Nanang Munif Yasin
Departemen Farmakologi dan Farmasi Klinik, Fakultas Farmasi, Universitas Gadjah Mada

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Journal : JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

Pengaruh Intervensi Apoteker terhadap Tingkat Bahaya Drug-Related Problems pada Pasien Geriatrik Rawat Inap Margarita Krishna Setiawati; Nanang Munif Yasin; I Dewa Putu Pramantara
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 11, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.66776

Abstract

Geriatric patients are at high risk of Drug-Related Problems (DRPs) associated with multimorbidity, physiologic changes, and pharmacologic alterations, that caused by the aging process. The pharmacist plays an important role in optimizing the effectiveness and safety of the patient’s drug therapies. This study aims to know the effect of pharmacist intervention in reducing the harmful levels of DRPs and to know the factors associated with the reduction of DRPs harm level in hospitalized geriatric patients. This research uses quasi-experimental study with a one-group pretest and posttest design. This research was conducted in Panti Rapih Hospital between March-April 2021, with patients’ inclusion criteria of ≥ 60 years old, with internal diseases cases, and identified DRPs in the therapy. The exclusion patient criteria are hospitalized in the intensive unit and Covid-19 ward. A pharmacist reviewed patient drug therapy, identified and solved DRPs. The harm level of DRPs was compared before and after pharmacist interventions. The harm level of DRPs was determined through professional adjustment according to The Harm Associated with Medication Error Classification tools, then analyzed using Wilcoxon test with a level of confidence 95%. Factors of age, the number of drugs received by the patient, comorbidities, and acceptance of the intervention were investigated for their effect on reducing the harm level of DRPs using a multivariate logistic regression test. A total of the research subject were 28 inpatients, with 47 DRPs identified. The most frequent DRPs were adverse drug reactions  (27,66%). Among all interventions, 77,36% of them were accepted with full implementation. The pharmacist intervention resulted in a significant reduction in the harm level of both potential and actual DRPs (p < 0,05). A factor of the number of drugs received by patients and acceptance of pharmacist intervention was associated with the reduction of the harm level of DRPs (p < 0,05). This study shows that multidisciplinary collaboration is needed in the care of geriatric patients.
Pengaruh Edukasi oleh Apoteker dengan Metode Brief Counseling terhadap Pengetahuan, Kepatuhan dan Glukosa Darah Pasien DM Tipe 2 di Puskesmas Kabupaten Pemalang Irrene Wulan Syafitri; Nanang Munif Yasin; Ika Puspita Sari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 13, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.74821

Abstract

The problem currently encountered by Diabetes Mellitus (DM) patients is a decrease interaction in routine activities carried out at first-level health facilities due to the Covid-19 pandemic. This study is to determine the effect of education by pharmacists with media brief counseling on the knowledge, compliance, and clinical outcomes of DM patients. This type of research is a quasi-experimental method with a pretest and posttest design with the control group. This study was conducted prospectively to analyze the effect of brief counseling-based pharmaceutical services by pharmacists on the level of knowledge measured using the Diabetic Knowledge Questionnaire-24 (DKQ-24), the level of compliance was measured using the Morisky Green Levine Scale (MGLS) questionnaire, and the clinical outcomes of type 2 DM patients at the Puskesmas in Pemalang Regency from October to November 2021. The analysis to measure the bivariate differences in one group used the paired sample t-test, and the bivariate differences between groups were measured using the independent sample t-test. This study consisted of 32 patients in each control and intervention groups. The descriptive analysis of this study showed no differences in data on patient characteristics in the control and intervention groups (p>0.05). The results showed that there was an increase in patient knowledge from 12,66±2,43 to 21,75±1,81 (p=0,000) and an increase in patient compliance from 2,03±0,96 to 0,25±0,51 (p=0,000) after being given brief counseling. The clinical outcomes of DM patients showed that there was an improvement from 177,63±82,4 to 159±58,1 (p=0,002). Based on these results, it can be concluded that there is an effect of education by a pharmacist using the brief counseling method on the level of knowledge, compliance, and clinical outcome of type 2 DM patients.
Analisis Medication Error di Instalasi Farmasi Rawat Jalan RSPAD Gatot Soebroto Jakarta Pusat Ayyoehan Tiara Annisa; Nanang Munif Yasin; Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 13, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.82186

Abstract

Medication errors (MEs) have an impact on drug service inaccuracies and endanger patients at risk through a variable number of accidents, so it is necessary to conduct different methods and definitions study. This study aimed to analyze MEs and causing factors in the Outpatient Pharmacy Installation of Gatot Soebroto Army Hospital. A mixed method study between quantitative and qualitative was conducted. A quantitative study was carried out by analyzing outpatient prescriptions to identify MEs with a checklist instrument and interviewing informants to find out some factors causing MEs. After the data generated from an interview, data were collected as a total of causing MEs, so the factors causing MEs could be determined. Data analysis was carried out descriptively. The results showed MEs in each Outpatient Pharmacy Installation of Gatot Soebroto Army Hospital. Errors at the BPJS Outpatient Pharmacy Installation consisted of prescribing errors (41,6%), transcribing errors (4,6%), and dispensing errors 15,7%). Errors at the Kartika Pavilion Outpatient Pharmacy Installation consisted of prescribing errors (12,4%), transcribing errors (2,4%), and dispensing errors (0,7%). BPJS Outpatient Pharmacy Installation has the highest medication errors (61,8%) in Gatot Soebroto Army Hospital compared to the Kartika Pavilion Outpatient Pharmacy Installation (15,5%) which was caused by the number of patients being larger and not comparable with the minimum number of staff. Other factors that cause ME include human factors such as the performance of staff and fatigue, system factors such as manual recipes and the absence of an e-prescription system, and environmental factors such as a busy work environment.
Gambaran Kepatuhan Penggunaan Obat Antituberkulosis pada Pasien Tuberkulosis Paru di Puskesmas Pahandut Kota Palangkaraya Anna Singgih D.P. Priyaputranti; Fita Rahmawati; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 13, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.83777

Abstract

Tuberculosis is a communicable disease caused by Mycobacterium tuberculosis. Indonesia's health profile stated that the number of tuberculosis cases in 2021 was 397,377 cases, indicating an increase compared to 2020 of 351,936 cases. Medication adherence is crucial for the management of tuberculosis. Some failures of tuberculosis treatment are caused by non-adherence. Detection of medication adherence is important to help control tuberculosis. This study aimed to describe the medication adherence of antituberculosis drugs and the predictive factor among pulmonary tuberculosis of drug-susceptible tuberculosis. This study uses a cross-sectional design with retrospective data collection. Drug therapy monitoring and TB-01 form collected non-adherence identification from January to February 2023 at Puskesmas Pahandut, Palangkaraya city, which involved 35 patients. The predictive factor was identified by an interview with the patient, the treatment observers, and the chief tuberculosis programmer. Adherence was measured by medication left over at the visit. The results showed 24 (77%)  adherent patients and 8 (23%)  non-adherent patients. The predictive factor involved seven dimensions patient-centered (lack of motivation, forgetting to take medicine, unacknowledged information by public health care provider, confusion about how to take medicine), access factors, social and lack of role of the treatment observers. The improvement role of healthcare providers in public health centers and treatment observers is prominent in increasing patient adherence.