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Asuhan Kebidanan Continuity of Care pada Ny. A dengan Penerapan Gym Ball dan Kompres Hangat Umi, Sri; Mayasari, Ade Tyas; Sanjaya, Riona
Journal of Language and Health Vol 5 No 2 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i2.3947

Abstract

Masalah kesehatan Ibu dan Anak merupakan masalah internasional dan nasional. Target SDGs tahun 2030 Angka Kematian Ibu (AKI) harus mencapai 70 per 100.000 Kelahiran Hidup dan Angka Kematian Bayi (AKB) mencapai 12 per 100.000 kelahiran hidup. Jumlah kematian ibu pada tahun 2021 menunjukkan 7.389 kematian diIndonesia. Jumlah ini menunjukkan peningkatan dibandingkan tahun 2020 sebanyak 4.627 kematian. Penelitian ini bertujuan menganalisis efektivitas terapi komplementer gym ball dan kompres air hangat terhadap penurunan nyeri punggung pada kehamilan trimester III dan nyeri persalinan. Nyeri punggung dan persalinan merupakan masalah fisiologis yang sering dialami ibu hamil dan bersalin. Gym ball dan kompres air hangat merupakan terapi komplementer yang dapat membantu mengurangi nyeri tersebut. Penelitian ini menggunakan studi kasus pada ibu hamil trimester III berinisial Ny.A di PMB Sri Umi, Lampung Timur. Intervensi yang diberikan adalah gym ball untuk mengurangi nyeri punggung dan kompres air hangat untuk mengurangi nyeri persalinan. Data dikumpulkan melalui anamnesis, pemeriksaan fisik, dan observasi. Analisis data dilakukan secara deskriptif. Hasil penelitian menunjukkan gym ball efektif mengurangi nyeri punggung pada Ny.A. Terdapat penurunan nyeri punggung secara signifikan setelah dilakukan senam gym ball selama 2 minggu. Kompres air hangat juga efektif mengurangi nyeri persalinan pada Ny.A, terlihat dari berkurangnya skala nyeri setelah diberikan kompres hangat selama kala I persalinan. Hasil penelitian ini sejalan dengan penelitian sebelumnya yang menunjukkan gym ball dan kompres hangat efektif mengurangi nyeri punggung kehamilan dan nyeri persalinan.
Comparative Pharmacoeconomic Study of Proton Pump Inhibitors in Gastritis Treatment Using Cost Minimization Approach Hakim, Reny Anggriany; Hadiq, Shabran; Jannah, Raudhatul; Umi, Sri
Journal of Pharmaceutical and Health Research Vol 6 No 3 (2025): October 2025
Publisher : Forum Kerjasama Pendidikan Tinggi (FKPT)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/jharma.v6i3.7012

Abstract

Gastritis is an inflammatory condition of the gastric mucosa with varying degrees of severity, ranging from mild asymptomatic cases to more severe forms associated with significant morbidity. The condition may be influenced by multiple factors, including dietary habits that stimulate gastric acid secretion, irregular eating patterns, infections, psychological stress, alcohol consumption, and the use of certain medications such as nonsteroidal anti-inflammatory drugs and corticosteroids. Cost Minimization Analysis (CMA) is a pharmacoeconomic approach applied to compare therapeutic alternatives that have equivalent clinical effectiveness by identifying the option with the lowest direct medical cost. Meanwhile, studies examining real-world cost efficiency at the level of primary care services or private community pharmacies remain relatively limited and underreported. Therefore, this study aims to analyze the cost of PPI use in gastritis patients at Fella Farma Pharmacy in 2023 using the Cost Minimization Analysis (CMA) approach. The results of this study are expected to determine PPI alternatives with the lowest therapy costs as a basis for decision-making in more efficient and rational pharmaceutical services. This study conceptualizes that the use of proton pump inhibitors, specifically omeprazole and lansoprazole, influences the total therapy costs incurred by patients. The choice of PPI is assumed to affect overall treatment expenses as reflected in retrospective medical record data from Fella Farma Pharmacy in 2023. This study used a quantitative research design with retrospective data collection using medical records obtained from Fella Farma Pharmacy for the year 2023.A sample of 52 patients who met the inclusion and exclusion criteria at the Fella Farma Clinical Pharmacy in 2023. The data obtained were then analyzed for minimum costs to determine the lowest cost of treatment between Omeprazole (patent brand x) and Lansoprazole (patent brand y). The results of the study showed that the use of Proton Pump Inhibitor (PPI) drugs that had the lowest cost was omeprazole with an average total cost of IDR 351,000/patient compared to lansoprazole with an average total cost of IDR 514,000/patient.