Evaluation Of The Effectiveness Of Antihypertensive Drug Use In Preeclampsia Patients Hospitalised In RSIA Sitti Khadijah 1 Makassar
DOI:
https://doi.org/10.70410/jfg.v11i2.336Keywords:
Preeclampsia, antihypertensives, therapeutic effectivenessAbstract
Preeclampsia is a medical condition that occurs during pregnancy, characterized by high blood pressure and the presence of protein in the urine (proteinuria) after 20 weeks of gestation. This condition poses a risk to pregnant women, fetuses and newborn babies. Mothers with preeclampsia suffer severe morbidity and mortality due to impaired function of organs such as the kidneys and liver, as well as blood clotting problems, which can occur in hypertension in pregnancy. Problems with the placenta and stunted fetal growth are also risks. Therefore, evaluation of the use of antihypertensive drugs is very important. The goal is to ensure that the drugs used are appropriate, effective and safe for pregnant women. This study aims to determine the profile and effectiveness of the use of antihypertensive drugs in inpatient preeclampsia patients at RSIA Sitti Khadijah 1 Makassar. This research uses a non-experimental (observational) descriptive method. The data used is retrospective, namely in the form of secondary data. The data source comes from medical records of inpatients diagnosed with preeclampsia. The research was conducted at RSIA Sitti Khadijah 1 Makassar for the period January 2023 to April 2024. The results of the study showed that the use of antihypertensive drugs in 47 preeclampsia patients, namely nifedipine monotherapy, was 87%, the combination of nifedipine and methyldopa was 9%, the combination of nifedipine and amlodipine was 4%. Most of the antihypertensives used are effective and have achieved the therapy goals of the Queensland Clinical Guideline 2021. Compliance with the use of antihypertensive drugs and doses was achieved at 96%, while 2% were declared inappropriate. As many as 94% were effective in reducing blood pressure according to therapy goals.
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Andriana, D. D., Utami, E. D., & Sholihat, N. K. (2018). Drug Use Evaluation of Antihypertensive in Pre-Eclampsia In-Patients in Dr. Margono Soekarjo General Hospital Purwokerto Period of January 2015-June 2016. Acta Pharmaciae Indonesia Journal, 6(1), 29–39. https://doi.org/10.5281/zenodo.3707186
Azzahra, F. A., & Yulianti, T. (2021). Identifikasi Drug Related Problems (Drps) Kategori Pemilihan Obat Dan Dosis Pada Pasien Preeklampsia Dan Eklampsia Di Instalasi Rawat Inap Rsup Dr. Soeradji Tirtonegoro Klaten Tahun 2018. 37–53.
Dewi, N. K. (2019). Evaluasi Ketepatan Dan Efektivitas Terapi Hipertensi Pada Ibu Hamil Dengan Preeklampsia/ Eklampsia Di RST dr. Soedjono Kota Magelang Januari 2017-Juni 2018. Universitas Muhammadiyah Surakarta.
Husna, N., Melinda, C., Sugita, R. D., & Anggraeni, R. (2023). Studi Faktor Resiko, Pola Pengobatan, dan Luaran Klinis Pasien Preeklampsia di RSUD Sleman Yogyakarta. Jurnal Sains Farmasi & Klinis, 9(sup), 196. https://doi.org/10.25077/jsfk.9.sup.196-201.2022
Karrar, S. A., & Hong, P. L. (2023). Preeclampsia. Nlm.Nih.Gov. https://www.ncbi.nlm.nih.gov/books/NBK570611/#article-27640.s7 %0A%0A
Khansha, L., & Yuniarni, U. (2023). Evaluasi Penatalaksaan Penggunaan Obat Antihipertensi pada Pasien Preeklampsia di Instalasi Rawat Inap. Jurnal Riset Farmasi, 49–56. https://doi.org/10.29313/jrf.v3i1.3119
Kundarto, W., & Faizah, R. N. (2021). Evaluasi Terapi Antihipertensi Pada Pasien Preeklampsia Berat di Instalasi Rawat Inap RSUD Dr. Moewardi Periode Januari - Juni Tahun 2017. JPSCR: Journal of Pharmaceutical Science and Clinical Research, 6(2), 228. https://doi.org/10.20961/jpscr.v6i2.39487
Madania, Abdulkadir, W. S., Djuwarno, E. N., Suryadi, A. M. A., & Sherina, S. (2024). Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila. Journal Syifa Sciences and Clinical Research, 6(1), 34–45. https://doi.org/10.37311/jsscr.v6i1.23785
Nabila. (2023). Evaluasi Pengobatan Antihipertensi Pada Pasien Preeklampsia Di RS Islam PKU Muhammadiyah Pekajangan. Borneo Akcaya, 9(2).
Ndwiga, C., Odwe, G., Pooja, S., Ogutu, O., Osoti, A., & Warren, C. E. (2020). Clinical presentation and outcomes of preeclampsia and eclampsia at a national hospital, Kenya: A retrospective cohort study. PLoS ONE, 15(6 June), 1–15. https://doi.org/10.1371/journal.pone.0233323
QCG, Guidelines, Queensland, & Clinical. (2021). Maternity and Neonatal Clinical Guideline Hypertension and pregnancy. Queensland Health, No. MN21.13-V9-R26, 1–39.
Rokhmah, N., Zunita, O., & Septiani, A. (2023). Evaluation of the Antihypertensive Drugs in Preeclampsia Patients To Clinical Outcomes At Rsud Sekarwangi on 2021 Period. Medical Sains?: Jurnal Ilmiah Kefarmasian, 8(4), 1537–1546. https://doi.org/10.37874/ms.v8i4.917
WHO. (2023). Maternal mortality. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Yana, A. U., Brata, C., & Irawati, S. (2023). Studi Penggunaan Antihipertensi pada Pasien Preeklampsia Rawat Jalan di Poliklinik RSIA Bantuan 05.08.05 Surabaya. 14(2), 319–326. https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/
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