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All Journal Community Development Journal: Jurnal Pengabdian Masyarakat SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Pharmademica: Jurnal Kefarmasian dan Gizi Journal of Agropharmacy
Firandi, Adelia
Departement Of Clinical And Community Pharmacy, Faculty Of Pharmacy, University Of Jember
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Evaluasi Pengobatan pada Pasien Geriatrik Rawat Inap dengan Stroke di RS Elizabeth Situbondo Periode November 2022‒Agustus 2023 Norcahyanti, Ika; Firandi, Adelia; Mauladi, Zainol Ihsan; Machlaurin, Afifah
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 5 No 1 (2025): April - September
Publisher : LPPM-KI - POLTEKKES PIM (Formerly AKAFARMA-AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v5i1.102

Abstract

Potentially Inappropriate Medicines (PIMs) cause a significant issue, particularly when dealing with elderly patients. Aging in the elderly results in a decline in physiological body functions, impacting the response to medications. Furthermore, aging leads to decreased elasticity of blood vessels, increasing the risk of cardiovascular diseases such as stroke. The management of stroke requires special attention to minimize the risk of complications and enhance recovery opportunities. This study aims to analyze patient profiles, treatment profiles, and evaluate the treatment based on the Beers Criteria 2019. It is a retrospective descriptive study using a cross-sectional research design and purposive sampling technique for sample selection. The study sample includes elderly patients diagnosed with stroke who were hospitalized at RS Elizabeth Situbondo. Patient medical record data was collected through a specifically designed Data Collection Sheet (DCS) to evaluate drug utilization in these patients. The research findings indicate that the patients are predominantly male (53.2%), aged 60-69 (62.3%), and have a Length of Stay of 1-6 days (84.4%). All patients have payment status through BPJS. The treatment profile involves the administration of medications for stroke management, with ticagrelor as the primary drug (66.2%) and citicoline as the most commonly prescribed supplementary drug (97.4%). Treatment evaluation identified 193 events of drug use that potentially met the 2019 Beers Criteria. The highest category was potentially inappropriate drugs (134 events), with pantoprazole being the most commonly used drug (71 events).
Evaluasi Perencanaan dan Pengadaan Obat dengan Dana JKN di Puskesmas Rambipuji Jember Norcahyanti, Ika; Firandi, Adelia; Ramadhani, Nuril Izzati Farihatur; Rachmawati, Sinta; Rachmawati, Ema; Aryani, Dhita Evi; Wardhani, Firdha Aprillia; Kusumaningrum , Yunita Dyah
Journal of Agropharmacy Vol. 1 No. 3 (2024)
Publisher : Faculty of Pharmacy, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/joa.v1i3.1811

Abstract

Public Health Center is a health facility that organizes drug management activities, including planning and procurement activities. Evaluation needs to assess the success of achieving the objectives and results of the action. Indicators that can use are efficiency indicators published by the Ministry of Health of the Republic of Indonesia and efficiency indicators developed by Pudjaningsih. Rambipuji Public Health Center with spending funds for the most significant drug procurement in Jember Regency in 2020. Therefore, it is necessary to evaluate the results that can improve the quality of service in the next period. This research aims to determine the results of the evaluation of drug planning and procurement with JKN funds at Rambipuji Public Health Center for 2020. This research is descriptive, primary data through interview results. Secondary data includes total funds available, drug procurement funds, Drug Usage Reports, and Drug Demand Sheets for drugs purchased through JKN funds and stock cards. The data is analyzed descriptively, presented in the form of tables supported by interview results. The results showed that the Government of Indonesia had governed drug planning and procurement activities with JKN funds. The percentage indicator of available funds compared to the general funds needed is 114.26%. The percentage indicator of drug procurement fund allocation is 3.46%. Results on percentage indicator procurement conformity with the reality of the use of each drug item amounted to 133.33% and on the procurement frequency indicator of each drug item once a year. Through this research, it can be concluded that the evaluation results on indicators of the efficiency of drug planning and procurement activities at Rambipuji Public Health Center have not been by established standards. This matter was influenced by several factors, including a decrease in the number of patient visits due to the COVID-19 pandemic, changes in the organizational structure in the Jember Health Office that resulted in the frequency of procurement activities only once throughout 2020, and the absence of government regulations that regulate in more detail about the percentage of JKN funds allowed for drug procurement activities.
PENINGKATAN PENGETAHUAN DAGUSIBU (DAPATKAN, GUNAKAN, SIMPAN, BUANG) OBAT DI DESA JEMBER KIDUL Holidah, Diana; Firandi, Adelia; Kusumaningrum, Yunita Dyah; Rachmawati, Ema
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025): Volume 6 No. 2 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i2.44095

Abstract

Kesehatan merupakan kondisi fisik dan mental yang bebas dari penyakit dan dapat meningkatkan kesejahteraaan masyarakat. Obat adalah bahan yang digunakan untuk mencegah, menyembuhkan, dan meningkatkan kesehatan, namun, obat juga dapat bersifat toksik bila tidak digunakan secara rasional. Diketahui bahwa lebih dari 60% masyarakat Indonesia melakukan pengobatan sendiri atau swamedikasi, dan diantaranya, ada yang menyimpan obat keras tanpa resep termasuk antibiotik, menyimpan obat kadaluarsa, dan membuang obat dengan cara yang salah. Hal ini disebabkan karena kurangnya pemahaman dan kesadaran masyarakat terkait cara mendapatkan, menggunakan, menyimpan, dan membuang obat dengan benar. Apoteker memiliki peran dalam meningkatkan derajat kesehatan masyarakat melalui berbagai pelayanan kefarmasian, salah satunya melalui DAGUSIBU (Dapatkan, Gunakan, Simpan, Buang) Obat. Ibu adalah pilar kesehatan yang berperan penting dalam mengatur berbagai hal dalam keluarga, termasuk penyediaan dan pengelolaan obat-obatan dirumah, Oleh karena itu, dilakukan penyuluhan terkait DAGUSIBU secara lisan dan tertulis melalui power point dan leaflet pada ibu-ibu kader PKK di Desa Jember Kidul, Kecamatan Kaliwates, Kabupaten Jember. Evaluasi kegiatan didapatkan terdapat peningkatan pengetahuan peserta sebanyak 27.5% melalui hasil pre-test dan post-test. Oleh karena itu, tema ini layak diadakan secara rutin dan diperluas cakupannya ke wilayah lain untuk meningkatkan pemahaman dan kesadaran individu sehingga dapat mencegah penyalahgunaan obat dan permasalahan kesehatan lainnya
PROFIL DRUG UTILIZATION (DU) 90% DAN KESESUAIAN ANTIBIOTIK PADA PASIEN DEMAM TIFOID DI RS X KABUPATEN WONOGIRI Kusumaningrum, Yunita Dyah; Rachmawati, Ema; Firandi, Adelia; Norcahyanti, Ika
SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Vol 10, No 2 (2025)
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/scpij.v10i2.8821

Abstract

Demam Tifoid merupakan infeksi bakteri Salmonella thypi yang memerlukan terapi dengan antibiotik. Penggunaan antibiotik perlu dilakukan dengan bijak supaya efektif untuk penyembuhan infeksi dan mencegah terjadinya resistensi. World Health Organization (WHO) merekomendasikan penggunaan metode Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) untuk menilai kuantitas penggunaan antibiotik dan dapat dikombinasikan dengan metode Drug utilization (DU) 90% untuk menilai segmen obat dengan penggunaan tinggi. Penelitian ini bertujuan untuk menganalisis penggunaan antibiotik dengan metode DU 90% pada pasien demam tifoid pada tahun 2020-2022 di RS X Wonogiri dan menganalisis kesesuaian pemilihan antibiotik berdasarkan panduan klinik rumah sakit. Penelitian ini merupakan penelitian observasional menggunakan metode cross sectional dengan pengambilan data secara retrospektif. Data penggunaan antibiotik dianalisis dengan menghitung nilai DDD/100 patient-days dan dilanjutkan menghitung segmen DU 90%. Untuk analisis kesesuaian pemilihan antibiotik dihitung dalam persentase kesesuaian terhadap panduan praktik klinik RS X Wonogiri. Hasil penelitian menunjukkan penggunaan antibiotik untuk demam tifoid paling tinggi yaitu tiamfenikol dan seftriakson. Antibiotik dengan nilai DDD/100 patient-days tertinggi tahun 2020-2022 adalah tiamfenikol, berturut-turut sebesar 50,80; 56,63; dan 50,95 DDD/100 patient-days. Antibiotik yang masuk ke dalam segmen DU 90% pada tahun 2020-2022 yaitu tiamfenikol, sefriakson, kloramfenikol, sefoperazon, sefotaksim, levofloksasin, dan seftazidim. Kesesuaian penggunaan antibiotik berdasarkan panduan praktik klinik rumah sakit yaitu 76,39% pada tahun 2020, 58,73% pada tahun 2021, dan 71,28% pada tahun 2022
Co-Authors Aryani, Dhita Evi Diana Holidah Didik Hasmono Ema Rachmawati Ika Norcahyanti Kusumaningrum , Yunita Dyah Machlaurin, Afifah Mauladi, Zainol Ihsan Ramadhani, Nuril Izzati Farihatur Sinta Rachmawati Wardhani, Firdha Aprillia