Jurnal Sains Farmasi & Klinis
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    Audit Secara Prospektif terhadap Antimicrobial Stewardship Program pada Pasien Kanker Payudara di RSUP Dr. M. Djamil Padang

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    Surgery has been used as part of the treatment of breast cancer, but surgery has a potential risk of infection due to the effect of normal flora on the body and air in the ward environment. The decrease of antibiotics effectiveness is caused by bacterial resistance to antibiotics. The purpose of this study was to find out the pattern of bacteria, antibiotic sensitivity patterns and patterns of antibiotic use among breast cancer patients in the surgery ward Hospital M. Djamil Padang. An observational prospective study design was performed in this study, whereby data was collected from the medical records of patients admitted to the surgery wards of Hospital Dr. M. Djamil Padang from April – September 2017. Results showed the bacterial identification in patients were Staphylococcus aureus and Klebsiella sp. while from the air were found Staphylococcus aureus, Staphylococcus epidermidis and Klebsiella sp. Based on the sensitivity pattern on surgical wounds during April-May 2017 reported amoxicillin/ clavulanic acid and meropenem were good (>80%) while on August-September 2017 was meropenem. Airborne sensitivity patterns result during April-May 2017 were not found, while on August-September 2017 gentamicin, ciprofloxacin and meropenem were good (>80%). Among 32 patients admitted during study period only 7 patients who fulfilled the inclusion criteria. The most common antibiotic used was ceftriaxone 7 (77,8%). The evaluation of the rationale use of antibiotics were 6 (66.7%) appropriate medication, 9 (100%) appropriate dosage, 7 (77.8%) appropriate time duration, 9 (100%) appropriate route, 7 (100%) appropriate patient, 4 (45,1%) appropriate indication and potentially drug interaction 1 (14,28%) as a minor potency.Pembedahan yang digunakan sebagai bagian dari pengobatan kanker payudara memiliki potensi risiko infeksi karena pengaruh flora normal pada tubuh dan udara di lingkungan rawat inap. Keefektifan suatu antibiotik dipengaruhi oleh resistensi bakteri terhadap antibiotik. Tujuan penelitian ini untuk mengetahui pola bakteri, pola sensitifitas antibiotik dan pola penggunaan antibiotik pada pasien kanker payudara di bangsal bedah RSUP Dr. M. Djamil Padang pada bulan April - September 2017. Penelitian ini dilakukan secara prospektif menggunakan metode observasi yang bersifat deskriptif. Pola bakteri pada pasien ditemukan Staphylococcus aureus dan Klebsiella sp. sedangkan pada udara ditemukan bakteri Staphylococcus aureus, Staphylococcus epidermidis dan Klebsiella sp. Berdasarkan pola sensitifitas bakteri terhadap antibiotik  selama bulan April-Mei 2017 maka yang tergolong baik (>80%) adalah amoksisilin/asam klavulanat dan meropenem sementara pada bulan Agustus-September 2017 adalah meropenem. Pola sensitifitas bakteri udara selama bulan April-Mei 2017 tidak ditemukan yang tergolong baik sedangkan pada bulan Agustus-September 2017 adalah gentamisin, siprofloksasin dan meropenem. Dari total pasien sebanyak 32 orang, yang memenuhi kriteria inklusi hanya 7 orang pasien. Pola penggunaan antibiotik terbanyak pada pasien adalah seftriakson dengan jumlah 7(77,8%) dan terjadi perubahan pola sensitifitas antibiotik seftriakson pada bulan April - Mei 2017 yaitu sensitif (66,7%) menjadi (33,3%) pada bulan Agustus-September 2017. Evaluasi kerasionalan penggunaan antibiotik, diperoleh 6(66,7%) tepat obat, 9(100%) tepat dosis, 7(77,8%) tepat lama pemberian 9(100%) tepat rute,7(100%) tepat pasien dan 4(45,1%) tepat indikasi serta potensi interaksi obat sebanyak 1(14,3%) yaitu potensi minor

    Penetapan Kadar Berberin dari Ekstrak Etanol Akar dan Batang Sekunyit (Fibraurea Tinctoria Lour) dengan Metode KCKT

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    Determination of berberine content of ethanol extract of root and stem of “sekunyit†(Fibraurea tinctoria Lour) has been conducted. “Sekunyit†is one of medicinal plant that has been used to treat several diseases traditionally. Its root and stem could relieve jaundice, diarrhea, conjunctivitis as well as antidiabetic agent. Based on previous study, it is known that Fibraurea tinctoria contains isoquinoline alkaloid, berberine. This present study aims to determine berberine content which was done by HPLC (High Performance Liquid Chromatography) method using C-18 reverse phase column, methanol : phosphate buffer (pH 6,8) as its mobile phase with flow rate of 1 ml/min and UV detector. The analysis was performed at wavelength 346 nm. The result showed that the ethanol extract contains 25.8% of berberineTelah dilakukan penetapan kadar senyawa berberin dari ekstrak etanol akar dan batang sekunyit (Fibraurea tinctoria Lour). Sekunyit merupakan tumbuhan berbentuk liana yang telah digunakan oleh masyarakat dalam menyembuhkan berbagai macam penyakit. Akar dan batang tumbuhan ini berkhasiat mengobati demam kuning, diare, sakit mata dan diabetes. Fibraurea tinctoria diketahui sebagai spesies tumbuhan yang mengandung senyawa alkaloid isokuinolin berberin. Penelitian ini dilakukan untuk mengetahui kadar senyawa berberin dari ekstrak etanol akar dan batang tumbuhan sekunyit.  Penelitian dilakukan menggunakan kolom C-18 (ODS) dengan metode KCKT, fase gerak berupa campuran eluen metanol : buffer fosfat pH 6,8 (gradien elusi), laju alirnya 1 ml/menit dideteksi dengan detektor UV. Analisa dilakukan pada panjang gelombang 346 nm. Hasil penelitian menunjukkan bahwa ekstrak etanol diketahui mengandung senyawa berberin sebesar 25,8%

    Aktivitas Ekstrak Etanolik Bayam Merah (Amaranthus tricolor L.) Terstandar sebagai Upaya Preventif Steatosis: Studi in Vivo

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    This study aimed to examine the activities of red spinach (Amaranthus tricolor L.) ethanolic extract in preventing steatosis by referring to ALT activities and liver histopathological parameters. Thirty male Sprague-Dawley rats were divided into 6 groups of normal, negative control, positive control (0.9 mg/kgBW simvastatin), treatment I (200 mg/kgBW extract), treatment II (400 mg/kgBW extract), and treatment III (800 mg/kgBW extract). From day 1 to day 67, apart from the normal and negative-control groups, all other groups were given preventive therapy, and high-fat, high-cholesterol diet was applied two hours after preventive therapy from day 8 to day 67. ALT parameters were determined on day 0 and 67. Histopathological changes in the liver were examined on day 68. One-way ANOVA was performed followed by post-hoc Tukey HSD test. The results indicated that the ethanolic extract of red spinach at doses of 200 mg/kgBW, 400 mg/kgBW and 800 mg/kgBW could maintain ALT levels at normal values. Histopathological image of the liver treated with ethanolic extract of red spinach at doses of 200 mg/kgBW, 400 mg/kgBW, and 800 mg/kgBW showed normal condition. These findings suggest that standardized ethanol extract of red spinach leaves has the potential to prevent steatosis.Penelitian ini bertujuan untuk mengetahui aktivitas ekstrak etanolik daun bayam (Amaranthus tricolor L.) terstandar sebagai upaya preventif steatosis berdasarkan aktivitas enzim ALT dan histopatologis hati. Hewan uji yang dipergunakan adalah tikus Sprague-Dawley jantan. Sebanyak 30 tikus dibagi ke dalam 6 kelompok yaitu kelompok normal, kontrol negatif, kontrol positif (simvastatin 0,9 mg/kgBB), perlakuan I (ekstrak bayam merah 200 mg/kgBB), perlakuan II (ekstrak bayam merah 400 mg/kgBB), dan perlakuan III (ekstrak bayam merah 800 mg/kgBB). Hari pertama sampai hari ke-67 seluruh kelompok kecuali kelompok normal dan kontrol negatif dilakukan pemberian terapi preventif, selanjutnya hari ke-8 sampai hari ke-67 dilakukan induksi diet tinggi lemak dua jam setelah pemberian terapi preventif. Penetapan kadar ALT dilakukan pada hari ke-0 dan 67. Pada hari ke-68 dilakukan pemeriksaan histopatologi hati. Analisis menggunakan One Way Anova yang dilanjutkan analisis Post-Hoc Tukey HSD. Hasil penelitian menunjukkan ekstrak etanolik daun bayam merah terstandar dosis 200 mg/kgBB, 400 mg/kgBB dan 800 mg/kgBB dapat mempertahankan kadar ALT dalam rentang normal dan memperlihatkan gambaran histopatologi hati yang normal. Disimpulkan bahwa ekstrak etanolik daun bayam merah terstandar berpotensi sebagai terapi preventif steatosis

    Persepsi, Pengetahuan, dan Sikap tentang Obat pada Siswa Sekolah Menengah Atas (SMA) di Kota Pariaman, Sumatera Barat

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    The irrational use of drug and drug abuse are some of the impacts of low public knowledge about medicine, including in high school students. The purpose of this study was to assess perceptions, knowledge and attitudes about medicine among senior high school students in Pariaman City, West Sumatera. The research was conducted by descriptive and analytical method with cross-sectional by using questionnaire instrument. Data were analyzed using univariate and bivariate analysis. The results showed that students’ perception on medicine was categorized as high (95.5%), student attitude was positive (60.3%) but had less knowledge (74.8%). Students living in the city had higher knowledge than those living in the village. There was a significant correlation between perception and attitude (P <0.05), however, there was no correlation between knowledge and perception level (P> 0.05) and attitude (P> 0.05). Low perceptions and knowledge can encourage students to do more fatal errors such as medications or irrational drug use. Efforts such as education about medication in schools are very important steps to improve students’ knowledge about medicine.Penggunaan obat yang tidak rasional termasuk terjadinya penyalahgunaan obat merupakan salah satu dampak dari rendahnya pengetahuan masyarakat tentang obat, termasuk siswa SMA. Penelitian ini bertujuan untuk menilai persepsi, pengetahuan dan sikap siswa sekolah menengah atas (SMA) di Kota Pariaman tentang obat-obatan. Penelitian dilakukan dengan metode deksriptif dan analitik secara cross sectional menggunakan instrumen kuesioner. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil menunjukkan bahwa Persepsi siswa terhadap keamanan obat dikategorikan tinggi (95,5%), siswa bersikap positif terhadap obat (60,3%) namun memiliki pengetahuan yang kurang (74,8%). Alamat rumah responden yaitu tinggal di kota atau desa memiliki hubungan yang bermakna dengan tingkat pengetahuan. Siswa yang tinggal di kota memiliki pengetahuan yang lebih tinggi dibandingkan dengan siswa yang tinggal di desa. Terdapat hubungan antara persepsi dengan sikap (P<0,05), namun tidak ada hubungan antara pengetahuan dengan tingkat persepsi (P>0,05) dan antara pengetahuan dengan sikap (P>0,05). Rendahnya persepsi dan pengetahuan dapat mendorong siswa untuk melakukan kesalahan yang lebih fatal seperti penyalahgunaan obat atau penggunaan obat yang tidak rasional. Upaya berupa pendidikan obat di sekolah merupakan langkah yang sangat penting dilakukan untuk meningkatkan pengetahauan siswa tentang obat

    Analisis α-Mangostin dalam Minuman Herbal Kulit Buah Manggis (Garcinia mangostana L.) dengan Metode Kromatografi Lapis Tipis-Densitometri

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    Some herbal formulation containing α-mangostin as a marker compound in the pericarp of the mangosteen (Garcinia mangostana L.) are marketed now in Indonesia. The determination of the component of preparation both qualitatively and quantitatively is essential to ensure quality of the product. This research is aimed to develop a TLC (Thin Layer Chromatography)-densitometry method to analyze α-mangostin in the herbal drinks of mangosteen rind. The analysis was performed with TLC Scanner using Camag TLC Scanner 4 with Wincats software. Silica gel 60 F254 (Merck) plates (20x20 cm: 200 μm thickness) were used as stationary phase and mixture of chloroform and ethyl acetate (9:1,v/v) as a mobile phase. The developed chromatogram was scanned at 316 nm, the wavelength of maximum absorption for α-mangostin. At this condition, the Rf value of α-mangostin is 0.48. Regression analysis of the calibration data showed an excellent linear relationship between peak-area vs drug concentration. Linearity was found to be in the range of 50-400 µg/mL. The suitability of developed TLC densitometry method for estimation of α-mangostin was established by validating it as per the ICH guidelines. The limits of detection (LOD) and quantification (LOQ) for α-mangostin were found to be 54.38 μg/mL and 181.28 μg/mL. The developed method was found to be linear (r=0,99415), precise (RSD <1.28 % and < 2.39 % for intra-day and inter-day precision) and accurate (mean recovery of 90.04%). Results of the samples analysis showed that sample A does not contain α-mangostin, whereas sample B and C contain α-mangostin. The average concentrations obtained for samples B and C were 0.040% w/v and 0.118% w/v, respectively. The developed method has been successfully applied for the determination of α-mangostin in the herbal drinks of mangosteen rind.Beberapa formulasi herbal yang mengandung α-mangostin sebagai senyawa penanda pada kulit buah manggis (Garcinia mangostana L.) sekarang dipasarkan di Indonesia. Penentuan kadar senyawa penanda secara kualitatif dan kuantitatif penting untuk memastikan kualitas produk. Penelitian ini bertujuan untuk mengembangkan metode Kromatografi Lapis Tipis (KLT) densitometri untuk menganalisis α-mangostin pada minuman herbal kulit buah manggis. Analisis dilakukan dengan TLC Scanner menggunakan Camag TLC Scanner 4 dengan software Wincats. Pelat silika gel 60 F254 (Merck) (ketebalan 20x20 cm: 200 μm) digunakan sebagai fase diam dan kloroform-etil asetat (9:1,v/v) sebagai fase gerak. Kromatogram yang dikembangkan dipindai pada 316 nm yaitu panjang gelombang serapan maksimum untuk α-mangostin. Pada kondisi ini, nilai Rf adalah 0,48. Analisis regresi data kalibrasi menunjukkan hubungan linier antara luas area di bawah puncak vs konsentrasi. Linearitas ditemukan berada pada kisaran 50-400 μg/mL. Kesesuaian metode KLT densitometri yang dikembangkan untuk estimasi α-mangostin ditetapkan dengan memvalidasinya sesuai dengan pedoman ICH. Batas deteksi (LOD) dan kuantifikasi (LOQ) untuk α-mangostin ditemukan 54,38 μg/mL dan 181,28 μg/mL. Metode yang dikembangkan ditemukan linier (r = 0,99415), tepat (RSD <1,28% dan <2,39% untuk presisi intra hari dan antar hari), dan akurat (rata-rata perolehan kembali 90,04%). Hasil analisis sampel menunjukkan bahwa sampel B dan C mengandung α-mangostin, sedangkan sampel A tidak. Rata-rata kadar yang diperoleh untuk sampel B dan C masing-masing adalah 0,040% b/v dan 0,188% b/v. Metode yang dikembangkan telah berhasil diterapkan untuk penentuan α-mangostin dalam minuman herbal kulit manggis

    Pola Penggunaan Antibiotik Profilaksis pada Pasien Bedah Caesar (Sectio Caesarea) di Rumah Sakit Pekanbaru Medical Center (PMC) Tahun 2014

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    The research has been done on the use of prophylactic antibiotics in caesarean section at Pekanbaru Medical Center (PMC) hospital in 2014. The aim of this study was to overview the use of prophylactic antibiotics caesarean section. Type of research was an observational study designed a descriptive by conducting a review of the medical records of patients that using prophylactic antibiotics in cesarean section during Januari until December 2014. The samples used were 73 patients who met the inclusion criteria with purposive sampling. The results of this study suggest that the use of prophylactic antibiotics in cesarean section at Pekanbaru Medical Center hospital is a single-dose Ceftriaxone 1g (58.9%) and a combination of gentamicin (80 mg) with Ceftriaxone (1g) (41.1%), where all the form generic drugs (100%) with the time of prophylactic antibiotics for the majority that is 0-2 hours before surgery (100%) with the intravenous route (100%).Telah dilakukan penelitian pola penggunaan antibiotik profilaksis pada pasien bedah caesar (Seksio Sesare) di Rumah Sakit Pekanbaru Medical Center (PMC) tahun 2014. Tujuan penelitian ini untuk mengetahui pola penggunaan antibiotik profilaksis bedah sesar. Jenis penelitian yang dilakukan adalah penelitian observasional yang dirancang dengan studi deskriptif dengan cara melakukan kajian terhadap rekam medis pasien yang menggunakan antibiotik profilaksis pada bedah sesar selama bulan Januari sampai dengan bulan Desember 2014. Sampel yang digunakan adalah 73 pasien yang memenuhi kriteria inklusi dengan teknik purposive sampling. Hasil penelitian ini menyatakan bahwa penggunaan antibiotik profilaksis bedah sesar di Rumah Sakit Pekanbaru Medical Center adalah Seftriakson tunggal dengan dosis 1g (58,9%) dan kombinasi Gentamisin (80 mg) dengan Seftriakson (1g) (41,1%), dimana semuanya dalam bentuk obat generik (100%) dengan waktu pemberian antibiotik 0-2 jam sebelum operasi (100%) dengan rute pemberian secara intravena (100%)

    Potential of Red Spinach Leaves Ethanolic Extract (Amaranthus tricolor L.) as a Complementary Therapy For Hiperlipidemia: Study in Vivo of Histopathologic and Activity of Alanin Aminotransferase (ALT)

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    This study was conducted to determine the potential of ethanolic extract of red spinach leaves (Amaranthus tricolor L.) with control quality as a complementary treatment of hyperlipidemic based on histopathology and activity of alanin aminotrasferase (ALT). A total of 24 male Wistar rats were randomized in 6 groups: normal group; positive control group were given the drug simvastatin; negative control group; 1st treatment group was given extract at dose of 400mg/kgBW rat, 2nd group was given extract at dose of 400mg/kgBW rat and simvastatin dose 0.18 mg/kgBW rat; 3rd treatment groups were given extract at dose of 800mg/kgBW rat and simvastatin dose 0.18 mg/kgBW rat. Induction hyperlipidemic using high fat diet and poloxamer. The data obtained were tested normality with the Shapiro-Wilk test. Statistical analysis using Oneway ANOVA and Post-Hoc Tukey HSD to determine the significance of differences between groups for ALT parameter. Result show the use of ethanolic extract of red spinach leaves can reduce fatty liver condition based on decreased level of ALT and liver histopathologic. It is concluded that the ethanolic extract of red spinach leaves dose 400mg/kgBW rat combine with simvastatin can reduce activity of ALT until 31.57 U1-1.This study was conducted to determine the potential of ethanolic extract of red spinach leaves (Amaranthus tricolor L.) with control quality as a complementary treatment of hyperlipidemic based on histopathology and activity of alanin aminotrasferase (ALT). A total of 24 male Wistar rats were randomized in 6 groups: normal group; positive control group were given the drug simvastatin; negative control group; 1st treatment group was given extract at dose of 400mg/kgBW rat, 2nd group was given extract at dose of 400mg/kgBW rat and simvastatin dose 0.18 mg/kgBW rat; 3rd treatment groups were given extract at dose of 800mg/kgBW rat and simvastatin dose 0.18 mg/kgBW rat. Induction hyperlipidemic using high fat diet and poloxamer. The data obtained were tested normality with the Shapiro-Wilk test. Statistical analysis using Oneway ANOVA and Post-Hoc Tukey HSD to determine the significance of differences between groups for ALT parameter. Result show the use of ethanolic extract of red spinach leaves can reduce fatty liver condition based on decreased level of ALT and liver histopathologic. It is concluded that the ethanolic extract of red spinach leaves dose 400mg/kgBW rat combine with simvastatin can reduce activity of ALT until 31.57 U1-1

    Antidiabetes dari Fraksi Air Daun Karamunting (Rhodomyrtus tomentosa (Ait.) Hassk.) Terhadap Kadar Glukosa Darah Mencit Diabetes

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    Karamunting is one of the plants used in traditional medicine of diabetes mellitus. The antidiabetic effect of aqueous fraction of Rhodomyrtus tomentosa (Ait.) Hassk leaves has been investigated on male white mice that were induced with alloxan dose 200 mg/kgBW intraperitoneally. The fraction was given orally at dose 10, 20, 40 mg/KgBW for 15 days. Parameters that were measured are decrease concentration of blood glucose, body weight, urin output and water intake. Result showed that the aqueous fraction of Rhodomyrtus tomentosa (Ait.) Hassk leaves at dose 10, 20, 40 mg/KgBW has effect on decreasing blood glucose level on diabetic mice induced alloxan (P<0.05). This fraction also improved body weight, urine output dan reduced water intake (P<0.05).Karamunting salah satu tumbuhan yang digunakan sebagai obat tradisional penyakit diabetes mellitus. Penelitian telah dilakukan terhadap uji efek antidiabetes fraksi air daun karamunting (Rhodomyrtus tomentosa (Ait.) Hassk.) pada mencit putih jantan diabetes yang diinduksi dengan aloksan dosis 200 mg/kgBB secara intraperitonial. Fraksi air diberikan secara oral dengan dosis 10, 20 dan 40 ml/kgBB selama 15 hari. Parameter yang diukur adalah kadar glukosa darah, berat badan, volume urin, dan volume air minum. Hasil penelitian menunjukkan bahwa fraksi air daun Rhodomyrtus tomentosa (Ait.) Hassk oral dengan dosis 10, 20 dan 40 mg/kgBB mampu menurunkan kadar glukosa darah mencit diabetes yang diinduksi aloksan  secara bermakna (P<0,05), dapat memperbaiki berat badan, volume urin, dan konsumsi air minum mencit diabetes (P<0,05)

    Karakteristik Sosiodemografi dan Health Related Quality of Life Pasien Rawat Jalan Diabetes Mellitus Tipe 2 pada Era JKN

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    The aim of  study was carried out to determine differences of health related qualitiy of life (HRQoL) with sociodemographic characteristic in type 2 diabetes mellitus outpatiens at one of government hospital in Jakarta. It was a cross-sectional study conducted  from February  to April 2015. Total of samples were 83 patients. Male 31(37.4%) and female 52(62.6%). HRQoL associated with level education  was difference significantly (P<0.05).  Based on score of domain quality of life, female had higher score (69.82 ± 3.14) of frequency of symptoms domain than male (67.32 ± 4.50) (P<0.05). The oldest patients had the highest score (P<0.05) in domain of satisfaction. In contrast, the oldest patients had the the most decrease score (64.14 ± 4.03) in domain of frequency of symptoms (P<0.05). Patients of senior high school had lower score (60.17 ± 24.65) in domain of treatmant satisfaction than patients of  diploma/bachelor (78.78 ± 21.98). Score of domain of frequency of symptoms was higher on patients employed  than none (P<0.05). The household income did not influence all domain (P>0.05). Furthermore, diabetes duration affected both domain of satisfaction (P=0.005) and frequency of symptoms (P=0.00). In conclusion, only education level of characteristic sociodemographic had difference significantly to HRQoL among type 2 diabetes mellitus outpatients..Penelitian dilakukan untuk mengetahui perbedaan Health Related Quality of Life (HRQoL) terhadap karakteristik sosiodemografi antara pasien diabetes mellitus tipe 2 pada  salah satu rumah sakit pemerintah di Jakarta. Penelitian dilaksanakan secara cross-sectional dari Februari sampai April 2015. Total sampel 83 pasien. Laki-laki 31(37,4%) dan perempuan 52 (62,6%). Terdapat perbedaan yang signifikan (P<0,05) nilai HRQoL terhadap tingkat pendidikan. Berdasarkan nilai domain HRQoL, perempuan memiliki nilai lebih tinggi (69.82 ± 3.14) dibandingkan dengan laki-laki (67.32 ± 4.50) pada domain frekuensi gejala (P<0,05). Pasien dengan usia yang lebih lanjut memiliki nilai tertinggi pada domain kepuasan (P<0,05). Sebaliknya, pasien dengan usia lebih lanjut memiliki nilai terendah (64,14 ± 4,03)  pada domain frekuensi gejala (P<0,05). Pasien dengan tingkat pendikan SMA memiliki nilai lebih rendah (60,17 ± 24,65) pada domain kepuasan pengobatan dibandingkan dengan pasien dengan pendidikan diploma/sarjana (78,78 ± 21,98). Nilai domain frekuensi gejala lebih tinggi pada pasien bekerja dibandingkan dengan tidak bekerja (P<0,05). Jumlah pendapatan tidak mempengaruhi secara signifikan terhadap nilai semua domain (P>0,05) HRQoL. Selanjutnya, lama menderita diabetes mempengaruhi nilai domain kepuasan (P=0,05) dan frekuensi gejala (P=0,00). Sehingga dapat disimpulkan, karakteristik sosiodemografi meliputi tingkat pendidikan memiliki perbedaan secara signifikan terhadap kualitas hidup antara pasien rawat jalan diabetes mellitus tipe 2.Â

    Pengaruh Konseling Obat Terhadap Pengetahuan dan Kepatuhan Pasien Congestive Heart Failure

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    Compliance therapy is a very important point in the successful treatment of CHF patients. However, such compliance is very low so do efforts to increase knowledge and treatment adherence through drug counseling by pharmacists. The design of this type of research is a quasi-experimental, one-group pretest-posttest design, with a population of CHF patients in IRNA Heart Hospital DR. M. Djamil Padang in the month from March to December 2014. The sampling technique in the form of purposive sampling (50 patients) with questionnaires and interviews. Data analysis was performed using the Crosstab, Chi-Square, paired-sample t-test, Pearson Product Moment, simple linear regression, multiple linear regression and SPSS version 17. The results of this study indicate that the drug counseling significantly improve patient knowledge and compliance (97,2% and 77.6% (p <0.05)).Kepatuhan terapi merupakan poin yang sangat penting dalam keberhasilan terapi pasien CHF. Namun, kepatuhan tersebut sangat rendah sehingga dilakukan upaya peningkatan pengetahuan dan kepatuhan terapi melalui konseling obat oleh farmasis. Rancangan jenis penelitian ini adalah quasi-eksperimental, one-group pretest-posttest design, dengan populasi pasien CHF di IRNA Jantung RSUP DR. M. Djamil Padang pada bulan Maret – Desember 2014. Teknik pengambilan sampel berupa purposive sampling (50 pasien) dengan kuesioner dan wawancara langsung. Analisis data dilakukan dengan menggunakan Crosstab, Chi-Square, Paired-sample T-test, Pearson Product Moment, regresi linier sederhana, regresi linear berganda dan SPSS versi 17. Hasil penelitian ini menunjukkan bahwa konseling obat secara signifikan meningkatkan pengetahuan dan kepatuhan pasien (97,2% dan 77,6% (p < 0,05))

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