ROLE OF PHARMACIST IN COUNSELING ASTHMA TO IMPROVE PATIENT ADHERENCE IN YOGYAKARTA

Author(s):  
Chynthia Pradiftha Sari ◽  
Lukman Hakim ◽  
I. Dewa Putu P.

Objective: To identify the effect of pharmacist-provided counseling on patient adherence and to examine the correlation between adherence level and asthma therapy outcomeMethods: Quasi-experimental through control-group design with pretest-posttest. Study was conducted during February–June 2013 (N=120). Only the intervention group received pharmacist counseling. All participants completed MMAS and ACT questionnaires before and after counseling. They were 18–60 y old and having<8 MMAS pretest score with moderate-severe persistent asthma.Results: The intervention was pharmacist counseling for 56 patients, and control group had 50 patients. After counseling, 3.92% severe persistent asthma patients showed low-medium adherence, and 62.64% moderate persistent asthma patients had medium-high adherence. The change of MMAS score in the intervention group was 3.71 and 2, and 1.23 and 1.64 in the control group. Wilcoxon and Mann Whitney test indicated a significant difference in patient adherence before and after counseling (p<0.001). Adherence was positively and significantly correlated with therapy outcome (p<0.001; r=0.583).Conclusion: Pharmacist counseling affects asthma patient adherence. There is a significant correlation between adherence and therapy outcome.

2019 ◽  
Vol 9 (2) ◽  
pp. 173-179
Author(s):  
Budi Antoro ◽  
Yuli Lestari

Kekambuhan asma antara lain dapat bersifat ringan, tidak mengganggu aktivitas, menetap dapat mengganggu aktivitas, dan menimbulkan disability (kecacatan) hingga kematian. Penatalaksanaan bertujuan untuk mencegah kekambuhan penyakit hingga mencegah kematian dapat dilakukan dengan senam asma terstruktur. Penelitian ini bertujuan untuk mengidentifikasi pengaruh senam asma terstruktur terhadap jarak kekambuhan pada pasien asma di perkumpulan senam asma RSUD Hi. Dr. Abdul Moeloek. Penelitian ini menggunakan metode penelitian quasi eksperimental dengan desain pretest-postest with control group design. Hasil penelitian menunjukkan bahwa ada perbedaan bermakna antara jarak kekambuhan (relapse) sebelum dan sesudah pada kelompok intervensi (p=0.023); tidak ada perbedaan bermakna antara jarak kekambuhan (relapse) sebelum dan sesudah pada kelompok kontrol (p=0.059); tidak ada perbedaan bermakna jarak kembuhan (relapse) antar kelompok (p=0.375). Sosialisasi serta aplikasi senam asma terstruktur dapat menjadi salah satu terapi dalam asuhan keperawatan asma.   Kata kunci: Senam asma terstruktur, kekambuhan   THE EFFECT OF STRUCTURED ASTHMA GYMNASTICS ON THE DISTANCE OF RELAPSE IN ASTHMA PATIENTS   ABSTRACT Asthma relapse can be mild, does not interfere with activity, persists and disrupt activities, and cause disability (death). Management aims to prevent asthma relapse to prevent death can be done with structured asthma gymnastics. This study aims to identify the effect of structured asthma gymnastics on the distance of relapse in asthma patients in the asthma gymnastics association RSUD Hi. Dr. Abdul Moeloek. This study used a quasi-experimental research method with the design of the pretest-posttest with control group design. The results showed that there was a significant difference between relapse before and after the intervention group (p = 0.023); there was no significant difference between relapse before and after the control group (p = 0.059); there was no significant difference in recovery distance (relapse) between groups (p = 0.375). Socialization and application of structured asthma exercises can be one of the therapies in asthma nursing care.   Keywords: Asthma gymnastics structure, relapse  


Author(s):  
Dyah Dyah Dewi ◽  
Wiwik Wiwik Kusumawati ◽  
Ismarwati Ismarwati Ismarwati

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.


2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.


2019 ◽  
Vol 2 (1) ◽  
pp. 23-32
Author(s):  
Dyah Tri Kusuma Dewi ◽  
Wiwik Kusumawati ◽  
Ismarwati Ismarwati

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.


2021 ◽  
Vol 15 (2) ◽  
pp. 109
Author(s):  
Vera Iriani Abdullah

Linear growth retardation in childhood has decreased over the past few decades, but has not had a positive effect. In Indonesia, the change in the prevalence of stunting is around 37%. The nutritional status of pregnant women plays an important role in the incidence of stunting, which will be seen at the age of <5 years in 1000 days of their life. Pregnant women with poor nutrition and significant infection can give birth to a baby with stunting. For this reason, nutritional intake is needed, one of the animal foods that are high in protein is rebon shrimp about 62.4 g / 100 grams of dried shrimp. Protein has an important component so it is necessary for the physical development of children. The purpose of this study was to analyze serum protein levels before and after consuming rebon shrimp based PMT powder in the intervention group and control group and to analyze differences in serum protein levels for pregnant women before and after consuming PMT Koya powder made from rebon shrimp between the control and intervention groups. . This type of research is a quantitative study with a quasi-experimental method using the pre post test control group design approach. The number of respondents was 30 people who were divided into 2 groups, namely the intervention group and the control group. The intervention group was given koya powder as much as 100 grams / day for 7 days, assuming the fulfillment of 70 KKal. Data analysis using Data analysis using the Mann-Whitney test, if the data is not normally distributed. If the data are not normally distributed using the free sample t2 test. The conclusion of the analysis results to answer the research hypothesis. The results of the study were significant values P 0.000 <0.05. Conclusion There was a significant difference in serum protein levels of pregnant women before and after consuming PMT Koya powder made from boiled shrimp between the control and intervention groups.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 


2020 ◽  
Vol 1 (2) ◽  
pp. 16-24
Author(s):  
Tri Putri Ageng Utami

Introduction: Anemia is a biggest health in the world. According to WHO the prevalence of anemia in pregnant women was 41,8%. Based on the results of Riskesdas that the proportion of anemia in pregnant women in 2013 was 37,1% and in 2018 of 48,9%. To prevent anemia, pregnant women are expected to get at least 90 iron tablets during pregnancy and consume iron-rich foods. Avocados have the nutrients of vitamin C, vitamin E, vitamin K, iron, folic acid, potassium, calories and fat. Iron in avocados is useful for the formation of red blood cells, preventing and treating anemia. Vitamin C helps to absorb iron and calcium Methods: This study aims to determine the effect of Fe + avocado juice (Persea Americana Mill) to haemoglobin levels of second trimester pregnant women in Suryani independent clinic of Medan Johor sub district in 2019. This type of research was Quasi Experiment with Pre Test and Post Test With Control Group Design. The population of this research was all 42 pregnant women with 30 purposive sampling techniques. Results and Discussion: Based on the collection and analysis of data with an average result of haemoglobin in second trimester pregnant women increased by 0,87 gr/dl in the intervention group and 0,8 gr/dl in the control group. There are significant differences between before and after treartment in the intervention group and the control group. In the intervention group and the control group before the treatment there can be no difference which means the data is homogeneous and after the treatment there can be no significant difference which means that Ho is accepted and Ha is rejected. Conclusion: Pregnant women who have Hb levels below normal may be given Fe tablets alone or can be combined to consume avocado juice.


2018 ◽  
Vol 10 (1) ◽  
pp. 45
Author(s):  
Ulfah Agus Sukrillah

Research backgroud: Kinds of methodsin health promotion to address the spread and transmission of HIV/AIDS has been applied to the society. The focus of today's HIV-AIDS is housewifes. Method of sociodrama about the transmission of HIV/AIDS aims to provide an understanding, appreciation and develop their ability to solve the problem of HIV/AIDS through role play. The purpose ofthis research: is to determine the effect sociodrama in health promotion methods about transmission of HIV/AIDS towards housewives. Research method: The methodused is quasie xperimental with pre and post-test with control group design, where it measures the difference between before and after intervention using control groups. The differences between before and after the intervention are assumed to bethe effect of the intervention. The result of reserach: based on paired t test and independent t test both intervention group and control group before and after the treatment has p value (0,000) < a (0,05). It means that there was significant different in term of knowledge level between two groups. Conclusion : there is significant difference between sociodrama method with the use of audio- visual media in the delivery of health promotion about the transmission of HIV / AIDS on housewife.


2017 ◽  
Vol 5 (2) ◽  
pp. 115
Author(s):  
Nunung Rachmawati ◽  
Luky Dwiantoro ◽  
Bambang Edi Warsito

<em>The holistic nursing service is based on the concept that humans are sick not only physically that cured by drug delivery, but also pay attention to other aspects of </em>mental<em> where the patient needs motivation and spirit to cope with illness, social where the patient wants to meet and gather with family/friends and spiritual where the patient wants to pray and pray for healing. Spiritual care is an important part of the overall care provided to improve the quality of life of patients. The role of nurses is now more involved on treatment measures. Proper methods </em>in<em> clinical supervision are necessary for the implementation of spiritual care to be as important as physical care, one of them using drill method. This study aims to analyze the influence of drill methods in the team leader's clinical supervision on the implementation of nurses spiritual care. The research method used is </em>quasy<em> experiment with pretest-posttest research design with control group design. The population of nurse research in inpatient room of PKU Muhammadiyah Yogyakarta and PKU Muhammadiyah Gamping Hospital. A total of 32 nurses were taken as samples through consecutive sampling technique. To see the implementation of spiritual care used observation sheet refers to the label Nursing Interventions Classification, spiritual care is observed before and after the application of drill methods in clinical supervision. Data were analyzed by paired t-test. The results showed the average of nurses' spiritual care before the drill method applied to the intervention group was 6,56 and 6,13 in the control group, after drill method applied in the intervention group was 17,44 and 6,50 in the control group. The results of statistical tests showed that there was a significant difference in nurse's spiritual care before and after the application of drill methods in the intervention group. It is recommended for the hospital to improve the implementation of clinical supervision to the nurses related to non-physical skills using drill method.</em>


2021 ◽  
Vol 2 (1) ◽  
pp. 15-25
Author(s):  
Muhammad Anggun ◽  
Titik Kusumawinakhyu ◽  
Irma Finurina Mustikawati ◽  
Wiharto Wiharto

Hemodialysis is a routinely performed therapy on chronic kidney patients, leading to psychological problems among subjects who undergo hemodialysis, such as anxiety and depression. One of the efforts to overcome anxiety and depression is with the dhikr intervention. Dhikr presents hearts to remember and be obedient to Allah followed by the words and actions in various conditions.  Discover dhikr's influence on the level of anxiety and depression in patients on hemodialysis in  Purwokerto Islamic Hospital. It was a quantitative study using quasi experiment with a non-quivalent control group design. The number of samples was 12 subjects consisting of 6 subjects in the control group and six subjects in the intervention group with the purposive sampling technique. Instruments were used to measure anxiety and depression are the HADS ( Hospital Anxiety and Depression Scale ) before and after dhikr intervention as much as 12 times. Research is carried out in Hemodialysis Unit of  Purwokerto Islamic Hospital. Test statistics on research are used paired t-test and independent t-tests. This study showed a decrease in the mean level of anxiety from 5, 83 to 1.67 in the experimental group ( p = 0.003). The mean level of depression experienced a decline of 9, 67 becomes 4.67 on a group experiment ( p = 0.003). Dhikr reduces the level of anxiety and depression in hemodialysis patients at the Purwokerto Islamic Hospital.


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