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Kemampuan Mahasiswa S1 Farmasi dalam Merespon Kasus Swamedikasi Diare Akut pada Anak: Studi Simulasi Pasien Astuti, Briandini Dwi; Wibowo, Yosi Irawati; Brata, Cecilia
MPI (Media Pharmaceutica Indonesiana) Vol. 7 No. 2 (2025): DECEMBER
Publisher : Fakultas Farmasi, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/mpi.v7i2.7456

Abstract

Mahasiswa farmasi sebagai calon apoteker perlu punya kemampuan untuk dapat merespon kasus swamedikasi dengan tepat, termasuk kasus swamedikasi diare anak. Penelitian ini bertujuan untuk mendeskripsikan kemampuan mahasiswa S1 Farmasi dalam merespon kasus swamedikasi diare akut anak (balita) tanpa alarm symptoms dan kasus diare akut anak (bayi) dengan dehidrasi. Penelitian dilakukan di salah satu fakultas farmasi swasta di Indonesia dengan melibatkan 136 mahasiswa S1. Metode simulasi pasien digunakan untuk pengambilan data terkait tipe informasi yang digali, tipe rekomendasi yang diberikan, dan ketepatan rekomendasi. Ketepatan rekomendasi dinilai berdasarkan bukti pada literatur. Hasil penelitian menunjukkan bahwa pada kedua kasus diare diatas, partisipan belum dapat menggali informasi secara komprehensif. Ketepatan rekomendasi yang diberikan juga sangat rendah, dimana hanya 21% partisipan memberikan rekomendasi dengan tepat pada kasus diare pada anak (balita) (pemberian produk oralit dan zink) dan hanya 11% partisipan merujuk ke dokter pada kasus diare akut pada anak (bayi). Perlu adanya peningkatan kemampuan mahasiswa farmasi dalam merespon kasus swamedikasi diare anak. Penelitian lanjutan terkait faktor-faktor yang mempengaruhi kemampuan mahasiswa farmasi dalam merespon kasus-kasus swamedikasi diperlukan untuk mende- sain intervensi yang dapat meningkatkan kemampuan mahasiswa. As future pharmacists, pharmacy students must be able to respond appropriately to self-medication cases, including childhood diarrhea. This study aims to describe pharmacy students' ability to respond to a case of acute childhood diarrhea (below 5 years) without alarm symptoms and a case of acute childhood diarrhea (a baby) with dehydration. The patient simulation method was used for data collection, and 136 undergraduate pharmacy students participated. The types of information gathered, the types of recommendations provided, and the appropriateness of the recommendations were the parameters observed. The appropriateness of the recommendations provided by participants was assessed according to the literature. The results showed that in both cases, information gathering was not comprehensive. The appropriateness of the recommendations provided was low, with only 21% of the 136 participants providing appropriate recommendations for a case of diarrhea in a child below 5 years (i.e., recommending oral rehydration salt and zinc) and only 11% of 136 participants recommending medical referral for a case of acute childhood diarrhea in a baby. There is a need to improve the ability of pharmacy students to respond to childhood diarrhea cases. Further research on factors influencing pharmacy students' abilities in responding to self-medication cases is needed so that intervention strategies to improve students’ knowledge and skills can be designed.
Penanganan Proctosigmoiditis tanpa Terapi Rektal: Sebuah Laporan Kasus Ulcerative Colitis pada Pasien Pria Usia 38 Tahun Mahmudah, Sari; Brata, Cecilia
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20667

Abstract

ABSTRACT Ulcerative colitis (UC) is a chronic immune-mediated inflammatory bowel condition that is often associated with rectal inflammation but often extends proximally to involve additional areas of the colon. The initial presentation of new UC is characterized by symptoms of an inflamed rectum, namely bleeding, urgency and tenesmus (pressure). The choice of treatment depends on the severity of the disease, location and course of the disease. For proctosigmoiditis, topical therapy with 5-aminosalicylic acid (5-ASA) compounds is used. For more extensive or severe disease, oral 5-ASA compounds and corticosteroids should be used to induce remission In this case, the patient had complained of chronic diarrhea for 1 year and only had diarrhea medication. Recently the patient was diagnosed with mild active UC type proctosigmoiditis and the therapy received by the patient was Sulfasalazine 500 mg 3x1 tab without topical 5-ASA. The patient was hospitalized for 7 days and was discharged from the hospital with improved clinical condition. Kata Kunci: Ulcerative Colitis, Proctosigmoiditis, Case Report.  ABSTRAK Ulcerative colitis (UC) merupakan kondisi peradangan usus besar kronis yang dimediasi imun yang sering dikaitkan dengan peradangan rektum tetapi sering meluas ke proksimal hingga melibatkan area tambahan di kolon. Presentasi awal UC baru ditandai dengan gejala rektum yang meradang, yaitu pendarahan, urgensi dan tenesmus (rasa tertekan).Pilihan pengobatan tergantung pada tingkat keparahan penyakit, lokalisasi dan perjalanan penyakit. Untuk proctosigmoiditis, digunakan terapi topikal dengan senyawa asam 5-aminosalisilat (5-ASA). Untuk penyakit yang lebih luas atau parah harus diobati dengan senyawa 5-ASA oral dan kortikosteroid untuk menginduksi remisi. Pada kasus ini pasien telah mengeluhkan diare kronis selama 1 tahun hanya diberikan obat diare. Belakangan terakhir pasien didiagnosa UC aktif derajat ringan tipe proctosigmoiditis dan terapi yang didapatkan pasien adalah Sulfasalazine 500 mg 3x1 tab tanpa pemberian 5-ASA topikal. Pasien menjalani rawat inap selama 7 hari dan keluar rumah sakit dengan kondisi klinis yang membaik. Kata Kunci: Kolitis Ulseratif, Proctosigmoiditis, Laporan Kasus.
Pharmacists’ Ability in Recognising and Managing Angiotensin Converting Enzyme Inhibitor (ACEI)-Induced Cough in Self-Medicating Patients Brata, Cecilia; Wibowo, Yosi Irawati; Setiawan, Eko; Halim, Steven Victoria; Razanah, Afina; Sholikhah, Ima Mar’atus; Lailla, Putri Rohmatu; Rahmadini, Azilah; Putri, Ida Ayu Elsa Ratu Satwika; Irawati, Lyna
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 16, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.96432

Abstract

Background: As ACEIs are widely used and patients with cough often self-medicate at community pharmacies, pharmacists must be able to recognise ACEI-induced cough and refer patients appropriately. However, literature on pharmacists’ ability to manage ACEI-induced cough is limited.Objectives: This study aims to describe pharmacists' ability to recognise and manage a vignette case of ACEI-induced cough in self-medicating patients.Methods: This cross-sectional study was conducted in community pharmacies across a metropolitan city in Indonesia. All pharmacies were visited and pharmacists who were available and willing to participate were interviewed by five trained data collectors. An open-ended questionnaire featuring a vignette of ACEI-induced cough was used. Pharmacists were asked to provide their recommendations for the case and explain their reasoning. Responses were analysed using content analysis, involving systematic coding and categorisation of the textual data to identify underlying patterns and themes.Results: Of 245 participating pharmacists, 189 (77%) could recognise that the cough was due to ACEI. However, only 101 of these 189 participants could provide an appropriate response (i.e., direct medical referral without recommending a product to treat the cough and/or changing or stopping the ACEI).  Conclusion: While many pharmacists may possess the necessary knowledge to recognise ACEI-induced cough in the case of a self-medicating patient, they may lack sufficient knowledge about the appropriate response of this problem. Educational intervention is needed to improve pharmacists’ knowledge and ability to manage an ACEI-induced cough case.