Diabetes mellitus disease (DM) is chronic diseases due to the increase of glucose concentration in the body ABSTRAKPenyakit Diabetes mellitus (DM) termasuk penyakit yang bersifat kronis akibat terjadi peningkatan konsentrasi glukosa didalam tubuh. Pengobatan diabetes yang baik dan patuh menjadi hal yang sangat penting dilakukan untuk mencegah komplikasi. Salah satu intervensi yang komprehensif untuk pasien penyakit degeneratif adalah home pharmacy care. Tujuan Penelitian untuk mengetahui pengaruh peran home Pharmacy Care pada pasien diabetes melitus dalam meningkatkan kepatuhan dan keberhasilan terapi. Metode Penelitian: Penelitian ini merupakan penelitian pra experimental yang dilakukan di Bp Sentra Medika dan konseling di rumah masing-masing responden di Kecamatan Lebaksiu Kabupaten Tegal dengan metode one group pretest posttest design. Sampel diperoleh dengan metode purposive sampling dan didapat 35 responden. Pengukuran dilakukan menggunakan instrumen kuesioner MMAS-8 (pretest-postest) dan pill count untuk mengetahui tingkat kepatuhan pasien serta glucotest untuk mengukur keberhasilan terapi yang ditandai dengan nilai kadar gula darah. Uji statistik menggunakan Wilcoxon dan Mc Nemar untuk mengetahui pengaruh dari pemberian intervensi home pharmacy care terhadap tingkat kepatuhan dan keberhasilan terapi. Hasil penelitian menunjukkan bahwa sejumlah 20 pasien (57%) patuh berdasarkan skor MMAS-8 dan pill count dan sejumlah 20 pasien (57%) keberhasilan terapi tercapai berdasarkan nilai kadar gula darah terkontrol. Kesimpulan: Uji statistik menunjukkan ada perbedaan yang signifikan antara sebelum dan sesudah pemberian intervensi yang ditandai dengan nilai p value kedua uji adalah 0,000 sehingga pemberian home pharmacy care berpengaruh terhadap peningkatan kepatuhan dan keberhasilan terapi.
Background: The scientific-based jamu development program enables the development of medicinal plants in the traditional medicine system that eventual-ly can be used in the formal healthcare system. Baturraden and Sumbang are considered as areas with abundant plant biodiversity in Java, where the local community has used those plants for medicinal purposes.Objective: This study is conducted to qualitative and quantitatively record and conserve the knowledge of the Baturraden and Sumbang community on the utilization of plants for treating diabetes mellitus.Method: The data of the plant’s local names, plant organs, methods of prepara-tion, and routes of administration of the herbal preparations used for treating diabetes mellitus were collected through semi-structured interviews with 97 informants. The species use-value (SUV), the relative frequency of citation (RFC), and fidelity level (FL) of each species were calculated accordingly to determine their relative importance and value to the local community.Result: There were 11 plant species from 10 families mentioned. The most commonly used plant organ, preparation method, and administration route were leaves, decoction, and oral, respectively. The most important and valuable plants were including Piper ornatum (SUV = 0.19, RFC = 0.13, FL = 23.09%) and An-drographis paniculata (SUV = 0.09, RFC = 0.07, FL = 42.86%).Conclusion: As the most critical antidiabetic plant in the studied area, the decoction or infusion of Piper ornatum leaves is taken orally 1-2 times a day. However, there are no reports on its anti-diabetic-related activities available to date. In contrast, the uses of Andrographis paniculata as the antidiabetic agent has been widely proven. Baturraden and Sumbang people orally consumed the decoction of this plant’s leaves once a day for the said purpose
AbstrakBerdasarkan data Riset Kesehatan Dasar tahun 2013, prevalensi hipertensi mencapai 25,8%. Hipertensi dapat dikontrol dengan meminum obat secara rutin dan gaya hidup sehat. Salah satu faktor yang dapat meningkatkan keberhasilan terapi hipertensi adalah kepatuhan pasien dalam meminum obat. Home care yang dilaksanakan oleh apoteker berupa pelayanan kefarmasian yang bersifat kunjungan rumah diharapkan dapat memberikan edukasi dan pemahaman pasien terhadap terapi hipertensi sekaligus memastikan bahwa pasien telah meminum obat dengan tepat, sehingga dengan home care dapat meningkatkan kepatuhan pasien dalam meminum obat. Tujuan penelitian ini adalah untuk menilai pengaruh home care yang dilakukan apoteker terhadap kepatuhan pasien hipertensi dalam meminum obat. Penelitian ini menggunakan desain eksperimental dan melibatkan 70 pasien hipertensi yang merupakan anggota Program Pengelolaan Penyakit Kronis dari 7 dokter keluarga di Kabupaten Banyumas, Propinsi Jawa Tengah. Pasien dibagi menjadi 2 kelompok, yaitu kelompok kontrol (35 pasien) dan kelompok home care (35 pasien) yang ditentukan secara acak. Seluruh pasien mendapatkan informasi standar mengenai penggunaan obat antihipertensi. Home care merupakan intervensi yang dilakukan dengan memberikan informasi tentang penyakit hipertensi, pengobatan hipertensi secara farmakologi dan nonfarmakologi. Intervensi tersebut dilakukan satu kali pada hari ke-15 oleh apoteker dengan berkunjung ke rumah pasien selama 10 sampai 20 menit di rumah pasien. Pill count digunakan untuk mengukur kepatuhan pasien meminum obat dengan cara menghitung sisa obat pada hari ke-30. Hasil analisis Chi-Square test menunjukkan terdapat pengaruh intervensi terhadap kepatuhan minum obat p=0,000 (p<0,05). Dapat disimpulkan bahwa terdapat pengaruh home care terhadap kepatuhan pasien hipertensi. AbstractBased on data from Basic Health Research on 2013, the prevalence of hypertension was up to 25.8%. Hypertension can be controlled by taking medication regularly and healthy lifestyle. Factor that can improve the success of the treatment of hypertension is patient adherence in taking medicines. Home pharmacy care by pharmacist was expected to provide education and understanding of therapy also ensure that patients can take the medicine properly, therefore it can improve patient adherence in taking medicine. The aim of this research was to determine the effect of pharmacist home care on antihypertensive patient's adherence in taking medicine. Experimental research design was used in this research. There were 70 hypertensive patients involved who were members of Chronic Disease Management Program from 7 general practitioners in Banyumas, Central Java. The participants were divided into control group (35 patients) and home care group (35 patients). All of the participants received standard information about antihypertensive drugs usage. Pharmacist home care was an intervention which done at 15 th day by giving information about hypertension, pharmacology and non-pharmacology treatment for 10-20 minutes at p...
Abstract. Utaminingrum W, Nofrianti, Hartanti D. 2022. Diversity and use of medicinal plants for traditional women's health care in Northern Banyumas. Biodiversitas 23: 1970-1976. This study aimed to record the diversity and utilization of medicinal plants for maintaining women's health in Northern Banyumas (Central Java, Indonesia) using qualitative and quantitative approaches. Semi-structured interviews with 97 informants were conducted to collect data on local plant names, plant parts, herbal preparation, and application of plants used for traditional women's health care. The value and importance of the plants to the people in the surveyed areas were quantitatively determined by the species use-value (SUV), the relative frequency of citation (RFC), and fidelity level (FL). The local community cited 21 plant species belonging to 10 families. The most frequently used plant part, preparation, and application were fruits and rhizomes (32.6% each), infusion (83.7%), and oral (88.4%), respectively. There were four use-category of the plants, i.e., post-partum, pre-menstrual syndrome, lactation stimulant, and leukorrhoea. The most valuable plants were Curcuma longa L., Piper betle L., and Kaempferia galanga L. with SUV of 0.41, 0.34, and 0.21, respectively. The C. longa and P. betle were also recorded as the most important plants with RFC values of 0.63 and 0.40. These findings confirm the status of Zingiberaceae as the main component of jamu (traditional medicine) to maintain women's health.
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