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EVALUASI RASIONALITAS TERAPI PADA PASIEN OSTEOARTRITIS DI RSUD GAMBIRAN KOTA KEDIRI Tsamrotul Ilmi; Fitrani Khansa; Anggi Restyana; Fendy Prasetyawan
Jurnal Inovasi Farmasi Indonesia (JAFI) Vol. 4 No. 1 (2022): Vol. 4 No.1 Desember 2022
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jafi.v4i1.3684

Abstract

Osteoartritis merupakan  penyakit sendi degeneratif yang memerlukan terapi jangka panjang sehingga pola terapi yang tepat dan rasional sangat dibutuhkan.   Penelitian ini bertujuan untuk mengetahui rasionalitas pengobatan pada osteoartritis di RSUD Gambiran Kota Kediri tahun 2019-2022. Jenis penelitian adalah observasional bersifat diskriptif analitik. Pengumpulan data dilakukan secara retrospektif menggunakan rekam medis. Teknik pengambilan sampel dengan metode purposive sampling didapatkan sampel berjumlah 34 pasien yang memenuhi kriteria inklusi dan eksklusi dengan rincian 27 pasien rawat inap dan 7 pasien rawat jalan. Pasien osteoartritis rawat inap sebagian besar mendapatkan tindakan pembedahan. Hasil penelitian didapatkan bahwa pasien osteoartritis terbanyak berjenis kelamin perempuan 73,5% dan rentang usia 56-65 tahun 55,9%. Terapi obat digunakan yaitu anbacim inj (cefuroxime) sebesar 19,1%, santagesik inj (metamizole) sebesar14,5% dan ketorolac inj sebesar 11,8%. Berdasarkan evaluasi rasionalitas terapi obat diperoleh hasil tepat diagnosis 100%, tepat indikasi 100%, tepat pasien 88,2%, tepat obat 100%, tepat dosis 82,4%, tepat cara pemberian 100%, tepat lama pemberian 91,1%, dan tepat interval waktu pemberian 76,5%.
Pengaruh edukasi terhadap pengetahuan penggunaan obat tradisional dan suplemen kesehatan untuk meningkatkan imunitas pada masa covid-19: The Effect Of Education On Knowledge Of The Use Of Traditional Medicine And Health Supplements To Increase Immunity In The Time Of Covid-19 Tsamrotul Ilmi; Dinda Eviana; Anggi Restyana; Neni Probosiwi; Nur Fahma Laili
Jurnal Inovasi Farmasi Indonesia (JAFI) Vol. 4 No. 2 (2023): Jurnal Inovasi Farmasi Indonesia (JAFI)
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jafi.v4i2.4553

Abstract

Pentingnya daya tahan tubuh di masa pandemi COVID-19 dengan memberikan edukasi penggunaan obat tradisional dan suplemen kesehatan. Sistem imun yang stabil sangat penting bagi tubuh untuk mencegah berbagai penyakit. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi terhadap pengetahuan penggunaan obat tradisional dan suplemen kesehatan dalam meningkatkan imunitas pada masa Covid-19.Penelitian ini menggunakan metode penelitian Quasi-Experimental, dengan teknik pre-test dan post-test, menggunakan angket dan leaflet sebagai sumber informasi untuk memberikan edukasi. Pendataan dilakukan secara outdoor-to-door melalui metode offline. Berdasarkan hasil analisis data dinyatakan bahwa pada masa pandemi Covid-19 terjadi peningkatan yang signifikan dalam pemberian edukasi penggunaan obat tradisional dan suplemen kesehatan untuk meningkatkan imunitas tubuh dan nilai signifikan p = 0,000. analisis menunjukkan bahwa tingkat penggunaan obat tradisional adalah 85% setelah pendidikan, dan tingkat penggunaan suplemen kesehatan adalah 99% setelah pendidikan.
The Relationship Between the Perception of Traditional Medicine Use and the Quality of Community Life in Pulungdowo Village, Tumpang Sub-District, Malang Regency Anggi Restyana; Khalimatus Nur Eka Agustanti; Lisa Savitri; Nur Fahma Laili
Journal for Quality in Public Health Vol. 4 No. 1 (2020): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v4i1.139

Abstract

Background Public interest in use of traditional medicines in Indonesia is high. Community in Pulungdowo is one of them. Use of traditional medicines can support the QoL community for their safety and benefits. Measurement of QoL was carried out using Short Form (SF-36). Purpose was to determine relationship between perception of the use of traditional medicine and QoL of the community in Pulungdowo. Methods used descriptive analytic method with quantitative approach using purposive sampling method. Retrieval of research data used questionnaires distributed to 100 respondents in Pulungdowo. Result perception of the use of traditional medicine obtained a total score of 29; mean = 25.65 and SD = 4.89. On QoL of community showed results of average value of each sub-variable QoL that is more than 50. Analysis test of relationship between perception of the use of traditional medicines with QoL, results obtained with a sig 0,000. Conclusion respondents perceptions on the use of traditional medicines was good which meant that respondents could receive and process information well about the use of traditional medicines. In addition, QoL of community after using traditional medicines was also said to be good. Results of the analysis of relationship between perception of the use of traditional medicine and QoL of Pulungdowo showed that there was a relationship between perception of the use of traditional medicine and QoL community. It is needed to improve health promotion programs such as counselling about introduction of traditional medicine types regarding to large number of people only know herbal medicines.
Cost-Effectiveness Analysis Of Ceftriaxone-Gentamicin And Ampicillin-Gentamicin In Pediatric Pneumonia At Hospital X Madiun Wika, Wika Admaja; Shania Crhisnatasha Putri; Anggi Restyana; Yogi Bhakti Marhenta
Journal for Quality in Public Health Vol. 7 No. 1 (2023): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v7i1.465

Abstract

Pneumonia is an infectious disease caused by bacteria characterized by fever, chills, coughing up phlegm, and breathing difficulty. Generally pneumonia is caused by an infection of Streptococcus pneumoniae bacteria. Antibiotics is a therapy used in pediatric pneumonia patients at hospitals X. in Madiun. This study aims to determine a more cost-effective antibiotics therapy combination between ceftriaxone-Gentamicin and Ampicillin-Gentamicin in pediatric pneumonia patients at Hospital X in Madiun in 2019-2021. This study used a cross sectional design and data collection was carried out retrospectively. There were 39 patients as samples who were pediatric patients aged ≤ 12 years who were adjusted to the inclusion criteria. The datawere identified using decision trees and analyzed cost-effectiveness with ACER and ICER calculations. The ACER value of Ceftriaxone-Gentamicin antibiotic therapy is IDR 6,047,334.23, which is lower than Ampicillin-Gentamicin therapy whch is of IDR 9,730,746.21, thus showing that Seftriaxone-Gentamicin is more cost-effective than Ampicillin-Gentamicin. The ICER calculation has negative result of Idr 500,953.74 so it shows that the Ceftriaxone-Gentamicin combination antibiotic is more cost-effective.
Analysis of Real Hospital Cost on Ina-Cbgs Rates for Cesarean Section Patients Wika, Wika Admaja; Kumala Sari Poespita D.W; Bhakita Ulyaziza A; Restyana, Anggi
Journal for Quality in Public Health Vol. 7 No. 2 (2024): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v7i2.495

Abstract

A caesarean section is an artificial birth that is carried out by making a small incision in the abdominal wall and uterine wall, but the uterus must be intact and the fetus weighs >500 grams. The high cost of a cesarean section has prompted the Indonesian government to launch the National Health Insurance (JKN) program as an implementation of the National Health Insurance (JKN) which has been regulated regarding to the payment patterns to advanced health facilities by applying Indonesian Case Based Groups (INA-CBG's). This study aims to determine the difference between real hospital cost rates and INA-CBGs rates for payment of claims by JKN participants for caesarean section inpatients at Dr. Soedomo Regional Hospital Trenggalek. The research method is analytical observation with a cross sectional approach which refers to the hospital's perspective by comparing the direct medical costs of BPJS’s (Social Security Agency on Health) participant patients and the INA-CBG's rates. The populations of this study were BPJS recipients of class I, II, III inpatients who received mild category of caesarean section at Dr. Soedomo Regional Hospital Trenggalek in 2020. The sample used in this study was medical record documents that met the inclusion and exclusion criteria. Purposive sampling method was used. In treatment of I, II, III classes, a significant difference was found between the average total direct medical costs of mild category of caesarean section patients (O-6-10-I) compared to the INA-CBGs rates. The treatment of class I had a difference of IDR 886,582. (p<0.05). The treatment of class II had a difference of IDR 754,881. (p<0.05) and the treatment of Class III, the difference obtained was IDR 1,109,368. (p<0.05).
Analisis Biaya dan Terapi Antibiotik Ceftriaxone dan Cefotaxime Pada Pasien Pneumonia di Instalasi Rawat Inap RSUD Kabupaten Kediri Admaja, Wika; Amelia, Faresa; Prasetyo, Eko Yudha; Restyana, Anggi
Journal of Herbal, Clinical and Pharmaceutical Science (HERCLIPS) Vol. 6 No. 01 (2024): HERCLIPS VOL 06 NO 01
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/herclips.v6i01.7662

Abstract

Pneumonia is an infection caused by pathogenic microorganisms such as microbes, bacteria, fungi and viruses that cause inflammation of the lung tissue. The prevalence of pneumonia has increased every year. The first-line therapy used at the Kediri District Hospital is the use of ceftriaxone and cefotaxime antibiotics. Decision making on antibiotic use has an influence on the amount of medical costs incurred by patients. This study aims to determine which antibiotics are more cost-minimal and whether there is a significant difference between the use of ceftriaxone and cefotaxime antibiotic therapy at Kediri District Hospital. The design of this study was cross sectional, data collection was done retrospectively. The analysis method used independent t-test statistical test. The perspective in this study was seen through the provider, namely the hospital, a total of 215 pneumonia patients and the sample for this study was 63 patients. With 32 patients receiving ceftriaxone antibiotic therapy and 31 patients receiving cefotaxime antibiotic therapy. Total direct medical costs were categorized into four types of costs, namely treatment costs, antibiotic costs, other drug costs, laboratory and radiology costs. The average total direct medical costs of patients who received ceftriaxone antibiotic therapy were more cost minimal than patients who received cefotaxime antibiotics, namely Rp.2,296,449 and Rp.2,464,470. The results of the difference test using independent t-test statistics show a p-value of 0.219 so that it can be interpreted that there is no significant difference.
Evaluation Of Patient’s Satisfaction Towards Pharmaceutical Services At Outpatient Installation In Putra Wasada Hospital Tulungagung Restyana, Anggi; Viky Yustriana; Wika Admaja
Journal of Hospital Management and Services Vol. 6 No. 1 (2024): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhms.v6i1.58

Abstract

Pharmaceutical service is a direct and responsible service to patients related to pharmaceutical preparations with the aim of improving the quality of life of patients. Patient satisfaction is the first indicator of a hospital's standards and is a measure of service quality. The purpose of this study was to determine the level of satisfaction based on 5 dimensions of pharmaceutical services in the Outpatient pharmacy installation of Putra Waspada Hospital Tulungagung using the ServQual method. This research was a descriptive research using random sampling design. This research was conducted prospectively with quantitative method using data collection method, namely the ServQual method and the Chi-square test method carried out using questionnaires. There were 225 of samples of patient respondents, to determine the characteristics of respondents and the influences between respondent characteristics and the level of patient satisfaction on 5 dimensions of pharmaceutical services at the Outpatient Pharmacy Installation of Putra Waspada Hospital Tulungagung using the Chi-square test. Based on the result of the percentage of the patient satisfaction level at the performance level stated that 56 respondents (56%) stated "very satisfied" with pharmaceutical services, while 41 respondents (41%) stated "satisfied", at the expectation level 55 respondents (55%) stated "very satisfied", 42 respondents (42%) stated "satisfied". Based on ServQual's analysis, patient satisfaction scores on 5 dimensions of pharmaceutical services have a "fair" interpretation with a satisfaction level of "satisfied" and have a high interpretation with a satisfaction level of "very satisfied". In outpatients with each dimension of 0.90 (reliability), 0.96 (responsiveness), 0.98 (asssurance), 0.92 (empathy), 0.93 (physical infrastructure).
Analysis of antibiotic costs for inpatients with urinary tract infection at hospital X in Kediri Muhammad Saddam Albiansyah Tohari; Anggi Restyana; Hanie Kusuma Wardani; Fidi Setyawan
Strada Journal of Pharmacy Vol. 7 No. 1 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v7i1.175

Abstract

Urinary Tract Infection (UTI) is a condition where germs grow and reproduce in the urinary tract with significant amounts of bacteriuria. UTIs are treated with antibiotics. Standardization of treatment considers more effective drugs at lower costs to reduce the number of events and health costs. The aim of this research is to determine the cost-effectiveness of using antibiotics in UTI patients at the Hospital in Kediri City, to identify the most cost-effective alternatives to achieve predetermined goals or criteria that cannot be measured in monetary terms, for example several health outcomes. The study was conducted using a retrospective method that compared the direct medical cost of antibiotics for UTI patients. The population of this study was all 44 inpatient UTI patients at the Hospital X in Kediri. The data were analyzed by calculating the Average Cost Effectiveness Ratio (ACER) and Incremental Cost Effectiveness Ratio (ICER). The results of the research showed that the average total cost effectiveness of the antibiotic Levofloxacin was lower by IDR. 2.448.854 compared to ceftriaxone with an average cost of Rp. 2.474.673. The effectiveness of the antibiotic Levofloxacin is more cost effective than Ceftriaxone because it has a lower ACER value, namely Rp. 594.382.039. The calculated ICER value for both antibiotics is Rp. -58.679.55. The conclusion in this study is that to achieve cost effectiveness of a treatment, an ICER value is needed and the calculation was obtained at Rp. -58.679.55. This shows that there is a cost reduction of Rp. -58.679.55 in the use of the antibiotic Ceftriaxone to obtain lower cost effective results
Antibiotics Study of Antibiotic use patterns in pediatric pneumonia patients at Kediri Hospital: PENUMONIA Wardhani, Dita Kusuma; Anggi Restyana; Fidi Setyawan; Janik Kurniawati
Strada Journal of Pharmacy Vol. 7 No. 1 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v7i1.178

Abstract

Pneumonia is an acute infection of the lung parenchyma, consisting of alveoli and interstitial tissue on chest X-ray. The purpose of this study was to identify the pattern of antibiotic use in pneumonia patients and obtain accurate data on antibiotic use in pneumonia patients and also analyze the results of data collection on antibiotic use and the rationality of antibiotic use. This type of research is descriptive qualitative, the sample of this study were pediatric patients aged 1 year to 5 years who were diagnosed with pneumonia from 2018-2023 at the Hospital in Kediri City. The results of the study obtained the age of pneumonia patients at most at the age of 2 months - 1 year as many as 24 children, most pneumonia sufferers were male, obtaining 22 children. Overall, this study obtained rational results in the analysis of the quality of antibiotic use.
Cost-Effectiveness Analysis Of Ceftriaxon And Chloramphenicol In Pediatric Patients With Tyfoid Fever In Hospital X, Jombang Regency Restyana, Anggi; Admaja, Wika; Nunki Rosa Fitria
Journal for Quality in Public Health Vol. 6 No. 2 (2023): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v6i2.446

Abstract

Typhoid fever is a disease caused by infection by the bacterium Salmonella typhi which infects the human digestive tract. Typhoid fever is spread all over the world, it is estimated that the incidence is between 11-21 million cases per year with a death rate reaching 215,000 (Rampengan, 2016). The main treatment for typhoid fever is by administering antibiotics and also bed rest. The first antibiotic administered as therapy for typhoid fever was chloramphenicol. But along with technological developments which affect the drug development as well, many new antibiotics for typhoid fever have been discovered, such as ceftriaxone antibiotic (Rampengan, 2016). This study aims to find out a more cost-effective therapy for the treatment in pediatric patients with typhoid fever in Jombang Public Hospital. This study used a cross-sectional research design with retrospective data collection. The samples in this study were 31 pediatric patients with typhoid fever with 16 patients were administering ceftriaxone injection antibiotic therapy and 15 patients were administering chloramphenicol injection antibiotic therapy. Data were identified using the cost-effectiveness analysis of ACER and ICER calculations with the long-of-stay therapy outcome. The results showed that ceftriaxone had a lower ACER value of IDR 1,687,279.88 with an effectiveness of 100%, compared to the ACER of chloramphenicol which had value of IDR 2,336,405.29 with an effectiveness of 86.67%. From these results it was concluded that ceftriaxone is more cost-effective than chloramphenicol.