Rasionalitas Peresepan Obat Anti Hipertensi pada Lansia di Rumah Sakit Universitas Kristen Indonesia Tahun 2011-2015

Mangiri, Priscilla Melinda (2016) Rasionalitas Peresepan Obat Anti Hipertensi pada Lansia di Rumah Sakit Universitas Kristen Indonesia Tahun 2011-2015. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Hipertensi memiliki urutan tertinggi kedua di dunia dari sepuluh penyakit terbanyak. Penyakit ini juga banyak terjadi pada usia lanjut. Obat anti hipertensi terbukti dapat menurunkan morbiditas dan mortalitas kardiovaskular. Penggunaan anti hipertensi pada lansia sering digunakan tidak rasional yang dapat menimbulkan efek samping dan meningkatkan angka morbiditas dan mortalitas hipertensi. Penelitian ini bertujuan untuk mengetahui rasionalitas peresepan anti hipertensi di Rumah Sakit Universitas Kristen Indonesia tahun 2011-2015. Ditinjau dari tepat indikasi, tepat dosis, tepat kombinasi obat. Desain penelitian yang dipilih adalah cross sectional. Pengambilan data sekunder diambil dari rekam medis pasien. Hasil penelitian disajikan dalam bentuk deskriptif dan analitik. Jumlah peresepan obat anti hipertensi pada lansia sebanyak 176 resep. Hasil yang diperoleh yaitu sebanyak 97,2% peresepan tepat indikasi dan sebanyak 2,8% tidak tepat indikasi. Resep anti hipertensi sebanyak 98,3% sesuai dosis dan sebanyak 1,7% tidak sesuai dosis. Resep anti hipertensi sebanyak 79% tepat kombinasi dan sebanyak 21% tidak tepat kombinasi. Resep anti hipertensi pada lansia dilihat kerasionalannya berdasarkan tepat indikasi, tepat dosis, dan tepat kombinasi sebanyak 75%. Kata kunci: Anti hipertensi, Peresepan, Lansia, Rasionalitas. / Hypertension has the world's second most prevalent diseases. The disease is also more common in the elderly. Antihypertensive drugs proven to reduce cardiovascular morbidity and mortality. The use of anti-hypertension in the elderly is often used irrationally which can cause side effects and increase the morbidity and mortality of hypertension.This study was conducted to determine the rationality of prescribing anti-hypertensive at the Hospital Christian University of Indonesia in 2011-2015. Review of the aspect of the right indication, the right dose, and the right combination of drugs. The selected research design is cross sectional. Collecting secondary data is taken from the patient's medical record. The results of the study are presented in the form of descriptive and analytic. Total prescription of antihypertensive drugs on the elderly as much as 176 recipes. And the results obtained are as much as 97.2% appropriate prescribing indications and as much as 2.8% is not appropriate indications. Prescription anti-hypertension as much as 98.3% according to the dosage and 1.7% is not appropriate doses. Prescription anti-hypertension as much as 79% right combination and as much as 21% is not right combination. Prescription of anti- hypertension on the elderly over the rationality based on precise indications, the exact dosage, and the right combination of as much as 75%. Keywords: Anti hypertension, Prescribing, Elderly, Rationality.

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