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Strategi Penanggulangan DRPs, Peningkatan Otcome Klinis dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum Daerah Tebing Tinggi
No full textKejadian Drug related problems (DRPs) pada pengobatan DM Tipe 2 mempengaruhi outcome klinis, pengendalian Kadar glukosa darah (KGD), morbiditas, mortalitas dan cost of illness (COI). Edukasi farmasi merupakan strategi yang tepat dalam penanggulangan kejadian DRPs pada pasien DM tipe 2 untuk meningkatkan kualitas hidup (QOL), mencegah terjadinya komplikasi, menurunkan jumlah kematian dini serta menurunkan biaya pengobatan
Tujuan penelitian ini adalah untuk mengidentifikasi dan mengevaluasi kejadian DRPs, mengetahui karakteristik pasien DM Tipe 2, mengetahui penggunaan obat DM Tipe 2, mengetahui pengaruh edukasi terhadap jumlah kejadian DRPs, outcome klinis KGD, QOL, COI dan kepatuhan pasien DM tipe 2 di RSUD Tebing Tinggi.
Penelitian ini menggunakan metode analitik cohort-studi prospektif sebelum dan sesudah edukasi terhadap pasien rawat jalan yang menderita DM tipe 2 di RSUD Tebing Tinggi periode Maret-Agustus 2018. Identifikasi kejadian DRPs menggunakan instrumen pharmaceutical care network europe (PCNE) V8. Kualitas hidup (QOL) pasien diukur menggunakan kuesioner short form (SF)-36 dan kepatuhan pasien minum obat menggunakan kuesioner Morisky. Pengukuran dilakukan sebelum dan sesudah edukasi, kemudian hasil pengukuran dibandingkan dengan menggunakan chi square paired t-test dan uji wilcoxon dalam program SPSS V22.0.
Hasil penelitian menunjukkan usia rata-rata pasien DM Tipe 2 tersebut adalah 61,96 ± 6,45 (tahun), jenis kelamin perempuan lebih banyak (66,7%) dibandingkan dengan pasien laki-laki. Penggunaan antidiabetes yang paling banyak sebelum dan sesudah dilakukan edukasi adalah metformin 500 mg yaitu sebanyak 1444 tablet (47,3%) dan 1672 tablet (46,1%). Kejadian DRPs rata-rata sebelum dan sesudah edukasi terjadi penurunan secara signifikan dari 2,87 ± 0,76 menjadi 0,89 ± 0,96 (p = 0,001). Kualitas hidup rata-rata pasien sebelum edukasi adalah 61,08 ± 15,13, sesudah edukasi terjadi peningkatan yang signifikan menjadi 70,15 ± 14,23 (p = 0,001). Kadar glukosa darah adrandom rata-rata terjadi penurunan yang sigfnifikan sesudah dilakukan edukasi sebanyak 37 pasien (82,20%) (p = 0,001). Hasil penelitian ini juga menunjukkan terjadi peningkatan kepatuhan minum obat yang signifikan dari 23 pasien (51%) sebelum edukasi menjadi 44 pasien (98%) sesudah dilakukan edukasi (p = 0,001). Jumlah biaya/pasien/kunjungan rata-rata sesudah edukasi terjadi penurunan sebesar Rp. 43,- (1,24%) (p = 0,14). Hasil ini membuktikan bahwa edukasi farmasi yang dilakukan menurunkan secara bermakna kejadian DRPs dan KGD ad random dan meningkatkan kepatuhan pasien dan QOLDrug related problems (DRPs) in the therapy of patients with type 2 diabetes mellitus (T2DM) affect the clinical outcome, control of blood glucose levels (BGL), morbidity, mortality and cost of illness (COI). Pharmaceutical educations is the right strategy in overcoming the incidennce of DRPs in T2DM patients to improve the quality of life (QOL), prevent complications, reduce the number of premature deaths and health care costs.
The purpose of this study was to identify and evaluate the incidence of DRPs, determine the characteristics of T2DM patients, find out the use of antihyperglycemic drugs, determine the effect of education on the number of DRPs, clinical outcomes BGL, QOL, COI and adherence of the T2DM patients to their medicatons in Secondary Hospital in Tebing Tinggi.
This research was conducted by prospective analytical cohort-study pre and post educations to outpatients with T2DM in Secondary Hospital in Tebing Tinggi period March-August 2018. Occurence of DRPs was identified using pharmaceutical care network europe (PCNE) V8. The patients’ QOL was measured using short form (SF)-36 questionnare and patients’ adherence was assessed applying morisky questionnare. The measurements were made before and after education, then the obtained data were compared using chi square, paired t-test and wilcoxon test in the program of SPSS V22.0.
The study showed that the mean age of the T2DM patients was 61.96 ± 6.45 (years), females were more (66.7%) than males. The most widely provided antidiabetic to the patients before and after education was metformin 500 mg as many 1444 tablets (47.3%) and 1672 tablets (46.1%). The mean value of DRPs before educations were 2.87 ± 0.76 and after the educations decreased significantly to 0.89 ± 0.96 (p = 0.001). The mean QOL of the patients before and after educations were increased significantly from 61.08 ± 15.13 to 70.15 ± 14.23 (p = 0.001). The mean value of ad random BGLs decreased significantly after educations as many 37 patients (82.20%) (p = 0.001). This results also showed that the patients’ adherence before education were 23 patiens (51%), increased significantly to 44 patiens (98%) after educations (p = 0.001). The mean of cost/patient/admitted before and after education were not decreased significantly in the amount of Rp.43,- (1.24%) (p = 0.14). These results concluded that the pharmacy education strategy reduced significantly the incidence of DRPs and ad random BGL and increased patients’ compliance and QOL.98 HalamanTesis Magiste
Strategi Penanggulangan DRPs, Peningkatan Otcome Klinis dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum Daerah Tebing Tinggi
No full textKejadian Drug related problems (DRPs) pada pengobatan DM Tipe 2 mempengaruhi outcome klinis, pengendalian Kadar glukosa darah (KGD), morbiditas, mortalitas dan cost of illness (COI). Edukasi farmasi merupakan strategi yang tepat dalam penanggulangan kejadian DRPs pada pasien DM tipe 2 untuk meningkatkan kualitas hidup (QOL), mencegah terjadinya komplikasi, menurunkan jumlah kematian dini serta menurunkan biaya pengobatan
Tujuan penelitian ini adalah untuk mengidentifikasi dan mengevaluasi kejadian DRPs, mengetahui karakteristik pasien DM Tipe 2, mengetahui penggunaan obat DM Tipe 2, mengetahui pengaruh edukasi terhadap jumlah kejadian DRPs, outcome klinis KGD, QOL, COI dan kepatuhan pasien DM tipe 2 di RSUD Tebing Tinggi.
Penelitian ini menggunakan metode analitik cohort-studi prospektif sebelum dan sesudah edukasi terhadap pasien rawat jalan yang menderita DM tipe 2 di RSUD Tebing Tinggi periode Maret-Agustus 2018. Identifikasi kejadian DRPs menggunakan instrumen pharmaceutical care network europe (PCNE) V8. Kualitas hidup (QOL) pasien diukur menggunakan kuesioner short form (SF)-36 dan kepatuhan pasien minum obat menggunakan kuesioner Morisky. Pengukuran dilakukan sebelum dan sesudah edukasi, kemudian hasil pengukuran dibandingkan dengan menggunakan chi square paired t-test dan uji wilcoxon dalam program SPSS V22.0.
Hasil penelitian menunjukkan usia rata-rata pasien DM Tipe 2 tersebut adalah 61,96 ± 6,45 (tahun), jenis kelamin perempuan lebih banyak (66,7%) dibandingkan dengan pasien laki-laki. Penggunaan antidiabetes yang paling banyak sebelum dan sesudah dilakukan edukasi adalah metformin 500 mg yaitu sebanyak 1444 tablet (47,3%) dan 1672 tablet (46,1%). Kejadian DRPs rata-rata sebelum dan sesudah edukasi terjadi penurunan secara signifikan dari 2,87 ± 0,76 menjadi 0,89 ± 0,96 (p = 0,001). Kualitas hidup rata-rata pasien sebelum edukasi adalah 61,08 ± 15,13, sesudah edukasi terjadi peningkatan yang signifikan menjadi 70,15 ± 14,23 (p = 0,001). Kadar glukosa darah adrandom rata-rata terjadi penurunan yang sigfnifikan sesudah dilakukan edukasi sebanyak 37 pasien (82,20%) (p = 0,001). Hasil penelitian ini juga menunjukkan terjadi peningkatan kepatuhan minum obat yang signifikan dari 23 pasien (51%) sebelum edukasi menjadi 44 pasien (98%) sesudah dilakukan edukasi (p = 0,001). Jumlah biaya/pasien/kunjungan rata-rata sesudah edukasi terjadi penurunan sebesar Rp. 43,- (1,24%) (p = 0,14). Hasil ini membuktikan bahwa edukasi farmasi yang dilakukan menurunkan secara bermakna kejadian DRPs dan KGD ad random dan meningkatkan kepatuhan pasien dan QOLDrug related problems (DRPs) in the therapy of patients with type 2 diabetes mellitus (T2DM) affect the clinical outcome, control of blood glucose levels (BGL), morbidity, mortality and cost of illness (COI). Pharmaceutical educations is the right strategy in overcoming the incidennce of DRPs in T2DM patients to improve the quality of life (QOL), prevent complications, reduce the number of premature deaths and health care costs.
The purpose of this study was to identify and evaluate the incidence of DRPs, determine the characteristics of T2DM patients, find out the use of antihyperglycemic drugs, determine the effect of education on the number of DRPs, clinical outcomes BGL, QOL, COI and adherence of the T2DM patients to their medicatons in Secondary Hospital in Tebing Tinggi.
This research was conducted by prospective analytical cohort-study pre and post educations to outpatients with T2DM in Secondary Hospital in Tebing Tinggi period March-August 2018. Occurence of DRPs was identified using pharmaceutical care network europe (PCNE) V8. The patients’ QOL was measured using short form (SF)-36 questionnare and patients’ adherence was assessed applying morisky questionnare. The measurements were made before and after education, then the obtained data were compared using chi square, paired t-test and wilcoxon test in the program of SPSS V22.0.
The study showed that the mean age of the T2DM patients was 61.96 ± 6.45 (years), females were more (66.7%) than males. The most widely provided antidiabetic to the patients before and after education was metformin 500 mg as many 1444 tablets (47.3%) and 1672 tablets (46.1%). The mean value of DRPs before educations were 2.87 ± 0.76 and after the educations decreased significantly to 0.89 ± 0.96 (p = 0.001). The mean QOL of the patients before and after educations were increased significantly from 61.08 ± 15.13 to 70.15 ± 14.23 (p = 0.001). The mean value of ad random BGLs decreased significantly after educations as many 37 patients (82.20%) (p = 0.001). This results also showed that the patients’ adherence before education were 23 patiens (51%), increased significantly to 44 patiens (98%) after educations (p = 0.001). The mean of cost/patient/admitted before and after education were not decreased significantly in the amount of Rp.43,- (1.24%) (p = 0.14). These results concluded that the pharmacy education strategy reduced significantly the incidence of DRPs and ad random BGL and increased patients’ compliance and QOL.98 HalamanTesis Magiste
Pengaruh Mutu Pelayanan terhadap Keputusan Pasien Rawat Inap di Rumah Sakit Umum Daerah Perdagangan Kabupaten Simalungun
Get PDFDalam menghadapi perjalanan Mutu Pelayanan Terhadap Kepuasan Pasien mengalami kecemasan di mana menurut Mc Nerney and Grenberg menyebutkan kecemasan merupakan sebagai reaksi fisik, mental, kimiawi dari tubuh terhadap situasi yang menakutkan, mengejutkan, membingungkan, membahayakan dan merisaukan seseorang. Berdasarkan penelitian dari Iis Riawati Simamora (2008) di Medan lebih dari 50% ibu bersalin pada ibu primigravida mengalami kecemasan sedang sebesar 65,6% dan pada multigravida dengan kecemasan ringan 81,3%. Tujuan penelitian ini untuk mengetahui Faktor-faktor yang berhubungan dengan Kecemasan Mutu Pelayanan Terhadap Kepuasan Pasien. Penelitian ini menggunakan desain Analitik korelasi dengan pendekatan cross sectional. Jumlah sampel 41 orang. Pengambilan sampel dengan teknik sampling jenuh (Total Sampling). Dilakukan di Klinik Sari Medan. Analisis data dengan uji chi sguare. Hasil penelitian menunjukan bahwa ibu bersalin mengalami kecemasan ringan dengan jumlah 25 orang (61%), dari faktor pengetahuan memiliki pengetahuan baik yaitu 39 orang (95,1%), dari faktor kondisi psikologi memiliki kecemasan ringan yaitu 30 orang (73,2%), dari faktor kondisi fisiologi memiliki kecemasan ringan yaitu 26 orang (63,4%) dan hubungan faktor kondisi fisiologi dengan kecemasan persalinan kala 1 didapatkan adanya hubungan yang signifikan dengan nilai p= 0.036 < 0,05. Dari hasil penilitian ini diketahui faktor pengetahuan dan kondisi psikologi tidak terdapat hubungan tetapi faktor kondisi fisiologi ada hubungan dengan kecemasan persalinan kala 1. Disarankan pada petugas kesehatan memperhatikan dari segi kondisi psikologis dan kondisi fisiologis pada ibu bersalin sehingga tidak akan menimbulkan rasa kecemasan pada Mutu Pelayanan Terhadap Kepuasan Pasien di Rumah Sakit Daerah Perdagangan
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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