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All Journal Pharmaciana: Jurnal Kefarmasian JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat JCPS (Journal of Current Pharmaceutical Sciences) 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Insan Farmasi Indonesia Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Jurnal Sains dan Kesehatan Jurnal Ilmiah Kesehatan Sandi Husada Journal of Medicine and Health
Mulyani, Risya
Fakultas Farmasi Universitas Muhammadiyah Banjarmasin
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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KORELASI KEPATUHAN TERAPI BERBASIS INSULIN DENGAN EFEKTIVITAS TERAPI PADA PASIEN DIABETES MELITUS TIPE 2 DI RSUD ULIN BANJARMASIN Hartanto, Dedi; Mulyani, Risya
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 2, No 2 (2017)
Publisher : Akademi Farmasi ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8.262 KB)

Abstract

Diabetes melitus meningkatkan risiko terjadinya berbagai komplikasi yang dapat menimbulkan masalah yang signifikan terhadap kualitas hidup. Komplikasi dapat dicegah dengan cara mengontrol efektifitas terapi (nilai HbA1c ). Penggunaan insulin dini bermanfaat untuk mengurangi mortalitas,  morbiditas dan toksisitas glukosa. Namun ada penghalang dalam menggunakan insulin diantaranya nyeri pada saat menyuntikan insulin, kenaikan berat badan dan biaya yang mahal. Oleh karena itu, kemungkinan pasien tidak patuh dalam terapi juga besar.Penelitian ini bertujuan untuk mengetahui gambaran kepatuhan dan efektifitas terapi (nilai HbA1c) pada pasien DM dengan terapi insulin. Penelitian ini merupakan jenis penelitian non eksperimental dengan rancangan penelitian cross sectional. Pengumpulan data dilakukan secara prospektif pada pasien DM tipe 2 di Instalasi Farmasi RSUD Ulin banjarmasin. Analisis univariat bertujuan untuk melihat hasil deskripsi data karakteristik individu, tingkat kepatuhan dan nilai HbA1c sedangkan analisis bivariat yang digunakan adalah uji chi-square untuk melihat hubungan antara kepatuhan terapi terhadap efektifitas terapi (nilai HbA1c).Hasil penelitian menunjukkan bahwa responden yang patuh pada terapi hanya 25% sedangkan yang lain 75% dianggap tidak patuh pada terapi. Selain itu responden yang efektifitas terapinya baik atau nilai HbA1c terkontrol (<6,5%) hanya 3,6% sedangkan yang lain 96,4% efektifitas terapinya belum terkontrol dengan baik. Terdapat hubungan yang positif dan signifikan antara tingkat kepatuhan terapi dengan nilai HbA 1c (r=0,799; p<0,05). Dapat disimpulkan bahwa kepatuhan terapi berbasis insulin masih harus ditingkatkan dan meningkatnya kepatuhan terapi dapat meningkatkan kontrol nilai HbA 1c.
The relationship between patient satisfaction and effectiveness of insulin-based therapy for type 2 diabetes mellitus at Ulin Regional Public Hospital, Banjarmasin Mulyani, Risya; Hartanto, Dedi
Pharmaciana Vol 8, No 1 (2018): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.09 KB) | DOI: 10.12928/pharmaciana.v8i1.7633

Abstract

Diabetes melitus dapat menimbulkan masalah yang signifikan terhadap kualitas hidup melalui peningkatan risiko terjadinya berbagai komplikasi. Ketidakpuasan terhadap terapi juga ikut berkontribusi terhadap rendahnya efektifitas terapi. Kepuasan terapi memiliki peranan penting dalam pengelolaan DM yaitu untuk mengoptimalkan efektifitas terapi dan diyakini akan memberikan pengaruh terhadap pengambilan keputusan untuk pasien yang berhubungan dengan kesehatannya. Penilaian rutin kepuasan terapi pada pasien DM berguna bagi profesional kesehatan untuk mengidentifikasi masalah potensial yang dialami pasien dengan pengobatan DM yang sedang dijalaninya. Penelitian ini bertujuan untuk mengetahui hubungan kepuasan terapi berbasis insulin dengan efektifitas terapi pada pasien DM tipe 2 di RSUD Ulin Banjarmasin.Penelitian  ini merupakan jenis penelitian non eksperimental dengan rancangan penelitian cross sectional. pengambilan data dilakukan secara prospektif dengan melakukan purposive sampling pasien DM tipe 2 di Instalasi Farmasi RSUD Ulin Banjarmasin. Data kepuasan terapi diperoleh dengan kuesioner PSIT dan efektifitas terapi diperoleh melalui pemeriksaaan nilai HbA1c. Kuesioner diisi oleh subyek penelitian sebanyak 56 responden kemudian dianalisis menggunakan analisis bivariat yaitu uji chi-square.Hasil penelitian menunjukkan bahwa tingkat kepuasan cara terapi responden ada pada tingkat kepuasan sedang yaitu 33 orang (58,9%). Selain itu responden dengan efektifitas terapi baik (<6,5%) hanya 3,6% sedangkan yang lain 96,4% dianggap efektifitas terapinya belum terkontrol dengan baik. Terdapat hubungan yang positif dan signifikan antara kepuasan terapi dengan nilai HbA1c (r=0828 ; p<0,05). Ada hubungan yang positif dan signifikan antara kepuasan terapi berbasis insulin dengan efektifitas terapi pada pasien DM tipe 2 di Instalasi Farmasi RSUD Ulin Banjarmasin
The relationship between patient satisfaction and effectiveness of insulin-based therapy for type 2 diabetes mellitus at Ulin Regional Public Hospital, Banjarmasin Risya Mulyani; Dedi Hartanto
Pharmaciana Vol 8, No 1 (2018): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.09 KB) | DOI: 10.12928/pharmaciana.v8i1.7633

Abstract

Diabetes Mellitus (DM) can cause significant problems to the quality of life as it may increase the risk of complications. Dissatisfaction with therapy also contributes to its low effectiveness. Therapeutic satisfaction has an essential role in DM management, i.e., to optimize the effectiveness of the treatment. It is also believed to affect the decision-making process regarding patients‘ healthrelated issues. A routine assessment of the satisfaction of DM patients is useful for health professionals in identifying the potential problems experienced by those who are in the middle of DM treatment. This study aimed to determine the relationship between patient satisfaction and effectiveness of insulin-based therapy for type 2 DM at Ulin Regional Public Hospital, Banjarmasin. This research is a nonexperimental study with a cross-sectional design. The data were collected prospectively with purposive sampling method from the type 2 DM patients at the Pharmacy Installation of Ulin Regional Public Hospital, Banjarmasin. While the therapeutic satisfaction data were obtained using the Patient Satisfaction with Insulin Therapy (PSIT) questionnaire, the effectiveness of the therapy was identified by examining the HbA1c values. Fifty-six (56) respondents participated and filled in the questionnaire, and the answers were processed with bivariate analysis, namely the chi-square test. The results showed that the respondents‘ satisfaction with the treatments was mostly on a medium level according to 33 patients (58.9%). However, only 3.6% respondents found the therapy effective (HbA1c <6.5%). The remaining 96.4% thought that it was less effective in controlling diabetes. Based on the statistical analysis results, there is a significantly positive relationship between patient satisfaction and HbA1c value ([r= 0.828]; [p= 0.000]). There is also a significant positive relationship between patient satisfaction and the effectiveness of therapy in patients with type 2 diabetes at the Pharmacy Installation of Ulin Regional Public Hospital, Banjarmasin.
KORELASI KEPATUHAN TERAPI BERBASIS INSULIN DENGAN EFEKTIVITAS TERAPI PADA PASIEN DIABETES MELITUS TIPE 2 DI RSUD ULIN BANJARMASIN Dedi Hartanto; Risya Mulyani
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 2 No 2 (2017): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.983 KB) | DOI: 10.36387/jiis.v2i2.117

Abstract

Diabetes melitus meningkatkan risiko terjadinya berbagai komplikasi yang dapat menimbulkan masalah yang signifikan terhadap kualitas hidup. Komplikasi dapat dicegah dengan cara mengontrol efektifitas terapi (nilai HbA1c ). Penggunaan insulin dini bermanfaat untuk mengurangi mortalitas,  morbiditas dan toksisitas glukosa. Namun ada penghalang dalam menggunakan insulin diantaranya nyeri pada saat menyuntikan insulin, kenaikan berat badan dan biaya yang mahal. Oleh karena itu, kemungkinan pasien tidak patuh dalam terapi juga besar.Penelitian ini bertujuan untuk mengetahui gambaran kepatuhan dan efektifitas terapi (nilai HbA1c) pada pasien DM dengan terapi insulin. Penelitian ini merupakan jenis penelitian non eksperimental dengan rancangan penelitian cross sectional. Pengumpulan data dilakukan secara prospektif pada pasien DM tipe 2 di Instalasi Farmasi RSUD Ulin banjarmasin. Analisis univariat bertujuan untuk melihat hasil deskripsi data karakteristik individu, tingkat kepatuhan dan nilai HbA1c sedangkan analisis bivariat yang digunakan adalah uji chi-square untuk melihat hubungan antara kepatuhan terapi terhadap efektifitas terapi (nilai HbA1c).Hasil penelitian menunjukkan bahwa responden yang patuh pada terapi hanya 25% sedangkan yang lain 75% dianggap tidak patuh pada terapi. Selain itu responden yang efektifitas terapinya baik atau nilai HbA1c terkontrol (<6,5%) hanya 3,6% sedangkan yang lain 96,4% efektifitas terapinya belum terkontrol dengan baik. Terdapat hubungan yang positif dan signifikan antara tingkat kepatuhan terapi dengan nilai HbA 1c (r=0,799; p<0,05). Dapat disimpulkan bahwa kepatuhan terapi berbasis insulin masih harus ditingkatkan dan meningkatnya kepatuhan terapi dapat meningkatkan kontrol nilai HbA 1c.
PENGEMBANGAN MODEL BIOPSIKOSOSIAL ASUHAN KEFARMASIAN PADA KASUS PENYAKIT KRONIK: STUDI KUALITATIF TERHADAP PERSPEKTIF PASIEN PENDERITA GAGAL JANTUNG (CHF) Risya Mulyani; Herda Ariyani; Dedi Hartanto; Muhammad Anshari
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 4 No 1 (2019): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (591.101 KB) | DOI: 10.36387/jiis.v4i1.251

Abstract

Congestive heart failure (CHF) is a disease that most often requires repeated treatment in the hospital. Self-care efforts allow patients to monitor and manage home syndrome, maximize well-being, reduce mortality and minimize avoidable hazards. Communication, collaboration, and patient access to bad information lead to ineffective treatment. The main problems in the care of pharmacy are improper and unsafe use of drugs and non-compliance with prescription drugs, one of which is a therapeutic regimen.. This study uses a phenomenological qualitative method in which researchers will explore the personal meaning related to biopsychosocial aspects that can affect the quality of care (pharmacy) according to the perspective of patients with CHF. The participants determined in this study were selected purposively from all patients with CHF who were treated at the Pharmacy Installation in Ulin Hospital Banjarmasin. Data analysis using the Interpretative Phenomenological Analysis (IPA) model. In this study, which explores personal meaning related to aspects of communication and collaboration that can affect the quality of care, according to the perspective of patients with congestive heart failure (CHF) in the biopsychosocial aspects, the result are: found 4 (four) themes related to results-based communication, qualitative data analysis obtained through in-depth interviews with 11 (eleven) participants, namely: (1) tangible; (2) responsive; (3) empathy; (4) assurance. And found 3 (three) themes related to collaboration based on the results of qualitative data analysis obtained through in-depth interviews with 11 (eleven) participants, namely: (1) effective communication; (2) trust; (3) feedback.
ASUHAN FARMASI DALAM PERSIMPANGAN EPISTEMOLOGI Muhammad Anshari; Risya Mulyani
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 8, No 1 (2018): Februari 2018
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.328 KB)

Abstract

Introduksi: Pembicaraan aspek asuhan kefarmasian terkait kerangka kerja konseptualnya dan orientasi teoretisnya masih jarang menjadi pembahasan. Tujuan: Meninjau refleksi filosofis asuhan farmasi yang lebih manusiawi dan holistik. Simpulan: Disiplin kefarmasian belum cukup jauh mengembangkan paradigma moral baru yang lebih cocok untuk kebutuhan asuhan kefarmasian yang memperhatikan aspek humanistik. Perangkat asuhan farmasi konvensional selama ini, seperti TDM, ADR dan PIO adalah merupakan aspek biomedik yang belum mengembangkan perhatian terhadap aspek psikologis dan kontrol perilaku dari pasiennya. Paradigma dan kerangka konseptual harus dibangun untuk menuju dimensi perawatan pasien yang lebih holistik, sehingga diperoleh praktek asuhan kefarmasian yang holistik, tidak terkesan mekanistik dan tidak bioreduksionistik. Kata kunci: Asuhan farmasi, Holistik, Biomedik, Paradigma
THE ADHERENCE OF INSULIN-BASED THERAPY ON THE PATIENTS OF TYPE 2 DIABETES MELITUS IN ENDROCRINOLOGY POLYCLINIC OF DR SARDJITO HOSPITAL YOGYAKARTA Risya Mulyani; Tri Murti Andayani; I Dewa Putu Pramantara S
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.66

Abstract

Diabetes mellitus may cause significant problems on quality of life through the increasing risks of the occurrence of various complications. Lack of knowledge regarding disease and medication, disobedience of the patient to medication and dissatisfaction with the therapy also contribute to the poor blood glucose control. The aim of this study was to determine medication adherence and its association with blood glycemic control (HbA1c value). This research belongs to cross-sectional research in which sampling was conducted prospectively  by performing purposive sampling on type 2 DM patients in Endocrinology Polyclinic of DR Sardjito Hospital from November 2011 until January 2012. Assessment of therapy adherence was conducted using MMAS-8 and data of blood glucose control were collected through examination of HbA1c value. Questionnaires completed by study subjects as much as 109 respondents were analyzed using bivariate analysis the chi-square test. The result showed that there was only 41,3% patients who adhered to the therapy, while 58,7% was considered to disobey the therapy. In addition, respondents with good glycemic control (<6,5%) were only 41,3%, while the remaining 58,7% was considered poor. There was significant correlation of the therapy type on the adherence level (r =-0,449; p<0,05). Moreover, there was significant correlation of disease duration on the adherence level (r =-0,584; p<0,05). There was significant correlation of the adherence level on the HbA1c value (r =0,931; p<0,05). Keywords: Diabetes mellitus, therapy adherence and HbA1c value.
PENGARUH PEMBERIAN INFORMASI OBAT TERHADAP KEPATUHAN MINUM OBAT PASIEN SKIZOFRENIA DI RSJD SAMBANG LIHUM Fenny Nadila Ramadhaniah; Risya Mulyani; Hendera Hendera
JCPS (Journal of Current Pharmaceutical Sciences) Vol 6 No 1 (2022): September
Publisher : LPPM - Universitas Muhammadiyah Banjarmasin

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Abstract

Skizofrenia merupakan penyakit kronis gangguan mental, ditandai oleh distorsi dalam berpikir, persepsi, emosi, bahasa, rasa diri dan perilaku. Pharmaceutical care atau asuhan kefarmasian merupakan tanggung jawab seorang farmasis yang berkaitan dengan pengobatan pasien bertujuan untuk mencapai hasil yang ditetapkan serta memperbaiki kualitas hidup pasien. Tujuan penelitian adalah untuk mengetahui pengaruh pemberian informasi obat terhadap kepatuhan minum obat pasien skizofrenia di RSJD Sambang Lihum. Metode penelitian ini quasy experimental study Teknik pengambilan sampel dengan Accidental Sampling menggunakan kuesioner Medication Adherence Rating Scale (MARS) for the psychoses. Sampel penelitian keluarga pasien atau pasien skizofrenia rawat jalan yang memenuhi kriteria inklusi sebanyak 61 responden. Hasil analisis nilai p antara pre-test dan post-test pada pasien kontrol (p = 1.000) dan pasien intervensi (p = 0.689) atau kedua kelompok pasien menunjukkan (p > 0.05) pada uji Paired T-Test. Sedangkan nilai p antara pre-test dan post-test pada keluarga kontrol (p = 0.739) dan keluarga intervensi (p = 0.470) atau kedua kelompok keluarga pasien menunjukkan (p > 0.05) pada uji Wilcoxon. Kesimpulan tidak ada perbedaan yang signifikan dari pengaruh pemberian informasi obat terhadap kepatuhan minum obat pada kelompok pasien kontrol dengan pasien intervensi dan keluarga kontrol dengan keluarga intervensi di RSJD Sambang Lihum
EVALUASI IMPLEMENTASI PELAYANAN FARMASI KLINIS DI PUSKESMAS : STUDI KASUS DI KECAMATAN BANJARMASIN UTARA Hendera, Hendera; Mulyani, Risya; Iftikhar, Ahmad Akmal
Jurnal Insan Farmasi Indonesia Vol 7 No 2 (2024): JIFI : Special edition
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v7i2.2104

Abstract

Clinical pharmacy services in primary healthcare centers (Puskesmas) are crucial components of the primary healthcare system. However, their implementation remains varied and suboptimal across different regions in Indonesia. This study aimed to evaluate the implementation of clinical pharmacy services in Puskesmas within North Banjarmasin District based on established quality indicators. This cross-sectional observational study was conducted in five Puskesmas in North Banjarmasin District. The evaluation used 19 clinical pharmacy service quality indicators developed through a modified Delphi method. Data were analyzed descriptively, the Friedman test was used to compare service quality. Clinical pharmacy service achievements varied among Puskesmas, 36% to 63%. Puskesmas A showed the best performance (63%, good category), while Puskesmas D was the lowest (36%, poor category). Aspects showing good performance included prescription service time and generic drug use. Areas needing improvement included prescription review documentation, drug labeling, and implementation of advanced clinical pharmacy services. The Friedman test showed no significant difference in service quality among Puskesmas (p > 0.05). The implementation of clinical pharmacy services in North Banjarmasin District Puskesmas varies and requires improvement. A coordinated strategy for standardizing procedures, capacity building, and strengthening documentation systems is needed to optimize clinical pharmacy services at the Puskesmas level.
Ethnopharmacological study of traditional plants with medicinal properties of kapehe pai (gout) in the Dayak Bakumpai tribe Zahra, Raudhatuz; Anshari, Muhammad; Mulyani, Risya
Jurnal Ilmiah Kesehatan Sandi Husada Vol 13 No 2 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v13i2.1233

Abstract

Introduction: Traditional medicine by the community has long been used for medicine and health maintenance and has been inherited from generation to generation. Indonesia is very rich in beneficial plants. This study aims to discover the types of plants and plant parts and how they are processed for kapehe pie. Research Methodology: The method used in this study is descriptive and exploratory with a qualitative approach. Data was collected by asking questions with the help of interview guidelines. The informants of this research are tatamba craftsmen and the Dayak Tribe of Sampirang II Village. The number of respondents was 35, consisting of farmers and homemakers. Result: There are five types of plants used for the treatment of kapehe pai (gout), namely bay leaf (syzgium polyanthum), lemongrass (Cymbopogon citratus), ginger (zingiber officinale), kersen (Muntingia calabura), and garlic (Allium sativum). The most widely used plant is bay leaf allergy (syzgium polyanthum). Leaves are the most frequently used plant organs, which is 57.14% of the total, followed by rhizomes (22.85%), stems (11.42%), and seeds (8.57%). The medicinal plants are processed in two ways, namely by boiling and grinding/pounding, with a percentage value of 91.42% for the boiling technique and 8.57% for the kneaded method. 91% of the therapeutic plants are sourced from the gardens around the house, and the remaining 9% come from market purchases Conclusion: Traditional medicine passed down from generation to generation treats kapehe pai (gout). The most widely used part of the plant is the leaf (57.14%), followed by rhizomes, stems, and seeds. Most medicinal plants are obtained from the gardens around the house (91%), while the rest are purchased from the market. This shows the wealth of local knowledge and the utilization of natural resources in traditional medicine.
Co-Authors Anita Sukmawati Evi Mulyani Fenny Nadila Ramadhaniah Hafizah, Nurul Hairi, Dewi Gulyla Halisa, Siti N Hartanto, Dedi Hasan Ismail Hendera Hendera Hendera, Hendera Herda Ariyani I Dewa Putu Pramantara S Jihan Jihan Muhammad Anshari Muhammad Anshari, Muhammad Mustika Muthaharah, Mustika Purnama, Syahida Riauwati, Rossa Rizka Mulya Miranti S, I Dewa Putu Pramantara Tri Murti Andayani Zahra, Raudhatuz