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The COVID-19: PENGARUH PROMOSI KESEHATAN PADA SWAMEDIKASI MENGGUNAKAN VITAMIN DI ERA PANDEMI COVID-19 DENGAN METODE CARA BELAJAR INSAN AKTIF ( CBIA ) Endah Sri Lestari; Titien Siwi Hartayu; Nunung Priyatni
JURNAL FARMASI DAN KESEHATAN INDONESIA Vol. 2 No. 2 (2022): Jurnal Farmasi dan Kesehatan Indonesia
Publisher : Universitas Kristen Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61179/jfki.v2i2.359

Abstract

The COVID-19 pandemic, which was set at the beginning of 2020, requires people to make changes related to their daily lifestyle habits. Starting from limiting themselves to interact or social distancing, using masks when outside the house, and washing hands frequently. Apart from maintaining social distance, people must also maintain their immune system to avoid Covid-19. This is usually done by taking a variety of vitamins and supplements. This study aims to increase the knowledge, attitudes and actions of PKK mothers in the Panggungharjo Village, Sewon District in using vitamins during the Covid-19 pandemic. This study uses a quantitative method with a quasi-experimental design with a pretest-posttest design with a control group. The research instrument used a booklet and a questionnaire. The normality test using the Kolmogorov-Smirnov method showed that the knowledge variable was not normal. Homogeneity test using Levene's method. The data of the intervention and control groups showed that all data were homogeneous P > 0.05. The statistical test was continued with the Wilcoxon method which showed that there was a significant change in the knowledge variable pretest - posttest I in the intervention group p = 0.00 < 0.05 so that Ho was rejected. Knowledge of pretest - posttest III in the control group obtained p = 0.036 > 0.05 so that Ho is accepted. In the attitude variable, the results obtained were Ho was accepted in the intervention group, P value = 0.506 and Ho was rejected in the control group with P value = 0.042. The action variable showed a significant change where Ho was rejected in the intervention group with a P value of 0.000 and the control group with a P value of 0.051. Thus the CBIA method is effective in increasing knowledge and action on the use of vitamins in the Covid-19 era.
Success Factors in Improving Patients’ Adherence to Tuberculosis Treatment Program: Case Study in Sleman, Yogyakarta, Indonesia Mario Yedi Mau; Titien Siwi Hartayu
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 20, No 2 (2023)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.005770

Abstract

Improving patients’ adherence to treatment programs is important for the success of tuberculosis (TB) treatment. The study aims to identify the underlying factors of TB treatment program success. A qualitative approach, i.e., an in-depth interview, and the purposive sampling method in selecting respondents were used to conduct this study. There are 15 persons involved, i.e., 3 persons each: pharmacists as providers, TB programmers, medicines supervisor (MS), TB cadres as supporters, and recovered TB patients as actors (17 years old and over). The data obtained were analyzed using the triangulation method (providers, actors, and supporters). The results of the study show that the family's role is very important in MS by taking medicines from primary health care and giving medicines on time. TB counselors play a role in monitoring the treatment program and making occasional home visits to motivate patients to recover. TB  programmers and pharmacists play a role in providing patients’ education and MS, as well as monitoring medication-taking schedules and medical check-ups. Patients play a role in motivating themselves to get back to work soon. In conclusion, the underlying factors in TB treatment program success are the discipline of providers, supervisors, supporters, and patients’ motivation.
Pemanfaatan Pengolahan Big Data secara Analisis Korespondensi Berganda dalam Pemetaan Profil Penggunaan Antibiotika pada Masyarakat Desa Beradolu, Kecamatan Loli, Kabupaten Sumba Barat, Nusa Tenggara Timur Bili, Juita Putrinda; Hartayu, Titien Siwi; Riswanto, Florentinus Dika Octa
Majalah Farmaseutik Vol 19, No 3 (2023)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v19i3.84961

Abstract

Analisis korespondensi berganda (AKB) merupakan suatu teknik yang digunakan untuk menganalisis data secara statistika melalui pengubahan variabel ke dalam bentuk yang lebih sederhana dengan dukungan visualisasi untuk mempermudah proses yang diperlukan. Penelitian ini bertujuan untuk mengaplikasikan metode AKB dalam evaluasi profil penggunaan antibiotika pada masyarakat dengan menggunakan kuesioner yang diberikan secara daring melalui media sosial (Whatsapp/ Facebook/Instagram).Jenis penelitian ini termasuk deskriptif analitik dengan desain cross sectional. Responden yang terlibat dalam penelitian ini sebanyak 96 orang dengan 10 variabel penelitian meliputi lima jenis antibiotik dan lima jenis penyakit/gejala yang dialami pasien. Data yang diperoleh kemudian dicatat dan diolah menggunakan AKB untuk menghasilkan pemetaan profil penggunaan antibiotika.Hasil penelitian yang diperoleh yaitu dari antara lima antibiotika, amoxicillin merupakan yang paling banyak digunakan. Antibiotika yang paling jarang digunakan adalah chloramphenicol. Pemetaan profil penggunaan antibiotika telah berhasil dilakukan untuk analisis data individual, variabel, korelasi, evaluasi visual, serta ditunjang dengan data deskripsi dimensi.
IMPLEMENTASI EDUKASI TERHADAP PERILAKU MEROKOK SISWA-SISWI DI SMK YPKK 1 SLEMAN Setyono, Deddy; Hartayu, Titien Siwi
Cendekia Journal of Pharmacy Vol 9, No 1 (2025): Cendekia Journal of Pharmacy
Publisher : Institut Teknologi Kesehatan Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/cjp.v9i1.303

Abstract

 Sekolah merupakan salah satu tempat yang ditetapkan sebagai Kawasan Tanpa Rokok (KTR), sesuai Peraturan Bupati Sleman No. 42/2012. Oleh sebab itu penelitian ini ditujukan untuk menurunkan jumlah perokok di kalangan siswa-siswi SMK YPKK 1 Sleman melalui penyuluhan mengenai bahaya merokok. Penelitian ini menggunakan metode observasional dengan pendekatan kualitatif yaitu melalui pengawasan dan wawancara mendalam (in depth interview), kepada siswa-siswi SMK YPKK 1 Sleman. Instrumen penelitian yang digunakan adalah materi penyuluhan dan panduan wawancara mendalam yang dibuat berdasarkan kerangka teori COM-B (Capability, Opportunity, Motivation, Behavior) dan divalidasi oleh 3 Orang experts di bidang kesehatan dan pendidikan. Hasil wawancara dianalisis menggunakan metode enumerative untuk mendapatkan kesimpulan dari alasan/motivasi merokok pada para siswa, yang dapat dimanfaatkan sebagai dasar perbaikan edukasi/upaya penurunan perokok di kalangan siswa pada khususnya dan remaja pada umumnya. Jumlah siswa-siswi SMK YPKK 1 Sleman yang merokok sebelum edukasi sejumlah 53 siswa-siswi dan sesudah dilakukan edukasi menjadi 36 siswa-siswi atau sebesar 32%. Setelah dilakukan uji McNemar menggunakan SPSS ver 23 di peroleh p-value 0.000. Hasil menunjukkan perbedaan yang signifikan jika p-value0.05, sehingga dapat disimpulkan bahwa ada penurunan yang signifikan dalam jumlah perokok setelah dilakukan edukasi. Alasan/motivasi siswa-siswi untuk berhenti merokok karena menjaga kesehatan sebanyak 70%, harga rokok mahal 20% dan karena mendapatkan peringatan orang tua sebanyak 10%. Kendala yang di hadapi siswa-siswi untuk berhenti merokok karena pengaruh lingkungan/teman sebanyak 66,67% dan karena stres/masalah keluarga sebanyak 33,33%. Berdasarkan hasil penelitian yang didapat, disimpulkan bahwa edukasi yang diberikan memiliki efek positif yang signifikan dalam mengurangi jumlah perokok di kalangan siswa-siswi SMK YPKK 1 Sleman sehingga perlu adanya edukasi bahaya merokok secara berkelanjutan dan adanya program pendampingan yang nyata terhadap siswa/siswi dari guru, bekerjasama dengan orangtua murid agar bisa berhenti merokok.
Evaluation of Antibiotics Used in Pediatric Outpatients with Acute Respiratory Infection at a Private Hospital in Yogyakarta Kurniasari, Margaretha Wulan; Hartayu, Titien Siwi
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 21, No 2 (2024)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.007707

Abstract

Ensuring patient safety and optimal health outcomes in the healthcare system requires appropriate and rational use of medicines. One of the prescription issues noted in the pediatric clinic at a private hospital is the high use of antibiotics for acute respiratory infections. This study aimed to improve antibiotics used in outpatient pediatric clinic. This study was a descriptive analysis with a cross-sectional study design, combining quantitative and qualitative methods. The population was all prescriptions in January - March 2023. By using a purposive sampling method, there were 340 prescriptions obtained. The instruments of the study were data collection sheets and in-depth interview guidelines. Data were analyzed using the triangulation method. The antibiotic prescription rate was 64% (n=340). There were patients with Azithromycin and Erythromycin who received antibiotics below the dosing recommendations. Observation of patients’ treatment process showed that prescribers did not always suggest the laboratory examinations. Based on in-depth interviews of prescribers, they prescribed antibiotics based on the patient’s clinical examination. Based on in-depth interviews with the hospital managers, there was a tendency to choose a strategy which was a combination of educational and managerial strategies. The strategies to improve the quality of the antibiotics used include conducting training programs for the prescribers and developing standard treatment guidelines.
Routine Stock Opname in Enhancing Service of Halodoc's Order and Increasing Transactions Megantara, I Nyoman Arya Purnata; Hartayu, Titien Siwi
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 1 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.008323

Abstract

In partnering with the e-commerce platform Halodoc, one of the challenges encountered is unfulfilled orders due to discrepancies between the system's stock and conventional stock. Therefore, the researcher aims to determine whether maintaining drug availability through routine stock opname in an online (e-commerce) setting can also enhance service quality. This study is quasi-experimental research conducted at Manut Farma Pharmacy from July to September 2023. The research involves daily routine stock opname of 312 registered drug items on the Halodoc application. These 312 drug items met the inclusion criteria, which were "Drugs included in the list of drugs available in the pharmacy and registered in the Halodoc program," and the exclusion criterion of "Physical stock of drugs having an expiration date of not less than 6 months." The research findings indicate that almost all incoming Halodoc orders can be served effectively (86%), which represents a significant increase of 19% (A sig. 0.003; p=0.05) compared to the previous three months (67%). The product is one of the key aspects of marketing, and by maintaining up-to-date stock conditions, it directly affects the fulfillment of incoming drug orders by enhancing the serving process. Routine stock opname can help improve the service of Halodoc orders, Although the number of incoming orders for Halodoc transactions is still relatively low, on the other hand, routine stock checks have also contributed to a 10% increase in conventional transactions.
Deconstructing Self-Medication: The Dominance of Attitude and Social Norms over Perceived Control in Non-Prescription Amoxicillin Use Maria Regina Lusiana Kya; Titien Siwi Hartayu
Community Medicine and Education Journal Vol. 6 No. 2 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i2.778

Abstract

The global escalation of antimicrobial resistance (AMR) is profoundly exacerbated by the irrational self-medication of antibiotics. This study was conducted in the Ende Tengah District, a community within an Indonesian province where non-prescription antibiotic acquisition is highly prevalent. The primary objective was to deconstruct the psychosocial determinants of the intention to self-medicate with amoxicillin, framing the analysis within the context of a recent regulatory change designed to limit antibiotic access. A quantitative, cross-sectional study was undertaken between April and May 2025. Using a purposive sampling strategy, 109 community members aged 18-60 who had used amoxicillin without a prescription were recruited from public-access areas. Data were gathered using a structured, pilot-tested questionnaire based on the Theory of Planned Behavior (TPB), which demonstrated good internal consistency (Cronbach’s α: 0.78-0.85). The instrument measured attitude, subjective norms, perceived behavioral control (PBC), and behavioral intention. Multiple linear regression was used for the primary analysis after all statistical assumptions were confirmed. The regression model was statistically significant (F(3, 105) = 21.267, p < .001) and accounted for 37.8% of the variance in self-medication intention (R² = 0.378). Attitude emerged as the most powerful predictor of intention (β = 0.341, p = .001), followed by subjective norms (β = 0.276, p = .015). Strikingly, perceived behavioral control, the construct most related to access, was not a significant predictor of intention (β = 0.081, p = .459). In conclusion, among the study participants, the intention to self-medicate with amoxicillin is overwhelmingly a psychosocial phenomenon, driven by favorable personal attitudes and deeply ingrained social norms rather than by perceptions of access. This suggests that top-down regulatory policies focused solely on restricting antibiotic supply may be insufficient without parallel, community-focused strategies designed to reshape the beliefs and behaviors that sustain demand.
The Role Of CBIA-Based Parent Education In Improving Antimalarial Drug Adherence Among Toddlers In Mimika District Padallingan, Jenni; Hartayu, Titien Siwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6794

Abstract

Malaria remains a significant health challenge in Indonesia, particularly in Mimika District, Central Papua, where high recurrence rates in toddlers are linked to poor adherence to antimalarial drug use. This study aimed to assess whether an educational intervention using the CBIA method could improve parents' knowledge, attitudes, and actions, thereby increasing drug adherence. This quasi-experimental, time-series study involved 62 parents of toddlers with tertian malaria at the Timika Health Center. Participants were divided into an intervention group (30 parents), which received CBIA-based education, and a control group (32 parents). Researchers collected data on parental knowledge, attitudes, and actions at five different time points (pre-education, immediately post-education, 14 days, 2 months, and 3 months post-education) using questionnaires. Drug adherence was measured at two time points (pre-education and 14 days post-education). Statistical analysis involved Wilcoxon and paired t-tests. The CBIA intervention significantly improved antimalarial drug adherence. Post-intervention, parental knowledge surged from 26.7% to 100%, attitudes improved from 3.3% to 73.3%, actions increased from 26.7% to 66.7%, and adherence rose from 46.67% to 73.33%. Statistical tests confirmed significant differences (p 0.01) in knowledge, attitudes, and actions before and after the intervention. The study concludes that the CBIA method is effective in enhancing parents' knowledge, attitudes, and actions, leading to better adherence to antimalarial drug use for toddlers at the Timika Health Center. This approach shows promise for broader implementation in community empowerment programs to boost the success of malaria therapy in children under five.
Patient Cognition Over Social Context: A Theory of Planned Behavior Analysis Reveals Attitude as the Dominant Predictor of Primaquine Adherence Intention for Plasmodium vivax Radical Cure in Hyperendemic Papua, Indonesia Dewi Wijayanti; Titien Siwi Hartayu
Community Medicine and Education Journal Vol. 6 No. 2 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i2.803

Abstract

Relapsing Plasmodium vivax malaria remains a major obstacle to malaria elimination, with its treatment critically dependent on patient adherence to a 14-day primaquine regimen for radical cure. In hyperendemic regions like Papua, Indonesia, non-adherence is a primary cause of treatment failure. This study applied the Theory of Planned Behavior (TPB) to identify the key psychosocial determinants of adherence intention in this population to inform targeted public health interventions. A descriptive analytical study with a cross-sectional design was conducted in the East Sentani District of Papua, Indonesia, from February to April 2024. A total of 100 adult patients diagnosed with P. vivax malaria were recruited via consecutive sampling. A culturally adapted, validated questionnaire was used to measure the TPB constructs: attitude, subjective norms, and perceived behavioral control (PBC), alongside behavioral intention. Initial data analysis revealed quasi-complete separation, necessitating the use of a penalized logistic regression model (Firth's method) to generate stable and reliable estimates of association. The penalized logistic regression model was statistically significant and explained a considerable portion of the variance in adherence intention (Nagelkerke R² = 0.482). After controlling for other variables, a patient's personal attitude toward the treatment was the only significant predictor of their intention to complete the primaquine regimen. A more positive attitude was strongly associated with a higher intention to adhere (Odds Ratio [OR] = 5.21, 95% Confidence Interval [CI]: 2.15 - 12.67; p < 0.001). In contrast, neither subjective norms (OR = 1.12, 95% CI: 0.88 - 1.43; p = 0.354) nor perceived behavioral control (OR = 1.35, 95% CI: 0.91 - 2.01; p = 0.138) demonstrated a significant independent influence on behavioral intention. In conclusion, patient attitude—the individual's cognitive and affective evaluation of the treatment—is the primary driver of the intention to adhere to the 14-day primaquine regimen in this Papuan cohort. While social context and perceived barriers should not be disregarded, these findings strongly suggest that public health strategies must prioritize patient-centered educational interventions that cultivate a deep understanding of the biological necessity of radical cure to foster positive, resilient attitudes towards treatment completion.
Analisis Penerapan Pelayanan Farmasi Klinis Berdasarkan Peraturan Menteri Kesehatan Nomor 73 Tahun 2016 di Apotek Kapanewon Minggir, Sleman, Yogyakarta Gavrilayanti, Veronika Livia; Titien Siwi Hartayu
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 10 (2025): : JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i10.4939

Abstract

Pelayanan farmasi klinis di apotek merupakan aspek penting untuk menjamin mutu, keamanan, dan efektivitas penggunaan obat. Penelitian ini bertujuan menganalisis penerapan Peraturan Menteri Kesehatan (PMK) Nomor 73 Tahun 2016 tentang Standar Pelayanan Kefarmasian di apotek wilayah Kapanewon Minggir, Sleman, Yogyakarta. Metode yang digunakan adalah deskriptif analitik dengan pendekatan mixed method melalui observasi dokumen, observasi pelaksanaan, dan wawancara mendalam. Hasil penelitian menunjukkan bahwa aspek pengkajian resep (86–91%) dan dispensing (86–93%) sudah terlaksana dengan baik, sedangkan pelayanan informasi obat (28,5%) dan konseling (50–100%) belum terlaksana secara menyeluruh dan konsisten antar apotek. Sementara itu, layanan home pharmacy care, pemantauan terapi obat, dan monitoring efek samping obat belum terlaksana sama sekali (0%). Hambatan utama yang diidentifikasi meliputi keterbatasan jumlah apoteker, beban kerja yang tinggi, kurangnya dokumentasi, serta minimnya kesadaran dan dukungan sistem. Simpulan penelitian ini menegaskan bahwa penerapan pelayanan farmasi klinis di apotek Kapanewon Minggir belum optimal dan masih jauh dari standar PMK 73/2016, sehingga diperlukan penguatan kapasitas apoteker, penambahan tenaga, serta sistem pendukung agar kualitas layanan farmasi klinis dapat ditingkatkan.