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All Journal Medula Jurnal Farmasi Klinik Indonesia Acta Pharmaceutica Indonesia Pharmascience JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) JFL : Jurnal Farmasi Lampung Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Majalah Farmasetika JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal Kesehatan Tambusai Jurnal Buana Farma Jurnal Jaminan Kesehatan Nasional Sains Medisina Jurnal Farmasi SYIFA Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Riset Ilmu Kesehatan Umum dan Farmasi JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Suri, Nurma
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Article Review: Faktor Penyebab Perilaku Penggunaan Antibiotik Tanpa Resep Pada Masyarakat Al Rasyid, Muhammad Irfan; Suri, Nurma; Iqbal, Muhammad; Junando, Mirza
Jurnal Farmasi SYIFA Vol 3 No 1 (2025): Jurnal Farmasi SYIFA
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/jfs.v3i1.614

Abstract

Penggunaan antibiotik tanpa resep dokter menjadi salah satu penyebab utama resistensi antibiotik yang berdampak pada meningkatnya prevalensi penyakit yang sulit diobati, biaya kesehatan yang meningkat, dan risiko kematian. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang memengaruhi perilaku penggunaan antibiotik tanpa resep di Indonesia. Metode yang digunakan adalah literatur review dari artikel ilmiah terbitan 2015–2025 yang diakses melalui Google Scholar dan PubMed menggunakan kata kunci yang relevan. Dari 10 artikel yang dianalisis, ditemukan lima faktor utama: (1) tingkat pengetahuan dan pendidikan, di mana tingkat pendidikan memengaruhi pemahaman penggunaan antibiotik. (2) faktor ekonomi, khususnya biaya pengobatan yang lebih murah. (3) pengalaman penggunaan sebelumnya, dengan asumsi gejala serupa dapat diobati dengan antibiotik sebelumnya. (4) kemudahan akses antibiotik di apotek atau toko obat dan (5) rekomendasi kerabat/tetangga, sering kali dari mereka yang bekerja di bidang kesehatan. Studi ini menekankan pentingnya edukasi masyarakat dan penegakan regulasi pembelian antibiotik oleh pemerintah untuk mencegah resistensi antibiotik.
KAJIAN LITERATUR : FAKTOR-FAKTOR YANG MEMENGARUHI KEBERHASILAN TERAPI PASIEN TUBERKULOSIS PARU Putri, Oka Mahila Gustia; Oktarlina, Rasmi Zakiah; Suri, Nurma; Sukohar, Asep
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.42725

Abstract

Tuberkulosis paru merupakan penyakit infeksi yang masih menjadi tantangan kesehatan global dengan angka kesembuhan yang belum mencapai target pemerintah sebesar 90%. Keberhasilan terapi pasien dipengaruhi oleh berbagai faktor termasuk karakteristik individu, dukungan keluarga, serta peran tenaga kesehatan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang memengaruhi keberhasilan terapi tuberkulosis paru melalui kajian literatur yang diperoleh dari Google Scholar dengan kata kunci “keberhasilan terapi pasien tuberkulosis paru”. Seleksi artikel dilakukan berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan, dari 14.200 artikel yang ditemukan diseleksi kembali hingga diperoleh 10 artikel yang relevan. Hasil kajian menunjukkan beberapa faktor utama yang berkontribusi terhadap keberhasilan terapi pasien meliputi sosiodemografi, pengetahuan, sikap, motivasi, kepatuhan dalam mengonsumsi obat, keteraturan pengobatan, peran pengawas minum obat, dukungan keluarga, dukungan tenaga kesehatan serta kategori pengobatan.
Literature Review: Penggunaan Obat Off-label pada Pasien Pediatri Chintia Dwi Tanasa; Nurma Suri; Citra Yuliyanda Pardilawati; Asep Sukohar
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.682

Abstract

 Off-label drug use is still widely found, especially among vulnerable patients. Pediatrics is one of the vulnerable patient groups who still often get off-label drug therapy. This study was conducted with the aim of looking at the description of the use of off-label drugs given to pediatric patients. This research is a type of research with the literature review method, with data obtained from several articles, the search for articles was carried out through the Google Scholar database. The results of this study from 10 articles used as research data, found the use of off-label drugs in pediatric patients with the most results in the off-label dosage category and followed by off-label dosage category, off-label age category, and off-label route of administration category, while the off-label contraindication category was not found. Based on the results obtained, it is concluded that the use of off-label drugs in pediatric patients is quite high, so it is necessary to monitor the use of off-label drugs to reduce the incidence of unwanted side effects  
Pendampingan Pembuatan Mykunas (Gummy Kulit Nanas) dalam Rangka Pemanfaatan Limbah Kulit Nanas di Pekon Gunung Terang, Kecamatan Bulok, Kabupaten Tanggamus Provinsi Lampung: Assistance in Making Mykunas (Pineapple Peel Gummy) in the Context of Utilizing Pineapple Peel Waste in Pekon Gunung Terang, Bulok District, Tanggamus Regency, Lampung Province Afriyani, Afriyani; Ulandari, Atri Sri; Oktoba, Zulpakor; Suri, Nurma
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 10 No. 5 (2025): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v10i5.8837

Abstract

Utilization of Pineapple Peel (Ananas comosus L.) waste into jelly candy products for dental health. This PKM activity aims to socialize the Farmer Group community that pineapple peels can be utilized and processed into gummy candy, which is effective in improving dental health. Pineapple skin is rich in bromelain, vitamin C, cysteine protease, and phytochemical compounds in the form of alkaloids, phenols, tannins, flavonoids, saponins, and carbohydrates. Pineapple skin also contains a rich source of vitamin C and manganese, which can help fight inflammation in the gums and tissues. Manganese helps in the development, strengthening, and repair of bones and teeth. Bromelain and Vitamin C in pineapple skin have the potential to be developed into pharmaceutical products. The method used is focus group discussion (FGD) by presenting theory in lectures, completing pre-test and post-test questionnaires, and interactive questions and answers. The results of the analysis based on the results of the pre-test and post-test questionnaires showed that there was a slight increase in participants' understanding after taking the test. The average percentage of participants' pre-test was 78.12%, while the average percentage of post-test was 78.33%. Utilizing pineapple peel waste in gummy candy is effective in improving dental health and opening up business opportunities for the community. Pineapple skin, which is rich in bromelain and vitamin C, has not previously been utilized optimally. With this assistance, the Pekon Gunung Terang community can process pineapple peel waste into products that are valuable and beneficial for health and the local economy.
BUILDING MENTAL HEALTH SYSTEMS IN LAMPUNG: LESSONS FROM DATA AND PRACTICE: BUILDING MENTAL HEALTH SYSTEMS IN LAMPUNG: LESSONS FROM DATA AND PRACTICE Suri, Nurma; Ayu SWP, Fadillah
JFL : Jurnal Farmasi Lampung Vol. 14 No. 1 (2025): JFL : Jurnal Farmasi Lampung
Publisher : Program Studi Farmasi-Fakultas Matematika dan Ilmu Pengetahuan Alam-Universitas Tulang Bawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37090/jfl.v14i1.2469

Abstract

Mental disorders are the result of a long and complex psychosocial development process, influenced by family factors, the environment, and individual social conditions. Data from the 2007-2018 Riskesdas and the 2023 Indonesian Health Survey (IHS) show fluctuations in the prevalence of mental disorders in Indonesia, including in Lampung Province. Schizophrenia as a severe mental disorder and mental emotional disorders such as stress, anxiety, and depression are still major problems. Major challenges also arise in the form of the widespread practice of shackling and low access to mental health services. Although the coverage of administrative services is quite high, the quality of services and the success of long-term rehabilitation are not optimal. Low public literacy, lack of health resources, and limited facilities are significant obstacles. The integration of the Mental Health Law into the Health Law No. 17 of 2023 is expected to become a legal umbrella that strengthens an inclusive and sustainable mental health service system. Handling mental disorders needs to involve a cross-sectoral approach that is not only curative, but also promotive and preventive, to ensure the recovery of social functions and the overall quality of life of patients. Family support, community support, and a strong health system are key in tackling the burden of mental disorders in Indonesia. Keywords: Anxiety, Depression, Lampung, Mental Disorders, Schizophrenia
Pneumonia ANALISIS RASIONALITAS PENGGUNAAN ANTIBIOTIK DAN PENGARUHNYA TERHADAP LAMA RAWAT INAP PASIEN PNEUMONIA DI RSUD AHMAD YANI METRO, LAMPUNG: ANALYSIS OF THE RATIONALITY OF ANTIBIOTIC USE AND ITS EFFECT ON THE LENGTH OF HOSPITAL STAY IN PNEUMONIA PATIENTS AT RSUD JENDERAL AHMAD YANI METRO, LAMPUNG Asti, Windi; Sarnianto, Prih; Sumiyati, Yati; Syahputri, Devina Harti; Suri, Nurma
JFL : Jurnal Farmasi Lampung Vol. 14 No. 1 (2025): JFL : Jurnal Farmasi Lampung
Publisher : Program Studi Farmasi-Fakultas Matematika dan Ilmu Pengetahuan Alam-Universitas Tulang Bawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37090/jfl.v14i1.2521

Abstract

Pneumonia is an acute infectious disease that affects lung tissue and is caused by bacteria, fungi, viruses, and parasites, leading to inflammation of the lung parenchyma and accumulation of inflammation in the respiratory tract. In Lampung Province, there was an increase in pneumonia case detection coverage, from 39.8% in 2020 to 40.6% in 2021. At RSUD Ahmad Yani in Metro City, Lampung, pneumonia ranks among the top 10 most common diseases. The purpose of this study was to evaluate the rationality and appropriateness of antibiotic use according to treatment guidelines in pneumonia patients. This study employed an observational descriptive-analytic design with a cross-sectional approach and data collection from patient medical records using purposive sampling. The samples consisted of inpatient records diagnosed with pneumonia infection at RSUD Ahmad Yani in Metro City during January–December 2023. Data were obtained retrospectively through medical record reviews of inpatients. Quantitative analysis of antibiotic use was conducted using the Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) method, while qualitative analysis utilized the Gyssens algorithm. Statistical calculations were performed using SPSS software with Spearman’s correlation test. In this study, from 190 antibiotic prescriptions, the ATC/DDD value was 138.18 DDD per 100 patient-days. The correlation between the rationality of antibiotic use and length of hospital stay showed a Spearman correlation coefficient of 0.42, indicating a moderate positive correlation; however, the significance value of 0.567 indicated that this relationship was not statistically significant.   Keywords : ATC/DDD, Gyssens, Length of Stay (LOS), Pneumonia, Hospital
Assessing the Impact of Adherence on the Cost of Illness among Schizophrenia Outpatients Suri, Nurma; Rony, Farras Qanitah
Indonesian Journal of Clinical Pharmacy Vol 14, No 1 (2025)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2025.v14i1.58908

Abstract

Schizophrenia imposes a significant economic burden on both patients and their families. This study aims to evaluate the costs incurred by outpatient schizophrenia patients and examine their relationship with adherence to monthly hospital visits. An observational study was conducted at the Mental Health Hospital of Lampung Province from February to September 2023, utilizing both primary and secondary data. Primary data were collected through questionnaires assessing direct and indirect costs from the patient’s perspective, while secondary data from medical records provided information on patient demographics and hospital visit adherence. To analyse the relationship between sociodemographic variables and patient adherence, a bivariate analysis was performed using the chi square test. Meanwhile, the association between cost variables and adherence was examined using the Mann Whitney U test. The study involved 100 subjects, revealing an average total cost of illness of IDR 258,586 per patient per month or IDR 3,103,032 per year. The mean direct medical cost was IDR 123,774.26, while direct nonmedical costs and indirect costs amounted to IDR 111,277.23 and IDR 22,376.23 per patient, respectively. The analysis indicated a significant association between patient adherence and sociodemographic factors, including insurance status, the presence of a companion, and place of residence. Additionally, the patience adherence—reflected in regular hospital visits—was positively associated with both direct nonmedical costs and total illness costs. These findings suggest that reducing direct nonmedical costs, such as transportation, food, and accommodation, may help lower the overall cost of illness and ultimately improve patient adherence to regular hospital visits.
Analysis of Factors Affecting Medical Cost and Insurance Reimbursement Gaps in Hypertension Heart Failure Patients Suri, Nurma; Kylalona, Gracylia
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 1 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i1.303

Abstract

Hypertension with congestive heart failure (CHF) results in high disease-related costs, placing a burden on patients, families, and healthcare facilities. Direct medical costs are known to be the highest proportion. This study aims to identify factors associated with direct medical costs in patients with hypertension and CHF and the difference in payment amounts compared to insurance reimbursements. This research uses a cross-sectional design at Hospital X in Lampung Province. The study population consists of patients diagnosed with hypertension and CHF within the period 2020-2022, with samples selected using total sampling. From 101 samples, the total direct medical cost for all cost components was IDR 908,700,216, with an average direct medical cost of IDR 8,997,032. The highest cost component was cardiac catheterization, with a total IDR of 473,081,000 and an average IDR of 36,390,846. The lowest cost component was additional medical expenses, with a total IDR 16,348,780 and an average IDR 166,824. Bivariate analysis showed a significant relationship between direct medical costs and length of hospital stay, insurance classes, and comorbid conditions. In addition, bivariate analysis showed a significant difference between direct medical costs and insurance reimbursement, with a positive discrepancy of IDR 4.437.619. This study concludes that length of stay, insurance classes, and comorbidities are significantly associated with direct medical costs. There is also a significant difference between direct medical costs and the amount of insurance reimbursement.
Narrative Review: Penggunaan Antibiotik Reserve Dalam Era Resistensi Antimikroba Cathartica, Allamanda; Junando, Mirza; Sayoeti, Muhammad Fitra Wardhana; Suri, Nurma
Sains Medisina Vol 3 No 4 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i4.663

Abstract

Resistensi antimikroba merupakan tantangan besar bagi kesehatan global dengan peningkatan yang signifikan dalam beberapa dekade terakhir. Salah satu kelompok antibiotik yang terdampak adalah antibiotik reserve, yang diklasifikasikan dalam sistem AWaRe (Access, Watch, Reserve) oleh WHO. Antibiotik reserve berperan sebagai lini terakhir dalam pengobatan infeksi berat akibat multidrug-resistant organisms (MDRO). Namun, tingginya tingkat resistensi terhadap kelompok antibiotik ini menjadi permasalahan serius, mengingat penggunaannya yang seharusnya dibatasi dan diawasi secara ketat. Tinjauan ini merupakan kajian naratif yang diperoleh dari database elektronik seperti PubMed dan Google Scholar. Hasil kajian menunjukkan bahwa meskipun antibiotik reserve memiliki peran krusial dalam terapi infeksi resistan, penggunaan yang tidak terkendali berisiko mempercepat munculnya resistensi. Oleh karena itu, diperlukan strategi pengelolaan yang lebih ketat, termasuk penggunaan berbasis diagnosis yang akurat, pemanfaatan uji kerentanan antimikroba, penggunaan antibiotik empiris yang tepat, optimalisasi strategi AWaRe, terapi kombinasi, serta peningkatan sosialisasi terkait regulasi dan kebijakan. Optimalisasi penggunaan antibiotik sesuai dengan pedoman WHO diharapkan dapat menekan laju resistensi dan mempertahankan efektivitas terapi antibiotik dalam menghadapi infeksi bakteri resisten.
Rasionalitas Penggunaan Antibiotik Pada Pasien Infeksi Saluran Pernapasan Akut (ISPA) Di Puskesmas Aufa Nurrohmah, Anna; Suri, Nurma; Damayanti, Ervina
Sains Medisina Vol 3 No 5 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i5.759

Abstract

Infeksi saluran pernapasan atau ISPA merupakan penyakit yang menyerang saluran pernapasan atas maupun bawah. Antibiotik seringkali digunakan pada pasien ISPA untuk mengobati gejala sehingga perlu diketahui rasionalitas penggunaannya. Artikel ini bertujuan untuk memberikan informasi terkait rasionalitas penggunaan antibiotik pada pasien ISPA. Review artikel ini dilakukan terhadap 10artikel artikel yang terbit dalam rentang waktu 2019-2024 dengan pencarian artikel melalui database Google dan Google Scholar menggunakan kata kunci yang relevan  yaitu “Penggunaan Antibiotik, Rasional, Pasien ISPA dan Puskesmas”. Kriteria inklusi dalam pemilihan artikel yaitu artikel yang terbit dalam 10 tahun terakhir dan dapat diunduh lengkap secara gratis. Hasil penelitian menunjukkan antibiotik yang sering digunakan adalah amoxicillin dan mayoritas rasional pada aspek tepat diagnosis dan tepat pasien, ketidakrasionalan terjadi pada aspek tepat dosis, tepat waktu pemberian, tepat indikasi, tepat diagnosis, tepat pemilihan obat dan tepat durasi pemberian.
Co-Authors Afriyana, Regi Afriyani, Afriyani Al Rasyid, Muhammad Irfan Ambarwati, Endah Antika Sintia, Nova Asep Sukohar Asep Sukohar Asti, Windi Athallah, Muhammad Muzhafar Atri Sri Ulandari Aufa Nurrohmah, Anna Aulia Ramdini, Dwi Axcellia Theresa Ayu SWP, Fadillah Cathartica, Allamanda Cheri F. A. Dera Chintia Dwi Tanasa Ciptaningrum, Sekar Rahmasari Ratna Citra Yuliyanda Pardilawati Damayanti, Ervina Dedy Miswar Devvy Wahyu Mulyaningsih Diva Meylia Dwi Melani Dwi, Farah Farhana, Lubna Farras Qanitah Rony Febriana, Triana Ihsanti Dwi Rahayu Junando, Mirza Kirana, Shela Sandra Kylalona, Gracylia Lilik Koernia Wahidah Mallarangeng, Andi Nafisah Tendri Adjeng Mega Intan Yulianti Mirza Junando Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Maulana Nawawi, As’ari Niken Dwi Astarina Oktafany Oktafany Oktafany, Oktafany Oktarlina, Resmi Zakiah Oktoba, Zulpakor Pardilawati, Citra Yuliyanda Pius Ave Rafael Silalahi Prabamukti, Ilyas Primadiamanti, Annisa Putri, Oka Mahila Gustia Rahmadhita, Elmira Rahman, M. Bobby Ramadhina, Farrasyifa Ramdini, Dwi Aulia Rasmi Zakiah Oktarlina Ratih Anggun Komalasari Rizki Nisfi Ramdhini Rony, Farras Qanitah Roviq Umam S Salsabila, Lyansaputri Salsabilla, Kharisma Saputri, Gusti Ayu Rai Sarnianto, Prih Suryadi Islami Syahputri, Devina Harti Triyandi, Ramadhan Vanadis, Zifa Aisha Wardhana, Muhammad Fitra Widodo, Alya Rahmah Widodo, Subur Winnugroho Wiratman, Manfaluthy Hakim, Tiara Aninditha, Aru W. Sudoyo, Joedo Prihartono Wirasutisna, Komar Ruslan Yati Sumiyati, Yati Yuli Wahyu Tri Mulyani Yulianti, Mega Intan