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All Journal Acta Interna : The Journal of Internal Medicine Disease Prevention and Public Health Journal Berkala Kedokteran GIZI INDONESIA JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik JFIOnline Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Indonesian Journal of Pharmacology and Therapy Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
I Dewa Putu Pramantara
Geriatric Department, RSUP DR. Sardjito Hospital,Yogyakarta, Indonesia.
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 4, No 1 (2008)
Publisher : Indonesian Research Gateway

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Abstract

Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari – Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.
PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 4, No 1 (2008)
Publisher : Indonesian Research Gateway

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

Abstract

Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari – Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.
ANALISIS FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGAMBILAN OBAT PESERTA PROGRAM RUJUK BALIK DI BANDAR LAMPUNG Setyaningrum, Ndaru; Pramantara, I Dewa Putu
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 9, No 1 (2017): Punica Granatum
Publisher : Indonesian Research Gateway

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Abstract

ABSTRACT : Program (Program Rujuk Balik = PRB) through a health care program for the participants of the National Health Insurance with chronic diseases. Barriers to success of therapeutic treatment for patients with chronic diseases is non-adherence  related to the patient's treatment regimen. Taking medication adherence for patients with chronic illness is the first adherence can be assessed on how a person decides to get medicines for themselves. Analyzing factors affecting medication adherence taking participants PRB is important, cause non-adherence adverse effects appear in the treatment.  Participants adherence taking the drug on a PRB can be obtained from the data prescription claims to calculate the medication possession ratio (MPR), which MPR ≥ 80% declared adherence. Data obtained from  prescription claim by participants PRB for  September 2015 until December 2015 in Bandar Lampung. Sample case study 82 people with diabetes. The calculation result MPR explains that 62.2% of respondents declared adherence taking medication, while 37.8% of respondents declared non-adherence. The results of the  logistic regression analysis, stating that there are influences together of factors respondents' knowledge, respondents belief, attitudes of personnel pharmacy services, pharmacy facilities, cost, availability of medication PRB, family support, and accessibility affect to respondent adherence of  taking medication. However, factors that significantly influence medication adherence refer the decision back is knowledge of respondents with sig = 0,028 (sig <0.05), belief of respondents with sig = 0,003 (sig <0.05), and accessibility sig = 0,044 (sig < 0.05) significantly affect to adherence  of taking medication.
KAJIAN KEAMANAN ANTIHIPERTENSI PASIEN GAGAL GINJAL KRONIK LANJUT USIA DI UNIT HEMODIALISA RSUP DR. SARDJITO YOGYAKARTA Setyaningrum, Ndaru; Pramantara, I Dewa Putu
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 9, No 1 (2017): Punica Granatum
Publisher : Indonesian Research Gateway

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

Abstract

ABSTRACT : The growth of elderly population increase fastest among the other age group. The elderly population been related to decrease renal function and other comorbidity as consequence of aging. The aim of this study is to know how about adverse drug reaction (ADR) and potential interaction of antihypertension drug in chronic kidney disease patient. This is a descriptive study about elderly patient with chronic kidney disease on period October 22th 2012 – January 22th 2013. This study use Naranjo scale to evaluate ADR and Tatro Drug Interactions Fact to evaluate potential drug interaction. There were 38 subjects analized, age < 70 years old (24 patients) and ≥ 70 years old (14 patients); gender men (26 patients) and women (12 patients); duration hemodialysis < 8 months (8 patients) and ≥ 8 months (30 patients); comorbidity DM (23 patients) and non DM (15 patients). There were probable ADR 4 events (10,8%) consist of nifedipine (2 events), lisinoprile (1 event) and captoprile (1 event). There were 14 events (37,8%) potential drug interactions consist of minor interaction (12 events) 32,4% and major interaction (2 events) 5,4%. This study show that there were actual probable ADR 10,8% and potential drug interaction 37,8%.  
ANALISIS FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGAMBILAN OBAT PESERTA PROGRAM RUJUK BALIK DI BANDAR LAMPUNG Setyaningrum, Ndaru; Pramantara, I Dewa Putu
Jurnal Farmasi Indonesia Vol 9, No 1 (2017)
Publisher : Jurnal Farmasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4801.067 KB) | DOI: 10.35617/jfi.v9i1.552

Abstract

ABSTRACT : Program (Program Rujuk Balik = PRB) through a health care program for the participants of the National Health Insurance with chronic diseases. Barriers to success of therapeutic treatment for patients with chronic diseases is non-adherence  related to the patient's treatment regimen. Taking medication adherence for patients with chronic illness is the first adherence can be assessed on how a person decides to get medicines for themselves. Analyzing factors affecting medication adherence taking participants PRB is important, cause non-adherence adverse effects appear in the treatment.  Participants adherence taking the drug on a PRB can be obtained from the data prescription claims to calculate the medication possession ratio (MPR), which MPR � 80% declared adherence. Data obtained from  prescription claim by participants PRB for  September 2015 until December 2015 in Bandar Lampung. Sample case study 82 people with diabetes. The calculation result MPR explains that 62.2% of respondents declared adherence taking medication, while 37.8% of respondents declared non-adherence. The results of the  logistic regression analysis, stating that there are influences together of factors respondents' knowledge, respondents belief, attitudes of personnel pharmacy services, pharmacy facilities, cost, availability of medication PRB, family support, and accessibility affect to respondent adherence of  taking medication. However, factors that significantly influence medication adherence refer the decision back is knowledge of respondents with sig = 0,028 (sig <0.05), belief of respondents with sig = 0,003 (sig <0.05), and accessibility sig = 0,044 (sig < 0.05) significantly affect to adherence  of taking medication.
KAJIAN KEAMANAN ANTIHIPERTENSI PASIEN GAGAL GINJAL KRONIK LANJUT USIA DI UNIT HEMODIALISA RSUP DR. SARDJITO YOGYAKARTA Setyaningrum, Ndaru; Pramantara, I Dewa Putu
Jurnal Farmasi Indonesia Vol 9, No 1 (2017)
Publisher : Jurnal Farmasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.783 KB) | DOI: 10.35617/jfi.v9i1.563

Abstract

ABSTRACT : The growth of elderly population increase fastest among the other age group. The elderly population been related to decrease renal function and other comorbidity as consequence of aging. The aim of this study is to know how about adverse drug reaction (ADR) and potential interaction of antihypertension drug in chronic kidney disease patient. This is a descriptive study about elderly patient with chronic kidney disease on period October 22th 2012 â?? January 22th 2013. This study use Naranjo scale to evaluate ADR and Tatro Drug Interactions Fact to evaluate potential drug interaction. There were 38 subjects analized, age < 70 years old (24 patients) and â?¥ 70 years old (14 patients); gender men (26 patients) and women (12 patients); duration hemodialysis < 8 months (8 patients) and â?¥ 8 months (30 patients); comorbidity DM (23 patients) and non DM (15 patients). There were probable ADR 4 events (10,8%) consist of nifedipine (2 events), lisinoprile (1 event) and captoprile (1 event). There were 14 events (37,8%) potential drug interactions consist of minor interaction (12 events) 32,4% and major interaction (2 events) 5,4%. This study show that there were actual probable ADR 10,8% and potential drug interaction 37,8%.  
PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
Jurnal Farmasi Indonesia Vol 4, No 1 (2008)
Publisher : Jurnal Farmasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfi.v4i1.5

Abstract

Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari â?? Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.
PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
Jurnal Farmasi Indonesia Vol 4, No 1 (2008)
Publisher : Jurnal Farmasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfi.v4i1.6

Abstract

Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari â?? Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.
Co-Authors ade rahmawati Agung Endro Nugroho AGUSTINA SETIA Ahmad Syahri Ana Medawati, Ana Anggoro Budi Hartopo Astuti, Herni Bungsu Wahyu Sutriningsih Chairun Wiedyaningsih Dewi, IGA Sagung Kusuma Dian Oktianti Djoko Wahyono Eka Susanti Ellykusuma, Nany Yusuf Ellykusuma, Nany Yusuf Endro Nugroho, Agung Fajri, Imam Khoirul Fita Rahmawati Fitri Apriliany, Fitri Ganda Hidayat Hamam Hadi Hari Kusnanto I Ketut Suada Ika Puspita Sari Ika Puspitasari Ismail, Asrul Jatiningsih, Setiyati Johan Kurnianda Juffrie, Muhammad Kathrine, Anita Septiana Maria Lily Arsanti Lestari Lingga, Herningtyas Nautika Lukman Hakim Manik, Nirmala Martalena Br Purba, Martalena Br Mulyasih, Anita Budi Mutiara Herawati, Mutiara Nanang Munif Yasin Ninisita Sri Hadi Nofiartika, Fera Nova Hasani Furdiyanti, Nova Hasani Pahriyani, Ani Praseptia Gardiarini Prasetyo, Wahyu Hardi Pudiarfianti, Nadia Pulungan, Yulianasari Purba, Martalena Putra, Aditya Maulana Perdana R. Dwi Budiningsari Rafiony, Ayu Rahayujati, Theodola Baning Rahmatullah, Satrio Wibowo Retno Pangastuti Rufaidah, Alfin Rukminingsih, Fef Saraheni, Saraheni Sari, Ratih Pratiwi Sari, Yang Rusfinda Saroh, Muya Setiawati, Margarita Krishna Setyaningrum, Ndaru Setyaningrum, Ndaru Sugiani, PP Sri Sumardi . Susetyowati Syamsumin Kurnia Dewi Syed Azhar Syed Sulaiman, Syed Azhar Syed Titami, Arina Toto Sudargo Tri Murti Andayani Umboro, Recta Olivia Utami, Annisa Nadya Wijaya, Akhdrisa Mura Wijaya, Ruth R Yogi Fitriadi