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All Journal Journal of Nursing and Public Health (JNPH) JIAN (Journal of Indonesian Anesthesiology Nursing)
AURELIA, DIVA
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Health Professions Nursing

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ANALISIS FAKTOR TINGKAT KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS DI PUSKESMAS BIROBULI PALU HARDANI, RIRIEN; RUMI, AMELIA; AURELIA, DIVA
Journal of Nursing and Public Health Vol 13 No 1 (2025)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v13i1.8515

Abstract

Pendahuluan: Peningkatan prevalensi diabetes melitus (DM) setiap tahunnya menjadi salah satu permasalahan dalam dunia medis, salah satu penyebab rendahnya keberhasilan terapi adalah tingkat kepatuhan pengobatan yang rendah. Tujuan dari penelitian ini yaitu untuk mengetahui profil pengobatan, tingkat kepatuhan, serta faktor yang mempengaruhi tingkat kepatuhan pengobatan pasien DM di Puskesmas Birobuli Palu. Metode: Penelitian ini dilakukan secara cross-sectional menggunakan kuesioner MMAS-8 (8-item Morisky Medication Adherence Scale) dimana data yang diperoleh dianalisis menggunakan uji Chi-square dan regresi statistik. Hasil dan Pembahasan: Penggunaan antidiabetes terbanyak adalah melalui terapi oral (80,38%) dengan tingkat kepatuhan pasien tinggi (66,46%). Faktor yang mempengaruhi tingkat kepatuhan pasien adalah tingkat pendidikan (p=0,045), frekuensi pengobatan (p=0,019) dan jumlah obat DM (p=0,000). Analisis multivariat menunjukkan tingkat pendidikan (P=0,013) dan jumlah obat DM (P=0,000) memiliki hubungan yang kuat terhadap kepatuhan pasien. Kesimpulan: Pasien DM di Puskesmas Birobuli mayoritas menggunakan antidiabetes oral dan memiliki tingkat kepatuhan yang tinggi, serta faktor yang berhubungan kuat terhadap kepatuhan pengobatan adalah tingkat pendidikan sedang serta jumlah obat DM yang tunggal.
COMPARISON OF THE SHORT-TERM EFFECTS OF KETOROLAC AND PARACETAMOL IN THE MANAGEMENT OF INTRA-ANESTHESIA PAIN : Literature Review SOFYAN, FELISHA; Ulhaqisya, Nadya; Aurelia, Diva; Marhana, Kirana
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Abstract

Background: Postoperative pain is a global challenge affecting nearly half of patients, potentially leading to chronic pain. The development of non-opioid multimodal analgesia strategies, particularly the pre-emptive or intra anesthetic use of intravenous Ketorolac and intravenous Paracetamol, is key to managing short-term pain. This study aims to map, categorise, and compare the short-term efficacy of intravenous Ketorolac and intravenous Paracetamol administered in the intra-anesthetic context for various types of surgery. Methods: This study uses a Scoping Review design based on the Arksey and O'Malley framework, and is reported according to the PRISMA-ScR guidelines. A literature search was conducted on major databases for studies published between 2020 and 2025. Data was extracted using the PICOST framework (Population, Intervention, Comparison, Outcome, Study Type, Timeframe) and synthesised narratively and thematically based on the surgical context. Results: Ten primary studies (RCTs and comparative) were included, focussing on short-term efficacy. The results showed that the combination of Ketorolac (30 mg) and Paracetamol (1 g) significantly reduced total morphine requirements post-laminectomy compared to Paracetamol monotherapy (P < 0.05). In major surgery (CABG), paracetamol monotherapy is effective in reducing VAS scores better than ketorolac (P < 0.05) and in reducing morphine consumption (P < 0.001). Studies confirm the feasibility of pre-emptive/intra-anesthetic administration for both agents (Kashif et al., 2021). Conclusion: The optimal strategy for short-term postoperative pain management is a multimodal approach combining intravenous Ketorolac and Paracetamol, initiated during the intra-anesthetic phase, to effectively reduce opioid requirements and improve the quality of postoperative analgesia.
Co-Authors amelia rumi, amelia Marhana, Kirana Ririen Hardani SOFYAN, FELISHA Ulhaqisya, Nadya