Articles
The Effect of Education on Writing Integrated Patient Progress Notes (IPPNs) at Several Government Hospitals in Bukittinggi, Indonesia
Suhaili, Serdiani;
Hansen Nasif;
Yelly Oktavia Sari
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 11 No. 1 (2024): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga
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DOI: 10.20473/jfiki.v11i12024.101-111
Background: The writing of Integrated Patient Progress Notes (IPPNs) by pharmacists generally does not fulfil the correct writing standards. Objective: This study aimed to analyze the effect of education on the level of knowledge and writing profile of IPPN. Methods: A prospective analytic method research design was used with data collection techniques through questionnaires and total sampling for IPPN data. The researcher developed a valid and reliable questionnaire to measure pharmacists' level of knowledge. Education was conducted through "Focus Group Discussion" with PowerPoint slides of SOAP method writing material and SOAP framework leaflets. Quantitative analysis of IPPN data was performed using the Wilcoxon test on SPSS. Results: The results showed that the highest percentage of pharmacists' knowledge level before education was A.M Hospital (87%) and after education was B Hospital (95%). The profile of IPPN writing by pharmacists before being given education showed the highest percentage of IPPN writing suitability was at A.M Hospital (21.6%), and the completeness of IPPN writing was at M.H Hospital (99%). After education, the highest percentage of IPPNs writing suitability was in B Hospital (64.3%), and the completeness of IPPNs writing was in M.H Hospital (97.9%). Education has an effect on pharmacists' knowledge level (p-value 0.029) and the appropriateness profile of IPPN writing (p-value 0.013). However, education did not affect the completeness of writing Integrated Patient Progress Notes (IPPNs) (p-value 0.285). Conclusion: Education succeeded in improving pharmacists' knowledge of writing CPPT correctly.
EFEKTIVITAS PENGGUNAAN ANALGETIK DI RUMAH SAKIT
Nindya Prastiwi;
Hansen Nasif;
Yufri Aldi
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 No 1 (2021): JURNAL KESEHATAN
Publisher : LPPM Universitas Prima Nusantara Bukittinggi
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DOI: 10.35730/jk.v12i1.401
Pendahuluan : Nyeri merupakan keluhan yang paling sering diutarakan oleh pasien di rumah sakit. Nyeri yang masih dirasakan pasien setelah menerima analgesic, menandakan bahwa terdapat ketidakefektifan penggunaan analgetik pada pasien. Keefektifan penggunaan analgetik menentukan keberhasilan terapi.Tujuan : Mengetahui efektifitas penggunaan analgetik dalam penatalaksanaan nyeri pada pasien terutama dalam penggunaannya di Rumah Sakit.Metode : Literatur review. Strategi pencarian data yaitu adalah mencari langsung grey literatur melalui mesin pencarian data Google dan menggunakan database Google Scholar, Pubmed dan ScienceDirect dengan kata kunci “Efektivitas Analgetik Rumah Sakitâ€. Research question dibuat dengan format PEOS dan penyaringan data menggunakan PRISMA Flowcart. Kriteria inklusi meliputi jurnal tentang efektivitas analgetic yang telah dipublikasi dalam sepuluh tahun terakhir (2010-2020), jurnal nasional dengan akreditasi sinta 1-6, dan jurnal internasional yang terindex scopus dengan ranking Q1-Q4. Kriteria eksklusi meliputi jurnal yang tidak terfokus membahas efektivitas analgetic atau intensitas nyeri, dan jurnal yang dengan metode review.Hasil : Dari 18 jurnal yang direview, Sebagian besar jurnal tersebut membahas perbandingan efektivitas antara dua atau lebih analgetik, baik analgetik tunggal maupun kombinasi. Dari perbandingan tersebut penggunaan analgetic kombinasi dianggap efektif digunakan pengganti opioid.Kesimpulan : Efektivitas suatu analgetic dapat tercapai dengan baik bila disesuaikan dengan derajat nyeri pasien. Saat ini, penggunaan terapi multimodal sering digunakan di rumah sakit, karena selain efektif menurunkan intensitas nyeri, kombinasi analgetik opioid dengan analgetik non narkotik mampu menekan efek samping yang ditimbukan oleh opioid, mengurangi ketergantungan penggunaan opioid pada pasien, serta mempercepat masa pemulihan, sehingga meningkatkan kepuasan pasien terhadap pelayanan kesehatan.
Profil Penyimpanan Obat pada Puskesmas di Kota Padang Sumatera Barat
Nasif, Hansen;
Sari, Yelly Oktavia;
Rahmadriza, Zikra
JSFK (Jurnal Sains Farmasi & Klinis) Vol 8 No 3 (2021): J Sains Farm Klin 8(3), Desember 2021
Publisher : Fakultas Farmasi Universitas Andalas
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DOI: 10.25077/jsfk.8.3.309-315.2021
Penyimpanan obat menjadi faktor penting dalam pengelolaan obat di Puskesmas, karena dengan penyimpanan yang benar akan lebih mudah dan efektif untuk menjamin kualitas dan mutu obat. Penelitian ini bertujuan untuk mendapatkan gambaran secara sistematis dan akurat mengenai penyimpanan obat di Puskesmas kota Padang Provinsi Sumatera Barat. Penelitian ini dilakukan pada 11 puskesmas di 11 Kecamatan di Kota Padang. Pengambilan data melalui daftar tilik tentang aspek penyimpanan obat di puskesmas yang meliputi persyaratan gudang penyimpanan obat dengan 11 aspek yang dinilai, pengaturan penyimpanan obat dengan 7 aspek yang dinilai dan tata cara penyusunan obat dengan 8 aspek yang dinilai. Masih terdapat beberapa masalah yang ditemui di lapangan seperti, ruang gudang penyimpanan obat yang belum sesuai standar, dan penempatan obat di gudang langsung di lantai saja dan tidak diatas pallet. Namun secara umum, hasil penelitian ini menunjukkan bahwa penyimpanan obat, pengaturan penyimpanan obat, dan tata cara penyusunan obat di 11 puskesmas pada semua kecamatan di kota Padang dikategorikan baik dengan hasil secara berurutan 86,36%; 91,81% dan 93,18%.Â
Profil Tingkat Pengetahuan dan Edukasi Penggunaan Suppositoria pada Pasien Rawat Jalan di Rsup Dr. M. Djamil Padang
Nasif, Hansen;
Rachmaini, Fitri;
Jayusman, Hafifah Putri;
Gunawan, Safira Pramilita
JSFK (Jurnal Sains Farmasi & Klinis) Vol 9 No 3 (2022): J Sains Farm Klin 9(3), Desember 2022
Publisher : Fakultas Farmasi Universitas Andalas
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DOI: 10.25077/jsfk.9.3.271-276.2022
ABSTRAKSuppositoria merupakan sediaan obat dengan cara penggunaan khusus, yang mengharuskan pasien memiliki pengetahuan tentang cara penggunaan suppositoria yang benar. Penelitian ini bertujuan melihat perbedaan tingkat pengetahuan penggunaan suppositoria sebelum dan sesudah diberikan edukasi. Penelitian ini merupakan suatu  penelitian analitik, pengambilan sampel dilakukan secara purposive sampling. Sampel penelitian didapatkan dari 43 responden yang merupakan pasien rawat jalan yang menebus resep suppositoria di Depo Farmasi Rawat Jalan RSUP Dr. M. Djamil Padang. Teknik pengambilan data melalui pre-test/post-test design menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya dan edukasi melaui media leaflet. Analisis yang dilakukan menggunakan uji Wilcoxon. Hasil yang didapatkan pada saat pre-test tingkat pengetahuan responden yang dominan terdapat dalam kategori cukup 60,47% dan post-test yang dominan dalam kategori baik 90,70%. Hasil penelitian menunjukkan terdapat perbedaan yang bermakna pada skor pengetahuan responden antara sebelum dan sesudah pemberian edukasi (p= 0,000). Dapat disimpulkan bahwa terdapat  perbedaan skor pengetahuan pasien yang menggunakan suppositoria sebelum dan sesudah diberikan edukasi.Kata kunci: Pengetahuan; Edukasi; Suppositoria; Leaflet; Pre-test; Post-test ABSTRACTSuppositories are drug with a spesial way of use,with required the  patients to have knowledge of how to use suppositories correctly. This research  aim to study the difference in the level of knowledge in usage of suppositories before and after being given education. An analytical  research, by purposive sampling.The research sample was obtained from 43 respondents who were outpatients who bought suppository prescription to Outpatient Pharmacy Depot, at Dr. M. Djamil public hospital in Padang. Data collection techniques through pre-test/post-test design using questionnaires that have been tested for validity and reliability and education through leaflet media (p=0.000). The analysis was carried out using Wilcoxon's test. The results obtained during the pre-test showed that the dominant respondent's level of knowledge was in the sufficient category 60.47% and the post-test dominant in the good category 90.70%. The results showed that there was a significant difference in the level of knowledge of respondents between before and after giving education through leaflet media (p= 0.000). It can be concluded that there are differences in the level of knowledge  patients who use suppositories before and after being given education. Keyword: Knowledge; Education; Suppositories; Leaflet; Pre-test; Post-test
Analisis Efektivitas Biaya Penggunaan Metformin-GlimepirideTerhadap Penurunan Kadar Gula Darah Puasa Pada Pasien Diabetes Mellitus Tipe 2 di RS Universitas Andalas
Fitria, Najmiatul;
Andela, Mila;
Syaputri, Yolanda Zazna;
Nasif, Hansen
JSFK (Jurnal Sains Farmasi & Klinis) Vol 9 (2022): J Sains Farm Klin 9(suplemen), Desember 2022
Publisher : Fakultas Farmasi Universitas Andalas
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DOI: 10.25077/jsfk.9.sup.202-207.2022
Diabetes melitus (DM) merupakan penyakit metabolik yang bersifat progresif dan ditandai dengan peningkatan kadar glukosa darah akibat disfungsi sel pankreas dan resistensi insulin. Penderita diabetes mellitus menjalani terapi farmakologi seumur hidup, oleh karena itu diperlukan biaya yang besar terkait pengobatan tersebut. Estimasi beban ekonomi diabetes melitus di Indonesia pada tahun 2020 yaitu $1,27 M. Sehingga perlu dilakukan analisis efektivitas biaya untuk membuat keputusan mengenai pemilihan obat dengan -efektifitas yang baikdan biaya yang minimal. Penelitian analisis efektivitas biaya ini bertujuan untuk menentukan nilai Rasio Inkremental Efektivitas Biaya (RIEB) terapi antidiabetes kelompok metformin tunggal dan kombinasi metformin-glimepirid pada pasien DM tipe 2 rawat jalan. Penelitian ini merupakan penelitian deskriptif dan pengambilan data dilakukan secara retrospektif menggunakan data rekam medis pasien. Data yang digunakan berjumlah 114 dari 439 populasi. Dari 114 sampel penelitian, diperoleh sebanyak 23 sampel (20,18%) menerima terapi metformin tunggal dan 91 sampel (79,82%) menerima terapi metformin-glimepirid. Nilai RIEB untuk kadar glukosa darah puasa yaitu Rp 1.284,74 setiap penurunan 1 mg/dl. Penggunaan metformin-glimepirid membutuhkan biaya yang lebih besar dibandingkan pemakaian metformin tunggal namun efek yang dihasilkan juga lebih baik.
INOVASI MINUMAN SEHAT: DEMONSTRASI PEMBUATAN SIRUP SUNGKAI DI NAGARI SIPINANG, KECAMATAN PALEMBAYAN KABUPATEN AGAM
Dillasamola, Dwisari;
Nasif, Hansen;
Alen, Yohannes;
Aldi, Yufri;
Syofyan, Syofyan;
Sayyida, Alya
Jurnal Hilirisasi IPTEKS Vol 7 No 4 (2024)
Publisher : LPPM (Lembaga Penelitian dan Pengabdian kepada Masyarakat) Universitas Andalas
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DOI: 10.25077/jhi.v7i4.820
The Sungkai plant (Peronema canescens Jack.) is known for its various health benefits, particularly as a natural immunostimulant. In West Sumatra, this plant is abundant and widely used in traditional medicine. This activity aimed to provide education and a demonstration to the community on how to process Sungkai leaves into a healthy syrup, thereby increasing the use of this plant as a daily health drink. The event was conducted through a live demonstration in Kanagarian Sipinang, Palembayan District, Agam Regency. The process of making Sungkai syrup involved several stages, starting from selecting the leaves, boiling them, and mixing them with other ingredients such as sugar and/or lemon juice to enhance the flavor. The results of this activity showed high enthusiasm among participants, with a total of 40 attendees. Before the demonstration, data from questionnaires revealed that 80% of respondents had heard about Sungkai syrup. During the demonstration, most participants expressed great interest in the syrup-making process, particularly in the aspect of processing Sungkai leaves into an extract that can be used as a base for syrup. This demonstration successfully enhanced participants' knowledge and skills in utilizing Sungkai leaves as a healthy drink. With further education and support, Sungkai syrup has great potential to be developed as a flagship product that supports both public health.
ANALISIS PENGGUNAAN ANTIEMETIK PADA PASIEN KANKER OVARIUM YANG MENDAPAT KEMOTERAPI DI RSUP DR. M. DJAMIL PADANG
Nike Okvitarini;
Hansen Nasif;
Yelly Oktavia Sari
FORTE JOURNAL Vol 4 No 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara
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DOI: 10.51771/fj.v4i2.920
Kanker ovarium merupakan kanker ginekologi yang menempati peringkat ketiga kanker yang terjadi pada wanita. Pengobatan kanker menimbulkan efek samping yang beragam, salah satunya mual dan muntah yang terjadi pada 70-80% pasien dewasa yang menerima kemoterapi. Pemberian antiemetik berpengaruh besar bagi pasien untuk mencegah mual dan muntah sehingga dapat meningkatkan kualitas hidup pasien dan kepatuhan pengobatan. Penelitian ini bertujuan untuk mempelajari pola penggunaan antiemetik, gambaran skor CINV (Chemoteraphy Induced Nausea Vomiting) pasien dengan skala FLIE ( Functional Living Index Emesis) dan untuk mengetahui hubungan penggunaan antiemetik dengan skor CINV skala FLIE. Penelitian ini merupakan jenis penelitian cross sectional, pengumpulan data dilakukan secara prospektif, pengumpulan data dilakukan dengan dua cara yaitu primer dan skunder dengan jumlah pasien 31 orang yang sesuai dengan kriteria inklusi. Dari hasil penelitian didapatkan pola penggunaan antiemetik untuk premedikasi kemoterapi yaitu kombinasi antara antagonis serotonin 5-HT3 ondansetron injeksi, deksametason injeksi, dan difenhidramin injeksi serta kombinasi antagonis serotonin 5-HT3 palonosetron injeksi, deksametason injeksi, ranitidin injeksi, dan difenhidramin injeksi. Sedangkan obat oral setelah kemoterapi yang digunakan ondasetron tablet dan metoklopramid tablet. Hasil rata-rata skor CINV fase akut 6,09 dan fase delayed 4,88. Pada fase akut didapatkan nilai p>0,05yang berarti tidak ada perbedaan rata-rata skor CINV pasien pada fase akut berdasarkan antiemetik dan pada fase delayed didapatkan nilai p<0,05 yang berarti ada perbedaan rata-rata skor CINV pada fase delayed diantara pasien berdasarkan obat antiemetik.
Pharmacist Recommendations for Non-Infectious Diarrhea Self-Medication: A Study in Padang, Indonesia
Nasif, Hansen;
Dillasamola, Dwisari;
Sanjaya, Wira;
Juwita, Dian Ayu
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu
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DOI: 10.56338/jphp.v5i2.5854
Introduction: Diarrhea is a condition where a person defecates with a soft or liquid stool consistency or even just water which can be accompanied by blood or foam with a frequency that is more frequent than usual in a day. Self-medication is an action taken by someone to treat themselves by recognizing the symptoms and illnesses felt, usually minor illnesses, then choosing drugs according to their wishes without going through a doctor's prescription. Methods: A descriptive study with cross-sectional approach to determine the recommended choice of diarrhea drugs without symptoms of infection for self-medication from pharmacies in Padang City, West Sumatra, Indonesia. Data were collected through proportional random sampling using the Slovin formula. From a total of 247 pharmacies in Padang City, data was collected from 38 pharmacies that had been proportioned in 11 sub-districts in Padang City. Participants in this study were pharmacists on duty at the pharmacy. Data were collected through structured interviews recorded by pharmacists in pharmacies with a single question, what drug do you give for self-medication to adult patients with mild diarrhea without symptoms of infection. Results: Drug recommendations from pharmacist in Padang City pharmacies are attapulgite, kaolin-pectin, activated carbon, loperamide, Oral Re-hydration Formula (ORS), zinc supplements, probiotics, and antacids. The drug recommendations given are in the form of single therapy and combination therapy. Assessment of recommendations that are said to be appropriate refers to the recommendations of Dipiro (2020), namely the provision of a single absorbent or absorbent plus ORS. The results of appropriate recommendations were obtained at 44.74% and those that were not appropriate were obtained at 55.26%. There is no statistically significant evidence to suggest a relationship between the education level of pharmacist and appropriate of the answer (p>0.05). Conclusion: There are still many mistakes made by pharmacists in recommending diarrhea drugs without symptoms of infection for self-medication in pharmacies.
The Study of Medication Adherence and Health-Related Quality of Life in Patients with Type II Diabetes Mellitus
Ningsih, Riska Syafrita;
Nasif, Hansen;
Sari, Yelly Oktavia
JURNAL PROTEKSI KESEHATAN Vol 14 No 1 (2025): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau
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DOI: 10.36929/jpk.v14i1.930
Diabetes mellitus is a chronic disease requiring long-term management. Adherence is a crucial determinant of therapeutic success, influencing Health-Related Quality of Life (HRQoL). This cross-sectional study aimed to assess therapy adherence and HRQoL in type 2 diabetes mellitus patients, explore their associations with sociodemographic and clinical factors, and determine the correlation between these variables. The study involved 144 respondents at the Internal Medicine Clinic of RSUD HA Thalib in Sungai Penuh City, conducted in June 2024. The MARS-5 questionnaire was used to measure therapy adherence, while the DQoL assessed HRQoL. Results indicated no significant association between sociodemographic and clinical characteristics and therapy adherence. However, occupation, comorbidities, and complications were significantly associated with HRQoL. Chi-square analysis revealed a significant correlation between therapy adherence and HRQoL (p-value = 0.001). In conclusion, this study demonstrates a significant association between therapy adherence and HRQoL in type 2 diabetes mellitus patients
Pharmacy Staff's Recommendations for Self-Medication Requests on Non-Infectious Productive Cough: A Study in Padang City, Indonesia
Nasif, Hansen;
Andrelva, Cynthia Bella;
Sari, Yelly Oktavia
JSFK (Jurnal Sains Farmasi & Klinis) Vol 10 No 3 (2023): J Sains Farm Klin 10(3), Desember 2023
Publisher : Fakultas Farmasi Universitas Andalas
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DOI: 10.25077/jsfk.10.3.264-269.2023
Cough is a physiological reflex to liberate the airway from mucus or foreign objects. Many cough medicines in pharmacies require special expertise to select the proper medication according to the patient's condition. This research aims to evaluation recommendations of drugs for non-productive cough for self-medication from pharmacy staff in Kuranji subdistrict, Padang City. A cross-sectional study with total sampling techniques is used for collecting data. This research uses a structured interview technique with the main question, what medicine would pharmacy staff recommend if an adult patient comes with a productive cough without any symptoms of infection? There are 30 pharmacies in Kuranji subdistrict, but data that meets the inclusion criteria is only from 25 pharmacies because five pharmacies are not willing to be research sites. Those who were willing to take part in this research were 16 pharmacists and nine non-pharmacist staff. Only 37.5% (6 of 16) of correct drug recommendations were given by pharmacists, and 33.3% (3 of 9) of proper drug recommendations were provided by non-pharmacist staff. There are still many things that could be improved in drug recommendations for this case, with a total average of correct administration of only 36%. The proper drug choices were Bromhexin and Acetylcysteine, while other drugs that were incorrectly chosen were drugs that should have been given with a doctor's prescription, branded drugs with more than one active ingredient , herbs or not the drug of choice for now.There are still many mistakes in the medicine choice, with an average total of only 36% accurate recommendations.