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Nurul Kusumawardani
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INDONESIA
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal)
Published by Universitas Alma Ata Yogyakarta
ISSN : 25806637     EISSN : 25807269     DOI : http://dx.doi.org/10.21927/inpharnmed
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Pharmaceutics, Biopharmaceutics, Drug Delivery System, Physical Pharmacy, Chemical Pharmacy, Pharmaceutical Technology, Pharmaceutical Microbiology and Biotechnology, Pharmacology and Toxicology, Pharmacokinetics, , Pharmaceutical Chemistry, Pharmaceutical Biology, Community and Clinical Pharmacy, Regulatory Affairs and Pharmaceutical Marketing Research, and Alternative Medicines
Arjuna Subject : Pharmacology, Toxicology and Pharmaceutics - Pharmacology, Toxicology and Pharmaceutics (Lain-Lain)
Articles 156 Documents
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N-Acetylcysteine Therapy and Hospital Length of Stay Among SARS-CoV-2 Delta Variant Patients Irma Susanti; Nurul Qiyaam; Muhtaromah; Ifa Aris Suminingtyas
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7000

Abstract

Background: The SARS-CoV-2 Delta variant surge was marked by high transmissibility and clinical severity, leading to substantial increases in hospitalizations and mortality. N-acetylcysteine (NAC) has been proposed as an adjunctive therapy for its mucolytic, antioxidant, and anti-inflammatory properties, particularly its ability to inhibit pro-inflammatory cytokines and restore glutathione levels. However, clinical evidence on its impact on hospital length of stay during the Delta variant surge remains limited. Objective: This study aimed to investigate the association between NAC therapy and length of hospital stay (LOS) among patients hospitalized with the SARS-CoV-2 Delta variant. Methods: A retrospective, cross-sectional observational study was conducted at Muhammadiyah Lamongan Hospital in Indonesia. Using purposive sampling, data were extracted from the medical records of 444 adult patients (≥18 years) with PCR-confirmed SARS-CoV-2 infection who were hospitalized between June and August 2021. All subjects received NAC therapy (≥1200 mg/day) as part of their clinical management. LOS was categorized as short (<10 days) or long (≥10 days) based on established clinical criteria. Results: The study population was predominantly male (50.5%), with the largest age group being 56–65 years (32.2%). The most prevalent comorbidities were pneumonia (60.4%), diabetes mellitus (21.0%), and hypertension (6.8%). Regarding clinical outcomes, 81.98% (n=364) of patients receiving NAC therapy were hospitalized for less than 10 days, while 18.02% (n=80) were hospitalized for 10 days or longer. Conclusion: Hospitalized patients with the SARS-CoV-2 Delta variant receiving NAC therapy predominantly had shorter hospital stays (≤10 days). These findings provide preliminary evidence of NAC's potential as a beneficial adjunctive treatment to expedite recovery.
Effect of Brief Pharmacist Counseling on Knowledge, Perception, Adherence, and Hemoglobin in Second-Trimester Pregnancy at a Community Health Center Sri Suprapti; Endang Darmawan; Eliza Dwinta; Win Win Khaing Shwe; Emelda Emelda; Fadilatul Layalli; Ratih Devi Alfiana
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7017

Abstract

Background: Anemia in pregnancy increases the risk of maternal mortality and fetal damage. The primary cause is iron deficiency. In 2018, 73.2% of pregnant women in Indonesia received iron supplements, yet anemia remained common, affecting 48.9% of them. Objective: This study aims to investigate the influence of Brief Counseling 5A on knowledge, perception, compliance, and Hb levels in second-trimester pregnant women taking Iron (III) Hydroxide Polymaltose Complex (IPC) tablets at the X’s Public Health Center in Yogyakarta. Methods: This quasi-experimental study used a pre-test and post-test design without a control group and was conducted from November 2018 to April 2019 with 39 pregnant women. Measurements of knowledge, perception, and compliance were taken at the pre-test (1st day) and post-test (31st day) for those who received Brief Counseling 5A. Results: Brief Counseling 5A significantly increased mean pre-test and post-test scores for knowledge, perception, and compliance, with a significance value of 0.001 (p<0.050). The mean pre-test knowledge score was 64.36 ± 2.69. The post-test score was 90.26 ± 1.60. The mean pre-test perception score was 28.26 ± 0.56, and the post-test perception score was 33.31 ± 0.60. The mean pre-test compliance level score was 56.15 ± 3.28, and the post-test was 86.41 ± 2.06. Each parameter had a p-value < 0.05. Meanwhile, the mean pre-test Hb value was 11.98 ± 0.23 g/dL, while the mean post- test Hb value was 11.67 ± 0.21 g/dL, with a p-value of 0.117. Conclusion: Brief Counseling 5A can significantly increase knowledge, perception, and compliance. However, there was no increase in Hb levels among second-trimester pregnant women who consumed IPC tablets at the Public Health Center of Banguntapan III, Bantul.
Pengaruh Edukasi Berbasis Video Terhadap Pengetahuan Penggunaan Insulin, Pola Makan, Manajemen Diri dan Glukosa Darah Puasa Pada Pasien Diabetes Bella Fevi Aristia; Tiara Putri Hartanto; Brelianty Nevy Tyara CP; Eka Putri Nurhidayah; Adinugraha Amarullah; Alfu Laila
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7031

Abstract

Background: Although various educational strategies have been implemented for patients with diabetes mellitus (DM), many challenges still exist, including inadequate glycemic control. This is due to patients' lack of understanding about DM management. Objective: This study examined the effect of video education on knowledge of insulin use, diet, diabetes self-management, and fasting blood glucose in insulin-treated patients with Type 2 DM. Methods: This quasi-experimental study employed a pretest-posttest design with a control group. Prospective data were collected from June to August 2025 using purposive sampling. A total of 60 patients with insulin-treated Type 2 DM who met the inclusion criteria participated. The sample was divided into control and treatment groups of 30 patients each. Participants in the intervention group received video- based education on insulin use, diet, and diabetes self-management. Data were collected using validated questionnaires assessing insulin knowledge, dietary patterns, and the Diabetes Self-Management Questionnaire (DSMQ). Results: The intervention group showed significant improvements in all outcomes. Median insulin knowledge scores increased from 13 (10–17) to 17 (14–18) (p=0.001), dietary pattern scores increased from 63 (56–74) to 70 (61–78) (p<0.001), and self-management scores increased from 38.72 to 41.57 (p<0.001). Median fasting blood glucose levels decreased from 161 mg/dL (82–305) to 145 mg/dL (89– 239) (p=0.010). Conclusion: Video-based education effectively improves knowledge, dietary patterns, self- management, and glycemic control in insulin-treated patients with type 2 DM.
Bukti Histologis Peningkatan Imunitas Humoral akibat Pemberian Formulasi Poliherbal pada Hewan Model Imunogenisitas Widhowati Supardi; Woro Rukmi Pratiwi; Juliana Irem Adriana Purukan; Eti Nurwening Sholikhah; Setyo Purwono
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7032

Abstract

Background: Antibiotic resistance (AMR) is a critical global health threat often exacerbated by inappropriate  self-medication. In Indonesia, infectious diseases remain a leading cause of mortality, yet public understanding and practices regarding antibiotic use are often suboptimal. Objective: This study investigated the association between sociodemographic factors and the knowledge, beliefs, attitudes, and practices (KAP) regarding antibiotic use among the community in Bandar Lampung, Indonesia. Methods: A community-based cross- sectional survey was conducted from March to April 2023 across 31 primary healthcare centers in 17 sub- districts. A total of 418 respondents were selected using a two-stage cluster sampling method. Data were collected via a validated questionnaire (Cronbach’s Alpha > 0.6) and analyzed using Chi-square and Fisher’s exact tests (p<0.05). Results: The findings revealed that 53.35% of respondents possessed inadequate knowledge, while 49.76% practiced self-medication. Although 94.50% exhibited favorable attitudes toward rational use, a notable "attitude-practice gap" persisted. Statistical analysis demonstrated that sociodemographic factors—including age, education level, and health insurance—were not significantly associated with knowledge, beliefs, or attitudes (p>0.05), indicating that misconceptions were uniformly distributed across the community. However, antibiotic-use practices were significantly associated with gender (p=0.038) and occupation (p=0.027). Furthermore, a significant association was established between knowledge levels and self-medication practices (p=0.028), identifying inadequate health literacy as a primary driver of inappropriate drug acquisition. Conclusion: While theoretical attitudes were positive, inadequate knowledge and easy access to medication fueled high rates of self-medication. Pharmacists must serve as clinical gatekeepers, implementing community-wide educational interventions to correct misconceptions and promote rational antibiotic therapy.
A Qualitative Interview Pilot to Dig Experiences and Needs of Pharmacists’ Role in Handling Disaster Management of the Mount Merapi Eruption in Yogyakarta Andrey Wahyudi; Chairun Wiedyaningsih; Doni Widyandana; Niken Nur Widyakusuma
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7040

Abstract

Background: Indonesia is highly vulnerable to recurrent volcanic disasters, such as Mount Merapi’s eruptions, which severely disrupt healthcare and cause profound psychosocial impacts. While pharmacists are essential to managing emergency medication logistics and patient safety, their operational constraints and frontline experiences remain significantly underexplored. Objective: This study aimed to develop, pilot, and refine a qualitative interview guide to explore the operational realities, interprofessional dynamics, and psychosocial contributions of the pharmacy workforce during the 2010 Mount Merapi eruption. Methods: A qualitative pilot study was conducted in Sleman Regency, Indonesia, from August to October 2025. Semi-structured interviews were used to collect data from eight participants—frontline pharmacists, physicians, nurses, and affected community members recruited through purposive maximum-variation and snowball sampling. The instrument underwent rigorous multidisciplinary expert validation and iterative field testing. Results: Cross-professional thematic analysis revealed that while pharmacists are vital for maintaining emergency medication supply chains and providing mental health first aid, their effectiveness is frequently hindered by critical workforce shortages and a lack of cross-sector coordination. Methodologically, the pilot phase refined the instrument by incorporating context-setting introductions, targeted probes, and simplified terminology to elicit experience-based narratives. Conclusion: This study produced a highly validated, culturally sensitive qualitative instrument tailored for disaster pharmacy research. Societally, the findings urge policymakers to integrate pharmacists into primary healthcare emergency frameworks formally. Empowering the profession through targeted disaster training and integrated standard operating procedures (SOPs) will optimize emergency medication safety, strengthen post-disaster community resilience, and directly advance the Sustainable Development Goals, specifically SDGs 3, 11, and 17.
Faktor Sosiodemografi terhadap Aspek Pengetahuan, Keyakinan, Sikap dan Perilaku Penggunaan Antibiotik pada Masyarakat di Kota Bandar Lampung, Indonesia Annisa Primadiamanti; Gusti Ayu Rai Saputri; Nurma Suri; Ade Maria Ulfa
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 10 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v10i1.7070

Abstract

Background: Antibiotic resistance (AMR) is a critical global health threat, often exacerbated by inappropriate self-medication. In Indonesia, infectious diseases remain a leading cause of mortality, yet public understanding of and practices regarding antibiotic use are often suboptimal. Objective: This study investigated the association between sociodemographic factors and knowledge, beliefs, attitudes, and practices (KAP) regarding antibiotic use in the community in Bandar Lampung, Indonesia. Methods: A community-based cross-sectional survey was conducted from March to April 2023 across 31 primary healthcare centers in 17 sub-districts. A total of 418 respondents were selected using a two-stage cluster sampling method. Data were collected using a validated questionnaire (Cronbach’s alpha > 0.6) and analyzed using Chi-square and Fisher’s exact tests (p<0.05). Results: The findings showed that 53.35% of respondents had inadequate knowledge, and 49.76% practiced self-medication. Although 94.50% held favorable attitudes toward rational use, a notable "attitude-practice gap" persisted. Statistical analysis found that sociodemographic factors, including age, education level, and health insurance, were not significantly associated with knowledge, beliefs, or attitudes (p>0.05), indicating that misconceptions were uniformly distributed across the community. However, antibiotic-use practices were significantly associated with gender (p=0.038) and occupation (p=0.027). Furthermore, knowledge levels were significantly associated with self-medication practices (p=0.028), identifying inadequate health literacy as a primary driver of inappropriate drug acquisition. Conclusion: Although theoretical attitudes were positive, inadequate knowledge and easy access to medication fueled high rates of self-medication. Pharmacists must serve as clinical gatekeepers and implement community-wide educational interventions to correct misconceptions and promote rational antibiotic therapy

Page 16 of 16 | Total Record : 156

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