Ketidakpatuhan penggunaan insulin pada pasien Diabetes Melitus (DM) dapat mengakibatkan kegagalan terapi. Pada pasien DM tipe 2, tingkat kegagalan berpotensi meningkat karena dipengaruhi oleh perilaku pasien yang awam dalam menggunakan insulin. Penelitian ini bertujuan untuk menganalisis kepatuhan pasien DM tipe 2 dalam menggunakan insulin yang benar dengan pendekatan teori Health Belief Model (HBM). Metode yang digunakan adalah survei kepada pasien DM Rawat Jalan di suatu Rumah Sakit (RS) di Surabaya dengan responden dipilih menggunakan teknik purposive sampling. Data dianalisis dengan uji regresi linier berganda untuk mengukur pengaruh lima komponen HBM yaitu (1) perceived susceptibility, (2) perceived severity, (3) perceived benefit, (4) perceived self-efficacy, dan (5) perceived barrier terhadap kepatuhan pasien dalam menggunakan insulin yang benar. Hasil penelitian menunjukkan lima komponen memiliki pengaruh yang simultan terhadap kepatuhan penggunaan insulin. Empat komponen awal (1-4) memiliki pengaruh positif (semakin tinggi semakin patuh) sedangkan komponen 5 memiliki pengaruh negatif (semakin rendah semakin patuh). Perlu adanya upaya terstruktur dan berkelanjutan dari pihak RS untuk meningkatkan komponen 1-4 dan menurunkan komponen 5.
Background: The most commonly-used medication for self-medication was paracetamol. Paracetamol was used to relieve mild or moderate pain and mild-feverish conditions. Objective: This study was to discover the correlation between levels of knowledge and the rational use of paracetamol in self-medication done by the students of the Health Science Department in University of Muhammadiyah Malang. Methods: This study was an observational analysis using cross sectional method in which the sampling method employed purposive sampling method, and the instrument for this study was in a form of questionnaires. The study indicated that the students' knowledge related to the rational use of paracetamol in self-medication was as follows good 70% (61 students), quite good 26% (23 students), less good 4% (3 students), and there was no student who fell to "not good" category. The students with positive action (using paracetamol rationally) were 53% (46 students), while 47% (41 students) of them are with negative action (using paracetamol irrationally). Results: The result showed that spearman correlation with value of r-count higher than r-table (0.301 > 0.213) and significance value less than α = 0.05 (0.005 < 0.050) with correlation coefficient value 0.301 (30%) indicated that the relationship between variables was low, but certainly existed. Conclusion: There was a correlation between the levels of knowledge and the rational use of paracetamol in self-medication practice in the students Abstrak Pendahuluan: Obat yang paling umum digunakan untuk pengobatan sendiri yaitu parasetamol. Parasetamol digunakan untuk menghilangkan nyeri ringan sedang dan kondisi demam ringan. Tujuan: Mengetahui hubungan tingkat pengetahuan dengan penggunaan obat parasetamol yang rasional dalam swamedikasi pada mahasiswa Kesehatan, Universitas Muhammadiyah Malang. Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan metode cross sectional dimana pengambilan sampel dilakukan dengan metode purposive sampling dan instrumen yang digunakan berupa kuisioner. Mahasiswa yang memiliki tingkat pengetahuan baik tentang obat parasetamol sebesar 70% (61 orang), mahasiswa yang memiliki tingkat pengetahuan cukup tentang obat parasetamol sebesar 26% (23 orang), mahasiswa yang memiliki tingkat pengetahuan kurang tentang obat parasetamol sebesar 4% (3 orang) dan tidak ada mahasiswa yang berpengetahuan tidak baik. Mahasiswa dengan tindakan positif (penggunaan obat parasetamol rasional) sebesar 53% (46 orang) dan mahasiswa dengan tindakan negatif (penggunaan obat parasetamol tidak rasional) sebesar 47% (41 orang). Hasil: Hasil analisis korelasi spearman dengan nilai r hitung lebih besar daripada nilai r tabel (0,301 > 0,213) dan nilai signifikan kurang dari α = 0,05 (0,005 < 0,050) dengan nilai koefisien korelasi 0,301 (30%) menunjukkan bahwa hubungan antar variabel rendah. Kesimpulan: Terdapat hubungan antara tingkat pengetahuan terhadap penggunaan obat parasetamol rasional dalam swamedikasi pada mahasiswa Kesehatan, Universitas Muhammadiy...
BackgroundThe growing burden of diabetes mellitus (DM) in Southeast Asia puts pharmacists in the ideal position to provide management of DM. This narrative review aims to describe the evidence of pharmacist contribution in improving DM in Southeast Asia.ContentA literature search was conducted to identify relevant research articles published from 2010 to 2018 in four databases (Scopus, Pubmed, MEDLINE, and Springerlink) describing pharmacist roles and activities intended to improve management of DM in Southeast Asian countries. Results were synthesized narratively and divided into three main sections: (1) the role of pharmacist in DM management, (2) the impact of pharmacist role, and (3) the barriers to the implementation of services in DM management. A total of 16 studies were identified, of which ten studies mentioned services that were conducted exclusively by a pharmacist and the remaining collaborated with other health professionals. A number of pharmacist services were reported including prevention, dispensing, medication review, drug information services, patient counselling and education, monitoring, follow-up, and referral. Barriers related to individual, organizational, and public recognition were described.Summary and outlookThe Pharmacist can contribute to improve DM management in a variety of settings. Action research on pharmacist intervention in DM is recommended.
Background: The most commonly-used medication for self-medication was paracetamol. Paracetamol was used to relieve mild or moderate pain and mild-feverish conditions. Objective: To discover the effect of knowledge on the rational use of paracetamol in self-medication done by housewives in Sumberpoh Maron Probolinggo. Methods: This study used an analytically-observation method with cross-sectional study approach. The sample size was 84 respondents selected using purposive sampling. The instrument used closed questionnaires. The analysis used descriptive and simple linear regression method. Results: The study showed that the housewives' knowledge related to the rational use of paracetamol in self-medication was as follows good (39%), quite good (51%), less good (5%), and not good (5%). Housewives with positive action were (58%), while 42% of them were with negative actions. The linear regression analysis showed significant value of 0.029 < 0.05, t-count value 2.217 > 1.663, R square value 0.057, R value (0.238), regression equation Y = 16.898 + 0.800x. Conclusion: Knowledge has effects on the rational use of paracetamol in self-medication done by housewives in Sumberpoh Maron Probolinggo. To improve public knowledge, especially housewives in Sumberpoh village, Maron Subdistrict, Probolinggo District, counseling about rational drug use in self-medication is suggested. AbstrakPendahuluan: Obat yang paling banyak digunakan untuk swamedikasi adalah parasetamol. Parasetamol digunakan untuk meredakan nyeri ringan atau sedang dan kondisi demam ringan. Tujuan: Mengetahui pengaruh pengetahuan terhadap penggunaan obat parasetamol yang rasional dalam swamedikasi pada ibu rumah tangga di Desa Sumberpoh Kecamatan Maron Kabupaten Probolinggo. Metode: Penelitian ini menggunakan metode observasi analitik dengan pendekatan studi cross-sectional. Jumlah sampel adalah 84 responden yang dipilih menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner tertutup. Analisis ini menggunakan metode regresi linier deskriptif dan sederhana. Hasil: Hasil penelitian yaitu ibu rumah tangga yang memiliki pengetahuan baik (39%), cukup baik (51%), kurang baik dan tidak baik masing-masing (5%). Ibu rumah tangga dengan tindakan positif (58%), sedangkan dengan tindakan negatif (42%). Analisis regresi linier nilai signifikan 0,029 < 0,05, nilai t-hitung 2,217 > 1,663. Nilai Rsquare 0,057, nilai R (0,238), persamaan regresi Y = 16,898 + 0,800x. Kesimpulan: Pengetahuan berpengaruh terhadap penggunaan obat parasetamol rasional dalam swamedikasi pada ibu rumah tangga di Desa Sumberpoh Kecamatan Maron Kabupaten Probolinggo. Untuk meningkatkan pengetahuan masyarakat, khususnya ibu rumah tangga di desa Sumberpoh, Kecamatan Maron, Kabupaten Probolinggo disarankan dilakukan penyuluhan tentang penggunaan obat parasetamol yang rasional dalam swamedikasi.Kata kunci: pengetahuan, parasetamol, penggunaan obat rasional PENDAHULUANSwamedikasi merupakan usaha pemilihan dan penggunaan obat modern, herbal, maupun obat tradisional oleh individu untuk menga...
BackgroundWith the development of infectious diseases, the use of antibiotics is increasing. Amoxicillin is a penicillin class of antibiotics that are widely used today. Compliance with amoxicillin can reduce the risk of microbial resistance. Two fundamental factors that determine patient compliance in antibiotic therapy are the patient's knowledge and attitude towards the antibiotic. In this study, we want to know the effect of knowledge and attitudes of patients on their compliance in using amoxicillin antibiotics.MethodsThis study was an observational study with a cross section approach, a purposive sampling method by giving questionnaires to 100 respondents who received amoxicillin in Arjuno Primary Health Care, Klojen District in April 2019. Research variables include knowledge, attitudes, and patient compliance in using amoxicillin antibiotics. Data analysis was performed to determine the effect of knowledge and attitudes of patients on compliance with amoxicillin antibiotic therapy.ResultsThe results showed that knowledge significantly influences the complience (sig = 0.00), while attitude does not significantly influence compliance in using amoxicillin antibiotics(sig = 0,136). Knowledge and attitude were known to have a significant effect on compliance with amoxicillin antibiotic therapy (sig = 0.00), the magnitude of the influence of the two variables (R2 = 16.7%).ConclusionsIt can be concluded that the patient's knowledge and attitude influences his compliance to antibiotic therapy.
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