Pengaruh Pelayanan Kefarmasian di Rumah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Wilayah Kota Yogyakarta

https://doi.org/10.22146/jmpf.46240

Nur Rasdianah(1*), Suwaldi Martodiharjo(2), Tri Murti Andayani(3), Lukman Hakim(4)

(1) Doctoral Program, Universitas Gadjah Mada, Yogyakarta
(2) Faculty of Pharmacy, Universitas Gadjah Mada
(3) Faculty of Pharmacy, Universitas Gadjah Mada
(4) Faculty of Pharmacy, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The increasing prevalence of diabetes mellitus (DM) in Indonesia requires participation of all parties including pharmacists. This study aims to determine the impact of the implementation of home pharmacy service guidelines for patients with type 2 diabetes mellitus on the level of knowledge, medication adherence, therapeurical satisfaction and glycemic control. This study used a quasi-experimental design with one group pre-test and post-test design involving 37 patients with type 2 diabetes mellitus who met the requirements of inclusion and exclusion criterias. The Diabetes Knowledge Questionnaire (DKQ-24) and the Diabetes Medication Satisfaction Tool (DMSAT) were used for collecting the data. Patient adherence was measured using a pillcount method and fasting blood sugar levels (FSB) data were obtained from the laboratory results. The study was conducted in two community health centers and patient’s home in the Yogyakarta Municipality area. The data were analysed using Wilcoxon and Spearman test. The results showed the change of the level of knowledge, medication adherence, therapeutic satisfaction and glycemic control before and after intervention of pharmacy services at home. The average decreasing of fasting blood sugar levels 17.09 mg/dL ± 1.43

Keywords


Pelayanan kefarmasian; Diabetes melitus tipe 2; Yogyakarta; Pedoman

Full Text:

PDF


References

  1. Whiting, D.R., Guariguata, L., Weil, C., dan Shaw, J. IDF diabetes atlas: Global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Research and Clinical Practice, 2011; 94: 311-321
  2. Rudianto, A., Dharma, L., Eva, D., Alwi, S., Tri, J.E.T., IGN, A., dkk. Konsensus Dm Tipe 2 Indonesia 2011. URL: (diakses tanggal 2/4/2015)
  3. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (RISKESDAS) 2013. Badan Penelitian dan Pengembangan Kesehatan.http://labdata.litbang.depkes.go.id/risetbadanlitbangkes/menuriskesnas/menu-riskesdas/374rkd2013. Dipublikasikan 2013. Diakses 19 Mei 2015
  4. Cramer, J.A. A systematic review of adherence with medications for diabetes. Diabetes Care. 2004; 27: 1218–1224.
  5. Dahlan, S.M.Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Edisi 3. Salemba Medika, Jakarta. 2013; 20-22
  6. Chalik, R. Kepatuhan dan kepuasan terapi dengan antidiabetik oral pada pasien diabetes melitus tipe 2 rawat jalan di RSUP Dr. Sardjito Yogyakarta', , Thesis, . Universitas Gadjah Mada, Yogayakarta.2012;68-69.
  7. Nugraheni, A.Y. Pengaruh Pemberian Konseling Farmasis dengan Alat Bantu Terhadap Kepatuhan dan Outcome Klinik Pasien Diabetes Melitus Tipe 2 Anggota Prolanis pada Doketer Keluarga, Thesis, Universitas Gadjah Mada, Yogyakarta. 2015;41-42
  8. Dinas Kesehatan DIY. Profil Kesehatan Daerah Istimewa Yogyakarta Tahun 2016 (data tahun 2015)
  9. Rudijanto, A., Yuwono, A., Manaf, A., Pramono, B., Lindarto, D., Purnamasari, D., dkk. Konsensus Pengelolaan dan Pencegahan Diabetes Melitus tipe 2 di Indonesia tahun 2015.
  10. Stroup, J., Kane, M.P., Busch, R.S., Bakst, G., dan Hamilton, R.A. The Diabetes Home Visitation Program. American Journal of Pharmaceutical Education. 2003; 67: 91.
  11. Chow, E.P., Hassali, M.A., Saleem, F., dan Aljadhey, H. Effects of pharmacist-led patient education on diabetes-related knowledge and medication adherence: A home-based study. Health Education Journal. 2016; 75: 421-433.
  12. Radoti M., Arozal, W., Sauriasari, R., dan Keban, S. Evaluasi penerapan booklet dan edukasi apoteker pada pasien diabetes melitus tipe 2 di rumah sakit Mayapada Tangerang. Pharmaceutical Sciences and Research. 2017; 4: 102-110.
  13. Han, L., Ma, Y., Wei, S., Tian, J., Yang, X., Shen, X., dkk. Are home visits an effective method for diabetes management? A quantitative systematic review and meta-analysis. Journal of Diabetes Investigation. 2017; 8: 701–708.
  14. Yorke, E. dan Atiase, Y. Impact of structured education on glucose control and hypoglycaemia in Type-2 diabetes: a systematic review of randomized controlled trials. Ghana Medical Journal. 2018; 52:41.
  15. Al-Rasheedi, A.A.S. The role of educational level in glycemic control among patients with type II diabetes mellitus. International Journal of Health Sciences. 2014;8: 177-187.
  16. Manju, C.S., Razak, R., Chandni, R., dan Athira, B. Pharmacist intervention in medication adherence in patients with type II diabetes mellitus. International Journal of Pharmaceutical Sciences and Research. 2016; 7(1): 358-362.
  17. Saleem, F., Hassali, M.A., Shafie, A.A., Ul Haq, N., Farooqui, M., Aljadhay, H., dkk. Pharmacist intervention in improving hypertension-related knowledge, treatment medication adherence and health-related quality of life: a non-clinical randomized controlled trial. Health Expectations. 2015;18: 1270–1281.
  18. Ichwari, N.P.., Wirasuta, I.M.A.., dan Susanti, N. Akseptabilitas pelayanan residensial kefarmasian pada pasien diabetes melitus tipe 2 tanpa komplikasi. Jurnal Farmasi Udayana. 2013;1-5.
  19. Gillani, S.W., Azhar Syed Sulaiman, S., Baig, M., Oktavia Sari, Y., Maisharah Sheikh Ghadzi, S., Noor Haroon, S., dkk. Pharmacist intervention in home care program for diabetes patients. Journal of Diabetes Mellitus. 2012;02: 279-293.
  20. Hendrychova, T., Vytrisalova, M., Smahelova, Vlcek, J., dan Kubena. Adherence in adults with type 1 diabetes mellitus correlates with treatment satisfaction but not with adverse events. Patient Preference and Adherence. 2013; 867–876.
  21. Sperl-Hillen, J. Comparative effectiveness of patient education methods for type 2 diabetes: A Randomized Controlled Trial. Archives of Internal Medicine. 2011;171: 2001-2010.
  22. American Diabetes Association. Standards of Medical Care in Diabetes 2015. Diabetes Care. 2015;38: S1–S2.
  23. Suppapitiporn, S., Chindavijak, B., dan Onsanit, S. Effect of diabetes drug counseling by pharmacist, diabetic disease booklet and special medication containers on glycemic control of type 2 diabetes mellitus: a randomized controlled trial. Journal of the Medical Association of Thailand, Chotmaihet Thangphaet. 2005;88 Suppl 4: S134-141.
  24. Nugraheni, A.Y. dan Sari, I.P. Pengaruh konseling apoteker dengan alat bantu pada pasien diabetes melitus Tipe 2. Jurnal Manajemen dan Pelayanan Farmasi. 2015;5:225-235.
  25. Presetiawati, I., Andrajati, R., dan Sauriasari, R. Effectiveness of a medication booklet and counseling on treatment adherence in type 2 diabetes mellitus in patients. International Journal of Applied Pharmaceutics. 2017;9: 28-31
  26. Morello, C.M., Chynoweth, M., Kim, H., Singh, R.F., dan Hirsch, J.D. Strategies to improve medication adherence reported by diabetes patients and caregivers: results of a taking control of your diabetes survey.The Annals of Pharmacotherapy. 2011;45;145-153.
  27. Al-Qazaz, H.K., Sulaiman, S.A., Hassali, M.A., Shafie, A.A., Sundram, S., Al-Nuri, R., dkk. Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. International Journal of Clinical Pharmacy. 2011;33: 1028-1035.
  28. Nazir, S., Hassali, M., Saleem, F., Bashir, S., dan Aljadhey, H. Association Between Diabetes-related Knowledge and Medication Adherence: Results From Cross-sectional Analysis. Altern Ther Health Med. 2016;22: 8-13.



DOI: https://doi.org/10.22146/jmpf.46240

Article Metrics

Abstract views : 3875 | views : 3661

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

©Jurnal Manajemen dan Pelayanan Farmasi
Faculty of Pharmacy
Universitas Gadjah Mada
Creative Commons License
View My Stats