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KAJIAN RASIONALITAS PENGGUNAAN ANTIBIOTIK PADA ANAK DENGAN INFEKSI SALURAN KEMIH DI RSUD Dr. MOEWARDI SURAKARTA Agustiningrum, Frisda Ayu; Amrullah, Adhi Wardhana; Rahardjoputro, Rolando
Jurnal Buana Farma Vol. 4 No. 3 (2024): Jurnal Buana Farma : Jurnal Ilmiah Farmasi
Publisher : Fakultas Farmasi Universitas Buana Perjuangan Karawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36805/jbf.v4i3.1118

Abstract

Urinary tract infection (UTI) is the second highest infectious disease among children in Indonesia. Management of UTI requires antibiotic therapy, but the irrational use of antibiotics makes this disease one of the contributors to the high rate of antibiotic resistance. Therefore, there is a need for a study to measure the rationality of antibiotic use in children with UTI. This study is a descriptive observational study with a cross sectional design. Data were collected retrospectively using a purposive sampling technique based on medical record data of pediatric patients at Dr. Moewardi Surakarta Hospital in 2021-2023. The results showed that out of 100 medical records of pediatric patients with UTI, 68.00% were women and 32.00% were men. Based on age, the highest incidence of UTI occurred in the age range of 10-18 years as much as 52.00%. The most common antibiotic use was ampicillin 68.00%. The results of the rationality study showed 69.00% in category 0 (rational use of antibiotics). Irrationality occurred in category IIA (antibiotic use is not the right dose) 17.00%, IIIA (antibiotic use with too long duration) 1.00%, IIIB (antibiotic use with too short duration) 4.00%, IIA & IIIB (antibiotic use is not the right dose & duration is too short) 2.00%, IVA (there are other more effective antibiotic options) 4.00%, IIIB & IVA (antibiotic use is too short duration & there are other more effective antibiotic options) 3.00%. It can be concluded that the rational use of antibiotics needs to be improved.
A KAJIAN POTENSI INTERAKSI OBAT PADA PASIEN GERIATRI DENGAN GAGAL JANTUNG DI RSUD Dr. MOEWARDI SURAKARTA TAHUN 2023 Safira, Della Anggun; Amrullah, Adhi Wardhana; Rahardjoputro, Rolando
Jurnal Buana Farma Vol. 4 No. 3 (2024): Jurnal Buana Farma : Jurnal Ilmiah Farmasi
Publisher : Fakultas Farmasi Universitas Buana Perjuangan Karawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36805/jbf.v4i3.1129

Abstract

Geriatric patients with heart failure generally receive more than 1 type of drug therapy, called polypharmacy, which typically involves at least four types of treatment: ACEI (Angiotensin Converting Enzyme Inhibitors), diuretics, beta blockers, and digoxin. This causes an increase in the occurrence of drug interactions. This study aims to determine the potential drug interactions that occur in geriatric patients with heart failure who undergo hospitalization at Dr. Moewardi Surakarta Hospital from January to December 2023. This study is a descriptive observational study with a cross-sectional design, and the data were collected retrospectively using a purposive sampling technique based on the medical records of geriatric patients at Dr. Moewardi Surakarta Hospital in 2023. The inclusion criteria were inpatients aged ≥55 years who were diagnosed with heart failure. The exclusion criteria were patients with incomplete or illegible medical record data or who died during treatment. Drug interaction research was conducted based on Drugs.com and Medscape. The results showed that out of the 100 patients, 98 experienced drug interactions. The incidence of drug interactions was 252 minor cases (21.65%), 818 moderate cases (69.50%), and 106 major cases (9.00%). The mechanism of drug interaction was pharmacodynamic in 919 cases (65.50%), pharmacokinetic in 213 cases (30.40%), and unknown in 44 cases (4.10%).
EXPLORING THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS Budiman, Amin Aji; Prastiwi, Firman; Vierdiana, Dyah; Amrullah, Adhi Wardhana; Rahmad, Muhamad Nur; Rosida, Nikma Alfi
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 2, Juli 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i2.1849

Abstract

Background: Elderly individuals with hypertension often face high stress levels, which can worsen their physical and psychological health. Self-efficacy, the belief in one's ability to manage challenges, plays a crucial role in coping with chronic illness. Research suggests that higher self-efficacy is linked to better stress management and improved health outcomes. In hypertensive elderly, strong self-efficacy may help reduce stress by promoting confidence in handling daily tasks and medical routines. Understanding this relationship is essential for developing effective interventions to support elderly patients and enhance their quality of life. The purpose of this study was to determine the relationship between self-efficacy and stress levels in elderly people with hypertension. Methods: This research design is correlational analytic using a cross-sectional approach; the instruments in this study were the Self-efficacy to Manage Hypertension-Five Item Scale and the Perceived Stress Scale (PSS). The sample in this study consists of 65 respondents, all of whom are elderly individuals diagnosed with hypertensionResults: 12 (18,5%) elderly experienced low self-efficacy, and 5 (7,7%) elderly had severe stress. There is a negative relationship between self-efficacy and stress in the elderly, with a p value <0.000 (<0.05), with a correlation of -.580**. Conclusion: This means that the higher the self-efficacy possessed by the elderly, the lower the stress that arises. Self-efficacy plays an important role in reducing stress in the elderly, especially those who suffer from hypertension. The elderly are recommended to increase their self-efficacy through several complementary therapies.
Penyuluhan Antibiotik Bijak di Kelompok Dasa Wisma, Kelurahan Mojosongo, Jebres, Kota Surakarta Rahardjoputro, Rolando; Amrullah, Adhi Wardhana; Ernawati, Ernawati; Sholihah, Inayatush
Jurnal Pengabdian Masyarakat Progresif Humanis Brainstorming Vol 6, No 3 (2023): Jurnal Abdimas PHB : Jurnal Pengabdian Masyarakat Progresif Humanis Brainstormin
Publisher : Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/japhb.v6i3.4523

Abstract

Masalah resistensi antibiotik masih menjadi masalah utama dalam bidang kesehatan masyarakat dimana perlunya dilakukan upaya preventif sejak dini pada tingkat masyarakat. Berdasarkan survei sebelumnya bahwa masyarakat Mertoudan, Kelurahan Mojosongo tempat pengabdian ini dilakukan masih rendah kesadarannya terhadap penyalahgunaan dan penyimpanan obat yang baik. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan masyarakat terhadap antibiotik, manfaat dan resikonya, serta cara menggunakan antibiotik yang bijaksana. Kegiatan pengabdian masyarakat ini dilaksanakan dengan metode penyuluhan kepada masyarakat dengan cara presentasi dan diskusi melalui media leaflet. Evaluasi kegiatan dilakukan pada sebelum dan setelah kegiatan dengan memberikan pertanyaan kepada sampel. Kegiatan dilaksanakan di Kelompok Dasa Wisma Mertoudan di Kelurahan Mojosongo, Kecamatan Jebres, Kota Surakarta dengan jumlah peserta penyuluhan yang hadir adalah masyarakat desa dengan jumlah 20 peserta. Tindak lanjut kegiatan yang telah dilakukan yaitu pengumpulan dokumentasi kegiatan dan membuat laporan kegiatan pengabdian masyarakat. Secara umum pelaksanaan pengabdian masyarakat ini berjalan dengan baik dan lancar. Kesimpulan dari kegiatan pengabdian masyarakat ini adalah terdapat peningkatan pemahaman peserta terkait penggunaan antibiotik yang bijak berdasarkan hasil evaluasi yang telah dilakukan.
ANALISIS HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP PERILAKU SWAMEDIKASI BATUK DI BEBERAPA APOTEK KABUPATEN KARANGANYAR Maya Fatikasari, Anggita; Prawistya Sari, Agnes; Amrullah, Adhi Wardhana
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.31562

Abstract

Swamedikasi merupakan pemilihan dan penggunaan obat yang digunakan untuk perseorangan atau digunakan anggota keluarga seseorang untuk mengobati diri sendiri dengan pengetahuan diagnosis sendiri. Tingginya penggunaan aplikasi kesehatan dan keterbatasan akses terhadap layanan medis menyebabkan meningkatnya swamedikasi. Namun, rendahnya tingkat pengetahuan masyarakat tentang penggunaan obat yang tepat dapat menyebabkan risiko penyalahgunaan obat dan keracunan. Studi pendahuluan di Kabupaten Karanganyar menunjukkan bahwa banyak pasien memilih swamedikasi batuk. Seseorang membutuhkan pengetahuan dan sikap yang sesuai untuk mendapatkan perilaku yang tepat dalam swamedikasi. Penelitian ini bertujuan menganalisis hubungan antara pengetahuan dan sikap terhadap perilaku swamedikasi batuk di beberapa apotek Kabupaten Karanganyar. Jenis penelitian ini bersifat non eksperimental dengan rancangan studi cross sectional. Instrumen pengumpulan data yang digunakan adalah kuesioner berisi pertanyaan tentang pengetahuan dan sikap terhadap perilaku swamedikasi batuk yang nantinya dibagikan kepada responden dan diisi pada saat itu juga. Teknik pengambilan sampel digunakan adalah purposive sampling. Sampel yang di ambil harus memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Uji analisis hubungan dilakukan dengan chi square. Hasil penelitian menunjukkan adanya hubungan antara pengetahuan dengan perilaku didapatkan nilai P value = 0,026 (P<0,05), sikap dengan perilaku didapat nilai P value = 0,002 (P<0,05). Hasil ini menunjukkan bahwa terdapat hubungan yang bermakna antara pengetahuan dan sikap terhadap perilaku swamedikasi batuk.