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Gambaran pelaksanaan swamedikasi dan pendapat konsumen apotek mengenai konseling obat tanpa resep di wilayah Bantul candradewi, susan fitria; Kristina, Susi Ari
Pharmaciana Vol 7, No 1 (2017): Pharmaciana
Publisher : Universitas Ahmad Dahlan

PenggunaanÂ obat tanpa resep dalam upaya swamedikasi telah dilakukan secara luas oleh masyarakat untuk mengobati berbagai kondisi penyakit ringan. Obat-obat yang sering digunakan dalam swamedikasi pada umumnya termasuk ke dalam golongan obat tanpa resep. Perilaku masyarakat daam swamedikasi dipengaruhi beberapa hal salah satunya kemudahan mengakses berbagai informasi mengenai obat, dan juga merupakan salah satu pertimbangan konsumen dalam pemilihan obat. . Perkembangan konsep âPelayanan Kefarmasianâ berarti Apoteker secara langsung bertanggung jawab pada pasien dalam peningkatkan mutu pelayanan sehingga Apoteker memiliki kewajiban dalam pemberian informasi yang benar terkait penggunaan obat-obat tanpa resep. Penelitian ini bertujuan untuk mengetahui pendapat konsumen apotek mengenaikonseling obat tandap resep dan gambaran pelaksanaan swamedikasi di wilayah bantul. Rancangan penelitian deskriptif dengan metode penelitian survei secara langsung menggunakan kuesioner dan lembar observasi. Penentuan sampel apotek dan pasien dilakukan menggunakan teknik purposive sampling. Hasil dari penelitian ini menunjukkan bahwa tiga golongan obat yang paling banyak dibeli dalam pelaksanaan swamedikasi adalah analgesik antipiretik (28,8%), vitamin/suplemen (19,3%), dan obat batuk pilek (15,1%). Sebagian besar konsumen telah mengetahui aturan pemakaian obat (71%0, dan Apoteker merupakan faktor pertimbangan dalam pemilihan obat (34%). Sebanyak 95,7% konsumen mengaku membaca label obat pada saat pertama kali pembelian (95,7%). Pendapat konsumen mengenai konseling yaitu bahwa sebagian besar memerlukan adanya konseling obat tanpa resep (89%), sebanyak 24,8% pernah mendapatkan konseling obat tanpa resep dengan durasi konseling 1-5 menit. Kesimpulan dari penelitian ini adalah Gambaran pelaksanaan swamedikasi obat tanpa resep di Wilayah Bantul menunjukkan bahwa golongan obat tanpa resep yang paling banyak dibeli adalah analgesik antipiretik. Pelaksanaan swamedikasi obat tanpa resep di wilayah Bantul sudah dilakukan dengan baik, ditunjukkan dengan sebagian besar konsumen pernah mendapatkan konseling dengan durasi 1-5 menit. Konsumen juga merasa perlu mendapatkan konseling obat tanpa resep oleh Apoteker.

Cost-effectiveness analysis of cefazolin and clindamycin in postpartum patients at PKU Muhammadiyah Hospital Yogyakarta Anggita Esa Putri Fitrichia; Susan Fitria Candradewi; Dewi Inggit Karnasi; Adnan Adnan
Farmasains : Jurnal Farmasi dan Ilmu Kesehatan Vol. 6 No. 2 (2021)
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/farmasains.v6i2.17289

Postpartum infections can occur after normal or cesarean delivery. Proper administration of antibiotics can reduce the risk of postpartum infection The occurrence of postpartum infections can increase the cost of childbirth. The purpose of this study is to find out the cost-effectiveness of antibiotic therapy at PKU Muhammadiyah Hospital Yogyakarta. This study was retrospective observational and was conducted during October to December 2020. The inclusion criteria in this study were postpartum patients who received cefazolin and clindamycin therapy and were over 20 years old, while the exclusion criteria in this study were patients who died, had incomplete data, and had complications of the disease. The effectiveness of antibiotic therapy was measured from the clinical outside of body temperature and length of hospitalization. Cost-effectiveness were assessed from ACER (Average Cost-effectiveness Ratio) and ICER (Incremental Cost-effectiveness Ratio). The results showed that the effectiveness of antibiotics based on the clinical outcome temperature and length of cefazolin of 81.3% and 2.7 days while in clindamycin by 18.8% and 1.8 days. The ACER (Average cost effectiveness ratio) based on the clinical output of body temperature in both groups was IDR 64,348 (cefazolin) and IDR 98,319 (clindamycin). ACER values based on long of stay (LOS) clinical discharge in both groups amounted to IDR 19,375 (cefazolin) and IDR 10,268 (clindamycin). The value of ICER (Incremental Cost- effectiveness Ratio) cefazolin against clindamycin based on the clinical output of temperature and length of hospitalization (LOS) respectively is IDR 54,129 and IDR 37,590 for each effectiveness achieved. The conclusion of this study is that the use of cefeazoline is more therapeutically effective than clindamycin with greater therapeutic costs.

Gambaran pelaksanaan swamedikasi dan pendapat konsumen apotek mengenai konseling obat tanpa resep di wilayah Bantul susan fitria candradewi; Susi Ari Kristina
Pharmaciana Vol 7, No 1 (2017): Pharmaciana
Publisher : Universitas Ahmad Dahlan

PenggunaanÂ obat tanpa resep dalam upaya swamedikasi telah dilakukan secara luas oleh masyarakat untuk mengobati berbagai kondisi penyakit ringan. Obat-obat yang sering digunakan dalam swamedikasi pada umumnya termasuk ke dalam golongan obat tanpa resep. Perilaku masyarakat daam swamedikasi dipengaruhi beberapa hal salah satunya kemudahan mengakses berbagai informasi mengenai obat, dan juga merupakan salah satu pertimbangan konsumen dalam pemilihan obat. . Perkembangan konsep â€œPelayanan Kefarmasianâ€ berarti Apoteker secara langsung bertanggung jawab pada pasien dalam peningkatkan mutu pelayanan sehingga Apoteker memiliki kewajiban dalam pemberian informasi yang benar terkait penggunaan obat-obat tanpa resep. Penelitian ini bertujuan untuk mengetahui pendapat konsumen apotek mengenaikonseling obat tandap resep dan gambaran pelaksanaan swamedikasi di wilayah bantul. Rancangan penelitian deskriptif dengan metode penelitian survei secara langsung menggunakan kuesioner dan lembar observasi. Penentuan sampel apotek dan pasien dilakukan menggunakan teknik purposive sampling. Hasil dari penelitian ini menunjukkan bahwa tiga golongan obat yang paling banyak dibeli dalam pelaksanaan swamedikasi adalah analgesik antipiretik (28,8%), vitamin/suplemen (19,3%), dan obat batuk pilek (15,1%). Sebagian besar konsumen telah mengetahui aturan pemakaian obat (71%0, dan Apoteker merupakan faktor pertimbangan dalam pemilihan obat (34%). Sebanyak 95,7% konsumen mengaku membaca label obat pada saat pertama kali pembelian (95,7%). Pendapat konsumen mengenai konseling yaitu bahwa sebagian besar memerlukan adanya konseling obat tanpa resep (89%), sebanyak 24,8% pernah mendapatkan konseling obat tanpa resep dengan durasi konseling 1-5 menit. Kesimpulan dari penelitian ini adalah Gambaran pelaksanaan swamedikasi obat tanpa resep di Wilayah Bantul menunjukkan bahwa golongan obat tanpa resep yang paling banyak dibeli adalah analgesik antipiretik. Pelaksanaan swamedikasi obat tanpa resep di wilayah Bantul sudah dilakukan dengan baik, ditunjukkan dengan sebagian besar konsumen pernah mendapatkan konseling dengan durasi 1-5 menit. Konsumen juga merasa perlu mendapatkan konseling obat tanpa resep oleh Apoteker.

ANALISIS BIBLIOMETRIK PADA KUALITAS HIDUP PASIEN KANKER PAYUDARA MENGGUNAKAN EORTC: 1993-2021: BIBLIOMETRIC ANALYSIS OF QUALITY OF LIFE IN BREAST CANCER PATIENTS USING EORTC: FROM 1993-2021 Dyah Aryani Perwitasari; Susan Fitria Candradewi; Solikhah; Lalu Muhammad Irham; Fredrick Dermawan Purba
Medical Sains : Jurnal Ilmiah Kefarmasian Vol 7 No 1 (2022)
Publisher : Sekolah Tinggi Farmasi Muhammadiyah Cirebon

Instrumen pengukuran kualitas hidup pada pasien kanker telah tervalidasi dan sudah diterjemahkan di banyak negara yaitu salah satunya adalah instrument EORTC QLQ C-30. Hal ini menyebabkan instrument ini telah digunakan pada banyak penelitian di berbagai negara di dunia. Tujuan penelitian ini adalah untuk memberikan gambaran bidang penelitian kualitas hidup menggunakan analisis bibliometrik berdasarkan literature dari tahun 1993 sampai dengan 2021 dan untuk melakukan analisis pola ilmiah penelitian kualitas hidup terutama pada pasien kanker payudara. Metode penelitian ini menggunakan PubMed sebagai database jurnal penelitian yang digunakan dengan strategi pencarian yaitu: ((Kualitas hidup) AND (kanker payudara)) AND (EORTC QLQ), termasuk juga menggunakan MesH terms. Kriteria inklusi pada penelitian ini adalah seluruh penelitian yang menggunakan kuesioner EORTC QLQ sebagai kuesioner kualitas hidup dan semua jenis penelitian, sedangkan artikel review, sistematik review dan meta analisa akan diekslusi dari penelitian ini. Sebanyak 797 artikel diambil dari tahun 1993 sampai dengan 2021. Hasil penelitian menunjukkan bahwa jumlah publikasi meningkat setiap tahun, tetapi volume publikasi masih kurang dari 100 setiap tahun. Pemetaan penulis belum menjangkau semua negara di dunia. Kata perempuan, manusia dan paruh baya adalah kata yang paling banyak disebutkan dalam kata kunci. Kata tersebut dikaitkan dengan faktor-faktor yang dapat mempengaruhi kualitas hidup pasien. Kesimpulan pada penelitian ini adalah jumlah publikasi setiap tahunnya masih cukup rendah (<100 publikasi), dengan distribusi penulis paling banyak berasal dari Bremen Cancer Registry, Germany cancer consortium, Saarland cancer registry dan Institute of Social Medicine and Division of prevention oncology dimana sebagian besar terdapat di Eropa dan Amerika serikat. Kata kunci yang paling banyak digunakan adalah female, humans, dan middle aged. Penulis dengan jumlah artikel terbanyak adalah Bottomley. A.

ANALISIS HUBUNGAN TERAPI ANTIHIPERTENSI SEBAGAI PENCEGAHAN SEKUNDER TERHADAP KEJADIAN SERANGAN ULANG STROKE ISKEMIK PADA PASIEN STROKE ISKEMIK Adnan adnan; susan fitria candradewi; Shinta Dewi Nur Rahmah
Jurnal Insan Farmasi Indonesia Vol 5 No 1 (2022): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v5i1.923

Individuals who survive a first ischemic stroke are at high risk for recurrent stroke. This study aims to analyze the relationship between antihypertensives on the incidence of ischemic stroke recurrence in ischemic stroke patients. Type of research is analytic observational with a retrospective cohort approach. The research sample was taken using purposive sampling technique. The research sample was patients who had an ischemic stroke at PKU Muhammadiyah Hospital Yogyakarta in 2018. There were 201 samples that met the inclusion criteria. Consisting of 135 treatment groups and 66 patients as the control group. In the treatment group, 110 patients did not have recurrent strokes and 25 patients had recurrent strokes. In the control group there were 58 patients who did not have recurrent strokes and 8 patients had recurrent strokes. Statistical analysis showed an RR value of 0.927 (95% CI: 0.822-1.046) and p-value of 0.344. The conclusion from the results of this study is that there is no relationship between the administration of antihypertensive therapy with the incidence of ischemic stroke recurrence in ischemic stroke patients at PKU Muhammadiyah Hospital Yogyakarta.

Pengaruh Pemberian Patient Information Leaflet (PIL) dan SMS Motivasi Terhadap Pengetahuan, Persepsi, dan Kepatuhan Pasien Hamil di Pelayanan Primer Susan Fitria Candradewi; Ginanjar Zukhruf Saputri; Adnan Adnan; Dyah Purmi Ta Arum; Herlanisa Yuliana
JURNAL ILMU KEFARMASIAN INDONESIA Vol 19 No 2 (2021): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35814/jifi.v19i2.937

Based on data from WHO (World Health Organization), it is estimated that 41.8% of anemia occurs in pregnant women, with the highest prevalence rate of 61.3% in Africa and 52.5% in Asia. Pharmacist interventions have shown a positive effect in improving therapeutic adherence to hypertensive patients, as well as diabetes mellitus who routinely taking the drugs. The aim of the study was to know effect of giving patient information leaflet (PIL) along with motivational SMS on knowledge, perception, and compliance of pregnant patients in primary care. This study used a quasi-experimental method with pre-post design for two groups, the control group who received the Patient Information leaflet (PIL) and the intervention group who received the Patient Information leaflet (PIL) and motivational SMS from the researcher. Statistical analysis using SPSS with paired t test was used to determine differences in knowledge, perceptions and patient compliance before and after the intervention. Respondents who met the inclusion and exclusion criteria in this study were 74 patients. In the control group the mean score showed a significant difference was the knowledge of iron supplementation with p value= 0.001. Whereas in the treatment group, the mean score showed a significantly different were knowledge of iron supplementation and patient compliance with p values were 0.002 and 0.001.

Pengaruh Iklan Obat Diare di Televisi Terhadap Keputusan dan Ketepatan Swamedikasi Fitrichia Febriyani; Susan Fitria Candradewi; Ana Hidayati
Journal Syifa Sciences and Clinical Research Vol 4, No 1 (2022): Volume 4 Edisi 1 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i1.13538

Self-medication is one of the efforts that is mostly done by a person in overcoming the symptoms of a minor illness that he is suffering from before consulting a health worker. The results of the 2014 National Basic Reasearch showed that the percentage of the population who chose self-medication or self-medication due to health complaints experienced was 61.05%. Many factors influence people to take treatment, one of which is advertising. The purpose of the study was to determine the relationship between the effect of drug advertising on drug selection decisions and the accuracy of self-medication actions in the community in Umbulharjo District, Yogyakarta City. The design of this study was analytic observational with cross-sectional data collection. The sampling technique used incidental sampling method and data were collected through filling out a validated questionnaire. Data analysis was carried out with univariate and bivariate tests using SPSS 20.0. The results showed that the results of the significance test between the effect of drug advertisements on television on the accuracy of self-medication was 0.864. The conclusion of this study is that advertising has no significant effect on the appropriateness of self-medication (p 0.05).

Hubungan Kepatuhan Konsumsi Tablet Zat Besi dengan Kejadian Anemia Ibu Hamil Ginanjar Zukhruf Saputri; Ana Hidayati; Susan Fitria Candradewi; Sulfah Sulfah
Journal Syifa Sciences and Clinical Research Vol 4, No 1 (2022): Volume 4 Edisi 1 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i1.13540

Anemic in Pregnancy is still a health problem in Indonesia. Iron supplementation is a preventive measure carried out by the government in primary health services. However, the average coverage of national Fe tablets is still not maximal (85.1%). Research related to adherence to iron supplement consumption is still limited, therefore this study aims to determine the relationship between adherence level with anemia of pregnant women. The study used an analytic observational method with a cross sectional approach, conducted in the period August-November 2019 at Jetis I Bantul, primary health service Yogyakarta. A total of 39 respondents who met the inclusion criteria and agreed to informed consent were recruited in this study. Data on the level of compliance were taken through interviewing respondents using quistionnaire and pill count, at least on the 7th day after consuming iron tablets, while Hb levels were taken from medical records and examination of respondents. Statistical analysis was performed using chi square. Results showed that 61.5% of pregnant women complied with the consumption of iron tablets, while the measurement of the pill count showed 59.0% has complience. There was a significant correlation between the consumption of iron tablets and the incidence of pregnancy anemia, both adherence to the questionnaire measurement p = 0.000; OR = 0.050; (CI: 0.010-0.263), or the measurement of pill count p = 0.003; OR = 0.126 (CI: 0.030-0.538). A total of 15.4% of pregnant women have anemia in the 2nd trimester of gestation, and 25.6% in the 3rd trimester. Based on this study, it is concluded that there is a correlation between the level of adherence of Iron tablet consumption towards the incidence of anemia in pregnant women.

Analisis Biaya dan Luaran Klinis Sindrom Koroner Akut Berbasis Clinical Pathway Susan Fitria Candradewi; Dyah Aryani Perwitasari; Nabilah Nabilah
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 11, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.51176

Health clinicians often show different variations in the choice of therapy they prescribe for patients depending on their expertise, knowledge, and even their art. This is likely to affect several things, including the cost that patients have to pay. Such a difference in costs is avoidable by applying scientific evidence-based medical service standards and having measurable outcomes known as Clinical Pathways. A clinical pathway serves as a tool to measure the quality of health services based on the standardization of the treatment process. This research was designed to determine the cost analysis of treatments received by patients with acute coronary syndrome (ACS) according to the clinical pathway. This non-experimental research employed a retrospective cohort study design. The data were gathered from the medical records of ACS patients who were treated at the ICCU of PKU Muhammadiyah Hospital in Yogyakarta, and the costs incurred were compared between treatments that matched and did not match the clinical pathways. The inclusion criteria were ACS patients treated during 2016 who were between ≥ 18 and <75 years old and had complete data. Meanwhile, the exclusion criteria were ACS patients who had incomplete data, tumor malignancy, and a creatinine level of > 3 mg/dL. Here, therapies given to patients are concluded to fit the clinical pathway if they are precisely the same (100%) as the Clinical Practice Guide used by this hospital. The clinical outcome was measured from the patient’s length of stay (LOS). During the data analysis, the costs of ACS patient treatments that were compliant and non-compliant with the clinical pathway were compared based on the level of severity using the Mann-Whitney test in the SPSS program. The results showed that of the 63 patients, 31 received treatments according to the clinical pathway, while the other 32 did not. The average LOS of the former and the latter were, respectively, 4.45 and 5.53 (p= 0.043), with the total costs of treatments up to IDR5,474,001,73 and IDR6,728,153.13 (p= 0,154). Conformity to a clinical pathway significantly influences the length of stay but does not affect the cost of care for acute coronary syndrome patients.

ANALISIS HUBUNGAN TERAPI ANTIHIPERTENSI SEBAGAI PENCEGAHAN SEKUNDER TERHADAP KEJADIAN SERANGAN ULANG STROKE ISKEMIK PADA PASIEN STROKE ISKEMIK Adnan adnan; susan fitria candradewi; Shinta Dewi Nur Rahmah
Jurnal Insan Farmasi Indonesia Vol 5 No 1 (2022): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v5i1.923

Individuals who survive a first ischemic stroke are at high risk for recurrent stroke. This study aims to analyze the relationship between antihypertensives on the incidence of ischemic stroke recurrence in ischemic stroke patients. Type of research is analytic observational with a retrospective cohort approach. The research sample was taken using purposive sampling technique. The research sample was patients who had an ischemic stroke at PKU Muhammadiyah Hospital Yogyakarta in 2018. There were 201 samples that met the inclusion criteria. Consisting of 135 treatment groups and 66 patients as the control group. In the treatment group, 110 patients did not have recurrent strokes and 25 patients had recurrent strokes. In the control group there were 58 patients who did not have recurrent strokes and 8 patients had recurrent strokes. Statistical analysis showed an RR value of 0.927 (95% CI: 0.822-1.046) and p-value of 0.344. The conclusion from the results of this study is that there is no relationship between the administration of antihypertensive therapy with the incidence of ischemic stroke recurrence in ischemic stroke patients at PKU Muhammadiyah Hospital Yogyakarta.

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