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All Journal Window of Health : Jurnal Kesehatan Jurnal Farmagazine Jurnal Ilmiah Multidisiplin Indonesia
Dian Ratih L
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Earth & Planetary Sciences Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health

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Analisis Efektivitas-Biaya Tindakan Kolesistektomi Metodelaparoskopidan Kolesistektomi Terbuka Pada Rs Swasta Tipe B Di Jakarta Pusat Tahun 2013 -2017 Diana Hayati; Ahmad Fuad Afdhal; Dian Ratih L
Jurnal Farmagazine Vol 5, No 3 (2018): Jurnal Farmagazine
Publisher : STF Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47653/farm.v5i3.109

Abstract

Kolelitiasis adalah penyakit yang dapat ditemukan di dalam kandung empedu atau di dalam ductus koledokus atau pada kedua-duanya. Dalam pelayanan kesehatan , tidak hanya outcome klinisyang diutamakan tetapi juga faktor pembiayaan. Untuk menentukan biaya yang efektif dan efisien diperlukan analisis farmakoekonomi. Salah satu tindakan yang memerlukan analisis efektifitas biaya adalah kolesistektomi yaitu tindakan pengangkatan batu empedu. Tujuan dari penelitian ini adalah untuk membandingkan efektif-biaya kolesistektomi metode laparoskopi dengan kolesistektomi terbuka (open surgery). Penelitian ini merupakan studi potong lintang, retrospektif dengan menggunakan data rekam medis penderita kolelithiasis di RS Swasta Kelas B di Daerah Jakarta Pusat tahun 2013-2017. Jumlah sampel 72 pasien yang terdiri dari 36 sampel kolesistektomi laparoskopi, dan 36 sampel kolesistektomi terbuka. Analisa farmakoekonomi belum pernah dilakukan di RS Swasta kelas B di daerah Jakarta Pusat. Parameter yang digunakan dalam penelitian ini adalah biaya pengobatan langsung yang meliputi biaya total, biaya pemeriksaan, biaya ruang perawatan, obat-obatan, dan alat kesehatan, sedangkan indikator efektivitasnya menggunakan lama hari rawat inap. Hasil menunjukkan bahwa rata-rata biaya langsung kolesistektomi laparoskopi dibanding metode terbuka lebih besar. Rasio efektifitas biaya kolesistektomi laparoskopi perharilebih besar dibanding metode terbuka.Perhitungan rasio efektivitas biaya tambahan (ICER) menunjukkan bahwa kolesistektomi laparoskopi memiliki biaya lebih rendah dibandingkan dengan kolesistektomi terbuka. Dapat disimpulkan bahwa kolesistektomi laparoskopi lebih efektif-biaya daripada kolesistektomi terbuka. Kata Kunci: Kolesistektomi, Kolesistektomi Laparoskopi, Kolesistektomi Terbuka, Cost Effective Ratio
Survival Analysis and Risk Factors for COVID-19 Patients at Koja Hospital Kemal Pradana Putra; Dian Ratih L; Hesty Utami R; Rita Novariani; Natasja R Kandou
Window of Health : Jurnal Kesehatan Vol 7 No 2 (April 2024)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.773

Abstract

The COVID-19 pandemic impacts global health, and no specific drug has proven effective in curing SARS-CoV-2 infection. This study aimed to analyze the survival characteristics of COVID-19 patients in Koja Hospital. This research method is analytically observational with a cross-sectional design. The study population was 1080, and the research sample was 284 patients. The sampling used a purposive sampling method with a retrospective approach from the medical records of confirmed COVID-19 inpatients from May to October 2020. The analysis uses SPSS software version 26. Categorical variables were analyzed using the chi-square test or Fisher’s exact test. Kaplan Meier, Log Rank, and Cox Regression were used for the probability of survival analysis and mortality risk ratio in COVID-19 patients. The case fatality rate (CFR) of 284 COVID-19 patients was 20.4%. The mean age of the patients was 49 years (IQR 37–57). The most common comorbidity was hypertension, 34%. The average probability of survival of COVID-19 patients was above 60%. In addition to gender, predictors including age, comorbidities, type of intensive care, and use of antivirals had significant differences and affected the chances of survival of COVID-19 patients. Patients given oseltamivir monotherapy had the highest survival rate of about 80% after undergoing treatment for about 38 days (p equal 0.000). The mortality risk ratio of COVID-19 patients with comorbid diabetes mellitus was 8.7 times higher than that of those without comorbidities (95% CI 1,02–75.82, p less than 0.048). Patients with intensive care had an 11.43 times increased mortality risk ratio compared to usual care (95% CI 6,34–20,62, p less than 0.000). The conclusion of this study is intensive care and a history of diabetes mellitus are associated with the risk of death. There needs to be an increase in COVID-19 control measures, especially in populations prone to comorbid diabetes with severe and critical degrees.
The Impact of Pharmacist Counseling on Quality of Life in Outpatients with Type 2 Diabetes Mellitus Hasnidar, Hasnidar; Dian Ratih L; Yati Sumiyati
Jurnal Ilmiah Multidisiplin Indonesia (JIM-ID) Vol. 4 No. 8 (2025): Jurnal Ilmiah Multidisplin Indonesia (JIM-ID) 2025
Publisher : Sean Institute

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

Abstract

Type 2 Diabetes Mellitus is a chronic disease that requires long-term management and can reduce a patient's quality of life if not optimally managed. One effort that can be made to improve patient quality of life is through pharmacist counseling, which emphasizes medication education, increased therapy adherence, and the adoption of a healthy lifestyle. This study aims to determine the effect of pharmacist counseling on the quality of life of outpatients with Type 2 Diabetes Mellitus at Bhakti Kartini Hospital. This study used a quasi-experimental design with a pre-test and post-test approach. The study subjects were divided into two groups: an intervention group that received pharmacist counseling and a control group that did not receive counseling. Sampling was conducted using a purposive sampling method on 126 respondents, consisting of 63 patients in each intervention group and 63 patients in the control group. Data were obtained from medical records and routine patient visits and analyzed using SPSS version 29.0 using univariate analysis, the Shapiro-Wilk test, and the Mann-Whitney test. The results showed that outpatients with Type 2 Diabetes Mellitus at Bhakti Kartini Hospital were predominantly women aged 31–69, with a high school education, self-employment, duration of diabetes ≤ 5 years, and hypertension as the most common comorbidity. The analysis revealed a significant difference in quality of life between the control and intervention groups, indicating that pharmacist counseling plays a role in improving patients' quality of life. Furthermore, demographic factors did not significantly correlate with quality of life, suggesting that improvements in patient quality of life are more influenced by pharmacist counseling interventions and optimal therapy management.
Co-Authors Ahmad Fuad Afdhal Hasnidar Hasnidar Hayati, Diana Hesty Utami R Kemal Pradana Putra Natasja R Kandou Rita Novariani Yati Sumiyati