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EVALUASI PELAKSANAN STANDAR PELAYANAN MINIMAL (SPM) FARMASI KATEGORI LAMA WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI RSUD KOTA SALATIGA Karuniawati, Hidayah; Hapsari, Ika Gilar; Arum, Marwiani; Aurora, Adiva Tantyas; Wahyono, Nungky Asmaraning
Kartika Jurnal Ilmiah Farmasi Vol 4, No 1 (2016)
Publisher : Universitas Jenderal Achmad Yani, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.911 KB) | DOI: 10.26874/kjif.v4i1.53

Abstract

ABSTRAK Salah satu standar pelayanan farmasi di rumah sakit adalah waktu tunggu. Waktu tunggu pelayanan obat adalah tenggang waktu mulai pasien menyerahkan resep sampai dengan menerima obat. Waktu tunggu berpengaruh pada kualitas pelayanan dan kepuasan pasien. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan Standar Pelayanan Minimal (SPM) Rumah Sakit dengan jenis pelayanan farmasi kategori lama waktu tunggu pelayanan resep rawat jalan di RSUD Kota Salatiga. Penelitian ini merupakan penelitian non eksperimental dengan rancangan  deskriptif (penelitian survey) terhadap pasien rawat  jalan  yang  menebus  resep  di  Instalasi Farmasi  RSUD Salatiga dan pengambilan sampel dengan menggunakan metode purposive sampling. Waktu penelitian yaitu pada bulan Januari – Maret 2016. Dilakukan penghitungan waktu tunggu pelayanan resep obat jadi dan obat racikan kemudian dilakukan analisis terhadap kesesuaian dengan standar pelayanan minimal kategori lama waktu tunggu. Jumlah resep yang diteliti dalam penelitian ini sebanyak 225 resep dengan 78 resep obat racikan dan 147 merupakan resep obat jadi atau non racikan. Waktu tunggu rata-rata obat racikan adalah 9,18 menit dan rata-rata waktu tunggu obat jadi atau obat non racikan adalah 5,70 menit. Hal tersebut sudah sesuai dengan standar pelayanan minimal yang dipersyaratkan oleh Kepmenkes No 129/ Menkes/SK/II/2008 tentang pelayanan resep baik obat jadi maupun obat racikan yaitu lama waktu tunggu obat jadi ≤30 menit dan obat racikan ≤60 menit , dan dari semua sampel yang diteliti tidak ada yang melebihi lama waktu tunggu seperti yang dipersyaratkan. Kata Kunci     : standar pelayanan minimal, waktu tunggu, obat jadi, obat racikan ABSTRACT One of the pharmaceutical care standard in hospital is waiting time. Waiting time is counted from patients give the prescription until get medicines in pharmacy department. Waiting time influences quality of health care and patients’ satisfy. This research is due to evaluate implementation of minimum health care standard at hospital categorize waiting time for concoction medicines and non concoction medicines in outpatients at RSUD Kota Salatiga. This is a non experimental experiment with descriptive design. Samples were collected with purposive sampling method. Research was done on January until March 2016. The numbers of samples are 225 prescriptions consist of 78 concoction medicines and 147 non concoction medicines. Result showed that the average of waiting time for concoction medicines was 9.18 minutes and the average of waiting time for non concoction medicines was 5.70 minutes. These were proper the regulation of Indonesian health ministry No 129/Menkes/SK/II/2008, which is for concoction medicines is less than or equal to 60 minutes and non concoction medicines is less than or equal to 30 minutes. All of the samples were proper to the regulation. Keywords: minimum health care standard, waiting time, concoction medicines, non concoction medicines
Evaluasi Rasionalitas dan Efektifitas Penggunaan Antibiotik pada Pasien Pneumonia Pediatrik di Instalasi Rawat Inap Rumah Sakit Pusat Jawa Tengah Bestari, Mahardika Putri; Karuniawati, Hidayah
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 2 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i2.6524

Abstract

Pneumonia is a respiratory infections disease are caused by bacterial, viral, fungal and parasitic pathogens that cause deaths in children, especially toddlers and increasing number incidents per year. Treatment of pneumonia treated with antibiotics rational and effective because can improve clinical therapeutic effects, minimize drug toxicity, reduce the incidence of resistance that leads to treatment failure, and more economically. The purpose of this study are to determine the rationale and effectiveness of antibiotic therapy. This study was an observational study with retrospective data retrieval using medical record data of pediatric patients diagnosed pneumonia in center hospital, Central Java. The results of 90 cases studied were 60% of patients treated with single antibiotics and 40% of patients treated with combination antibiotics. The most antibiotics given in single therapy were ampicillin (22,2%), amoxicillin (16,7%), and ceftriaxone (15,6%). While antibiotics in combination therapy was ampicillin with gentamicin 31.2%. rationality result analysis was: right indication 100%; proper patients 100%; appropriate medicines 72,2%; appropriate dose 9,23% and rational antibiotics 6,67%. Giving antibiotics ampicillin with gentamycin effective in eradicating bacteria this could be seen with temperature and leukocyte rate down, antibiotics did not improve on symptoms of patients.
EVALUASI PENGGUNAAN ANTIBIOTIK PADA BALITA PENDERITA PNEUMONIA RAWAT INAP DI RSUD “Y” DI KOTA “X” TAHUN 2016 'Utsman, Panji; Karuniawati, Hidayah
Pharmacon: Jurnal Farmasi Indonesia Vol 17, No 1 (2020)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v17i1.5991

Abstract

Pneumonia was pulmonary lung disease called parenchyma caused by microorganism, Pneumonia can be cured byantibiotic to prevent the resistantof bacteria and to improve the effective of the treatment, the right antibiotic must be determining. This research purpose is to determine the accuracy of using antibiotic in toddler patients suffering pneumonia who hospitalized in RSUD ?Y? ?X? City, in 2016. This is nonexperimental research. Data collected retrospectively and was analized descriptively. Samplestaken by purposive sampling method which searched the medical report of toddler patient suffer pneumonia hospitalized in RSUD ?Y?X City, in 2016 which met the inclusion criteria. Reseach accuracy was analized used ?Pedoman Pelayanan Medis Ikatan Dokter Anak Indonesia year 2009? and ?British National Formularium for Children 2011-2012?, Such as indication accuracy, precision medicine accuracy, patient accuracy and drug dose accuracy. The result of the research was found that in 49 toddler patient suffering pneumonia, the kind of antibiotic used was cefotaxime (89,80%), Ampicillin (4,08%), combination of cefotaxime + gentamicin (4,08%) and ampicillin + gentamicin (2,04%). Evaluation of accuracy of the use antibiotic 100% right in indication, precision medicine by 93,87%,100% patient accuracy, and 10,20% drug dose accuracy.
PENGETAHUAN DAN PERILAKU PASIEN TUBERKULOSIS TERHADAP PENYAKIT DAN PENGOBATANNYA Hidayah Karuniawati; Arifah Sri Wahyuni; Heni Mirawati; Suryani -; Sulistyarini -
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2015: Prosiding Bidang MIPA dan Kesehatan The 2nd University Research Colloquium
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.226 KB)

Abstract

Tuberculosis is the most problem in health care and leading the first death in infection disease in Indonesia. Knowledge and behavior in fluent to success in medication tbc. The purpose of this study was to understanding knowledge and behavior patient tuberculosis about their disease and medication. This study was descriptive approach, collecting data had been done by interview and questioner to patient tuberculosis, and clarification to medical record and medical staff. Result showed that respondents knowledge about their disease is 83% in high category and 17% in moderate category, respondents knowledge about their medicinal treatment is 97% in high category and 3% in moderate category. Respondents know about their disease, symptoms, and how the disease spread or infect to another, and know how to prevent spreading of this disease. Respondents know that tbc can be cured and the length of medication needs for several months. Being heal, respondents do disciplinary to taking their medication.Keywords : tbc, knowledge, behavior, disease, medication
Pengaruh Penyuluhan Terhadap Pengetahuan Demam Berdarah Warga Desa Potronayan, Nogosari, Boyolali Hidayah Karuniawati; Maryati Maryati; Gunawan Setiyadi; Suprapto Suprapto; Andika Permana; Septi Fatmawati; Ashari Wahyu Budi Aji; Hevi Mifta Kumalasari; Yunika Isnanda Pratiwi; Sakinatul Hayati
Abdi Geomedisains Vol. 1, No. 1, July 2020
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.488 KB) | DOI: 10.23917/abdigeomedisains.v1i1.96

Abstract

Secara Nasional, kasus Demam Berdarah Dengue terus meningkat dikalangan masyarakat. Kasus terbanyak ada di wilayah Jawa Timur, Jawa Tengah, Nusa Tenggara Timur, dan Kupang. Pengetahuan masyarakat mengenai demam berdarah terutama cara pencegahan dan pengobatan belum sepenuhnya mengerti sehingga diperlukan pengabdian untuk membantu masyarakat dalam mencegah dan memberantas kasus demam berdarah dengan memberikan sosialisasi penyuluhan. Kegiatan penyuluhan yang dilakukan adalah dengan memberikan materi kesehatan berupa upaya pencegahan, menjaga kebersihan lingkungan dan penanganan pertama yang dilakukan jika terkena Demam berdarah. Kegiatan pengabdian masyarakat diikuti 43 peserta. Sebelum dan sesudah pemberian materi tentang demam berdarah, peserta diberi soal sebagai pretest dan post-test. Hasil analisis statistik menunjukkan adanya pengaruh peningkatan pengetahuan yang signifikan sebelum dan setelah penyuluhan dengan nilai P 0,005.
Pengaruh Sosialisasi DAGUSIBU Obat Tetes Mata Terhadap Peningkatan Pengetahuan Masyarakat Melalui Media Sosial Instagram Hidayah Karuniawati; Salsabila; Trisya Nur Pratiwi; Kurnia Eryani; Devi Rahmawati; Rahma Saritri Cahyani; Amalya Maulida; Thalia Fiandra; Zuhroh Tustika Vieda; Oktri Viyanti
Abdi Geomedisains Vol. 1, No. 2, January 2021
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.044 KB) | DOI: 10.23917/abdigeomedisains.v1i2.230

Abstract

Obat tetes mata merupakan salah satu sediaan steril yang berupa larutan atau suspensi. Pengetahuan sebagian masyarakat terkait obat tetes mata masih kurang. Program DAGUSIBU (dapatkan, gunakan, simpan, buang) obat yang diprakarsai oleh Ikatan Apoteker Indonesia (IAI) merupakan salah satu srategi dalam mencapai pengetahuan, pemahaman dan kesadaran masyarakat terhadap penggunaan obat dengan benar. Kegiatan ini bertujuan untuk mengetahui pengaruh penyuluhan terhadap pengetahuan masyarakat tentang cara mendapatkan, menggunakan, menyimpan, dan membuang obat tetes mata dengan benar. Penyuluhan dilakukan melalui media sosial Instagram yang berupa video edukasi animasi yang berdurasi 2 menit 09 detik. Sebelum dan setelah menyaksikan video penyuluhan, responden diminta untuk mengisi kuesioner yang diberikan melaui google form. Data pre-test dan post-test dilakukan uji normalitas dan dilanjutkan dengan uji t berpasangan. Sebanyak 82 responden berpartisipasi dalam sosialisasi tetes mata. Hasil analisis secara deskriptif menunjukkan terjadi peningkatan pengetahuan responden dengan kisaran antara 2,4% sampai 30,5%. Uji normalitas didapatkan hasil bahwa jawaban kuesioner terdistribusi normal dengan nilai p value > 0,05. Uji t berpasangan menunjukkan nilai p value < 0,05 yang berarti bahwa penyuluhan secara online melalui media sosial dapat meningkatkan pengetahuan masyarakat tentang obat tetes mata secara signifikan.
Evaluasi Rasionalitas dan Efektifitas Penggunaan Antibiotik pada Pasien Pneumonia Pediatrik di Instalasi Rawat Inap Rumah Sakit Pusat Jawa Tengah Mahardika Putri Bestari; Hidayah Karuniawati
Pharmacon: Jurnal Farmasi Indonesia Vol 14, No 2 (2017)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v14i2.6524

Abstract

Pneumonia is a respiratory infections disease are caused by bacterial, viral, fungal and parasitic pathogens that cause deaths in children, especially toddlers and increasing number incidents per year. Treatment of pneumonia treated with antibiotics rational and effective because can improve clinical therapeutic effects, minimize drug toxicity, reduce the incidence of resistance that leads to treatment failure, and more economically. The purpose of this study are to determine the rationale and effectiveness of antibiotic therapy. This study was an observational study with retrospective data retrieval using medical record data of pediatric patients diagnosed pneumonia in center hospital, Central Java. The results of 90 cases studied were 60% of patients treated with single antibiotics and 40% of patients treated with combination antibiotics. The most antibiotics given in single therapy were ampicillin (22,2%), amoxicillin (16,7%), and ceftriaxone (15,6%). While antibiotics in combination therapy was ampicillin with gentamicin 31.2%. rationality result analysis was: right indication 100%; proper patients 100%; appropriate medicines 72,2%; appropriate dose 9,23% and rational antibiotics 6,67%. Giving antibiotics ampicillin with gentamycin effective in eradicating bacteria this could be seen with temperature and leukocyte rate down, antibiotics did not improve on symptoms of patients.
Evaluasi Penggunaan Antibiotik pada Balita Penderita Pneumonia Rawat Inap di RSUD “Y” di Kota “X” Tahun 2016 Panji &#039;Utsman; Hidayah Karuniawati
Pharmacon: Jurnal Farmasi Indonesia Vol 17, No 1 (2020)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v17i1.5991

Abstract

Pneumonia was pulmonary lung disease called parenchyma caused by microorganism, Pneumonia can be cured byantibiotic to prevent the resistantof bacteria and to improve the effective of the treatment, the right antibiotic must be determining. This research purpose is to determine the accuracy of using antibiotic in toddler patients suffering pneumonia who hospitalized in RSUD “Y” “X” City, in 2016. This is nonexperimental research. Data collected retrospectively and was analized descriptively. Samplestaken by purposive sampling method which searched the medical report of toddler patient suffer pneumonia hospitalized in RSUD “Y”X City, in 2016 which met the inclusion criteria. Reseach accuracy was analized used “Pedoman Pelayanan Medis Ikatan Dokter Anak Indonesia year 2009” and “British National Formularium for Children 2011-2012”, Such as indication accuracy, precision medicine accuracy, patient accuracy and drug dose accuracy. The result of the research was found that in 49 toddler patient suffering pneumonia, the kind of antibiotic used was cefotaxime (89,80%), Ampicillin (4,08%), combination of cefotaxime + gentamicin (4,08%) and ampicillin + gentamicin (2,04%). Evaluation of accuracy of the use antibiotic 100% right in indication, precision medicine by 93,87%,100% patient accuracy, and 10,20% drug dose accuracy.
SECONDARY PREVENTION TO REDUCE THE OCCURRENCE OF RECURRENT STROKE ON ISCHEMIC STROKE Hidayah Karuniawati; Zullies Ikawati; Abdul Gofir
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.23

Abstract

One of the purpose from stroke theraphy is to prevent recurrent stroke using secondary prevention by administering antiplatelet/anticoagulant, antihypertensive, antidyslipidemia, and antihyperglycemic. This study aimed to find the influence of secondary prevention on the occurrence of recurrent stroke and determine the factors that involve in the occurrence of recurrent stroke. This research was conducted with a quantitative approach and retrospective case-control study. The subjects were 165 respondents consisted of 82 respondents in the case group and 83 respondents in the control group. Data were analyzed using bivariate/chi square and logistic regression multivariate test. The result showed that the secondary prevention and patient’s compliance reduced the incident of recurrent stroke. The rate of recurrent stoke was decreased from 68% to 24% by antiplatelet therapy and compliance, from 69% to 23% by antihypertensive and compliance, from 54% to 29% by antidislipidemic and compliance, from 52% to 23% by antihiperglikemic and compliance, and the combination of these four secondary preventions reduced the recurrent stroke from 52% to 13%. Multivariate analysis showed that the several factors involved in determining the rate of recurrent stroke, namely patiens who did not use antihypertensive therapy (P=0,000; OR 9.871), had systolic blood pressure≥140mmHg (P=0,011; OR 3,156), HDL<40mg/dl (P=0,005; OR 3,594), and the lack of exercise (P=0,048; OR 2,365).Keyword: recurrent stroke, secondary prevention, compliance, antihypertensive therapy
Factors Affecting Non-Adherence to Secondary Stroke Prevention Therapy in Ischemic Stroke Patients Zakky Cholisoh; Hidayah Karuniawati; Tanti Azizah; Zaenab Zaenab; Laila Nur Hekmah
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.34434

Abstract

Stroke is cardiovascular disease that causes the world's highest disability and is the most prevalence disease after heart disease and cancer. Stroke is caused by circulatory disorders with 80% of the sufferers are diagnosed with ischemic stroke and 20% of them are diagnosed with hemorrhagic stroke. Patients who survive from the first stroke have high risk to have recurrent stroke. American Heart Association/American Stroke Association and Perhimpunan Dokter Spesialis Syaraf Indonesia recommend secondary stroke prevention therapy including antiplatelet/anticoagulant, antihypertensive agents, and antidislipidemia to minimalize the risk of recurrent stroke. Secondary stroke prevention therapy is only the first step. Patients need to be adhere to those therapies. The non-adherence will increase the risk of recurrent stroke. The study aimed to determine factors which causing the non-adherence to secondary prevention therapy in patients with ischemic stroke. This was a case control study with concecutive sampling method by interviewing patients who met the inclusion criterias i.e., had been diagnosed and were inpatients due to ischemic stroke, but in the time of interview patients were outpatients, patients were able to communicate and agree to participate in the study.Data was analized by bivariate / chi square test and multivariate logistic regression test. During the study period, 184 respondents met the inclusion criterias. Factors affecting non-adherence in the use of secondary prevention therapy were No one reminded to take medicine p = 0.03; OR 4.51, denial of the disease p = 0,036 OR 214, and tired of taking medicine p = 0,045 OR 1,97.