Kepatuhan minum obat merupakan prioritas awal yang perlu dinilai untuk mencapai target terapi pada pasien diabetes. Penelitian ini bertujuan untuk mendeskripsikan kepatuhan berdasarkan kuesioner MARS dan faktor yang berhubungan dengan kepatuhan minum obat pasien diabetes di pelayanan kesehatan primer. Desian penelitian adalah cross sectional, dilaksanakan pada April sampai Juni 2018. Responden penelitian adalah 122 pasien diabetes tipe 2 di pelayanan kesehatan primer Bantul Yogyakarta Indonesia. Pengukuran kepatuhan menggunakan kuesioner MARS. Hasil penelitian ini menunjukkan pasien kepatuhan rendah sebesar 33.6%. Berdasarkan kuesioner MARS, ragam kepatuhan rendah dalam penelitian ini adalah sering lupa minum obat (14.3%) dan sering minum obat kurang dari petunjuk sebenarnya (12.7%). Faktor yang secara signifikan berhubungan terhadap kepatuhan minum obat dalam penelitian ini adalah pekerjaan (p=0.02, OR 0.37, CI 0.17-0.81), frekuensi minum obat (p = 0.04, OR 2.53, CI 1.16 - 5.53) dan jumlah obat yang diminum dalam sehari (p=0.03, OR 5.18, CI 1.13-23.64). Analisis multivariat menunjukkan faktor yang stimulan berhubungan terhadap kepatuhan adalah pekerjaan dan jumlah obat yang diminum. Kepatuhan minum obat dalam penelitian ini termasuk suboptimal. Status bekerja, frekuensi obat lebih dari sekali dan jumlah obat yang diminum lebih dari dua dalam sehari berhubungan dengan kepatuhan rendah dalam penelitian ini.

Beta-blockers have a role in cardiovascular and non-cardiovascular therapy. Many beta-blockers are now available and in general they are all equally effective. There are, however, differences between them, which may affect choice in treating particular diseases or individual patients. Research related to the profile of beta-blocker drug use in cardiovascular and non-cardiovascular therapy is still limited. This study aims to describe the use of beta-blockers in inpatients at Ansari Saleh Hospital, Banjarmasin. This retrospective descriptive study was conducted from April to May 2019 at the Anshari Saleh Hospital, Banjarmasin. The beta-blocker drugs used were bisoprolol and propranolol which were administered in cardiovascular medications such as angina (3.7%); arrhythmia (3%); Congestive Heart Failure (20%); hypertension (3%); myocardial infarction (54.8%); non hemorrhagic stroke (9.6%); and non-cardiovascular including hepatic cirrhosis (1.5%); hyperthyroidism (4.4%). The bisoprolol dosage used by inpatients at Ansari Saleh Hospital starts from 1.25 to 5 mg per day. Myocardial infarction and non-hemorrhagic stroke patients received bisoprolol dose uptitration. The propranolol dosage is 20-30 mg per day. In cardiovascular patients, bisoprolol is a drug that is often given to patients with comorbids than propranolol. Keywords: Beta-blockers, cardiovascular, non-cardiovascular, therapy

Background:  For chronic disease patients, pharmacist counselling with motivating reminder messages has been developed throughout time to promote the success of patient treatment. Diabetes mellitus is a long-term condition. Blood sugar control and an improved quality of life are therapeutic goals in the treatment of diabetes mellitus. The objective of this study was to determine whether changes in fasting blood sugar and quality of life occurred in individuals with diabetes mellitus who received pharmacist counselling coupled by motivating reminder messages.Methods: This quasi-experimental study used a pre-test-post-test design with control and intervention groups. Data on patients with type 2 diabetes were obtained prospectively at Jetis 1 primary health care in Bantul, Yogyakarta, Indonesia. Seventy-two respondents who met the inclusion criteria were separated into two groups: the control group (36 participants) and the intervention group (36 participants). The patients’ quality of life was assessed using the 36-item Short Form (SF-36) questionnaire.Results: Following pharmacist counselling coupled by motivating reminder messages, patients’ mean fasting blood sugar reduced significantly (∆ 34.85±63.36), while their mean quality of life score increased considerably (∆ 13.73±9.22).Conclusions: Pharmacist counselling combined with motivating reminder messages can help patients with type 2 diabetes lower their fasting blood sugar and enhance their quality of life. The provision of pharmacist counselling followed by brief reminders and motivational messages may be considered to improve type 2 diabetes patient management.

In Indonesia, the percentage of household-scale drug storage is quite large. People keep drugs for self-medication. Drugs should not be stored carelessly because it will affect the stability of the drug. In addition, the improper disposal of drugs still occurs in the community. Improper disposal of drugs can harm the environment. It is important for the public to have the correct knowledge regarding drugs in order to avoid the adverse health effects of themselves and the environment. The purpose of this study was to describe the level of knowledge of the people of Banjarbaru City about the storage and disposal of drugs at home. This research is descriptive analytic cross sectional approach with sampling technique using quota sampling. The population of this research is the entire community of Banjarbaru City, South Kalimantan. The sample size used in this study based on the Lemeshow sample calculation formula was 247 respondents. The data was taken with a validated questionnaire. The data obtained were analyzed using percentages. A total of 247 respondents met the inclusion criteria. The results showed that the majority of them were 38-47 years old, had high school and college education and worked as housewives. The level of knowledge of the people of Banjarbaru City about storing medicines at home is 39.2% less knowledge, 44.5% sufficient knowledge and 16.1% good knowledge. The level of knowledge of the people of Banjarbaru City about disposing of drugs at home is 52.6% with poor knowledge, 40.5% sufficient knowledge and 6.8% good knowledge. The knowledge of the people of Banjarbaru City about storing drugs at home is included in the sufficient level (44.5%). While the knowledge of the people of Banjarbaru City about the disposal of drugs at home is included in the level of less (52.6%).

Management of drugs in households in the community is still high which is not appropriate in self-medication. This has the risk of having a negative impact on personal health and the environment. It is important for the public to have the correct knowledge regarding drugs. Therefore, the service team carried out service activities consisting of education and simulation of drug management in the household. This service aims to increase the knowledge and skills of the community regarding proper drug management. The method used in this service is through education (DAGUSIBU) and simulation (medicine box) in the management of household drugs. The service is carried out for the residents of Sungai Besar village, Banjar Regency, South Kalimantan. Service evaluation was carried out through filling out knowledge questionnaires and simulation observations. A total of 9 people participated in this service. The results of the evaluation using a questionnaire showed that after education and simulation there was an increase in the average knowledge of participants from 7.67 ± 1.414 to 11 ± 0 related to drug management in the household. In addition, the results of the observation evaluation showed that all participants (100%) were able to practice drug management in the household in the aspects of using, storing and disposing of drugs. By understanding and applying the correct way of managing drugs in the household, the goals of treatment can be achieved and do not cause environmental damage.