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Pengukuran Perilaku Kepatuhan Penggunaan Obat pada Pasien Hipertensi dengan Probabilistic Medication Adherence Scale (ProMAS) Putra, Juniawan Akbar Karisma; Wiedyaningsih, Chairun; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Majalah Farmaseutik Vol 19, No 3 (2023)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v19i3.85126

Hipertensi masih menjadi penyebab utama kematian dini di seluruh dunia. Di Indonesia, khususnya di Daerah Istimewa Yogyakarta (DIY), hipertensi menjadi penyakit yang paling sering muncul. Pengobatan hipertensi memerlukan jangka waktu yang panjang sehingga sangat dipengaruhi oleh kepatuhan. Beberapa kuesioner telah dikembangkan untuk mengukur kepatuhan pasien, salah satunya adalah Probabilistic Medication Adherence Scale (ProMAS). Identifikasi hubungan berbagai faktor dengan kepatuhan diperlukan untuk memaksimalkan regimen terapi di masa datang. Penelitian ini bertujuan untuk mengetahui hubungan faktor sosiodemografi dengan tingkat kepatuhan pasien hipertensi. Penelitian non-eksperimental dipilih dengan pendekatan kuantitatif secara cross-sectional. Jumlah sampel sejumlah 125 responden diambil dari 10 Puskesmas di DIY pada rentang Januari 2023 – April 2023. Hasil skor ProMAS menunjukkan mayoritas memiliki tingkat kepatuhan tinggi (38,4%) dan sedang-tinggi (52%). Analisis statistik menunjukkan usia berpengaruh signifikan terhadap kepatuhan (p=0,02). Analisis lebih lanjut menghasilkan tidak adanya perbedaan signifikan antara kepatuhan pada usia <40, 40-60, dan >60 tahun. Faktor demografi lainnya seperti total jumlah obat (p=0,912), jumlah frekuensi obat (p=0,401), jenis kelamin (p=0,152), jenis pembayaran (p=0,647), pendidikan terakhir (p=0,366), status pekerjaan (p=0,658), dan bantuan seseorang dalam pengobatan (p=0,854) tidak berpengaruh secara signifikan terhadap kepatuhan. Hasil ini menunjukkan mayoritas pasien hipertensi di DIY sudah termasuk patuh dalam pengobatan. Akan tetapi perlu diperhatikan bahwa ketidakpatuhan pasien dalam pengobatan hipertensi di DIY dapat terjadi pada usia berapapun.

TINDAKAN APOTEKER PADA RESEP OBAT PASIEN JKN RAWAT JALAN DI RSUD dr KANUJOSO DJATIWIBOWO BALIKPAPAN Saputro, Mokhamad Haryadi; Endarti, Dwi; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Majalah Farmaseutik Vol 20, No 2 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i2.85940

Latar Belakang : Era JKN (Jaminan Kesehatan Nasional) telah mengubah 180 derajat wajah pelayanan kefarmasian di Indonesia. Perubahan tersebut, menempatkan apoteker praktik klinis sebagai tenaga kesehatan yang berperan dalam upaya kendali mutu dan kendali biaya terhadap pelayanan kesehatan pasien. Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui karakteristik dan pentingnya tindakan yang dilakukan apoteker pada resep obat pasien JKN rawat jalan di RSUD dr. Kanujoso Djatiwibowo Balikpapan. Metode Penelitian : Jenis penelitian ini adalah deskriptif dengan pendekatan kuantitatif. Obyek penelitian ini adalah resep pasien JKN rawat jalan di RSUD dr. Kanujoso Djatiwibowo Balikpapan periode januari – juni 2022. Hasil Penelitian : Hasil penelitian menunjukkan bahwa terdapat 2.084 lembar resep yang dilakukan telaah dan tindakan oleh apoteker, dengan rata - rata resep yang dilakukan tindakan setiap bulannya sebanyak 347 lembar resep. Jenis tindakan yang paling banyak dilakukan adalah obat tidak diberikan karena tidak sesuai tanggal. Ini terjadi karena pasien datang sebelum tanggal yang seharusnya untuk mendapatkan obat, sementara BPJS Kesehatan mengatur bahwa pasien kronis mendapatkan obat untuk 30 hari kedepan. Kesimpulan : Telaah resep dan tindakan yang dilakukan oleh apoteker pada resep pasien JKN rawat jalan sangat penting dilakukan untuk mengurangi resiko kesalahan pemberian obat, resiko klinis, serta resiko manajerial dan finansial.

The Level of Mental Health Literacy among Medical Students of Universitas Gadjah Mada: A Study Using Mental Health Literacy Questionnaire-Short Version for Adults (MHLq-SVa) Auliaurrohman, Aufa; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.101154

Background: mental health problem is general challenge for today’s and future generation. Prevalence improvement for this problem reveals the importance of early diagnostic in order to improve medication and treatment effectiveness. One of preventive action is by increasing mental health literacy (MHL) that can be measured by applying Mental Health Literacy Short Version for Adults (MHLq-SVa).Objective: To measure level of mental health literacy among medical students of Gadjah Mada University (UGM) also to reveal relation between sociodemographic toward level of literacy.Method: The study is descriptive quantitative with cross-sectional method. The questionnaire was distributed to 102 respondents which were active medical students at UGM with convenience sampling method. The data was analyzed descriptively and statistically by applying One-Way ANOVA dan Mann Whitney U.Result: Level of mental health literacy among medical students of Gadjah Mada University has median value of 72 and average score is 71.0±6.01 with score range of 52-80. The result stated that 56.9% of respondents have high mental health literacy. Results of statistical test showed that years of study and field of study significantly correlate with mental health literacy score with p value less than 0.001. Meanwhile the sociodemographic characteristics of sex (p=0.166), type of residence (p=0.871), monthly expense (p=0.306) and perceived health status (p=0.135) did not show statictically significant correlation with mental health literacy score.Conclusion: Mental health literacy level among medical students of Universitas Gadjah Mada was relatively high and there was correlation between mental health literacy score and years of study and field of study.

Knowledge and Preventive Behavior Toward Gastroesophageal Reflux Disease Among Undergraduate Students at Universitas Gadjah Mada Dayinta, Adella; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.101466

Background: Gastroesophageal Reflux Disease (GERD) is a chronic condition characterized by the regurgitation or backflow of stomach contents into the esophagus, which can potentially lead to various complications. This study aims to evaluate the relationship between the level of knowledge and the level of preventive behavior regarding GERD among students at Universitas Gadjah Mada.Materials and methods: A cross-sectional study was conducted using a convenience sampling method, involving 113 students aged 18-25 years, with data collected through a questionnaire. Knowledge about GERD was measured using the Guttman scale, while preventive behavior was assessed using the Likert scale.Results: The results revealed a significant relationship between knowledge and preventive behavior (Pearson Chi-Square value: 8.817, p=0.03). Among the 49 students with poor knowledge, 59.2% exhibited poor preventive behaviors, while 68.8% of the 64 students with good knowledge demonstrated good preventive behaviors.Conclusion: Overall, students with better knowledge of GERD tend to have better preventive behaviors. The study also found a relationship between the academic cluster with levels of knowledge and preventive behaviors. However, other characteristics such as age, sex, semester, history of GERD, living situation (alone or with parents), and monthly allowance were not significantly associated.

Identifying Factors Influencing Customer Satisfaction in Community Pharmacies: A Systematic Review Widyasari, Leiren Garda; Wiedyaningsih, Chairun; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.105722

Background: The paradigm shift from a drug-oriented to a patient-oriented approach requires health facilities to improve the quality of pharmaceutical services. Meeting customer needs and expectations can increase satisfaction and support the achievement of therapeutic goals.Objective: Conduct an in-depth analysis of the available literature to identify customer satisfaction factors towards pharmaceutical services in community pharmacies.Method: A systematic review was conducted by searching articles across three databases: ScienceDirect, Scopus, and PubMed. The search flow is described in the PRISMA Diagram. Inclusion criteria included customer satisfaction with pharmaceutical service articles and research settings in community pharmacies. Exclusion criteria included online or hospital pharmacy articles and review articles, books, theses, dissertations, and reports. Articles are assessed using the Joanna Briggs Institute's critical appraisal instrument.Result: The findings from the nine articles revealed various factors that influence customer satisfaction, which can be categorized into intangible and tangible factors. Intangible factors include the attitude and communication of pharmacy staff, as well as consultations regarding medications and health conditions. Tangible factors include the facilities and convenience, the availability and variety of medications, prices, and customer demographics.Conclusion: The identified customer satisfaction factors can be useful to increase pharmacy customer loyalty. Thus, it can encourage customers to make repeat orders.

Occupational Health Hazards on Tobacco Farm Workers: A Systematic Review Fakhriya, Dina; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni; Wiedyaningsih, Chairun
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.106781

Background: Tobacco farm workers are exposed to numerous occupational health hazards, involving chemical, biological, and physical concerns. These hazards can cause acute and chronic health problems, affecting workers’ well-being and productivity. Objective: This systematic review aims to integrate available information on occupational health hazards among tobacco farm workers, identify important risks, and provide feasible mitigation techniques. Methods: A systematic search was conducted in Scopus, ScienceDirect, and PubMed for studies published between 2015-2023. Inclusion criteria comprised reviewed articles focusing on occupational health hazards among tobacco farm workers. Studies were screened, and data were extracted according to PRISMA guidelines. The Joanna Briggs Institute (JBI) and Mixed Methods Appraisal Tool (MMAT) were used to assess quality for the Critical Appraisal Tool. Results: This review found five studies that highlighted major health hazards, such as green tobacco sickness (GTS) caused by nicotine exposure, pesticide poisoning, respiratory problems, musculoskeletal disease, and cancer. Risk factors include extended exposure, a lack of protective equipment, and poor working conditions were frequently noted. Preventive strategies, such as the use of personal protective equipment (PPE), education programs, and government policies, must be prepared. There are research gaps in long-term health impacts and gender-specific concerns among tobacco farm workers. Conclusion: Tobacco workers face several occupational health hazards, including green tobacco sickness (GTS), pesticide exposure, respiratory illnesses, and ergonomic issues that require several interventions for prevention.

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