Polifarmasi Pada Pasien Geriatri

Fauziah, Husna Ainun; Mulyana, Roza; Martini, Rose

doi:10.32883/hcj.v5i3.796

Cited by 4 publications

(5 citation statements)

References 4 publications

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“…Patients who got more than 5 types of drugs were called polypharmacy and patients who got more than 10 types of drugs were called excessive polypharmacy (Fauziah et al 2020).…”

Section: Resultsmentioning

confidence: 99%

Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Yulistiani¹,

Utomo²,

Nugroho³

et al. 2023

PHAR

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Falls are the geriatric syndromes that become one of the main causes of injury, even death in the elderly. It is known that one of the risk factors for falling is the use of certain drugs that have the effect of orthostatic hypotension, sedation, balance disruptions, and other side effects. This study aims to examine the risk of falling based on Morse scale of geriatric patient that use fall-risk drug. Retrospective data were taken from e-prescriptions for geriatric patients and interviews with the patients to determine the risk of falling based on the Morse scale. The results showed that 115 patients who used the fall-risk drug had an average risk of falling from mild to moderate. The high fall-risk drug used by most patients was gabapentin (43%), the moderate fall-risk drug was candesartan (60%), and the low fall-risk drug was furosemide (9%). Patients with the total of 71% received a combination of two to four fall-risk drugs. Total MFRS of ≥6 was 53% patients, meaning that the patients’ using of drugs needed to be evaluated. From the results of statistical analysis, it was found that the number of fall risk drugs received by patients was not associated to the risk of falling in geriatric patients, while increasing the dose of high fall-risk drugs such as gabapentin, increased the fall risk level in geriatric patients. From the result of this study, it is known that fall-risk drugs are widely used by patients, hence it is necessary to increase the awareness of falling in geriatric patients.

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“…Patients who got more than 5 types of drugs were called polypharmacy and patients who got more than 10 types of drugs were called excessive polypharmacy (Fauziah et al 2020).…”

Section: Resultsmentioning

confidence: 99%

Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Yulistiani¹,

Utomo²,

Nugroho³

et al. 2023

PHAR

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“…Studi surveilans prospektif di India pada tahun 2018 menunjukkan prevalensi polifarmasi di India sebanyak 45% (WHO, 2019). Oleh karena itu, terapi polifarmasi pada pasien geriatri sebaiknya dikurangi karena polifarmasi tersebut menimbulkan dampak negatif seperti peningkatan biaya, efek samping, penurunan status fungsional tubuh, dan sindrom geriatri (Fauziah et al, 2020).…”

Section: Pendahuluanunclassified

Analisis Peresepan Polifarmasi Pada Pasien Geriatri dengan Diabetes Melitus Tipe 2 Berdasarkan Beers Criteria 2023

Febriyanti,

Atmaja,

Oktaviani

et al. 2023

jmpi

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Pertambahan penduduk lanjut usia menjadi perhatian dunia, dan mendapat perhatian khusus di Indonesia seiring dengan transisi menuju era "Aging Population". Salah satu masalah yang sering ditemukan pada lanjut usia adalah polifarmasi dan penggunaan obat berpotensi tidak tepat (PIMs). Polifarmasi dan penggunaan obat berpotensi tidak tepat pada lanjut usia menimbulkan berbagai efek yang tidak diinginkan, yang paling fatal adalah kematian. Penelitian ini bertujuan untuk mengidentifikasi obat berpotensi tidak tepat pada pasien geriatri penderita DM tipe 2 (DMT2) yang mendapat terapi polifarmasi di Puskesmas Sakra berdasarkan Beers Criteria 2023. Penelitian ini merupakan penelitian observasional dengan pendekatan retrospektif. Empat puluh pasien geriatri penderita DMT2, memenuhi kriteria inklusi dan eksklusi, ikut serta menjadi subyek penelitian. Hasil penelitian didapatkan mayoritas pasien memiliki rentang usia antara 55 hingga 65 tahun, berjenis kelamin perempuan, dan terdiagnosis hipertensi sebagai penyakit penyerta sebanyak 80%. Selain itu, sebagian besar pasien mengalami polifarmasi, yaitu menggunakan lebih dari lima jenis obat yang berbeda. Berdasarkan hasil penelitian, terdapat obat-obatan yang dikonsumsi geriatric termasuk dalam kriteria 1 yaitu obat golongan sulfonilurea sebanyak 11,7%, golongan NSAID sebanyak 6,4%, dan golongan H1 sebanyak 1,5%. Simpulan dari penelitian ini adalah seluruh resep pasien geriatri dengan DMT2 di Pusksmas Sakra mendapatkan terapi polifarmasi dan obat yang yang tidak tepat berdasarkan Beers Criteria 2023.

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“…Menggunakan secara simultan sejumlah obat untuk terapi satu atau lebih gangguan terkait. Menggunakan 5-9 obat dengan cara simultan; penggunaan obat yang tidak tepat yang dapat meningkatkan risiko efek samping terkait obat; penggunaan beberapa obat (Fauziah et al, 2020).…”

Section: Hasil Penelitianunclassified

“…Definisi yang paling umum terkait polifarmasi adalah bahwa satu pasien menggunakan enam obat atau lebih pada waktu yang sama. Pada obat topikal, obat herbal, vitamin, dan mineral bukan termasuk didalam polifarmasi (Fauziah et al, 2020). Yang digunakan dalam penelitian ini Polifarmasi adalah penggunaan beberapa obat.…”

Section: Hasil Penelitianunclassified

Evaluasi Kelengkapan Resep Rawat Jalan Terhadap Standar Pelayanan Farmasi di Upt Puskesmas Ibrahim Adjie Kota Bandung

Istiqomah

Rusmana

2022

cerdika

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The importance of reviewing prescriptions to realize medication safety in pharmaceutical services. Good Pharmacy Practice (GPP) where the professional relationship between doctors and pharmacists is in the form of prescriptions as part of the representative quality of pharmaceutical service standards. The purpose of this study was to determine the percentage of administration on prescription completeness based on 3 aspects; administration, pharmaceutical and clinical to the percentage of pharmacy service standards at UPT. Ibrahim Adjie Health Center in Bandung City is adjusted to the PERMENKES RI No. 74 of 2016. This type of research is qualitative non-experimental descriptive observational with prospective data collection using a check list form to find out whether or not they fulfill each other in a recipe. This study was conducted in July 2021 with 150 samples of prescriptions for adult patients aged 26-45 years. The percentage of results from administrative screening was 10.6% or as many as 16 complete prescriptions due to not fulfilling the patient's address, SIP and doctor's initials. The percentage of pharmaceutical screening aspects obtained 58.6% or as many as 88 prescriptions that meet. The percentage of clinical screening showed 3.3% or as many as 5 prescriptions. Meanwhile, the results of the conformity of pharmaceutical services as a whole according to the applicable regulation of the Minister of Health indicate that there are no mutually fulfilling aspects in 1 prescription sheet. So the evaluation of this research needs to be done communication in increasing awareness between doctors and pharmacists in prescribing services as representatives of applicable service standards.

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Polifarmasi Pada Pasien Geriatri

Cited by 4 publications

References 4 publications

Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Analisis Peresepan Polifarmasi Pada Pasien Geriatri dengan Diabetes Melitus Tipe 2 Berdasarkan Beers Criteria 2023

Evaluasi Kelengkapan Resep Rawat Jalan Terhadap Standar Pelayanan Farmasi di Upt Puskesmas Ibrahim Adjie Kota Bandung

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Polifarmasi Pada Pasien Geriatri

Cited by 4 publications

References 4 publications

﻿Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

﻿Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Analisis Peresepan Polifarmasi Pada Pasien Geriatri dengan Diabetes Melitus Tipe 2 Berdasarkan Beers Criteria 2023

Evaluasi Kelengkapan Resep Rawat Jalan Terhadap Standar Pelayanan Farmasi di Upt Puskesmas Ibrahim Adjie Kota Bandung

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Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)

Analysis of fall risk increasing drugs on Morse Fall Scale in geriatric patients (a study at geriatric outpatient clinic Airlangga University Teaching Hospital)