RASIONALITAS PENGOBATAN PASIEN STROKE RAWAT INAP DI RUMAH SAKIT UMUM DAERAH DR. SOEDARSO PONTIANAK

Annafiatuzakiah Annafiatuzakiah; Ya’ Julchairi

Authors

Annafiatuzakiah Departemen Farmakologi dan Farmasi Klinik, Fakultas Kedokteran, Universitas Tanjungpura, Pontianak, Indonesia
Ya’ Julchairi Program Studi Farmasi, Fakultas Kedokteran, Universitas Tanjungpura, Pontianak, Indonesia

Keywords:

Medication, Patients Ischemic Stroke, Hemoragic

Abstract

Stroke is a focal or global acute functional disorders of the brain because the blocked of blood circulation to brain. WHO study showed that the incidence of stroke varies between 48 to 240 per 10,000 per year in the population aged 45 to 54 years. This study was aimed to determine the percentage of treatment rationality of stroke patients in RSUD dr. Soedarso Pontianak which includes the right indication, right drug, right dose and the right usage based on the guidelines of stroke. This study was cross-sectional observational study using retrospective data such as medical records of hospitalized stroke patients. The total of sample for this research were 40 people. The results of patient characteristics were dominated by the male gender (52.5%); the age for men patients: >60 years (27.5%) and for women patients: 46-60 years old (25%) and men patients without a job (27.5%) and women patients without a job (45%). Clinical characteristics of treatment were dominated by patients with hypertension systolic blood pressure category (80%) and hypertension diastolic blood pressure category (70%); symptoms with loss of consciousness (31%); the comorbidity of stroke with hypertension (62.5%); type of stroke with ischemic stroke (70%); length of therapy for 1-10 days (72.5%) and patients with return state after therapy (100%). The therapy rasionality of hospitalized stroke patients in this research were 100% right indication, 100% right drug, 82% right dose and 97.5% right usage. In general, the rationality of treatment for stroke patients were 62.5%.

References

Arsil, Yuliana (2011). Analisis Drug Related Problems pada pasien Dislipidemia di Bangsal Rawat Inap dan Jalan Penyakit Dalam RSUP DR. M. Djamil Padang. Padang : Universitas Andalas.

Andayani, T.M., Rahmawati, F., Rokhman, M.F., Sampurno., Mayasari, G., Nurcahaya, B.M., Arini, Y.A., Arfania, M., Mpila, D.A., Octasari, P.M., Dwiningrum, A., Intiyani, R. (2019). Drug Related Problems: Identifikasi, Faktor Risiko, dan Pencegahannya. Yogyakarta: Gadjah Mada University Press.

Burhanuddin, M., Wahyudi, Jumriani, 2012, Faktor Risiko Kejadian Stroke pada Dewasa Awal (18-40 tahun) di Kota Makassar Tahun 2010-2012, UNHAS, Makassar.

Dinata, C.A., Safrita, Y., Sastri, S., 2013, Gambaran Faktor Risiko dan Tipe Stroke pada Pasien Rawat Inap di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan Periode 1 Januari 2010 – 31 Juni 2012, Jurnal Kesehatan Andalas; 2 (2).

Feigin, V., 2006, Stroke, PT. Bhuana Ilmu Popular, Jakarta.

Friday, G., Alter M., Lai, 2012, Control of Hypertension and Risk of Stroke Recurrence, Stroke. 33: 2652.

Hohmann, C., Neumann-Haefelin, T., Klotz, J.M., et al, 2012, Drug-related Problems in Patients with Ischemic Stroke in Hospital, Int J Clin Pharm, 34: 82.

Islam, M.S., 2004, Pedoman Praktis Penatalaksanaan Stroke Iskemik Akut, Pendidikan Kedokteran Berkelanjutan.

Nailis, S., Ikawati, Z., Inayati, 2010, Kajian Efektifitas Penggunaan Pirasetam dan Sitikolin Pada Pasien Stroke dengan Menggunakan The National Institute Of Health Stroke Scale (NIHSS) di Bangsal Rawat Inap RS PKU Muhammadiyah Yogyakarta, Prosiding Seminar Nasional, Program Pascasarjana Ilmu Farmasi, UGM, Yoyakarta.

Notoatmodjo, Soekidjo, 2015, Metodologi Penelitian Kesehatan, Rineka Cipta, Jakarta.

Rosiana, P.W., 2009, Rehabilitasi Stroke pada Pelayanan Kesehatan Primer, SMF Rehabilitasi Medis RS Fatmawati, IDI, Majalah Kedokteran Indonesia, Jakarta; 59 (2),

Pudiastuti, R.D. (2019). Penyakit Pemicu Stroke. Yogyakarta : Muha Medika.

Suprapti T, Murtini G, Masfiah. (2020). Evaluation of Drug Related Problem in Ishemic Stroke Patients Undergoing Inpatients at the National Brain Center Hospital (RSPON) in 2018. Asian Journal of Applied Sciences, 8(5):247-259.

Yulianto, A., 2011, Mengapa Stroke Menyerang Usia Muda, PT. Buku Kita, Yogyakarta.

Zubiah, A.R., Angliadi, L.S., Engeline, A., 2012, Gambaran Angka Kejadian Stroke Akibat Hipertensi di Instalasi Rehabilitasi Medik BLU RSUP Prof. dr. R. D. Kandou Manado Periode Januari-Desember 2011, Universitas Sam Ratulangi, Manado.