ANALISIS JUMLAH OBAT TERHADAP POTENTIALLY INAPPROPRIATE MEDICATIONS (PIMs) BERDASARKAN BEERS CRITERIA 2015 PADA PASIEN HIPERTENSI GERIATRI DI PUSKESMAS SIDOMULYO KOTA PEKANBARU
Abstract
Potentially Inappropriate Medications (PIMs) is the use of drugs associated with the risk of side effects where there are safer alternative to treat the same condition. The number of drug is one of the factors that can cause errors in the prescription of drugs and may result in PIMs events. This study aims to look at the number of drugs, the incidence of PIMs, the number of PIMs events and PIMs categories as well as see the relation of the amount of drugs used against PIMs. This is an observational analytic descriptive research with cross sectional approach for 287 prescriptions of geriatric hypertension patients using the purposive sampling technique in Sidomulyo health center in Pekanbaru. Based on the number of drug, there were 60 patients who got the number of drug ≥5 and 226 patients who got the numbert of drug <5 . The incidence of identified PIMs was 77 patients, the highest number of PIMs received was 1 PIMs in 75 patients and found the one category which is the most accepted category by the patients. The correlation analysis of Contigency Coefficient showed that the number of drugs gives a moderate correlation and significant (r = 0.414; p = 0,000) to the incidence of PIMs and the number of PIMs events. It can be concluded that the number of drugs provides a significant correlation in the incidence of PIMs in geriatric patients.
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References
Anonim, 2012. Identifying Medications That Older Adults Should Avoid or Use with Caution: The 2012 American Geriatrics Society Updated Beers Criteria, the AGS Foundation for Health in Aging.
Anonim, 2013. Gambaran Kesehatan Lanjut Usia di Indonesia, Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia, Jakarta.
Anonima, 2014. Hipertensi, Infodatin, Pusat Data dan Informasi Kementrian Kesehatan RI, Jakarta.
Anonimb, 2014. Permenkes No. 30. Standar Pelayanan Kefarmasian di Puskesmas: Kementerian Kesehatan Republik Indonesia, Jakarta.
Anonimc, 2014. Profil Puskesmas Kota Pekanbaru Tahun 2014: Badan Pusat Statistik, Pekanbaru.
Anonimd, 2014. Situasi dan Analisis Lanjut Usia, Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia.
Anonim, 2016. Situasi Geriatri, Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia, Jakarta.
Borah, L., Devi, D.,Debnath, P.G., Deka, D, 2017. A Study Of Drug Utilization Pattern Of The Geriatric Patients In The Departement Of Geriatric Medicine In A Tertiary Care Hospital In Assam. Asian Journal Of Pharmaceutical and Clinical Research 10(2): 122-126.
Elmstahl, S., dan Linder, H., 2013. Polypharmacy and Inappropriate Drug Use Among Older People a Systematic Review, Healthy Aging Clinical Care Elderly, 5:1-8.
Kondo, N., Nakamura, F., Yamazaki, S., Yamamoto, Y., Akizawa, T., Akiba, T., Saito, A., Kurokawa, K., Fukuhara, S., 2014. Prescription of Potentially Inappropriate Medications to Elderly Hemodialysis Patients Prevalence and Predictors, Oxford Journal, 30: 498–505.
Martono, H, H., dan Pranarka, K., 2009, Buku Ajar Geriatri (Ilmu Kesehatan Lanjut), Fakultas Kedokteran Universitas Indonesia, Jakarta.
Nazira, P., 2016. Karya Tulis Ilmiah, Gambaran Penggunaan dan Ketaatan Minum Obat Hipertensi Pada Pasien Hipertensi Di Rawat Jalan Rumah Sakit Umum Arifin Achmad Provinsi Riau, Skripsi, Sekolah Tinggi Ilmu Farmasi Riau. Pekanbaru.
Negara, R, Y., Machlaurin, A., Rachmawati., 2016, Potensi Penggunaan Obat yang Tidak Tepat pada Peresepan Pasien Geriatri Rawat Jalan di RSD dr. Soebandi Jember Berdasarkan Beers Criteria, E–Jurnal Pustaka Kesehatan, 4 (1),14-19.
Osei,E.K., Caban, C.S.B., Haley, C.L., dan Pope, H.R., 2016, Prevalence of Beers CriteriaMedications Among Elderly Patientsin a Military Hospital, Gerontology and Geriatric Medicine, 2(1), 1–16.
Page, R.L., Linnebur, S.A., Bryant, L.L., dan Ruscin, J.M., 2010. Inappropriate in the Hospitalized Elderly Patient: Defining the Problem, Evaluation Tools, and Possible Solution, Journal Clinical Intervention in Aging, 5:75-87.
Roosheroe, A, G., dan Supartondo., 2006. Pedoman Pemberian Obat pada Pasien Geriatri Serta Mengatasi Masalah Polifarmasi. Dalam buku: Sudoyo, W, A., Setiyohadi, B., Alwi, I., Dan Setiati, S., Simadribrata, M, K., Editor. Ilmu Penyakit Dalam edisi IV Jilid III: Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universias Indonesia, Jakarta.
Silva, D.C.G., Pereira, M.L., Soares, D.B., Loyola Filho, A.I., dan Nascimento, M.M.G., 2016., Potentially Inappropriate Medication Use Among Elderly Patients from a Brazilian General Hospital, Infarma Ciências Farmacêuticas, 28(1), 27–32.
Sudoyo, A. W., Setyohadi, B., Alwi, I., Simadibrata, M. dan Setiati, S., 2009. Buku Ajar Ilmu Penyakit Dalam edisi IV Jilid III: Fakultas Kedokteran Universitas Indonesia, Jakarta.
Supraptia, B., Nilamsari, W. P., Hapsari, P. P., Muzayana, H. A., Firdaus, H., 2014. Permasalahan Terkait Obat Antihipertensi pada Pasien Usia Lanjut di Poli Geriatri RSUD Dr.Soetomo Surabaya, Jurnal Farmasi dan Ilmu Kefarmasian Indonesia, 1(2),36-41.
Yogita, K., dan Priti., 2013. Measuring Inappropriate Prescriptions In Geriatric Population: Overview Of Various Screening Tools. International Journal of Medical Research and Health Sciences, 2(3), 636-642.
Syuaib, A, N., Darmawan, E., Mustofa., 2015. Penggunaan Potentially Inappropriate Medications (PIMs) pada Pasien Geriatri Rawat Inap Osteoarthritis di RS PKU Muhammadiyah Yogyakarta. Pharmaciana, 5 (1): 77-84.
Mulyani, E., Darmawan, E., dan Mustofa, 2015. Hubungan Jumlah Obat yang Diresepkan dengan Potensial Penggunaan Obat yang Tidak Tepat Pada Pasien Penyakit Ginjal Kronis di RS PKU Muhammadiyah Yogyakarta, Pharmaciana, 5(2), 153-160.
Samuel, M.J., 2015, American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Journal of the American Geriatrics Society, 63(11),2227–2246.
