Retnosari Andrajati
Fakultas Farmasi, Universitas Indonesia

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

ANALYSIS OF THE EFFECTIVENESS OF COUNSELING AND POSTER TOWARDS ADHERENCE AND THERAPEUTIC OUTCOME ON HYPERTENSIVE PATIENTS Risani Andalusia Putri; Retnosari Andrajati; Anton Bahtiar
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.109

Abstract

Although the number of pharmacists in primary health care is limited, counseling is very important. The Government obligates primary health care to use poster as a health promotion method. In this study, counseling and poster were used to inform patients about hypertension and its therapy. The objective of this study was to compare the influence of counseling and poster towards adherence and therapeutic outcome on hypertensive patients in Bakti Jaya Primary Care, Depok. Research was conducted by quasi experimental using non-equivalent control group design. Samples were hypertensive patients at Bakti Jaya Public Health Care Depok collected from March to May 2012. Samples were divided into two groups i.e. counseling and poster groups. In the first group, pharmacist gave counseling to the patients and in the other group, the patients were only given poster. Patient’s adherence and blood pressure as therapeutic outcome were measured before (pre test) and after intervention (post test). Patient’s adherence was measured using Morisky Medication Adherence Scale (MMAS-8) questionnaire. This study showed that counseling enhanced adherence (P=0.000) and decreased systolic and diastolic blood pressure (P=0.010 and P=0.018), whereas poster only increased adherence (P=0.028). The differences of MMAS-8 score between counseling and poster group were significantly different (P=0.017), and the decreasing of systolic and diastolic blood pressure between counseling and poster group were not significantly different (P=0.170 and P=0.410).Keywords : Adherence, Hypertension, Counseling, Poster
DRUG RELATED PROBLEMS EVALUATION OF CHRONIC KIDNEY DISEASE PATIENTS IN INPATIENT DEPARTMENT OF FATMAWATI GENERAL HOSPITAL Lusi Indriani; Anton Bahtiar; Retnosari Andrajati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.99

Abstract

The use of drugs in patients with decreased renal function allows the occurrence of drug related problems. Pharmacist has responsibility to identify and to prevent drug related problems. This study was proposed to evaluate drug related problems in chronic kidney disease patients in Inpatient Department of Fatmawati General Hospital. It was descriptive analitic study with prospectively approach. The primary data was obtained by identifying drug related problems. The secondary data was taken from medical record of chronic kidney disease patients such as: age, sex, the stage of chronic kidney disease, comorbidity, and drug therapy. This study took place in Inpatient Department of Fatmawati General Hospital during the period of January to March 2012. Univariate analysis had done to obtain description of frequency and proportion of research variables such as the patient characteristics who received drug therapy (age, sex, the stage of chronic kidney disease, and comorbidity), the drug therapy characterictics that evaluated based on the number and type of drug therapy and drug related problems. Bivariate analysis of the Spearman correlation test was taken to evaluate whether there was correlation beetwen confounding variables and incident of drug related problems. The evaluation was taken in 40 chronic kidney disease patients with 377 number of drugs. The number of drug related problems was 98 issues (25.99% of prescribing drugs). Type of drug related problems were not optimal effect of drug treatments 62.24%, the incidence of non-allergic adverse drug events 20.41%, and the incidence of toxic adverse drug-events 17.35%. The confounding variables that significantly influence the incidence of drug related problems were comorbidities (r= 0.385; p= 0.014), and the number of drugs (r= 0.604; p= 0.000).Keywords: drug related problems, chronic kidney disease, Fatmawati General Hospital