IDENTIFIKASI DRUG RELATED PROBLEMS (DRPs) PADA PENATALAKSANAAN PASIEN CONGESTIVE HEART FAILURE (CHF) DI INSTALASI RAWAT INAP RUMAH SAKIT UMUM DAERAH (RSUD) KOTA YOGYAKARTA PERIODE JANUARI – DESEMBER TAHUN 2016
Abstract
In Indonesia, cardiovascular disease is ranked first as the cause of death,
with 17.5 million people die each year. In RSUD of Yogyakarta the incidence rate
of Congestive Heart Failure (CHF) is 0.8% from the total number of patients in
the inpatient installation. Cardiovascular disease is generally accompanied by
comorbidities so that patients get complex therapy. The importance of pharmacy
care in the form of actual or potential Drug Related Problems (DRPs) is intended
to achieve optimal therapy. This study aims to determine the categories and
incidence rates of DRPs in CHF patients in the Inpatient Installation in RSUD of
Yogyakarta for the period of January-December 2016.
This study used a non-experimental research design that was analyzed
descriptively. Data collection of CHF patients in RSUD of Yogyakarta was
conducted retrospectively starting from October to December 2017. The sample
of the study consisted of 36 patients with a diagnosis of CHF that met the
inclusion criteria. DRPs analysis in this study used the Medical Service Standards
(SPM) of RSUD of Yogyakarta, Guideline Pharmacotherapy Handbook 9th
edition 2015, NYHA, Drug Interaction Facts and PERKI.
The results of the analysis of the identification of DRPs show that there
are 19 patients (52%) who had the potential to experience DRPs as many as 42
incidents including the problem of drug selection as many as 20 incidents (48%),
the problem of giving dose as many as 1 incident (2%) and drug interactions as
many as 21 incidents (50%).