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All Journal International Journal of Health, Engineering and Technology
Aprilia Puteri Santika
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Dentistry Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Cost-Effectiveness Analysis Of The Use Of Ciprofloxacin And Levofloxacin Antibiotics For Urinary Tract Infections In BPJS Inpatients At RSUD Dr. Moewardi Surakarta Annisa Nurulita Dyah Savitri; Kharisma Jayak Pratama; Aprilia Puteri Santika
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.606

Abstract

Urinary tract infections (UTIs) are a significant health burden in Indonesia, with high antibiotic therapy costs in BPJS inpatients. This study aims to analyze the cost-effectiveness of ciprofloxacin versus levofloxacin in BPJS inpatient UTI patients at Dr. Moewardi Surakarta Hospital from January to June 2025. This study used retrospective quantitative descriptive research with secondary data from medical and financial records; the population of all cases met the criteria (n=127) using total sampling. Data extraction instruments were demographic variables, effectiveness (temperature, length of hospitalization), and direct medical costs; CEA analysis via ACER, ICER, and Mann-Whitney test (p<0.05). The results showed equivalent effectiveness (ciprofloxacin 36.78%; levofloxacin 35%), ACER of ciprofloxacin Rp470,910 lower than levofloxacin Rp621,220, negative ICER Rp-2,451,792, with no significant difference (p>0.05). Conclusion: Both therapies are economically equivalent, supporting the optimization of JKN.
Relationship Between Patient Knowledge Level And use Corticosteroid Drugs At Pharmacies X And Y Fadillah Noviyanti; Hidayah Apriliawan; Aprilia Puteri Santika
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.626

Abstract

Corticosteroids are a class of drugs widely used in healthcare services due to their anti-inflammatory, anti-allergic, and immunosuppressant effects. These drugs are often prescribed in healthcare facilities, including pharmacies. The use of corticosteroids requires a good understanding from patients for safe use. The level of patient knowledge regarding corticosteroid drugs can be influenced by various respondent characteristics, such as age, gender, and occupation. Therefore, it is necessary to conduct research to determine the relationship between respondent characteristics and the level of patient knowledge regarding corticosteroid drugs in healthcare facilities. Objective: This study aims to determine the relationship between the level of patient knowledge and respondent characteristics (age, gender, and occupation) in healthcare facilities in pharmacies. This study is an observational analytical study with a cross-sectional design. Sampling was carried out using an accidental sampling technique on patients who obtained corticosteroid drugs at x Pharmacy and y Pharmacy in December 2025. The number of samples in this study was 100 respondents. The research instruments were a questionnaire on the level of patient knowledge and a questionnaire on respondent characteristics. The study showed that patients' knowledge of corticosteroids ranged from good (51.57%), sufficient (32.63%), and poor (15.78%). Chi-square test results showed no significant association between age, gender, and occupation with patients' knowledge of corticosteroids (p>0.05). There was no association between respondent characteristics (age, gender, and occupation) and patients' knowledge of corticosteroids at health care facilities in pharmacies.
Evaluation Of The Use Of Mdi And Dpi Inhaler Preparations In Chronic Obstructive Pulmonary Disease (Copd) Patients At Uns Hospital Reihan Rendika; Hidayah Apriliawan; Aprilia Puteri Santika
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.627

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by progressive and not fully reversible airflow limitation. One of the main therapies for COPD is inhaled medication delivered through Metered Dose Inhalers (MDI) and Dry Powder Inhalers (DPI). The success of therapy is strongly influenced by the correctness of inhaler technique, as improper use can reduce drug deposition in the airways and affect clinical outcomes. This study aimed to evaluate the accuracy of MDI and DPI inhaler use and its relationship with the FEV₁/FVC ratio in COPD patients at RS UNS. This study employed a non-experimental design with a cross-sectional approach. A total of 100 COPD patients who met the inclusion criteria were selected using purposive sampling. Sociodemographic data and inhaler-use accuracy were obtained through direct interviews, while FEV₁/FVC values ​​were collected from medical records. The data were analyzed using the Chi-Square test with a significance level of α = 0.05. The results showed that most respondents were over 45 years old (80%) and female (56%). The level of correct inhaler use was low in both MDI users (22.2% correct) and DPI users (13.2% correct). There was no significant relationship between sociodemographic factors and inhaler-use accuracy (p > 0.05). However, a highly significant relationship was found between inhaler-use accuracy and achievement of the FEV₁/FVC ratio (p < 0.001), in which all patients with correct inhaler technique achieved the target FEV₁/FVC. In conclusion, appropriate inhaler technique plays a crucial role in achieving optimal pulmonary function outcomes in COPD patients. Therefore, continuous education and regular evaluation of inhaler technique are essential to support the success of COPD therapy.
Analysis Of The Relationship Between Compliance With Antihypertensive Drug Use And The Therapy Output Of Hypertension Patients At The Sangkrah Community Health Center In Surakarta Rosmala Dewi; Vivin Marwiyati Rohmana; Aprilia puteri Santika
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.628

Abstract

Hypertension is a chronic disease with a high prevalence and remains a major public health problem that requires long-term therapy and optimal blood pressure control to prevent complications. Treatment success is influenced by various factors, including adherence to antihypertensive medication. Poor adherence may result in uncontrolled blood pressure and reduced therapeutic outcomes. This study aimed to analyze the relationship between adherence to antihypertensive medication use and therapeutic outcomes among hypertensive Patients at Sangkrah Primary Health Center, Surakarta. This study employed an observational analytic design with a cross-sectional approach. The study population consisted of hypertensive patients who met the inclusion criteria. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8), while therapeutic outcomes were assessed based on blood pressure records documented in patients' medical files. Data were analyzed using univariate analysis to describe respondent characteristics and bivariate analysis using the chi-square test to examine the association between medication adherence and therapeutic outcomes. The results showed that most respondents were classified as adherent, with 90 respondents (90.0%), while 10 respondents (10.0%) were non-adherent. Regarding therapeutic outcomes, 74 respondents (74.0%) had uncontrolled blood pressure and 26 respondents (26.0%) had controlled blood pressure. Chi-square analysis showed a Pearson Chi-Square value of 0.208 (p > 0.05), indicating no statistically significant relationship between medication adherence and therapeutic outcomes. In conclusion, adherence to antihypertensive medication was not significantly associated with blood pressure control. These findings indicate that blood pressure management is influenced not only by medication adherence but also by factors, comorbidities, and nonpharmacological interventions.
The Relationship Of Antibiotic Rationality To Clinical Outcomes In Adult UTI Patients Using The Gyssens Method At The Inpatient Unit Of PKU Muhammadiyah Hospital, Surakarta Nabilla Aulia Khorifatunnisa; Aprilia Puteri Santika; Annie Rahmatillah
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.668

Abstract

Urinary Tract Infection (UTI) is a common infection with a high risk of antibiotic resistance due to irrational use. This study evaluated the rationality of antibiotics on the clinical outcomes of adult UTI patients using the Gyssens method at PKU Muhammadiyah Surakarta Hospital. To analyze the profile, rationality of antibiotics, and their relationship with clinical improvement. Retrospective descriptive study on 77 adult UTI inpatients from January to December 2024, purposive sampling, medical record instruments, Gyssens and Chi-Square analysis (SPSS 25). Rationality 53.25% (category 0), Cefuroxime most (38.96%), normal leukocytes 92.2%, p = 0.006 indicating a significant relationship between rationality and clinical improvement. Rational use of antibiotics significantly improves the clinical outcomes of UTI, supporting antimicrobial stewardship.
Co-Authors Annisa Nurulita Dyah Savitri Fadillah Noviyanti Hidayah Apriliawan Kharisma Jayak Pratama Nabilla Aulia Khorifatunnisa Rahmatillah, Annie Reihan Rendika Rohmana, Vivin Marwiyati Rosmala Dewi