Hubungan Tingkat Pengetahuan Dengan Perilaku Pengobatan Acne Vulgaris Di Kalangan Pelajar Sman 4 Bandar Lampung

Acne vulgaris (AV) is a condition when the skin pores become clogged and cause the appearance of pus sacs on the skin causing inflammation. In general, Acne vulgaris is a teenage skin disease that most often occurs at the age of 15-18 years. The purpose of this study was to determine the relationship between the level of knowledge and acne vulgaris treatment behavior among adolescents of SMAN 4 Bandar Lampung. The type of research conducted is descriptive, analytical, cross-sectional with instruments in the form of questionnaires. The sample in this study was students of SMAN 4 Bandar Lampung. The sampling technique was carried out by random sampling with a total of 90 respondents in accordance with the inclusion criteria. Data analysis in this study used Chi-square testing techniques. The results of this study showed that the number of respondents with the female sex (74%) was more than men (26%), this result showed that women experienced acne vulgaris more often than men. and respondents experienced acne vulgaris the most at the age of 15 years (30%). The results showed the level knowledge of respondentd (54%) in yhe good category, while the level of respondent behavior (54%) in the medium category. The results of the correlation analysis test showed a relationship between the level of knoeledge and acne vulgaris treatment behavior with a significance value (p,001)<0,05.    Acne vulgaris (AV) adalah keadaan ketika pori-pori kulit tersumbat serta menyebabkan munculnya kantung nanah pada kulit yang menyebabkan peradangan. Pada umumnya Acne vulgaris merupakan penyakit kulit remaja yang paling sering terjadi pada usia 14-18 tahun. Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan dengan perilaku pengobatan acne vulgaris di kalangan remaja SMAN 4 Bandar Lampung. Rancangan penelitian yang dilakukan bersifat deskriptif analitik cross-sectional dengan instrumen berupa kuesioner. Sample pada penelitian ini adalah pelajar SMAN 4 Bandar   Lampung. Teknik pengambilan sample dilakukan secara random sampling dengan jumlah 90 responden yang sesuai dengan kriteria inklusi. Analisis data pada penelitian ini menggunakan teknik pengujian Chi-square. Hasil penelitian ini menunjukan jumlah respoden dengan jenis kelamin perempuan (74%) lebih banyak dibanding laki-laki (26%), hasil ini menunjukan perempuan lebih sering mengalami acne vulgaris dibanding laki-laki, responden paling banyak mengalami acne vulgaris dengan usia 15 tahun (30%), Hasil penelitian menunjukan tingkat pengetahuan reponden (54%)pada kategori baik, (44%) kategori sedang, dan (2%) pada kategori kurang, sedangkan tingkat perilaku responden (44%) pada kategori baik, (54%) kategori sedang, dan (2%) kategori kurang. Hasil uji analisis korelasi terdapat hubungan antara tingkat pengetahuan dengan perilaku pengobatan acne vulgaris dengan nilai signifikasi (p = 0,001)<0,05

EVALUASI PENGGUNAAN OBAT HIPERTENSI PADA PASIEN RAWAT JALAN DI RUMAH SAKIT BHAYANGKARA POLDA LAMPUNG TAHUN 2020

ABSTRACT Hypertension is a condition in which a person experiences an increase in blood pressure above normal, which is higher than 140 mmHg systolic or 90 mmHg diastolic. Hypertension plays a very important role in causing the death of thousands of people, due to its dangerous side-effects, such as stroke, heart attack, heart failure, and kidney failure. The purpose of this study is to evaluate the use of hypertension drugs in outpatient hypertension patients at Bhayangkara Polda Hospital Lampung. Evaluation of drug use is a quality assurance process in the use of drugs in hospitals aimed at ensuring the drugs used are appropriate, safe and effective. The data collection technique in this study began with the selection process of outpatient medical records who had a primary diagnosis of hypertension. The population in this study were all patient medical records at the Bhayangkara Polda Lampung Hospital in the period of 2020, the use of hypertension drugs based on the right patient was 103 patients, which was 100% correct, the use of Antihypertensive drugs based on the right indication was 103 patients, which was 100% correct. the use of antihypertensive drugs based on the right drug was 82 patients with a percentage (79.61%) of the right drug and as many as 21 patients (20.39%) the wrong drug because the drug given was not in  accordance with the standard used, the use of antihypertensive drug was based on the right dose as much as 103 patients were 100% on the right dose, because the dose given was in accordance with the range of antihypertensive drug therapy based on JNC VIII. Keywords: hypertension, drug evaluation, drug use

IDENTIFIKASI DRUG RELATED PROBLEMS (DRPs) PENGGUNAAN ANTIHIPERTENSI PASIEN HIPERTENSI DI RSU AZZAHRA KALIREJO LAMPUNG TENGAH

A person is diagnosed with hypertension if there is an increase in systolic blood 140 mmHg and diastolic blood pressure 90 mmHg. Treatment of hypertension aims to reduce morbidity and mortality. Hypertensive patients receiving polypharmacy pharmacological therapy are at risk of developing DRPs. The purpose of this study was to identify the incidence of Drug Related Problems (DRPs) in the use of antihypertensives in hypertensive patients at Azzahra Kalirejo General Hospital, Central Lampung in 2021. This study was non-experimental with a retrospective descriptive design, then identified using the classification of DRPs according to Robert J. Cipolle EL. Pharmaceutical Care Practice and Medscape and Drug Interaction Chacker applications to identify drug interactions, and use the Medication Possession Ratio (MPR) formula to identify patient non-compliance. Based on the results of research at Azzahra Kalirejo General Hospital, Central Lampung, of the 135 samples that met the inclusion criteria, 80% of the samples experienced DRPs. Based on gender characteristics, there were 50.37% male and 49.62% female with 0% of patients aged <25 years, age 26-45 years 30.3%, age 46-65 years 57.8% and age > 65 years 11.8%. The most widely prescribed antihypertensive drug was furosemide as much as 42.2%, the most antihypertensive combination was a combination of two drugs as much as 57%. The most use of non antihypertensive drugs is PPI and analgesics as much as 12.8%. Cases of DRPs requiring additional therapy were 1.9%, drug therapy was not necessary 7.4% cases, inappropriate drugs 4.6% cases, doses too low and high in 0% cases, drug interactions were 77.8% with major severity 11.7%, minor 34.5% cases and moderate as many as 53.7%, patient non-compliance with DRPs occurred in 51.9% cases.  Keywords:  Antihipertensive, DRPs, Furosemide, Hypertensio

EVALUASI PENGGUNAAN OBAT PADA PENDERITA DIARE AKUT PASIEN PEDIATRI DI INSTALASI RAWAT INAP RUMAH SAKIT ADVENT BANDAR LAMPUNG PERIODE JULI – DESEMBER 2019

Abstract Acute diarrhea is diarrhea that lasts less than 14 days. Regarding its severity, acute diarrhea is classified as mild, moderate or severe. Mild when signs of dehydration are not observed, moderate when there are mild or moderate signs of dehydration and rehydration can be done orally and severely when it results in more intense dehydration with or without electrolyte disturbances, and requires intravenous therapy. Diarrhea disease in the Inpatient Installation Bandar Lampung Adventist Hospital is the 10 biggest diseases and has never been evaluated on the use of drugs in pediatric patients. This study aims to evaluate the use of drugs in patients with acute diarrhea inpatients installation at the Bandar Lampung Adventist Hospital calculated from July to December 2019 data. This research is a descriptive study with retrospective data collection. The data collection process begins by tracing medical records of acute diarrhea patients. The population of acute diarrhea cases was 152 patients and then the number of samples obtained was then selected according to the inclusion criteria as a sample of 60 patients. From the research results it is known that the use of drugs in patients with acute diarrhea in pediatric patients includes antibiotics, electrolyte solutions, analgesic/antipyretics, antidiarrheals and other drugs (antihistamines, supplements and probiotics). The validation of drug use on the right indicators, the right patient and the right dose has reached 100%, the right indicator is 37% and the drug is 63% incorrect, this is due to the use of antibiotics without laboratory results that show acute diarrhea due to infection. Keywords: acute diarrhea, evaluation of drug use, pediatri

HUBUNGAN PENGETAHUAN DAN PERILAKU IBU DENGAN KEJADIAN ISPA PADA BALITA DI PUSKESMAS KALIREJO KECAMATAN NEGERI KATON KABUPATEN PESAWARAN

Acute Respiratory Infection (ARI) is an upper or lower respiratory tract disease, where an acute infection process that lasts for 14 days, is caused by microorganisms that attack one or more parts of the respiratory tract, from the nose to the alveoli. This study aims to determine the relationship between knowledge and behavior of mothers with the incidence of ARI in children under five at the Kalirejo Public Health Center Negeri Katon District Pesawaran Regency. This type of research is descriptive observational. This research was conducted in June. The sample in this study was 100 respondents, the sampling technique in this study was accidental sampling, in this study the validity and reliabilitas Based on the chi-square results between knowledge and maternal behavior, a value (p value = 0.020) was obtained, maternal knowledge with the incidence of ARI was obtained (p value = 0.000), maternal behavior with ARI incidence was obtained (p value = 0.041). From this study, it can be concluded that the significance value < 0.05 indicates that there is a relationship between knowledge and maternal behavior, knowledge relationship with the incidence of ARI, and behavior with the incidence of ARI. Keywords: Incidence of ARI, Knowledge, Behavio

Analisis Efektivitas Biaya (Cost Effectiveness Analysis) Penggunaan Antibiotik Seftriakson Dan Sefotaksim Pada Pasien Infeksi Saluran Kemih Di Rsd Dr. A. Dadi Tjokrodipo Bandar Lampung

Cost-effectiveness analysis is defined as an analysis to identify, measure and compare significant costs and their consequences of alternative interventions. Antibiotics are a group of drugs most often used to treat infectious diseases. Ceftriaxone and cefotaxime are the main options for treating UTI. Urinary Tract Infection (UTI) is a disease with conditions where there are very large numbers of microorganisms in the urine and can cause infection in the urinary tract. This study was designed to analyze the cost-effectiveness of ceftriaxone and cefotaxime treatment for inpatient urinary tract infections at dr. A. Dadi Tjokrodipo. The method used is descriptive with a retrospective pharmacoeconomic analysis approach. The sampling technique was purposive sampling and sampling 92 patient. The research results show characteristics based on sex most are female as much as 55 (60%), based on age ≥56 years in 35 patients (38%), and the highest length of hospitalization was 3 days in 45 patients (49%). The most widely used profile of antibiotic drug use in patients with urinary tract infections was cefotaxime with a total of 64 patients (70%). The average cost for each type of drug therapy from ceftriaxone is 735,117 and sefotaxime is 742,178. Ceftriaxone has the highest percentage of therapeutic effectiveness at 86% compared to cefotaxime at 71%. Antibiotics that are more cost effective are ceftriaxone compared to cefotaxime with an ACER calculation of 78.455.  Keywords: Cost Effectiveness Analysis, Urinary Tract Infections, Ceftriaxone, Cefotaxim

STUDI FARMAKOVIGILAN OBAT ANTIHIPERTENSI PADA PASIEN HIPERTENSI RAWAT JALAN DI DR. A. DADI TJOKRODIPO BANDAR LAMPUNG PERIODE OKTOBER–NOVEMBER 2021

Hypertension, also known as high blood pressure, is systolic pressure140 and diastolic pressure 80 mmHg. The more blood pressure is pumped by the heart and the narrower the arteries, the higher the blood pressure. This study aims to determine the occurrence of adverse drug reactions in hypertensive patients in RSD DR. A. Dadi Tjokrodipo Bandar Lampung. This research is a descriptive research with total sampling method. Collecting data by looking at the patient's medical record data. The results showed that the female sex was more dominant in suffering from hypertension, namely 20 female patients (62.5%) and 12 male patients (37.5%). The highest age characteristics were found in the age range of 46-55 years as many as 14 patients (43.75%). The most characteristic of hypertension was in the case of stage 2 hypertension with a total of 17 patients (53.12%). The highest pattern of drug use was amlodipine (37.5%). The incidence of drug interactions was 10 cases (31.25%) with minor severity. The highest incidence of ADR was in the "moderately probable" 1-4 with a total of 15 cases (46.87%). Keywords: ADR, hypertension, drug interactions, antihypertensive drug

PENDAMPINGAN PENGGUNAAN RAMUAN HERBAL UNTUK TELUR ASIN RENDAH KOLESTEROL SEBAGAI UPAYA PENINGKATAN PENDAPATAN “AMEER DUCK”

Teknologi pengolahan telur merupakan usaha untuk mengawetkan, memperpanjang daya simpan, dan mencegah penurunan kualitas telur. Pengolahan telur dapat meningkatkan pendapatan keluarga karena dapat dilakukan dalam skala rumah tangga dan dapat menjadi usaha bagi masyarakat yang hidup dipedesaan. Salah satu cara yang dapat dikembangkan adalah menerapkan teknologi pengolahan telur asin. Kandungan garam dan lemak yang tinggi di dalam telur asin  dapat meningkatkan kolesterol dalam darah, menyebabkan hipertensi, sehingga meningkatkan risiko terkena penyakit jantung, stroke, dan penyakit ginjal sehingga konsumsi untuk para orang tua dan lansia perlu dibatasi. Upaya mengatasi hal tersebut perlu upaya inovasi dalam pembuatan telur asin dengan menggunakan ramuan herbal diantaranya menggunakan kayu secang, daun mahkota dewa, daun salam, daun jambu biji dan sereh yang sudah terbukti secara ilmiah dapat menurunkan kadar lemak dan kolesterol dalam darah. Tujuan pengabdian ini adalah memproduksi telur asin herbal yang rendah kolesterol, sehingga telur asin yang diproduksi lebih sehat dengan memanfaatkan tanaman-tanaman disekitar kita yang memiliki potensi sebagai penurun kolesterol serta menginspirasi para pengusaha telur asin untuk berinovasi agar produk yang dihasilkan dapat  disenangi konsumen. Solusi yang ditawarkan melalui pembinaan dan pelatihan untuk membuat diversifikasi produk sehingga mitra dapat menghasilkan produk yang lebih banyak macamnya melalui sentuhan teknologi yang aman dan praktis. Diversifikasi produk dilakukan dengan memanfaatkan tanaman herbal antara lain kayu secang, daun mahkota dewa, daun salam, daun jambu biji dan sereh. Kesimpulan dalam pengabdian ini adalah adanya inovasi pembuatan telur asin herbal mampu meningkatakan pendapatan dan kesehatan masyarakat

POTENSI INTERAKSI OBAT PADA PASIEN GASTRITIS DI PUSKESMAS RAWAT INAP WAY KANDIS BANDAR LAMPUNG TAHUN 2020

ABSTRACT Gastritis is an inflammatory process in the mucous and sub-mucous layers of the stomach. The use of several drugs simultaneously facilitates the occurrence of drug interactions that are part of the Drug Related Problem (DRPs). This study aims to determine the potential for drug interactions in gastritis patients at the Puskesmas Rawat Inap Way Kandis Bandar Lampung in 2020. The research method carried out is observational research with a descriptive design taken retrospectively. The results of the study based on gender showed that there were 34 male patients (40.5%) and 50 female patients (59.5%). Then, based on the age group of 17-25 years, there were 26 patients (31%), aged 26-35 years as many as 16 patients (19%), aged 36-45 as many as 19 patients (22.6%), aged 46-55 as many as 13 patients (15.5%), aged 56-65 as many as 5 patients (6%), and aged >65 years as many as 5 patients (6%). The most use of gastritis drugs are antacids (92.8%), omeprazole (21.4%), ranitidine (15.1%). Drug interactions based on pharmacokinetic mechanisms were 20 cases (58.8%), and pharmacodynamic mechanisms were 14 cases (41.1%). Severity, 18 cases (52.9%) minor, 14 cases (41.1%) moderate, and 2 cases (5.8%) major. It was concluded that the potential drug interactions that experienced the incidence of drug interactions were 27 samples (32.1%) and 57 samples (67.8%) did not experience drug interactions.  Keywords : Antacids, DRPs, Drug Interactions, Gastritis, Omeprazole, Ranitidin

EVALUASI PENGGUNAAN ANTIBIOTIK PNEUMONIA DENGAN METODE ATC/DDD PADA PASIEN PEDIATRI DI INSTALASI RAWAT INAP RSUD. DR. A. DADI TJOKRODIPO BANDAR LAMPUNG TAHUN 2019

ABSTRACT Pneumonia is an inflammation of the lungs that causes pain during breathing and limited oxygen intake. Antibiotics are the main therapy for pneumonia, appropriate and rational antibiotic therapy will determine the success of treatment to avoid bacterial resistance. The purpose of this study was to evaluate the use of pneumonia antibiotics in pediatric patients with the ATC / DDD method in pediatric patients in the Hospital Dr. Hospital. A. Dadi Tjokrodipo Bandar Lampung in 2019. This research is descriptive in nature with retrospective data collection. The sampling technique used was purposive sampling with a sample size of 70 patients with pediatric pneumonia. The data obtained were analyzed by using ATC / DDD and DU 90% methods. The results showed that from 70 samples studied, it was found that the patient characteristics were based on gender, namely 61.42% of them were male and based on age, namely 65.71% were infant patients aged 1 month - 2 years. The total use of antibiotics was 65.92 DDD / 100 days of hospitalization and antibiotics that entered the 90% DU segment, namely ampicillin (27.53 DDD / 100 days of hospitalization), gentamicin (8.39 DDD / 100 days of hospitalization), azithromycin (7 , 13 DDD / 100 days of care), amoxicillin (6.88 DDD / 100 days of hospitalization) and ampicillin sulbactam (6.6 DDD / 100 days of hospitalization). Then evaluated the use of antibiotics and the results were 100% correct, 100% correct indication, 57.4% correct dose and 100% correct time interval of administration. The use of antibiotic pneumonia in Dr. A. Dadi Tjokrodipo still needs to be improved again, especially regarding the administration of antibiotic doses. Keywords: Antibiotics, ATC, DDD, Pediatrics, Pneumonia