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Tingkat Kepuasan Pasien Terhadap Pelayanan Kefarmasian di Apotek Kabupaten Rembang Utami, Sally Astya; Cholisoh, Zakky
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 2 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i2.5990

Government regulations regulate pharmaceutical care standards at pharmacies to ensure the quality of pharmaceutical care to patient. The impact of not implementing a good pharmaceutical service activity is that medication errors can occur in the pharmaceutical service process. The study aimed to determine if there is any correlation between customer satisfaction and the application of the standards of pharmaceutical care in Rembang. This is a cross sectional survey research with purposive sampling technique. Data was obtained by distributing questionnaires filled by community pharmacists and patients attending community pharmacies. The study was conducted at 4 (four) community pharmacies in Rembang. Data were analyzed using Pearson correlation. Questionnaires were filled by 4 pharmacists’ measuring aspects of facilities, infrastructure and services. The level of satisfaction of 94 community pharmacies’ patients were measured in 5 dimensions i.e. reliability, assurance, tangibles, empathy and responsiveness. The quality of pharmaceutical care scoring and patients’ satisfaction showed no relationship p (95%; 2 tailed) = 0.503.

Evaluation of the Use of Antibiotics in Chronic Renal Failure Patients in RSUP Dr. Soeradji Tirtonegoro Klaten Period 2014 Pradina, Gita Ayu; Cholisoh, Zakky
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 1 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i1.542

Antibiotics are one of the most widely used drugs in curing various kinds of infectious diseases. The use ofantibiotics, especially in chronic renal failure, need to be considered because it can cause nephrotoxicityin kidneys. The purpose of this study was to evaluate the rational use of antibiotics in RSUP Dr. SoeradjiTirtonegoro in cases of chronic renal failure in 2014. The evaluation includes the right indication, theright drug, right patient, and proper dosage. This research is conducted in a manner that is based on aretrospective medical record belongs to chronic renal failure patients on inpatient RSUP Dr. TirtonegoroKlaten 2014. The search results obtained from medical records and evaluation results indicated the useof appropriate antibiotics as many as 20 cases (55.56%), patients with chronic renal failure who meet theappropriate criteria are 39 cases (97.7%), use of the right type of antibiotics drugs there were 13 cases(29,5%), and to use appropriate antibiotics doses were 21 cases (47.7%). Discharge status of patientswith a total of 36 cases (100%) with result of the patient’s health improved. From the result of arithmeticleukocytes figure, there are 33 cases ( 91.67 % ) with leukocytes count back to normal.

PENGGUNAAN OBAT OFF-LABEL DAN UNLICENSED PADA BAYI DAN NEONATUS DI BANGSAL ANAK Cholisoh, Zakky; Rohmah, Siti Alfiatur
Pharmacon: Jurnal Farmasi Indonesia Vol 17, No 1 (2020)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v17i1.10828

The prescription of medications outside the listed marketing authorizations (MA) is considered off-label. This practice is still frequently occurs in clinical practice. One of the reasons is because the lack of clinical trials and research in babies and neonates. This study was conducted to evaluate the off-label and unlicensed medications, their level of use and further describe the level of evidence of the commonly prescribed off-label and unlicensed medication in this population. Medications prescription and administration to hospitalised babies and neonates were recorded. Medication record data in a year were collected. Medication- licensing status of all drugs administered was determined according to marketing authorization information from monograph. The data then were categorised as off-label and unlicensed if the indication, dosage regimens, age category, and route of administration were not listed in the market authorization of the products. Furthermore the administrations of the most commonly used off-label medications were reviewed based on published journal articles to determine their level of evidence. Total medications administered during a year were 2,576 which were obtained from 139 patients. Of all, 15.25% (339) and 2.69% (69) medications administered were categorised as off-label and unlicensed respectively. Off-label of dosage regimens and route of administration were not identified, but 1.63% (42) medications were used for indications that were not listed in the (MA), and 13,63% (351) were prescribed out of age category of the listed marketing authorization. Off-label drug that often prescribed are salbutamol which had no evidence to support its use; valproic acid which had high level of evidence against its use on baby and neonates; and ondancetron which had high level of evidence to be used outside its marketing authorization.

Penggunaan Obat Off-Label dan Unlicensed pada Bayi dan Neonatus di Bangsal Anak Zakky Cholisoh; Siti Alfiatur Rohmah
Pharmacon: Jurnal Farmasi Indonesia Vol 17, No 1 (2020)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v17i1.10828

The prescription of medications outside the listed marketing authorizations (MA) is considered off-label. This practice is still frequently occurs in clinical practice. One of the reasons is because the lack of clinical trials and research in babies and neonates. This study was conducted to evaluate the off-label and unlicensed medications, their level of use and further describe the level of evidence of the commonly prescribed off-label and unlicensed medication in this population. Medications prescription and administration to hospitalised babies and neonates were recorded. Medication record data in a year were collected. Medication- licensing status of all drugs administered was determined according to marketing authorization information from monograph. The data then were categorised as off-label and unlicensed if the indication, dosage regimens, age category, and route of administration were not listed in the market authorization of the products. Furthermore the administrations of the most commonly used off-label medications were reviewed based on published journal articles to determine their level of evidence. Total medications administered during a year were 2,576 which were obtained from 139 patients. Of all, 15.25% (339) and 2.69% (69) medications administered were categorised as off-label and unlicensed respectively. Off-label of dosage regimens and route of administration were not identified, but 1.63% (42) medications were used for indications that were not listed in the (MA), and 13,63% (351) were prescribed out of age category of the listed marketing authorization. Off-label drug that often prescribed are salbutamol which had no evidence to support its use; valproic acid which had high level of evidence against its use on baby and neonates; and ondancetron which had high level of evidence to be used outside its marketing authorization.

Evaluation of the Use of Antibiotics in Chronic Renal Failure Patients in RSUP Dr. Soeradji Tirtonegoro Klaten Period 2014 Gita Ayu Pradina; Zakky Cholisoh
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 1 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i1.542

Antibiotics are one of the most widely used drugs in curing various kinds of infectious diseases. The use ofantibiotics, especially in chronic renal failure, need to be considered because it can cause nephrotoxicityin kidneys. The purpose of this study was to evaluate the rational use of antibiotics in RSUP Dr. SoeradjiTirtonegoro in cases of chronic renal failure in 2014. The evaluation includes the right indication, theright drug, right patient, and proper dosage. This research is conducted in a manner that is based on aretrospective medical record belongs to chronic renal failure patients on inpatient RSUP Dr. TirtonegoroKlaten 2014. The search results obtained from medical records and evaluation results indicated the useof appropriate antibiotics as many as 20 cases (55.56%), patients with chronic renal failure who meet theappropriate criteria are 39 cases (97.7%), use of the right type of antibiotics drugs there were 13 cases(29,5%), and to use appropriate antibiotics doses were 21 cases (47.7%). Discharge status of patientswith a total of 36 cases (100%) with result of the patient’s health improved. From the result of arithmeticleukocytes figure, there are 33 cases ( 91.67 % ) with leukocytes count back to normal.

Tingkat Kepuasan Pasien Terhadap Pelayanan Kefarmasian di Apotek Kabupaten Rembang Sally Astya Utami; Zakky Cholisoh
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 2 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i2.5990

Government regulations regulate pharmaceutical care standards at pharmacies to ensure the quality of pharmaceutical care to patient. The impact of not implementing a good pharmaceutical service activity is that medication errors can occur in the pharmaceutical service process. The study aimed to determine if there is any correlation between customer satisfaction and the application of the standards of pharmaceutical care in Rembang. This is a cross sectional survey research with purposive sampling technique. Data was obtained by distributing questionnaires filled by community pharmacists and patients attending community pharmacies. The study was conducted at 4 (four) community pharmacies in Rembang. Data were analyzed using Pearson correlation. Questionnaires were filled by 4 pharmacists’ measuring aspects of facilities, infrastructure and services. The level of satisfaction of 94 community pharmacies’ patients were measured in 5 dimensions i.e. reliability, assurance, tangibles, empathy and responsiveness. The quality of pharmaceutical care scoring and patients’ satisfaction showed no relationship p (95%; 2 tailed) = 0.503.

Factors Affecting Non-Adherence to Secondary Stroke Prevention Therapy in Ischemic Stroke Patients Zakky Cholisoh; Hidayah Karuniawati; Tanti Azizah; Zaenab Zaenab; Laila Nur Hekmah
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.34434

Stroke is cardiovascular disease that causes the world's highest disability and is the most prevalence disease after heart disease and cancer. Stroke is caused by circulatory disorders with 80% of the sufferers are diagnosed with ischemic stroke and 20% of them are diagnosed with hemorrhagic stroke. Patients who survive from the first stroke have high risk to have recurrent stroke. American Heart Association/American Stroke Association and Perhimpunan Dokter Spesialis Syaraf Indonesia recommend secondary stroke prevention therapy including antiplatelet/anticoagulant, antihypertensive agents, and antidislipidemia to minimalize the risk of recurrent stroke. Secondary stroke prevention therapy is only the first step. Patients need to be adhere to those therapies. The non-adherence will increase the risk of recurrent stroke. The study aimed to determine factors which causing the non-adherence to secondary prevention therapy in patients with ischemic stroke. This was a case control study with concecutive sampling method by interviewing patients who met the inclusion criterias i.e., had been diagnosed and were inpatients due to ischemic stroke, but in the time of interview patients were outpatients, patients were able to communicate and agree to participate in the study.Data was analized by bivariate / chi square test and multivariate logistic regression test. During the study period, 184 respondents met the inclusion criterias. Factors affecting non-adherence in the use of secondary prevention therapy were No one reminded to take medicine p = 0.03; OR 4.51, denial of the disease p = 0,036 OR 214, and tired of taking medicine p = 0,045 OR 1,97.

Sosialisasi Pemanfaatan Tanaman Obat Keluarga untuk Pencegahan Paparan Covid-19 di Desa Cabeyan, Sukoharjo, Jawa Tengah Luluk Ria Rakhma; Zakky Cholisoh; Setyo Nurwaini; Dedi Hanwar; Erindyah Retno Wikantyasning; Ika Trisharyanti; Rima Munawaroh; Ambar Yunita; Refsya Azanti; Endang Setyaningsih
I-Com: Indonesian Community Journal Vol 2 No 2 (2022): I-Com: Indonesian Community Journal (Agustus 2022)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Peningkatan imun tubuh merupakan salah satu himbauan pemerintah untuk pencegahan penyakit semenjak terjadi pandemi virus Covid-19 yang sampai saat ini belum ditemukan obatnya. Tujuan dari kegiatan pengabdian kepada masyarakat ini adalah melakukan sosialisasi pemanfaatan tanaman obat keluarga/empon-empon untuk pencegahan paparan Covid-19 di Desa Cabeyan, Bendosari, Sukoharjo dimana pemahaman warga terkait pencegahan penyakit masih kurang serta belum pernah ada edukasi kepada masyarakat terkait upaya untuk meningkatkan imunitas. Tahapan yang digunakan dalam kegiatan ini antara lain penetapan lokasi sasaran, peninjauan dan observasi lokasi sasaran, perencanaan rancangan dan materi, pengorganisiasian perijinan kegiatan, apersepsi kegiatan, pelaksanaan kegiatan, pelaporan, evaluasi dan tindak lanjut. Penyampaian materi pemanfaatan tanaman obat keluarga menggunakan metode penyuluhan yang meliputi ceramah dan diskusi. Evaluasi menggunakan penilaian kuesioner pre dan post tes yang menunjukkan bahwa terdapat peningkatan pengetahuan pada semua peserta mengenai materi manfaat obat tradisional, pengolahan bahan alam menjadi obat dan penggunaan bahan alam dengan aman.

Kualitas Penulisan Resep untuk Pasien Pediatri di Rumah Sakit Surakarta Zakky Cholisoh; Adelina Damayanti; Dwi Novita Sari
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.411 KB)

Resep adalah proses transaksi dalam terapi yang penting antara dokter, apoteker, dan pasien. Resep yang berkualitas baik adalah faktor yang penting untuk meminimalkan kesalahan dalam pelayanan obat sehingga resep yang baik harus sesuai dengan pedoman penulisan resep untuk menjamin efektifitas dan keamanan pengobatan. Penelitian ini dilakukan untuk menganalisis kualitas penulisan resep untuk pasien anak di instalasi rawat jalan rumah sakit di Surakarta. Penelitian ini merupakan penelitian deskriptif cross-sectional yang dilakukan di dua rumah sakit. Sebanyak 368 resep untuk pasien pediatrik yang dikumpulkan di bulan Februari 2017 dari instalasi rawat jalan di rumah sakit dianalisis. Ketidaklengkapan penulisan berat badan (33,15%), usia (2,98%) dan jenis kelamin pasien (7,34%) teridentifikasi, padahal informasi tersebut merupakan hal tentang pasien yang penting untuk diketahui. Sebanyak 110 (29,89%) resep juga tidak mempunyai informasi kekuatan konsentrasi obat dalam sediaan. Dua ratus lima puluh tujuh resep (69,83%) tidak mencantumkan data nomer surat ijin praktek dokter dan 33 (8,97%) resep tidak mempunyai paraf dokter. Kualitas peresepan di instalasi rawat jalan masih belum memuaskan karena kurangnya informasi yang penting untuk sebuah resep yang berkualitas. Untuk meningkatkan kualitas dalam penulisan resep, kami menyarankan agar rumah sakit menyediakan formulir resep standar yang berisi informasi yang diperlukan untuk mengidentifikasi data pasien dan dokter.

Pengaruh Pemberian Edukasi oleh Apoteker terhadap Peningkatan Pengetahuan Masyarakat tentang Penatalaksanaan Nyeri pada Geriatri Zakky Cholisoh; Rizki Nur Azmi; Irhamadi Malik
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.834 KB)

Usia geriatri akan merubah kondisi fisik dan profil farmakokinetik farmakodinamik. Meningkatnya sarana kesehatan (klinik dan apotek) yang terdapat di Kabupaten Sukoharjo berdampak pada penggunaan obat masyarakat yang secara bebas melakukan upaya untuk memelihara dan meningkatkan kesehatan sendiri (swamedikasi). Swamedikasi tanpa dasar pengetahuan yang tepat dapat meningkatkan kemungkinan terjadinya medication error. Intervensi edukasi obat oleh Apotekerterbukti dapat menurunkn angka kejadian medication error. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh sesi edukasi oleh apoteker terhadap pengetahuan masyarakat Dusun Karangtengah Ngadirejo Kartasura Sukoharjo tentang penatalaksanaan nyeri pada penyakit otot dan tulang dengan obat dan tanpa obat serta bagaimana cara memilih obat penghilang rasa nyeri yang aman. Penelitian dilakukan dengan cara memberikan intervensi edukasi kepada respoden. Evaluasi tertulis dengan memberikan kuesioner dilakukan sebelum dan sesudah intervensi. Kuesioner berisi pertanyaan tertutup tentang penyebab gout, rematik, dan osteoarthritis, perbedaan antara ketiganya; serta penatalaksanaan nyeri karena penyakit otot dan tulang. Analisis data dilakukan dengan membandingkan skor pengetahuan sebelum dan sesudah intervensi dengan uji t berpasangan. Hasil penelitian menunjukkan adanya peningkatan pengetahuan masyarakat tentang penyakit rematik dan penatalaksanaan nyeri sebelum dan sesudah edukasi secara signifikan (uji t berpasangan p< 0,001) dengan rata-rata nilai pengetahuan sebelum penyuluhan adalah 55,0±23,1 dan sesudah penyuluhan adalah 82,0±15,4. Berdasarkan hasil penelitian tersebut terbukti bahwa sesi edukasi oleh apoteker dapat meningkatkan pengetahuan masyarakat tentang penatalaksanaan nyeri secara signifikan. Hal ini diharapkan akan memunculkan kesadaran yang dapat merubah tingkah laku atau pola pikir seseorang agar dapat memperoleh obat yang efektif dan aman serta dapat menggunakan obat nyeri dengan baik dan benar.

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