30 research outputs found
The Relationship Between The Rationality Of Prescribing And The Quality Of Life Of Hypertension Patients At The Central Siantan Health Center In Pontianak
No full textHypertension is a silent killer disease that can affect the patient's quality of life. There is a need for rational treatment to achieve the success of therapy and the desired quality of life. This study aims to determine the relationship between the rationality of prescribing and the quality of life of hypertensive patients. The study design was an observational cohort. Data were obtained from hypertensive patients at the Puskesmas Siantan Tengah Pontianak who met the inclusion criteria in June-July 2021 using a prospective purposive sampling and collected from medical records, EQ5D5L and VAS questionnaires. The results of the study on 101 samples were obtained; the rationality of prescribing antihypertensive drugs was rational, with the percentage of rationality being the appropriate indication 87,12%; appropriate drug 87.12%; appropriate patient 88.11%; and appropriate dose 88.11%. In addition, 28 patients (27.72%) did not have a problem with the five dimensions with the highest EQ5D5L index of 1,000, while the quality of life, as measured by VAS, had a median value of 60. The results of the Pearson chi-square test showed that there was a relationship between the rationality of prescription and quality of life for hypertensive patients with a significance value ≥ 0.05 using the EQ5D5L (p = 0.688) and VAS (p = 0.583) questionnaires. Conclusion: there is no significant relationship between the rationality of prescribing and the quality of life of hypertensive patients, both using the EQ5D5L and VAS questionnaires
Measuring the Quality of Life Patients with Type 2 Diabetes Mellitus at The North Pontianak Public Health Center and Kitamura Pontianak Clinic Using the Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) and Diabetes Distress Scale 17 (DDS 17)
No full textDiabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia. Patients with diabetes mellitus tend to experience distress related to their health problems, as well as self-acceptance of the disease and the various medical actions that must be taken. The stress felt by DM patients will affect the patient's quality of life. Poor quality of life can make metabolic disorders worse, either directly through hormonal stress or indirectly through complications that can arise. This study aims to analyze differences in quality of life and stress levels of patients type 2 DM patients at the North Pontianak Public Health Center and Pontianak Kitamura Clinic. This research used observational method with a cross sectional design. This research is prospective using the Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) and Diabetes Distress Scale 17 (DDS 17). The population in this study were all type 2 DM patients undergoing treatment at the North Pontianak Public Health Center and Kitamura Clinic. Data collection was carried out by accidental sampling and a sample of 150 patients was obtained, consisting of 100 Public Health Center’s patients and 50 Clinic’s patients. The results showed that the quality of life of type 2 DM patients at the Public Health Center was higher than the patients at the Kitamura Clinic and there was a significant difference between the quality of life of type 2 DM patients at the Public Health Center and Clinics with a sig value of 0.013 (p0.05)
Gambaran Kualitas Hidup Pasien Diabetes Melitus Menggunakan Instrumen DQLCTQ Studi Kasus : Puskesmas X Kota Pontianak
No full textDiabetes Mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia and abnormalities in carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action or both. In Indonesia, the prevalence of DM is around 4.8%, for the Pontianak City area, DM is included in the top 10 diseases that dominate throughout 2019, which ranges from 12,913 cases. The purpose of this study was to describe the quality of life and characteristics of DM patients using the DQLCTQ. This research is a prospective study, using the Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) questionnaire which consists of several questions that will be filled in by patients suffering from DM at the X Health Center, Pontianak City. The results showed that the quality of life of DM patients at X Health Center was still low, namely 50.98% of patients. This result is due to various factors such as gender, age, education, marital status and occupation. The conclusion from this study is that some DM sufferers at the X Health Center, Pontianak City are still lacking in implementing a healthy lifestyle so that the value of their quality of life is still low
PERSEPSI PENYAKIT DAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK DI RSUD SOEDARSO PONTIANAK
No full textGagal ginjal kronik merupakan penyakit kronis yang disertai berbagai komplikasi dan menyebabkan pasien mengalami polifarmasi sehingga mempengaruhi persepsi pasien tentang penyakit dan kualitas hidupnya (QoL). Pengukuran persepsi penyakit dan QoL penting dilakukan karena dapat mempengaruhi kepatuhan pasien dan sebagai evaluasi keberhasilan suatu terapi yang diberikan kepada pasien. Penelitian ini bertujuan untuk mengetahui persepsi pasien tentang penyakit, QoL, serta hubungan antara persepsi penyakit dan kualitas hidup pasien gagal ginjal kronik di RSUD Soedarso Pontianak. Metode penelitian menggunakan desain studi analitik observasional dengan pendekatan cross-sectional. Sampel berjumlah 51 responden, dengan menggunakan teknik purposive sampling. Pengumpulan data diperoleh melalui hasil wawancara, instrument B-IPQ, Instrument EQ-5D dan rekam medik. Hubungan antara persepsi penyakit dan kualitas hidup dianalisis menggunakan Fisher’s Exact Testdengan tingkat kemaknaan 95 % (α = 0,05). Hasil penelitian menunjukkan pasien lebih cenderung memiliki persepsi negatif (54,90 %). Sementara untuk QoL, pasien cenderung memiliki kualitas hidup yang baik (72,55 %). Hasil dari uji statistik menunjukkan tidak ada hubungan yang bermakna antara persepsi penyakit dan kualitas hidup pasien gagal ginjal kronik di RSUD Soedarso Pontianak (p value 0,058>0.05)Â
Analisis kepentingan-kinerja di instalasi farmasi Rumah Sakit Umum Daerah Kanjuruhan Kabupaten Malang :: Menurut persepsi pelanggan rawat jalan
No full textPengukuran Kualitas Hidup Penderita Hipertensi Menggunakan Instrumen EQ-5D-5L
No full textHypertension can affect the quality of life. Poor quality of life is caused by complications with comorbid conditions such as heart disease, kidney disease, and diabetes mellitus. Hypertension occurs when a person's blood pressure is above the normal or optimal limit, namely 120 mmHg for systolic and 80 mmHg for diastolic. This study aims to determine the quality of life of patients with hypertension. This research is an observational study with a prospective cross sectional study design. Data were collected by purposive sampling at the x Health Center that met the inclusion criteria using the European Quality of Life 5 Dimensions 5 level (EQ5D5L) Questionnaire instrument. The data is then converted into a single summary index using the index calculator EQ 5D. From the results of the study, there were 68 cases of hypertension that matched the inclusion criteria, based on gender, it was dominated by 70.5% women with ages 55 to 65 years by 82% with the highest index score percentage 1 (29.41%) and the lowest 0.592. (8.82%) Measuring the quality of life of hypertensive patients at the x Health Center using the EQ5D5L instrument is categorized as good if the EQ5D5L index obtained is 0.5
ESTIMASI KARDIOVASKULAR 10 TAHUN KEDEPAN DAN KETEPATAN PENGGUNAAN STATIN DI RSUD SULTAN SYARIF MOHAMAD ALKADRIE PONTIANAK
No full textDislipidemia merupakan salah satu penyebab terjadinya penyakit kardiovaskular. Tujuan penelitian ini dilakukan untuk mengetahui persentase risiko penyakit kardiovaskular 10 tahun kedepan pada pasien dislipidemia di RSUD Sultan Syarif Mohamad Alkadrie Pontianak sesuai dengan pedoman PERKI. Metode penelitian yang digunakan adalah metode observasional dengan rancangan penelitian crosssectional yang bersifat deskriptif. Data yang digunakan berupa data rekam medik pasien rawat inap selama periode Januari - Desember 2018. Jumlah sampel yang memenuhi kriteria inklusi digunakan sebanyak 41 sampel. Risiko penyakit dislipidemia menggunakan metode Systematic Coronary Risk Evaluation (SCORE) diukur dengan aplikasi HeartScore yang diakses www.heartscore.org. Hasil penelitian menunjukkan bahwa, pasien dislipidemia yang kategori risiko kardiovaskular rendah 7,32%, berisiko sedang 70,73%, berisiko tinggi 24,39%. Ketepatan pemilihan statin pada kategori risiko rendah sebanyak 9,75%, kategori risiko sedang 68,29%. Statin yang digunakan pada kategori rendah dan sedang secara berturut turut adalah simvastatin 10 mg dan simvastatin 20mg. Pemilihan statin pada pasien berisiko tinggi telah tepat menggunakan atorvastatin 40mg (14,63%). Disisi lain, penggunaan atorvastatin 20mg sebanyak 7,32% tidak tepat. Kesimpulan dari penelitian ini ditemukan ketidaktepatan pemilihan obat statin pada pasien berisiko tinggi penyakit kardiovaskular
Hubungan Kualitas Hidup Dengan Risiko Depresi Pegawai Publik Universitas X Dimasa Pandemi COVID-19
No full textCOVID-19 pandemic has had a significant negative impact on the sub-dimension of quality of life, a decrease in quality of life is also correlated with levels of depression. This study aimed to determine the relationship between quality of life and the risk of depression in X University public employees during the COVID-19 pandemic. This research is an analytic observational study and uses a cross-sectional analytic approach, the number of samples is 121 respondents who were selected using a purposive sampling technique. Data were obtained from filling out self-data, quality of life questionnaire (EQ-5D-5L), and depression questionnaire (PHQ-9). The analysis used in this research is a univariate analysis and bivariate analysis. Bivariate analysis using Spearman correlation test. The results showed that most respondents were male, aged 45 years. Respondents have a level of quality of life with a good quality of life category of as much as 57% and a poor quality of life level of as much as 43% and respondents have a level of depression with a mild depression category as much as 26.4%, a moderate depression level as much as 5.8% and a severe depression level as much as 2.5%. The relationship between quality of life and the risk of depression was found to be significant with a significance value of 0.000 with sufficient strength in the negative direction. This study concludes that there is a significant negative relationship between quality of life and the risk of depression in X University public employees during the COVID-19 pandemic
MEDICATION ERROR PADA RESEP PASIEN HIV/AIDS DITINJAU DARI FASE PRESCRIBING DI DEPO FARMASI RAWAT JALAN RSUD dr. SOEDARSO PONTIANAK PERIODE JANUARI – JUNI 2019
No full textMedication error merupakan kesalahan tindakan medis atau pelayanan kefarmasian kepada pasien yang disebabkan pemakaian obat, tindakan, dan perawatan yang tidak sesuai dengan aturan yang sudah ditentukan. Medication error dapat terjadi didalam setiap pelayanan kefarmasian, salah satunya pada fase prescribing. Tujuan dari penelitian ini untuk mengetahui persentase terjadinya medication error fase prescribing pada resep pasien HIV/AIDS rawat jalan yang meliputi kelalaian dalam peresepan, kesalahan dosis, kesalahan obat, kesalahan dalam jadwal, kesalahan dalam penulisan, dan kesalahan dalam duplikasi. Penelitian ini bersifat deskriptif yang dilakukan secara retrospektif terhadap resep pasien. Pengambilan sampel resep dilakukan dengan metode purposive sampling. dengan cara pengumpulan lembar resep pasien HIV/AIDS rawat jalan di Depo Farmasi RSUD dr. Soedarso Pontianak mulai bulan Januari- Juni 2019. Hasil penelitian yang diperoleh bahwa terdapat kejadian medication error fase prescribing meliputi incorrect dose (kesalahan dosis) sebesar 9.836%, form error (kesalahan dalam penulisan resep) sebesar 100%, dan duplication error (kesalahan dalam duplikasi) sebesar 9.836%, serta persentase total kejadian medication error fase prescribing sebesar 19.945%. Kesimpulan pada penelitian ini bahwa terjadi medication error fase prescribing pada peresepan pasien HIV/AIDS rawat jalan di Depo Farmasi RSUD dr. Soedarso Pontianak mulai Januari-Juni 2019. Kata Kunci: Medication Error, Prescribing, Resep Pasien HIV/AIDS ABSTRACT Medication errors are errors in medical actions or pharmaceutical services to patients caused by drug use, actions, and treatments that are not in accordance with predetermined guidence.Medication errors can occur in every pharmaceutical service, one of which is in the prescribing phase. The purpose of this study was to determine the percentage of medication errors from the prescribing phase in HIV/AIDS patients prescriptions, including omission errors, incorrect dosage, incorrect drug, incorrect schedule , form errors, and duplication errors. This is a descriptive study conducted a retrospective review of patient prescriptions. The sampling method of the recipe was purposive sampling, by collecting outpatient HIV/AIDS patient prescription sheets at the Pharmacy Departement RSUD dr. Soedarso Pontianak was start at January to June 2019. The results of this study contained medication error in the prescribing phase, including incorrect dose of 9.836%, form error of 100%, duplication error of 9.836%, and the total percentage of medication error in the prescribing phase of 19.945%. The conclusion of this study was medication error in the prescribing phase in the prescription of outpatient HIV/AIDS patients at the Pharmacy Departement RSUD dr. Soedarso Pontianak was start at January-June 2019. Keywords: Medication Error, Prescribing, Prescription HIV/AIDS outpatien
EFEKTIVITAS PENGGUNAAN ANTIBIOTIK PROFILAKSIS PADA PASIEN BEDAH SESAR (SECTIO CAESAREA) DI RUMAH SAKIT UMUM DAERAH dr. RUBINI MEMPAWAH
No full textSectio caesarea adalah proses persalinan melalui pembedahan dimana irisan dilakukan di perut ibu (laparatomi) dan rahim (histerotomi) untuk mengeluarkan bayi. Peningkatan jumlah persalinan dengan bedah sesar berbanding lurus dengan peningkatan kejadian infeksi luka operasi (ILO) pasca-operasi. Sekitar 90% morbiditas pasca operasi disebabkan oleh ILO. Tujuan dari penelitian ini untuk mengetahui profil penggunaan antibiotik profilaksis dan efektifitas penggunaan antibiotik profilaksis pada pasien bedah sesar di Rumah Sakit Umum Daerah dr Rubini Mempawah. Metode penelitian ini adalah penelitian obsevasional yang bersifat deskriptif dengan pendekatan potong lintang. Pengambilan data dilakukan secara retrospektif dari data rekam medis pasien bedah sesar pada tahun 2019. Sampel yang sesuai kriteria inklusi sebanyak 144 pasien, ditemukan (84%) berusia 20-35 tahun, status paritas G1P0A0 (35%), Lama Perawatan 4-5 hari (71%), skor ASA 2 (85%), Hemoglobin ?10 (77%), trombosit 150,000-400,000 (93%) dan hematokrit 26-34 (56%). Hasil penelitian yang diperoleh bahwa efektivitas pasien berdasarkan suhu dan leukosit efektif (100%). Jenis antibiotik yang paling banyak digunakan yaitu sefalosporin injeksi terapi tunggal (34%), kombinasi nitroimidazol dan sefalosporin (4%), sefalosporin oral terapi tunggal (49%) dan kombinasi nitroimidazol dengan sefalosporin oral (4%)
