotik. Penggunaan antibiotik yang tepat dipengaruhi oleh Pengetahuan dan Perilaku dalam menggunakan antibiotic. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan perilaku pengunaan antibiotik tanpa resep pada mahasiswa fakultas ilmu kesehatan di Universitas muhammadiyah Lamongan dalam menggunakan antibiotik tanpa resep. Desain penelitian ini adalah deskriptif korelatif. populasi sebanyak 347 Responden, menggunakan purposive sampling yang dilakukan bulan Febuari 2024. Instrumen yang digunakan adalah kuesioner yang sudah diuji validitas dan realibilitas. Analisis korelasi dilakukan uji korelasi rank Spearman. Hasil penelitian menujukkan menunjukan bahwa hubungan tingkat pengetahuan tentang penggunaan antibiotik tanpa resep pada mahasiswa Fakultas Ilmu Kesehatan di Universitas Muhammadiyah Lamongan termasuk dalam kategori pengetahuan baik sebesar 152 orang dengan persentase 81,7%, Perilaku penggunaan antibiotik di kategori perilaku baik sebesar 130 orang dengan presentase 69,8%. Terdapat hubungan yang bermakna dengan signifikansi sebesar 0,01, koefisien korelasi sebesar 0,231 dan arah korelasi positif (+) yang artinya terdapat hubungan yang signifikan antara pengetahuan mahasiswa Fakultas Ilmu Kesehatan di Universitas Muhammadiyah Lamongan dengan perilaku pengguaan antibiotik dengan kekuatan yang lemah.
GUIDANCE ON MEDICATION USE FOR DIABETIC AND HYPERTENSIVE PATIENTS IN RAMADAN: TOWARDS BETTER HEALTH OUTCOMES Octavia, Devi Ristian; Winanda Putri, Amalia; Febriyanti, Amelia; Amelia, Artikasari Devi Putri; Alfi Novitasari, Hardiyanti
Journal of Community Research and Engagement Vol. 2 No. 1 (2025): MAY
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/jcore.v2i1.1146

Abstract

Jubel Kidul Village in Lamongan Regency has a high prevalence of hypertension and diabetes mellitus. This is evidenced by the significant number of individuals purchasing antihypertensive and antidiabetic medications at local pharmacies and seeking treatment at healthcare centers for related complaints. This study aims to enhance public awareness of the importance of consistent medication adherence to reduce mortality associated with hypertension and diabetes mellitus. The community service employed educational interventions during the fasting month, focusing on proper medication use for hypertension and diabetes mellitus. These activities included guided counseling sessions and a final evaluation to assess the community’s level of understanding. Following the educational sessions and coaching, the final evaluation showed a marked improvement in participants’ knowledge compared to the pre-intervention assessment. Participants demonstrated comprehension and acceptance of the material delivered. The educational intervention effectively increased community knowledge regarding the correct use of medications during Ramadan, as evidenced by a significant rise in posttest scores. This suggests that targeted education can contribute to better health outcomes during the fasting period.
The influence of health education using herbal e-catalog media and conventional education community knowledge and interest in the use of toga as a tradisonal medicine for self-medication Octavia, Devi Ristian; Utami, Primanitha Ria
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 5, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(5).330-336

Abstract

Background: Inappropriate use of medicines in self-medication practice will cause drug-related problems due to limited knowledge about drugs and their use. Family medicinal plants (TOGA) can be an alternative to traditional medicine for safer self-medication practices.Objectives: This research aims to analyze the influence of health education using herbal e-catalogue media in increasing public knowledge and interest regarding the use of family medicinal plants (herbs) for rational self-medication practices.Methods: The design of this research is Quasi Experimental with a pretest-posttest control group design. Knowledge measurements were carried out twice, namely before the intervention and three weeks after the intervention. The intervention was carried out 3 times with an interval of one week. The sampling technique is purposive sampling. The instrument used in the research was a validated questionnaire. Data analysis to see differences in scores of people's knowledge and interest in using herbs for self-medication in the treatment group and control group was analyzed using the Wilcoxon test. To see the effect of using the Herbal e-catalog media, analysis was carried out using the Mann-Whitney test.Results: The research results showed that there was a significant difference in the pretest and posttest results in the control group and intervention group with a value (p value = 0.000), but there was no difference in knowledge about the use of herbs for self-medication in the two groups (p value = 0.664).Conclusions: Health workers need to provide education to the public so that public knowledge about the use of traditional medicine in self-medication practices can provide the expected therapeutic results.
PEMBERDAYAAN KAMPUNG ASK ME DAGUSIBU SEBAGAI PUSAT EDUKASI PENGGUNAAN OBAT YANG AMAN DAN BERTANGGUNG JAWAB MELALUI EDUKASI KOMUNITAS Octavia, Devi Ristian; Nita, Yunita; Hermansyah, Andi
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 3 (2025): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i3.30220

Abstract

Abstrak: Desa Banjarrejo memiliki akses lokasi yang kurang memadai terhadap fasilitas pelayanan kesehatan, sehingga masyarakat cenderung mendapatkan obat tanpa disertai informasi yang lengkap dalam penggunaannya. Dampak negatif yang timbul akibat penggunaan obat tanpa pengetahuan yang baik adalah kesalahan masyarakat dalam mendapatkan, menggunakan hingga membuang obat yang membahayakan kesehatan masyarakat dan lingkungan. Pengabdian masyarakat ini bertujuan untuk meningkatkan soft skill masyarakat tentang pengelolaan dan penggunaan obat yang benar, aman dan bertanggung jawab. Kegiatan pengabdian masyarakat ini dilakukan dengan metode pelatihan tentang pengelolaan dan penggunaan obat yang benar di rumah tangga dengan memberikan edukasi dan pendampingan kepada masyarakat dalam kelola obat. Pendekatan berbasis komunitas terhadap 85 masyarakat yang terlibat selama kegiatan dan evaluasi melalui pemberian feedback secara langsung kepada peserta, menggunakan pendekatan kualitatif berbasis tanya jawab lisan terstruktur menunjukkan program ini dapat mencapai lebih dari 67% kesadaran komunitas tentang pentingnya penggunaan obat yang tepat, mengurangi risiko penggunaan obat yang salah, dan membentuk penggunaan obat yang aman dan bertanggung jawab di masyarakat.Abstract: Banjarrejo Village has inadequate access to health service facilities, so people tend to get medicine without complete information. The negative impacts of using medicine without good knowledge are mistakes made by people in obtaining, using, and disposing of medicines that endanger public health and the environment. This community service aims to improve the community's soft skills in the management and use of correct, safe, and responsible medicines. This community service activity is carried out using a training method on the management and use of medicines correctly in households by providing education and assistance to the community in managing medicines. A community-based approach to 85 communities involved during the activity and evaluation through direct feedback to participants, using a qualitative approach based on structured oral questions and answers shows that this program can achieve more than 67% community awareness of the importance of proper use of medicines, reduce the risk of misuse of medicines, and form safe and responsible use of medicines in the community.
PENINGKATAN PENGETAHUAN KADER ‘AISYIYAH MELALUI PROGRAM GERAKAN ‘AISYIYAH MENUJU USIA LANJUT Utami, Primanitha Ria; Octavia, Devi Ristian; Ramadhani, Novely Dwita
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.25914

Abstract

Abstrak: Usia lanjut kerap mengalami permasalahan kesehatan yang berpotensi pada resiko munculnya penyakit kronis seperti hipertensi maupun diabetes mellitus. Tujuan pelaksanaan kegiatan pengabdian masyarakat ini untuk meningkatkan pengetahuan kader ‘Aisyiyah tentang penggunaan obat yang tepat pada usia lanjut, penyimpanan obat yang tepat, yang terlihat dari data pretest dan posttest yang sudah diberikan. Mitra pemberdayaan ini adalah Kader ‘Aisyiyah Jetis Lamongan yang terdiri dari 15 anggota yang hadir dan memiliki rangkaian kegiatan rutinan pengajian dan bakti sosial. Kegiatan diawali dari skrinning kesehatan (pengukuran tekanan darah, pemeriksaan gula darah, asam urat, atau kolesterol). Tahap berikutnya pemberian sosialisasi dan edukasi tertib manajemen kelola obat menggunakan media pocket books dengan Tema gerakan sehat ‘Aisyiyah menuju usia lanjut. Pocket books yang dapat diakses secara digital dengan thema cerdas menggunakan obat; tips pola hidup sehat yang dirangkai jadi satu di dalam pocket Books. Hasil menunjukkan terdapat peningkatan pengetahuan dengan kategori baik meningkat persentasenya yang awalnya kategori baik 60% menjadi 86,67%, sehingga edukasi kesehatan dan pemahaman dalam peningkatan kompetensi terkait pengelolaan obat menuju usia lanjut memerlukan peran penting kolaborasi dari tenaga kesehatan dan masyarakat demi mewujudkan peningkatan kualitas hidup pasien usia lanjut.Abstract: Older people often experience health problems that have the potential to increase the risk of developing chronic diseases such as hypertension or diabetes mellitus. The aim of implementing this community service activity is to increasing the knowledge of ‘Aisyiyah cadres about the proper use of drugs in the elderly, proper storage of drugs, which can be seen from the pre-test and post-test data that has been given. This empowerment partner is the 'Aisyiyah Jetis Lamongan Cadre, which consists of 15 members who attend and have a series of routine recitation and social service activities. The activity begins with a health screening (measurement of blood pressure, checking blood sugar, uric acid or cholesterol). The next stage is providing socialization and education on orderly medication management using pocket books as a medium with the theme of the 'Aisyiyah healthy movement towards old age. Pocket books that can be accessed digitally with smart themes using medicine; Healthy lifestyle tips are put together in a pocket book. The results show that there was an increase in knowledge with the good category (>75%) increasing in percentage from the initial good category of 60% to 86.67%., so that health education and understanding in increasing competence related to drug management towards old age requires an important role of collaboration from health workers and the community in order to realize an improvement in the quality of life of patients elderly.
IMPLEMENTASI MIKROBIOLOGI FARMASI, UPAYA PENCEGAHAN DAN PENANGANAN DINI DEMAM BERDARAH MELALUI KEGIATAN PENYULUHAN DI LAMONGAN Sakti, Aditya Sindu; Octavia, Devi Ristian; Sari, Popy Dwi Permata; Fadhila, Salsabila Nur; Wibowo, Alfina Wijayanti; Sholichatin, Haeny; Akhyar, Miftakhul; Maharani, Tiara Anisa; Lutfiana, Era; Putri, Amalia Winanda
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 2 (2024): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i2.22249

Abstract

Abstrak: Dusun Pereng, Lamongan merupakan dusun yang memiliki banyak sawah tambak sehingga rentan terjadinya KLB demam berdarah, pengetahuan masyarakat terkait upaya pencegahan dan penanganan dini demam berdarah dapat menurunkan kejadian dan keparahan demam berdarah . Kegiatan penyuluhan ini bertujuan untuk meningkatkan pengetahuan ibu rumah tangga di Dusun Pereng, Lamongan mengenai upaya pencegahan dan penanganan demam berdarah dengan memanfaatkan potensi herbal unggulan desa. Mitra yang terlibat dalam kegiatan penyuluhan ini adalah ibu rumah tangga di RT 01 RW 03, Dusun Pereng, Lamongan sebanyak 12 orang . Metode yang digunakan adalah penyuluhan dengan bantuan media visual berupa poster, evaluasi perubahan tingkat pengetahuan mitra dilakukan dengan menggunakan kuesioner pre-test post-test. Peningkatan pengetahuan secara signifikan (p>0.05) hanya terjadi pada 42% mitra ibu rumah tangga. Peningkatan pengetahuan mitra dengan metode penyuluhan kurang memberikan pengaruh yang bermakna terhadap pengetahuan mitra mengenai upaya pencegahan dan penanganan demam berdarah.Abstract: Pereng is a village in Lamongan that has many ponds so it is prone to outbreaks of dengue fever. Public knowledge about prevention and early treatment of dengue fever can reduce the incidence and severity of dengue fever. This educational health campaign aims to increase the knowledge of housewives in Pereng, Lamongan regarding the prevention and treatment of dengue fever by utilizing the potential of the village's superior herbs. The partners involved in this educational health campaign were 12 housewives in RT 01 RW 03, Pereng village, Lamongan. The method used is an educational health campaign using the visual media of poster. Evaluation of the level of knowledge from housewife respondents was performed using a pre-test post-test questionnaire. A significant increase in knowledge (p>0.05) only occurred in 42% of housewife respondents. Increasing partners' knowledge using outreach methods performed did not have a significant influence on the knowledge of housewife respondents. 
Identifikasi Penggunaan Obat Off Label pada Pasien Geriatri dengan Penyakit Degeneratif di Puskesmas Sugio Nabella, Berliana Putri; Susanti, Irma; Octavia, Devi Ristian
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 5 No 2 (2026): Oktober - Maret
Publisher : LPPM-KI - POLTEKKES PIM (Formerly AKAFARMA-AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v5i2.111

Abstract

Prescribing medications that do not comply with the official information stated on the drug label and marketing authorization, such as dose, age, route of administration, contraindications, and indications, is known as off-label drug use. Elderly patients may experience undesirable adverse effects due to off-label medication use. This study aimed to evaluate off-label drug use among elderly individuals with degenerative diseases at Sugio Primary Health Center. This study collected data retrospectively from the medical records of elderly patients with degenerative disorders at Sugio Primary Health Center using a descriptive non-experimental design. The sample was selected using a purposive sampling method. The inclusion criteria were geriatric patients aged ≥60 years diagnosed with degenerative diseases who received outpatient care during the period of January–August 2024. Data were collected using an observation sheet and analyzed using univariate analysis. The findings from 150 patients showed that 69 (46%) were categorized as off-label dose and 58 (38.7%) as off-label age. These findings indicate that off-label drug use still occurs among elderly patients, highlighting the need to evaluate the rationality of prescribing practices.