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PERSEPSI PASIEN TERHADAP PELAYANAN SWAMEDIKASI OLEH APOTEKER DI BEBERAPA APOTIK WILAYAH SIDOARJO Dewi, Vira Chandra; Queljoe, Doddy de; Aditama, Lisa
CALYPTRA : Jurnal Ilmiah Mahasiswa Universitas Surabaya Vol 4, No 2 (2015): CALYPTRA : Jurnal Ilmiah Mahasiswa Universitas Surabaya
Publisher : University of Surabaya

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Abstract

Swamedikasi merupakan upaya seseorang dalam mengobati gejala sakit atau penyakit tanpa berkonsultasi dengan dokter terlebih dahulu. Menurut hasil Riskesdas (2013) sebanyak 35,2% rumah tangga menyimpan obat untuk swamedikasi, terdapat obat keras, obat bebas, antibiotika, obat tradisional dan obat-obat yang tidak teridentifikasi. Apotik dan toko obat/warung merupakan sumber utama mendapatkan obat rumah tangga dengan proporsi masing-masing 41% dan 37,2% serta 23,4% rumah tangga memperoleh obat langsung dari tenaga kesehatan. Tujuan dilakukannya penelitian ini adalah untuk mengetahui persepsi pasien terhadap pelayanan swamedikasi oleh Apoteker di apotik. Penelitian ini menggunakan teknik consecutive sampling, sampel yang digunakan sebanyak 100 pasien yang melakukan swamedikasi, diperoleh dari sepuluh apotik di wilayah Sidoarjo yang Apotekernya memberikan pelayanan swamedikasi secara langsung. Berdasarkan hasil penelitian diperoleh bahwa persepsi mengenai pelayanan konsultasi swamedikasi oleh apoteker dikategorikan kurang baik (<60%), sedangkan persepsi pasien mengenai saran dan peran apoteker dalam pelayanan swamedikasi dikategorikan cukup baik (antara 60-80%).
Efektivitas Edukasi Terapi Insulin terhadap Pengetahuan dan Perbaikan Glikemik Pasien Diabetes Melitus Pramita, Zenia; Aditama, Lisa
Indonesian Journal of Clinical Pharmacy Vol 2, No 4 (2013)
Publisher : Indonesian Journal of Clinical Pharmacy

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Abstract

Diabetes Self Management Education (DSME) merupakan salah satu strategi penting dalam penatalaksanaan Diabetes Melitus (DM). Manajemen terapi insulin merupakan peran penting dari tenaga kesehatan untuk meningkatkan pengetahuan dan tercapainya kontrol glikemik yang lebih baik. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi manajemen terapi insulin tehadap peningkatan pengetahuan dan perbaikan kontrol glikemik (penurunan HbA1c) pada pasien DM tipe 2 yang menggunakan insulin. Penelitian menggunakan desain RCT (randomized control trial) dengan pengambilan sampel secara systematic random sampling. Subjek penelitian dibagi dalam kelompok kontrol yang tidak mendapat intervensi dan kelompok uji yang mendapat intervensi edukasi manajemen terapi insulin oleh farmasis selama 1 bulan. Data yang diperoleh dianalisis menggunakan statistik uji t-test. Hasil uji paired t-test pada masing-masing kelompok uji dan kontrol menunjukkan bahwa ada perbedaan yang bermakna antara pengetahuan sebelum dan sesudah edukasi (p=0,001 dan p=0,011) dan tidak ada perbedaan antara HbA1c sebelum dan sesudah edukasi (p=0.274 dan p=0,166). Hasil uji independent t-test menunjukkan bahwa edukasi manajemen terapi insulin efektif terhadap peningkatan pengetahuan (p=0,034), tetapi tidak efektif terhadap perbaikan kontrol glikemik (p=0,463).Kata kunci: Manajemen terapi insulin, edukasi, farmasi komunitas, pengetahuan, kontrol glikemikEffectiveness of Insulin Therapy Education on The Improvement of Knowledge And Glycemic Control In Type 2 Diabetes Mellitus Patients Diabetes Self Management Education (DSME) is one of the important strategies of diabetes management. Insulin therapy management is the important role of healthcare professional to enhance patient’s knowledge and self management for better glycemic control. This study aimed to determine the effect of insulin therapy management education on increased knowledge and improved glycemic control (HbA1c reduction) in patients with type 2 diabetes who use insulin. The design of this study is RCT (randomized controlled trials) with systematic random sampling. Study participants were divided into a control group that received no intervention and the test group that received the intervention about insulin therapy management education by pharmacist for 1 month. Data were analyzed using t-test groups. The results showed that the paired t-test on each trial and control groups showed that there were significant differences between knowledge before and after education (p=0.001 and p=0.011) and there was no difference between HbA1c before and after education (p=0.274 and p=0.166). Results of independent t-test showed that insulin therapy management education significantly effective to increased knowledge (p value=0.034), but did not have a significant effect to improved glycemic control (p value=0.463)Key words: Insulin therapy management, education, community pharmacy, knowledge, glycemiccontrol
Pengaruh Patient Decision Aid terhadap Tingkat Pengetahuan, Sikap, Tindakan dan Hasil Klinis Pengobatan Penderita Diabetes Melitus Tipe 2 Suradnyana, I Gede M.; Rahem, Abdul; Aditama, Lisa
Indonesian Journal of Clinical Pharmacy Vol 7, No 2 (2018)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3118.277 KB) | DOI: 10.15416/ijcp.2018.7.2.89

Abstract

Diabetes melitus (DM) termasuk ke dalam empat besar penyakit kronis yang prevalensinya terus meningkat di seluruh dunia. Jumlah penderita DM di Indonesia pada tahun 2015 adalah sepuluh juta dan diperkirakan akan terus meningkat. Masalah yang dihadapi Indonesia dalam penanganan DM adalah kontrol gula darah yang buruk, tingkat pengetahuan pasien yang rendah tentang pengelolaan penyakit dan terapi, serta sangat sedikitnya puskesmas yang memiliki apoteker. Patient decision aid (PDA) secara substansial dan signifikan mampu meningkatkan pengetahuan pasien. PDA dirancang berdasarkan konstruk health belief model (HBM) dengan target peningkatan pengetahuan, sikap dan tindakan berkaitan manajemen DM tipe 2 (DMT2). Tujuan utama penelitian ini adalah untuk mengetahui pengaruh PDA terhadap tingkat pengetahuan, sikap, tindakan dan hasil klinis pengobatan. Penelitian ini bersifat pra-eksperimental satu kelompok dengan desain intervensi pretest-posttest yang melibatkan 28 penderita DMT2 berumur 21-65 tahun dan merupakan peserta BPJS Kesehatan yang berobat di Puskesmas I Denpasar Utara, serta belum pernah dirujuk ke fasilitas kesehatan lanjut. Subjek diberikan PDA sebagai intervensi dan hasil utama yang diukur adalah perubahan pengetahuan, sikap, tindakan dan kadar gula darah puasa. Penelitian ini menunjukkan terjadi peningkatan tingkat pengetahuan, sikap dan tindakan, serta penurunan kadar gula darah puasa subjek antara sebelum dan sesudah diberikan PDA. Pemberian PDA menyebabkan peningkatan signifikan (p<0,05) tingkat pengetahuan, sikap dan tindakan, serta penurunan signifikan kadar gula darah puasa.Kata kunci: Diabetes melitus tipe 2, kadar gula darah puasa, patient decision aid (PDA), pengetahuan, sikap, tindakanEffect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus PatientsAbstractDiabetes mellitus (DM) is one of four major chronic diseases which prevalence continued to increase worldwide. The number of diabetes mellitus patients in Indonesia in 2015 were ten million and expected to increase. Several problems faced by Indonesia in handling DM were bad blood sugar control, low patient’s knowledge level about disease management and its therapy, and there are few primary health care that have pharmacist. Patient decision aid (PDA) was substantially and significantly able to increase patient’s knowledge. PDA was designed based on the construct of health belief model (HBM) with the target to increase knowledge, attitude, and action related with management of type 2 DM (T2DM). The main purpose of this research was to determine the effect of PDA to knowledge level, attitude, action, and clinical outcome treatment. This research used pre-experimental one group pretest-posttest design that involved 28 DMT2 patients aged 21-65 years old, were participants of Badan Penyelenggara Jaminan Sosial (BPJS) who got treatment at Puskesmas I Denpasar Utara and had never been referred to a further health care facility. The subjects were given PDA as intervention and main results measured were change of knowledge, attitude, action and fasting blood sugar level. Result of this research showed an increase in knowledge level, attitude, and action of the subjects, as well as decrease in subjects’ fasting blood sugar between before and after they had been given the PDA. Giving PDA caused a significant increase (p<0,05) in level of knowledge, attitude, and action, and significant decrease of fasting blood sugar.Keywords: Attitude, fasting blood sugar levels, knowledge, patient decision aid (PDA), practice, type 2 diabetes mellitus
The Impacts of Lifestyle Modification Education towards Cardiovascular Risk Profile Cokro, Fonny; Rahem, Abdul; Aditama, Lisa; Kristianto, Franciscus C.
Indonesian Journal of Clinical Pharmacy Vol 7, No 3 (2018)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.175 KB) | DOI: 10.15416/ijcp.2018.7.3.154

Abstract

Obesity is one of the risk factors of cardiovascular disease. The prevalence of obesity in Indonesia has increased in the last few years, therefore some efforts to reduce the risk is needed. In the current study, efforts are given through 3-week lifestyle modification education, with 3-month total of follow-up (from March to June 2014) and then the impacts on cardiovascular risk profile were observed and seen on 24 sedentary male workers in University of Surabaya with obese II. This study used before-after study design in order to see the impacts of the 3-week lifestyle modification education towards change of knowledge, dietary behavior, body mass index (BMI), waist circumference, and cardiovascular risk profile through various educational methods (face-to-face session, given recorder of face-to-face session, and combination of both methods). Statistical analysis was performed using Wilcoxon signed test. Result showed an increasing knowledge in face-to-face group (p=0.046). However, there were no significant changes in other variables (dietary behavior based on healthy diet indicator (HDI), BMI, waist circumference, and also cardiovascular risk profile) in all groups between before and after education intervention (p>0.05). In conclusion, lifestyle modification education given for 3 weeks did not reduce the cardiovascular risk profile on sedentary male workers with obese II. Longer term intervention and multicomponent program including behavior therapy may be needed to succeed lifestyle changes and reduce cardiovascular risk.Keywords: Behaviour, cardiovascular risk, education, knowledge, lifestyle modification Pengaruh Edukasi Gaya Hidup terhadap Perubahan Risiko Penyakit KardiovaskularAbstrakObesitas merupakan salah satu faktor risiko penyakit kardiovaskular. Prevalensi obesitas di Indonesia mengalami peningkatan beberapa tahun terakhir, sehingga diperlukan upaya untuk menguranginya. Pada penelitian ini, upaya dilakukan melalui pemberian edukasi gaya hidup yang dilakukan selama 3 minggu, dengan total follow-up sampai dengan 3 bulan dari bulan Maret hingga Juni 2014, kemudian dilihat dan diamati ada atau tidaknya penurunan risiko penyakit kardiovaskular pada 24 orang karyawan pria obese II di Universitas Surabaya. Penelitian ini memiliki rancangan before-after study design untuk menguji pengaruh edukasi gaya hidup yang diberikan selama 3 minggu terhadap variabel pengetahuan, perubahan perilaku, body mass index (BMI), lingkar perut, dan risiko penyakit kardiovaskular melalui berbagai metode pemberian edukasi (tatap muka, rekaman/recorder, dan kombinasi). Analisis dengan Wilcoxon signed test menunjukkan bahwa terdapat peningkatan pengetahuan hanya pada subgrup tatap muka (p=0,046). Tidak terdapat perubahan yang signifikan terhadap variabel lainnya (perubahan perilaku berdasarkan healthy diet indicator (HDI), BMI dan lingkar perut, serta risiko penyakit kardiovaskular) pada semua subgrup antara sebelum dan sesudah edukasi (p>0,05). Edukasi gaya hidup yang diberikan selama tiga minggu tidak memberikan penurunan risiko penyakit kardiovaskular pada karyawan pria obese II. Dibutuhkan intervensi jangka panjang dan program multikomponen yang memuat terapi perilaku untuk menyukseskan perubahan perilaku dan menurunkan risiko kardiovaskular.Kata kunci: Edukasi, gaya hidup, pengetahuan, perilaku, risiko kardiovaskular
PERSEPSI PASIEN TERHADAP PELAYANAN SWAMEDIKASI OLEH APOTEKER DI BEBERAPA APOTIK WILAYAH SIDOARJO Vira Chandra Dewi; Doddy de Queljoe; Lisa Aditama
CALYPTRA Vol. 4 No. 2 (2016): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Swamedikasi merupakan upaya seseorang dalam mengobati gejala sakit atau penyakit tanpa berkonsultasi dengan dokter terlebih dahulu. Menurut hasil Riskesdas (2013) sebanyak 35,2% rumah tangga menyimpan obat untuk swamedikasi, terdapat obat keras, obat bebas, antibiotika, obat tradisional dan obat-obat yang tidak teridentifikasi. Apotik dan took obat/warung merupakan sumber utama mendapatkan obat rumah tangga dengan proporsi masing-masing 41% dan 37,2% serta 23,4% rumah tangga memperoleh obat langsung dari tenaga kesehatan. Tujuan dilakukannya penelitian ini adalah untuk mengetahui persepsi pasien terhadap pelayanan swamedikasi oleh Apoteker di apotik. Penelitian ini menggunakan teknik consecutive sampling, sampel yang digunakan sebanyak 100 pasien yang melakukan swamedikasi, diperoleh dari sepuluh apotik di wilayah Sidoarjo yang Apotekernya memberikan pelayanan swamedikasi secara langsung. Berdasarkan hasil penelitian diperoleh bahwa persepsi mengenai pelayanan konsultasi swamedikasi oleh apoteker dikategorikan kurang baik (<60%), sedangkan persepsi pasien mengenai saran dan peran apoteker dalam pelayanan swamedikasi dikategorikan cukup baik (antara 60-80%).
HUBUNGAN PENGETAHUAN, SIKAP DAN PERILAKU TERHADAP KETERCAPAIAN TERAPI PASIEN DM TIPE 2 DI RUMAH DIABETES UBAYA YANG MENDAPAT TERAPI INSULIN RACHMA FITRIANI; Lisa Aditama
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract - DM is a complex chronic disease that requires treatment continuously so that the achievement of blood glucose control requires the variety factors of a strategy to reduce the risk of DM such as modification of dietary patterns, physical activity, and blood glucose control. The initial step in the prevention of DM is to get the patient's level of consciousness, namely by getting an overview of knowledge, attitudes and practice in patients with DM type 2especially who received insulin therapy mainly due to the perception related to the use of insulin, as well as knowing its relation to blood glucose control. This research was conducted by observation through structured interviews and the data collection process conducted cross-sectional study in patients with DM type 2 at Rumah Diabetes Ubaya receiving insulin therapy and had data of HbA1c. From the research conducted, the result that picture of the knowledge, attitudes and practice of the patients included in either category with a percentage of 89.47%, 57.89% and 100%. Overall HbA1c blood glucose control is poor (68.42%) with a value of at least 7%. There is no significant relationship between knowledge, attitude and practice towards the levels of HbA1c, but from the values of contingency, the greatest relationship lies in the attitude with HbA1c levels. Keywords: Knowledge, Attitude, Practice, DM type 2 , Insulin.
HUBUNGAN PENGETAHUAN, SIKAP, DAN PERILAKU TERHADAPKETERCAPAIAN TARGET GULA DARAH PASIEN DM TIPE 2 YANGMEMPEROLEH TERAPI ORAL ANTI DIABETES ADE SUNGGING RIZQIAH; Lisa Aditama
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract - Diabetes mellitus type 2 diabetes is where the body is still able to produce insulin but there is resistance to insulin is not effective. The level of knowledge, attitudes and behaviors related to the achievement of diabetes blood sugar levels. The purpose of this study that analyze the relationship between knowledge, attitude and behavior of patients with type 2 diabetes who obtained oral anti-diabetic therapy towards the achievement of the target blood sugar. In a cross sectional study of non experiments using mixed methods with the number of participants as many as 30 people were outpatients at Home Diabetes UBAYA. Analysis of the data in the form of structured interviews to obtain themes and descriptive analysis to show the profile KAP and see the relationships between variables. Profile of knowledge with values that meet the assessment criteria both as much as 63.33% of participants, profile attitude with grades that meet the assessment criteria both as much as 60% of participants, behavioral profiles with grades that meet the assessment criteria both as much as 76.67% of participants with HbA1c above 7. Chi Square test results obtained significant value count greater than 0.05 quantitatively and there is a relationship between variables based on qualitative. The conclusion that the knowledge and attitude is still low.
MONITORING DAN EVALUASI CONTINUITY OF CARE PADA PENDERITA DIABETES MELLITUS TIPE 2 DI KLINIK WILAYAH SURABAYA TIMUR DAN SELATAN YANG MENGGUNAKAN BPJS KESEHATAN Rona Rihadah; Lisa Aditama
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract - Diabetes mellitus is a global health problem. Continuity of care has many benefits for the treatment of diabetic patient. BPJS Kesehatan implemented a tiered system in Indonesia. Health care transition is the one of risk mismatches treatment. This will affect the continuity of care the patient and also impact the quality of health services. Purpose: to determine the level perception and concerns about continuity of care patient diabetes mellitus type 2 in the east and south Surabaya clinics that use BPJS Kesehatan. The variables are the level of continuity if care on the type informational continuity, management continuity and relational continuity. And the problems in the continuity of care related transfer of information, coordination of care, ease of access to each level of care, and the relationship between patients and health professionals. The level of continuity of care can be measured by interview using a questionnaire CCAENA. Conclusion: 25 patients at the clinic in the research results is the level of continuity of care: 84% is very high (informational continuity: 72% is very high, management continuity: 84 % is very high, relational continuity: 92% is very high). Problems often occur there in continuity management is a long queue at hospital. While in clinic has no problems and lack participation of pharmacists in patient care.
PROFIL PENGETAHUAN DAN HAMBATAN TERHADAP INSULIN PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH DIABETES UBAYA I Komang Kurnia Putra S.; Lisa Aditama
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

This study was conducted to determine the level knowledge and berriers of patients with type 2 diabetes to insulin. This study uses non-experimental mixed methods (observational) method and cross sectional data collection technique in patients with type 2 diabetes using insulin, administered by Rumah Diabetes UBAYA. Tools or instruments used in this study are questionnaires and interviews and sampling on this research using purposive sampling method. Total subjects in getting as many as 30 people with the results of research 4 subjects get a total score of > 81% where knowledge of good insulin, 20 subjects get a total percentage score of 60% - 80% where the knowledge of insulin from the subject is normal, and 6 subjects get a percentage total score of <60% which is said knowledge of subject to insulin still less. And the average subject does not barriers about insulin, only a few have barrires of insulin.
HUBUNGAN HEALTH LITERACY DENGAN MASALAH TERKAIT OBAT PASIEN DM TIPE 2 YANG MENDAPATKAN TERAPI INSULIN DI RUMAH DIABETES UBAYA Reza Amrullah; Lisa Aditama
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract - Health literacy is defined as the extent to which individuals have the ability to obtain, process and understand information from health services. Someone with low level of health literacy tends to misunderstand health information, and vice versa. With low understanding in terms of understanding health information, it is possible to cause several problems,which one of them is drug-related problems. Drug-related problems have a notion of the undesirable events experienced by patients relating to drug therapy where it interferes with the achievement of desired therapeutic goals. This study is a quantitative study with a total of 31 subjects, which aims to determine the relationship between health literacy domain with drug-related problem domain. The relationship gained from each of the instrumentsbeing used, obtained a pro-active relationship affect the patient’s compliance. While the result of statistical analysis using Chi-square test with cross tabulation analysis got significant correlation and the results are; patient attitude toward health influence drug therapy is not required, socio-economic consideration influence drug therapy is not required, and also socio-economic consideration influence ineffectively drug therapy.