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Association Analysis of Complications, Number of Drugs, and Medication Adherence in End-Stage Renal Disease Patients Undergoing Hemodialysis Ratnasari, Pande Made Desy; Yuliawati, Agustina Nila; Lestari, Gusti Ayu Dewi; Andaresta, Ni Luh Putu Silvia
Jurnal Ilmu Kesehatan Vol 11 No 2 (2023): Jurnal Ilmu Kesehatan
Publisher : Universitas Muhammadiyah Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30650/jik.v11i2.3809

Abstract

Hemodialysis (HD) in its implementation is reported to cause complications. Complications may cause the patients to receive >3 types of drugs and decrease their medication adherence. This study aimed to analyze the association between the number of complications and the number of drugs, and the association between the number of drugs with medication adherence in End-Stage Renal Disease (ESRD) patients. This research was conducted at the private hospital Denpasar in March-May 2021 with a cross-sectional design involving 93 respondents. The purposive sampling technique was used according to inclusion criteria (ESRD patients with complications, undergoing HD at least twice a week, signing informed consent) and exclusion criteria (having poor or unstable health, unable to communicate well). The research instrument used was a questionnaire (ESRD-AQ). The Mann-Whitney test and Kendall tau-b test were used to analyze the association in this study. The results showed that the majority of patients were <65 years old (83.9%), male (66.7%), 35.5% high school education, still working (51.6%), and long of diagnosed with ESRD <5 years (77%). The average patient had ≥2 complications (81.72%) and 80.64% received 1-6 types of drugs with high levels of medication adherence (67.74%). There was an association between the number of complications and the number of drugs (p=0.026) and the association between the number of drugs and medication adherence (p=0.023) with a weak correlation (r=-0,227). This indicates that complications can affect the number of drugs consumed and indirectly also affect the medication adherence of ESRD patients.
Knowledge, Attitudes, and Practices in Bungkulan Buleleng Village Communities Related to the Implementation of COVID-19 Vaccination Yuliawati, Agustina Nila; Andika, Dewa Made Dwi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.88296

Abstract

Background: The contribution of the community through their knowledge, attitudes, and practices are essential to control COVID-19 through vaccination.Objectives: This study aims to analyze the relationship between knowledge, attitudes, and practices of the community related to implementing the COVID-19 vaccine.Methods: This observational study with a cross-sectional design was carried out from June to July 2023. Samples of 155 respondents were obtained through convenience sampling. Inclusion criteria include the community domiciled in Bungkulan Village, aged ≥18 years, and is willing to be involved in research, while respondents who didn’t fill in the complete questionnaire are excluded from research. Data was collected using self-developed offline questionnaire. The relationship of knowledge, attitudes, and practices was analyzed by multiple linier regression and Spearman-rho test (95% CI).Results: Findings showed that the majority of respondents were aged 25-29 years old (30.32%), male (76.13%), graduated from high school (65.16%), worked (89.68%), didn’t experience comorbidities (96.13%) and AESI (87.10%), lack of knowledge (53.29 ± 23.24) but has a good attitude (75.18 ± 11.55) and practices (84.06 ± 16.17) related to the implementation of the COVID-19 vaccination. There is a significant relationship between knowledge with attitudes (r = 0.352; p = <0.001) and attitudes with practices (r = 0.257; p = <0.001), also knowledge and attitudes simultaneously influence the practice of Covid-19 vaccination (p=<0.001).Conclusion: A person's attitudes and practices in a positive direction tend to begin with good knowledge. Strong sources of public health information and communication are necessary to develop good knowledge.
Analisis Waktu Tunggu Pelayanan Resep Racikan Pada Apotek “X” Gianyar Bali Yuliawati, Agustina Nila; Jawa La, Elisabeth Oriana; Sastrawan, I Ketut Putra
Acta Holistica Pharmaciana Vol 4 No 1 (2022): Acta Holistica Pharmaciana
Publisher : School of Pharmacy Mahaganesha (Sekolah Tinggi Farmasi Mahaganesha)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62857/ahp.v4i1.61

Abstract

Intisari Dalam praktik kefarmasian, waktu tunggu pelayanan resep menjadi salah satu masalah yang sering terjadi karena menimbulkan ketidaknyamanan pada pasien. Waktu tunggu tersebut menjadi salah satu indikator yang potensial untuk mengukur mutu pelayanan suatu sarana kefarmasian seperti apotek seperti yang tertuang dalam Standar Pelayanan Kefarmasian di Apotek. Tujuan penelitian ini, yaitu untuk mengetahui waktu tunggu pelayanan resep racikan dan faktor yang mempengaruhinya pada salah satu apotek di Gianyar, Bali. Penelitian observasional dengan rancangan cross-sectional ini menggunakan data sekunder dengan jumlah sampel sebanyak 154 lembar resep racikan yang diperoleh selama bulan April-Mei 2020. Selanjutnya, data dianalisis secara sederhana dalam bentuk persentase dan rerata untuk menggambarkan karakteristik sosiodemografi dan waktu tunggu pelayanan resep racikan, sedangkan perbedaan waktu tunggu pada setiap tahapan pengerjaan resep dan standarnya dianalisis dengan uji statistika Kruskall Waliis dan Mann-Whitney U test. Hasil penelitian menunjukkan bahwa rata-rata lama waktu tunggu pelayanan resep racikan di apotek “X” Gianyar adalah 9,62 menit. Waktu tersebut jauh lebih cepat dari SPO apotek dan standar pelayanan kefarmasian di apotek (p<0,05). Selain itu, di antara tahapan pelayanan resep, didapatkan bahwa tahapan peracikan memiliki waktu yang paling panjang dibandingkan tahapan lainnya (p<0,05). Demi menjaga konsistensi mutu pelayanan kefarmasian tetap baik, maka faktor lainnya seperti evaluasi SPO secara berkala, ketersediaan sumber daya manusia (SDM) dan obat, sarana dan prasarana apotek yang memadai dibutuhkan dalam upaya menjaga dan meningkatkan mutu pelayanan resep.
Hubungan Tingkat Pendidikan Dengan Tingkat Pengetahuan Pasien tentang Swamedikasi Batuk Arini, Heny Dwi; Yuliawati, Agustina Nila; Dewi, Ni Putu Ayu Mita Permata
Acta Holistica Pharmaciana Vol 5 No 2 (2023): Acta Holistica Pharmaciana
Publisher : School of Pharmacy Mahaganesha (Sekolah Tinggi Farmasi Mahaganesha)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62857/ahp.v5i2.155

Abstract

Batuk merupakan salah satu keluhan yang sering diobati dengan cara swamedikasi. Swamedikasi adalah pengobatan pada diri sendiri dengan membeli obat atas inisiatif sendiri tanpa nasehat dokter. Salah satu faktor yang mempengaruhi pengetahuan seseorang adalah tingkat pendidikan. Tujuan dari penelitian ini untuk mengetahui tingkat pengetahuan pasien tentang swamedikasi batuk dan mengetahui hubungan tingkat pendidikan dengan pengetahuan pasien tentang swamedikasi batuk di Apotek Kimia Farma Sempidi. Penelitian analitik observasional dilakukan dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan purvosive sampling dengan kriteria inklusi pasien tidak buta huruf, melakukan swamedikasi batuk, berusia 17-64 tahun. Pasien yang beprofesi sebagai tenaga kesehatan dieksklusikan dari penelitian. Pengambilan data dilakukan dengan menyebarkan kuesioner. Hasil penelitian didapatkan bahwa tingkat pengetahuan sebanyak 66 responden tentang swamedikasi batuk dengan tingkat pengetahuan terbanyak dalam kategori cukup dan pada tingkat pendidikan SMA/SMK (38%). Uji statistika menyatakan tidak terdapat hubungan yang signifikan antara tingkat pendidikan dengan pengetahuan pasien tentang swamedikasi batuk (p=0,350).
Analysis of the Relationship Between Providing Drug Information, Medication Adherence, and Glycemic Control in Type 2 Diabetes Outpatients at the North Denpasar Health Center Ratnasari, Pande Made Desy; Yuliawati, Agustina Nila; Prasetya, Anak Agung Ngurah Putra Riana; Krisnamahesswari, Ni Luh Koming
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 2 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.009708

Abstract

Medication adherence among patients with type 2 diabetes mellitus (T2DM) continues to be a difficult challenge. Providing drug information (PDI) at health centers can enhance medication adherence and help patients achieve glycemic control. A cross-sectional study was conducted in February-April 2024 at the North Denpasar Health Center. Inclusion criteria were patients 18 years old either with or without comorbidities, receiving the same antidiabetic treatment for ≥3 months. Exclusion criteria were patients who withdrew from the study, changed their care, or had unstable health conditions. Medication adherence data were collected using the Probabilistic Medication Adherence Scale (ProMAS) questionnaire, PDI data and fasting blood glucose (FBS) examination results in medical records using data collection documents. Correlation analysis between PDI and medication adherence and glycemic control used the Kendall's tau-b/c test. Results showed patients were mostly male (53.84%), age ≥65 (43.20%), elementary school education (35.50%), unemployed (63.90%), no family history (70.41%), disease duration 5 years (62.72%), with comorbidities (65.09%), and FBS achieved (81.66%). The antidiabetic used was a combination of metformin and glimepiride (54.43%). A total of 81.65% obtained routine PDI with high medication adherence (48.52%). The conclusion of the study was that there was a significant relationship between PDI with medication adherence (p=0.000; r=0.253) and glycemic control (p=0.000; r=0.447).