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All Journal Journal of Pharmaceutical Care Anwar Medika Calvaria Medical Journal
Dyah Ayu Febiyanti
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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INFLUENCE OF COUNSELING WITH LEAFLETS BY PHARMACISTS ON THE LEVEL OF KNOWLEDGE, COMPLIANCE, AND BLOOD SUGAR LEVELS OF TYPE 2 DM PATIENTS IN KREMBUNG HEALTH CENTER IN SIDOARJO REGENCY Dyah Ayu Febiyanti; Antonius Adji Prayitno; Yosi Irawati Wibowo
Journal of Pharmaceutical Care Anwar Medika (J-PhAM) Vol 4 No 2 (2022): Journal of Pharmaceutical Care Anwar Medika
Publisher : STIKES Rumah Sakit Anwar Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36932/jpcam.v4i2.93

Abstract

Abstract Background: The high number of diabetes mellitus patients in Indonesia followed by low levels of knowledge and adherence to treatment causes the number of cases of complications due to high blood sugar levels, especially in Health Center increases. Method:This study uses pre-experimental research methods, with a one-group pretest-posttest research design before and after counseling with a leaflet media by pharmacists at Krembung Health Center of Sidoarjo Regency with a sample number of 34 subjects. The research instruments used sociodemographic questionnaires, Diabetes Knowledge Questionnaire (DKQ-24), and modified Morisky Medication Adherence Scale (MMAS) questionnaires. Results and analysis : Chi-square statistical test results at the level of knowledge and compliance, showed there was an influence on the increase in knowledge with a p-value of 0.001, and increased adherence to drugs with a p-value of 0.006, the results of T-test statistical tests also showed an influence on the decline in the value of FPG pre and post with a p-value of 0.002, and HbA1c pre and post values had a p-value of 0.001. Discussion: Patients experienced an increase in compliance after getting counseling with leaflets from 67.7% to73.5% which was statistically significant in addition to an increase in knowledge that caused patients to be more adherence to take drugs so that there was a significant decrease in the mean value of FPG pre 183.32 to FPG post 148.23 significantly and a significant decrease in the value of HbA1c from 8.45 to 7.03. Conclusion: Counseling education with leaflets by pharmacists is influential in increasing knowledge, adherence with drug use, and lowering blood sugar levels (FPG& HbA1c) of type 2 DM patients in Krembung Health Center of Sidoarjo Regency.
Analisis Kepatuhan Obat Antihipertensi, QoL, dan QALY pada Pasien PGK dengan Hipertensi di Hemodialisis di RSUD RT Notopuro Dyah Ayu Febiyanti; Issaura; Renny Nurul Faizah; Puguh Widagdo; Hari Purwoko; Nurdianto, Arif Rahman
Calvaria Medical Journal Vol 2 No 2 (2024): Edisi Desember 2024
Publisher : Institute for Research and Community Services (LPPM) of University of Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/cmj.v2i2.169

Abstract

Latar Belakang: Pasien gagal ginjal kronik (GGK) yang menjalani hemodialisis (HD) sering menghadapi tantangan yang dapat menurunkan kualitas hidup mereka. Kepatuhan terhadap pengobatan, termasuk terapi HD, merupakan faktor penting dalam meningkatkan kualitas hidup pasien. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara kepatuhan pengobatan antihipertensi dengan kualitas hidup (QoL) dan Quality Adjusted Life Years (QALY) pada pasien Penyakit Ginjal Kronik (PGK) dengan hipertensi yang menjalani hemodialisis di RSUD R.T Notopuro Sidoarjo. Metode: Data dikumpulkan secara prospektif melalui kuesioner, rekam medis, Sistim Informasi Manajemen (SIM) Apotek, dan SIM Rumah Sakit pada September-November 2024. Sampel terdiri dari 73 pasien yang dipilih dengan teknik purposive sampling. Kriteria inklusi meliputi pasien GGK berusia ≥18 tahun yang menjalani HD, mengisi kuesioner lengkap, dan mampu berkomunikasi dengan baik. Instrumen yang digunakan adalah kuesioner HillBone untuk mengukur kepatuhan obat dan European Quality of Life Five Dimension Five Level Scale (EQ5D5L) untuk menilai kualitas hidup. Analisis data dilakukan dengan uji korelasi Spearman Rho, Mann-Whitney, Chi-Square, uji t independen, dan One Way Anova. Hasil: Mayoritas responden adalah laki-laki (61,65%) dengan usia 51-60 tahun (45,21%). Sebanyak 70 responden (95,89%) tidak patuh minum obat antihipertensi, dengan nilai rata-rata kualitas hidup 0,752, QALY 25,48, dan VAS 71,3. Hasil menunjukkan hubungan signifikan antara kepatuhan pengobatan dengan QoL dan utilitas dengan QALY (P=0,002), serta antara kepatuhan dan QoL (P=0,033). Kesimpulan: Sebagian besar pasien hemodialisis di RSUD RT. Notopuro Sidoarjo tidak patuh terhadap pengobatan antihipertensi, dengan korelasi positif antara nilai utilitas (EQ5D5L) dan QALY. Kepatuhan pengobatan mempengaruhi kualitas hidup pasien.
Co-Authors Antonius Adji Prayitno Hari Purwoko Issaura Nurdianto, Arif Rahman Puguh Widagdo Renny Nurul Faizah Wibowo, Yosi Irawati