Backgroumd: Tuberculosis (TB) is an infectious disease which is until now has not been able to be threated, i.e., because of patient non-adherence in taking anti-tuberculosis drug (ATD) Objective: The objective of this research is to study the relationship between patients adherence in taking ATD determined by MMAS-8 questionnaire with QoL of patient determined by WHOQOL questionnaire. Method: Tuberculosis patients who undergo treatment for at least 4 weeks are the subjects in this study. This study was conducted by a cross-sectional method using the MMAS-8 and WHOQOL-BREF questionnaire of tuberculosis patients at Ibrahim Adjiand Gumuruh primary health care during March - August 2018. Result: Based on MMAS-8 questionnaire filled out by 75 patients, there was 69% of high adherence, 15% moderate, and 16% has low adherence in taking ATD. Of the 6 characteristic factors (i.e., age, sex, occupation, income, education and length of treatment), only gender (p0.01) and occupation (p0.03) factors that influence the patient adherence significantly. Based on MMAS-8 and WHOQOL-BREF questionnaire analyses, there is only psychological health aspect (domain two) that have a significant (p = 0.01) correlated with patient adherence. Conclusion: Based on the results,the psychological health of tuberculosis patients play an important role in patient adherence.
Pasien dengan penyakit hipertensi sering disertai dengan penyakit lain, salah satunya arthritis. Pada pasien tersebut telah ditemukan masalah terkait obat seperti efek samping dan interaksi obat. Penelitian ini bertujuan untuk mengidentifikasi Masalah Terkait Obat (MTO) pada pasien hipertensi komorbid arthritis di salah satu Puskesmas di Kota Bandung. Penelitian merupakan penelitian observasional dengan pengambilan data secara retrospektif dan analisis secara deskriptif. Data diambil dari resep pasien yang berobat pada periode Januari-Desember 2019. Kriteria inklusi sampel adalah pasien usia 30-75 tahun, pasien dengan diagnosis hipertensi komorbid arthritis, dan pasien yang berobat pada periode Januari - Desember 2019. Jumlah sampel yang memenuhi kriteria inklusi adalah 44 pasien. Ditemukan masalah terkait obat potensial sebanyak 26 kasus (59,09%) potensi interaksi obat, dengan jenis interaksi farmakodinamik dan tingkat keparahan moderate.
Dyspepsia is a condition of pain in the epigastrium and a burning sensation that radiates to the chest. Dyspepsia occupies the 10th position in the 20 largest non-communicable diseases in a Public Health Center in Bandung. The heterogeneous symptoms and the absence of specific treatments can lead to irrational treatment. The research objective is to determine the pattern of drug use in patients with dyspepsia, including the right indication, the proper drug selection, the correct dose, and the proper interval of administration in a Public Health Center in Batununggal District Bandung. This study was an observational study using a cross-sectional study design that was descriptive in nature. The sampling technique employed the purposive sampling method retrospectively. The research was conducted on 104 patients diagnosed with dyspepsia with comorbidities and receiving drugs at an Outpatient Clinic in a Public Health Center in Batununggal District Bandung from January-March 2020. There were 38 male patients (36.538%) and 66 female patients (63.462%). The majority of patients were aged 56-65 years (28.846%). The most used drug class was antacids (60.448%), and the dosage form that was mostly used was tablets (40.299%). The most used single drug was antacids (51.923%), while the most used drug combination was antacids and omeprazole (23.077%). The accuracy of drug selection and the accuracy of indications were 100% correct, the accuracy of the dosage was 59.62% correct, the accuracy of the time interval for drug administration was 71% correct, and the accuracy of the duration of drug administration was 9.62% correct.
Many factors can increase the risk of hypertension, one of which is diabetes mellitus. The study aims to provide an overview of Drug-Related Problems (DRPs) in patients with hypertension comorbid type 2 diabetes mellitus at Primary Health Care Center Batununggal District Bandung. This research was an observational study with retrospective data collection and descriptive analysis. Data were taken from patient prescriptions January-December 2019 period. The sample inclusion criteria are patients aged 30-75 years, patients diagnosed with hypertension comorbid type 2 diabetes mellitus, and patients treated in January-December 2019. The number of samples that met the inclusion criteria was 268 patients, of which 69 patients (25.75%) are male, and 199 patients (74.25%) are female. 164 patients (61.2%) are aged 60-75 years old. It is found that 1 case (0.37%) has the drug-related problem of drug overdose and as many as 34 cases (12.69%) have potential drug interactions.
Prevalensi diare pada anak di Jawa Barat memiliki angka yang cukup tinggi dibandingkan dengan kelompok usia lain yaitu sebesar 30,81%, dan prevalensi diare di Kota Bandung adalah 10,48%. UNICEF (2019) menyatakan bahwa hanya sekitar 44% anak-anak yang mengalami diare, menerima pengobatan yang direkomendasikan. Studi ini bertujuan untuk memperoleh gambaran pola peresepan dan rasionalitas peresepan obat antidiare pada pasien anak. Studi observasional dan deskriptif ini dilakukan secara retrospektif pada pasien anak di salah satu Puskesmas di Kota Bandung. Subjek penelitian yang diikutsertakan dalam studi ini adalah pasien anak laki-laki dan perempuan usia 1-12 tahun yang terdiagnosis diare dan mendapatkan obat antidiare pada periode kunjungan Januari – Maret 2020. Obat antidiare yang paling banyak diresepkan pada pasien anak di puskesmas tersebut adalah oralit (84%), selanjutnya zink (68%), kaolin pektin (4%) dan attapulgit (4%), serta terdapat 6 pasien (12%) yang menerima terapi antibiotik kotrimoksazol. Persentase peresepan antibiotik untuk diare non-spesifik pada pasien anak yaitu sebesar 4,35%. Sebagian besar pasien (46%) menerima terapi kombinasi oralit dan zink. Penilaian rasionalitas penggunaan obat mengacu pada pedoman Kementrian Kesehatan RI. Penggunaan obat antidiare pada pasien anak telah 100% tepat indikasi dan tepat interval waktu pemberian, 84% tepat pemilihan obat, 88% tepat dosis, dan 96% tepat lama pemberian. Ketidakrasionalan penggunaan obat antidiare ditemukan sebanyak 15 kasus pada peresepan obat zink dan 4 kasus pada peresepan antibiotik kotrimoksazol. Tidak ditemukan adanya interaksi obat. Peran apoteker dalam optimaliasi penggunaan obat yang rasional pada praktik klinik, khususnya dalam penanganan diare pada anak, masih perlu ditingkatkan
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