Kepatuhan Penderita Diabetes Mellitus di Apotik Ubaya Berdasarkan Tingkat Pengetahuan dan Motivasi

Kepatuhan penderita diabetes mellitus merupakan hal penting untuk mengendalikan kadar gula darah dan mencegah komplikasi, hal ini dipengaruhi oleh pengetahuan dan motivasi. Penelitian ini merupakan penelitian kuantitatif non eksperimental. Sampel sebanyak 30 pasien diabetes melitus diambil berdasarkan catatan pengobatan pasien (PMR) di apotik. Pasien diminta mengisi kuisioner yang terkait dengan tingkat pengetahuan dan motivasi. Sebanyak 93% pasien memiliki tingkat melek hurufyang tinggi dan 87% memiliki pemahaman yang tinggi terhadap obat yang mereka minum. Sebanyak 70% pasien telah berubah menjadi patuh (action and maintenance stage), 20% masih bersiapsiap untuk berubah (preparation stage) dan 10% belum siap untuk berubah (contemplation). Dukungan dari lingkungan sosial sangat dibutuhkan oleh hampir seluruh pasien (97%). Sebanyak 80% pasien memiliki tingkat pengetahuan dan motivasi yang tinggi, 17% pasien memiliki tingkat pengetahuan dan motivasi yang bervariasi dan hanya 3% saja yang memiliki tingkat pengetahuan dan motivasi yang rendah

Implementasi Pelayanan Telefarmasi di Apotek Sesuai Standar Pelayanan Kefarmasian

Penelitian ini ditujukan untuk menggambarkan implementasi pelayanan telefarmasi pada pelayanan farmasi klinis di apotek yang dipandang dari perspektif apoteker pemberi layanan. Penelitian ini merupakan penelitian deskriptif dengan metode survey menggunakan kuesioner. Kuesioner disusun berdasarkan standar pelayanan kefarmasian di apotek, dan pelayanan farmasi klinis yang terdiri dari 7 domain. Validasi kuesioner terlebih dahulu diuji validitas rupa (face validity). Sampel penelitian terdiri dari 40 apoteker yang berpraktik dan menyediakan pelayanan telefarmasi di apotek jaringan di Surabaya dan Sidoarjo. Sejumlah 34 apoteker yang memenuhi kriteria inklusi dan eksklusi terlibat dalam penelitian ini. Hasil penelitian menunjukkan bahwa pengkajian resep, dispensing dan KIE, pelayanan informasi obat, konseling, pemantauan terapi obat, home pharmacy care, dan monitoring efek samping obat selalu dan sering dilakukan oleh apoteker. Namun, dokumentasi konseling dan pemantauan terapi obat hanya dilakukan oleh 47,1% dan 55,9% responden. Berdasarkan hasil penelitian, dapat disimpulkan bahwa pelayanan telefarmasi pada pelayanan farmasi klinis sudah dilakukan dengan baik oleh apoteker.   Telepharmacy services have become part of pharmaceutical services in community pharmacy. Based on regulations, this service must be provided in accordance with pharmaceutical service standards in the community. This study aimed to describe the implementation of telepharmacy services in the community from the perspective of practicing pharmacists. This study is a descriptive research using survey method with a questionnaire. Questionnaires were prepared based on pharmaceutical service standards in pharmacies, and clinical pharmacy services consisting of 7 domains. The validity of the questionnaire was tested for face validity. The sample of this study was consisted of 40 pharmacists who practice and provide telepharmacy services at network pharmacies in Surabaya and Sidoarjo. A total of 34 pharmacists who met the inclusion and exclusion criteria were involved in this study. The results showed that the assessment of prescriptions, dispensing and communication-information-education, drug information services, counseling, monitoring of drug therapy, home pharmacy care, and monitoring of drug side effects were always and often carried out by pharmacists. However, documentation of counseling and monitoring of drug therapy was only carried out by 47.1% and 55.9% of respondents. Based on the results of this study, it can be concluded that telepharmacy in clinical pharmacy services have been carried out by pharmacist properly

Pengaruh Program Penanggulangan Penyakit Kronis (PROLANIS) terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2

Menurut laporan International Diabetes Federation (IDF) pada tahun 2019, diprediksi bahwa secara global, jumlah penderita diabetes mellitus (DM) akan mengalami peningkatan sebesar 51% pada tahun 2045. Peningkatan jumlah penderita DM ini akan diikuti dengan peningkatan jumlah komplikasi di seluruh organ tubuh dan akan mempengaruhi kualitas hidup. Tindakan pencegahan komplikasi telah dilakukan oleh BPJS melalui Program Penanggulangan Penyakit Kronis (PROLANIS), dengan tujuan agar peserta penyakit kronis dapat mencapai kualitas hidup yang optimal, salah satunya ditandai dengan terkontrolnya kadar gula darah. Tujuan penelitian ini adalah untuk menganalisis pengaruh PROLANIS terhadap kepatuhan pasien dalam minum obatnya serta kontrol gula darah pasien. Metode penelitian menggunakan desain observasi terhadap dua kelompok pasien DM tipe 2, (1) pasien yang mengikuti Program Penanggulangan Penyakit Kronis dan (2) pasien yang tidak mengikuti Program Penanggulangan Penyakit Kronis, untuk kemudian dianalisis tingkat kepatuhan dan kadar gula darahnya pada hari ke-0 dan ke-30. Analisis data menggunakan uji Chi-square. Hasil penelitian ini menunjukkan bahwa pada hari ke-30, kadar gula darah kedua kelompok penderita DM tipe 2 berbeda (p=0,019), risiko tidak terkontrolnya kadar gula darah pada kelompok yang mengikuti Program Penanggulangan Penyakit Kronis 0,53 kali lebih rendah dibandingkan dengan kelompok yang tidak mengikuti program (risk ratio=0,53). Dapat disimpulkan bahwa terdapat hubungan antara partisipasi pasien dalam Program Penanggulangan Penyakit Kronis dengan kepatuhan pengobatan sehingga berdampak pada terkontrolnya kadar gula dalam darah pasien

The Impacts of Lifestyle Modification Education towards Cardiovascular Risk Profile

Obesity is one of the risk factors of cardiovascular disease. The prevalence of obesity in Indonesia has increased in the last few years, therefore some efforts to reduce the risk is needed. In the current study, efforts are given through 3-week lifestyle modification education, with 3-month total of follow-up (from March to June 2014) and then the impacts on cardiovascular risk profile were observed and seen on 24 sedentary male workers in University of Surabaya with obese II. This study used before-after study design in order to see the impacts of the 3-week lifestyle modification education towards change of knowledge, dietary behavior, body mass index (BMI), waist circumference, and cardiovascular risk profile through various educational methods (face-to-face session, given recorder of face-to-face session, and combination of both methods). Statistical analysis was performed using Wilcoxon signed test. Result showed an increasing knowledge in face-to-face group (p=0.046). However, there were no significant changes in other variables (dietary behavior based on healthy diet indicator (HDI), BMI, waist circumference, and also cardiovascular risk profile) in all groups between before and after education intervention (p>0.05). In conclusion, lifestyle modification education given for 3 weeks did not reduce the cardiovascular risk profile on sedentary male workers with obese II. Longer term intervention and multicomponent program including behavior therapy may be needed to succeed lifestyle changes and reduce cardiovascular risk

Effectiveness of Diabetes Education in Increasing Knowledge, Self-Care Activity and HBa1c in Diabetes Mellitus Outpatients

Increased knowledge and ability of patients to understand and implement self-care, will determine the success of diabetes control. Diabetes patients often have less knowledge about their disease and self-care activities, which results in low ability in self-management. Diabetes Education is a program aimed at diabetes patients which aimed increasing their knowledge and ability to effectively manage their diabetes, as well as to change the patient's behavior. This study aimed knowing effectiveness of Diabetes Education program in increasing knowledge and self-care activities, and reducing HbA1c levels. This research was a quantitative research conducted in the community, at Century Pakuwon Darmo Pharmacy with purposive sampling. Data was collected using the questionnaire instrument The Summary of Diabetes Self-Care Activities (SDSCA) and Diabetes Knowledge Test (DKT). The number of patients who met the inclusion criteria were 26 people, divided into test and control groups randomly. The mean age of the patients was 52.04 ± 9.03 and diabetes diagnosed from 3.45 ± 2.43 years. All patients were patients with type 2 DM. Knowledge of patients in the test group increased with an average pre-test value of 59.92% to 86.77% after post-test. The value of self-care activity in the test group during the pre-test was 13.008 to 21.923. The decreased in HbA1c level was 9.168% to 8.208%. All changed that occur are significant. Diabetes Education services can increase knowledge and self-care activities in DM patients, and significantly reduce HbA1c levels

Implementasi Pelayanan Telefarmasi di Apotek Sesuai Standar Pelayanan Kefarmsian

Penelitian ini ditujukan untuk menggambarkan implementasi pelayanan telefarmasi pada pelayanan farmasi klinis di apotek yang dipandang dari perspektif apoteker pemberi layanan. Penelitian ini merupakan penelitian deskriptif dengan metode survey menggunakan kuesioner. Kuesioner disusun berdasarkan standar pelayanan kefarmasian di apotek, dan pelayanan farmasi klinis yang terdiri dari 7 domain. Validasi kuesioner terlebih dahulu diuji validitas rupa (face vali– dity). Sampel penelitian terdiri dari 40 apoteker yang berpraktik dan menyediakan pelayanan tele- farmasi di apotek jaringan di Surabaya dan Sidoarjo. Sejumlah 34 apoteker yang memenuhi kriteria inklusi dan eksklusi terlibat dalam penelitian ini. Hasil penelitian menunjukkan bahwa pengkajian resep, dispensing dan KIE, pelayanan informasi obat, konseling, pemantauan terapi obat, home phar- macy care, dan monitoring efek samping obat selalu dan sering dilakukan oleh apoteker. Namun, dokumentasi konseling dan pemantauan terapi obat hanya dilakukan oleh 47,1% dan 55,9% respon- den. Berdasarkan hasil penelitian, dapat disimpulkan bahwa pelayanan telefarmasi pada pelayanan farmasi klinis sudah dilakukan dengan baik oleh apoteker. Telepharmacy services have become part of pharmaceutical services in community phar- macy. Based on regulations, this service must be provided in accordance with pharmaceutical service standards in the community. This study aimed to describe the implementation of telepharmacy services in the community from the perspective of practicing pharmacists. This study is a descriptive research using survey method with a questionnaire. Questionnaires were prepared based on pharmaceutical ser- vice standards in pharmacies, and clinical pharmacy services consisting of 7 domains. The validity of the questionnaire was tested for face validity. The sample of this study was consisted of 40 pharmacists who practice and provide telepharmacy services at network pharmacies in Surabaya and Sidoarjo. A total of 34 pharmacists who met the inclusion and exclusion criteria were involved in this study. The results showed that the assessment of prescriptions, dispensing and communication-information-education, drug information services, counseling, monitoring of drug therapy, home pharmacy care, and monito– ring of drug side effects were always and often carried out by pharmacists. However, documentation of counseling and monitoring of drug therapy was only carried out by 47.1% and 55.9% of respondents. Based on the results of this study, it can be concluded that telepharmacy in clinical pharmacy services have been carried out by pharmacist properly

Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia

Social interventions such as psychoeducation, in conjunction with appropriate antipsychotic medications, positively impact schizophrenic patients’ recovery. The aim of this 12-week study was to compare standard Indonesian mental healthcare for schizophrenia with psychoeducation-enriched care for family members, investigating both family and patient parameters. Sixty-four family participants meeting pre-set criteria were recruited from various online Indonesian community forums, social media, seminars/gathering events, and inpatient visits. Each family member was the main care provider for one patient with a schizophrenia diagnosis. Family participants were randomly allocated to one of two groups (control or intervention); both groups received equal personal time and attention from staff but the control group lacked the specific psychoeducational aspect of the intervention. In comparison with the control group, pre- and post-evaluation revealed significant positive effects in the intervention group for illness perception (F(ave) = 124.85; d(ave) = 2.72) and expressed emotion (OR(ave) = 0.39) among family members. For the patients, there was a significant positive effect on medication adherence (F(1, 62) = 21.54; p < 0.001, d(intervention) = 1.31) if their family members were in the intervention group. Partial least-squares path modeling revealed that low expressed emotion in family members was positively correlated with high medication adherence (β = −0.718; p < 0.001) in patients. This study provides evidence for the patient and family benefits of family psychoeducation on schizophrenia in a diverse Indonesian population