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GAMBARAN PERESEPAN OBAT ANTIKOLESTEROL PADA PASIEN POLI JANTUNG DI RUMAH SAKIT DAERAH TABANAN: Trimayasa, Gede; Swari Santi, Made Dwike; Gayatri, Ni Putu Ayu Deviana
MIDWINERSLION Jurnal Kesehatan STIKes Buleleng Vol. 9 No. 1 (2024): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v9i1.434

Abstract

Pendahuluan: Penggunaan obat antikolesterol yang tepat dan sesuai dengan pedoman pengobatan sangat penting dalam pengelolaan pasien dengan penyakit jantung. Penelitian ini bertujuan untuk menggambarkan peresepan obat antikolesterol pada pasien poli jantung di Rumah Sakit daerah Tabanan. Metode: Penelitian ini menggunakan pendekatan observasional dengan desain penelitian deskriptif. Data dikumpulkan melalui lembar resep pasien jantung di Rumah Sakit daerah Tabanan pada periode Oktober-Desember 2022 sejumlah 2.568 resep. Analisis data dilakukan secara deskriptif. Hasil: Analisis data peresepan obat antikolesterol pada pasien di poli jantung diperoleh persentase tertinggi secara beturut-turut adalah obat Simvastatin (83,8%), obat Atorvastatin (13,3%) dan obat Fenofibrat (2,9%) dengan persentasi jenis kelamin yaitu Laki-laki (69,8%) pada usian 56-65 tahun (67,6%). Simpulan: Resep pasien poli jantung di Rumah Sakit daerah Tabanan paling banyak yaitu Simvastatin 20 mg.
Pharmacists' and Type 2 Diabetes Mellitus Patients' Perceived Barriers to Insulin Therapy at Hospital: A Qualitative Study Suastini, Ni Made; Gayatri, Ni Putu Ayu Deviana
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64525

Abstract

Introduction: Recent data show that Indonesia ranks fifth in the world for diabetes mellitus (DM). An increase in insulin use accompanies the increasing prevalence of DM. However, several barriers to insulin use remain among patients and healthcare professionals, impacting blood glucose control. This study explored perceptions of barriers to insulin therapy among T2DM patients and hospital pharmacists. Methods: This research was a qualitative study. The recruitment of participants used a consecutive sampling method. Eighteen in-depth interviews were conducted with T2DM patients, and nine were conducted with hospital pharmacists at a private hospital. Thematic analysis was used to generate findings in this research. Results: Barriers faced by patients in insulin therapy include fear and anxiety, insulin use practices, and misconceptions about insulin. Meanwhile, the results of the barriers faced by pharmacists on providing education and consultation on insulin therapy included patient, facility, and system barriers. These factors can impact insulin therapy and target outcomes in T2DM patients. Conclusion: Barriers from the patient and pharmacist perspectives are very important to assess, so that comprehensive therapy in the form of collaboration between health workers and patients can be implemented to achieve the target outcomes for T2DM patients.
Analisis Efektivitas Biaya Penggunaan Antibiotik Pada Pneumonia Anak di RSUD Klungkung Oviani, Gusti Ayu; Aprianti, Pande Made Ayu; Gayatri, Ni Putu Ayu Deviana
Lumbung Farmasi: Jurnal Ilmu Kefarmasian Vol 7, No 1 (2026): Januari
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/lf.v7i1.37068

Abstract

Community-acquired pneumonia (CAP) merupakan salah satu penyebab kematian utama pada anak-anak diseluruh dunia. Antibiotik merupakan terapi utama pada pneumonia dan diperlukan studi farmakoekonomi dengan metode cost effectiveness analysis (CEA) untuk membandingkan biaya pengobatan dengan efektivitas terapi. Penelitian ini bertujuan untuk mengetahui efektivitas biaya antibiotik tunggal Seftriakson dan antibiotik kombinasi Ampisilin+Gentamisin pada pasien pneumonia anak di instalasi rawat inap RSUD Kabupaten Klungkung. Pengumpulan data secara retrospektif menggunakan rekam medis. Data biaya menggunakan biaya rumah sakit (healthcare perspective) dan biaya Badan Penyelenggara Jaminan Sosial (BPJS) (payer perspective). Hasil penelitian menunjukkan sebagian besar menerima terapi kombinasi (78,4%), dengan terbanyak kombinasi ampisilin dan gentamisin (52,8%). Nilai Average Cost-Effectiveness Ratio (ACER) berdasarkan payer perspective menunjukkan Kelompok tunggal adalah sebesar Rp 1.162.081/hari, sedikit lebih tinggi dibandingkan Kelompok kombinasi yang bernilai Rp 1.100.689/hari. Perspektif healthcare provider, Kelompok tunggal memiliki ACER lebih rendah yang bernilai Rp 908.449/hari dibandingkan Kelompok kombinasi yang bernilai Rp 906.053/hari. Nilai Incremental Cost-Effectiveness Ratio (ICER) dari perspektif payer adalah Rp 609.551 /hari dan perspektif healthcare nilai ICER Rp 886.880 /hari. Tidak ditemukan perbedaan yang signifikan dari efektivitas biaya dan efektivitas terapi. Kelompok terapi tunggal memiliki ACER payer sedikit lebih tinggi, tetapi memiliki nilai ICER yang lebih rendah dan LOS yang lebih cepat dibandingkan kelompok terapi kombinasi.
KESESUAIAN RESEP PASIEN UMUM RAWAT JALAN POLI ANAK DAN POLI OBGYN DENGAN FORMULARIUM RSU X Oviani, Gusti Ayu; Gayatri, Ni Putu Ayu Deviana; Yunita, Ella
Journal Pharmactive Vol. 4 No. 2 (2025): Jurnal Pharmactive Oktober
Publisher : Institut Teknologi dan Kesehatan Bintang Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The appropriate and guideline-based use of medications is an important factor in providing optimal pharmaceutical care to outpatient patients in the Pediatric and Obstetrics and Gynecology clinics at X General Hospital. Therefore, it is necessary to conduct research to evaluate the suitability of prescriptions. This study aims to evaluate the suitability of outpatient prescriptions in the Pediatric and Obstetrics and Gynecology clinics with the Formulary of X General Hospital (X General Hospital Formulary). The research method used in this study was prospective observational research. The collected data were analyzed descriptively. The study was conducted at X General Hospital in April 2023. The sample of this study consisted of 69 prescriptions from the Pediatric clinic and 50 prescriptions from the Obstetrics and Gynecology clinic, which were selected using purposive sampling technique and met the inclusion criteria while not meeting the exclusion criteria. The results of the analysis showed that 88% of the prescriptions in the Obstetrics and Gynecology clinic and 88.41% of the prescriptions in the Pediatric clinic were in accordance with the X General Hospital Formulary. The suitability analysis based on drug items showed that approximately 91.43% of the drug items in the Obstetrics and Gynecology clinic and 93.24% of the drug items in the Pediatric clinic were in accordance with the X General Hospital Formulary. Some drug items that were not in accordance with the formulary in the Obstetrics and Gynecology clinic were Utrogestan, Folamil Genio, and Folac, as they had not been requested by the attending physician, while in the Pediatric clinic, Nasacort, FG Troches, Opicort, Prednicort, Ceftik, and Salbuven were not in accordance due to being rarely prescribed (death stock), rarely prescribed in patient therapy (slow moving), and not requested by the attending physician.