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DUKUNGAN KELUARGA TERHADAP KEPATUHAN MINUM OBAT PASIEN LANSIA HIPERTENSI PADA FASILITAS PELAYANAN PRIMER PEMERINTAH DI DENPASAR: DUKUNGAN KELUARGA TERHADAP KEPATUHAN MINUM OBAT PASIEN LANSIA HIPERTENSI PADA FASILITAS PELAYANAN PRIMER PEMERINTAH DI DENPASAR Dewi, Ni Made Ayu Candra; Sutema, Ida Ayu Manik Partha; Dewi, Dewa Ayu Putu Satrya; Sudiari, Made
Bali Medika Jurnal Vol 9 No 1 (2022): Bali Medika Jurnal Vol 9 No 1 Juli 2022
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v9i1.200

Abstract

Menurut data hasil Riset Kesehatan Dasar di Indonesia, Prevalensi hipertensi di Bali berkisar 3,4-8,4%. Hipertensi membutuhkan pengobatan jangka lama, masalah yang sering dihadapi ialah ketidak patuhan pasien dalam melakukan terapi perawatan yang sedang mereka jalani. Ketidakpatuhan dalam pengobatan hipertensi dapat menyebabkan berbagai komplikasi dan kerusakan organ. Lansia sangat beresiko mengalami kegagalan pengobatan akibat ketidak patuhan dalam menjalani pengobatan (World Health Organization, 2014). Pada kondisi lansia yang cepat lelah, keterbatasan gerak dan penurunan kemampuan mengurus dirinya maka sangat membutuhkan dukungan keluarga. Tujuan : Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga Terhadap Kepatuhan Minum Obat Pada Lansia Hipertensi di Fasilitas Kesehatan Primer Kota Denpasar Selatan. Metode : Metode penelitian kuantitatif dengan desain cross sectional. Responden pada penelitian ini berjumlah 80 orang di Fasilitas Kesehatan Primer Kota Denpasar Selatan sesuai dengan kriteria inklusi dan ekslusi. Pengumpulan data menggunakan kuesioner dukungan keluarga adopsi dari (fitri,D,2014 )dan MMAS-8. Teknik pengambilan sampel pada penelitian ini adalah purposive sampling. Hasil : Hasil pada penelitian didapatkan persentase dukungan keluarga baik sebesar 75%. Persentase kepatuhan minum obat rendah sebesar 10%, kepatuhan sedang sebesar 52,5% dan tinggi sebesar 37,5%. Dimana kuesioner MMAS-8 kategori patuh merupakan gabungan dari kategori sedang dan tinggi, total persentase yang didapat ialah 90 % dikategotikan patuh. Uji dengan Spearman Rho didapatkan nilai p value = 0,000 < 0,05 dengan nilai koefisien korelasi sebesar 0,436. Kesimpulan : Terdapat  hubungan antara dukungan keluarga dengan kepatuhan minum obat pada Lansia Hipertensi di Fasilitas Kesehatan Primer Kota Denpasar Selatan dengan arah hubungan yang bermakna.
Analisis Pengendalian Persediaan Obat dengan Metode ABC dan VEN di Instalasi Farmasi RSUD Karangasem Andika, Ni Kadek Wahyuning Kristina Dewi; Dewi, Dewa Ayu Putu Satrya; Farmani, Putu Ika
Bali International Scientific Forum Vol. 3 No. 1 (2022): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v3i1.282

Abstract

Background: The quality of hospital health services is influenced by the availability of drugs. Drug inventory control at Pharmacy installation Karangasem Hospital only using a buffer stock method without calculations cause stock out drugs. Drugs inventory control using ABC-VEN, EOQ, SS and ROP analysis methods can unsure availability of drugs. Objective: This study aims to determine result of drug classification and control at Pharmacy instalation Karangasem Hospital. This study use a quantitative descriptive approach with a cross sectional research design and retrospective data collection for the period January-December 2021 at the Pharmacy Installation of Karangasem Hospital. Variables of this study are inventory control methods ABC-VEN, EOQ, SS and ROP. Data analysis using excel with data presentation using narration, tables, and diagrams. Result: The result of ABC analysis based on investment value, Category A 70%, Category B 20%, and Category C 10%. The result of VEN analysis, Category V 5%, Category E 90%, and Category N 90%. Top 10 drugs of category AE have a total investment value of IDR 8,889,652,150. The results of analysis top 10 drugs of AE category using the EOQ method can save procurement costs of Rp. 437.391.367, while the SS and ROP methods are effective for the use of fluctuating drugs. Conclusion:Based on the results of the analysis, ABC-VEN method can be used to determine which drug items should be prioritized based on the investment value and drug function, while the EOQ, SS and ROP methods are used to prevent stagnant dan stock out drugs.
ANALISIS PENGENDALIAN PERSEDIAAN OBAT DENGAN METODE ABC DAN VEN DI GUDANG FARMASI KABUPATEN KARANGASEM Saputri, Ni Made Pratiwi Dwi; Dewi, Dewa Ayu Putu Satrya; Maharianingsih, Ni Made
Bali International Scientific Forum Vol. 3 No. 1 (2022): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v3i1.303

Abstract

Latar Belakang: Pengelolaan ketersediaan obat yang sesuai mampu memberikan biaya yang efesien dalam pengadaan obat. Permasalahan yang sering timbul dalam pengendalian ketersedian obat dimana menentukan jenis dan jumlah obat yang harus dipesan. Tujuan:Dalam mencapai keseimbangan antara tersedianya dan permintaan maka diperlukan sistem pengendalian inventory control (tersedia). Penelitian ini bertujuan untuk menganalisis pengendalian ketersedian obat klasifikasi AE menggunakan teknik EOQ, ROP, dan SS di Gudang Farmasi Kabupaten Karangasem. Metode: Penelitian ini bersifat kuantitatif, yang dimana Pengambilan sampel berdasarkan teknik purposive sampling. Hasil: Hasil penelitian dimana terdapat selisih antar nilai perencanaan dengan nilai pengadaan, analisis ABC terdapat 27 jenis (8%) obat kategori A diperkirakansenilai 75%, 64 macam (20%) obat kategori B diperkirakan senilai 20%, 232 jenis (72%) obat kategori C dengan penggunaan anggaran sebesar 5%. Analisis VEN terdapat obat kategori V (Vital) berjumlah 30 (9%), obat E (Essensial) berjumlah 279 (86%), sedangkan obat N (Non-essensial) berjumlah 14 (4%). Kombinasi ABC-VEN diperoleh golongan AE memiliki nilai investasi terbesar. Contoh dari 10 besar obat golongan AE yaitu Acyclovir cream 5 gr dengan EOQ sebanyak 14844 tube. ROP sebanyak 1519 tube. SS sebanyak 759 tube. Terdapat selisih sebesar Rp 2,335,710.35 antara nilai EOQ dengan pengadaan di GFK Karangasem dari 10 besar obat kategori AE. Kesimpulan: Analisis pengendalian obat menggunakan teknik ABC dan VEN mampu memberikan kontribusi positif dalam pengelolaan obat menjadi efisien terkhusus obat kategori AE. Penggunaan metode EOQ, SS, dan ROP memudahkan dalam mengontrol ketersedian obat. Sehingga, obat yang dipesan tepat sasaran dan mampu meminimalisir stok kosong. Kata Kunci: Pengendalian Persediaan Obat, ABC, VEN
ANALISIS PENGENDALIAN PERSEDIAAN OBAT DENGAN METODE ABC DAN VEN DI INSTALASI FARMASI RUMAH SAKIT UMUM DAERAH TABANAN Firmayanthi, Ayu Felia; Satrya Dewi, Dewa Ayu Putu; Arimbawa, Putu Eka
Bali International Scientific Forum Vol. 4 No. 1 (2023): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v4i1.281

Abstract

Background : Inaccuracy on drug management under Pharmacy Installation causes a over stock or stock-out, which cause disrupts services. There are 33 different drugs are out of stock, leading in a decrease quality of service at Tabanan Public Hospital Pharmacy Installation. So, we require an ideal drug inventory management system on the form of ABC, VEN, EOQ, Safety Stock, and Reorder Point methods at Tabanan Public Hospital Pharmacy Installation as a method in inventory control. Purpose : This study aims to identify and analyze drug control at Tabanan Public Hospital Pharmacy Installation using the ABC, VEN, EOQ, SS, and ROP analytical methods. Method : Uses a quantitative descriptive approach with a cross sectional design at Tabanan Public Hospital Pharmacy Installation during January to December 2021. Result : The results of the study on the ABC value found that A group 75.14% investment value, B group 15.30%, and C group 9.56%. The result of VEN analysis 16.67% for V group, E group 77.06%, and N group 6.27%. AE category has the most drug items and investment value in Quarter I-IV. The results of the EOQ calculation found the difference in the budget value for the procurement of the top 10 drugs in hospitals with the EOQ calculation of Rp 642,836,931 (11%). The EOQ, SS and ROP values are directly proportional to drug demand, therefore the computation of SS must be implemented properly. Conclusion : To avoid expired drug stocks at Tabanan Public IFRS, the ABC, VEN, EOQ, SS, and ROP methods must constantly used as an alternative for controlling drug supplies. Keywords: Drug Control, ABC, VEN, Economic Order Quantity (EOQ), Reorder Point, Safety Stock.
Studi Pembuatan Loloh Cemcem dan Loloh Kunyit Khas Penglipuran dengan Potensi Aktivitas Farmakologi Dewi, Dewa Ayu Putu Satrya; Suryaningsih, Ni Putu Aryati; Setiawan, Putu Yudhistira Budhi
Jurnal Farmasetis Vol 14 No 2 (2025): Jurnal Farmasetis: Mei 2025
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/far.v14i2.3840

Abstract

Loloh merupakan minuman herbal tradisional dari Desa Adat Penglipuran, Kabupaten Bangli, Bali, Indonesia. Khasiat loloh telah dikenal secara turun-temurun oleh para leluhur masyarakat Bali. Loloh dikonsumsi setiap hari untuk meningkatkan kekebalan tubuh, melancarkan pencernaan, dan merangsang nafsu makan. Penelitian ini bertujuan untuk menjelaskan proses pembuatan loloh cemcem (Spondias pinnata) dan loloh kunyit (Curcuma longa) serta eksipien yang digunakan dalam pembuatannya, melaporkan komponen fitokimia dan sifat farmakologis loloh cemcem dan loloh kunyit. Data dikumpulkan melalui purposive sampling dari 10 produsen. Peneliti menggunakan wawancara terstruktur, metode observasi, dan kajian pustaka untuk mengumpulkan informasi dengan menggunakan wawancara secara door to door mendatangi Lokasi pembuat loloh. Hasil penelitian menunjukkan bahwa produksi loloh dapat dibagi menjadi empat tahap: 1) menyiapkan bahan dan alat untuk sanitasi, 2) mengekstrak sari daun cemcem dan rimpang kunyit, 3) mencampur sari dengan bahan tambahan, dan 4) mengemas produk akhir loloh dalam botol kedap udara. Spondias pinnata (L. f.) telah dipelajari untuk penggunaan farmakologis untuk menurunkan tekanan darah, dan antioksidan, Curcuma longa Linn. Telah diteliti manfaat farmakologisnya sebagai antiradang dan antimikroba. Selain daun cemcem dan rimpang kunyit sebagai bahan utama, bahan tambahan yang digunakan dalam loloh meliputi cabai merah, gula pasir dan gula aren, garam, kelapa muda, dan jeruk nipis. Bahan-bahan ini memberikan rasa yang seimbang, yaitu manis, asam, dan pedas. Penggunaan bahan tambahan alami dalam pembuatan loloh membantu menjaga kualitas dan keamanan sekaligus memberikan rasa yang autentik.
Internet use Patterns in the Utilization of Herbal Medicine for Chronic Diseases in Denpasar City Suryaningsih, Ni Putu Aryati; Valencia, Valencia; Dewi, Dewa Ayu Putu Satrya; Apsari, Dewi Puspita
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3719

Abstract

The increasing use of the internet and the correctness of information causes different community knowledge about using herbal medicine for chronic diseases. This study aimed to compare knowledge levels of herbal medicine for chronic illnesses sourced on the internet. This study used a cross-sectional survey design. The number of samples used was 318. The inclusion criteria are people aged 18-60 years, know what chronic disease means (through questions in the questionnaire), and live in Denpasar City. The exclusion criteria were people who worked as health workers. Data were collected using a questionnaire and analyzed using the Kruskal-Wallis test. The results showed that most people searched using web/search sites (100%) and social media groups specifically for herbal medicine (86.5%). Knowledge of herbal medicines through web/sites and social media/chat information sources has a good understanding of 82.4% and 70.6%. Poor Knowledge of herbal medicine while using both sources of information (32.2%) and value statistics p=0.04 (p<0.05). There is a difference in the knowledge level about herbal treatments for chronic diseases between those sourced on social media and the internet. The use of the internet and social media helps people understand the content of herbal medications to treat chronic diseases.
Sekaa Teruna Teruni as An Agent of Change (AoC) Development of Loloh Cemcem as A Traditional Medicine Dewi, Dewa Ayu Putu Satrya; Suryaningsih, Ni Putu Aryati; Setiawan, Putu Yudhistira Budhi
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.v6i6.4824

Abstract

The development of phytopharmaceuticals aims to increase the use of traditional medicine through an evidence-based medicine (EBM) approach and enhance clinical and community acceptance. This effort cannot be separated from the role and attitudes of adolescents, such as those in the Sekaa Teruna Teruni (STT) group, who have a strong belief in traditional medicine. STT plays a vital role as Agents of Change (AoC) for traditional medicine unique to Penglipuran Traditional Village, particularly loloh cemcem. Currently, information about loloh cemcem is provided conventionally and is not based on EBM for residents and tourists, highlighting the need for technological innovation in promoting this traditional remedy. This study aims to assess the effectiveness of e-booklets as an educational medium to enhance the knowledge of STT adolescents regarding loloh cemcem and to empower them as Agents of Change in promoting its use. This quantitative descriptive study employs a quasi-experimental one-group pretest-posttest design and was conducted in April-May 2024. The sample included STT members from Penglipuran Traditional Village, selected through purposive sampling based on specific inclusion and exclusion criteria. Inclusion criteria included residency in Penglipuran Traditional Village, active and passive English proficiency, ability to use electronic media and the internet, and obtaining a pretest score of ≥80 points. Exclusion criteria included respondents who could not be reached for the posttest or were unwilling to dedicate time to the AoC loloh cemcem initiative. Data were collected through a validated and reliable knowledge questionnaire with 10 items, and e-booklets were used as educational media. Analysis using SPSS 18 and the Wilcoxon test showed a significant increase in knowledge after the provision of e-booklets (p = 0.001). These results suggest that e-booklets effectively enhance STT adolescents' knowledge, supporting them as key sources of information and promoters of loloh cemcem as a traditional medicine.
Evaluation Of Medicine Storage Management and Compatibility With Storage Standards in The Pharmaceutical Warehouse of Hospital Badung Regency Giwangkara, I Gusti Agung Ayu Ningrat; Dewi, Dewa Ayu Putu Satrya; Mayun, I Gusti Ngurah; Suryaningsih, Ni Putu Aryati
Pharmacon: Jurnal Farmasi Indonesia Vol 20, No 2 (2023)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v20i2.23309

Abstract

The effectiveness of drug storage is essential for effective drug management; if it is inadequate, pharmacy services and performance will be compromised. Therefore, a review of drug storage management and the appropriateness of drug storage regulations is required. The purpose of this study was to evaluate the effectiveness of drug storage and the acceptability of drug storage in the pharmaceutical warehouse of Hospital, Badung Regency. This study used cross-sectional methodology, descriptive observational quantitative research, and data collected from all medicinal products between March and April 2023. A checklist taken from the 2010 Binfar guidelines became the research tool. The result Indicators of drug storage such as percentage of matched drugs with stock cards was 100%, percentage of expired drugs was 1,46%, percentage of empty stock was 0%. Result of standards of drug storage such as space organized, drug supplies were prepared, and storage facilities were used was 100%. The results of the suitability of drug storage facilities in the Pharmacy Warehouse of Regional Hospital Badung Regency are in accordance with the standards of drug storage facilities, while the results of the efficiency value of drug storage in the Pharmacy Warehouse of Regional Hospital Badung Regency show that it has not achieved maximum results. Evaluation of drug storage management in the Pharmacy Warehouse of Regency Hospital Badung needs to be carried out regularly to prevent expired drugs and ensure drug supplies are maintained.
Analysis of Outpatient Type 2 Diabetes Mellitus Treatment Patterns: A Four-Criteria Framework at Sanjiwani Hospital, Gianyar Widowati, I Gusti Ayu Rai; Kusuma, Kadek Ari Teja; Dewi, Dewa Ayu Putu Satrya
Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v1i2.19

Abstract

Background: Diabetes mellitus is a chronic condition with high blood sugar levels caused by insufficient insulin production. Improper prescribing can lead to ineffective treatment, increased health risks, and resource wastage. Objective: This study aims to assess compliance with four essential criteria for rational drug use in treating Type 2 Diabetes Mellitus (DM2) patients at Sanjiwani Hospital in Gianyar. By examining these areas, the study seeks to identify opportunities for improving DM2 treatment and ensuring that practices align with established standards to enhance patient outcomes and safety. Methods: A cross-sectional survey was conducted from May to June 2024, analyzing purposively collected prescriptions. A total of 113 prescriptions were reviewed to assess prescribing practices. Results: The study evaluated prescribing accuracy based on four criteria: drug selection, dosage, indication, and timing. Results showed 100% accuracy in drug selection and indication, 76.1% accuracy in dosage, and 78.8% accuracy in timing. Conclusion: These findings suggest that medication practices at Sanjiwani Hospital for DM2 patients are generally satisfactory. However, pharmacists should play an active role in providing pharmaceutical information and counseling to achieve the best clinical outcomes. This includes ensuring correct dosage and timing to improve overall treatment effectiveness and patient safety.
SOSIALISASI APOTEKER CILIK (APOCIL) DI SD NEGERI 3 TONJA DENPASAR eka_arimbawa; Satrya Dewi, Dewa Ayu Putu; Windydaca Brata Putri, Dhiancinantyan; Adi Purwa Hita, I Putu Gede
UNBI Mengabdi Vol. 1 No. 1 (2020): UNBI Mengabdi
Publisher : Universitas Bali Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/um.v1i1.141

Abstract

Pengobatan sendiri merupakan hal yang dilakukan masyarakat dalam melakukan penyembuhan karena penyakit, terutama oleh orang tua kepada anak-anak. Tujuan pengabdian masyarakat ini untuk dapat meningkatkan pemahaman kepada siswa SD mengenai fungsi, dosis, jenis obat yang tepat, dan menjelaskan tidak semua obat terasa pahit melalui sosialisasi APOCIL. Metode yang digunakan adalah berupa presentasi oral oleh apoteker, animasi, video, praktek peracikan, wawancara, dan pre-post-test pemahaman penggunaan obat. Hasil pengabdian masyarakat menunjukkan sebagian besar siswa SD lebih memilih obat dalam bentuk sirup, mengetahui obat paracetamol sebagai penurun panas, menyukai vitamin, dan pernah menggunakan obat tradisional tetapi kurang mengetahui penggunaan antibotik secara tepat. Hasil nilai rata-rata APOCIL skor pre-test 67.1 dan post-test 89.3. Sosialisasi APOCIL memberikan peningkatan pemahaman penggunaan obat. Perlu diberikan perhatian khusus mengenai penggunaan antibiotik kepada siswa SD. Oleh karena itu pentingnya dilakukan edukasi salah satunya melalui iklan obat dalam media televisi untuk memastikan keamanan obat