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THE EFFECT OF HEALTH INSURANCE ON ASTHMA CONTROL IN RESPONDENTS WITH ASTHMA IN YOGYAKARTA, INDONESIA Rita Suhadi; Fenty Fenty; Dita Maria Virginia; Christianus Heru Setiawan
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 15, No 2 (2018)
Publisher : Sanata Dharma University

Asthma is a chronic disease with recurrent breath shortness. Until now, there is no particular therapy to cure the disease and long-term treatment is needed to control the disease. Health insurance has the benefit to support the asthma therapy. This study aimed to assess the effect of health insurance on the asthma control based on Asthma Control Test (ACT) score. The study was done with a cross-sectional design on respondents with asthma who agreed to sign informed consent forms in Yogyakarta. The asthma respondents (n=36) were selected non-randomly, consisting of 23 respondents with health insurance, including universal health coverage or UHC (n=15), UHC and private insurance (n=7), and private insurance only (n=1). The ratio and categorical data were analyzed with the independent T-test or Mann-Whitney test and chi-square statistics, respectively. The study demonstrated that the profiles and number of medicines were similar between groups, except for lower smoking proportion among health insurance groups; the respondents with and without health insurance had the median ACT score at 22 (partial control) and 15 (bad control) respectively, though the scores were not statistically different. Conclusion: the asthma respondents with and without health insurance were not statistically different in the asthma control.

Relationship between Appropriate Antibiotics Used based on 2019 ATS/IDSA Guideline and Clinical Improvement in Inpatient Community Pneumonia Patients Mensiana Ayu Maju; Christianus Heru Setiawan
Media Farmasi: Jurnal Ilmu Farmasi Vol 20, No 2: September 2023
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v20i2.24463

Community pneumonia is a serious infection obtained from the community environment, and one of the causes is bacteria. This infection causes lung inflammation and leads to death if not treated properly. The appropriate of empirical antibiotics can increase the success of therapy and prevent the emergence of bacterial resistance to various kinds of antibiotics. This study aims to assess the appropriateness of empiric antibiotic selection in community pneumonia using the 2019 ATS/IDSA antibiotic guideline and analyze its relationship with the patient's clinical response. This study is a retrospective cohort design type. Medical record data obtained, namely antibiotics and clinical response, were analyzed using the Mann-Whitney statistical test. There were differences in the average clinical improvement, including body temperature, heart rate, and respiratory rate, in the group of community pneumonia patients who used empiric antibiotics according to the guideline and those who did not follow the guidelines 2019 (P<0.05). According to the result, empiric antibiotics based on the 2019 ATS/IDSA guideline can increase therapy outcomes in inpatient community pneumonia patients.

The impact of medication adherence on health outcomes for patients with metabolic syndrome Setiawan, Christianus Heru; Virginia, Dita Maria; Pinaryanto, Kartono; Sari, Lisa Kurnia; Hendra, Phebe
JURNAL ILMU KEFARMASIAN INDONESIA Vol 22 No 1 (2024): JIFI
Publisher : Faculty of Pharmacy, Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35814/jifi.v22i1.1378

Cardiovascular disease is a non-communicable disease that is often associated with metabolic syndrome (MetS). MetS is a group of abnormal conditions that include hypertension, obesity, and diabetes. Patients with MetS often require multiple drugs to achieve therapeutic targets, but poor medication adherence can lead to complications. Poor medication adherence can worsen the disease and increase hospitalizations. The purpose of this study was to investigate whether medication adherence affects metabolic syndrome outcomes. This study was conducted using a cross-sectional design and purposive sampling. Our respondents were focused on patients with hypertension, diabetes mellitus, or dyslipidemia. Patients' adherence was measured using a self-made questionnaire. The study obtained data on the patient's lipid profile, HbA1c, and blood pressure (hypertension, diabetes, or dyslipidemia). The study used Spearman analysis to investigate adherence scores to lipid profile levels, HbA1c, and blood pressure. Therapeutic coverage was analyzed using a T-test. Confounding variables, such as age, HbA1c level, and blood pressure, were considered when analyzing the correlation between adherence scores and lipid profiles. The majority of patients were women or elderly, and more than 90% reported that their therapeutic needs were met. Total cholesterol and LDL-c significantly negatively correlated with adherence for patients' factor category, therapeutic regimen factor, and overall factor (p<.05). Triglyceride levels correlated significantly with adherence only to category interaction factors between patients and family/health workers. Regression analysis shows that all correlations are negative to total cholesterol, LDL, HDL, and triglyceride levels (p<.05).

Relationship between Appropriate Antibiotics Used based on 2019 ATS/IDSA Guideline and Clinical Improvement in Inpatient Community Pneumonia Patients Maju, Mensiana Ayu; Setiawan, Christianus Heru
Media Farmasi: Jurnal Ilmu Farmasi Vol. 20 No. 2: September 2023
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v20i2.24463

Community pneumonia is a serious infection obtained from the community environment, and one of the causes is bacteria. This infection causes lung inflammation and leads to death if not treated properly. The appropriate of empirical antibiotics can increase the success of therapy and prevent the emergence of bacterial resistance to various kinds of antibiotics. This study aims to assess the appropriateness of empiric antibiotic selection in community pneumonia using the 2019 ATS/IDSA antibiotic guideline and analyze its relationship with the patient's clinical response. This study is a retrospective cohort design type. Medical record data obtained, namely antibiotics and clinical response, were analyzed using the Mann-Whitney statistical test. There were differences in the average clinical improvement, including body temperature, heart rate, and respiratory rate, in the group of community pneumonia patients who used empiric antibiotics according to the guideline and those who did not follow the guidelines 2019 (P<0.05). According to the result, empiric antibiotics based on the 2019 ATS/IDSA guideline can increase therapy outcomes in inpatient community pneumonia patients.

Relationship Between Menstruation and Nutritional Status to Anemia in Female High School Students in Mentawai Islands, 2018 Dewi, Elizabeth Ameilia; Setiawan, Christianus Heru; Kurniadi, Angela; Tanumihardja, Tommy Nugroho
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 2 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.008646

Anemia is a significant health concern, especially among adolescent females in Indonesia. Menstruation and poor nutrition are major contributors to anemia, since menstruation leads to red blood cell loss and poor nutrition hinders production. This study examines the relationship between menstrual characteristics, nutritional status, and anemia among high school female students in Muara Siberut Village, Mentawai Islands. This cross-sectional observational study involved 97 female high school students. We assessed nutritional status using BMI percentiles and categorized menstrual characteristics according to standard gynecological classifications. Anemia was diagnosed via hemoglobin measurements using a digital hemoglobinometer. Statistical analyses (p0.05) with odds ratio (OR) and 95% confidence interval (CI) utilized Chi-square or Fisher’s exact tests to explore associations between menstrual characteristics, nutritional status, and anemia. No significant correlation was observed between nutritional status and anemia (p=0.394). Conversely, a significant correlation was found between the menstrual cycle and anemia (p=0.023) as well as between menstrual length and anemia (p=0.017). Furthermore, a subgroup analysis revealed individuals with a normal menstrual cycle were at a higher risk of experiencing anemia compared to those with oligomenorrhea (OR=4, 95%CI=0.988–16.199). Additionally, the results indicated that individuals with normal menstrual length were at a higher risk of experiencing anemia compared to those with hypomenorrhea (OR=4.624, 95%CI=1.174–18.202). This study provides valuable insights into the predictors of anemia among female adolescents, emphasizing the need for targeted health education and interventions.

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