Hubungan Jumlah Peresepan Obat Terhadap Potensially Inapropriate Medications Berdasarkan Beers Criteria 2019 Pasien Diabetes Mellitus

Kumala Sari Poespita Dewi Wahyuni, Esti Ambar Widyaningrum, Erni Anika Sari, Dwitania Noerhalizah

Abstract


Diabetes melitus can lead to complications if not controlled, the risk of complications in geriatric patiens can lead to an increase in the number of drugs prescribed, so that many geriatric receive polypharmacy drugs. Polypharmacy can be used as a factors to describe Potentially Inappropriate Medications. Potentially Inappropriate Medications are the potential for inappropriate drug use which causes a risk of side effects where there are alternative drug options for the same therapy. This study was to determine the number of drug prescribing for Potentially Inappropriate Medications based on the 2019 Beers Criteria. This studi was an observational descriptive study using retrospective data. The sample used was 195 prescriptions for patients with diabetes mellitus in the period October-December 2020 with purposive sampling technique. Characteristics of the data using the contingency coefficient correlation test. The number of drug prescriptions obtained, a total of 68.21% of patients received > 5 kinds of drugs in one prescription based on the assessment of the incidence of Potentially Inappropriate Medications, there were 92.82% of prescriptions indicate an incidence of Potentially Inappropriate Medications. The highest number of Potentially Inappropriate Medications received was category one namely 50,38%. There are difference in the categories of Potentially Inappropriate Medications that patients receive due to diseases suffered by geriatricians where disease that affect many organs cause geriatricians to receive many drugs in health services. Based on a p-value of 0,000 there is a statistically significant relationship between the amount of drug administration with Potentially Inappropriate Medications.

Keywords


Beers Criteria 2019; Geriatric; Diabetes Mellitus; Potentially Inappropriate Medications

Full Text:

PDF

References


B. P. Statistik, “Profil Perempuan Indonesia 2019,” Kementeri. Pemberdaya. Peremp. dan Perlindungan Anak, 2019.

Kemenkes RI, “Hasil Riset Kesehatan Dasar Tahun 2018,” Kementrian Kesehat. RI, vol. 53, no. 9, pp. 1689–1699, 2018.

N. S. A. Gumilas, “Karakteristik penderita diabetes melitus (DM) tipe 2 di Purwokerto,” in Prosiding Seminar Nasional LPPM Unsoed, 2019, vol. 8, no. 1.

M. J. Samuel, “American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults,” J. Am. Geriatr. Soc., vol. 63, no. 11, pp. 2227–2246, 2015, doi: 10.1111/jgs.13702.

E. A. Widyaningrum, K. S. PDW, L. W. Astuti, S. Suhartatik, R. Rimawati, and E. K. Sari, “Correlation Between the Number of Drugs Prescribed and Potentially Inappropriate Medication (PIMS) Based on Beers Criteria in Geriatric Hypertension Outpatients at Dr. Soedomo Hospital in Trenggalek,” J. Farm. Galen. (Galenika J. Pharmacy)(e-Journal), vol. 7, no. 3, pp. 238–250, 2021.

M. Sugiyono, “Kualitataif dan r&d, Bandung: Alfabeta, 2010,” Sugiyono, Metod. Penelit. Kuantitatif Kualitatif Dan R&D Bandung Alf., 2007.

D. Irawan, “Prevalensi dan faktor risiko kejadian diabetes melitus tipe 2 di Daerah Urban Indonesia (Analisa Data Sekunder Riskesdas 2007).” Thesis Universitas Indonesia, 2010.

N. Isnaini and R. Ratnasari, “Faktor risiko mempengaruhi kejadian Diabetes mellitus tipe dua,” J. Kebidanan Dan Keperawatan Aisyiyah, vol. 14, no. 1, pp. 59–68, 2018.

A. Zulkarnaini and R. D. Martini, “Gambaran Polifarmasi Pasien Geriatri Dibeberapa Poliklinik RSUP Dr. M. Djamil Padang,” J. Kesehat. Andalas, vol. 8, no. 1S, pp. 1–6, 2019.

W. H. Organization, Global diffusion of eHealth: making universal health coverage achievable: report of the third global survey on eHealth. World Health Organization, 2017.

K. Asplund et al., “Geriatric‐based versus general wards for older acute medical patients: a randomized comparison of outcomes and use of resources,” J. Am. Geriatr. Soc., vol. 48, no. 11, pp. 1381–1388, 2000.

D. C. Guimarães e Silva, M. L. Pereira, D. B. Soares, A. I. Loyola-Filho, and M. M. G. Nascimento, “Potentially Inappropriate Medication Use Among Older Hospitalized Patients in a Brazilian General Hospital,” Infarma - Ciências Farm., vol. 28, no. 1, pp. 27–32, 2016, doi: 10.14450/2318-9312.v28.e1.a2016.pp27-32.

2019 American Geriatrics Society Beers Criteria® Update Expert Panel et al., “American Geriatrics Society 2019 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults,” J. Am. Geriatr. Soc., vol. 67, no. 4, pp. 674–694, 2019.

R. Charfi, M. Ben Sassi, E. Gaies, N. Jebabli, R. Daghfous, and S. Trabelsi, “Digoxin therapeutic drug monitoring: age influence and adverse events Suivi thérapeutique pharmacologique de la digoxine: influence de l’âge et effets indésirables,” Tunis. Med., vol. 98, no. 01, 2020.

F. M. Amrulloh and N. Utami, “Hubungan Konsumsi OAINS terhadap Gastritis The Relation of NSAID Consumption to Gastritis,” Majority, vol. 5, pp. 18–21, 2016.




DOI: https://doi.org/10.37311/ijpe.v3i2.19752

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Kumala Sari Poespita Dewi Wahyuni, Esti Ambar Widyaningrum, Erni Anika Sari, Dwitania Noerhalizah

Creative Commons License
Indonesian Journal of Pharmaceutical Education is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.