ANALISIS JURNAL

DISUSUN OLEH

NAMA: LISDA PURWATI

NPM: 16142011207425

PRODI: S1 KEPERAWATAN/VA

FAKULTAS ILMU KEPERAWATAN DAN ILMU KESEHATAN

UNIVERSITAS MUHAMMADIYAH BANJARMASIN
2016/2017
 BAB I

PENDAHULUAN

1.1 JUDUL JURNAL

Research Article
A study of prescribing pattern of drugs in patients of cardiovascular emergencies at a
tertiary care hospital of Western Maharashtra (International Journal of Research in
Medical Sciences | February 2016 | Vol 4 | Issue 2)
Artikel penelitian
Sebuah studi entang pola pemberian resep obat pada pasien kardiovaskular keadaan
darurat di sebuah rumah sakit tersier di Maharasgtra Barat (juran penelitian nasional
dalam ilmu kesehatan /februari 2016/vol 4/ edisi 2)

1.2 ABSTRAK
Background: The main objective of drug utilization research is to assess the rationality of
drug use. Recently it has been found that cardiovascular disease is the most frequent
cause of morbidity and mortality throughout the world. The objective of present study
was to focus on the trends in prescribing patterns of most frequently treated
cardiovascular emergencies. Methods: A retrospective descriptive study was carried out
in cardiovascular emergency patients. From the medical records the following data was
collected: Distribution of cardiovascular emergencies (age and sex wise), most common
cardiovascular emergencies treated, outcome of each patient, average duration of stay in
the hospital and drugs prescribed per patient, correlation of clinical outcome with
treatment if possible, drug utilization trend in cardiovascular emergencies. From the data,
master chart was prepared for data analysis. Results: Total 82 patients case records were
studied. Myocardial infarction (50%) was the most common cardiovascular emergency
treated during study period followed by unstable angina (36.58%). Male to female ratio
was 1.83. Average hospital stay was found 5.75 days. The average number of drugs per
patient was 8.4. Hypertension (42.24%) and diabetes mellitus (19.51%) were the most
common comorbidities found associated with cardiovascular emergencies. Aspirin
clopidogrel combination (80.49%), enoxaparin (75.61%), atorvastatin (73.17%), glyceryl
trinitrate (73.17%) were the most commonly prescribed drugs. The utilization rate of
ACE inhibitors and ARBs (56.10%) was found higher than that of beta blockers
(28.05%). Stool softeners (52.46%) and anxiolytics (28.58%) were the most commonly
used non-cardiovascular drugs. Improvement was seen in 82.93% patients. Conclusions:
Protocol of management strategy of cardiovascular emergencies in our tertiary care
hospital was found near to standard recommended guidelines.
Keywords: Cardiovascular emergencies, Drug utilization, Myocardial infarction
Arti: latar belakang : tujuan utama penelitian ini pemanfaatan obat adalah menilai
rasionalitas penggunaan narkoba. Baru-baru ini telah ditemukanbahwa penyakit
kardiovaskular adalahpeneybab paling sering morbiditas dan mortalitas diseluruh dunia.
Tujuan dari penelitian ini adalah untuk berfokus pada tren dalam menentukan pola yang
paling sering diobati keadaan darurat kardiovaskular. Metode : sebuah penelitian
diskriptif retrospektif dilakukan pada pasien darurat kardiovaskular. Daro dokter catatan
data berikut dikumpulkan : distribusi keadaan darurat kardiovaskular (usia dan jenis
kelamin yang bijaksana), paling banyak keadaan darurat kardiovaskular umum diobati,
hasil setiap pasien, durasi rata-rata tinggal dirumah sakit dan obat yang diresepkan per
pasien korelasi hasil klinis dengan pengobatan jika memungkinkan, kecendrungan
penggunaan obat di Indonesia keadaan darurat kardiovaskular dari data tersebut, master
chart disiapkan untuk analisis data. Hasil : total 82 pasien catatan kasus dipelajari. Infark
miokard (50%) adalah yang paling umum keadaan darurat kardiovaskular Selma masa
studi diikuti oleh angina tidak stabil (36,58%). Rasio pria terhadap wanita adalah 1,83.
Rata-rata tinggal dirumah sakit ditemukan 5,75 hari. Rata-rata jumlah obat per pasien
adalah 8,4. Hipertensi (42,24%) adalah diabetes mellitus (19,51%) adalah komordibitas
yang paling umum ditemukan terkait dengan keadaan darurat kardiovaskularkombinasi
clopidogrel aspirin (80,49%), enoxaparin (75,61%), atorvastatin(73,17%), glyceryl
trinitrate (73,17%) adalah obat paling sering diresepkan. Tingkat utilisasi inhibitor ACE
dan ARB (56,10%) ditemukan lebih tinggi dari beta blocker (28,05%). Pelunak feses
(52,46%) dan anxiolytics (28,58%) adalah obat non kardiovaskular yang paling umum
digunakan. Perbaikan terlihat pada 82,93% pasien. Kesimpulan : protocol strategi
pengelolaan darurat kardiovaskular dirumah sakit tersier kami ditemukan dekat dengan
panduan standar yang direkomendasikan.
Kata kunci : keadaan darurat kardiovaskular, pemanfaatan obat, infark miokard

BAB II
 ISI ANALISIS JURNAL

2.1 PROBLEM
Total 82 patients case records were studied
Total 82 pasien catatan kasus diteliti

2.2 INTERVENTION
During the study period total 82 case records of the cardiovascular patients were studied.
Diagnosis along with the drugs prescribed was recorded for each patient of
cardiovascular emergencies. From the medical records the following data was collected:
Data collection includes
Distribution of cardiovascular emergencies (age and sex wise). The most
common cardiovascular emergencies treated. The outcome of each patient of
cardiovascular emergencies. Average duration of stay in the hospital. The
correlation of clinical outcome with treatment if possible. Average number of drugs
prescribed per patient. Drug utilization trend in our hospital for cardiovascular
emergencies.
The data collected was condensed and master chart was prepared for data analysis
Selama masa studi total 82 pasien catatan kasus pasien kardiovaskular dipelajari.
Diagnosis bersama dengan obat yang diresepkan direkam untuk setiap pasien keadaan
darurat kardiovaskular dri rekam medis data berikut dikumpulkan: pengumpulan dara
meliputi
Distribusi keadaan darurat kardiovaskular (umur dan seks bijaksana)
Keadaan darurat kardiovaskular yang paling umum diobati
Hasil setiap pasien kardiovaskular keadaan darurat
Rat-rata lama tinggal dirumah sakit
Korelasi hasil klinis dengan pengobatan jika memungkinkan
Rata-rata jumlah obat yang diresepkan per pasien
Tren pemanfaatan obat rumah sakit kami untukkeadaan darurat kardiovaskular
data yang dikumpulkan pun kental dan master chart itu disiapkan untuk analisis
data.
2.3 COMPARISON

-
2.4 OUT COME
Protocol of management strategy of cardiovascular emergencies in our tertiary care
hospital was found near to standard recommended guidelines.
protocol strategi pengelolaan darurat kardiovaskular dirumah sakit tersier kami
ditemukan dekat dengan panduan standar yang direkomendasikan.

ALASAN TIDAK MENGIKUTI PENGARAHAN :

Harus pulang ke rumah karena mengantar ibu kerumah sakit untuk melakukan medical chek
up kesehatan ibu karena ibu mengalami sakit yaitu urat terjepit.