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Analisis Efektivitas Biaya (Cost Effectiveness Analysis) Penggunaan Amitryptiline Dibandingkan Carbamazepine pada Pasien Nyeri Neuropatik (Studi Kasus Di Klinik Saraf Rumkital. Dr. Ramelan Surabaya) Qiyaam, Nurul; Rahem, Abdul; Pia, Dian Maria; Lestiono, Lestiono
JURNAL PHARMASCIENCE Vol 2, No 2 (2015): JURNAL PHARMASCIENCE
Publisher : JURNAL PHARMASCIENCE

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Nyeri neuropatik merupakan penyakit kronis yang memerlukan penanganan optimal, sehingga perlu memperhatikan aspek efektivitas dan biaya terapi. Efektivitas amitryptiline dan  carbamazepine untuk pengobatan nyeri neuropatik telah dibuktikan, tetapi belum  diketahui mana yang paling cost-effective. Penelitian ini dilakukan untuk menganalisis efektivitas biaya (cost-effectiveness) amitryptiline dan carbamazepine pada pasien nyeri neuropatik di klinik Saraf Rumkital dr. Ramelan Surabaya. Pengumpulan data dilakukan selama Februari-Mei 2014 didapatkan sebanyak 62 pasien. Metode penelitian Randomized Controlled Trial (RCT)  kemudian dilakukan analisis efektivitas biaya dengan menghitung nilai Average Cost-Effectiveness Ratio (ACER) masing-masing terapi. Pengukuran efektifitas terapi dilihat dari penurunan intensitas nyeri menggunakan Numerical Rating Scale (NRS) sebelum dan 4 minggu sesudah terapi. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa terdapat perbedaan intensitas nyeri pre dan post pada terapi amitryptiline dan carbamazepine,akan tetapi tidak terdapat perbedaan efektifitas terapi dan nilai ACER antara amitryptiline dan carbamazepine. Biaya terapi amitryptilin (Rp.41.695) lebih murah dibandingkan carbamazepine (Rp.47.380) sehingga amitryptiline lebih menghemat biaya dari carbamazepine dengan efektivitas setara. Perbedaan biaya terapi hanya pada harga obat saja sehingga penelitian ini juga sesuai dengan metode Cost Minimation Analysis (CMA). Disarankan penelitian lebih lanjut cost-effectiveness menggunakan sampel yang lebih spesifik terkait penyebab nyeri neuropatik. Kata kunci :   nyeri neuropatik, amitryptiline, carbamazepine, cost-  effectiveness ABSTRACTNeuropathic pain is a chronic disease that requires optimum handling, so it needs to consider the aspects of the effectiveness and cost of treatment. Carbamazepine’s and amitryptiline’s effectiveness for the treatment of neuropathic pain has been demonstrated, but there were no data available regarding the cost-effectiveness between those medications. This study was conducted to analyze the cost-effectiveness  of amitryptiline and carbamazepine in patients with neuropathic pain in the Neurology Clinic in dr.Ramelan Navy Hospital  Surabaya. Data collection was conducted during February until May 2014, it was found as many as 62 patients. Randomized Controlled Trial studies (RCT) then was conducted to make a cost effectiveness analysis by the calculation of the value of Average Cost-Effectiveness Ratio (ACER) for each therapy.  Measurement of the effectiveness of therapy was obtained from a decrease in pain intensity using a Numerical Rating Scale (NRS) before and 4 weeks after therapy. Based on these results, it can be concluded that there was a difference in decreasing rate of pain intensity between pre and post amitryptiline and carbamazepine therapy, but there were no difference in therapeutic effectiveness and value of ACER between amitryptiline and carbamazepine. Cost of Amitryptiline therapy (Rp.41.695) was cheaper than Carbamazepine (Rp.47.380), so amitryptiline more cost- saving  than  carbamazepine with equal effectiveness. The difference is on the cost of the drug therapy alone so this study was also in accordance with the Cost Minimation Analysis (CMA). Further research suggested cost-effectiveness using a sample that is more specifically related to the causes of neuropathic pain.Keywords: neuropathic pain, amitryptiline, carbamazepine, cost-effectiveness
ANALISIS PERANCANGAN KONSTRUKSI STRUKTUR GEDUNG THE GRAND ROYAL C1 HOTEL SUMENEP Rahem, Abdul
Jurnal Ilmiah MITSU Vol 4 No 1 (2016): JURNAL ILMIAH MITSU
Publisher : Fakultas Teknik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.834 KB) | DOI: 10.24929/ft.v4i1.201

Abstract

Pembangunan yang semakin meningkat hingga kepelosok kota yang terus berkembang seperti Kabupaten Sumenep serta kepadatan penduduk yang mengikis ketersediaan lahan menuntut pengembang properti terus berinovasi, salah satunya melalui pengembangan multi-story building. Pada tahap perencanaan struktur gedung, perlu dilaksanakan studi literatur untuk mengetahui hubungan antara susunan fungsional gedung dengan sistem struktural yang akan digunakan, Sistem-sistem beton dibentuk dari berbagai elemen struktur beton dapat diklasifikasi dengan (1) pelat, (2) balok, (3) kolom, (4) dinding, dan (5) pondasi. Pemecahan masalah dalam analisis ini menggunakan metode pengumpulan data dengan pengamatan pada rencana lokasi pembangunan dan wawancara untuk mengetahui fungsi dan detail tapak gedung.Perencanaan strukturpada skripsi ini direncanakan menggunakan SistemRangkaPemikulMomen Menengah(SRPMM) padazonasigempawilayahKabupaten Sumenep. Hasil analisis struktur mendapatkan bahwa gaya geser searah sumbu y (bidang pendek) cukupberpengaruh pada tulangan geser, namun tidak untuk sumbu x (bidang panjang) sehingga portal bidang searah sumbu x menggunakan sengkang minimal. Beban gaya aksial pada kolom cenderung besar untuk kolom tengah sehingga digunakan untuk menentukan jumlah tulangan.Penerapan multi-story building sangat mungkin dilakukan mengingat Kabupaten Sumenep memiliki beban gempa yang cukup kecil. Diharapkan penelitian lanjutan dapat dilakukan mencakup pondasi dan rencana anggaran biaya sehingga bisa menjadi satu-kesatuan yang lengkap.
Pengaruh Patient Decision Aid terhadap Tingkat Pengetahuan, Sikap, Tindakan dan Hasil Klinis Pengobatan Penderita Diabetes Melitus Tipe 2 Suradnyana, I Gede M.; Rahem, Abdul; Aditama, Lisa
Indonesian Journal of Clinical Pharmacy Vol 7, No 2 (2018)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2018.7.2.89

Abstract

Diabetes melitus (DM) termasuk ke dalam empat besar penyakit kronis yang prevalensinya terus meningkat di seluruh dunia. Jumlah penderita DM di Indonesia pada tahun 2015 adalah sepuluh juta dan diperkirakan akan terus meningkat. Masalah yang dihadapi Indonesia dalam penanganan DM adalah kontrol gula darah yang buruk, tingkat pengetahuan pasien yang rendah tentang pengelolaan penyakit dan terapi, serta sangat sedikitnya puskesmas yang memiliki apoteker. Patient decision aid (PDA) secara substansial dan signifikan mampu meningkatkan pengetahuan pasien. PDA dirancang berdasarkan konstruk health belief model (HBM) dengan target peningkatan pengetahuan, sikap dan tindakan berkaitan manajemen DM tipe 2 (DMT2). Tujuan utama penelitian ini adalah untuk mengetahui pengaruh PDA terhadap tingkat pengetahuan, sikap, tindakan dan hasil klinis pengobatan. Penelitian ini bersifat pra-eksperimental satu kelompok dengan desain intervensi pretest-posttest yang melibatkan 28 penderita DMT2 berumur 21-65 tahun dan merupakan peserta BPJS Kesehatan yang berobat di Puskesmas I Denpasar Utara, serta belum pernah dirujuk ke fasilitas kesehatan lanjut. Subjek diberikan PDA sebagai intervensi dan hasil utama yang diukur adalah perubahan pengetahuan, sikap, tindakan dan kadar gula darah puasa. Penelitian ini menunjukkan terjadi peningkatan tingkat pengetahuan, sikap dan tindakan, serta penurunan kadar gula darah puasa subjek antara sebelum dan sesudah diberikan PDA. Pemberian PDA menyebabkan peningkatan signifikan (p<0,05) tingkat pengetahuan, sikap dan tindakan, serta penurunan signifikan kadar gula darah puasa.Kata kunci: Diabetes melitus tipe 2, kadar gula darah puasa, patient decision aid (PDA), pengetahuan, sikap, tindakanEffect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus PatientsAbstractDiabetes mellitus (DM) is one of four major chronic diseases which prevalence continued to increase worldwide. The number of diabetes mellitus patients in Indonesia in 2015 were ten million and expected to increase. Several problems faced by Indonesia in handling DM were bad blood sugar control, low patient’s knowledge level about disease management and its therapy, and there are few primary health care that have pharmacist. Patient decision aid (PDA) was substantially and significantly able to increase patient’s knowledge. PDA was designed based on the construct of health belief model (HBM) with the target to increase knowledge, attitude, and action related with management of type 2 DM (T2DM). The main purpose of this research was to determine the effect of PDA to knowledge level, attitude, action, and clinical outcome treatment. This research used pre-experimental one group pretest-posttest design that involved 28 DMT2 patients aged 21-65 years old, were participants of Badan Penyelenggara Jaminan Sosial (BPJS) who got treatment at Puskesmas I Denpasar Utara and had never been referred to a further health care facility. The subjects were given PDA as intervention and main results measured were change of knowledge, attitude, action and fasting blood sugar level. Result of this research showed an increase in knowledge level, attitude, and action of the subjects, as well as decrease in subjects’ fasting blood sugar between before and after they had been given the PDA. Giving PDA caused a significant increase (p<0,05) in level of knowledge, attitude, and action, and significant decrease of fasting blood sugar.Keywords: Attitude, fasting blood sugar levels, knowledge, patient decision aid (PDA), practice, type 2 diabetes mellitus
Analysis of Drug Management Influence with the Success of Theraphy on Members of Pandangdia Community Patients with Diabetes Mellitus Athiyah, Umi; Rahem, Abdul
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33345

Abstract

Drug management is essential in quality and efficacy assurance, especially to achieve therapeutic outcome of chronic diseases; such as Diabetes mellitus. This study was observational and cross-sectional. The objective of this study was to analyze the influence of drug management towards achievement of therapeutic outcome amongs patients with diabetes mellitus. Thirty-five patients (members of a community of diabetic patients in Bangkalan) were voluntarily involved in this study as respondents. A validated and reliable questionnaire was used to collect the data. The result showed that appropriate drug use and proper drug storage influenced achievement of therapeutic outcome. While, place to get medicines and infomation resource had no correlation with achievement of therapeutic outcome.
Analysis of Drug Management Influence with the Success of Theraphy on Members of Pandangdia Community Patients with Diabetes Mellitus Athiyah, Umi; Rahem, Abdul
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33345

Abstract

Drug management is essential in quality and efficacy assurance, especially to achieve therapeutic outcome of chronic diseases; such as Diabetes mellitus. This study was observational and cross-sectional. The objective of this study was to analyze the influence of drug management towards achievement of therapeutic outcome amongs patients with diabetes mellitus. Thirty-five patients (members of a community of diabetic patients in Bangkalan) were voluntarily involved in this study as respondents. A validated and reliable questionnaire was used to collect the data. The result showed that appropriate drug use and proper drug storage influenced achievement of therapeutic outcome. While, place to get medicines and infomation resource had no correlation with achievement of therapeutic outcome.
Perbaikan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin Dengan Intervensi Brief Counseling Pahlevi, Muhammad Reza; Rahem, Abdul; Metasartika, Valentina
Jurnal Ilmiah Manuntung Vol 4 No 1 (2018): Jurnal Ilmiah Manuntung
Publisher : Akademi Farmasi Samarinda

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Abstract

The study about the effect of brief counseling on quality of life of diabetes mellitus patients were conducted at RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. This study using a randomized controlled trial design. Subjects who met the inclusion criteria were 156 patients randomly into two groups, 78 patients who received the intervention and 78 patients did not receive the intervention. Exclusion criteria were pregnancy patients, deaf, illiterate and uncooperative. The data collected by questionnaires Euro-Qol EQ-5D. The quality of life data were analyzed by multivariate statistic test. The result showed that the quality of life scores in the control group and the intervention group were both significantly increased with p &lt;0.05. Multivariate analysis both group at pre and median study were significant different, while at the post study was not significant different. There were improving quality of life of patients with diabetes mellitus who received the brief counseling is greater than patients who did not receive the intervention
The Impacts of Lifestyle Modification Education towards Cardiovascular Risk Profile Cokro, Fonny; Rahem, Abdul; Aditama, Lisa; Kristianto, Franciscus C.
Indonesian Journal of Clinical Pharmacy Vol 7, No 3 (2018)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.175 KB) | DOI: 10.15416/ijcp.2018.7.3.154

Abstract

Obesity is one of the risk factors of cardiovascular disease. The prevalence of obesity in Indonesia has increased in the last few years, therefore some efforts to reduce the risk is needed. In the current study, efforts are given through 3-week lifestyle modification education, with 3-month total of follow-up (from March to June 2014) and then the impacts on cardiovascular risk profile were observed and seen on 24 sedentary male workers in University of Surabaya with obese II. This study used before-after study design in order to see the impacts of the 3-week lifestyle modification education towards change of knowledge, dietary behavior, body mass index (BMI), waist circumference, and cardiovascular risk profile through various educational methods (face-to-face session, given recorder of face-to-face session, and combination of both methods). Statistical analysis was performed using Wilcoxon signed test. Result showed an increasing knowledge in face-to-face group (p=0.046). However, there were no significant changes in other variables (dietary behavior based on healthy diet indicator (HDI), BMI, waist circumference, and also cardiovascular risk profile) in all groups between before and after education intervention (p>0.05). In conclusion, lifestyle modification education given for 3 weeks did not reduce the cardiovascular risk profile on sedentary male workers with obese II. Longer term intervention and multicomponent program including behavior therapy may be needed to succeed lifestyle changes and reduce cardiovascular risk.Keywords: Behaviour, cardiovascular risk, education, knowledge, lifestyle modification Pengaruh Edukasi Gaya Hidup terhadap Perubahan Risiko Penyakit KardiovaskularAbstrakObesitas merupakan salah satu faktor risiko penyakit kardiovaskular. Prevalensi obesitas di Indonesia mengalami peningkatan beberapa tahun terakhir, sehingga diperlukan upaya untuk menguranginya. Pada penelitian ini, upaya dilakukan melalui pemberian edukasi gaya hidup yang dilakukan selama 3 minggu, dengan total follow-up sampai dengan 3 bulan dari bulan Maret hingga Juni 2014, kemudian dilihat dan diamati ada atau tidaknya penurunan risiko penyakit kardiovaskular pada 24 orang karyawan pria obese II di Universitas Surabaya. Penelitian ini memiliki rancangan before-after study design untuk menguji pengaruh edukasi gaya hidup yang diberikan selama 3 minggu terhadap variabel pengetahuan, perubahan perilaku, body mass index (BMI), lingkar perut, dan risiko penyakit kardiovaskular melalui berbagai metode pemberian edukasi (tatap muka, rekaman/recorder, dan kombinasi). Analisis dengan Wilcoxon signed test menunjukkan bahwa terdapat peningkatan pengetahuan hanya pada subgrup tatap muka (p=0,046). Tidak terdapat perubahan yang signifikan terhadap variabel lainnya (perubahan perilaku berdasarkan healthy diet indicator (HDI), BMI dan lingkar perut, serta risiko penyakit kardiovaskular) pada semua subgrup antara sebelum dan sesudah edukasi (p>0,05). Edukasi gaya hidup yang diberikan selama tiga minggu tidak memberikan penurunan risiko penyakit kardiovaskular pada karyawan pria obese II. Dibutuhkan intervensi jangka panjang dan program multikomponen yang memuat terapi perilaku untuk menyukseskan perubahan perilaku dan menurunkan risiko kardiovaskular.Kata kunci: Edukasi, gaya hidup, pengetahuan, perilaku, risiko kardiovaskular
PENGARUH BRIEF COUNSELING TERHADAP KADAR GULA DARAH PASIEN DIABETES MELITUS TIPE 2 DI RSUD DR. H. MOCH. ANSARI SALEH BANJARMASIN Pahlevi, Muhammad Reza; Rahem, Abdul; Metasartika, Valentina; Alfian, Riza
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 3, No 2 (2018)
Publisher : Akademi Farmasi ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8.166 KB)

Abstract

Diabetes melitus adalah salah satu penyakit kronis yang ditandai dengan kadar gula darah di atas nilai normal. Kadar gula darah yang tidak terkontrol dapat berkembang menjadi penyakit seperti penyakit jantung, gagal ginjal, dan stroke. Pasien diabetes melitus memerlukan intervensi dari farmasis untuk dapat mencapai luaran terapi berupa pengontrolan kadar gula darah dalam batas normal. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pemberian brief counseling terhadap kadar gula darah pasien diabetes melitus tipe 2 di RSUD Dr. H. Moch. Ansari saleh banjarmasin.Penelitian ini menggunakan desain randomised controlled trial. Sejumlah 156 sampel dibagi menjadi dua kelompok acak yaitu 78 pasien yang mendapatkan intervensi (kelompok perlakuan) dan 78 pasien tidak mendapatkan intervensi (kelompok kontrol). Metode intervensi yang digunakan adalah brief counseling. Kriteria eksklusi pada penelitian ini adalah pasien dengan kondisi tuli, buta huruf dan tidak kooperatif. Data kadar gula darah yang dikumpulkan adalah kadar gula darah puasa yang diambil dari rekam medis pasien. Data kadar gula darah dianalisis dengan uji wilcoxon dan mann whitney.Hasil penelitian menunjukkan bahwa terjadi penurunan kadar gula darah puasa yang signifikan pada post study kedua kelompok (p &lt;0,05). Selisih penurunan kadar gula darah puasa antara kedua kelompok tidak memiliki perbedaan yang signifikan (p=0,16). Nilai penurunan kadar gula darah puasa kelompok kontrol dan kelompok perlakuan berturut-turut adalah 16,32 ± 11,56 mg/dL dan 16,87 ± 27,88 mg/dL. Kesimpulan pada penelitian ini adalah penurunan kadar gula darah puasa pasien diabetes melitus baik yang diberi intervensi brief counseling maupun yang tidak diberi intervensi tidak memiliki perbedaan.
Analisis Efektivitas Biaya (Cost Effectiveness Analysis) Penggunaan Amitryptiline Dibandingkan Carbamazepine pada Pasien Nyeri Neuropatik (Studi Kasus Di Klinik Saraf Rumkital. Dr. Ramelan Surabaya) Qiyaam, Nurul; Rahem, Abdul; Pia, Dian Maria; Lestiono, Lestiono
Jurnal Pharmascience Vol 2, No 2 (2015): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (507.673 KB) | DOI: 10.20600/jps.v2i2.5822

Abstract

ABSTRAK Nyeri neuropatik merupakan penyakit kronis yang memerlukan penanganan optimal, sehingga perlu memperhatikan aspek efektivitas dan biaya terapi. Efektivitas amitryptiline dan  carbamazepine untuk pengobatan nyeri neuropatik telah dibuktikan, tetapi belum  diketahui mana yang paling cost-effective. Penelitian ini dilakukan untuk menganalisis efektivitas biaya (cost-effectiveness) amitryptiline dan carbamazepine pada pasien nyeri neuropatik di klinik Saraf Rumkital dr. Ramelan Surabaya. Pengumpulan data dilakukan selama Februari-Mei 2014 didapatkan sebanyak 62 pasien. Metode penelitian Randomized Controlled Trial (RCT)  kemudian dilakukan analisis efektivitas biaya dengan menghitung nilai Average Cost-Effectiveness Ratio (ACER) masing-masing terapi. Pengukuran efektifitas terapi dilihat dari penurunan intensitas nyeri menggunakan Numerical Rating Scale (NRS) sebelum dan 4 minggu sesudah terapi. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa terdapat perbedaan intensitas nyeri pre dan post pada terapi amitryptiline dan carbamazepine,akan tetapi tidak terdapat perbedaan efektifitas terapi dan nilai ACER antara amitryptiline dan carbamazepine. Biaya terapi amitryptilin (Rp.41.695) lebih murah dibandingkan carbamazepine (Rp.47.380) sehingga amitryptiline lebih menghemat biaya dari carbamazepine dengan efektivitas setara. Perbedaan biaya terapi hanya pada harga obat saja sehingga penelitian ini juga sesuai dengan metode Cost Minimation Analysis (CMA). Disarankan penelitian lebih lanjut cost-effectiveness menggunakan sampel yang lebih spesifik terkait penyebab nyeri neuropatik. Kata kunci :   nyeri neuropatik, amitryptiline, carbamazepine, cost-  effectiveness ABSTRACTNeuropathic pain is a chronic disease that requires optimum handling, so it needs to consider the aspects of the effectiveness and cost of treatment. Carbamazepine’s and amitryptiline’s effectiveness for the treatment of neuropathic pain has been demonstrated, but there were no data available regarding the cost-effectiveness between those medications. This study was conducted to analyze the cost-effectiveness  of amitryptiline and carbamazepine in patients with neuropathic pain in the Neurology Clinic in dr.Ramelan Navy Hospital  Surabaya. Data collection was conducted during February until May 2014, it was found as many as 62 patients. Randomized Controlled Trial studies (RCT) then was conducted to make a cost effectiveness analysis by the calculation of the value of Average Cost-Effectiveness Ratio (ACER) for each therapy.  Measurement of the effectiveness of therapy was obtained from a decrease in pain intensity using a Numerical Rating Scale (NRS) before and 4 weeks after therapy. Based on these results, it can be concluded that there was a difference in decreasing rate of pain intensity between pre and post amitryptiline and carbamazepine therapy, but there were no difference in therapeutic effectiveness and value of ACER between amitryptiline and carbamazepine. Cost of Amitryptiline therapy (Rp.41.695) was cheaper than Carbamazepine (Rp.47.380), so amitryptiline more cost- saving  than  carbamazepine with equal effectiveness. The difference is on the cost of the drug therapy alone so this study was also in accordance with the Cost Minimation Analysis (CMA). Further research suggested cost-effectiveness using a sample that is more specifically related to the causes of neuropathic pain. Keywords: neuropathic pain, amitryptiline, carbamazepine, cost-effectiveness
Pengaruh Patient Decision Aid terhadap Knowledge, Attitude, Practice, dan Tekanan Darah Pasien Hipertensi di UPTD Puskesmas Tabanan III Maharianingsih, Ni Made; Rahem, Abdul; Aditama, Lisa
Indonesian Journal of Clinical Pharmacy Vol 7, No 4 (2018)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.336 KB) | DOI: 10.15416/ijcp.2018.7.4.270

Abstract

Prevalensi pasien hipertensi semakin meningkat dan salah satu penyebab utamanya adalah faktor perilaku. Perubahan perilaku dan outcome terapi hipertensi dapat dilakukan oleh apoteker melalui edukasi dengan metode knowledge, attitude, practice (KAP). Teori perilaku yang sesuai untuk mengukur perubahan perilaku dalam diri pasien adalah health belief model (HBM). Sarana edukasi yaitu patient decision aid (PDA) berupa booklet digunakan untuk mengedukasi pasien hipertensi. Tujuan penelitian ini adalah mengetahui perbedaan KAP dan tekanan darah pasien hipertensi sebelum dan sesudah mendapatkan intervensi PDA. Metode penelitian pre-experimental one group pretest-posttest melibatkan 55 pasien hipertensi berusia 18–65 tahun peserta Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan yang berobat di UPTD Puskesmas Tabanan III, Bali, Indonesia, pada bulan Agustus–Oktober 2017. Setiap pasien memperoleh satu kali edukasi melalui PDA berupa booklet disertai komunikasi interaktif kemudian KAP diukur melalui kuesioner KAP yang tervalidasi dan diukur tekanan darah pre-post. Kuesioner KAP dibuat berdasarkan konstruk HBM. Diperoleh hasil yaitu perbedaan practice pasien hipertensi (p<0,05) pada perceived susceptibility, perceived severity, perceived barrier, cues to action; terdapat perbedaan attitude dan practice (p<0,05) pada self-efficacy; terdapat perbedaan KAP (p<0,05) dari segi perceived benefit serta terdapat perbedaan tekanan darah sistolik dan diastolik pasien (p<0,05). Disimpulkan bahwa terdapat perbedaan knowledge, attitude, practice dan tekanan darah pasien hipertensi di Puskesmas pre-post studi.Kata kunci: Booklet, HBM, hipertensi, KAP, PDA, tekanan darahInfluence of Patient Decision Aid to Knowledge, Attitude, Practice and Blood Pressure of Hypertensive Patient in a Primary Health Care Tabanan IIIAbstractThe prevalence of hypertensive patients is increasing and one of the main causes is behavior factor. Appropriate method of behavioral theory for measuring behavioral changes in patients is health belief model (HBM). Patient decision aid (PDA) in a form of booklet was used to educate hypertensive patient. The aim of this research was to know the difference of knowledge, attitude, practice (KAP) and blood pressure of hypertensive patient before and after getting PDA intervention. The method used was pre-experimental one group pretest-posttest study involving 55 hypertensive patients aged 18–65 years which were participants of The Indonesian National Health Insurance in primary health care Tabanan III, Bali, Indonesia, in the period of August–October 2017. Each subject received PDA education from booklet with interactive communication, then their KAP was measured through validated KAP questionnaire as well as pre-post blood pressure. KAP questionaire was made based on HBM’s construct. There were differences in practice of hypertensive patients (p<0.05) on HBM domain in perceived susceptibility, perceived severity, perceived barrier, and cues to action; there was a difference of attitude and practice (p<0.05) in self-efficacy; difference of KAP (p<0.05) in perceived benefit; and difference of systolic and diastolic blood pressure. It was concluded that there were differences of KAP and blood pressure of hypertensive patients in primary health care pre-post study.Keywords: Booklet, blood pressure, HBM, hypertension, KAP, PDA