Nurita Andayani
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The Effects of Counseling and Drug Information Services by Pharmacist to Medication Adherence and Therapy Outcomes on Sciatica Patients at Dr. Suyoto Hospital, Jakarta Farida Ariyani; Prih Sarnianto; Nurita Andayani
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.124

Abstract

People suffered from sciatica, pain along the sciatic nerve, require therapy up to 4 months or longer to achieve controlled-pain. The main treatment for sciatica is physiotherapy; medication is only secondary therapy. This quasi-experimental study aimed to investigate the effects of counseling and drug information services (DIS) by pharmacist on medication adherence and duration of therapy. In the study conducted in March‒July 2018, 128 ambulatory sciatica patients newly diagnosed at Dr. Suyoto Hospital, Jakarta, were divided randomly into two groups, each of 64 patients. The intervention group was given counseling and DIS by clinical pharmacists (3 times with interval of 4 weeks) as well as brochures. Primary data on medication adherence were obtained prospectively through interviews using a validated questionnaire, before the intervention and 4 weeks after the last counseling and DIS by clinical pharmacists. Secondary data (up to 16 weeks), including pain scores, were obtained from medical records and the patient administrative data. The results showed that sociodemographic characteristics as well as distribution of initial adherence and initial pain levels of the two groups were not significantly different (Mann-Whitney test, p>0.05). After the last intervention, the proportion of patients with high-adherence in the intervention group (12.5%) was higher than in the control group (6.3%), as was the proportion of patient achieved controlled-pain (84.4% versus 76.6%). The results of survival analysis showed that the duration of treatment by which 50% of patients achieved controlled-pain (median survival) was significantly shorter in the intervention group (85 days) than in the control group (92 days), while the probability of achieving controlled-pain (hazard ratio) in the intervention group was 1.7 times of that in the control group. In conclusion, counseling and DIS by pharmacist can improve the effectiveness of sciatica treatment, although the main therapy for the nerve pain is not medication.
Faktor Penentu Kepuasan Pada Pelayanan Puskesmas Sebagai Fasilitas Kesehatan Tingkat Pertama Ebram Agustian; Sahat Saragi; Nurita Andayani
Jurnal Ilmu Manajemen dan Bisnis Vol 13, No 1 (2022): Jurnal Ilmu Manajemen dan Bisnis. Maret 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jimb.v13i1.39538

Abstract

Kepesertaan JKN selalu meningkat setiap tahunnya. Kepuasan peserta JKN menjadi komitmen puskesmas dalam upaya peningkatan kualitas pelayanan. Penelitian ini bertujuan untuk mengetahui faktor penentu yang mempengaruhi kepuasan peserta JKN pada pemanfaatan pelayanan kesehatan di Puskesmas sebagai Fasilitas Kesehatan Tingkat Pertama (FKTP). Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif.  Penelitian ini dilakukan di tiga puskesmas di Kabupaten Pesawaran Provinsi Lampung dengan jumlah sampel sebanyak 274 peserta JKN yang terdaftar di puskesmas Kabupaten Pesawaran. Analisis data menggunakan analisis faktor konfirmatori dan analisis SEM dengan program Lisrel 8.80. Hasil penelitian diperoleh faktor yang mempengaruhi pemanfaatan pelayanan kesehatan diantaranya predisposing (0,89) , enabling (0,96) , dan need (0,93) dengan nilai t-value ≥1,96. Kemudian faktor yang mempengaruhi kepuasan pelayanan kesehatan diantaranya kenyamanan (0,80), ketersediaan (0,68), karakteristik penyedia pembiayaan (0,52), reliability (0,72), assurance (0,67), tangible (0,67), empathy (0,61) dan responsiveness (0,60) dengan nilai t-value ≥1,96. Sedangkan hubungan pemanfaatan pelayanan kesehatan terhadap kepuasan peserta JKN terbukti memiliki pengaruh positif dan memiliki hubungan yang signifikan dengan t-value 12,27.