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Faktor-Faktor Yang Mempengaruhi Kegagalan Terapi Pasien TB Paru di Puskesmas Labuan Bajo Mei, Fransiska Oktaviana; Parthasutema, Ida Ayu Manik; Wintariani, Ni Putu
Bali International Scientific Forum Vol. 1 No. 1 (2020): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v1i1.126

Abstract

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Unsuccessful treatment can be canceled from TB treatment and cessation treatment by patients for certain reasons. Failure of TB therapy can help by several factors such as drug side effects, the level of knowledge of the patient, relationship to taking medication and drug interactions. Purpose: to determine the factors that influence the failure of therapy for pulmonary TB patients at the Labuan Bajo primary health center.  Method: This type of research is an observational study with cross sectional research design. The sample in this study were patients who had failed TB treatment therapy as many as 22 patients and patients recovered as many as 13 people in the Labuan Bajo primary health care during 2018 taken by the total sampling technique. The analytical method used is the associative hypothesis correlation coefficient contingency test.. Result: the contingency coefficient correlation test between the knowledge level of TB patients with TB therapy failure (p-value = 0.003 <0.05) showed there was a relationship between the level of knowledge and failure of therapy, adherence to TB patients with TB therapy failure (p-value = 0.001 <0.05) showed an association between adherence to treatment failure, drug side effects with failure of TB therapy (p-value = 0.392> 0.05) showing no association between side effects and failure of therapy, and drug interactions with treatment failure ( (p-value = 0.006 <0.05) shows there is a relationship between drug interactions with failure of therapy. Conclusion: Knowledge, compliance with TB patients and the presence of drug interactions are factors  the failure of therapy for TB, while the side effects of drugs do not affect the nervousness of TB patient therapy in the Labuan Bajo health center.
Gambaran dan Kajian Penerapan Standar Pelayanan Kefarmasian Di Puskesmas Kota Denpasar Berdasarkan Permenkes Nomor 74 Tahun 2016 Dewi, I Gusti Ayu Agung Kristina; Parthasutema, Ida Ayu Manik; Putri, Dhiancinantyan Windydaca Brata
Bali International Scientific Forum Vol. 1 No. 1 (2020): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v1i1.132

Abstract

Background: Puskesmas in Denpasar City do not have pharmacists to carry out pharmacy services as a whole according to the standards, but only played by pharmaceutical technical personnel who can only carry out pharmaceutical services on a limited basis, according to Minister of Health Regulation Number 74 of 2016. Purpose: To describe the application of pharmaceutical service standards in Denpasar City health centers, as well as the factors that influence the implementation of pharmaceutical service standards at the health centers. Method: The study was conducted observationally with a descriptive research design, using questionnaires. The research subjects were those responsible for pharmacy in 11 Denpasar City health centers. Results: The application of pharmaceutical service standards in 11 Denpasar city health centers from the aspects of drug and medical management consumables reached 96.97%, from the aspect of clinical pharmacy services reached 63.85%, from aspects of pharmaceutical resources reached 73.58% and from aspects of service quality control reached 82.68%. Based on the results of the interview identified 18 factors that have the potential to mismatch the application of service standards. Conclusion: The standard of pharmacy services at the Denpasar City Health Center has not been carried out thoroughly according to the Permenkes No. 74 Tahun 2016.