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Jumlah Kunjungan, Profil Pengobatan, dan HRQoL Pasien Rawat Jalan DM Tipe 2 pada Era JKN YUSI ANGGRIANI; MITA RESTINIA; NURLAYLI NURLAYLI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 14 No 2 (2016): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1993.384 KB)

Abstract

Asuransi kesehatan pemerintah bertransformasi dari Asuransi Kesehatan (ASKES) menjadi Jaminan Kesehatan Nasional (JKN) sejak 1 Januari 2014. Terdapat perbedaan metode pembayaran antara ASKES dan JKN. ASKES menggunakan metode fee for services dan JKN menggunakan metode INA-CBGs. Tujuan penelitian yaitu untuk melihat dampak pelaksanaan JKN terhadap jumlah kunjungan, profil pengobatan, dan Health Related Quality of Life (HRQoL) pada pasien DM tipe 2 rawat jalan pada salah satu RS tipe B di Jakarta. Penelitian dilakukan secara time series longitudinal. Total sampel yang memenuhi kriteria inklusi sebanyak 103 pasien. Pasien laki-laki sebanyak 36(35%) dan perempuan 67(65%). Terdapat 98% pasien memiliki usia lebih dari 45 tahun. Sebanyak 95(92%) pasien dengan diagnosa DM tanpa komplikasi dan 8(8%) pasien DM dengan komplikasi. Setelah pelaksanaan JKN, terdapat penurunan jumlah kunjungan pasien dan jumlah obat perpasien baik pada pasien DM tanpa komplikasi dan komplikasi. Kami juga menemukan bahwa persentase obat non DM lebih tinggi dibandingkan dengan obat DM. Secara statistik, jumlah obat DM dan non DM tidak berbeda secara signifikan antara sebelum dan setelah JKN (P>0,05). Rata-rata skor HRQoL pada era JKN lebih besar dari 80. Skor ini menunjukkan bahwa pasien memiliki kualitas hidup yang baik. Berdasarkan analisa statistik, kualitas hidup pasien berbeda berdasarkan jenis kelamin dan usia. Secara keseluruhan dapat disimpulkan bahwa terdapat perbedaan jumlah obat dan profil pengobatan setelah pelaksanaan JKN dan pasien memiliki kualitas hidup yang baik pada era JKN baik.
Studi Penilaian Klinis Penggunaan Antibiotik pada Pasien Penyakit Ginjal Kronis Mita Restinia; Henny Lucida; Wasif Gillani S
JURNAL ILMU KEFARMASIAN INDONESIA Vol 15 No 2 (2017): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.107 KB) | DOI: 10.35814/jifi.v15i2.521

Abstract

A 6-week longitudinal prospective study was conducted to assess the effectiveness and the safety antibiotic used in chronic kidney disease (CKD) patients in internal medicine ward. We compared white blood count and glomerular fi ltration rate before and after antibiotic used. The CKD patients who admitted in the internal medicine ward and age ≥18 years old were included this study. Patients with incomplete laboratory data and renal replacement therapy were excluded in this study. The 25 patients who enrolled in this study were recruited. The majority gender of CKD was male (64%), the mean of age was 61.52±14.17 years old with length of stay (LOS) was 6.92±4.05 days. The highest number of patients was in CKD stage 3 (n=10, 40%) and was followed by CKD stage 2 (n=6, 24%). Most of them were diagnosed community acquired pneumonia. Tablet azithromycin (n=16, 64%) then Cefotaxime intra venous injection (IV) (n= 6, 24%), and Ceftazidime IV (n=5, 20%), Cloxacillin IV (n=4, 16%) were the most antibiotics prescribed. Generally patients had been prescribed appropriate dose of antibiotic and 88% of them showed improved white blood count. In contrast, the glomerular fi ltration rate of 44% CKD patients was getting worse. In conclusion, this study clearly indicate the CKD patients require close monitoring to maintenance of renal function even the antibiotic had been prescribed appropriately.
Profil Pengobatan Pasien Rawat Jalan Diabetes Melitus Tipe 2 setelah Pelaksanaan JKN MITA RESTINIA; YUSI ANGGRIANI; TRI KUSUMAENI; ARIES MERYTA
JURNAL ILMU KEFARMASIAN INDONESIA Vol 13 No 1 (2015): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

In 2014, health insurance entirely colected together into Badan Penyelenggara Jaminan Sosial (BPJS) became Jaminan Kesehatan Nasional (JKN). But there is different payment method that is ASKES used Fee for Services (FFS) method and BPJS use INA-CBGs method. Diabetes mellitus is a chronic disease that patients with that diagnosed should use drug continuously. Therefore, research with conducted by time series longitudinal retrospective method that aimed to observe impact of JKN about drug treatment profile among outpatients of type 2 DM in X Hospital Jakarta. Total of samples collected were 84 patients, 31 (36.90%) of male and 53 (63.10%) of female. Most patients (29.76%) were 66-70 years old. There were 38 patients with 10 times of visite, 27 patients with 11 times of visite, 19 patients with 12 times of visit. Based on drug treatment profile, after JKN has launched, decreasing of total of drug use, number of visit increased to 42 visits, kinds of drug appropriate with DPHO decreased until 79%, kinds of drug appropriate with national formularium rised 97%, generic drugs also increased 54% and non generic drug decreased 47%. Based on descriptive analysis, when JKN has launched, there were impact toward drug treatment profile.
Peran Apoteker dalam Meningkatkan Kepatuhan Pengobatan pada Pasien Rawat Jalan Tube LUNGGUK HUTAGAOL; MITA RESTINIA; SESILIA ANDRIANI KEBAN
JURNAL ILMU KEFARMASIAN INDONESIA Vol 15 No 1 (2017): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Our previous study showed that one of risk factor may lead treatment failure on tuberculosis was non adherence. The current research was carried out to fi nd the role of pharmacist in increasing on medication adherence of tuberculosis outpatients. A non-randomized controlled study was conducted at one of government hospital in Jakarta during April 2015 to July 2015 using MMAS-8. Total sample were 108 patients that divided each group of 54 patients into experimental group who had education and control group without education. Mean of age were 36.93 (SD=15.02) of experimental group and 38.12 (SD=15.11) of control group. More than 50% respondents were male with education level of senior high school. Control group had higher adherence in pre education than post education (P<0.05). Meanwhile, medication adherence in experimental group of pre education was signifi cantly diff erent with post education, 1.94±1.65 vs 0.54±0.64 (P<0.05). There was no diff erence signifi cant of adherence between experimental group and control group in pre education. Furthermore after patients education had been applied experimental group’s adherence had higher than control group (P<0.05). The fi nding of the study may lead that impact of patient education by pharmacist result in better medication adherence.
Survei Rumah Tangga terhadap Profil Obat pada Responden dengan Jaminan Kesehatan Nasional di Jakarta Timur Mita Restinia; Yusi Anggriani; Sondang Khairani; Rulliani Bianca Wijaya
Jurnal Sains Farmasi & Klinis Vol 7, No 2 (2020): J Sains Farm Klin 7(2), Agustus 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (607 KB) | DOI: 10.25077/jsfk.7.2.158-163.2020

Abstract

Household surveys are one of the methods to obtain accurate information on medicine utilization in society. The study was carried out to identify the access of medicine and medicine utilization profile. A survey using convenient sampling method was conducted in 30 households with national health insurance (JKN) diagnosed with chronic diseases in East Jakarta. Each family was observed once a week for 8 weeks to analyse their diseases, medication used, and medicine access. About 19 (63.3%) respondents enrolled in this study were male. The mean ± SD of age was 55.87±12.486 years old. About 23(76.7%) respondent had access of medicine through hospital and 7(23.3%) by pharmacy directly. The most common chronic diseases identified were cardiovascular and endocrine disorder. Cardiovascular, alimentary tract and metabolism, and nervous system were medications most commonly used. Most of respondents used about 1-3 kind of medications in a month. About 101 kind of drugs used, 74 kinds of drug among of them were generic and 27 were non generic. About 12 (40%) respondents used vitamin and 8 (26.67%) used supplement. This study highlights respondent access of medicine through hospital and cardiovascular medicines were the most commonly used.
Clinical Outcomes Penggunaan Antibiotik pada Pasien Infeksi Kaki Diabetik Yusi Anggriani; Mita Restinia; Venessya Cikita Mitakda; Rochsismandoko Rochsismandoko; Tri Kusumaeni
Jurnal Sains Farmasi & Klinis Vol 1, No 2 (2015): J Sains Farm Klin 1(2), Mei 2015
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.411 KB) | DOI: 10.29208/jsfk.2015.1.2.27

Abstract

An amputation and antibiotic resistant bacteria on diabetic foot infection (DFI) are still big issue. The research aimed to evaluate clinical outcomes of antibiotic use among patients of DFI in internal medicine ward at Hospital X. An observation of prospective longitudinal methode was conducted during 3 months. Patients were selected based on diagnosis of DFI that had length of stay ≥ 3 days. Total samples were 30 patients, 16(53.3%) women and 14(46.7%) men. Only 5(16.67%) patients who did culture and sensitivity. One of them with no pathogen bacteria. The most frequently antibiotic use was ampicillin-sulbactam. Based on clinical outcomes, 11(36,7%) improve, 15(50%) worse, and others were passed away. Based on statistic, there were no influence among clinical outcomes with gender, age, BMI and duration of diabetes. Therefore based on the research, antibiotics use were still not effective to achieve desired outcomes.
Karakteristik Sosiodemografi dan Health Related Quality of Life Pasien Rawat Jalan Diabetes Mellitus Tipe 2 pada Era JKN Mita Restinia; Yusi Anggriani; Aries Meryta; Tri Kusumaeni
Jurnal Sains Farmasi & Klinis Vol 3, No 1 (2016): J Sains Farm Klin 3(1), November 2016
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.903 KB) | DOI: 10.29208/jsfk.2016.3.1.105

Abstract

The aim of  study was carried out to determine differences of health related qualitiy of life (HRQoL) with sociodemographic characteristic in type 2 diabetes mellitus outpatiens at one of government hospital in Jakarta. It was a cross-sectional study conducted  from February  to April 2015. Total of samples were 83 patients. Male 31(37.4%) and female 52(62.6%). HRQoL associated with level education  was difference significantly (P<0.05).  Based on score of domain quality of life, female had higher score (69.82 ± 3.14) of frequency of symptoms domain than male (67.32 ± 4.50) (P<0.05). The oldest patients had the highest score (P<0.05) in domain of satisfaction. In contrast, the oldest patients had the the most decrease score (64.14 ± 4.03) in domain of frequency of symptoms (P<0.05). Patients of senior high school had lower score (60.17 ± 24.65) in domain of treatmant satisfaction than patients of  diploma/bachelor (78.78 ± 21.98). Score of domain of frequency of symptoms was higher on patients employed  than none (P<0.05). The household income did not influence all domain (P>0.05). Furthermore, diabetes duration affected both domain of satisfaction (P=0.005) and frequency of symptoms (P=0.00). In conclusion, only education level of characteristic sociodemographic had difference significantly to HRQoL among type 2 diabetes mellitus outpatients..
Faktor Resiko Penyebab Multidrug Resistant Tuberkulosis: Sistematik Review Mita Restinia; Sondang Khairani; Reise Manninda
Pharmaceutical and Biomedical Sciences Journal (PBSJ) Vol 3, No 1 (2021)
Publisher : UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.775 KB) | DOI: 10.15408/pbsj.v3i1.20049

Abstract

Indonesia merupakan negara kedua dengan jumlah kasus tuberkulosis terbanyak di dunia. Pengobatan Tuberkulosis di Indonesia semakin sulit dengan munculnya Multidrug Resistant Tuberculosis (MDR-TB). Penelitian dilakukan untuk mengetahui faktor resiko yang menyebabkan terjadinya MDRT-TB di Indonesia. Sistematik review dilakukan terhadap artikel dengan studi case control. MDR-TB sebagai kelompok kasus dan Non MDR-TB sebagai kelompok kontrol. Artikel yang dipilih adalah artikel yang dipublikasikan pada tahun 2015-2020. Artikel dicari  melalui database google schoolar dan dianalisa menggunakan Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Terdapat 9 original artikel yang memenuhi kriteria inklusi untuk dianalisa. Faktor resiko terjadinya MDR-TB dibagi menjadi tiga kelompok yaitu karakteristik responden, Riwayat TB dan pengobatan, dan komorbiditas. Karakteristik responden yang signifikan mempengaruhi terjadinya MDR TB adalah dukungan keluarga, pengetahuan, usia, dan akses ke fasilitas kesehatan. Tidak patuh minum obat, adanya riwayat pengobatan TB, tidak aktif pengawas minum obat, efek samping obat dan adanya komorbiditas juga merupakan faktor resiko terjadinya MDR-TB.  Hasil yang diperoleh dapat disimpulkan bahwa identifikasi faktor resiko terjadinya MDR TB perlu dilakukan dengan baik. Selain itu, Pasien TB yang memiliki faktor resiko perlu diberikan edukasi yang lebih komprehensif dan pengawasan minum obat secara lebih ketat  untuk mencegah terjadinya MDR TB.