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MEMAHAMI PERILAKU KETIDAKPATUHAN PENGGUNAAN OBAT DI KALANGAN PENDERITA PENYAKIT HIPERTENSI: APLIKASI TEORI HEALTH BELIEF MODEL Sumiyem, Sr. M. Karla; Agustina, Reni; Nugrahanto, Ignasius Andika; Jati, Yohana Gita Sasmaya; Hadijaya, Gladys Larasati
JURNAL FARMASI DAN KESEHATAN INDONESIA Vol. 3 No. 2 (2023): Jurnal Farmasi dan Kesehatan Indonesia
Publisher : Universitas Kristen Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61179/jfki.v3i2.395

Abstract

Hypertension disease is one of the risk factors for cardiovascular and blood vessel disease which is increasing constantly through the world and it is the main cause of premature death. Currently, the therapy that used for hypertension is antihypertensive treatment and applying the healthy lifestyle. Adherence in using antihypertensive medications is very important to achieve controlled hypertension. However, there are many nonadherence behaviors in the use of drugs that can cause a decrease in the patient’s quality of life. This study aimed to explore factors related to patient’s adherence in antihypertensive medications using Health Belief Model theory. This research is a qualitative study through deep interviews with open-ended questions. Respondents were all hypertension patients with minimum 3 months treatment of antihypertensive medications. Interviews were conducted using an interview guide compiled based on HBM constructs. Data were analyzed with content analysis. Result: 34 respondents were interviewed. Most respondents have high adherence in antihypertensive treatment 62% and 38% respondents have low adherence. This behavior is influenced by the low perception of susceptibility and severity to hypertension, which is caused by a lack patient knowledge. In addition, the high perception of barrier and the lack of perceived benefits when taking medication regularly also affects the level of patient nonadherence. Conclusion: Nonadherence behavior to antihypertensive medications was noticed in 38% of the respondents studied. Interventions strategies aiming to improve adherence can be done through patient education and using the electronic reminders.
Implementation of Hospital Management Information Systems: Obstacles and Challenges (Case Study at Santo Antonio Baturaja Hospital) Sumiyem, Sr. M. Karla; Hartayu, TB. Titien Siwi
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 21, No 1 (2024)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.006777

Abstract

The Hospital Information System (HIS) handles and integrates the entire flow of hospital services. This study aimed to identify factors that affect the effectiveness and efficiency of HIS implementation and select strategies that can be used to overcome the inhibiting factors. In-depth interviews were used in this study with a qualitative and case-study strategy. The respondents were 26 officers selected by non-random purposive sampling. Data analysis used triangulation of in-depth interviews, document observations, and observations of HIS implementation. Data were transcribed verbatim and analyzed thematically. The results showed that the positive behavior of officers, leadership support, and officer abilities supported the implementation of HIS. However, there are still obstacles due to the attitude of officers and management policies. From document observations, it was found that officers had incorrect input, doubled input, and forgotten input. Due to a lack of Standard Operating Procedures (SOPs) and guidelines for implementing HIS, observations on its deployment revealed inconsistent data input. The strategy suggested to deal with the barriers included designing monitoring programs, creating SOPs, conducting extensive socializing programs, and conducting training programs to enhance officers' soft skills. It is clear that Human Resources play a crucial role for the effectiveness of HIS implementation.