| dc.contributor.advisor | CAHYANINGSIH,INDRIASTUTI | |
| dc.contributor.author | AMALIYA, NOVI | |
| dc.date.accessioned | 2018-10-08T06:22:19Z | |
| dc.date.available | 2018-10-08T06:22:19Z | |
| dc.date.issued | 2018-07-23 | |
| dc.identifier.uri | http://repository.umy.ac.id/handle/123456789/21873 | |
| dc.description | Pasien geriatri umumnya mengalami kerentanan terhadap berbagai macam
penyakit karena menurunnya fungsi organ tubuh salah satunya adalah gangguan
penyakit saraf. Ketidaktepatan penggunaan obat-obat yang bekerja pada sistem
saraf berdasarkan Beers Criteria 2015 banyak dilaporkan. Penelitian ini dilakukan
untuk mengetahui prevalensi peresepan obat dengan diagnosis gangguan saraf
pada pasien geriatri rawat inap berdasarkan Beers Criteria 2015 di Rumah Sakit
Umum Daerah Panembahan Senopati Bantul.
Penelitian ini merupakan penelitian observasional dan pengumpulan data
dilakukan secara retrospektif berdasarkan data rekam medik pasien geriatri
dengan diagnosis gangguan saraf yang di rawat inap di RSUD Panembahan
Senopati Bantul periode Januari – Desember 2016. Pengambilan sampel
dilakukan secara systematic random sampling. Data dikumpulkan dari 153 rekam
medik pasien yang masuk kriteria inklusi. Data dianalisis berdasarkan guideline
American Geriatrics Society Beers Criteria 2015.
Hasil penelitian menunjukkan bahwa, dari 153 pasien geriatri di RSUD
Panembahan Senopati Bantul yang masuk dalam kriteria inklusi terdapat 85
pasien (55,6%) teridentifikasi Potentially Inappropiate Medications (PIMs).
Analisis PIMs meliputi 4 kategori yaitu kategori obat-obat yang harus dihindari
pada pasien geriatri persentase terbanyak yaitu diazepam sebanyak 24 penggunaan
(33,3%) dan nifedipin immediate release sebanyak 10 penggunaan (13,9%),
kategori obat yang harus dihindari berdasarkan penyakit atau sindrom tertentu
persentase terbanyak yaitu ranitidin dengan diagnosis demensia sebesar 5 pasien
(62,5%), kategori obat yang digunakan dengan hati-hati pada pasien geriatri
persentase terbanyak yaitu furosemid sebanyak 37 penggunaan (71,2%), dan
kategori interaksi obat-obat yang harus dihindari yaitu diazepam dengan ≥ 2 obat
SSP sebanyak 4 pasien (66,7%), dexametason dengan ketorolac sebanyak 1 pasien
(16,7%), dan tramadol dengan amitriptiln dan morfin sebanyak 1 pasien (16,7%). | en_US |
| dc.description.abstract | Geriatric patients generally experience susceptibility to various diseases
because of decreased function of organs and one of them is a nervous disorder.
The inaccuracy of the use of drugs acting on the nervous system based on the
Beers Criteria 2015 is widely reported. This study was conducted to determine the
prevalence of prescribing drugs with the diagnosis of neurological disorders in
geriatric inpatients based on Beers Criteria 2015 at Rumah Sakit Umum Daerah
Panembahan Senopati Bantul.
This study was an observational study and data collection was conducted
retrospectively based on medical record data of geriatric inpatients with diagnosis
of neurological disorders at RSUD Panembahan Senopati Bantul from January -
December 2016. Sampling was done by systematic random sampling. Data were
collected from 153 medical records of patients which included in inclusion
criteria. Data were analyzed under the guidelines of the American Geriatrics
Society Beers Criteria 2015.
The results showed that from 153 geriatric patients in RSUD Panembahan
Senopati Bantul included in the inclusion criteria, 85 patients (55.6%) were
identified Potentially Inappropiate Medications (PIMs). The PIMs analysis
included four categories: drugs to be avoided from geriatric patients categories
with the highest percentage is diazepam with 24 usage (33.3%) and nifedipin
immediate release with 10 usage (13,9%), drug to be avoided based on disease or
a certain syndrome categories with the highest percentage is ranitidine which were
used for 5 patients with dementia (62.5%), drug used with caution in geriatric
patients categories with the highest percentage is furosemide with 37 usage
(71.2%), and drugs interaction to be avoided categories including diazepam with ≥
2 CNS medications from 4 patients (66.7%), dexamethasone with ketorolac from
1 patient (16.7%), and tramadol with amitriptiln and morphine from 1 patient
(16.7%). | en_US |
| dc.publisher | FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH YOGYAKARTA | en_US |
| dc.subject | geriatric, potentially inappropriate medications, Beers Criteria 2015 | en_US |
| dc.title | EVALUASI PERESEPAN OBAT DENGAN DIAGNOSIS GANGGUAN SARAF PADA PASIEN GERIATRI RAWAT INAP DI RUMAH SAKIT UMUM DAERAH PANEMBAHAN SENOPATI BANTUL PERIODE TAHUN 2016 BERDASARKAN BEERS CRITERIA 2015 | en_US |
| dc.type | Thesis
SKR
FKIK
275 | en_US |
