Wibowo, Yosi Irawati
1) Departemen Farmasi Klinis Dan Komunitas, Fakultas Farmasi, Universitas Surabaya, Surabaya, Indonesia 2) Pusat Informasi Obat Dan Layanan Kefarmasian (PIOLK), Fakultas Farmasi, Universitas Surabaya, Surabaya, Indonesia

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Pengaruh Brief Counseling Modifikasi 5A Terhadap Kepatuhan dan Kadar Gula Darah Pasien Diabetes Melitus Tipe II Di RSUD Sawerigading Kota Palopo Muhammad Ashar Muslimin; Antonius Adji Prayitno Setiadi; Yosi Irawati Wibowo
Journal of Pharmascience Vol. 8 No. 2 (2021): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v8i2.11355

Abstract

Diabetes melitus merupakan salah satu masalah kesehatan masyarakat yang penting baik secara nasional maupun internasional. Diabetes melitus dianggap penyakit kronis yang memerlukan penggunaan terapi jangka panjang. Kepatuhan pasien dibutuhkan untuk mencapai kebrhasilan terapi. Salah satu intervensi yang dapat dilakukan untuk meningkatkan kepatuhan sehingga gula darah dapat terkontrol adalah brief counseling modifikasi 5A. Brief counseling modifikasi 5A merupakan proses pemberian informasi dan edukasi secara singkat. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh brief counseling modifikasi 5A farmasis terhadap kepatuhan dan hasil terapi berupa kadar gula darah pasien (GDP) pasien diabetes mellitus (DM) tipe II rawat jalan RSUD Sawerigading Kota Palopo. Desain penelitian ini menggunakan desain eksperimental pre-posttest. Pengambilan sampel dilakukan selama periode 9 Juni – 20 September 2020 di depo farmasi rawat jalan RSUD Sawerigading Kota Palopo. Sebanyak 40 pasien yang diberikan brief counseling modifikasi 5A sebanyak 2 kali dan 40 pasien yang tidak diberikan perlakuan brief counseling modifikasi 5A. Pengukuran hasil kepatuhan dan GDP dilakukan setelah 2 kali intervensi. Hasil penelitian menunjukkan bahwa perlakuan brief counseling modifikasi 5A dapat meningkatkan kepatuhan pengobatan pasien DM tipe II di depo farmasi rawat jalan RSUD Sawerigading Kota Palopo serta menurunkan GDP (p = 0,001). Diharapkan penelitian ini dapat diterapkan sebagai terapi konseling secara periodik bagi penderita DM Tipe II di RSUD Sawerigading Kota Palopo. Kata kunci: brief counseling, DM, kepatuhan pasien, GDP. Diabetes melitus is one of the important public health problems both nationally and internationally. One of the interventions that can be done to improve compliance so that blood sugar can be controlled is the 5A modification brief counseling. Modified 5A Brief counseling is a process of providing brief information and education. Diabetes mellitus is considered a chronic disease that requires the use of long-therm therapy. Patients compiliance is needed to achieve therapeutic success. One of the interventions that can be done to improve compliance so that blood sugar can be controlled is the 5A modification brief counseling. Modified 5A brief counseling is a process of a providing brief information and education. The purpose of this study was to determine the effect of the modified 5A pharmacist brief counseling on compliance and therapeutic outcames in the form of blood sugar levels (GDP) of type II diabetes mellitus (DM) patients in outpatient Sawerigading Hospital Palopo City. The design of this study used a pre-posttest experimental design. Sampling was carried out during the period starting June 9 – September 2020 at the outpatient pharmacy depot at sawerigading hospital palopo city. A total of 40 patients were given 5A modification brief counseling twice and 40 patients were not given 5A modification brief counseling treatment. Measurement of compliance and GDP result was carried out after 2 interventions. The results showed that the 5A modification brief counseling treatment could improve treatment adherence of type II DM patients at the outpatient pharmacy depot at Sawerigading Hospital Palopo City and reduce GDP (p=0.001). It is hoped that this research can be applied as a periodic counseling therapy for patients with Type II DM at Sawerigading Hospital Palopo City.
Analysing Factors Contributing to Length of Stay (LoS) Among Patients with COVID-19 in Indonesian Hospital Setting Sonny Edbert; Yosi Irawati Wibowo; Adji Prayitno Setiadi
Journal of Pharmascience Vol. 12 No. 2 (2025): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v12i2.22557

Abstract

Penyakit COVID-19 masih menjadi ancaman konstan bagi kesehatan masyarakat global. Penggunaan obat dan lama rawat inap (LoS) merupakan indikator utama kualitas pelayanan di rumah sakit. Penelitian ini bertujuan untuk mengamati LoS dan faktor yang mempengaruhinya (termasuk karakteristik pasien dan penggunaan obat) pada pasien rawat inap COVID-19 di Rumah Sakit X di Surabaya, Indonesia. Penelitian observasional dilakukan dengan menggunakan rekam medis pasien rawat inap COVID-19 di Rumah Sakit X selama tahun 2022. Data karakteristik pasien dan profil obat dianalisis secara deskriptif. Kesesuaian terapi obat ditentukan berdasarkan pedoman terapi. Uji korelasi dilakukan untuk hubungannya dengan LoS. Total terdapat 203 pasien rawat inap COVID-19, meliputi: neonatus/anak/remaja (12,32%), dewasa (66,5%), dan lanjut usia (21,2%). Sebagian besar pasien laki-laki (54,2%) dengan keparahan sedang (80,8%), dan 36,4% memiliki komorbiditas. Kesesuaian terapi pada pasien neonatus/anak/remaja, dewasa, dan lanjut usia adalah: 12% (3/25), 76% (103/135), 60% (26/43), secara berurutan. Rata-rata LoS adalah 7,0±3,11 hari, dimana LoS terendah pada neonatus/anak/remaja (6,1±2,43 hari) dan tertinggi pada lansia (7,4±3,02 hari). Faktor yang secara signifikan mempengaruhi LoS adalah status vaksinasi (p= 0,000) dan tingkat keparahan COVID-19 (p= 0,002), namun tidak dipengaruhi oleh kesesuaian terapi (p= 0,864). Hasil penelitian merupakan data awal tuntuk mengembangkan strategi perbaikan kualitas layanan untuk pasien COVID-19 rawat inap. Kata Kunci: COVID-19, Faktor Risiko, Penggunaan Obat, Lama Rawat Inap, Rumah Sakit  ABSTRACT COVID-19 disease remains a constant threat to global public health. Drug use and Length of Stay (LoS) are among main indicators of service quality in hospitals. Object of this research were understanding of LoS and the contributing factors (including patient characteristics and drug use) among COVID-19 inpatients at Hospital X Surabaya, Indonesia. Observational research was conducted using medical records of COVID-19 inpatients at Hospital X in 2022. Data on patient characteristics and drug profiles were analyzed descriptively. Drug therapy conformity was determined based on guidelines. Correlation tests were used to determine factors associated to LoS. The results were 203 COVID-19 inpatients, including: neonate/child/adolescent (12.32%), adults (66.5%) and elderly (21.2% ). Most patients were males (54.2%) with moderate severity (80.8%), and 36.4% had comorbidities. Therapy conformity in neonate/child/adolescent, adult and elderly patients were: 12% (3/25), 76% (103/135), 60% (26/43), respectively. The average LOS was 7.0±3.1 days, where neonate/child/adolescent was the lowest (6.1±2.43 days), and elderly was the highest (7.4 ± 3.02 days). Significant contributing factors to LoS included vaccination status (p= 0.000) and COVID-19 severity (p= 0.002), but not with therapy conformity (p=0.864). The study findings provide a preliminary data to guide the development of strategies to improve service quality for hospitalised patients with COVID-19.
Co-Authors Abdul Rahem Abdul Rahem, Abdul Adji Prayitno Adji Prayitno Setiadi Adji Prayitno Setiadi Adji Prayitno Setiadi Adji Prayitno Setiadi Adji Prayitno Setiadi Adji Prayitno Setiadi Agung Anggara, I Gede Yudi Antonius Adji Prayitno Antonius Adji Prayitno Antonius Adji Prayitno S Antonius Adji Prayitno Setiadi Antonius Adji Prayitno Setiadi Antonius Adji Prayitno Setiadi Astuti, Briandini Dwi Auliyana, Iftitah Putri Bobby Presley, Bobby Brata, Cecilia Brevmana Brevmana Candra, Sansan Cecilia Brata Dhanang Prawira Nugraha Dhitama, I Made Yogista Dian Kusuma Wardhani Dian Kusuma Wardhani Dyah Ayu Febiyanti Edbert, Sonny Eko Setiawan Eko Setiawan Eko Setiawan Eko Setiawan Eko Setiawan Erna Susanti Fisia Niti Admadja Friska Yanuar Ramadanti Halim, Steven Victoria Hardani, Ika I Gede Yudi Anggara I Gusti Agung Ari Kusuma Yana I Made Yogista Dhitama Irawati, Lyna Istiqomah, Reza Amelia Ita Octafia Karina Kumaladewi Widjaja Karinda, Itsna Laudzy Lailla, Putri Rohmatu Linda Fidya Ningsih Lisa Aditama, Lisa Lovarya, Gabby Marisca Evalina Gondokesumo, Marisca Evalina Megawati, Fitria Muslimin, Muhammad Ashar Natasya, Priscilia Amanda Ningsih, Linda Fidya Nurul Amalia Octafelia, Yustina Pratama, Jeffry Refananto Primulyanto, Brevmana Anugrah Putri, Ida Ayu Elsa Ratu Satwika Putri, Virginia Johanes Rahmadini, Azilah Ramadanti, Friska Yanuar Razanah, Afina Riza Mazidu Sholihin Santoso, Devina Erawati Setiadi, Adji Prayitno Setiadi, Antonius Adji Prayitno Setiawan, Eko Setyaningrum, Krysnadewi Shieny Agustin Santoso Sholikhah, Ima Mar’atus Sirajudin Solly Aryza Sonny Edbert Stevan Victoria Halim Sulisetiorini Sulisetiorini, Sulisetiorini Sunderland, Brucce Sunderland, Bruce Sutejo, Erwin Sylvi Irawati Virginia Johanes Putri Wahyuni, Khurin In Yana, I Gusti Agung Ari Kusuma Yaputra, Dody Mulia