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Program Edukasi Kesehatan dan Perubahan Lingkar Pinggang pada Penderita Diabetes Melitus Tipe 2 Kirtishanti, Aguslina; Lorensia, Amelia; Yudiarso, Ananta; Linggani, Linggani; Agustina, Selvia; Junita, Lidia
Kesmas Vol. 8, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetes melitus adalah penyakit yang menyebabkan morbiditas dan mortalitas di dunia. Hubungan antara diabetes melitus dengan obesitas telah diketahui, tetapi peran distribusi pada daerah abdominal belum sepenuhnya dijelaskan. Tujuan penelitian ini untuk mengetahui pengaruh pemberian edukasi kesehatan terhadap perubahan lingkar pinggang pada pasien diabetes melitus tipe 2. Penelitian ini merupakan studi eksperimental dengan satu kelompok desain pretest-posttest di Surabaya pada bulan Juni - Juli 2013, dan melibatkan 31 subjek yang diberi program edukasi kesehatan selama 1 bulan yang dibagi dalam 4 pertemuan. Data dari pretest dan posttest dikumpulkan dan dianalisis dengan metode wilcoxon signed rank test pada data yang tidak normal (p > 0,05). Hasil penelitian menunjukkan peningkatan pengetahuan dan perilaku pasien serta mengurangi besar lingkar pinggang pasien secara signifikan (p < 0,05). Lingkar pinggang mulai menunjukan perbedaan signifikan pada minggu ketiga edukasi (Z = 12,93; P = 0,003) dibandingkan pretest. Penurunan lingkar pinggang antara posttest dan pretest sebesar 0,94 cm (minggu ke-4) dan 1,68 (4 bulan kemudian). Oleh karena itu, edukasi kesehatan memiliki manfaat dalam meningkatkan self-monitoring diabetes melitus yang dapat mengurangi lingkar pinggang yang berguna untuk mengurangi risiko komplikasi. Diabetes mellitus is a disease that causes morbidity and mortality in the world. Association of diabetes mellitus with obesity are well known, but the role of distribution in the abdominal area has not been fully elucidated. The aim of this study was to determine the relationship of giving education to change waist circumference in type 2 diabetes mellitus. This study is an experimental with one group pretest-posttest design in Surabaya, from June July 2013, and involving 31 subjects whom were given health education program for 1 month which are divided in 4 meetings in Surabaya University. Data from the pretest and posttest were collected and analyzed with the Wilcoxon signed rank test method on the data that isn’t normal (p > 0.05). The results showed an increase in knowledge and behavior of patients and reduced significantly the size of the waist circumference (p <0.05). Waist circumference began to show a significant difference in the third week of education (Z = 12.93, P = 0.003) compared to the pretest. The decrease in waist circumferences between the pretest and posttest were 0.94 cm (week 4) and 1.68 (4 months later). Therefore, health education has benefits in increasing self-monitoring of diabetes mellitus that can reduce waist circumference are useful for reducing the risk of complications.
Hubungan antara Illness Perception dan Fungsi Paru pada Penyakit Paru Obstruktif Kronik: Relationships Between Illness Perception and Lung Function in Chronic Obstructive Pulmonary Disease Lorensia, Amelia; Suryadinata, Rivan Virlando
Jurnal Sains dan Kesehatan Vol. 7 No. 6 (2025): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v7i6.2562

Abstract

COPD (Chronic Obstructive Pulmonary Disease) is a chronic disease with long-term therapy. Self-management for patients with COPD aims to increase motivation, that influence self-management is illness perception. The purpose was to determine the effect of illness perception on COPD symptoms and lung function in stable COPD patients on an outpatient basis. This research type was cross-sectional design. The research location was in Rungkut District, Surabaya, March-June 2022, involving 38 respondents, with the research variables were illness perception and lung function. Most of the respondents had an average pulmonary function score of 1.28±0.713 liters. There was a positive correlation for beliefs about illness perception in COPD patients and lung function (r=0.57; P<0.0001). COPD patient had a high level of illness perception, and also had a relatively good value of lung function compared to a COPD patient who had a low level of illness perception. Keywords:          illness perception; lung function; COPD   Abstrak PPOK (Penyakit Paru Obstruksi Kronis) merupakan penyakit kronis dengan terapi jangka panjang. Manajemen diri pada pasien PPOK bertujuan untuk meningkatkan motivasi, yang mempengaruhi manajemen diri adalah illness perception. Manajemen diri pada pasien PPOK bertujuan untuk meningkatkan motivasi, yang salah satu faktornya adalah illness perception. Tujuan penelitian ini adalah untuk mengetahui pengaruh illness perception terhadap gejala PPOK dan fungsi paru pada pasien rawat jalan PPOK stabil. Jenis penelitian ini adalah desain cross-sectional. Lokasi Penelitian dilakukan di Kecamatan Rungkut, Surabaya, Maret-Juni 2022, yang melibatkan melibatkan 38 orang responden, dengan variabel penelitian berupa illness perception dan fungsi paru-paru. Sebagian besar responden memiliki skor fungsi paru rata-rata 1,28±0,713 liter. Terdapat hubungan positif antara keyakinan tentang illness perception pada pasien PPOK dengan fungsi paru (r=0,57; P<0,0001). Pasien PPOK memiliki tingkat illness perception yang tinggi, dan juga memiliki nilai fungsi paru yang relatif baik dibandingkan dengan pasien PPOK yang memiliki tingkat illness perception yang rendah. Kata Kunci:         illness perception; fungsi paru-paru; PPOK
Determinants of cost discrepancies in inpatients with acute decompensated heart failure Arisandi, Jeffri; Lorensia, Amelia; Rahem, Abdul
Heart Science Journal Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.01.13

Abstract

BACKGROUND: Acute decompensated heart failure (ADHF) is a prevalent and complex condition that significantly burdens healthcare systems, requiring intensive care and leading to high treatment costs. OBJECTIVES: This study aims to identify factors influencing cost discrepancies in hospitalized ADHF patients. METHODS: This retrospective study was conducted at Universitas Brawijaya Hospital from July to August 2024. Data were collected from 86 ADHF patients who were hospitalized between January 2021 and December 2023. Information regarding the patients' clinical conditions, comorbidities, and medical procedures was extracted from their case histories. Statistical analyses included t-tests and Mann-Whitney tests. RESULTS: In this study of 86 individuals with ADHF, 58.1% were over 65 years old, 31.4% were between 45 and 64 years old, and 10.5% were between 18 and 44 years old. By classification of care, 58.1% were admitted for Class 1 care, 30.2% for Class 2, and 11.6% for Class 3. Our findings indicated that the costs of treatment for patients with moderate and severe diseases were higher as compared to those of mild severity. Patients who had a length of stay over 7 days had higher costs than the ones whose length of stay was 1 to 3 days. Furthermore, Class 2 care was associated with higher costs than Class 3 care. The analysis also revealed that an increase in the number of comorbidities and medical procedures corresponded with higher treatment costs. CONCLUSION: This study identified factors that increase the cost of treatment for patients with ADHF.
Cost-Effectiveness of Length of Stay of Intravenous Aminophylline and Nebulized Salbutamol in Asthma Exacerbations Lorensia, Amelia; Ikawati, Zullies; Andayani, Tri Murti; Maranatha, Daniel
Journal of Tropical Pharmacy and Chemistry Vol. 8 No. 1 (2024): J. Trop. Pharm. Chem.
Publisher : Faculty of Pharmacy, Universitas Mulawarman, Samarinda, Indonesia, 75117, Gedung Administrasi Fakultas Farmasi Jl. Penajam, Kampus UNMUL Gunung Kelua, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jtpc.v8i1.435

Abstract

Asthma is a heterogeneous disease which is also one of the major health problems in the world. Uncontrolled asthma symptoms will exacerbate asthma, which is the biggest cause of the patient into the ER. Salbutamol is a bronchodilator that belonged to the short-acting beta-2 agonist (SABA), which is an obligatory choice in the management of asthma exacerbations. Unlike the aminophylline group in Indonesia which is still often used widely and rarely appear in the side effects of its use. The main objective of this study was to evaluate the cost-effectiveness of nebulized salbutamol versus intravenous aminophylline for reduction in asthma symptoms, improvement in lung function, and a long hospital stay. The study involved 57 adults asthma exacerbation patients without complication who received treatment in the ER, were studied by using quasi-experimental methods in this study cost-effectiveness analysis to compare intravenous aminophylline (n:27) versus nebulized salbutamol (n:30) therapy to determine the most cost-effective. Intravenous aminophylline therapy was more cost-effective than nebulized salbutamol in reducing the symptoms of asthma and PEF value improvement. Clinical outcome of the length of hospital stay outcome both had the same effective, and cost analysis results showed intravenous aminophylline (US$5.38) cheaper than nebulized salbutamol (US$5.71). intravenous aminophylline was more effective in reducing asthma symptoms than nebulized salbutamol (Pvalue=0.001). Meanwhile, the average decrease in lung function intravenous aminophylline than nebulized salbutamol, although not significantly different (Pvalue=0.507). Aminophylline therapy was more cost-effective in reducing asthma symptoms and improvement in lung function compared nebulized salbutamol in exacerbations asthma patients. But cost-effectiveness researchers need to measure substance abuse outcomes in terms of Quality-Adjusted Life Years (QALY), as this will make their findings more relevant to the development of treatment policy.
Analisis Biaya dengan Efektifitas dan Rasionalitas Pengobatan Serangan Asma di Rumah Sakit X Gresik: Analysis of Costs with Effectiveness and Rationality of Asthma Treatment In X Hospital Gresik Lorensia, Amelia; Jalmav, Marthy Meliana; Haryoko, Sugeng
Jurnal Sains dan Kesehatan Vol. 6 No. 1 (2024): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v6i1.2179

Abstract

Asthma is a major global problem. The annual economic burden of asthma is very large. These cost increases are caused by poor asthma management and management and an imbalance between the large number of health workers. This study aims to analyze the cost and effectiveness of treating asthma attacks at X Hospital Gresik by involving 23 respondents. This research is a non-experimental study which is retrospective in nature. As research material is medical record data of patients with asthma at the Petrokimia Hospital, during the 2020-2022 period. The location of the research was Pertokimia Hospital. The independent variable in this study is the therapy used. The dependent variable in this study is the total cost of treatment for treatment outcomes (hospitalization and improvement in asthma symptoms). Data collection was carried out through observation of patient medical records. Data analysis with Shapiro Wilk. The results of the difference test showed that there was no significant difference between classroom costs and total costs (P=0.513) and there was no significant difference between severity costs and total costs (P=0.275) in asthma patients. The number of cases of irrationality of treatment in all subjects (100%) with a total of 178 cases. There is no significant difference between real costs and INA-CBGs rates, total costs based on room class and severity level. Keywords:          Asthma, direct costs, length of treatment, rationality   Abstrak Asma merupakan masalah besar global, Beban ekonomi penyakit asma pertahunya sangat besar. Pembengkakan biaya tersebut disebabkan oleh penanganan dan pengendalian asma yang buruk dan tidak seimbang antara tenaga kesehatan yang cukup besar. Penelitian ini bertujuan untuk menganalisis biaya dan efektivitas pengobatan serangan asma di Rumah Sakit X Gresik dengan melibatkan 23 responden. Penelitian ini termasuk dalam penelitian non eksperimental yang bersifat retrospektif. Sebagai bahan penelitian adalah data rekam medik pasien dengan penyakit asma di Rumah Sakit Petrokimia, selama periode 2020-2022. Lokasi penelitian dilakukan di Rumah Sakit Pertokimia. Variabel bebas dalam penelitian ini adalah terapi yang digunakan. Variabel tergantung dalam penelitian ini yaitu total biaya penggobatan outcome pengobatan (rawat inap dan perbaikan gejala asma). pengumpulan data dilakukan dengan melalui pengamatan terhadap rekam medis pasien. Analisa data dengan Shapiro Wilk. Hasil uji beda menunjukkan tidak terdapat perbedaan yang signifikan antara biaya ruang kelas dengan biaya total (P=0,513) dan tidak terdapat perbedaan yang signifikan antara biaya keparahan dengan biaya total (P=0,275) pada pasien asma. Jumlah kasus ketidakrasionalitas pengbatan pada semua subjek (100%) dengan total kasus 178. Tidak ada perbedaan signifikan antara biaya riil dengan tarif INA-CBGs, total biaya berdasarkan kelas kamar dan tingkat keparahan. Kata Kunci:         Asma, biaya langsung, lama perawatan, rasionalitas
Effects of Smoking Habits on Omega-3 Food Intake in Adults Lorensia, Amelia; Aditama, I Gede Agus Sindhu; Suryadinata, Rivan Virlando; Raharjo, Dian Natasya
Indonesian Journal of Human Nutrition Vol. 10 No. 2 (2023)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2023.010.02.6

Abstract

Smoking habits have been shown to impact omega-3 food intake, and cigarette smoke can increase lipid peroxidation through the induction of oxidative stress.  Omega-3, an essential fatty acid, can be obtained through the consumption of fish, milk, eggs, and supplements. This cross-sectional research aimed to assess the relationship between omega-3 food intake and smoking habits. The research was conducted from March to June 2022 in Rungkut District, Surabaya, Indonesia. Data collected included the respondents’ quantities and frequency of consuming foods containing omega-3, namely fish, milk, and eggs. Additionally, the level of nicotine dependence among smokers was evaluated using the Fagerstrom Test for Nicotine Dependence (FTND). The method for data analysis was the chi-square test. The total respondents in this study were 116 people, consisting of 41 smokers and 75 non-smokers. No significant differences were observed in the consumption patterns of omega-3-rich foods, including eggs, fish, and milk, between smokers and non-smokers (p > 0.01 for each food item). However, a significant difference was observed in the consumption of supplements containing omega-3 between the smoker and non-smoker groups (p < 0.005). However, the overall omega-3 intake did not exhibit a significant difference between smokers and non-smokers. Notably, a higher proportion of respondents who smoked reported consuming omega-3 supplements compared to the non-smoker group. Consequently, there is a need to conduct further research to identify the underlying factors that influence the habit of smokers toward consuming omega-3.
Illness Perception of Asthma Patients in Compliance with Pharmaceutical Care Lorensia, Amelia; Lisiska, Natalia
ANIMA Indonesian Psychological Journal Vol 26 No 3 (2011): ANIMA Indonesian Psychological Journal (Vol. 26, No. 3, 2011)
Publisher : Faculty of Psychology, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/aipj.v26i3.4201

Abstract

Illness perceptions can affect patient’s self-management behavior, thus affecting asthma therapy outcomes. This study aims to test the correlation between asthma perception and the outcomes of the therapy. The design was a cross-sectional with purposive sampling technique. Data was obtained by direct interview using questionnaire and was presented descriptively, from 22 asthma patients. Results reveal significant differences between consequences, timeline, emotional response, understanding, and compliance. Illness perceptions of patients regarding the identity, cause of illness, and cure or control were appropriate, while concerning the conse- quences and timeline were still lacking. These shortcomings should be alleviated to support an optimal pharmaceutical care and improving the quality of life. Persepsi terhadap penyakit asma dapat memengaruhi perilaku manajemen-diri pasien, sehingga memengaruhi hasil terapinya. Studi ini bertujuan melihat korelasi antara persepsi terhadap penyakit asma dan hasil terapi. Metode yang dipakai adalah belah silang dan teknik sampling bertujuan. Data diperoleh dari 22 pasien asma melalui wawancara langsung dan pengisian kuesioner. Terdapat perbedaan yang bermakna antara konsekuensi, perjalanan penyakit, respons emosional, pengertian dan kepatuhan pada perawatan farmasetis. Persepsi pasien terhadap penyakitnya menyangkut identitas, penyebab penyakit, dan penyembuhan atau pengendalian sesuai, sedangkan masih kurang terhadap konsekuensi dan perjalanan penyakit. Hal-hal yang masih kurang inilah yang perlu diatasi sehingga rawatan farmasetikal bisa optimal dalam memperbaiki kualitas hidupnya.
ANALISIS MASALAH TERKAIT OBAT PADA PENGOBATAN ASMA RAWAT JALAN Amelia Lorensia; Diah Fatmala
Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan Vol. 7 No. 1 (2021): Jurnal Ilmiah Manuntung
Publisher : Sekolah Tinggi Ilmu Kesehatan Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v7i1.440

Abstract

Asthma is a non-communicable respiratory disease that can pose a risk of mortality and morbidity. Asthma is a long-term disease that carries the risk of drug-related problems (DRP). This study aims to analyze drug-related problem (MTP) in outpatient asthma treatment. This study used a cross-sectional analysis method using purposive sampling technique, carried out at a Pratama pharmacy in Wonokromo district, Surabaya City. The research sample was adult outpatient asthma patients who underwent treatment at the pharmacy from November 2018 to January 2019. Data were analyzed using GINA and Classification for Drug related problems. The results showed that of the 40 respondents the DRP was 34 respondents (85.00%). The domain related to the effectiveness is that the drug effect is not optimal (88.24%) and other drugs are not needed (11.76%) and the cause of drug selection is the improper combination of drugs (2.87%). And the associated therapy was most involved in DRP events. Outpatient asthma drug use was the most associated therapy for the short acting beta 2 agonist class of drugs. Therefore, inpatient asthma treatment requires monitoring by a pharmacist to achieve optimal treatment.
Co-Authors Abdul Rahem Abdul Rahem Abdul Rahem, Abdul Adi Suroso Aditama, I Gede Agus Sindhu Agus Aan Adriansyah Aguslina Kirtishanti Aguslina Kirtishanti Akbar, Muhammad Reza Aprililo Amalia, Ratna Ayu Amilia, Eva Amir, Adilah Fatin Amir, Gabriella Ayuni Anak Agung Pradnya Paramitha Vidiani Ananda Yudiarso Ananta Yudiarso Ananta Yudiarso Ananta Yudiarso Andayani, Tri M. Anggara Martha Pratama Anggara Martha Pratama Anindita Dyah Pratiwi Anizzalati, Fida Shafi Anugrah Putri Aprilia Aprianti , Pande Made Ayu Aprianti, Pande Made Ayu Arisandi, Jeffri asri dewayani Asti Indah Purwati AYU LESTARI Aziz Hubeis Benny Canggih Budhi Setianto Budipramana, Krisyanti Canggih, Beny Canggih, Beny Damayanti, Melly Dea Amelia Aditya Winata Devitya A. Sukarno Dhiba, Zahwa Diah Fatmala Dian Natasya Raharjo Dian Natasya Raharjo Dian Natasya Raharjo Diana Syarifah Diputra, I Nyoman Yoga Doddy de Queljoe Doddy de Queljoe Doddy de Queljoe Doddy de Queljoe, Doddy de Dwi Octamy Sari Dwi Wahyuningtyas Ema Arifatul Masruroh Emiliana Lamur Endang Wahjuningsih Endang Wahjuningsih Erdiansyah, Muhammad Erlin Oktavia Ferdias Kurnia Bahari Findry Rafsanjani Herwansyah Firanita, Lisma D. Fitrianingsih, Nurul Gebriella Ayuni Amir Gitaputri, Putu Aprilya Gora Dirga Kusuma Hantoro, Khaula A. A. Hary Bagijo Haryoko, Sugeng Hayati, Siti Nur Heru, Astri I Nyoman Yoga Diputra Ika Sari Wahyuningtyas Indraswari, Putu Ika Indah Jalmav, Marthy Meliana Jalmav, Marthy Meliana Ariyanti Juwariya, Firdayatul Kadek Yeni Dian Rismawati Karina, Bella Lony Kezia Sefania Khaula A. A. Hantoro Lalita Tirsa Leonardo Immanuel Lestiono Lestiono Liana Widharta Lidia Junita Lidia Junita Linggani Linggani Linggani Linggani Lisa Aditama, Lisa Lisiska, Natalia Lisma D. Firanita M Budi Indra Sudaryatmono Made Dwike Swari Santi Mahfidz, Ikhwan Khairul Mahmudah, Rifaatul Laila Maranatha, Daniel Mariana Wahjudi Mariana Wahjudi Mariana Wahjudi, Mariana Mariana Wahyudi Marthy Meliana Ariyanti Jalmav Masruroh, Ema Arifatul Matina Naim Muhammad Erdiansyah Natalia Lisiska Nathania, Jessica Nathania, Jessica Navaul Setiya Ningrum Nevyta Fitriandasari Ni Luh Mitha Rini Chandra Ni Wayan Deviani Susanti Ningrum, Navaul Setiya Noer Lailatul Istiqomah Novelia Gandawari Nuning Farida Nur Annisa Yuliana NURUL FITRIANINGSIH Nurul Safina Nyoman Yoga Diputra Pambagyanik, Apridita Anggun Pandu Laksono, Pandu Pratama, Anggara Martha Putu Melista Putri Raharjo, Dian Natasya Richa Ratnasari Richa Ratnasari Rifaatul L. Mahmudah Rifaatul Laila Mahmudah Rifaatul laila Mahmudah Rifaatul Laila Mahmudah Rika K. Sari Rika Yulia Rivan V. Suryadinata Rivan V. Suryadinata Rivan V. Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rizka I Wijaya Rizki Amalia Rizki, Rahmat Rizkia Arrahmah Salsabila, Unik Hanifah Santosa, Kristian Abram Saputra, I Nyoman Dodi Saputra, Rifaldi Saputra, Rifaldi Sari, Nina Purnama Sari, Nina Purnama Sari, Rika K. Saswita, Nuke Savitri, Kadek Yuli Dwi Selvia Agustina Selvia Agustina Septinellya, Cinthya Farah Sigar, Tiara Regina Beatriks Silitonga, Esteria Siska Fatkhul Hidayati Siska Rian Pratiwi Siti Saharah Abdullah Sri Rahayu Sugiarto Widjaja Supriadi Supriadi Suryadinata, Rivan V. Suryadinata, Rivan Virlando Suud Suud, Suud Suyanto Suyanto Suyanto Syahrani, Achmad Tangkilisan, Elisabeth Carolina Tinaka, Adela Juana Tri M. Andayani Tri Murti Andayani Tri Murti Andayani Try Suryandi Vanny Sutjipto Wahjuningsih, Endang Wardani, Mariani Ika Wati, Angela Nofvianti Cahyo Widyati . Wijaya, Rizka Indra Wijaya, Rizka Indra Wijono, Heru Yessica Christina Wijaya Tandjung Yorasaki, Yosy Athaya Zullies Ikawati