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All Journal Pharmaciana: Jurnal Kefarmasian Media Farmasi : Jurnal Ilmu Farmasi (Journal Of Pharmaceutical Science) JURNAL PHARMASCIENCE Pharmascience Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan JSFK (Jurnal Sains Farmasi & Klinis) JCPS (Journal of Current Pharmaceutical Sciences) Jurnal Insan Farmasi Indonesia Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Jurnal AFAMEDIS Journal of Public Health and Pharmacy Jurnal Komunitas Farmasi Nasional Jurnal Ilmiah Manuntung: Sains Farmasi dan Kesehatan
Riza Alfian
Akademi Farmasi ISFI Banjarmasin
Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health

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Evaluation of Pharmacist-Based Services for Type 2 Diabetes Mellitus in the Indonesian Community Health Centers Alfian, Riza; Nita, Yunita; Athiyah, Umi
Journal of Public Health and Pharmacy Vol. 5 No. 1: MARCH 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i1.5888

Abstract

Introduction: Diabetes mellitus is a global epidemic that continues to rise, including in Indonesia, and it has significant impacts on public health. The role of pharmacists in providing pharmaceutical care for diabetic patients in community health centers is crucial, yet challenges in its implementation persist. However, in-depth studies on pharmacists' practice experiences in this context are still limited in Indonesia. This study aimed to explore pharmacists' experiences in implementing pharmaceutical care for diabetic patients at community health centers in Indonesia. Methods: The cross-sectional study was conducted in community health centers in South Kalimantan Province, Indonesia. Pharmacists practicing at community health centers were recruited between October and December 2023. The survey was distributed in both paper and online (Google Form) formats. The questionnaire used in the survey focused on the provision of assessment, care plan, and follow-up parameters regarding the medication of diabetic patients. Results: A response rate of 60,3% (n=143) was obtained from pharmacists involved in this survey. Regarding the assessment parameter, the indicator of assessment patient trust was the most dominant implemented by pharmacists (93,7%) compared to other indicators. In terms of the care plan parameter, providing information on medication indications was the most dominant indicator implemented (82,9%). Meanwhile, for the follow-up parameter, the indicator of medication adherence follow-up was the most dominantly implemented by pharmacists (79,1%). Factor analysis revealed that assessment, care plan, and follow-up evaluation each constituted one composite. Conclusion: The pharmaceutical care provided by pharmacists at community health centers for diabetic patients is still suboptimal. The factors that caused the suboptimal implementation of pharmaceutical care were resource limitations, inadequate specialized training for pharmacists, and insufficient support from the healthcare system.
Readiness and Acceptance of Health Providers using Clinical Decision Support System at Probolinggo Primary Healthcare Centers Rokayah, Rokayah; Alfian, Riza; Nita, Yunita; Puspitasari, Hanni Prihhastuti
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6709

Abstract

Introduction: The government targets a significant reduction in antibiotic resistance by 2030 through wise antibiotic management, including implementing the Clinical Decision Support System (CDSS) for Health Providers in Non-Pneumonia acute respiratory infections (ISPA) and Non-specific Diarrhea in Primary Healthcare Centre (Puskesmas). However, the readiness and acceptance of Health Providers to CDSS need to be evaluated. This study evaluates the readiness and acceptance of doctors, nurses, midwives, pharmacists, and pharmacists' assistants in Puskesmas using CDSS. Methods: The method used was a cross-sectional quantitative survey with snowball sampling of 185 respondents at the Probolinggo Puskesmas in July-August 2024. The questionnaire was developed based on a combination of the Technology Readiness Index and the Technology Acceptance Model (TRAM), and the data was analyzed using SEM-PLS (Structural Equation Modeling-Partial Least Squares). Result: This study revealed that optimism contributed positively to the perception of ease of use (PEOU) and perception of benefits (PU) of CDSS. Innovation also contributed positively to PEOU, but not significantly to PU. Optimism increases PEOU and PU, while innovation only increases PEOU. Although innovation is insignificant to PU, it has a more significant impact on PEOU than optimism. Conclusion: These findings also show that PU affects the attitude of Health Providers to use CDSS (? = 0.286, p < 0.001) but does not directly affect behavioral intentions (? = 0.081, p = 0.250). PEOU significantly affected PU (? = 0.617, p < 0.001) and attitude (? = 0.661, p < 0.001). Attitudes towards CDSS greatly influenced the behavioral intentions of healthcare providers to use it (? = 0.851, p < 0.001), making it a strong predictor of CDSS adoption. The integration of TRI and TAM in predicting the readiness of Health Providers has proven helpful in understanding the factors of CDSS adoption in Puskesmas. These findings highlight the importance of training for health providers to improve CDSS readiness and acceptance. In addition, the results of this study can be the basis for policy development in implementing CDSS Primary Healthcare Centers to support a more rational use of antibiotics.
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.
Co-Authors Abdul Rahem Abdul Rahem, Abdul Afifa, Dhelsy Saniyya Aisyah, Noor Akrom, Akrom Alexxander Amalia, Senya Puteri Anna Khumaira Sari Ariani, Novia Ariyani, Herda Aryzki, Saftia Ayu, Welinda Dyah Ayuchecaria, Noverda Darmawan, Endang Eka Kumalasari Eka Kumalasari Endang Darmawan Endang Darmawan Erna Prihandiwati Fahma Lailani Fatmala, Yola Fitria Ulfah Hari Susanti Herianto, Andri Priyo Herlyanie Herlyanie Ibna Rusmana Ilahi, fitrah shafran Imam Agus Faisal Indah Fitri Ramadhani Karani, Karani Lailani, Fahma Lestari, Desy Ayu Linda Fitria Wahyuni Lisdawati, Nani Luluk Purwantini Metasartika, Valentina Muhammad Faqih Muhammad Hafizh Abiyyu Fathin Fawwazi Muhammad Muhajir Muhammad Reza Pahlevi Muhammad Reza Pahlevi Nani Lisdawati Nordin, Nordin Prasdianto Prasdianto Prihandiwati, Erna Puspitasari, Hanni Prihhastuti Putra, Aditya Maulana Perdana Rahim, Zainur Rahmadhania, Eka Ratu Mouly Noor Renny Renny Riana, Rinidha Rianto, Leonov Rina Feteriyani Rinidha Riana Riski, Akhmad Rokayah Rokayah Rusmana, Ibna Saftia Aryzki Sari, Ratih Pratiwi Siska Musiam Siti Khadizah Soraya Soraya Surahman Surahman Susanto, Yugo Umi Athiyah, Umi Valentina Metasartika Wahyuni, Amaliyah Wirawan Adikusuma Yumassik, Abdul Mahmud Yunita Nita Yusmaniar Yusmaniar Zakiah Wardati Zakiah Wardati, Zakiah