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EVALUASI KERASIONALAN PENGGUNAAN ANTIBIOTIKA PROFILAKSIS DI INSTALASI BEDAH RSUD TUGUREJO SEMARANG PERIODE APRIL 2014 Antoni, Priski; Supadmi, Woro
Jurnal Kefarmasian Akfarindo Vol 1 No 1 (2016)
Publisher : Akademi Farmasi Indonesia Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37089/jofar.v0i0.1

Abstract

Latar belakang: Antibiotika merupakan golongan obat yang paling banyak digunakan pada pencegahan infeksi bakteri karena perlakuan bedah. Penelitian ini bertujuan untuk mengetahui kerasionalan penggunaan antibiotika profilaksis dari parameter tepat indikasi, tepat obat, tepat pasiendan tepat dosis dan mengetahui hubungan kerasionalan penggunaan antibiotika dengan lama rawat inap pasien.Metode: Rancangan penelitian ini adalah observasional dengan pengambilan data restropektif. Subyek penelitian ini adalah semua rekam medik pasien di instalasi bedah RSUD Tugurejo Semarang dengan kriteria inklusi rentang usia 20-60 tahun, mendapatkan terapi antibiotika profilaksis, data rekam medik jelas. Data penggunaan antibiotika dianalisis kerasionalannya berdasarkan Pedoman Penggunaan Antibiotika 2011, Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery2008, Antibiotic Guidelines 2014-2015 dan Drug Information Handbook 2010.Hasil: penelitian menunjukkan penggunaan antibiotika cefuroxime 10%, cefazoline 44%, ceftriaxone18%, cefotaxime 15% dan ampisiln 13%. Kerasionalan penggunaan antibiotika profilaksis meliputi tepat indikasi 86%, tepat obat 54%, tepat pasien 54% dan tepat dosis 44%. Tidak terdapat hubungan kerasionalan penggunaan antibiotika dengan lama rawat inap pasien (p>0,05).Kesimpulan: Penggunaan antibiotika rasional sebesar 44%, tidak ada hubungan antara kerasionalan penggunaan antibiotika profilaksis dengan lama rawat inap pasien operasi di RSUD Tugurejo Semarang periode April 2014.
POLA PENGGUNAAN DAN ANALISIS EFEKTIVITAS BIAYA OBAT ANTINYERI PADA PASIEN DIABETIK NEUROPATI DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG Sari, Tri Purma; Perwitasari, Dyah Aryani; Supadmi, Woro
Jurnal Riset Kefarmasian Indonesia Vol. 5 No. 3 (2023): Jurnal Riset Kefarmasian Indonesia
Publisher : APDFI (Asosiasi Pendidikan Diploma Farmasi Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33759/jrki.v5i3.390

Abstract

Diabetic neuropathy is gathering symptom clinic which influence system nerves, well single or combination and could happen in a manner suddenly, no detected, with symptom clinic and no specific signs but dangerous. Incidence diabetic neuropathy happen between 60% to 70% on type I and type II DM patients. Methods of data collection carried out prospectively. Data were obtained from outpatient data with a diagnosis of diabetic neuropathy who met the inclusion criteria and received analgetics from September to December 2020. Then a cost-effectiveness analysis was performed by calculating the ACER (Average Cost-Effectiveness Ratio) and ICER (Incremental Cost-Effectiveness Ratio) values. The results showed that the most commonly used analgetics was gabapentin at 65.96%, either alone or in combination with an effectiveness percentage of 83.87%. The use of analgetics with the lowest cost is a single Paracetamol of IDR 73,770. The lowest ACER values were shown in the use of the single analgetics Paracetamol and the combination of Amitriptyline-Paracetamol, namely 737.70 and 805.30.
Validitas Awal instrumen European Quality of Life (EQ-5D-5L) versi Indonesia pada kualitas hidup penderita hepatitis B Hasniah Hasniah; Dyah Ariani Perwitasari; Woro Supadmi
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1292

Abstract

Health-related quality of life (HRQoL) is an important aspect in the management of chronic diseases such as hepatitis B, considering the long disease course and the risk of complications including cirrhosis and hepatocellular carcinoma. The European Quality of Life instrument (EQ-5D-5L) is widely used globally to assess quality of life; however, psychometric evidence in patients with hepatitis B in Indonesia remains limited. This study aimed to evaluate the preliminary validity and reliability of the Indonesian version of the EQ-5D-5L among patients with hepatitis B in primary healthcare settings. This study employed an observational design with a cross-sectional approach involving 42 female patients with confirmed HBsAg positivity who participated in a hepatitis B early detection program at primary health centers in Banjarmasin City between April and October 2025. Data were collected using the EQ-5D-5L questionnaire, the EQ visual analogue scale (EQ-VAS), and a demographic characteristics form. Reliability was assessed using Cronbach’s alpha, while construct validity was evaluated using item–total correlation with a significance threshold of r-table = 0.304. Statistical analyses were performed using SPSS version 26. The results indicated that the EQ-5D-5L questionnaire demonstrated good internal consistency with a Cronbach’s alpha value of 0.799. All items showed item–total correlations greater than the r-table value (0.304), indicating that all domains were valid. Correlation analysis revealed a significant relationship between EQ-VAS scores and the EQ-5D-5L utility index (r = 0.669; p < 0.001), suggesting adequate construct validity. Within the limitations of this study, the Indonesian version of the EQ-5D-5L demonstrates potential as a tool for measuring quality of life among female patients with hepatitis B in primary healthcare settings.
KAJIAN INTERAKSI OBAT PASIEN DIABETES MELITUS TIPE 2 DENGAN KOMORBID HIPERTENSI RAWAT JALAN DI RUMAH SAKIT AREA KOTA YOGYAKARTA Ginanjar Zukhruf Saputri; Siti Anisya Rahayu; Endang Darmawan; Prita Anggraini Kartika Sari; Woro Supadmi
Jurnal Insan Farmasi Indonesia Vol 9 No 1 (2026): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v9i1.2909

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Patients with type 2 diabetes mellitus and hypertension comorbidity generally receive more than one medication, increasing the risk of drug interactions that may affect therapeutic outcomes. This study aimed to determine the potential drug interactions in outpatients with type 2 diabetes mellitus and hypertension at PKU Muhammadiyah Gamping Hospital during January–December 2024. This research employed a descriptive-retrospective observational method using 44 medical records selected through purposive sampling based on inclusion and exclusion criteria. Drug interactions were assessed using the MedFacts Pocket Guide of Drug Interactions, Stockley’s Drug Interactions (2009), and drug interaction checkers from Medscape and Drugs.com based on interaction mechanisms and severity levels. The results showed 129 cases of drug interactions, with the most common combination being metformin–amlodipine (10 cases; 7.7%). The most frequent interaction mechanism was pharmacodynamic interaction (68 cases; 52.71%), while the severity level was predominantly moderate according to Medscape (65 cases; 50.38%) and Drugs.com (79 cases; 61.24%). Major interactions were identified in the bisoprolol fumarate–clonidine combination (4 cases; 5.3%). This study indicates the potential for drug interactions in antidiabetic and antihypertensive therapy, highlighting the need for therapeutic monitoring and dose adjustment to improve treatment safety and effectiveness.
The Pemanfaatan Jahe Merah Untuk Pencegahan dan Penatalaksanaan Kolesterol Tinggi dan Asam Urat di Dusun Kauman, Desa Gilangharjo, Kecamatan Pandak, Kabupaten Bantul: Utilization of Red Ginger for the Prevention and Management of High Cholesterol and Uric Acid Levels in Kauman Hamlet, Gilangharjo Village, Pandak District, Bantul Regency Woro Supadmi; Muhammad Ridwan; Arini Salsabila; Ananda Ayu Chandra; Ilham Sasena
Batik-MU : Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2026): Jurnal Batikmu
Publisher : Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/batikmu.v6i1.2423

Abstract

High cholesterol and gout are prevalent health problems in the community and may lead to serious complications if not properly managed. This community engagement program aimed to enhance public knowledge and understanding of the use of red ginger (Zingiber officinale var. rubrum) as a supportive approach for the prevention and management of cholesterol and gout. The program was conducted in Kauman Hamlet, Gilangharjo Village, Pandak Subdistrict, Bantul Regency, employing health education sessions, dissemination of educational materials, and practical demonstrations of red ginger processing, with evaluation based on a pre-test and post-test design involving 38 participants. The results demonstrated a substantial improvement in participants’ knowledge, as indicated by an increase in the mean percentage of correct responses from 66.4% prior to the intervention to 90.5% following the intervention. These findings suggest that community-based education integrating local resources is effective in improving public understanding of cholesterol and gout prevention and management and in promoting healthy lifestyle practices.
Kualitas Hidup Pasien Hemodialisis dengan Anemia yang Mendapat Terapi Epoetin Alfa: Studi Cross-Sectional Menggunakan Instrumen EQ-5D-5L Ahmad Aldi Kurniawan; Woro Supadmi; Joko Sudibyo; Tri Murti Andayani
Lumbung Farmasi: Jurnal Ilmu Kefarmasian Vol 7, No 2 (2026): Juli
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/lf.v7i2.39096

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Penyakit ginjal kronis (PGK) pada pasien hemodialisis sering disertai anemia yang berdampak pada penurunan kualitas hidup. Penelitian ini bertujuan untuk mengetahui kadar hemoglobin, kualitas hidup dan menganalisis hubungan kadar hemoglobin (Hb) dengan kualitas hidup setelah pemberian epoetin alfa. Penelitian ini merupakan studi observasional analitik dengan desain cross-sectional pada 130 pasien hemodialisis di RS PKU Muhammadiyah Gamping. Pengumpulan data dilakukan selama tiga bulan pemberian epoetin alfa. Data pasien dan pemeriksaan hemoglobin diperoleh dari rekam medis , sedangkan data kualitas hidup diukur menggunakan EQ-5D-5L dan EQ-VAS. Data dianalisis menggunakan analisis Mann–Whitney, Kruskal–Wallis, dan regresi linear berganda (p<0,05). Hasil menunjukkan  bahwa 88,5% belum mencapai target Hb.  Sedangkan nilai rata-rata utility index sebesar 0,48±0,27 dan EQ-VAS 64,50±11,68, menggambarkan kualitas hidup kategori sedang. Tidak terdapat hubungan signifikan antara kadar Hb dengan kualitas hidup, baik pada utility index (p=0,361) maupun EQ-VAS (p=0,758). Analisis multivariat menunjukkan tidak terdapat hubungan signifikan baik dari nilai utilitas maupun dengan skor EQ-VAS. Hasil penelitian ini menunjukkan bahwa kualitas hidup pasien hemodialisis bersifat multidimensional. Belum menunjukkan bahwa kadar Hb berkaitan dengan kualitas hidup. Oleh karena itu, penelitian longitudinal diperlukan untuk mengevaluasi hubungan antara pencapaian Hb dan kualitas hidup secara lebih komprehensif.
Kualitas Hidup Pasien Penyakit Ginjal Kronis Rawat Inap Di Rumah Sakit Salsabila, Arini; Supadmi, Woro; Yuniarti, Endang; Rahajeng, Bangunawati
Majalah Farmaseutik Vol 22, No 2 (2026)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v22i2.117739

Abstract

Penyakit ginjal kronis (PGK) merupakan kondisi progresif yang dapat memengaruhi berbagai aspek kehidupan pasien, termasuk kondisi fisik, psikologis, dan sosial, sehingga berdampak pada kualitas hidup. Oleh karena itu, penilaian kualitas hidup menjadi penting untuk menggambarkan kondisi pasien selama menjalani perawatan. Penelitian ini bertujuan untuk mendeskripsikan kualitas hidup pasien PGK rawat inap berdasarkan domain Kidney Disease Quality of Life‑36 (KDQOL‑36) di Rumah Sakit PKU Muhammadiyah Kota Yogyakarta. Penelitian ini menggunakan pendekatan observasional kuantitatif dengan desain prospective cross‑sectional yang dilaksanakan pada periode Oktober hingga Desember 2025. Sebanyak 70 pasien PGK rawat inap yang memenuhi kriteria inklusi dilibatkan sebagai sampel penelitian. Data kualitas hidup dikumpulkan menggunakan instrumen KDQOL‑36, sedangkan karakteristik pasien diperoleh melalui data rekam medis dan wawancara. Analisis data dilakukan secara deskriptif untuk menggambarkan skor pada setiap domain kualitas hidup. Hasil penelitian menunjukkan adanya perbedaan skor pada masing‑masing domain KDQOL‑36. Rerata skor tertinggi terdapat pada domain fungsi fisik, sedangkan skor terendah pada domain keterbatasan fisik. Domain lainnya, seperti nyeri tubuh, kesehatan umum, fungsi sosial, keterbatasan emosional, vitalitas, dan kesehatan mental, berada pada kategori sedang. Secara keseluruhan, sebagian besar pasien memiliki fungsi fisik dasar relatif masih baik, keterbatasan dalam aktivitas fisik tetap menjadi aspek yang menonjol dalam kualitas hidup pasien PGK rawat inap. Oleh karena itu, diperlukan pendekatan perawatan yang tidak hanya berfokus pada aspek medis, tetapi juga mencakup pengelolaan gejala fisik, dukungan psikososial, dan edukasi pasien untuk meningkatkan kualitas hidup.
Hubungan Kepatuhan Terapi terhadap Risiko Memulai Dialisis dan Kualitas Hidup pada Pasien Penyakit Ginjal Kronis Rawat Inap di Rumah Sakit Salsabila, Arini; Supadmi, Woro; Yuniarti, Endang; Rahajeng, Bangunawati
Indonesian Journal of Clinical Pharmacy Vol 15, No 2 (2026)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2026.v15i2.69628

Abstract

Penyakit ginjal kronis (PGK) merupakan kondisi progresif yang menyebabkan penurunan fungsi ginjal secara permanen serta berdampak pada kualitas hidup dan peningkatan risiko memulai dialisis. Prevalensi PGK di Indonesia tercatat sebesar 0,38% berdasarkan Riskesdas 2018 dan diperkirakan masih lebih rendah dari kejadian sebenarnya. Ketidakpatuhan terhadap terapi dapat memperburuk kondisi klinis dan mempercepat progresivitas penyakit. Penelitian ini bertujuan untuk menganalisis hubungan kepatuhan terapi terhadap risiko memulai dialisis dan kualitas hidup pasien PGK rawat inap di Rumah Sakit PKU Muhammadiyah Kota Yogyakarta. Penelitian ini menggunakan desain observasional dengan potong lintang prospektif. Subjek penelitian diambil pada periode Oktober–Desember 2025 sesuai dengan kriteria inklusi. Data diperoleh dari karakteristik pasien dan penggunaan obat berdasarkan rekam medik elektronik. Kepatuhan terapi diukur menggunakan Medication Adherence Report Scale-5 (MARS-5), kualitas hidup menggunakan Kidney Disease Quality of Life-36 (KDQOL-36), sementara risiko memulai dialisis ditentukan berdasarkan rekam medis. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square. Jumlah responden dalam penelitian ini sebanyak 70 pasien. Sebanyak 38 pasien (54,3%) tergolong patuh terhadap terapi, sedangkan 36 pasien (51,4%) menjalani hemodialisis selama perawatan. Kualitas hidup yang baik ditemukan pada 59 pasien (84,3%). Hasil analisis menunjukkan terdapat hubungan yang signifikan antara kepatuhan terapi dengan kualitas hidup (p<0,001), namun tidak terdapat hubungan yang signifikan antara kepatuhan terapi dengan risiko memulai dialisis (p=0,278). Kepatuhan terapi berhubungan signifikan dengan kualitas hidup, tetapi tidak berhubungan dengan risiko memulai dialisis pada pasien PGK rawat inap. Oleh karena itu, kepatuhan terapi dapat dipertimbangkan sebagai salah satu faktor yang berkaitan dengan kualitas hidup pasien.Kata kunci: kepatuhan terapi, kualitas hidup, penyakit ginjal kronis, risiko memulai dialisis The Relationship between Therapy Adherence and the Risk of Starting Dialysis and Quality of Life in Hospitalized Chronic Kidney Disease PatientsAbstractChronic kidney disease (CKD) is a progressive condition characterized by irreversible deterioration of kidney function, leading to impaired quality of life and an increased risk of initiating dialysis. According to the 2018 Indonesian Basic Health Research (Riskesdas), the prevalence of CKD in Indonesia was 0.38%, although the actual prevalence is likely higher. Poor medication adherence may worsen clinical outcomes and accelerate disease progression. This study aimed to analyze the association between medication adherence, the risk of initiating dialysis, and quality of life among hospitalized patients with CKD at PKU Muhammadiyah Hospital, Yogyakarta City. A prospective cross-sectional observational study was conducted among eligible patients recruited between October and December 2025. Patient characteristics and medication data were obtained from electronic medical records. Medication adherence was assessed using the Medication Adherence Report Scale-5 (MARS-5), quality of life was measured using the Kidney Disease Quality of Life-36 (KDQOL-36), and the risk of initiating dialysis was determined based on medical records. Data were analyzed using descriptive statistics and Chi-square tests. A total of 70 patients were included in the study. Of these, 38 patients (54.3%) were adherent to therapy, while 36 patients (51.4%) underwent hemodialysis during hospitalization. Good quality of life was reported in 59 patients (84.3%). Medication adherence was significantly associated with quality of life (p<0.001), but not with the risk of initiating dialysis (p=0.278). Medication adherence was significantly associated with quality of life but not with the risk of initiating dialysis among hospitalized patients with CKD. Therefore, medication adherence may be considered an important factor associated with patients’ quality of life.Keywords: chronic kidney disease, risk of starting dialysis, therapy adherence, quality of life
Co-Authors . Fitriyani Adnan Adnan Adnan, Adnan Adrian A. Kaptein Adrian A. Kaptein Afifa, Shafira Diestra Ahmad Aldi Kurniawan Ahmed, Bilal Ajeng Diantini Ambar Yunita Nugraheni Anak Agung Gede Sugianthara Ananda Ayu Chandra Andriana Sari Andriana Sari Anisa Devi Kharisma Wibowo Antoni, Priski Ardhiani, Menit Ardiansyah, Ryan Ari Kristina, Susi Arini Salsabila Ariska Wigatiningtyas Aristia, Bella Fevi Atikah Nur Shabrina Aulia Kurniapuri Auliya A. Suwantika Azis Ikhsanudin Bambang Purwoko Basuki, Adriyanto Rochmad Boisi, Cici Feronika Budiyono Budiyono Cahya Putri, Ardana Candradewi, Susan Fitria Chong, Rockie Cut Fatia Ulfa Cut Fatia Ulfa Damayanti, Elok Della Midi Wardhani Dewi, Masita Sari Dwi Hastuti Dwi Utami Dyah A. Perwitasari Dyah A. Perwitasari Dyah Ariani Perwitasari Dyah Aryani Perwitasari Ela Fadilah Pramsa Endah Karuniawati Endang Darmawan Endang Darmawan Endang Yuniarti Endang Yuniarti Endang Yuniarti Endang Yuniarti Endang Yuniarti Endang Yuniarti Endang Yuniarti Endang Yuniarti Esty Elvinda Fahrian Hipmi, Ahmad Farid, Yandira Mifta Fasyir, Syaima’ Rihan Fatkhiya, Musa Fitri Fatma Nuraisyah, Fatma Feangi, Yanti Fitriani Firman Firman Fitri Ayu Wahyuni Fitri Nur Mahmudah Fitri Qoriawaty Fitriana, Elinda Fitriyani Fitriyani Fitriyani, Fitriyani Gailea, Astrimulyana Giatna, Sifak Ginanjar Zukhruf Saputri Gita Husna Rahmadani Gustinanda, Rizky Haafizah Dania Hadiq, Shabran Hanindia Riyani Hariadi Wijaya, Made Hasniah Hendra Darmawan Hendy Ristiono, Hendy Herjanti Ratnawiningsih Hesty Riza Oktastika Hidayah Apriliawan Hidayati, Ana Iin Ike Ardiani Ilham Bintang Agung Ilham Sasena Imaniar Noor Faridah Imaniar Noor Faridah Izzah, Fiya Nailil Joko Sudibyo Joko Sudibyo Kaptein, Adrian A. Kartikasari, Ayu Lifia Nur Khairi, Sabiah Kristina, Susi Ari Kristina Kurniawan, Rendy Kurniyati, . Kurniyati, . Lalu Muhammad Irham Lolita Lukman Hakim Maharani, Fadya Bella Suci Malihi, La Mashita, Siti Masita Sari Dewi Ma’ruf, Muhammad Monica, Lia Mufidah, Syarifatul Muh Muhlis Muh Muhlis, Muh Muhammad Muhlis Muhammad Muhlis Muhammad MuMuhlis Muhammad Ridwan Muhammad Thesa Ghozali Muhartati, Sri Aisyah Muhlis, Muh Murwiningsih Murwiningsih Naguib Ahmed Osman, Ahmed Mohamed Yehia Novita, Sisri Nugraha, Media Fitri Isma Isma Nur P, Kanindya Nur Rahmatiya Abas, Siti Nur Shabrina, Atikah Nurfadilasari, Ulfa Mustofa Nurul Qomariyah Nuzulan, Moh. Aji Zulfan Perwitasari, Dyah A. Pranata, Satria Prita Anggraini Kartika Sari Prita Anggraini Kartika Sari Purwanto , Barkah Djaka Purwanto, Barkah Djaka Puspitaningrum, Anisa Nova Puspitasari, Kartini Qarriy 'Aina Urfiyya Qifari Nasrun, Rahmar Rahajeng, Bangunawati Rahayu, Ade Rahmawati Rahmawati, Priska Ardya Rahmiati, Siti Rahmmawati, Rini Rassyifa, Aloina Jean Ratna R. Ratna, R Restu Pranandari Riat El Khair Rikifani, Shoma Rizky Budi Santoso Rizky Maulana, Nafta Rumambi, Tita Yulianti Ruri Renggani Sandra Salsabila, Arini Saputri, Ginanjar Zukhruf Sari, Prita Anggraini Kartika Sari, Tri Purma Sary, Mega Indah Seseray, Yuliana Ludia Shoma Rikifani Siswanto, Lalu Muhammad Harmain Siti Anisya Rahayu Siti Rahmiati Siti Rahmiati Sri Aisyah Muhartati Sri Aisyah Muhartati Sri Awalia Febriana Sri Sulistyorini Stefy Muliyani Muljabar Sudibyo, Joko Sugiyarto Surono, Sugiyarto Sulastri Sulastri Sulastri Sulastri Supadmi, Woro Supadmi Susi Ari Kristina Susilo, Rinto Suwantika, Auliya Abdurrohim Tina Rostinawati Tri Murti Andayani Triandika, Rifaldy Trisna , Yulia Trisna, Yuliana Triyo Nova, Triyo Wahyuni, Fitri Ayu Wijaya, Made Hariadi Wirawan Adikusuma Yulia Indah Widianti Yuni Lestari Yuptarol Mujahidah Zukhruf Saputri, Ginanjar