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KORELASI KEPATUHAN PENGOBATAN DENGAN KADAR GLUKOSA DARAH PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS Amalia, Senya Puteri; Alfian, Riza; Fatmala, Yola; Wahyuni, Amaliyah; Ariani, Novia; Aisyah, Noor; Lestari, Desy Ayu
Jurnal Insan Farmasi Indonesia Vol 7 No 3 (2024): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/tq2vvk06

Abstract

Diabetes melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia akibat gangguan pada sekresi insulin, kerja insulin atau keduanya. Pengelolaan DM membutuhkan terapi obat jangka panjang. Ketidakpatuhan dalam pengobatan pasien DM dapat berdampak pada kadar gula darah yang tidak terkontrol. Penelitian ini bertujuan untuk melihat korelasi antara kepatuhan pengobatan dengan kadar gula darah pasien DM tipe 2 di Puskesmas Awayan Kabupaten Balangan. Desain penelitian yang digunakan yaitu observasional cross sectional dengan pengumpulan data secara prospektif. Data dikumpulkan dari pasien DM di Puskesmas Awayan Kabupaten Balangan pada periode bulan Juni-Juli 2024, dengan total sampel sebanyak 47 pasien yang diambil dengan teknik consecutive sampling. Tingkat kepatuhan pengambilan obat ulang oleh pasien diukur menggunakan kuesioner Adherence to Refills and Medications Scale (ARMS), sementara data kadar glukosa darah diperoleh dari hasil pengukuran tenaga kesehatan di Puskesmas Awayan. Analisis data dilakukan dengan uji korelasi Spearman. Hasil penelitian menunjukkan skor rata-rata kepatuhan pengobatan pasien DM 12,78 ± 1,06, sedangkan rata-rata kadar glukosa darah pasien sebesar 216,76 ± 52,11 mg/dL. Hasil uji korelasi antara kepatuhan dengan kadar glukosa darah memperoleh nilai 0,101 (p>0,05). Penelitian ini dapat menunjukkan bahwa kepatuhan pengobatan tidak memiliki hubungan yang signifikan dengan kadar glukosa darah pasien DM di Puskesmas Awayan Balangan.
LAYANAN PESAN SINGKAT PENGINGAT MENINGKATKAN KEPATUHAN MINUM OBATPASIEN DIABETES MELITUS DI RSUD ULIN BANJARMASIN Riza Alfian
Jurnal Ilmiah Manuntung Vol 1 No 1 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung sekolah tinggi ilmu kesehatan samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v1i1.13

Abstract

Diabetes melitus is one ofthe metabolic disorders with characteristic hyperglycemia that occurs due to abnormal insulin secretion, insulin resistance or both. The non adherence patients of taking antidiabetic drugs are the main factors that could cause high blood glucose levels, so it is necessary an intervention to achievedoutcome therapy desired. Giving of short message service reminder intervention in diabetes mellitus patients was expected to improved the medication adherence and achieved normal blood glucose levels.This study was conducted to determine the effect of a short message service reminder on medication adherence of ambulatory diabetes melitus patients in Ulin General Hospital Banjarmasin.This study was conducted with quasi-experimental design,the data were taken prospectively during May to June, 2014. The subjects were ambulatory diabetes melitus patients in Ulin General Hospital Banjarmasin who had received oral antidiabetic drugs. Subject who met the inclusion and exclusion criteria were 39 patients and had given an intervention for seven days. The data collected by interviews and pill counting on filling sheet. The blood glucose levels data was taken from their medical records.The result showed that giving of a short message service reminder intervention improve patient adherence (p<0,05). Fasting blood glucose level and blood glucose level two hours post prandial have decreased significantly (p<0,05). There were correlation between the patient adherence and the decreasing in fasting blood glucose levels (p=0,050; r=0,316) and blood glucose two hours post prandial levels (p=0,010; r=0,040).Based on these result, it can be concluded that the giving of short message service reminder in diabetes melitus patientshas been improved patient adherence.
PERBAIKAN PERILAKU DAN TEKANAN DARAH PASIEN HIPERTENSI DI RSUD DR. H. MOCH. ANSARI SALEH BANJARMASIN SETELAH PEMBERIAN LEAFLET EDUKASI HIPERTENSI DAN TERAPINYA Yugo Susanto; Riza Alfian
Jurnal Ilmiah Manuntung Vol 1 No 2 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung sekolah tinggi ilmu kesehatan samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v1i2.26

Abstract

Hypertension is a condition of systolic blood pressure >140 mmHg and diastolic > 90 mmHg persistenly. Hypertension is as one of major risk factors for cardiovascular disease, kidney failure, and stroke. The prevalence of hypertension in South borneo is 30.8 %. The behavior is a key factor that inhibited blood pressure control that requires intervention to change patient behavior. The aim of this study were to investigate the influence of  pharmacists educational leaflet of hypertension and treatment given to behavior and blood pressure patient of ambulatory hypertension patients at Internal Disease Policlinic Dr. H. Moch Ansari Saleh Banjarmasin hospital. The study was conducted with quasi-experimental design. The ambulatory hypertension patients data were collected prospectively during the period of April until mei 2015. This study involved 45 patients who included in the inclusion and exclusion criteria. Data collection was conducted by to assess the level of the patient’s behavior questionnaires and the blood pressure data were taken from their medical record. The results showed that giving educational leaflet of hypertension and treatment could increased knowledge, attitude, and practice significantly (p<0,05). The average of knowledge and attitude scores in pre measurement 2,60 ± 0,71, 2,44 ± 0,65 increased in post measurement 2,95 ± 0,20, 2,77 ± 0,51 were statistically different p=0,00. The average of practice scores in pre measurement 2,15 ± 0,85 increased in post measurement 2,48 ± 0,75 were statistically different p=0,03. The systolic and diastolic blood pressure also decreased with an average reduction of 14,44 ± 9,18 mmHg for systolic and diastolic was 9,55 ± 10,21 mmHg. Over all it can be conculed that the giving educational leaflet of pharmacist can improve patient behavior. Furthermore, it can decrease the blood pressure (p<0,05). 
PENGARUH LAYANAN PESAN SINGKAT PENGINGAT TERHADAP KEPATUHAN KONSUMSI OBAT PASIEN DM TIPE 2 DI PUSKESMAS MELATI KABUPATEN KAPUAS Yugo Susanto; Riza Alfian; Rinidha Riana; Ibna Rusmana
Jurnal Ilmiah Manuntung Vol 3 No 1 (2017): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung sekolah tinggi ilmu kesehatan samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v3i1.88

Abstract

Diabetes mellitus is a chronic disease characterized by hyperglycemia and glucose intolerance. Patients with DM in Indonesia ranks 4th largest with a prevalence of 8.6 % of the total population. Patient compliance in the treatment greatly affect the success of the therapy. The purpose of this study was to determine the level of adherence before and after administration of short message reminders, as well as knowing the adherence changes that occur in patients with type 2 diabetes at the Puskesmas Melati Kabupaten Kapuas. This esearch was conducted by quasi experimental design, with prospective data collection during the period from May to June 2016. The intervention was giving short message service reminder. Subjects who met the inclusion criteria as many as 15 patients. The primary data collection is done by filling the questionnaire adherence MMAS and secondary data obtained from medical observation sheet. The results showed that in the pre intervention average value (mean) adherence by 5.8 or are in the low adherence rate, in post intervention average value of 7.4 or adherence are moderate adherence rates, with the rate of change (Δ) adherence towards better at 1.6. It can be concluded that the adherence were lower before than after giving short message service reminder. There was improvement in the adherence to taking medicine after giving short message service reminder. The giving short message service reminder increased the adherence to take medicine effectively
PROFIL KUALITAS HIDUP DAN TEKANAN DARAH PASIEN HIPERTENSI RAWAT JALAN DI RSUD ULIN BANJARMASIN Riza Alfian; Nani Lisdawati; Aditya Maulana Perdana Putra; Ratih Pratiwi Sari; Fahma Lailani
Jurnal Ilmiah Manuntung Vol 4 No 2 (2018): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung sekolah tinggi ilmu kesehatan samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v4i2.189

Abstract

Hypertension is one of the main factors of coronary heart disease and stroke. The prevalence of hypertension in South Kalimantan Province occupied a second prevalence of 30,8%. Hypertension is a chronic disease that requires long-term treatment. Furthermore, long-term treatment of anti-hypertension patients also have the possibility of side effects that also affect the quality of life of patients. Uncontrolled blood pressure can aggravate the incidence of hypertension and develop into a more dangerous disease that affects the quality of life of patients. The purpose of this study was to determine the description of blood pressure and quality of life of outpatient hypertensive patients at RSUD Ulin Banjarmasin. This research was conducted by using survey method. Sampling was done by consecutive sampling method. Samples meeting the inclusion criteria were 61 patients. The sample inclusion criteria were outpatients ages 18-65 with hypertension diagnoses, and were willing to follow the study. Exclusion criteria were patients with uncooperative, illiterate and deaf conditions. Data collection was done by interviewing and filling out the EQ-5D questionnaire. Blood pressure data were taken from medical records. The data of the research are presented in descriptive form. Based on this research can be concluded that the value of systolic blood pressure and diastolic mean of research sample is 153,82 ± 17,62 and 86,16 ± 10,52 mmHg. The study sample was dominated by patients with level II hypertension (52,5%). Furthermore the quality of life of the average sample was dominated by the category of poor quality of life (73,8%).
KONSELING FARMASIS MERUBAH PERILAKU PASIEN HIPERTENSI RAWAT JALAN DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT PKU MUHAMMADIYAH BANTUL, INDONESIA Alfian, Riza; Akrom, Akrom; Darmawan, Endang
Media Farmasi: Jurnal Ilmu Farmasi Vol. 11 No. 1: Maret 2014
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v11i1.1399

Abstract

Hipertensi  merupakan  salah satu  faktor  resiko  utama  penyakit  jantung  koroner, gagal  ginjal,  dan  stroke.  Prevalensi  hipertensi  di  Indonesia  pada  tahun  2007 mencapai  angka  32,2%.  Perilaku  adalah  merupakan  faktor  kunci  yang menghalangi pengontrolan tekanan darah sehingga membutuhkan intervensi untuk mencapai keberhasilan  terapi.Tujuan  penelitian  ini  adalah  untuk  mengetahui pengaruh  konseling  farmasis  secara  oral terhadap  perubahan  perilaku  pasien hipertensi  rawat  jalan  di  Poliklinik  Penyakit  Dalam  Rumah  Sakit  PKU Muhammadiyah  Bantul. Penelitian  ini  menggunakan  rancangan  kuasi eksperimental  dengan  pengambilan  data  secara  prospektif  pasien  rawat  jalan selama periode Januari-April 2013. Kuesioner pengukuran tingkat perilaku yang terdiri dari  9  pertanyaan  dan  sudah  divalidasi  digunakan  untuk  mengambil  data awal  pasien  sebelum  diberi  konseling  dan  data  akhir  pasien  setelah  diberikan konseling. Penelitian ini melibatkan 60 pasien yang dibagi rata menjadi 30 pasien kelompok  kontrol  dan  30  pasien  kelompok  perlakuan. Hasil  penelitian  ini menunjukkan  konseling  yang  diberikan farmasis meningkatkan  skor  domain kognitif,  afektif,  dan  psikomotorik  kelompok perlakuan  secara  signifikan (p<0,05).  Rata-rata  peningkatan  skor  domain  kognitif  antara  kelompok  kontrol 0,33± 0,61 dan kelompok perlakuan 0,60 ± 0,96 tidak berbeda signifikan (p=0,39). Rata-rata  peningkatan  skor  domain afektif  dan  psikomotorik  pasien  hipertensi kelompok kontrol berturut-turut 0,03 ± 0,61, 0,20 ± 0,41 dan kelompok perlakuan berturut-turut 0,67 ± 0,55, 0,83 ± 0,83 berbeda signifikan (p=0,00). Berdasarkan hasil  penelitian  tersebut  dapat  disimpulkan  bahwa intervensi  konseling  yang diberikan farmasis dapat merubah perilaku pasien hipertensi ke arah positif yang menunjang untuk tercapainya keberhasilan terapi psikomotorik
LAYANAN PESAN SINGKAT PENGINGAT UNTUK MENINGKATKAN KEPATUHAN DAN MENURUNKAN TEKANAN DARAH PASIEN HIPERTENSIDI RSUD Dr. H. MOCH ANSARI SALEH BANJARMASIN Alfian, Riza
Media Farmasi: Jurnal Ilmu Farmasi Vol. 11 No. 2: September 2014
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v11i2.1878

Abstract

Komplikasi pembuluh darah yang disebabkan hipertensi dapat menyebabkan penyakit jantung koroner, strokedan gagal ginjal. Prevalensi hipertensi tertinggi di Indonesia berada di Kalimantan Selatan dengan angka 39,6%. Ketidak patuhan merupakan faktor kunci yang menghalangi pengontrolan tekanan darah sehingga membutuhkan intervensi untuk meningkatkan kepatuhan terapi. Pemberian layanan pesan singkat pengingat diharapkan dapat meningkatkan kepatuhan terapi demi mencapai tekanan darah yang diinginkan. Tujuan penelitian ini adalah untuk mengetahui pengaruh layanan pesan singkat pengingat yang diberikan farmasis terhadap kepatuhan minum obat pasien hipertensi rawat jalan di Poliklinik penyakit dalam RSUD Dr. H. Moch Ansari Saleh Banjarmasin. Penelitian ini dilakukan dengan rancangan kuasi eksperimental dengan pengambilan data secara prospektif pasien rawat jalan selama bulan Mei-Juni 2014. Subyek yang memenuhi kriteria inklusi dan eksklusi sebanyak 48 pasien hipertensi. Pengumpulan data dilakukan dengan pengisian kuesioner kepatuhan Morisky Medication Adherence Scale (MMAS) dan data tekanan darah diambil dari rekam medik.Hasil penelitian menunjukan bahwa pemberian layanan pesan singkat  pengingat dapat meningkatkan kepatuhan minum obat pasien hipertensi dimana kepatuhan pre pengukuran hanya 3,4±0,69 sedangkan post meningkat menjadi 6,7±0,82 (p<0,05). Tekanan darah sistolikdan diastolikjuga mengalami penurunan dengan rata-rata penurunan untuk sistolik sebesar 17,92±12,20 mmHg dan diastolik  sebesar 9,17± 8,9 mmHg(p<0,05). Berdasarkan hasil penelitian dapat disimpulkan bahwa pemberian layanan pesan singkat pengingat oleh farmasis pada pasien hipertensi dapat meningkatkan kepatuhan pasien minum obat, hal ini ditunjukan dengan penurunan tekanan darah pasien hipertensi di Poliklinik Penyakit Dalam RSUD Dr. H. Moch Ansari Saleh Banjarmasin (p<0,05). 
Layanan Pesan Singkat Pengingat untuk Meningkatkan Kepatuhan Minum Obat dan Kontrol Glikemik Pasien Diabetes Melitus di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin Alfian, Riza
Media Farmasi: Jurnal Ilmu Farmasi Vol. 12 No. 1: Maret 2015
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v12i1.3024

Abstract

Diabetes melitus adalah penyakit metabolisme yang merupakan kumpulan gejala yang timbul pada seseorang karena adanya peningkatan kadar glikemik darah di atas nilai normal. Ketidakpatuhan merupakan faktor kunci yang menghalangi pengontrolan glikemik darah sehingga membutuhkan intervensi untuk meningkatkan kepatuhan terapi. Pemberian layanan pesan singkat pengingat diharapkan dapat meningkatkan kepatuhan terapi demi mencapai kontrol glikemikdarah yang diinginkan. Tujuan penelitian ini adalah untuk mengetahui pengaruh layanan pesan singkat pengingat yang diberikan farmasis terhadap kepatuhan minum obat dan kontrol glikemik pasien diabetes melitus rawat jalan di Poliklinik penyakit dalam RSUD Dr. H. Moch Ansari Saleh Banjarmasin. Penelitian ini dilakukan menggunakan rancangan kuasi eksperimental dengan pengambilan data secara prospektif pasien rawat jalan selama bulan April-Mei 2015. Subyek yang memenuhi kriteria inklusi dan eksklusi sebanyak 65 pasien. Pasien diberikan intervensi layanan pesan singkat pengingat selama 7 hari berturut-turut.Pengumpulan data dilakukan dengan pengisian kuesioner kepatuhan Morisky Medication Adherence Scale (MMAS) dan data glikemik darah diambil dari rekam medik. Uji statistik Wilcoxon digunakan untuk menganalisis data pre dan post penelitian. Hasil penelitian menunjukan bahwa pemberian layanan pesan singkat pengingat dapat meningkatkan kepatuhan minum obat pasien diabetes melitus dimana kepatuhan pre pengukuran hanya 6,01±1,81 sedangkan post meningkat menjadi 7,30±0,99 (p<0,05). Kadar glikemik darah puasa dan kadar glikemikdarah 2 jam post prandial mengalami penurunan dengan rata-rata penurunan untuk kadar glikemik darah puasa sebesar 14,66 ± 43,19 mg/dl dan 2 jam post  prandial sebesar 25,09 ± 67,17 mg/dl (p<0,05). Berdasarkan hasil penelitian dapat disimpulkan bahwa pemberian layanan pesan singkat pengingat oleh farmasis dapat meningkatkan kepatuhan pasien minum obat, hal ini ditunjukan dengan penurunan kadar glikemik darah pasien diabetes melitus di Poliklinik Penyakit Dalam RSUD Dr. H. Moch Ansari Saleh Banjarmasin (p<0,05).
EKSPLORASI HAMBATAN KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS DI PUSKESMAS: STUDI KUALITATIF Alfian, Riza; Fawwazi, Muhammad Hafizh Abiyyu Fathin; Faqih, Muhammad; Adikusuma, Wirawan
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 10 No 2 (2025): Jurnal Ilmiah Ibnu Sina
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jiis.v10i2.2789

Abstract

Medication adherence is a crucial factor in the successful management of diabetes mellitus, yet many studies show that adherence remains low and is shaped by multidimensional influences. This study aimed to explore barriers to medication adherence among patients with diabetes mellitus in primary health centers (Puskesmas) using the WHO five-domain adherence framework. A qualitative descriptive-exploratory design was applied. Data were collected through in-depth interviews with ten patients undergoing routine treatment at Puskesmas in Banjarmasin City, recruited through purposive sampling. Thematic analysis was performed guided by the WHO adherence model. Five major themes emerged. Social and economic factors included limited transportation costs, distance to the health center, and lack of family support. Health system and provider factors involved brief consultations, insufficient patient education, and long queues. Condition-related factors comprised the absence of immediate symptoms, fatigue from chronic illness, comorbidities, and psychological distress. Therapy-related factors included complex regimens, side effects, and discontinuation of therapy without consultation. Patient-related factors were characterized by forgetfulness, reliance on alternative medicine, fluctuating motivation, and feelings of boredom. These findings highlight that adherence barriers are multidimensional and result from the interaction of individual, social, and system-level determinants. Addressing adherence requires holistic and continuous interventions at the primary care level, with emphasis on patient education, family involvement, and strengthening the role of healthcare providers.
HUBUNGAN KOMPLEKSITAS REGIMEN PENGOBATAN DENGAN KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS TIPE 2 DI POLI PENYAKIT DALAM RSUD SULTAN SURIANSYAH BANJARMASIN Faqih, Muhammad; Alfian, Riza; Yumassik, Abdul Mahmud; Ilahi, Fitrah Shafran; Nordin, Nordin
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 10 No 2 (2025): Jurnal Ilmiah Ibnu Sina
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jiis.v10i2.2810

Abstract

Diabetes Mellitus (DM) is a chronic disease that requires prevention and treatment to reduce the various consequences associated with poor glycemic control. Diabetes mellitus treatment aims to control blood sugar levels within normal limits, improve the patient's quality of life, and prevent complications. One factor contributing to non-adherence to treatment in diabetes mellitus patients is the complexity of the medication regimen. This study aimed to examine the level of medication regimen complexity, medication adherence, and the relationship between medication regimen complexity and medication adherence in type 2 diabetes mellitus patients at the Internal Medicine Clinic of Sultan Suriansyah Hospital, Banjarmasin. This study used a cross-sectional design. Data were collected from August to September 2024, with 155 samples used in this study. The sampling method used a consecutive sampling technique. Medication regimen complexity (MRCI) data were obtained from prescriptions, while medication adherence data were collected using the Adherence to Refill Medication Scale (ARMS) questionnaire. The results of this study showed that the complexity of the patient's regimen was dominated by medications with a moderate level of complexity (75%, 48.4%). The results showed that the medication adherence rate was 61% of patients (39.4%). The correlation test showed an insignificant relationship between the complexity of the medication regimen and medication adherence, with a p value > 0.05 (0.139). Based on the research results, it can be concluded that the complexity of the medication regimen is not the main factor causing non-compliance in diabetes mellitus patients.