Follow-Up Evaluation on Oral Antidiabetic Drug Use: A Study of Effectiveness, Safety and Patient Adherence in Surabaya Primary Health Care

Aditama, Lisa; Athiyah, Umi; Utami, Wahyu; Rahem, Abdul

doi:10.25258/ijpqa.v9i4.14537

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…A minority of studies reported on a holistic approach, 15% (n = 16) in quantitative research and 19% (n = 7) in qualitative research. This approach was evidenced by the elicitation of patient’s medication experiences associated with drug-related problems, diseases or the provision of services [ 90 , 106 , 131 , 132 , 133 , 134 , 135 , 136 , 137 ]. As part of the pharmaceutical care process or as criteria for the provision of CMM services, demographic data, psychosocial variables and physical and psychological quality of life scales were analysed [ 56 , 89 , 107 , 109 , 112 , 128 , 138 , 139 , 140 ].…”

Section: Resultsmentioning

confidence: 99%

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Comprehensive Medication Management Services with a Holistic Point of View, a Scoping Review

2023

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Implementing Comprehensive Medication Management (CMM) services uncovered the importance of the totality of the patient’s perspective in this process. The holistic approach takes into account the physical, mental and emotional well-being of individuals, as well as their socioeconomic circumstances. The aim of this study was to characterize the scientific evidence associated with CMM services that included this holistic approach. A scoping review was conducted based on Arksey and O’Malley’s method. Searches were performed in Google Scholar for papers published between 2010 and 2020 in English, Spanish and Portuguese. Study design, health contexts, sample of patients, results obtained, barriers and facilitators, and the integration of a holistic approach were determined. Two hundred and eighteen papers were evaluated, most of which focused on the implementation of this service through prospective observational studies. A minority of studies reported on a holistic approach, a smaller number examined the effect of social determinants of health, the patient’s medication experiences and the pharmacotherapy outcomes from the patient’s perspective. Despite the progress achieved, most of the referents do not yet reflect a broader view of the patient’s life situation and its relationship to pharmacotherapy and the ways in which the pharmacist implements holistic elements to solve or prevent drug-related problems.

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Section: Resultsmentioning

confidence: 99%

“…There are a small number of studies that gauge the patient’s medication experiences through open-ended questions [ 91 , 107 , 131 , 132 , 133 , 134 , 135 , 136 , 137 ]. Oliveira et al suggest balancing the objective and subjective elements of patient care process in CMM services [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Medication Management Services with a Holistic Point of View, a Scoping Review

2023

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“…Pemakaian terapi kombinasi mempunyai jumlah yang lebih tinggi dibanding dengan pemakaian terapi tung- Penelitian ini menunjukkan bahwa permasalahan dari kepatuhan dan ketercapaian target pengobatan pasien T2DM adalah kurang maksimal dalam sarana pelayanan kesehatan oleh tenaga kesehatan dan kurang kesadaran serta motivasi dari pasien sendiri. Hal ini diperkuat oleh peneliti sebelumnya yaitu Aditama et al, yang menyatakan bahwa kepatuhan dipengaruhi oleh beberapa faktor di antaranya efektifitas dan keamanan terapi obat, evaluasi kepatuhan pasien, dan identifikasi perilaku ketidakpatuhan pasien terhadap obat anti diabetes (OAD), serta peran aktif apoteker sebagai tenaga kesehatan yang bertugas memberi perawatan dan pelayanan kesehatan kepada pasien DM [8,9]. Target pengobatan DM tipe 2 yang berupa penurunan GDP belum mencapai hasil yang maksimal.…”

Section: Pembahasanunclassified

Pengaruh Telefarmasi Terhadap Kepatuhan dan Target Pengobatan Pasien DMT2

Saswita,

Aditama,

Lorensia

2023

MPI

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Telefarmasi adalah pelayanan kefarmasian yang mana apoteker dan pasien tidak pada tempat dan waktu yang sama. Telefarmasi menggunakan fitur WhatsApp (WA) diharapkan memberi informasi, konsultasi, dan pemantauan terapi obat (PTO) terhadap perilaku pasien dalam penggunaan obat, yaitu kepatuhan dan pengaruhnya terhadap ketercapaian target gula darah puasa (GDP) dalam pengelolaan DM tipe 2 (T2DM). Tujuan riset ini adalah melihat pengaruh telefarmasi menggunakan WA terhadap kepatuhan dan target GDP pasien T2DM di Apotek Pulosari Surabaya. Metode penelitian yang digunakan kuantitatif dengan pra-experimental one group pretest-posttest design. Sampel ditentukan secara total sampling memperhatikan kriteria penelitian. Pengumpulan data menggunakan kuesioner Brief Medication Questionnare (BMQ), untuk menilai hambatan kepatuhan pasien dan menghitung jumlah obat (pill counts) serta pengukuran GDP menggunakan glukometer oleh peneliti yang dilakukan pre-post intervensi selama 30 hari. Hasil pill counts sebelum intervensi menunjukkan 61,29% pasien tidak patuh. Setelah intervensi telefarmasi terdapat peningkatan kepatuhan, pasien yang tidak patuh senilai 24,19%. Hasil BMQ sebelum intervensi 82,26% sedangkan setelah intervensi terdapat penurunan hambatan kepatuhan 27,42%. Hasil pemantauan GDP setelah intervensi sebanyak 83,87% pasien mencapai target GDP. Setelah intervensi telefarmasi terdapat peningkatan ketercapaian target, dimana pasien yang belum mencapai target sebesar 16,13%. Pelayanan telefarmasi yang diberikan apoteker dapat menurunkan hambatan pasien dalam mengikuti rejimen terapinya dan signifikan meningkatkan kepatuhan dan ketercapaian target dalam pengobatan T2DM. Telepharmacy is a pharmaceutical service using WhatsApp (WA) feature to provide information, consultation, and drug therapy monitoring to the patients, adherence and it’s effect on fasting blood glucose targets achievement in the management of type 2 DM (DMT2). The aim is to see telepharmacy effect using WA on adherence and achievement the target of T2DM patients at the Pulosari Pharmacy, Surabaya. This research used quantitative with pre-experimental one group pretest-posttest design. The sample was determined total sampling considering the research criteria. Data collection used Brief Medication Questionnare (BMQ), to assess patient’s adherence barriers by pill counts and measuring blood glucose with glucometer before and after intervention during 30 days. The results before intervention was 61.29% patients did not comply. After intervention, there was 24.19% of patients who did not comply. The results of the BMQ before intervention was 82.26% and there was a decrease after intervention in compliance barriers 27.42%. Monitored blood glucose after intervention was 83.87% of patients reached the target. After the intervention, patients who had not reached the target was 16.13%. Telepharmaceutical services provided by pharmacists can reduce patient barriers in followingtheir therapy regimens and significantly increase adherence and target achievement in the treatment of T2DM.

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Follow-Up Evaluation on Oral Antidiabetic Drug Use: A Study of Effectiveness, Safety and Patient Adherence in Surabaya Primary Health Care

Cited by 2 publications

References 6 publications

Comprehensive Medication Management Services with a Holistic Point of View, a Scoping Review

Comprehensive Medication Management Services with a Holistic Point of View, a Scoping Review

Pengaruh Telefarmasi Terhadap Kepatuhan dan Target Pengobatan Pasien DMT2

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