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IDENTIFIKASI POTENSI INTERAKSI OBAT ANTIHIPERTENSI PADA PASIEN GERIATRI HIPERTENSI RAWAT INAP DI RSUD DR SOEDARSO PONTIANAK PERIODE JANUARI - JUNI 2019 Rachmadani, Egida; Untari, Eka Kartika; Yuswar, Muhammad Akib
Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN Vol 4, No 1 (2019): Jurnal Farmasi Kalbar
Publisher : Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN

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Hipertensi dapat menyebabkan gagal ginjal, jantung koroner, stroke hingga gangguan penglihatan. Penderita hipertensi biasanya memerlukan kombinasi beberapa antihipertensi dalam terapinya, sehingga pasti mengalami polifarmasi. Penurunan efektifitas obat dapat terjadi karena tingginya potensi interaksi obat yang diakibatkan karena polifarmasi. Penelitian ini bertujuan untuk mengidentifikasi potensi interaksi obat antihipertensi berdasarkan mekanisme kerja obat serta tingkat keparahannya pada pasien geriatri hipertensi rawat inap di RSUD dr. Soedarso Pontianak periode Januari-Juni 2019. Pengambilan data secara retrospketif dengan teknik total sampling. Data sampel yang didapat sebanyak 30 pasien. Analisis data secara deskriptif dengan literatur E-book Stockleys Drug Interaction serta Drug Interaction Checker di medscape.com dan drugs.com. Hasil penelitian menunjukkan bahwa interaksi obat yang banyak terjadi adalah pada tingkat moderat (75%) dan mekanisme secara farmakodinamik (99%). Manajemen yang dapat dilakukan untuk interaksi tingkat moderat yaitu dengan pengobatan tambahan atau selalu monitoring konsumsi obat serta organ yang berpotensi terganggu.

PERBANDINGAN TINGKAT PENGETAHUAN DAN PERILAKU SWAMEDIKASI SAKIT GIGI MAHASISWA BARU FAKULTAS KEDOKTERAN UNIVERSITAS TANJUNGPURA TAHUN 2019 Alifian, Ridho Firza; Yuswar, Muhammad Akib; Kurniawan, Hadi
Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN Vol 4, No 1 (2019): Jurnal Farmasi Kalbar
Publisher : Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN

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Sebanyak 69,4% dari masyarakat yang terkena sakit gigi mengobati sendiri atau melakukan swamedikasi. Namun, kesalahan swamedikasi terjadi akibat kurangnya pengetahuan dalam swamedikasi. Tujuan penelitian ini adalah mengetahui gambaran dan mengevaluasi pengetahuan dan perilaku swamedikasi mahasiswa semester 1 Fakultas Kedokteran. Metode yang digunakan adalah purposive sampling menggunakan kuesioner yang diisi oleh mahasiswa semester 1. Data yang didapat dianalasis menggunakan metode Kruskal Wallis. Hasil yang didapat adalah nilai rata-rata pengetahuan sebesar 52,36 dan perilaku sebesar 66. Hasil penelitian juga menemukan penggunaan golongan penisilin dalam swamedikasi sakit gigi.. Kesimpulan dari penelitian ini adalah nilai rata-rata pengetahuan yang rendah (<60) dan perilaku yang cukup (60-75) dengan terjadi perbedaan signifikan pada pengetahuan namun tidak pada perilaku swamedikasi sakit gigi tiap program studi. Serta ditemukan kesalahan swamedikasi sakit gigi dalam jenis obat yang digunakan.

ESTIMASI KARDIOVASKULAR 10 TAHUN KEDEPAN DAN KETEPATAN PENGGUNAAN STATIN DI RSUD SULTAN SYARIF MOHAMAD ALKADRIE PONTIANAK Puspita, Tita; ., Nurmainah; Yuswar, Muhammad Akib
Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN Vol 4, No 1 (2019): Jurnal Farmasi Kalbar
Publisher : Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN

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Dislipidemia merupakan salah satu penyebab terjadinya penyakit kardiovaskular. Tujuan penelitian ini dilakukan untuk mengetahui persentase risiko penyakit kardiovaskular 10 tahun kedepan pada pasien dislipidemia di RSUD Sultan Syarif Mohamad Alkadrie Pontianak sesuai dengan pedoman PERKI. Metode penelitian yang digunakan adalah metode observasional dengan rancangan penelitian crosssectional yang bersifat deskriptif. Data yang digunakan berupa data rekam medik pasien rawat inap selama periode Januari - Desember 2018. Jumlah sampel yang memenuhi kriteria inklusi digunakan sebanyak 41 sampel. Risiko penyakit dislipidemia menggunakan metode Systematic Coronary Risk Evaluation (SCORE) diukur dengan aplikasi HeartScore yang diakses www.heartscore.org. Hasil penelitian menunjukkan bahwa, pasien dislipidemia yang kategori risiko kardiovaskular rendah 7,32%, berisiko sedang 70,73%, berisiko tinggi 24,39%. Ketepatan pemilihan statin pada kategori risiko rendah sebanyak 9,75%, kategori risiko sedang 68,29%. Statin yang digunakan pada kategori rendah dan sedang secara berturut turut adalah simvastatin 10 mg dan simvastatin 20mg. Pemilihan statin pada pasien berisiko tinggi telah tepat menggunakan atorvastatin 40mg (14,63%). Disisi lain, penggunaan atorvastatin 20mg sebanyak 7,32% tidak tepat. Kesimpulan dari penelitian ini ditemukan ketidaktepatan pemilihan obat statin pada pasien berisiko tinggi penyakit kardiovaskular.

Telaah Kualitas Hidup Pasien Penyakit Kronik di Kalimantan Barat Untari, Eka Kartika; Yuswar, Muhammad Akib; Rizkifani, Shoma
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.12295

Background: The long duration of chronic disease affecting the patient’s quality of life. Every disease including chronic disease has a different duration and prognosis. The instrument that being used in measuring the quality of life can be very important factor. Quality of life assessment has a benefit by evaluate the treatment of patients with chronic disease, moreover the good quality of life will also increase the patient's life expectancy. The purpose of this article are to describe and identify instruments that being used to measure quality of life patients with chronic disease in West Kalimantan.Methods: This study conduct to review the original research articles with the keywords "quality of life", "chronic disease", and "West Kalimantan". Twenty three research articles were obtained in Google Scholar and met the inclusion criteria. The generic instruments such as WHOQOL-BREF and EQ5D are the most widely used to measure the patient’s quality of life.Result: The distribution of chronic diseases that have been assessed were hypertension, chronic renal failure, diabetes mellitus, COPD, pulmonary tuberculosis, asthma, myocardial infarction, stroke, CHD, osteoarthritis, HIV / AIDS, and psoriasis. The disease with the most impact on quality of life is hypertension (6 of 23 articles). There were 53.07% patients has a good quality of life; 15.97% patients has a moderate quality of life; and 30.96% patients has a bad quality of life.Conclusion : Most of the hypertensive patients has a good quality of life compared to other disease groups. Health interventions were needed to improve the quality of life for patients with chronic diseases.

The Rationality of Drug Use in GERD Patients at The Outpatient Installation of RSUD Dr. Soedarso Pontianak Yuswar, Muhammad Akib; Aisiyah, Nurul; Purwanti, Nera Umilia
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3530

Gastroesophageal Reflux Disease (GERD) prevalence has increased from 2016 to 2018 by 21,6%. Inappropriate indication, drug, dose, route of administration, and time interval of administration could lead to therapeutic failure. This study aimed to evaluate the rationality of drug use and the distribution of drug use patterns in GERD patients at the outpatient installation of RSUD Dr. Soedarso Pontianak. This research method is descriptive and observational with a cross-sectional design. Data collection was delivered retrospectively with medical records data and prescriptions of GERD patients during the 2020-2021 period. The sampling technique used is purposive sampling, where the sample selection is based on the specified inclusion criteria. The sample used in the study was 98 patients. The results showed that the percentage of rationality in patients without comorbidities was based on 100% correct indication, 93,85% correct drug, 100% correct dose, 100% valid route of administration, and 100% accurate time interval for administration and with comorbidities based on proper indication 87,88%, 57,58% correct drug, 100% correct dose, 100% correct route of administration, and 100% accurate time interval for administration. Distribution pattern of GERD drug use in GERD patients without/with comorbidities was the most widely used is Lansoprazole (monotherapy). The most commonly used is a Proton Pump Inhibitor (PPI) with sucralfate for the benefit of combination drugs.

Hypoglycemia in Geriatric Patients with Diabetes: A Review Untari, Eka Kartika; Yuswar, Muhammad Akib
Pharmaceutical Journal of Indonesia Vol. 9 No. 2 (2024)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2024.009.02.3

Background: The prevalence of diabetes tends to be high, 42% of geriatric patients admitted havea diabetes diagnosis, and 33% of these patients experience hypoglycemia. Hospitalization isnecessary for diabetic elderly individuals because their blood glucose levels make themmore vulnerable to other complications. The incidence of hypoglycemia in geriatric patients maybe caused by a variety of factors, including polypharmacy, pharmacokinetic andpharmacodynamic changes, hormonal regulation disorders, food and water intake disturbances,decreased intestinal absorption, and cognitive disorders, as well as other organ disorders that causedisruption of the ability to metabolize antihyperglycemia.Methods: This review will go over how frequently geriatricians, especially those withdiabetes, develop hypoglycemia as a result of using anti-diabetics or other medications thatlead to drop blood sugar.Results: Sulfonylurea and insulin groups are the most frequent causes of hypoglycemia indiabetic older people, according to the articles we analyzed. The significance of specific carefor the elderly population in order to lessen the effects of hypoglycemia.Conclusions: For geriatric individuals with DM, routine blood glucose monitoring is advisedto prevent diabetic complications.

Hypoglycemia in Geriatric Patients with Diabetes: A Review Untari, Eka Kartika; Yuswar, Muhammad Akib
Pharmaceutical Journal of Indonesia Vol. 9 No. 2 (2024)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2024.009.02.3

Background: The prevalence of diabetes tends to be high, 42% of geriatric patients admitted havea diabetes diagnosis, and 33% of these patients experience hypoglycemia. Hospitalization isnecessary for diabetic elderly individuals because their blood glucose levels make themmore vulnerable to other complications. The incidence of hypoglycemia in geriatric patients maybe caused by a variety of factors, including polypharmacy, pharmacokinetic andpharmacodynamic changes, hormonal regulation disorders, food and water intake disturbances,decreased intestinal absorption, and cognitive disorders, as well as other organ disorders that causedisruption of the ability to metabolize antihyperglycemia.Methods: This review will go over how frequently geriatricians, especially those withdiabetes, develop hypoglycemia as a result of using anti-diabetics or other medications thatlead to drop blood sugar.Results: Sulfonylurea and insulin groups are the most frequent causes of hypoglycemia indiabetic older people, according to the articles we analyzed. The significance of specific carefor the elderly population in order to lessen the effects of hypoglycemia.Conclusions: For geriatric individuals with DM, routine blood glucose monitoring is advisedto prevent diabetic complications.

Penyuluhan dan Pendampingan Pembuatan Jamu Serbuk Instan Imunostimulan di Desa Tebang Kacang IH, Hariyanto; Isnindar, Isnindar; Nurbaeti, Siti Nani; Luliana, Sri; Yuswar, Muhammad Akib; Kurniawan, Hadi; Ropiqa, Meri
Jurnal Pengabdi Vol 7, No 2 (2024): Oktober 2024
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jplp2km.v7i2.72379

Abstrak: Masyarakat indonesia telah lama menggunakan tanaman obat keluarga (TOGA) sebagai upaya pencegahan timbulnya penyakit dan menjaga kesehatannya. Salah satunya adalah meniran (Phillanthus niruri L.) dan jahe (Zingiber Officinale) dimana kombinasi tanaman tersebut telah terbukti dapat meningkatkan daya tahan tubuh. Namun dalam pegolahannya masih dalam bentuk yang sederhana, oleh karena itu diperlukan edukasi dan pendampingan pemanfaatan TOGA menjadi bentuk yang lebih praktis, mudah dan memiliki nilai ekonomi yang tinggi seperti serbuk instan. Oleh karena itu tujuan dari kegiatan pengabdian masyarakat ini adalah memberikan edukasi dan pendampingan pembuatan meniran dan jahe menjadi serbuk instan sebagai imunostimulan di desa tebang kacang. Sasaran dari kegiatan PKM ini adalah ibu-ibu kader PKK yang ada di Desa Tebang Kacang. Metode dari PKM ini adalah penyuluhan dan workshop dengan tahapan kegiatan yaitu persiapan kegiatan, pelaksanaan kegiatan (penyuluhan dan workshop atau pendampingan pembuatan jamu serbuk instan), serta evaluasi kegiatan. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan peserta yang ditunjukkan dari nilai post-test rata-rata peserta, yaitu 65, jika dibandingkan terhadap nilai rata-rata pre-test, yaitu sebesar 53,33. Evaluasi kepuasan peserta dari kuesioner juga menunjukkan bahwa, materi yang disampaikan mudah dipahami, bermanfaat, menambah keterampilan, produk yang dihasilkan memiliki rasa yang enak dan dapat meningkatkan perekonomian desa. Kata Kunci: Serbuk Instan, Imunostimulan , Meniran, Jahe dan Desa Tebang Kacang Abstract: Indonesians have long used family medicinal plants (TOGA) to prevent disease and maintain health. A few of them are meniran (Phillanthus niruri L.) and ginger (Zingiber Officinale). Their combination has been proven to increase the body's immune system. However, their processing was still in a simple form; therefore, education and assistance are needed to use TOGA in a more practical, easier, and highly economical value, such as instant powder. Therefore, this community service activity aims to educate and assist in making meniran and ginger into instant powder as an immunostimulant in the Tebang Kacang village. The targets of this program are PKK cadre mothers in Tebang Kacang Village. The method of this PKM is counseling and workshops with activity stages, namely preparation of activities, implementation of activities (counseling and workshops or assistance in making instant powdered herbal medicine), and evaluation of activities. The activity results showed an increase in participants' knowledge as indicated by the participants' average post-test score, which was 65%, compared to the average pre-test score, which was 53.33.% Evaluation of participant satisfaction from the questionnaire also shows that the material presented is easy to understand, valuable, increases skills, the product produced has a good taste, and can improve the village economy. Keywords: Instant Powder, Immunostimulant, Meniran, Ginger and Tebang Kacang Village.

Pelatihan Pembuatan Nano Liquid Aromaterapi bagi Kader PKK Desa Wajok Hilir di Kabupaten Mempawah: Training on Manufacturing Aromatherapy Nano liquid for PKK Cadres in Wajok Hilir Village in Mempawah District Pratiwi, Liza; Wijianto, Bambang; Fahrurroji, Andhi; Yuswar, Muhammad Akib
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 3 (2024): 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.v9i3.6251

So far, essential oils have only been used as perfume and sold as raw material. On average, residents of Wajok Hilir village have yards covered with essential oil-producing plants such as lavender, lemongrass, and coconut. The aim of the PKM Program is training in utilizing community resources to make essential oils for aromatherapy in nano-liquid preparations. The development of this product must be oriented towards developing a practice that is easy to apply and environmentally friendly without ignoring environmental health. The solution to overcome existing problems is to provide knowledge to partners about the benefits of nano liquid preparations as aromatherapy and mosquito repellent and training on using essential oils as aromatherapy. Pharmacists provided training on making "nano liquid" products. This training activity will involve PKK cadres from Wajok Hilir village. The output target of this activity is to increase the level of quality empowerment of partners by driving sustainable activity programs from product results. This service activity showed that the 31 participants comprised the majority of women and homemakers, 77.4% with a high school education level. The results of measuring participants' knowledge and skills showed an increase in the pre-test and post-test scores, which were 55.5 and 78.33, respectively. In conclusion, the service activities that have been carried out have increased the knowledge and abilities of participants regarding the use of essential oils as aromatherapy in the form of nano-liquid preparations.

IDENTIFIKASI DAMPAK INTERAKSI OBAT ANTIHIPERTENSI TERHADAP TEKANAN DARAH PADA PASIEN GERIATRI HIPERTENSI YANG DIRAWAT INAP DI RSUD DR SOEDARSO PONTIANAK Yuswar, Muhammad Akib; Egida Rachmadani; Eka Kartika Untari
Jurnal Ilmiah Manuntung Vol 8 No 1 (2022): Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v8i1.524

Hypertension is one of cardiovascular diseases in geriatrics. Hypertensive geriatric patients require a combination of more antihypertensives to achieve blood pressure targets, it can cause high risk of polypharmacy. Polypharmacy in hypertensive geriatric patients is at high risk of drug interactions that can affect their blood pressure. This study aims to identify the interactions of antihypertensives based on mechanism and severity and also to determine whether there is a change in blood pressure caused by drug interactions in geriatric hypertensive inpatients at RSUD Dr Soedarso on January â€“ June 2019. Data were collected retrospectively from 38 patientsâ€™ medical records, using total sampling technique. Data were analyzed descriptively using E-book Stockleyâ€™s Drug Interaction and Drug Interaction Checker on medscape.com, drugs.com. There were 28 patients (73%) who may experience drug interactions with a total of 85 cases. Drug interactions with moderate severity and pharmacodynamic interaction mechanism often occur in a row were 61 cases (72%) and 79 cases (93%). There were a decrease and increase blood pressure, which in a row were 23 and 4 patients. The decrease of patientsâ€™ blood pressure estimated caused by synergistic drug interactions of antihypertensives and adjustment of each drug dose that has potential to increase blood pressure.

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