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Differences of lung function in elderly patients with and without hypertension in RSUP Dr. Sardjito Yogyakarta Sutriningsih, Bungsu Wahyu; Sumardi, Sumardi; Pramantara, I Dewa Putu
Acta Interna The JOurnal of Internal Medicine Vol 3, No 2 (2013): Acta Interna The Journal of Internal Medicine
Publisher : Acta Interna The JOurnal of Internal Medicine

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ABSTRACTBackground: In the elderly, there is a decrease in lung vital capacity to 68%. The prevalence of hypertensionÂ is at the age above 65 years with 13% of the population. The Incidence of lung function decline in chronic heartÂ failure and hypertension was found mainly in the elderly.Aims: The aim of the study was to know the differences ilung function in elderly patients with and withoutÂ hypertension.Methods: The Study was cross-sectional, a study in November 2012 until January 2013 of the elderly populationÂ over 60 years of research with a sample of 58 people (29 people and 29 groups of hypertensive people withoutÂ hypertension). Inclusion criteria for the study subjects were elderly patients over 60 years of signing the informedÂ consent, can perform spirometry maneuvers correctly. Data were analyzed by T-test to examine some differencesÂ in the mean or median, between the two groups.Results: In this research, there were no signifi cant difference in lung function as measured by FVC and FEV1Â in the elderly with hypertension and without hypertension (p = 0.984, 95% CI-0, 13-0,139 for FVC and p = 0.83,Â 95 IK-0, 14-0,116% for FEV1).Conclusion: There is no signifi cant difference in lung function in the elderly with and without hypertension.Keywords: elderly, hypertension, pulmonary function1Speciality

Correlation between Depressive Symptom Score and Geriatric Handgrip Strength at Nursing Home Province of Yogyakarta Syahri, Ahmad; Siswanto, Agus; Pramantara, I Dewa Putu
Acta Interna The Journal of Internal Medicine Vol 4, No 1 (2014): Acta Interna The Journal Of Internal Medicine
Publisher : Acta Interna The Journal of Internal Medicine

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ABSTRACTBackground: By the year of 2020, Indonesiaâs elderly population will be expected to the fourth highest number in the world after China, India and USA. Special Region of Yogyakarta has the highest percentage that is equal to 13.72%. Depression may increase the risk of mortality, disability and motivation of physical Low grip strength would increase mortality and morbidity in the elderly.Objective: This study aimed to assess the correlation between depressive symptoms and handgrip strength in the elderly population in nursing homes at province of Yogyakarta.Methods: This study was a cross-sectional study that conducted in October 2010 at the nursing home residents. Depression was assessed by the Geriatric Depression Scale Cronbachâs alpha 0.88. Handgrip strength was measured by a handgrip dynamometer. Data of age, education and gender was collected by questionnaire. The study performed statistical tests to assess the correlation of symptoms depression and grip strength.Results: The mean age of subjects was 73.84 Â± 8.36 years with 36 subjects (35.3%) were between 60-69 years and 66 subjects (64.7%) were over 70 years. There were 33 men (32.4%) and 69 women (67.6%). MeanGDS score was 12.76 Â± 3.22. Handgrip strength in the depression group 16.94 Â± 6.96 kg was higher than the non-depressed group 15.23 Â± 6.79. There was correlation between severity of depression symptom byhandgrip strength with r = 0.235 (weak correlation) and statistically signifi cant with p = 0.017.Conclusion: The severity of depressive symptom scores was correlated significantly to the handgrip strength in elderly nursing homes in the province of Yogyakarta.Keywords: elderly, nursing homes, depression, handgrip strength.confi dent interval.

ANEMIA AS RISK FACTOR OF HANDGRIP STRENGTH DECREASED ON ELDERLY IN YOGYAKARTA PROVINCEâS PANTI WERDHA Hidayat, Ganda; Kurnianda, Johan; Pramantara, I Dewa Putu
Acta Interna The Journal of Internal Medicine Vol 1, No 1 (2011): Acta Interna The Journal of Internal Medicine
Publisher : Acta Interna The Journal of Internal Medicine

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ABSTRACTBackground: According to the WHO, by the end of 20 th century, the more the world population grow, the more the elderly population will be. Yogyakarta province has a 13.72% of Indonesian elderly. The anemia prevalence increased as the age added. Aging process resulted in strength muscle reduced. Handgrip strength test is a valid and consistent as well as simple alternative to value the muscle strength decreased advanced age. Purpose of this study is to know whether anemia is a risk factor against muscle strength decreased measured by handgrip strength test on elderly population in nursing house.Method: This study used cross sectional study design to the advanced ages in DIY provinceâs nursing house. The study time was in August 2010. The advance ages fullfilling the inclusion and exclusion criteria were conducted physical examination, routine blood test and handgrip strength measurement.Result: This study involved 118 elderly participants. There was difference of mean handgrip strenght in: age (14.52 kg vs 19.64 kg; p=0.001), gender (13.39 kg vs 22.47 kg; p=0.001), activity level (7.94 kg vs 16.75 kg; p=0.001) and anemia status (13.60 kg vs 17.84 kg; p=0.001); for women even in mild anemia group, there was difference with non anemia group (12.36 kg vs 14.68 kg ; p=0.027). Conclusion: According to multivariable analysis,. There are 3 factors involving of handgrip strength in elderly, namely; Age, activity levels, and anemia which are statistically significant. In this study, it was conclude anemia is a risk factor of handgrip strength decreased in elderly, for women even in mild anemia, there was statistically significant different with non anemia group.Â Keywords : Elderly, anemia, handgrip strength

HUBUNGAN ANTARA KUALITAS DIET, SOSIO-DEMOGRAFI, DAN DUKUNGAN KELUARGA TERHADAP PENGENDALIAN GULA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI RUMAH SAKIT KANUJOSO DJATIWIBOWO (RSKD) BALIKPAPAN Gardiarini, Praseptia; Sudargo, Toto; Pramantara, I Dewa Putu
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v40i2.237

Pengendalian gula darah yang buruk, dapat memperparah terjadinya penyakit. Kualitas diet merupakan faktor penting dalam pengendalian gula darah, pengendalian gula yang baik dapat menghindarkan penderita diabetes dari kemungkinan komplikasi lebih lanjut. Kualitas diet, sosio-demografi dan dukungan keluarga akan berdampak terhadap manajemen penyakit DM, hubungan diantara ketiga hal tersebut belum pernah diteliti sebelumnya. Penelitian ini bertujuan untuk mengetahui kaitan kualitas diet, faktor sosio-demografi dan dukungan keluarga dengan pemeliharaan gula darah pada pasien Diabetes Melitus Tipe 2 di Rumah Sakit Kanujoso Djatiwibowo Balikpapan. Studi Cross-sectional digunakan untuk mengetahui kaitan antara kualitas diet, faktor sosio-demografi dan dukungan keluarga terhadap pengedalian gula darah. Diet Quality Index- International (DQI-I) digunakan untuk menilai kualitas diet, kuesioner Hensarling Diabetes Family Support Scale (HDFSS) digunakan untuk mengetahui dukungan keluarga. Path regression digunakan untuk mengetahui pengaruh kualitas diet, sosio-demografi dan dukungan keluarga terhadap HbA1c. Hasil penelitian menunjukkan skor kualitas diet yang dicapai subjek penelitian mencapai rata-rata 55.97 ± 6.1. Pendapatan dan pendidikan memiliki pengaruh yang signifikan pada kualitas diet yaitu 6,55 persen dan 7,11 persen (p0,05). Tidak ditemui hubungan yang signifikan antara pendidikan pendapatan dan kualitas diet pada kadar HbA1c. Kesimpulan dari penelitian bahwa pendidikan dan pendapatan memiliki pengaruh pada skor kualitas diet. Tidak ditemukan hubungan yang signifikan antara kualitas diet, faktor sosio demografi dan dukungan keluarga terhadap kadar HbA1c.ABSTRACT The Association of Diet Quality, Sosiodemography, Family Support with Blood Glucose Control among Type 2 Diabetes Patients at RS. Kanujoso Djatiwibowo (RSKD) in BalikpapanDiet Quality is an important factor to control blood glucose and it could avoid the patient of DM type 2 from complication. Socio-demography factors and family support could help patients in managing DM type 2. The objective of the study is to understand the relationship of diet quality, socio-demography factors, and family support for controlling blood glucose in patients with Diabetes Mellitus Type 2 at Kanujoso Djatiwibowo Hospital. A cross-sectional study was used in this study to know the relationship of diet quality, socio-demography factors, and family support to control blood glucose. Diet Quality Index-International (DQI-I) was used to assess diet quality of all subjects. Hensarling Diabetes Family Support Scale (HDFSS) questionnaire was used to know family support. Data were analyzed using regression path to know the relationship of diet quality, socio-demography factors, and family support to HbA1c. The result showed that all subjects had scores of diet quality approximately 55.97 ± 6.1. Income and education level factors had a significant relationship with diet quality, i.e 6.55 percent and 7.11 percent (p0.05). There was an inverse relationship between family support and HbA1c level. Income and education level factors have affected on diet quality. No correlation found between diet quality, socio-demography factors and family support with HbA1c level. Keywords: Diet quality, family support, DM type 2, HbA1c

PENGARUH HASIL SKRINING BERDASARKAN METODE MNA (MINI NUTRITIONAL ASSESTMENT) TERHADAP LAMA RAWAT INAP DAN STATUS PULANG PASIEN LANJUT USIA DI RSUP DR. SARDJITO YOGYAKARTA Prasetyo, Wahyu Hardi; Pramantara, I Dewa Putu; Budiningsari, R. Dwi
Berkala Kedokteran Vol 13, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v13i1.3442

Abstract: The number of elderly people (over 60 years old) is growing rapidly in this 21th century, reaching as many as 425 millions (+ 6,8%) worldwide in 2000. This figure is estimated almost twice in 2025. In Indonesia, percentage the elderly people in 1995 was as much as 7.5%. In line with the increasing of live expectancy the number of the elderly will grow bigger. This is related to greater need of health service for the elderly. In older people, nutrition problem is closely associated with disease. One factor that causes nutrition problem in the elderly is the increase of morbidity. Increased risk for disease and nutrition problem in the elderly requires early identification of risk for malnutrition in the elderly. Routine assessment of preliminary nutrition status of patients being hospitalized is essential in order to get an overview of nutrition status patients at a time, detect high risk patients and help to identify nutrition treatment specifically for each patient so that appropriate nutrition support can be given to improve nutrition status of patient. The study aimed to identify impact of result screening nutrition based on MNAÂ method to length of stay and discharge status of elderly patients at inpatient ward of internal medicine and neurology of Dr Sardjito Hospital Yogyakarta. The study was observational that used prospective cohort design and was undertaken at inpatient ward of internal in medicine and neurology of Dr. Sardjito,Â Yogyakarta in August-November 2009. Data were collected by the researcher with the help of an enumerator, i.e. nutritionist at inpatient ward. The result of study showed that impact of result screening during initial hospitalization to length of stay of elderly patients based on MNA method was RR 1.63. This indicated that malnourished patients were at risk for being hospitalized > 7 days 1.63 times longer than those not malnourished. ImpactÂ ofÂ result screening during initial hospitalization to discharge statusÂ of elderly patients based on MNA method was RR 1.29. This indicated that malnourished patient were at risk for uncovered discharged as much as 1.29 greater than those not malnourished. There was impact of result screening in admission to length of stay. There was impact of nutrition status to length of discharged status. Â Keywords: discharge home, length of stay, nutritional status in initial admissionÂ Â Â Abstrak: Pertumbuhan penduduk lanjut usia (umur â¥60 tahun) meningkat secara cepat pada abad 21 ini, yang pada 2000 di seluruh dunia telah mencapai 425 juta jiwa (Â± 6,8%). Jumlah ini diperkirakan akanmengalami peningkatan hampir dua kali lipat pada 2025. Di Indonesia, persentase lanjut usia pada 1995 mencapai 7,5%. Dengan meningkatnya angka harapan hidup, jumlah lanjut usia pun akan bertambah banyak. Hal ini terkait dengan perlunya peningkatan pelayanan kesehatan lanjut usia. Pada lanjut usia, masalah gizi erat kaitannya dengan penyakit. Salah satu faktor yang menyebabkan lanjut usia menjadi rawan gizi yaitu peningkatan morbiditas penyakit (Darmojo, 2006). Dengan meningkatnya risiko penyakit dan disertai gangguan nutrisi pada lanjut usia, sehingga perlu dilakukan identifikasi risiko malnutrisi pada lanjut usia sedini mungkin. Penilaian status gizi awal pasien masuk rumah sakit sangat pentingÂ dilakukan secara rutin karena dapat menggambarkan status gizi pasien saat itu, mendeteksi pasien-pasien yang beresiko tinggi dan membantu mengidentifikasi perawatan gizi secara spesifik pada masing-masing pasien sehingga dukungan nutrisi yang tepat dapat diterapkan untuk meningkatan status gizi pasien. Untuk mengetahui pengaruh hasil skrining awal berdasarkan metode MNA (Mini Nutritional Assessment) terhadap lama rawat inap dan status pulang pasien lanjut pada ruang rawat inap penyakit dalam dan saraf di RSUP Dr.Sardjito Yogyakarta. Jenis penelitian ini adalah penelitian observasional dengan menggunakan rancangan kohort prospektif. Penelitian ini dilakukan di ruang rawat inap penyakit dalam danÂ saraf pada pasien lanjut usiaÂ di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta. Penelitian dilaksanakan pada bulan Agustus-November 2009. Pengumpulan data dilakukan oleh peneliti dengan bantuan enumerator yaituÂ ahli gizi yang bertugas di ruang rawat inap. Berdasarkan hasil skrining dengan metode MNA padaÂ pasien lanjut usia terhadap lama rawat inap, maka diketahui bahwa nilai RR=1,63. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko dirawat selama â¥ 7 hari adalah 1,63 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil regresi logistik tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh secara statistik antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Berdasarkan hasil regresi logistik, jenis penyakit memiliki pengaruh yang paling dominan dengan nilai RRÂ 3,88 terhadap lama rawat inap.Berdasarkan hasil skrining awal masuk rumah sakit terhadap status pulang pasien lanjut usia berdasarkan metode MNA, maka diketahui nilai RR=1,29. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko keluar dalam keadaan tidak sembuh sebesar 1,29 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil uji regresi logistik ada pengaruh antara hasil skrining dengan status pulang dengan nilai OR 9,21. Demikian pula ada pengaruh antara usia dan jenis kelamin dengan status pulang (p< 0,05). Tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Ada pengaruh antara hasil skrining dengan status pulang.Â Kata-kata kunci: skrining, lama rawat inap, status pulang pasien

FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN GAGAL JANTUNG KRONIK Pudiarfianti, Nadia; Pramantara, I Dewa Putu; Ikawati, Zullies
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.157

Gagal jantung kronik (CHF) merupakan salah satu sindrom penyakit yang dapat menurunkan kualitas hidup. Prevalensi CHF meningkat 10% pada lanjut usia. Perbedaan kualitas hidup dapat terjadi pada ras yang berbeda.Tujuan penelitian adalah untuk mengetahui gambaran kualitas hidup dan faktor-faktor mempengaruhi kualitas hidup pasien gagal jantung kronik di poliklinik jantung RSUP Dr. Sardjito Yogyakarta. Penelitian merupakan penelitian non-eksperimental (deskriptif analitik) dengan desain potong lintang.Pengumpulan data dilakukan pada bulan Januari â April 2015 dengan metode consecutive sampling di poliklinik jantung RSUP Dr. Sardjito Yogyakarta. Kualitas hidup pasienakan dinilai menggunakan kuesioner Minnesotta Living with Heart Failure (MLHF) dan kuesioner Morisky Medication Adherence Scale (MMAS-8) untuk menilai kepatuhan. Faktor risiko yangmempengaruhi kualitas hidup berupa usia, jenis kelamin, ejection fraction (EF), derajat keparahan New York Heart Association (NYHA), kepatuhan, komorbid, Body Mass Index (BMI), lama diagnosis, dan terapi dianalisis menggunakan uji Chi-Square/Fisher dan Uji T dua sampel independen untuk melihat distribusi dan hubungan faktor tersebut terhadap kualitas hidup. Total 97 subjek ikut serta dalam penelitian. Hasil penelitian menunjukkan bahwa nilai rata-rata skor total MLHF pada dimensi fisik adalah 16,72Â±8,68 dan pada dimensi emosional adalah 5,36Â±3,26. Perempuan dengan CHF memiliki tingkat emosional lebih baik dibandingkan laki-laki (p<0,05). Berdasarkan hasil analisis, hanya fraksi ejeksi yang memiliki perbedaan bermakna terhadap kualitas hidup (p<0,05). Pasien dengan EF<40% memiliki risiko mengalami kualitas hidup yang buruk dibandingkan pasien CHF dengan EFâ¥40%. Pengaruh komorbid seperti hipertensi dan diabetes, penggunaan digoksin atau obat golongan angiotensin reseptor blocker hanya berpengaruh pada dimensi fisik pasien CHF (p<0,05).

HUBUNGAN ANTARA KUALITAS DIET, SOSIO-DEMOGRAFI, DAN DUKUNGAN KELUARGA TERHADAP PENGENDALIAN GULA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI RUMAH SAKIT KANUJOSO DJATIWIBOWO (RSKD) BALIKPAPAN Gardiarini, Praseptia; Sudargo, Toto; Pramantara, I Dewa Putu
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.469 KB)

Pengendalian gula darah yang buruk, dapat memperparah terjadinya penyakit. Kualitas diet merupakan faktor penting dalam pengendalian gula darah, pengendalian gula yang baik dapat menghindarkan penderita diabetes dari kemungkinan komplikasi lebih lanjut. Kualitas diet, sosio-demografi dan dukungan keluarga akan berdampak terhadap manajemen penyakit DM, hubungan diantara ketiga hal tersebut belum pernah diteliti sebelumnya. Penelitian ini bertujuan untuk mengetahui kaitan kualitas diet, faktor sosio-demografi dan dukungan keluarga dengan pemeliharaan gula darah pada pasien Diabetes Melitus Tipe 2 di Rumah Sakit Kanujoso Djatiwibowo Balikpapan. Studi Cross-sectional digunakan untuk mengetahui kaitan antara kualitas diet, faktor sosio-demografi dan dukungan keluarga terhadap pengedalian gula darah. Diet Quality Index- International (DQI-I) digunakan untuk menilai kualitas diet, kuesioner Hensarling Diabetes Family Support Scale (HDFSS) digunakan untuk mengetahui dukungan keluarga. Path regression digunakan untuk mengetahui pengaruh kualitas diet, sosio-demografi dan dukungan keluarga terhadap HbA1c. Hasil penelitian menunjukkan skor kualitas diet yang dicapai subjek penelitian mencapai rata-rata 55.97 ± 6.1. Pendapatan dan pendidikan memiliki pengaruh yang signifikan pada kualitas diet yaitu 6,55 persen dan 7,11 persen (p<0,05). Tidak ditemui hubungan yang signifikan antara pendidikan pendapatan dan kualitas diet pada kadar HbA1c. Kesimpulan dari penelitian bahwa pendidikan dan pendapatan memiliki pengaruh pada skor kualitas diet. Tidak ditemukan hubungan yang signifikan antara kualitas diet, faktor sosio demografi dan dukungan keluarga terhadap kadar HbA1c.ABSTRACT The Association of Diet Quality, Sosiodemography, Family Support with Blood Glucose Control among Type 2 Diabetes Patients at RS. Kanujoso Djatiwibowo (RSKD) in BalikpapanDiet Quality is an important factor to control blood glucose and it could avoid the patient of DM type 2 from complication. Socio-demography factors and family support could help patients in managing DM type 2. The objective of the study is to understand the relationship of diet quality, socio-demography factors, and family support for controlling blood glucose in patients with Diabetes Mellitus Type 2 at Kanujoso Djatiwibowo Hospital. A cross-sectional study was used in this study to know the relationship of diet quality, socio-demography factors, and family support to control blood glucose. Diet Quality Index-International (DQI-I) was used to assess diet quality of all subjects. Hensarling Diabetes Family Support Scale (HDFSS) questionnaire was used to know family support. Data were analyzed using regression path to know the relationship of diet quality, socio-demography factors, and family support to HbA1c. The result showed that all subjects had scores of diet quality approximately 55.97 ± 6.1. Income and education level factors had a significant relationship with diet quality, i.e 6.55 percent and 7.11 percent (p<0.05). There was an inverse relationship between family support and HbA1c level. Income and education level factors have affected on diet quality. No correlation found between diet quality, socio-demography factors and family support with HbA1c level. Keywords: Diet quality, family support, DM type 2, HbA1c

PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 4, No 1 (2008)
Publisher : Indonesian Research Gateway

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Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari – Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.

PROBLEM PEMILIHAN OBAT PADA PASIEN RAWAT INAP GERIATRI DI RSUP DR. SARDJITO YOGYAKARTA Rahmawati, Fita; Ellykusuma, Nany Yusuf; Pramantara, I Dewa Putu; Sulaiman, Syed Azhar Syed
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 4, No 1 (2008)
Publisher : Indonesian Research Gateway

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Old age is associated with chronic diseases and disabilities, which in turn require multiple medications. This often complicate diagnosed and appropriate drug therapy. The aim of the study was to determine types and number of inappropriate drug in geriatric patients in Bougenville Ward Dr. Sardjito Hospital Yogyakarta. Research type is descriptive. Data taken prospectively during two period, January to February 2006 and Agust to October 2006. The study was conducted in 100 geriatric patients hospitalized with inclusion criteria 65 years old and above and admission into Bougainville ward (interne department) RSUP Dr. Sardjito Hospital, Yogyakarta. Data collecting was conducted through medical record then adjustment of inappropriate drug of choice was identified by pharmacist-physician discussion. Evaluation of the data was carried out descriptively. The result of the study showed that inappropriate drug of choice occurred in 48 cases. This problem include more effective drug available 12 cases, contraindication present 15 cases, dosage form inappropriate 2 cases, condition refractory to drug 1 case, drug not indicated (unsafe) for condition 9 cases, patient received unnecessary multiple drug combination 9 cases. The finding of our study support pharmacist in collaboration between physician-pharmacist-nurse can effectively reduce incidence of Drug Related Problems in geriatric patient. ABSTRAK Penelitian ini bertujuan untuk mengetahui jumlah dan persentase Drug-Related Problems (DRPs) yang terjadi pada pasien geriatri di Bangsal Bougenville IRNA I RSUP Dr. Sardjito Yogyakarta. Penelitian bersifat deskriptif, pengambilan data dilakukan secara prospektif pada 100 pasien dengan kriteria pasien berumur lebih dari 60 tahun dan menjalani rawat inap di bangsal Bougenville IRNA I bagian Penyakit Dalam RSUP Dr. Sardjito. Data diambil pada 2 periode waktu yaitu bulan Januari – Februari 2006 dan bulan Agustus-Oktober 2006. Identifikasi Drug Related Problem (DRP) terkait dengan pemilihan obat yang tidak tepat dilakukan melalui diskusi dengan klinisi. Analisis data selanjutnya dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa problem pemilihan obat yang tidak tepat terjadi sejumlah 48 kasus. Problem ini meliputi obat yang diterima pasien bukan merupakan obat yang paling tepat 12 kasus, pasien menerima kombinasi obat yang tidak diperlukan sebanyak 9 kasus, obat dikontraindikasikan pemakaiannya untuk pasien sejumlah 15 kasus, obat tidak aman bagi kondisi pasien 9 kasus, bentuk sediaan tidak tepat 2 kasus, obat yang digunakan sudah merupakan obat yang paling tepat namun pada kasus tersebut tidak efektif sejumlah 1 kasus. Untuk mengurangi kejadian Drug-Related Problems (DRPs) pada pasien geriatri diperlukan peningkatan peran aktif farmasis serta kerja sama diantara tenaga medis dalam memberikan pelayanan kesehatan.

ANALISIS FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGAMBILAN OBAT PESERTA PROGRAM RUJUK BALIK DI BANDAR LAMPUNG Setyaningrum, Ndaru; Pramantara, I Dewa Putu
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 9, No 1 (2017): Punica Granatum
Publisher : Indonesian Research Gateway

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ABSTRACT : Program (Program Rujuk Balik = PRB) through a health care program for the participants of the National Health Insurance with chronic diseases. Barriers to success of therapeutic treatment for patients with chronic diseases is non-adherence related to the patient's treatment regimen. Taking medication adherence for patients with chronic illness is the first adherence can be assessed on how a person decides to get medicines for themselves. Analyzing factors affecting medication adherence taking participants PRB is important, cause non-adherence adverse effects appear in the treatment. Participants adherence taking the drug on a PRB can be obtained from the data prescription claims to calculate the medication possession ratio (MPR), which MPR ≥ 80% declared adherence. Data obtained from prescription claim by participants PRB for September 2015 until December 2015 in Bandar Lampung. Sample case study 82 people with diabetes. The calculation result MPR explains that 62.2% of respondents declared adherence taking medication, while 37.8% of respondents declared non-adherence. The results of the logistic regression analysis, stating that there are influences together of factors respondents' knowledge, respondents belief, attitudes of personnel pharmacy services, pharmacy facilities, cost, availability of medication PRB, family support, and accessibility affect to respondent adherence of taking medication. However, factors that significantly influence medication adherence refer the decision back is knowledge of respondents with sig = 0,028 (sig <0.05), belief of respondents with sig = 0,003 (sig <0.05), and accessibility sig = 0,044 (sig < 0.05) significantly affect to adherence of taking medication.

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