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JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

jmpf
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Published by Universitas Gadjah Mada

ISSN : 20888139 EISSN : 24432946 DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology Public Health

JMPF is the first open access journal in Indonesia specialized in both research of pharmaceutical management and pharmacy practice. Articles submitted in JMPF are peer reviewed, we accept review articles and original research articles with no submission/publication fees. JMPF receives manuscripts in both English (preferably) and Indonesian Language (Bahasa Indonesia) with abstracts in bilingual, both Indonesian and English. JMPF is also open for various fields such as pharmaceutical management, pharmacoeconomics, pharmacoepidemiology, clinical pharmacy, community pharmacy, social pharmacy, pharmaceutical marketing, goverment policies related to pharmacy, and pharmaceutical care.

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Articles 487 Documents

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Hubungan Tingkat Pengetahuan terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2 Laksmy Anggun Larasati; Tri Murti Andayani; Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Diabetes is a chronic disease that requires good therapeutic management and self care to achieve optimal glycemic target. The important barrier to achieve good glycemic control is a lack of knowledge about optimal glycemic targets. The purpose of this study was to determine the relationship of the level of knowledge to clinical outcome of type 2 diabetes mellitus in Yogyakarta and Bantul primary health care. This was an observational study with a cross sectional design. The sampling technique was done by accidental sampling for patients visiting the primary health care from October to December 2018 that involved 200 type 2 diabetes mellitus patients who were included in the inclusion criteria. The level of knowledge was measured by the Diabetes Knowledge Questionnaire (DKQ)-24 which had 24 questions and the clinical outcome was obtained from laboratory measurement data as well as from medical record data when the patient was in routine control. Sociodemographic data were analyzed descriptively. The relationship between the level of knowledge and clinical outcomes was analyzed using chi square. The results showed that the knowledge level score had an average value of 12. The most incorrect answer was in etiology and diabetes self care, which is eating too much sugar and sweet foods is the cause of diabetes (97%), exercise regularly increasing the need of hormone insulin or diabetes medication (82%), the insulin reaction is caused by too much food (84%) and diabetics should clean the wound with betadine and alcohol (88%). There were 106 (53%) patients who achieved good glycemic control. Chi square test showed no relationship between the level of knowledge of clinical outcomes (p = 0.328). The result of this study may become a material and education content evaluation in diabetic patients.

Perceived Harm and Addictiveness of e-Cigarette: A Systematic Review Susi Ari Kristina; Ni Putu Ayu Linda Permitasari; Ahmad Intihan; Dima Nurrohmah Hayati; Kharisma Aprilita Rosyidah
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The popularity of electronic nicotine delivery systems (ENDS), also known as e-cigarette, has been growing rapidly in the past years. Therefore, it is also important to explore how e-cigarette users perceive its harm and addiction risk. The aim of this study is to review and determine perceived harm and addictiveness of e-cigarette among e-cigarette users. We conducted a systematic review for published articles in English that had reported about perceived harm and addictiveness of e-cigarette published during year 2008 to 2018. Relevant studies were located through an extensive search from three electronic databases (PubMed, Science Direct, and Cochrane Database of Systematic Reviews) and Google Scholar on October 2018. Key terms used were “perceived harm”, “perceived risk”, “harm and addictiveness”, “belief”, “electronic cigarette”, “e-cigarette”, and “vaping”. A result of 88 studies were retrieved and reviewed. After further inspection of references from the collected studies, only 5 selected studies met all inclusion criteria. The final studies consisted of three cross-sectional studies, one longitudinal, and one prospective study. E-cigarette were perceived harmless and less addictive than cigarettes among its users with many predictors associated, including sex, age, race, education, advertisement and health belief for smoking cessation. Compared to non-users, e-cigarette users were significantly less likely to worry about the health risks, either its harm or addictiveness. E-cigarette was perceived harmless and less addictive than tobacco cigarettes. Further study about e-cigarette profile is particularly important to design public health messages that accurately interpret the scientific data on the potential harm and addictiveness of e-cigarette.

Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2 Syahrizal Ramadhani; Arie Fidiawan; Tri Murti Andayani; Dwi Endarti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.

The Depiction of Antibiotic Use without Presciption and Community Attitudes Towards Drugstores that Refused to Sell Antibiotic without Prescription M Rifqi Rokhman; Satibi Satibi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Antibiotic resistance causes reduced therapeutic effectiveness. Understanding of people's behavior plays an important role in countering antibiotic resistance especially by preventing irrational use of antibiotics. The purpose of the study was to depict the experience of respondents in using antibiotics without prescription and the relationship of characteristics of respondents with unwillingness to remain a customer at a pharmacy that had refused to provide antibiotics without a prescription. The study design applied cross-sectional using a questionnaire, and sampling was done by purposive sampling. Respondents were people who used antibiotics without a doctor's prescription. The survey was conducted in Yogyakarta in September-October 2018. The data were analyzed descriptively and used multivariate logistic regression. As many as 44.2% of the total 670 respondents used antibiotics the last time more than a year ago; 69.5% received information about antibiotics from previous treatments; 93.4% received antibiotics from pharmacies, and 69.2% stated that the most used antibiotic was amoxicillin. More than half (62.2%) of respondents were still willing to become customers at a pharmacy that had refused to provide antibiotics without a prescription. Respondents with high school education or lower as the latest education degree (OR = 1.513; 95% CI 1.017-2.252); from family income below the regional minimum wage (OR = 1.858; 95% CI 1.302-2.651), and from Sleman Regency (OR = 1.457; 95% CI 1.016-2.089) became a predictor of the unwillingness of respondents to become customers at a pharmacy who had refused to provide antibiotics without a prescription. Supervision of antibiotic (especially amoxicillin) in pharmacies and education to the community needs to be used as part of a strategy against irrational use of antibiotics. In addition, education needs to be given to pharmacists to reduce fears of decreased in the number of their customers because they refuse to deliver antibiotics without a prescription.

Prevalensi Penggunaan Fall Risk Medicine pada Pasien Lanjut Usia di Instalasi Rawat Jalan Rumah Sakit Madiun Fita Rahmawati; Nasikhatul Mustafidah; Lily Annisa
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The use of certain drugs is known to be an extrinsic factor the risk of falling in the elderly (elderly) because it can cause postural hypotension, sedation, dizziness, weakness, drowsiness, muscle weakness, and other side effects. This study aims to determine the profile of drug use that have the potential to fall in the elderly. This study used a cross-sectional descriptive design with purposive sampling technique. The study was carried out at two regional hospitals in Madiun (RSUD Dr. Soedono Madiun and RSUD Kota Madiun). The data is sourced from the outpatient's medical record of Neurology and Internal Medicine clinics and from the medication record in the Pharmacy Installation from May to October 2018. The results showed that there were 343 patients (64.11%) out of 535 patients involved in the study using fall risk medicines (FRM). Three FRM groups that were often prescribed were antihypertensive 52.71% (282 patients), anticonvulsants 20.19% (108 patients), and benzodiazepines 10.47% (56 patients). A number of 46.54% (249 patients) used FRM included in the low-risk category (Medication Fall Risk Score 1-5), and as many as 17.57% (94 patients) were included in high risk (Medication Fall Risk Score ≥ 6). The elderly that use 1 FRM was 24.86% (133 patients), followed by 2 drugs was 19.07% (102 patients). The results of this study realized that the use of fall risk medicines in the elderly is quite high, so it is necessary to weigh the risks and benefits of its use to prevent falls in the elderly.

EVALUASI KESESUAIAN ANTIBIOTIK DEFINITIF TERHADAP CLINICAL OUTCOME PADA PASIEN ANAK DENGAN MENINGITIS BAKTERIAL DI BANGSAL RAWAT INAP RUMAS SAKIT UMUM PUSAT Wihda Yanuar; Ika Puspitasari; Titik Nuryastuti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Meningitis bacterial merupakan infeksi sistem saraf pusat (SSP), terutama menyerang anak pada usia <2 tahun, dengan puncak angka kejadian pada usia 6-18 bulan. Penyakit ini diperkirakan mencapai 1,2 juta kasus tiap tahunnya dengan mortalitas pasien berkisar antara 2%-30% diseluruh dunia. Kasus meningitis bakteri di Indonesia mencapai 158/100,000 kasus pertahun, dengan etiologi Haemophilus influenza tipe b (H. influenza) 16/100.000 dan bakteri lain 67/100.000. Pasien dengan meningitis bakteri yang bertahan hidup beresiko mengalami komplikasi. Komplikasi utama meningitis bakterial terjadi karena adanya kerusakan pada otak. Pasien yang bertahan hidup dari meningitis dapat mengalami gangguan saraf. Oleh karena itu, pasien meningitis bakterial khususnya pada anak perlu mendapatkan terapi yang optimal. Penelitian ini bertujuan untuk mengetahui kesesuaian penggunaan antibiotik definitif terhadap cinical outcome pasien anak dengan meningitis bakterial di bangsal rawat inap RSUP Dr. Sardjito Yogyakarta serta gambaran antibiogramnya. Penelitian ini dilakukan dengan rancangan deskriptif observasional dengan pengumpulan data secara retrospektif terhadap rekam medis pasien yang memenuhi kriteria inklusi dan eksklusi. Penyusunan antibiogram dilakukan berdasarkan perhitungan persentase sensitivitas antibiotik. Hasil penelitian menunjukkan bahwa penggunaan antibiotik definitif 63,33% sesuai dengan hasil uji kultur dan sensitivitas antibiotik. Clinical outcomepenggunaan antibiotik definitif sesuai dengan hasil uji kultur dan sensitivitas 100% (19 pasien) membaik. Antibiogram pada pasien anak dengan meningitis bakterial di RSUP Dr. Sardjito adalah: pola bakteri Gram positif sebesar 63,33% dan bakteri Gram negatif 36,67%, dimana antibiotik yang memliki sensitivitas tinggi terhadap bakteri Gram positif adalah vankomisin 89% dan siprofloksasin 83% sedangkan untuk bakteri Gram negatif adalah meropenem 100% dan amikasin 83%.

Perkiraan Kadar Seftazidim dalam Darah pada Pasien Pneumonia dengan Gangguan Fungsi Ginjal Dewi Latifatul Ilma; Djoko Wahyono; Ika Puspita Sari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Pneumonia is one of the major causes of mortality due to infection in hospitalized patients. It was frequently found in patients with renal failure. Clinical outcomes of infected patients with renal failure are worse compared to patients without renal failure. The presence of renal impairment affects the pharmacokinetics of the drug. Ceftazidime is one of the most commonly used antibiotics in patients with pneumonia. Approximately, 80-90% of ceftazidime’s total drug fraction is eliminated by kidneys so that the presence of kidney disorders will affect the concentration of ceftazidime in the blood. This study aimed to determine the estimated concentration of ceftazidime in the blood and clinical outcome of pneumonia patients with renal impairment. This study was a retrospective study with descriptive observational design. Data were obtained from patient’s medical record in a hospital in Yogyakarta between January 2013-June 2017 which fulfilled the inclusion criteria, i.e., ≥18 years old patients with complete medical record data, treated in internal medicine ward with diagnosis of pneumonia (HAP/HCAP) who had chronic renal failure, and received ceftazidime for minimum 72 hours or 3 days. The number of research samples were 40 patients. This study showed that 31 patients (77.5%) had achieved estimated ceftazidime concentration in the blood above the minimum inhibitory concentration of 8 μg/ mL. After ceftazidime therapy, 19 patients (47.5%) had improved clinical outcome and 21 patients (52.5%) had not improved clinical outcome.

Korelasi Pelayanan Kefarmasian dan Citra Rumah Sakit dalam Analisa SWOT Instalasi Farmasi RS Baptis Batu Charina Halim Sugiono; Rollando Rollando; FX. Haryanto Susanto; Eva Monica
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Good pharmacy services are expected to build the positive image of the hospital. This includes the enhancement of competitive advantage among hospitals. The expected output of this research is identifying the effect of three dimensions of pharmacy services; interpersonal relations, therapy management and general satisfaction, to the image of the Baptis hospital, Batu City. The implementation of SWOT analysis is expected to determine the effect between variables, and the hospital can improve the competitive advantage. This study used quantitative and qualitative methods. Quantitative research involved 200 respondents and the method of statistical analysis was Multiple Linear Regression to investigate the effect of pharmacy services on the hospital image. The results of the study prove that pharmacy personnel at the Pharmacy Installation of Baptist Hospital Batu has provided good service, cared for patients, showed respect, and gave their willingness to provide information, education, counseling, and good activities. While the rating is classified as low, but still in good range is the patient's response time which is in the dimensions of general patient satisfaction. Qualitative research used the SWOT analysis and involved pharmacists of the Baptis Hospital. Generally, the result of statistical analysis revealed that the dimensions of pharmacy services have a positive effect on the hospital hospital image, both partially and simultaneously. In addition, the result of SWOT analysis demonstrated that Baptis Hospital is included in the first quadrant, which means the hospital runs a strategy that leads to the growth of the hospital. The hospital is in the perfect position that allows the management to rely on the strength in order to develop rapidly.

Efektivitas Hybrid e-Learning Mata Kuliah Kimia Klinik dan Bioanalisis di Fakultas Farmasi, Universitas Gadjah Mada Adam Hermawan; Muthi Ikawati; Susi Ari Kristina; Edy Meiyanto
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The e-learning method has emerged over the years along with the development of information technology. One of the advantages of this method is not depending on space and time of lecture. The course of clinical chemistry and bioanalysis consisting of lectures and practical courses has time and place limitations for practical and discussion between lecturers and students, therefore learning method innovation is needed. This study aimed to evaluate the effectiveness of the hybrid e-learning method using eLisa on student, as well as understanding and evaluating student perceptions and acceptance of the hybrid e-learning method in clinical chemistry and bioanalysis courses. The platform for the the hybrid e-learning method is eLisa (elisa.ugm.ac.id), developed by the Center for Innovation and Academic Studies (PIKA) UGM. A total of 54 UGM Pharmacy students in the sixth semester of the academic year 2017/2018 participated in this learning activity. Online discussion was conducted on a scientific paper or data obtained from practical courses. Lecturers also provide assignments and online quizzes through eLisa every 2 to 3 weeks. Online assignments and quizzes are opened 24 hours after the lectures. The hybrid e-learning method improve student’s understanding on the lectures and results in the increased number of students who get A marks by 100% compared to conventional learning methods. Most students were satisfied and able to enjoy the learning process with hybrid e-learning with eLisa. This method is able to improve the understanding of subjects and students are satisfied with the implementation of course learning. Further development on improving e-learning methods is needed to improve the quality of learning outcomes.

Estimasi Nilai Ekonomi Obat Tidak Digunakan pada Kalangan Rumah Tangga Kota Yogyakarta Bai Athur Ridwan; Susi Ari Kristina; Chairun Wiedyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Pengeluaran untuk obat-obat yang diresepkan dan obat yang dijual bebas merupakan persentase besar dari total biaya perawatan kesehatan. Pasien mungkin tidak dapat menggunakan semua obat yang diperoleh dari pengobatan karena perubahan dosis atau obat-obat yang telah kedaluwarsa. Hal ini diperkirakan memiliki konsekuensi terhadap finansial. Tujuan utama dari penelitian ini adalah untuk mengetahui nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga Kota Yogyakarta.Jenis Penelitian ini yaitu observatif dengan rancangan studi cross sectional. Responden dipilih secara convenience sampling dan diwawancara langsung dan mendata obat-obat yang disimpan di rumah. Data dianalisis dan dipersentasikan secara deskriptif.Dari 400 responden, hanya 261 (65,2%) yang menyimpan obat terdiri dari obat sedang digunakan dan persediaan, obat tidak digunakan dan obat kedaluwarsa dengan total harga sebesar Rp7.082.556. Total harga obat tidak digunakan sebesar Rp1.273.921 (18%) dengan rata-rata Rp13.698 per orang sedangkan obat kedaluwarsa hanya berharga Rp140.065 (2%) dengan rata-rata Rp12.733. Berdasarkan kelas terapi, jumlah obat tidak digunakan paling banyak adalah analgesik (28,6%), sistem respirasi (13,7%), dan antimikroba (11,9%), sedangkan obat kedaluwarsa utamanya analgesik, saluran cerna dan antiseptik masing-masing (18,8%). Nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga dari penelitian ini relatif kecil. Penelitian ini dapat berfungsi dalam program edukasi masyarakat untuk meningkatkan kepatuhan dan penggunaan obat secara tepat dan efisien agar dapat dilakukan penghematan biaya kesehatan yang dikeluarkan.Kata Kunci: Obat tidak digunakan, obat kedaluwarsa, biaya

Page 32 of 49 | Total Record : 487

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