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All Journal Jurnal Ilmiah Farmasi Interest : Jurnal Ilmu Kesehatan Jurnal Ilmu Kefarmasian Indonesia Pharmademica: Jurnal Kefarmasian dan Gizi Borobudur Pharmacy Review JURNAL JAMU KUSUMA
Nur Atikah
Department Of Pharmacy Poltekkes Kemenkes Surakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Identification of waste: DOWNTIME in the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram Nur Atikah; Sari Nanchi Parhatiwi; Ajeng Dian Pertiwi; Evi Fatmi Utami; Firman Firman
Jurnal Ilmiah Farmasi Vol. 17 No. 2 (2021): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol17.iss2.art1

Abstract

Background: The hospital pharmacy installation is a health service unit that is required to provide professional services and improve quality which is oriented towards achieving patient satisfaction. Waste identification in pharmaceutical services is important because it has an impact on stakeholder satisfaction. Objective: Identifying waste using the DOWNTIME method for the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram. Methods: The study used the cross-sectional design, with the population being all outpatients who were provided with pharmaceutical services during February – April 2019 as well as all staff. Data were tabulated and analyzed descriptively. Critical waste was obtained through questionnaires and the root causes of critical waste were obtained through in-depth interviews with 5-why methods.Results: Waste waiting had the highest rate compared to other wastes, reaching 44% or 53 out of 121 respondents, followed by inventory (26%), extra processing (19%), transportation (14%), defects (14%), motion (13%), over production (8%), and non-utilized skills (7%). Meanwhile, from the staff respondents, waiting was also the highest waste (18%), followed by inventory (16%), motion (13%), over production (12%), transportation (12%), non-utilized skills (10%), extra processing (10%), and defects (9%). The root cause of waste waiting was the frequent drug unavailability due to delays in payment of services from the cooperating party to the hospital as well as the narrow service areas.Conclusion:Waste waiting became the critical waste with the highest percentage of dissatisfaction in the patient respondents (44%) and staff respondents (18%).Keywords: Waste, DOWNTIME, outpatient prescription services, pharmacy installation of RSI Siti Hajar MataramIntisari Latar belakang: Instalasi farmasi rumah sakit (IFRS) merupakan unit pelayanan kesehatan yang diharuskan untuk melayani secara profesional dan meningkatkan mutu yang berorientasi pada tercapainya kepuasan pasien. Identifikasi waste dalam pelayanan kefarmasian penting, karena berdampak kepada kepuasan stakeholder. Tujuan: Melakukan identifikasi waste dengan metode DOWNTIME di IFRS Rawat Jalan RSI Siti Hajar Mataram. Metode: Desain penelitian adalah cross sectional, dengan populasi seluruh pasien rawat jalan yang diberikan pelayanan kefarmasian pada bulan Februari–April tahun 2019, dan seluruh staf IFRS. Data ditabulasi dan dianalisis secara deskriptif. Waste kritis diperoleh melalui penyebaran kuisioner dan akar penyebab waste kritis diperoleh melalui wawancara mendalam dengan metode 5 why. Hasil: Waste waiting mendapat angka paling tinggi dibandingkan waste yang lainnya, dimana 44% atau 53 responden dari 121 responden. Kemudian disusul oleh inventory (26%), extra preccesing (19%), transportation (14%), defect (14%), motion (13%), over production (8%) dan non-utilized skill (7%). Bagi responden staf IFRS, waiting juga menjadi waste tertinggi (18%), diikuti oleh inventory (16%), motion (13%), over production (12%), transportation (12%), non-utilized skill (10%), extra processing (10%), dan defect (9%). Akar penyebab waste waiting adalah sering terjadi kekosongan obat akibat keterlambatan pembayaran jasa pelayanan dari pihak kerjasama kepada rumah sakit serta area pelayanan yang sempit. Kesimpulan:Waste waiting menjadi waste kritis dengan persentase ketidakpuasan tertinggi pada responden pasien (44%) dan pada responden staf (18%).Kata kunci :Waste, DOWNTIME, pelayanan resep, pasien rawat jalan, IFRS RSI Siti Hajar Mataram
Evaluasi mutu fisik sediaan lip balm kombinasi ekstrak kayu secang (Caesalpinia sappan L.) dan madu (Mel depuratum) Aldora Salwa Salsabila; Indri Kusuma Dewi; Nur Atikah
Borobudur Pharmacy Review Vol 2 No 2 (2022): August-Dec
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/bphr.v2i2.7322

Abstract

Senyawa brazilin pada kayu secang memiliki aktivitas sebagai antioksidan. Madu memiliki khasiat untuk membantu meregenerasi kulit dan membantu mencerahkan warna bibir yang gelap. Kedua bahan tersebut dapat dimanfaatkan sebagai sediaan lip balm untuk menutrisi bibir. Jenis penelitian adalah observasi dengan rancangan penelitian deskriptif. Tujuan dari penelitian ini adalah untuk mengetahui mutu fisik sediaan lip balm kombinasi ekstrak kayu secang (Caesalpinia sappan L.) dan madu (Mel depuratum). Evaluasi mutu fisik meliputi uji organoleptik, homogenitas, pH, daya sebar dan daya lekat. Hasil penelitian menunjukkan bahwa hasil uji organoleptik berupa warna coklat muda, berbau khas oleum cacao. Hasil uji homogen dimana tidak ditemukan butiran kasar. Hasil pengujian pH dan daya lekat sediaan secara berurutan sebesar 6,8 dan 9,7 detik. Nilai rata - rata daya sebar sediaan dengan perlakuan tanpa beban, beban 50 gram, 100 gram, 150 gram dan 200 gram secara berurutan didapatkan sebesar 2,9 cm, 3,2 cm, 3,3 cm, 3,4 cm dan 3,5 cm. Kesimpulan dari penelitian ini adalah evaluasi mutu fisik lip balm meliputi uji organoleptik, uji homogenitas, uji pH dan uji lekat telah memenuhi syarat sediaan lip balm yang baik, kecuali daya sebar belum memenuhi syarat sediaan lip balm yang baik.
Uji Stabilitas Fisik dan Kadar Flavonoid Total Sediaan Gel Ekstrak Mesokarp Buah Semangka (Citrullus lanatus) Indri Kusuma Dewi; Nur Atikah; Nabila Putri
JURNAL ILMU KEFARMASIAN INDONESIA Vol 20 No 2 (2022): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35814/jifi.v20i2.1319

Abstract

The content of flavonoids in the white skin or mesocarp of watermelon has antioxidant power so that the active substance can be used in the manufacture of cosmetics, one of which is a gel dosage form. This type of research is observational with a descriptive research design. The purpose of this study was to obtain data on the stability of the watermelon (Citrullus lanatus) mesocarp extract gel preparation using the cycling test method. Physical stability evaluations were carried out, including organoleptic, homogeneity, pH, adhesion, spreadability, and viscosity. The results showed that the organoleptic observation of the preparation was in the form of a semi-solid, had a characteristic aromatic odor of the extract, and had a brownish-yellow color. As for the test results for the entire homogeneous cycle, the average pH range is 4.75 - 5, adhesion is 2.45 - 3.96 seconds, dispersion is 5.59 - 6.67 cm, and viscosity is 5426 - 6830 cps, and total flavonoid content of the gel preparation was 5.27%. This study concluded that the gel preparation was physically stable before and after 12 days of storage and contained 5.27% flavonoids.
Determinant Factors Affecting Self-Medication Behavior In Breastfeeding Mothers Murwati Murwati; Suroso Suroso; Nur Atikah
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 11 Number 2 Year 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v11i2.455

Abstract

Background: Self-medication practices can be a source of medication errors, especially for nursing mothers, because almost all drugs taken by nursing mothers are detected in breast milk, even though the concentrations are low. It can be prevented by identifying the determinants of self-medication. Methods: This study is a cross-sectional quantitative analytic study. A sample of 150 mothers was choosen by purposive sampling with the criteria for breastfeeding a baby with a maximum age of 6 months. The instrument used is a questionnaire on the determinants of self-medication behavior in breastfeeding mothers. The questionnaire has been tested for validity with Pearson's test (p < 0.05) and reliability with Chronbach's alpha (0.78). Data analysis with chi-square and multivariate tests Results: The statistical analysis showed a significant association between education level, medical history, drug price, and information media and self-medication behavior in breastfeeding mothers. However, those that had an impact were the history of the disease (p = 0.014), education level (p = 0.024), and drug price (p = 0.006). Conclusion: The determinants of self-medication behavior in breastfeeding mothers were disease history, drug prices, and education. Further research is needed regarding the rationality of self-medication to determine the optimization and safety of drugs used by breastfeeding mothers.
GAMBARAN PENGETAHUAN MASYARAKAT DALAM PEMANFAATAN TOGA UNTUK MENINGKATKAN IMUNITAS TUBUH DI KELURAHAN MOJODOYONG KABUPATEN SRAGEN Nur Atikah; Maya Rusita Adiningsih; Muhammad Anugerah Alam Waris
Jurnal Jamu Kusuma Vol. 2 No. 1 (2022): JURNAL JAMU KUSUMA
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.615 KB) | DOI: 10.37341/jurnaljamukusuma.v2i1.32

Abstract

Pendahuluan: Pemeliharaan kesehatan merupakan kegiatan yang dapat dilakukan dengan mengonsumsi obat tradisional agar terhindar dari serangan penyakit. Segi aplikasi penggunan obat tradisional di masyarakat telah banyak dilakukan. Namun, masih sedikit yang paham fungsi tanaman yang digunakan sebagai obat tradisional. Tanaman obat yang sering dimanfaatkan oleh keluarga untuk pengobatan sendiri di rumah disebut dengan Tanaman Obat Keluarga (TOGA). Tanaman Obat Keluarga (TOGA) pada saat pandemi sangat bermanfaat untuk peningkatan imunitas tubuh. Keterbatasan informasi masyarakat tentang tindakan pemilihan tanaman obat dan penggunaannya merupakan penyebab terjadinya pengobatan yang tidak rasional. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan masyarakat di Kelurahan Mojodoyong Kabupaten Sragen dalam pemanfatan Tanaman Obat Keluarga untuk meningkatkan imunitas tubuh. Metode Penelitian: Jenis penelitian ini adalah penelitian kuantitatif yang bersifat deskriptif. Pengumpulan data dilakukan pada bulan April 2022 terhadap 100 responden menggunakan instrumen kuesioner. Hasil: Hasil penelitian menunjukkan bahwa karakteristik responden terbanyak pada usia dewasa (20-60 tahun), dengan jenis kelamin terbanyak yaitu perempuan, pendidikan terbanyak pada tingkat SMA, pekerjaan terbanyak yaitu Petani dan Karyawan Swasta. Tingkat pengetahuan masyarakat di Kelurahan Mojodoyong pada kategori baik sebanyak 22%, pada kategori cukup sebanyak 58%, pada kategori kurang sebanyak 20%. Kesimpulan: Kesimpulan penelitian ini yaitu tingkat pengetahuan tentang pemanfaatan TOGA untuk meningkatkan imunitas tubuh dalam kategori cukup (58%).
The Effectiveness Of Telemedicine To Improve Quality Of Life For Patients In The COVID-19 Pandemic Nutrisia Aquariushinta Sayuti; Nur - Atikah
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 11 Number 2 Year 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v0i0.415

Abstract

Background: COVID-19 delivers the effects of health services in form. Health services began to enforce health protocols, especially social distancing. Medical consultations carried out during medical visits become remote medical consultations by maximizing electronic health technology (e-health), telehealth, and/or telemedicine. The use of health technology has increased research on telemedicine’s effectiveness on patients' health-related quality of life (HRQoL). The aim of this study is to analyze the effectiveness of telemedicine in improving the quality of life of chronic disease patients that require regular visits to health providers during the COVID-19 pandemic during Covid-19 Pandemic. Methods: The research was descriptive. A systematic review with source data from Pubmed, ScienceDirect, and Sage databases with the keyword "COVID-19 and telemedicine and health-related quality of life". Criteria were limited to all clinical study articles published during the COVID-19 pandemic in Indonesian or English and published during the COVID-19 pandemic. Results: Eleven (11) articles were successfully selected. Telemedicine was used for kidney transplantation or minor stroke patients, amyotrophic lateral sclerosis (ALS), cancer, adrenal insufficiency, chronic obstructive pulmonary disease (COPD), and primary antibody deficiency patients. The instruments used to measure HRQoL were generic (the EQ-5D and SF-36) and specific for some diseases. The results showed that telemedicine could maintain HRQoL and reduce depression or anxiety. Conclusion: Telemedicine is a feasible and effective intervention to maintain HRQoL and reduce the consequences of social distancing during the COVID-19 pandemic. The recommendation is telemedicine must continue to be developed in health services even though the COVID-19 pandemic is over.
Analisis Hubungan Waktu Tunggu Pelayanan Resep Obat Racikan dan Non-Racikan dengan Kepuasan Pasien di Puskesmas Jambu Kulon Apriliya Refiani Astuti; Murwati Murwati; Nur Atikah
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 3 No 1 (2023): April - September
Publisher : LPPMKI - AKAFARMA AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v3i1.33

Abstract

One of the causes of patients at the health centre feeling uncomfortable with the drug administration process is the problem of waiting time. Patient satisfaction is strongly influenced by waiting time indicators for health centre prescription services. Patient satisfaction will increase if the service time is faster, especially the time spent waiting for the drug. This study aims to determine the average waiting time for concocted and non-concocted prescription services, patient satisfaction levels, and the relationship between waiting time for concocted and non-concocted prescription services and patient satisfaction at the Jambu Kulon Health Centre, Klaten District. This research is a quantitative correlation with a cross sectional approach. The sampling technique was accidental sampling with a sample of 60 respondents. Collecting data and information on respondents using a valid questionnaire with a minimum value range of 0.422 to a maximum of 0.751 and a Cronbach’s Alpha value of 0.926. The results of the significant value obtained for concoction recipes p = 0.142 and non-cooking p = 0.702, while the correlation value of the Spearman test (r) for prescription drug -0.274 and nonprescription drug -0.073 indicates that the direction of the correlation is negative or the direction of the relationship is opposite, indicating that there is an inverse of proportionality between the two variables. The conclusion is that patient satisfaction and waiting time for prescription services are statistically not significantly correlated (p>0.05).
EVALUATION OF THE PHYSICAL, PHYTOCHEMICAL, AND HEDONIC QUALITY OF HERBAL POWDERED BEVERAGES COMBINING ELEPHANT GINGER (Zingiber officinale Roscoe), GARLIC (Allium sativum L.), AND CITRONELLA (Cymbopogon nardus L. Rendle) Nur Atikah; Septiana Laksmi Ramayani; Melinda Eka Pratiwi
Jurnal Jamu Kusuma Vol. 4 No. 2 (2024): JURNAL JAMU KUSUMA
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnaljamukusuma.v4i2.111

Abstract

Hypertension can be managed using traditional medicinal plants such as elephant ginger, garlic, and citronella, which can be processed into instant powdered beverage formulations. This study evaluates the physical quality, phytochemical properties, and hedonic characteristics of powdered formulations combining these three ingredients. The study employed an observational method. Instant powdered formulations were prepared using the crystallization method, with three variations of white sugar to palm sugar ratios: 2:0 (F1), 1.5:0.5 (F2), and 1:1 (F3). A univariate analysis was conducted to evaluate the physical qualities of the powders, including organoleptic properties, pH, moisture content, tapping density, angle of repose, and dissolution time, as well as to report the results of phytochemical screening and hedonic evaluation (taste, aroma, and color). The results revealed variations in the physical properties of the three formulations. The pH values were 5.91, 5.90, and 5.74 for F1, F2, and F3, respectively. Moisture content was recorded at 1%, 1.33%, and 3.33%, while tapping density was 8.33%, 11%, and 11.33%. Flow times were 10.57 seconds, 10.68 seconds, and 11.34 seconds, while the angles of repose were measured at 32.37°, 26.47°, and 37.81°. Dissolution times were recorded as 15.3 seconds, 17.17 seconds, and 18.15 seconds. Formula 1 (F1) demonstrated the best physical quality based on established standards among the formulations. Phytochemical screening for all three formulations (F1–F3) indicated the presence of flavonoids and saponins, while tests for alkaloids and terpenoids yielded negative results. The hedonic evaluation, conducted using F1 due to its superior physical quality, showed that out of 31 respondents, 17 rated it as "like," 8 as "neutral," and 6 as "very like." In conclusion, although the flow time parameter did not meet the standard requirement, F1 exhibited the best physical quality, contained beneficial phytochemicals (flavonoids and saponins), and was well-received by the majority of respondents in terms of taste, aroma, and color.
Co-Authors Ajeng Dian Pertiwi, Ajeng Dian Aldora Salwa Salsabila Apriliya Refiani Astuti Evi Fatmi Utami Firman Firman Indri Kusuma Dewi Indri Kusuma Dewi Maya Rusita Adiningsih Melinda Eka Pratiwi Muhammad Anugerah Alam Waris Murwati Murwati Murwati Murwati Nabila Putri Nutrisia Aquariushinta Sayuti Sari Nanchi Parhatiwi Septiana Laksmi Ramayani Suroso Suroso