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Journal : JOURNAL LA MEDIHEALTICO

Analysis of the Application of Pharmaceutical Service Standards and Patient Satisfaction with Accreditation Status and Types of Services Tarigan, Betharina Br; Dalimunthe, Aminah; Nasution, Azizah; Harahap, Urip; Khairunnisa, Khairunnisa
Journal La Medihealtico Vol. 4 No. 2 (2023): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v4i2.846

Abstract

Accreditation is a method to improve the quality of health services, so that it is expected that the services provided are in accordance with established regulations. This study aims the implementation of Pharmaceutical Service Standards (PCSs) and patient satisfaction on accreditation status and types of PHCs in Deli Serdang Regency, Sumatera Utara. This descriptive analytical cross-sectional study was conducted to analyze pharmacy services at PHCs (n=34) in Deli Serdang Regency. The reference used is the Checklist for PCSs based on direct observations and interviews with the person in charge of pharmacy and the Patient Satisfaction Questionnaire. The data obtained were analyzed using SPSS version 22. The results on the value of a total score PCSs showed 41-90, with the highest level of patient satisfaction is the very satisfied category is 65.90%.The correlation test was analyzed using the Chi-Square test with a significance limit of p<0.05, the correlation of accreditation status to the implementation of PCSs showed a value of p=0.304, the correlation of the type of service to the implementation of PCSs showed a value of p=0.591, the correlation of the accreditation status of PHCs to the level of satisfaction patient value showed a value of p=0.000. This study concluded that the accreditation status of the PHCs does not affect implementation of PCSs, the type of PHCs service does not affect implementation of PCSs and the accreditation status of the PHCs has an effect on the level of patient satisfaction in Deli Serdang Region, Sumatera Utara.
The Effect of Ethanol Extract of Avocado Leaf (Persea Americana Mill.) on Reduction of Gastric Acid in Aspirin Induced Rats Simbolon, Rohana Oktofariday; Dalimunthe, Aminah; Bangun, Hakim
Journal La Medihealtico Vol. 5 No. 3 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i3.972

Abstract

One of the most prevalent dangerous illnesses is arthritis. The pathophysiology of gastritis is an imbalance of aggressive and protective factors. Nonsteroidal anti-inflammatory drugs are known as aggressive agents for the development of gastritis. Gastritis can be managed using avocado leaves. Finding out how an avocado leaf ethanol extract changed the amount of stomach acid in aspirin-treated rats was the aim of the investigation. Secondary metabolite content and characterisation were examined in the avocado leaf ethanol extract. Gastric acid reduction was performed by examining gastric acid concentration, number of ulcers, ulcer index, and pH in aspirin-induced rats. Ethanol extract of avocado leaves contains alkaloids, flavonoids, saponins, steroids, tannins and glycosides. Characterization obtained moisture content of 12.60%, total ash content of 1.34% and acid insoluble ash content of 0.17%. Acid concentration in the administration of avocado leaf ethanol extract 400 mg/KgBW is 16.00 ± 2.65 significantly different from the negative control 27.67 ± 2.52. The number of ulcers on the administration of avocado leaf ethanol extract 400 mg/KgBW 1.67 ± 2.08 is significantly different from the negative control 5.33 ± 0.58. When avocado leaf ethanol extract 400 mg/ kgBW is administered, the ulcer index (0.003 ± 0.005) differs significantly from the negative control (0.014 ± 0.013). pH in the administration of avocado leaf ethanol extract 400 mg / kgBW 5.53 ± 0.57 is significantly different from the negative control 2.57 ± 0.12. The ethanol extract of avocado leaf 400 mg/kgBW has a reducing gastric acid effect.
Comparison of Antibacterial Activity of Ethanol Extract and Nanoparticles of Crassocephallum Crepidioides S.Moore Against Staphylococcus Aureus Candrika, Candrika; Dalimunthe, Aminah; Bangun, Hakim
Journal La Medihealtico Vol. 5 No. 2 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i2.1160

Abstract

This research seeks to examine the width of the inhibitory zone of extracts and nanoparticles of Crassocephalum crepidioides leaf simplisia, which have many advantages such as wound therapy, diarrhea relief, anti-inflammatory properties, and antibacterial effects. The antibacterial activity of Crassochepallum crepidioides (Benth) was evaluated by using the ethanol extract and nanoparticles. S. Moore departs. The agar diffusion technique was used to test it on paper plates. 0.1 ml of bacterial inoculum was introduced into a sterile petri dish, followed by the addition of 15 ml of Mueller Hinton agar media at a temperature range of 45-50ºC. Subsequently, multiple paper plates were immersed in a test solution containing a strong leaf ethanol extract and nanoparticles with different concentrations. Characterization reveals that Crassocephalum crepidioides is composed of many bioactive components, including alkaloids, flavonoids, saponins, tannins, and steroids. The analysis of the extract revealed that it contained 5.92% water, 12.86% total ash, 1.55% acid-insoluble ash, 14.33% water-soluble essence, and 9.34% ethanol-soluble essence. The nanoparticles had a size of 64.37 nm and exhibited antibacterial activity of extract ethanol at a concentration of 50% with a diameter of 12,00 mm. The minor concentration of the extract had a diameter of 3,166 mm, while the nanoparticles showed antibacterial activity at a concentration of 50% with a diameter of 10,53 mm. The minor concentration of the nanoparticle had a diameter of 3,00 mm The activity test results of the ethanol extract of Crassochepallum crepidioides with nanoparticles demonstrated that the inhibitory diameter of the ethanol extraction results remained more strong compared to the nanoparticles of simplisia powder.
Implementation of Pharmaceutical Care or Hypertension Patients in Communty Health Center of Lubuk Pakamdeli Serdang Darmirani, Yosi; Dalimunthe, Aminah; Khairunnisa, Khairunnisa
Journal La Medihealtico Vol. 5 No. 3 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i3.1447

Abstract

The objective of this research was to provide pharmaceutical care to patients with Hypertension and assess its effects on the occurrence of drug-related problems (DRPs), clinical outcomes, adherence levels, and quality of life of Hypertension patients at Puskesmas (Community Health Center) Lubuk Pakam. This research used a comparative experimental approach using a prospective cohort study design to assess the effects of an intervention on 73 individuals with Hypertension between March and August 2021. The PCNE V9.00 instrument was used to identify the occurrence of Drug-Related Problems (DRPs). Adherence level data was collected through the MMAS-8 questionnaire. Random blood glucose (RBG) data and Blood Pressure values were obtained by directly examining patients. The EQ-5D-3L questionnaire was used to gather data on the quality of life. The data were analyzed using the Wilcoxon Signed-Rank test and Friedman test in the SPSS V22.0 software. The findings indicated that the average occurrence of drug-related problems (DRPs) before to the intervention was 1.436 ± 0.502, however after the intervention, it decreased to 0.282 ± 0.456 (α <0.05). The mean blood pressure before to the intervention was 278.58 ± 75.278 mmHg, whereas after the intervention it decreased to 179.68 ± 14.008 mmHg (α <0.05). There was a substantial rise in the mean adherence score before to the intervention, from 5.00 ± 0.89 to 8.48 ± 0.77 (α<0.05). Similarly, the average quality of life score increased from 0.878 ± 0.176 to 1 ± 0.09 after the intervention (α<0.05).