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Nurmainah Nurmainah
Fakultas Kedokteran Universitas Tanjungpura Pontianak
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THE ANALYSIS OF PATIENT CHARACTERISTICS OF COMPLIANCE IN THE USE OF METADONE THERAPY IN THE BANGKONG RIVER REGIONAL MENTAL HEALTH CLINIC OF PONTIANAK IN THE PERIOD OF 2020-2021 Prisilla, Salma; Nurmainah, Nurmainah; Andrie, Mohamad
Journal Pharmacy Of Tanjungpura Vol 1, No 1 (2023): Oktober
Publisher : Universitas Tanjungpura

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Abstract

ABSTRACT  Compliance with Injecting Drug Users (IDUs) in Methadone Maintenance Therapy is crucial during rehabilitation. However, many IDUs still do not comply with methadone therapy. As a result, the patient may once more experience withdrawal symptoms. The purpose of this study was to examine the percentage of patient compliance and the impact of patient's age, education, and occupation on compliance with the use of methadone therapy at Sungai Bangkong Region Psychiatric Hospital, Pontianak. The research method used is observational research with an analytical cohort study design. The data were taken from patient's medical record, which includes the patient's medical record number and patient characteristics such as age, gender, last education, occupation, and the number of days the patient received the drug. The collected medical record data is then analyzed using the Chi-Square analysis method. The results showed that the respondents had a high level of compliance with a percentage of 85.7%. Compliant patients are dominated by patients in the 20-40 age range, with college as their last education, and working as laborers. The results of the Chi-square test analysis showed the impact of age, education, and occupation on compliance, with values of p = 0.462; p=1,000; p=1,000, respectively. This study concludes that characteristics like age, education, and occupation had no impact on patient compliance in undergoing Methadone Maintenance Therapy.  Keywords: Compliance, Injecting Drug Users, Methadone Maintenance Therapy
ANALISIS HUBUNGAN LAMA PENGGUNAAN DAN USIA AKSEPTOR SUNTIK DMPA TERHADAP RISIKO OBESITAS DI PUSKESMAS PERUMNAS II PONTIANAK Nurmainah, Nurmainah; Innas, Syaazaratul Qamelia
Media Farmasi: Jurnal Ilmu Farmasi Vol. 18 No. 2: September 2021
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v18i2.15903

Abstract

Kontrasepsi suntik adalah obat hormonal yang digunakan untuk mencegah kehamilan  dengan jalan menyuntikkan obat tersebut pada wanita subur. Kontrasepsi hormonal dapat meningkatkan berat badan. Tujuan penelitian ini dilakukan adalah untuk menganalisis hubungan antara lama penggunaan dan usia akseptor terhadap kejadian risiko obesitas. Penelitian ini merupakan penelitian observasional dengan rancangan penelitian potong lintang (cross sectional) bersifat analitik. Populasi dalam penelitian ini adalah seluruh akseptor baru kontrasepsi suntik 3 bulan DMPA di Puskesmas Perumnas II Pontianak pada bulan Januari 2018 hingga Maret 2019. Variabel dari penelitian ini adalah usia, pekerjaan, paritas, dan lama penggunaan. Analisis dilakukan dengan menggunakan analisis chi square.  Teknik pengambilan sampel yang digunakan ialah purposive sampling, dengan sampel sebanyak 81 akseptor. Hasil yang didapatkan ialah sebagian besar akseptor berusia 20-35 tahun, bekerja sebagai ibu rumah tangga dan mempunyai lebih dari 2 anak. Tidak terdapat hubungan antara usia akseptor terhadap kejadian risiko obesitas (p=0,806; OR=1,133; CI 95%= 0,419-3,060). Namun, terdapat hubungan antara lama penggunaan terhadap kejadian risiko obesitas (p=0,001; OR=26,3; CI 95%= 6,828-101,36). Hal tersebut mengindikasikan bahwa semakin lama kontrasepsi suntik digunakan akan meningkatkan kejadian risiko obesitas.
Persistensi Penggunaan Obat Antihipertensi pada Pasien Hipertensi Rawat Jalan Nurmainah, Nurmainah; Ahmad, Ahmad; Dwiprahasto, Iwan
Kesmas Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Persistensi penggunaan obat antihipertensi pada pasien hipertensi sangat diperlukan mengingat hasil utama terapi hipertensi adalah mencegah kejadian penyakit kardiovaskular seperti infark miokard, dan stroke yang berujung pada kematian. Penelitian ini bertujuan mengetahui pengaruh jenis terapi dan jenis obat antihipertensi terhadap persistensi. Penelitian ini menggunakan desain studi kohort retrospektif dan menggunakan sumber data sekunder pasien hipertensi rawat jalan peserta asuransi kesehatan PT Askes di RSUD Panembahan Senopati Bantul. Metode pengukuran persistensi adalah metode the gaps between refill dengan tenggang waktu pengambilan obat selama 30 hari. Data dianalisis menggunakan uji kai kuadrat, Kaplan-Meier, dan Cox regression. Jumlah subjek yang ikut dalam penelitian ini adalah 304 pasien hipertensi yang menggunakan obat antihipertensi pertama kali (tanggal indeks diagnosis 1 Juli 2007 hingga 31 Desember 2008). Setelah pengamatan 4,5 tahun, hampir separuh subjek yang mendapat monoterapi (57,6%) dan kombinasi terapi (53,8%) tidak persisten menggunakan obat antihipertensi. Ketidakpersistenan penggunaan obat antihipertensi lebih besar pada kelompok monoterapi daripada kelompok kombinasi, tetapi perbedaan tersebut tidak signifikan (RR = 0,94; 95% CI = 0,73 - 1,21). Penggunakan diuretik (85,7%) dan kombinasi obat diuretik + ACE inhibitor (84,6%) cenderung tidak persisten dibandingkan subjek yang menggunakan ACE inhibitor (58,4%). Perbedaan ini bermakna secara statistik (RR = 1,47; 95% CI = 1,05 - 2,01 dan RR = 1,45; 95% CI = 1,10 - 1,91). Persistensi dipengaruhi oleh jenis obat antihipertensi yang digunakan, yaitu ACE inhibitor. Persistence of the use of antihypertensive drugs in hypertensive patients greatly needed. Considering the primary outcome of treatment for hypertension is to reduce or prevent the occurrence of cardiovascular events such as myocardial infarction, stroke resulting in the risk of death. This study aims to determine whether persistence is influenced by the type of treatment or type of antihypertensive drugs. This study was designed with retrospective cohort study using database of prescribing claimed of subjects under health insurance (PT Askes) in Panembahan Senopati hospitals using antihypertensive drugs. Persistency measurement method used is the method of the gaps between refilling. The grace period taking the drug for 30 days. Further data were analyzed using the chi square test, Kaplan-Meier, and Cox regression. This cohort study involving 304 patients using antihypertensive medications first (index diagnosis 1 July 2007 until 31 December 2008). After observation for 4,5 years found almost half of the subjects receive monotherapy (57,6%) or combination therapy (53,8%) are not persistent in the use of antihypertensive medications. Not persistent greater in the monotherapy compare to combination therapy group. However, this difference did not reach significance (RR = 0,94; CI 95% = 0,73 - 1,21). Subject were using a diuretic (85,7%) and ACE inhibitor + diuretic combination (84,6%) tends not to be persistent compare to subject using ACE inhibitors (58,4%). This difference was statistically significant (RR = 1,47; CI 95% = 1,05 - 2,01 and RR = 1,45; CI 95% = 1,10 - 1,91). Overall, persistence is influenced by the type antihypertensive drugs used, the ACE inhibitors.
Analysis of Drug use in Participants of the Kartini Madu II Elderly Posyandu, Kartini Surya Khatulistiwa Institution, East Pontianak Milenia Fara Endira; Syarifah Nurul Yanti R.S.A; Nurmainah, Nurmainah
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Abstract

There is a decline in body abilities and a decline in physiological functions. Increased use of drugs used by the elderly can increase the risk of drug-related problems. This study aims to analyze drug use in the elderly at the Kartini Madu II Elderly Health Post, Kartini Surya Khatulistiwa Institution, Pontianak in 2019. This descriptive analytical study with a cross-sectional design involved 55 elderly patients who met the inclusion criteria. The results showed that the majority of patients were women (87.3%) with the largest age range between 60-69 years (65.4%). The most common complaints were dizziness, itching, and coughing. The most commonly used types of drugs were mefenamic acid, captopril, and paracetamol. This study also found that there were drugs that did not meet the STOPP criteria (diclofenac sodium and CTM) and START (kalk and captopril). The results of this study can be used as a reference to improve the rational use of drugs in the elderly.
Scabies Among Adolescents in Islamic Religious Boarding Schools: A Descriptive Study Fradianto, Ikbal; Rahmawati, Nadia; Nurmainah, Nurmainah; Mita, Mita; Saifudin, I Made Moh. Yanuar
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3889

Abstract

Scabies is a common skin infestation caused by mite, posing significant health challenges, especially in densely populated environments like boarding schools. Objective: This study aimed to identify the incidence of scabies among adolescents in Islamic religious boarding schools in Pontianak, Indonesia. Methods: A quantitative descriptive design was employed, involving 220 students from an Islamic boarding school in Pontianak. Concecutive sampling was used to select participants. Data were collected using questionnaires on knowledge and attitudes about scabies, and observation sheets for environmental assessment. Descriptive statistics was performed. Results: The study found that 66.3% of respondents experienced low severity scabies symptoms, while 33.6% had high severity symptoms. The majority of respondents were female (55%), with a mean age of 13.6 years. Knowledge about scabies was generally low, with significant gaps in understanding symptoms, transmission, and prevention. Attitudes towards scabies prevention were also poor, with many students neglecting personal hygiene and environmental cleanliness. Conclusion: The high prevalence of scabies in the boarding school highlights the need for targeted interventions. Future research should focus on evaluating the effectiveness of these interventions to develop sustainable solutions for managing scabies in similar settings.
Hubungan Kepatuhan Penggunaan Tablet Tambah Darah Pada Ibu Hamil Dengan Kejadian Berat Badan Lahir Rendah Natalia, Christia Ardhila; Syahab Assegg, Syarifah Nurul Yanti Rizki; Nurmainah, Nurmainah
Pontianak Nutrition Journal (PNJ) Vol 7, No 1 (2024): Maret 2024
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/pnj.v7i1.1365

Abstract

Masalah Berat Badan Lahir Rendah (BBLR) masih menjadi perhatian dunia. Salah satu penyebab berat badan lahir rendah adalah kekurangan zat besi selama kehamilan. Data Riskesdas dan pencatatan rutin program gizi dan KIA bahwa cakupan ibu hamil yang mendapat 90 tablet zat besi masih belum mencapai target. Penelitian ini bertujuan untuk menganalisis hubungan kepatuhan penggunaan tablet tambah darah pada ibu hamil dengan kejadian Berat Badan Lahir Rendah di Puskesmas Kampung Dalam. Desain penelitian yang digunakan dalam penelitian ini adalah penelitian analitik dengan pendekatan kohort retrospektif. Data diambil dengan menggunakan rekam medis ibu hamil di wilayah kerja Puskesmas Kampung Dalam. Hasil penelitian diperoleh jumlah sampel yaitu 72 ibu hamil. Pada ibu hamil yang mengkonsumsi TTD sesuai anjuran terdapat 13,9% melahirkan bayi BBLR dan ibu hamil yang mengkonsumsi TTD kurang dari anjuran terdapat 39,9% melahirkan bayi BBLR. Hasil analisis diperoleh nilai p = 0,032 (p < 0,05) dengan risiko relatif sebesar 2,8. Terdapat hubungan yang signifikan antara kepatuhan konsumsi Tablet Tambah Darah pada ibu hamil dengan berat badan lahir rendah (BBLR) di Wilayah Kerja Puskesmas Kampung Dalam Pontianak Timur Tahun 2022
Assessment of Prescribing Practice for Caesarean Section : Adherence to the Indonesian National Formulary Nurmainah, Nurmainah; Arfida, Khaizurani; Ulfah, Ridha
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 16, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.104754

Abstract

Background: The increasing prevalence of Caesarean Section (SC) deliveries and non-compliance with the National Formulary can lead to financial burdens for hospitals due to claim failures and higher drug costs. Understanding this relationship is crucial for improving cost efficiency and ensuring sustainable healthcare financing.Objectives: This study aims to analyse the percentage of prescribing compliance with the National Formulary and its impact on pharmacotherapy costs and the real costs of SC treatment at RSUD Dr. Soedarso.Methods: This research is an observational study with a cross-sectional design. Used medical record data of mild severity SC patients for the period January-December 2023. The sample consisted of 472 patients selected by purposive sampling. Descriptive Analysis and Spearman correlation were used to evaluate the relationship between prescribing compliance, pharmacotherapy cost, and real cost.Results: Adherence to the national formulary (97.10%). Spearman’s correlation analysis shows a significant negative correlation between adherence and pharmacotherapy costs. However, adherence has no significant correlation with total treatment costs, suggesting that factors like length of stay play a greater role.Conclusion: A significant negative correlation exists between compliance and pharmacotherapy cost, but no significant correlation with real costs. Future research should explore the relationship between total treatment costs and Length of Stay (LOS).
EVALUASI IMPLEMENTASI PENGADAAN OBAT BERDASARKAN SISTEM KATALOG ELEKTRONIK (E-CATALOGUE) DI KABUPATEN SINTANG TAHUN 2015 Hermiana, Aida; Robiyanto, Robiyanto; Nurmainah, Nurmainah
Farmasains : Jurnal Ilmiah Ilmu Kefarmasian Vol. 4 No. 2 (2017)
Publisher : Universitas Muhammadiyah Prof. DR. HAMKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/farmasains.v4i2.294

Abstract

Pengadaan obat berdasarkan Katalog Elektronik di Kabupaten Sintang telah berjalan sejak tahun 2013 namun memiliki beberapa permasalahan sehingga perlu dilakukan evaluasi mengenai implementasi kebijakan tersebut. Penelitian ini bertujuan untuk mengevaluasi implementasi pengadaan obat berdasarkan Katalog Elektronik di Kabupaten Sintang tahun 2015 dimulai dari perencanaan kebutuhan, pengadaan hingga realisasi kebutuhan obat puskesmas. Desain penelitian berupa survey deskriptif dengan metode pengumpulan data primer dengan wawancara mendalam serta pengumpulan data sekunder melalui Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) puskesmas. Informan merupakan petugas pengelola obat di 3 puskesmas di Kabupaten Sintang serta Kepala Seksi Farmasi dan Alat Kesehatan di Dinas Kesehatan. Hasil penelitian menunjukkan proses perencanaan dan pengadaan obat berdasarkan Katalog Elektronik telah berjalan baik dengan persentase 100% dan 90%. Tahun 2015 tidak semua jenis obat dan perbekalan terealisasi namun jenisnya sudah sesuai dengan yang telah dipesan oleh puskesmas. Realisasi kebutuhan obat di Kabupaten Sintang tahun 2015 meningkat dibandingkan tahun sebelumnya dengan persentase ketersediaan terkecil sebesar 66,67% sedangkan pada tahun 2014 sebesar 36,76%.
Predictors of Medication Adherence among Hypertensive Patients at the Parit Haji Husin II Public Health Center Pontianak Zuhudan, Fahim; Syahab Assegaf, Syarifah Nurul Yanti Rizki; Nurmainah, Nurmainah
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v11i1.30567

Abstract

Background: Hypertension remains highly prevalent, while medication adherence is still low at Parit H. Husin II Community Health Center, underscoring the importance of examining its associated factors.Methods: This analytical observational study used a cross-sectional design conducted at Parit H. Husin II Community Health Center, Southeast Pontianak, from December 2024 to January 2025. A total of 119 hypertensive patients were included. Data were collected using validated questionnaires, including the Morisky Medication Adherence Scale (MMAS-8) to assess medication adherence. Data were analyzed using univariate, Chi-square, and logistic regression tests.Result: The majority of respondents were female (61,3%), had higher education (52,1%), were unemployed (59,7%), had suffered from hypertension for less than 5 years (86,6%), had health insurance from BPJS (94,1%), had low knowledge of hypertension (52,9%), good access to health services (87,4%), high family support (63%), high support from health workers (74,8%), high motivation to seek treatment (63,9%), and adherence to antihypertensive medication (53,8%). The Chi-square test results showed a relationship between gender (p=0,218), education level (p=0,000), employment status (p=0,760), duration of hypertension (p=0,004), health insurance coverage (p=0,072), knowledge level (p=0,011), accessibility of health services (p=0,005), family support (p=0,611), role of health workers (p=0,366), motivation to seek treatment (p=0,002) with medication adherence. The results of the logistic regression test obtained the factor of duration of hypertension (OR=10,422).Conclusion: Length of time suffering from hypertension is the most influential factor on adherence to taking medication (p=0,020; OR=10,422).
Analisis Pengaruh Penggunaan Depot Medroxyprogesterone Acetate Terhadap Kenaikan Berat Badan Akseptor di Puskesmas Perumnas II Pontianak Nurmainah Nurmainah; Sri Wahdaningsih; Syaazaratul Qamelia Innas
Journal of Pharmascience Vol. 7 No. 2 (2020): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v7i2.8400

Abstract

Kontrasepsi suntik merupakan salah satu kontrasepsi hormonal yang masih menjadi pilihan akseptor dalam mengatur kehamilan. Namun demikian, penggunaan kontrasepsi suntik Depot Medroxyprogesterone Acetate (DMPA) diketahui dapat meningkatkan berat badan selama pemakaian enam (6) bulan atau lebih. Tujuan penelitian ini dilakukan untuk menganalisis pengaruh penggunaan DMPA terhadap kenaikan berat badan akseptor. Penelitian ini merupakan penelitian observasional dengan rancangan penelitian potong lintang (cross sectional) yang bersifat analitik. Populasi dalam penelitian ini adalah seluruh akseptor baru suntik DMPA di Puskesmas Perumnas II Pontianak pada bulan Januari 2018 hingga Maret 2019. Variabel dari penelitian ialah usia, pekerjaan, paritas, dan kenaikan berat badan. Analisis dilakukan dengan menggunakan analisis paired t-test. Teknik pengambilan sampel yang digunakan ialah purposive sampling. Jumlah sampel yang memenuhi kriteria inklusi dan ekslusi sebanyak 81 akseptor. Dari hasil penelitian ini diperoleh bahwa sebagian besar akseptor berusia 20-35 tahun (71,6%), bekerja sebagai ibu rumah tangga (97,5%), mempunyai 2 anak atau lebih (77,8%), dan memiliki kenaikan berat badan 0-2 kg (44,4%). Berdasarkan hasil analisis paired t-test bahwa penggunaan suntik KB 3 bulan (DMPA) memiliki pengaruh terhadap kenaikan berat badan akseptor dengan nilai p=0,001. Kesimpulan dari penelitian ini bahwa terdapat pengaruh penggunaan DMPA terhadap kenaikan berat badan akseptor. Injectable contraception is a hormonal contraceptive used by acceptors in regulating pregnancy. However, the use of Depot Medroxyprogesterone Acetate (DMPA) is known to increase body weight after six months of use or more.. The purpose of this study was to analysis the effect of using DMPA on weight gain. This study was an observational study with cross sectional analytic study design. The population in this study were all new acceptors who used DMPA at the Perumnas II Pontianak Public Health Care in January 2018 to March 2019. Variables from the study were age, occupation, parity, and weight gain. Analysis was performed using paired t-test analysis. The sampling technique used was purposive sampling, where the number samples that met the inclusion and exclusion criteria were 81 acceptors. The results showed that most of the acceptors were aged 20-35 years (71,6%), work as housewives (97,5%), had 2 or more children (77,8%), and gained weight 0-2  kg (44,4%). Based on the results of paired t-test analysis, the use of DMPA has an effect on the acceptor’s weight gain with a value of p = 0.001. The conclusion of this study is that there is an effect of the use of DMPA on acceptor weight gain.Keywords: Acceptors, DMPA, weigt gain 
Co-Authors ., Nurizawati Abbassyyah, Abbassyyah Achmad Fudholi Achmad Fudholi Afrilla, Dian Ahmad Ahmad Ahmad Fudholi Angelina, Ria Anggareni, Anggareni Anggita, Fransiska Anggraeny, Raine Ardhita Annisa Mutia Yusran Arfida, Khaizurani Asnawati Asnawati Assegaff, Syarifah Nurul Yanti R S Asseggaf, Syarifah NYRS Balqis, Nur Maharani Budi Suprapti Didik Hasmono Dwi Zulfita Esy Nansy Fradianto, Ikbal Gulindari, Natalia Gusta Hadi Kurniawan, Hadi Hafrizal Riza, Hafrizal Hedaya, Angelina Putri Hermiana, Aida Innas, Syaazaratul Qamelia Iqlima Den Firza Isandora, Yesica Iskandar, Maharani F. Iwan Dwiprahasto Iwan Dwiprahasto Iwan Dwiprahasto Malfirani, Laila Mariani, Luluk Meriska, Nisa Milenia Fara Endira Milenia Kamban Mita Mita, Mita Mohamad Andrie Muktiyani, Sekar Nanmi, Nassya Putri Natalia, Christia Ardhila Nera Umilia Purwanti, Nera Umilia Novitarini, Poppy Nur Anisyah Oi, San Pramita, Julianti Prisilla, Salma Purwanto, Diyna Rusayliya Puspita, Tita Rahmawati, Nadia Ria Angelina Ridha Ulfah Robiyanto Robiyanto, Robiyanto Robiyanto, Robiyanto Ronaldo, Ronaldo Saifudin, I Made Moh. Yanuar Saputra, Pinsensius Boni Sari, Cinantya Meyta Sariyani, Maya Shoma Rizkifani Siti Syabriyantini Sri Wahdaningsih Suharjono Susanti, Ressi Syaazaratul Qamelia Innas Syahab Assegg, Syarifah Nurul Yanti Rizki Syarifah Nurul Yanti R.S.A Syarifah Nurul Yanti Rizki Syahab Assegaf Ulfa Syafli Nosa Wien Maryati Awdisma Wulandri, Sermia Yuswar, Muhammad Akib Zuhudan, Fahim