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Medication Adherence, Quality of Life, and Rehospitalization in Post-Acute Coronary Syndrome Patients Yustiana; Nilamsari, Wenny Putri; Susilo, Hendri; Dinda Monika Nusantara Ratri; Bawole, Fatresye Mariati
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 12 No. 2 (2025): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v12i22025.195-207

Abstract

Background: Post-ACS patients often face an increased likelihood of mortality, rehospitalization, and diminished quality of life as a consequence of poor medication adherence. Objective: This study aimed to evaluate the level of adherence to medication in post-ACS patients and its relationship with quality of life and rehospitalization rates. Methods: A cross-sectional, observational, single-center, prospective study conducted at Universitas Airlangga Teaching Hospital, Surabaya. Compliance with medication was evaluated using the Adherence Refill Medication Scale-7 (ARMS-7) questionnaire, while quality of life was measured using the Short Form-36 (SF-36) Quality of Life questionnaire. Rehospitalization rates were obtained through direct interviews and medical record observations within 45 days of hospital discharge. Results: In total, 39 patients participated in this study, with overall adherence rates of 35.89% for all prescribed medications, 53.85% for antiplatelets, 38.46% for statins, 55.56% for beta-blockers, and 58.06% for ACEIs/ARBs. Among the quality-of-life dimensions, social functioning had the highest score (93.01 ± 15.89), whereas physical role functioning had the lowest score (40.39 ± 35.18). Within 45 days of hospital discharge, 26% of the patients experienced rehospitalization. Statistical analysis indicated a positive correlation between adherence to all prescribed medications and physical role functioning in relation to QoL (p = 0.038). In addition, overall medication adherence was negatively correlated with the risk of rehospitalization (p = 0.019). Conclusion: Total medication adherence was associated with improved physical function and rehospitalization events. Providing education can lead to better therapeutic outcomes, improved quality of life, and reduced rehospitalization in patients.
Analisis Profil Obat dengan ABC, VEN dan ABC-VEN untuk Optimalisasi Pengelolaan Obat Klinik Paru: Analysis Drug Profiles Thorugh ABC, VEN and ABC-VEN for Optimizing Drug Management in Pilmonary Clinics Nova, Silvera; Suprati, Budi; Ratri, Dinda Monika Nusantara; Churniawan, Randhi; Prabowo, Bobby
Jurnal Surya Medika (JSM) Vol. 11 No. 2 (2025): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v11i2.9405

Abstract

Accurate inventory control in healthcare facilities is one of the efforts to maintain service quality and financial stability, both by reducing the risk of stock shortages that hinder treatment and excess stock that triggers losses. The strategy for managing medications through data accuracy and sharp planning analysis using the ABC VEN method provides an overview of the medication profile and can be used for evaluation. This study aims to analyze the drug profile of the pulmonary clinic using the ABC VEN method. The research uses retrospective data, with samples taken from outpatient prescriptions at the pulmonary clinic of RSUD Kanjuruhan from July to December 2023, then analyzed using the ABC, VEN, and ABC-VEN methods. From 1,875 prescription samples, 85 types of drugs were obtained. The ABC analysis showed the items and percentage of drug usage in category A amounted to 4 items (73.81%), category B 8 items (16.36%), and category C 74 items (9.83%). Meanwhile, the items and percentage of investment value in category A were 2 items (74.42%), category B 6 items (16.54%), and category C 77 items (9.05%). The VEN analysis produced items and percentages: category E 82 items (99.88%), category N 3 items (0.12%), and no items were found in category V. The ABC-VEN combination includes drugs in category I AE with 2 items costing 74.42%, category II BE, CE with 80 items costing 25.46%, and drugs in category III CN with 3 items costing 0.12%. Conclusion: The ABC and VEN analysis produces different drug profiles. The ABC-VEN combination offers a more comprehensive picture by considering the usage, cost, and criticality level of drugs in the management of pharmacy in the pulmonary clinic.