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"Objective : Diabetes Mellitus has been known as a causal factor for sexual dysfunction in men due to neuropatic diabetic, vascular insufficiency and psychological problems. Female sexual dysfunction in diabetic patients has not been studied yet, because of limited scientific experiments in this subject. The purpose of this study is to get the prevalence of female sexual dysfunction in diabetic patients at Hasan Sadikin Hospital Bandung.Method : This study was done to 100 women with diabetes mellitus who visited Endocrinology Out Patient Clinic at Hasan Sadikin Hospital Bandung. The study was performed using The Index of Female Sexual Function (IFSF) questionnaires with interview technic. Control population was 110 women who visited or worked at Hasan Sadikin Hospital Bandung. The responses of the qustionnaieres were analyzed to determine whether subject of this study experience sexual dysfunction or not.Result : Women with diabetes mellitus were more likely to suffer from sexual dysfunction than population control (36 % vs 26 % ; p < 0.05 ). Women with diabetes mellitus complained more about decreased lubrication of vagina than population control ( 32 % vs 15 % ; p = 0.008 ). Age and length of suffering from diabetes mellitus are statistically not significant for causing female sexual dysfunction.Conclusion : Sexual problems are more likely to occur in women with diabetes mellitus."

"Ulkus diabetik merupakan salah satu komplikasi kronis diabetes melitus (DM). Terjadinya ulkus diabetik diawali dengan adanya neuropati dan penyakit vaskular perifer sebagai dampak hiperglikemia serta adanya trauma akibat kurangnya pasien melakukan perawatan kaki. Tujuan penelitian ini untuk mengetahui hubungan antara kepatuhan pasien dengan kejadian ulkus diabetik dalam konteks asuhan keperawatan pada pasien DM di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan rancangan crossectional study. Jumlah sampel penelitian 88 responden terdiri dari 44 orang pasien DM dengan ulkus dan 44 orang pasien DM tanpa ulkus. Teknik pengambilan sampel yaitu consecutive sampling dan acak sederhana. Analisis statistik yang digunakan yaitu uji Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan adanya hubungan yang bermakna antara kepatuhan pasien DM (p=0,000), kepatuhan memonitor glukosa darah (p=0,000), diet (p=0,000), aktivitas (p=0,023), perawatan kaki (p=0,000), kunjungan berobat (p=0,000) dengan kejadian ulkus diabetik. Kepatuhan kunjungan berobat merupakan faktor paling dominan berhubungan dengan kejadian ulkus diabetik (OR=8,95). Karakteristik demografi jenis kelamin merupakan faktor pengganggu. Sedangkan umur, tingkat pendidikan dan status ekonomi bukan faktor pengganggu. Kesimpulan penelitian ini adalah terdapat hubungan antara ketidakpatuhan pasien DM dengan kejadian ulkus diabetik. Saran peneliti yaitu pasien perlu mendapat pendidikan kesehatan, pemeriksaan kaki secara teratur, pasien harus mematuhi terhadap saran petugas kesehatan. Perlu dilakukan penelitian mengenai faktor-faktor yang berhubungan dengan ketidakpatuhan pasien DM.

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Diabetic ulcer is one of chronic complications of Diabetes Mellitus. Neuropathy and peripheral vascular disease are the beginning of ulcer, as the result of hyperglycemia condition, and a trauma caused by lack of foot care. The aim of this study is to identify the relation of patient adherence with diabetic ulcer occurance in the context of nursing care of patient with diabetes mellitus at Dr. Hasan Sadikin Hospital, Bandung. Crossectional study design was used in this study. The samples size were 88 patients with diabetes mellitus, consisted of 44 patients with diabetic ulcer and 44 patients without diabetic ulcer. Samples were selected by simple random and consecutive sampling technique. Chi Square and a multiple logistic regression were used to examine the relation of patient adherence with occurrence diabetic ulcers.

The result showed that there was a significant corelation of diabetes mellitus patient adherence (p=0,000), adherence of monitoring blood glucose level (p=0,000), diet (p=0,000), activities (p=0,023), foot care (p=0,000), and visiting health care provider (p=0,000) with diabetic ulcer occurence. Adherence of visiting health care provider was the most dominant factor related to diabetic ulcer occurence (OR=8,95). Sex was confounding factor. Whereas age, education and economic level were not confounding factors. It is concluded that there was a relationship between patient adherence and the occurance of diabetic ulcer. Recommendations of this research were patient need to get health education, regular foot examination, patient adherence to recommendations health care provider. Further research about factors related to nonadherence in diabetes mellitus patients need to be done."

"Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berisiko terhadap kejadian gagal ginjal tahap akhir pada pasien DM tipe 2. Desain pada penelitian ini adalah deskriptif analitik dengan pendekatan penelitian case control. Jumlah responden kelompok kasus adalah 23 orang dan kelompok kontrol 46 orang. Analisis bivariat menunjukkan bahwa faktor risiko yang berhubungan dengan kejadian gagal ginjal tahap akhir adalah lama menderita DM (p = 0,028), kebiasaan merokok (p = 0,027), minum minuman beralkohol (p = 0,034), pola diit (p = 0,000), hipertensi ( p = 0,036 ). Pada analisis regresi logistik diketahui bahwa pola diit merupakan faktor yang paling berpengaruh terhadap terjadinya gagal ginjal tahap akhir pada pasien DM tipe 2 (p = 0.008). Diharapkan perawat perlu mengembangkan standar asuhan keperawatan yang berfokus pada upaya preventif untuk mencegah terjadinya komplikasi terutama gagal ginjal tahap akhir.

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This research aims to know the risk factors which related to end stage renal disease. Research design is analitic description with case control approaching. The number of case group respondent are 23 people and control group respondent are 46 people. Bivariat analysis showed that risk factors corellated with end stage renal disease is duration of DM suffered (p = 0.028), smoking habit (p = 0,027), drinking alcoholic (p = 0.034), diet pattern (p = 0.000), Hypertension (p = 0.036). In logistic regression analysis is known that diet pattern is the most influencing factor in end stage renal disease in type 2 DM patient ( p = 0,008). It's recommended that nurses develop a nursing care standardization focused on preventif effort to prevent complication, especially end stage renal disease."

"Kemoterapi sering menimbulkan kecemasan, mual dan muntah. Salah satu tindakan nonfarmakologis untuk mengatasi kecemasan,mual dan muntah setelah kemoterapi adalah dengan relaksasi Progressive Muscle Relaxation (PMR).Tujuan penelitian ini adalah mengidentifikasi pengaruh PMR terhadap kecemasan, mual, dan muntah setelah kemoterapi pada kanker payudara di RS Dr. Hasan Sadikin Bandung. Metoda penelitian quasi experiment.Rancangan penelitian yang digunakan adalah pre and post test group design dengan kelompok kontrol. Sampel berjumlah 70 orang. Teknik pengambilan sampel consecutive sampling. Alat yang digunakan kuesioner kecemasan State and Trait dan Morrow Assesment Nausea and Emesis (MANE) untuk mengukur mual dan muntah. Kelompok intervensi diberikan relaksasi dengan Progressive Muscle Relaxation (PMR) sehari dua kali selama satu minggu post kemoterapi (dua siklus kemoterapi) atau secara total, subjek melakukan 28 kali relaksasi dengan PMR.Untuk menguji perbedaan rata-rata skor kecemasan, mual, dan muntah pada kelompok kontrol dan intervensi digunakan uji T.Hasil penelitian usia, tingkat pendidikan, dan siklus kemoterapi setara. Selisih Penurunan rata-rata kecemasan, mual, dan muntah sebelum dan setelah PMR pada kelompok intervensi berbeda secara bermakna (p value=0,000).Kesimpulan PMR dapat menurunkan kecemasan, mual, dan muntah setelah kemoterapi pada pasien kanker payudara di RS. Dr. Hasan Sadikin Bandung. Disarankan PMR diterapkan di rumah sakit sebagai salah satu terapi komplementer nonfarmakologik untuk mengatasi kecemasan, mual, dan muntah, dibuat sebagai prosedur tetap dalamintervensi keperawatan.

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ABSTRACTChemotherapy often causes anxiety, nausea and vomiting. One of the complementary therapy nonfarmacological procedures to overcome post-chemotherapy anxiety, nausea, and vomiting is Progressive Muscle Relaxation (PMR).The objective of the research is to identify impact of PMR on anxiety impact of PMR on anxiety, nausea, and vomiting after chemotherapy for breast cancer at Dr. Hasan Sadikin Hospital in Bandung. The research method was a quasi experimental.The research design was pre and post groups design with a control. The number of the sample participated in the study was 70 persons. The sample collection technique used was a consecutive sampling. One quesionare was utilized the State and Trait and the Morrow Assessment Nausea and Emesis (MANE) to measure nausea and vomiting. The intervention group was treated with PMR twice a day for one week post chemotherapy (two cycle of chemotherapy) or subjek was relaxation with PMR for 28 times, totally. To test the average difference in scores of anxiety, nausea, and vomiting in in the control and the intervention groups, a ttest was used.The research result demonstrated tha the age, education, and the chemotherapy cicle is equal.the average scores of anxiety, nausea, and vomiting before and after PMR in the intervention groups decreases significantly (pvalue=0,000). It is conclude that PMR can reduce anxiety, nausea, and vomiting after chemotherapy among patient with breast cancer at Dr. Hasan Sadikin Hospital in Bandung.It is recommended that PMR should be used in hospitals as a complementary therapy to overcome anxiety, nausea, and vomiting nonpharmacologicaly. In addition, a recommendation also directed to the management of hospital to include PMR as a standard nursing procedure."

"Sekitar 490.000 perempuan di seluruh dunia didiagnosa menderita kanker serviks danrata-rata 240.000 kasus kematian perempuan terjadi akibat kanker serviks dan hampir80% dari kasus tersebut terjadi di negara-negara berkembang (WHO, 2008). Nyerimerupakan keluhan terbanyak yang dirasakan penderita kanker. Seperti halnya dikatakanoleh Abernethy, Keefe, McCrory, Scipio, (2006), angka kejadian nyeri pada semuapasien kanker sekitar 25% pada kanker yang baru terdiagnosa dan sekitar 60% sampaidengan 90% pada kanker stadium lanjut. Dodd, Miaskowski, dan Paul (2001)mengidentifikasi terjadinya nyeri pada pasien dengan kanker yang mendapatkankemoterapi. Tujuan :dari penelitian ini mendapatkan gambaran efektifitas Brief CBTterhadap nyeri dengan menggunakan instrumen Numeric Rating Scale (NRS) dan PerceivedMeaning Cancer Pain Inventory (PMCPI). Metoda : quasi experimental pre post test withcontrol group, teknik consecutive sampling terhadap 51 sampel : 26 intervensi dan 25kontrol. Hasil penelitian ditemukan penurunan intensitas nyeri dan PMCPI yang mendapatCBT lebih besar dibanding yang tidak mendapat CBT (p-value < 0,05). Rekomendasi: BriefCBT dijadikan terapi terpadu dalam manajemen nyeri pada pasien kanker serviks.

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Approximately 490,000 women worldwide are diagnosed with cervical cancer and

anaverage of 240,000 female deaths occur from cervical cancer and nearly 80% of these

cases occur in developing countries (WHO, 2008). Pain is a complaint that is felt most

cancer patients. As well said by Abernethy, Keefe, McCrory, Scipio, (2006), the incidence

of pain in all cancer patients about 25% in the newly diagnosed cancers and approximately

60% to 90% in advanced cancer. Dodd, Miaskowski, and Paul (2001) identified the

occurrence of pain in patients with cancer receiving chemotherapy. The purpose: to get an

overview of the research on the effectiveness of brief CBT pain using instruments Numeric

Rating Scale (NRS) and Perceived Meanings Cancer Pain Inventory (PMCPI). Method:

quasi-experimental pre-post test with control group, 51 consecutive sampling technique to

sample: 26 intervention and 25 control. The results found reductions in pain intensity and

PMCPI that gets bigger than that CBT did not receive CBT (p-value <0,05).

Recommendation: Brief CBT therapy be integrated in the management of pain in patients

with cervical cancer."

"Anemia merupakan akibat sekunder dari Gagal Ginjal Terminal (GGT) yang terjadi pada 80-95% pasien, seiring dengan penurunan laju filtrasi glomerulus pada pasien hemodialisis. Tujuan penelitian untuk mengidentifikasi faktor-faktor yang berhubungan dengan anemia pada pasien hemodialisis rutin. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel 116 orang.Hasil penelitian menunjukkan penyakit inflamasi merupakan faktor yang paling berhubungan dengan anemia ( p = 0,05; OR = 2,7), kedua adekuasi hemodialisis (p = 0,04; OR = 2,3) dan ketiga status nutrisi (p = 0,04; OR = 0,31). Pelaksanaan asuhan keperawatan yang komprehensif dan peran perawat dalam memastikan adekuasi hemodialisis tercapai untuk setiap pasien dengan frekuensi dialisis 3x/minggu selama 4 - 5 jam/sesi hemodialisis merupakan kunci keberhasilan manajemen anemia sebagai salah satu indikator kualitas pelayanan ruang hemodialisis.

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Anemia is a secondary effect of Chronic Renal Failure (CRF), which occurs in 80-95% of patients, in line with the decline of glomerular filtration rate. The purpose of this research was to identify the factors associated with anemia in hemodialysis patient. This study used cross-sectional design with a sample of 116 people.Results showed inflammatory disease was the most influential factor on the incidence of anemia (p = 0.05, OR = 2.7), then the adequacy of hemodialysis (p = 0.04; OR = 2.3) and third nutritional status (p = 0.04; OR = 0.31). Implementation of comprehensive nursing care and the role of nurses ensure adequacy of hemodialysis is achived for each patient with the frequency of hemodialysis performed 3 times a week for 4-5 hour per session of hemodialysis is the key indicator of adequacy of treatment of anemia as a service quality hemodialysis."

"Background : The aim of the study is to provide an insight about mean platelet volume (MPV) value in systemic lupus erythematosus (SLE) with and without thrombocytopenia patient. MPV wa expected to be used to determine the cause thrombocytopenia in lupus, so the patient could be treated appropriately. Method: The study design was descriptive categoric, and the data were obtained by using cross-sectional method from patient’s medical record and lab examination result in the period from January 1st 2016 – January 31st 2018. The sampling method are done using total sampling. The inclusion criteria of this study were SLE patients which MPV and platelet count had been examined at the same time, the data used is data that was first discovered in the period of the study. The exclusion criteria were incomplete medical record data, patient with thrombocytosis, and SLE with comorbidity such as thrombotic disease (ischemic stroke and deep vein thrombosis), other high inflammatory overlap diseases (such as rheumatoid arthritis and inflammatory bowel disease), and infection. Result : From 75 patients that match with the inclusion criteria, all patients were female and based on the age of diagnosis, most patients were in age group of 25-34 years old (41,33%). Based on the lab results, group with normal platelet count have 53 data of normal MPV and 12 data of high MPV, while group with thrombocytopenia have 6 data of normal MPV and 4 data of high MPV. Conclusion : Group with normal MPV value and normal platelet count has the largest proportion, while the group with thrombocytopenia in lupus and high MPV value has the lowest proportion."

"ABSTRAKKelelahan atau fatique adalah keluhan subyektif yang lazim dialami penderita kanker yang semakin bertambah kualitas kelelahannya ketika menjalani program kemoterapi. Tujuan dari penelitian yaitu untuk mengetahui bagaimana pengaruh teknik relaksasi Yoga terhadap tingkat fatique pada penderita kanker pasca kemoterapi di RS Hasan Sadikin Bandung. Perubahan tingkat fatique pada kelompok intervensi yang telah melakukan teknik relaksasi Yoga dibandingkan dengan perubahan dalam kelompok kontrol. Responden 40 orang ditetapkan dengan simple random sampling yang dibagi menjadi 20 orang kelompok intervensi dan 20 orang kelompok kontrol, yang terbagi secara random permuted blocks. Tingkat fatique adalah keluhan subyektif penderita kanker setelah menjalani kemoterapi yang meliputi 4 dimensi kuantitatif Fatique dari Skala Piper yaitu severity, afektif, sensory dan kognitif yang diukur setiap hari sampai hari ke-5 sesudah melakukan teknik relaksasi Yoga. Nilai mean tingkat fatique pada kelompok intervensi menunjukan selisih skala terbesar pada hari ke-5 yaitu 2.73409. Hal yang sama juga terjadi pada kelompok kontrol yaitu di hari ke-5 sebesar 0.75682. Penurunan skala tingkat fatique terjadi setiap hari pada kedua kelompok, tapi pengaruh latihan relaksasi Yoga menunjukan perbedaan diantara kedua kelompok dengan nilai p 0.001 di hari ke-3, serta nilai p 0.000 di hari ke-4 dan ke-5 dalam 95 % tingkat kepercayaan. Teknik relaksasi Yoga disimpulkan mempunyai pengaruh untuk mengurangi keluhan fatique penderita kanker pasca kemoterapi di Rumah Sakit Hasan Sadikin Bandung sehingga teknik tersebut hendaknya dijadikan protap baku dalam pelayanan keperawatan di ruangan kemoterapi. Karena banyaknya faktor yang diketahui berkontribusi terhadap kualitas fatique maka penelitian lanjutan direkomendasikan agar dilakukan dengan jumlah sampel yang lebih banyak dengan metodologi penelitian yang lebih beragam.

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ABSTRACTFatigue is subjective experience of cancer patient and the frequency of fatigue increases over the course of chemotherapy. Patient with fatigue usually avoid to have physical and social activity caused by lack of mood and energy. The feeling of fatigue should be eliminated or reduced by giving adequat nursing intervention and will increase the quality of life among the cancer patient. The objective of the study was to examine the effect of relaxation Yoga to fatigue level in cancer patient post chemotherapy at RS Hasan Sadikin Bandung. The changes of fatigue level in the group intervention will be compare to the control group after Yoga relaxation. 40 respondents with with simple random sampling random permuted blocks was apllied in the study and divide to 20 person as intervention group and 20 person as control group. Level fatigue in this study was subjective experience of cancer patient over the course of chemotherapy included 4 quantitative dimension of fatigue : severity, afective, sensory and cognitive and meassure it every day to fifth day after Yoga relaxation. The result shows different scale in the group intervention and the biggest different occur in fifth day 2.73409. control group in the fifth day 0.75682. Level fatigue reduces every day in the both group. But effect of yoga relaxation shows different among treatment group and control group with p 0.001 in the third day treatment, and p 0.000 in fourth day and fifth day with CI 95%. Conclusion : yoga relaxation has effect to reduce fatigue level in cancer patient post chemotherapy at RS Hasan sadikin Bandung. Therefore this technique should be standart protocol in the nursing care of chemotreapy ward. Recommendation for the next study is to involve of great participant and using multiple methodology of reseach."

"Latar belakang: Disfungsi seksual pada perempuan/ female sexual dysfunction (FSD) merupakan komplikasi penting diabetes melitus (DM) yang seringkali diabaikan. Data perihal FSD pada DM tipe 2 di Indonesia masih jarang dan meta-analisis terkait belum ada, padahal Indonesia mempunyai populasi DM terbesar ke-7 di dunia. Tujuan: Menilai prevalensi dan faktor yang memengaruhi FSD penyandang DM tipe 2 di Indonesia. Metode: Telaah sistematis ini disusun berdasarkan standar PRISMA. Pencarian artikel dilakukan di PubMed/Medline®, CINAHL®, Embase®, Proquest®, Scopus®, serta jurnal/ portal lokal di Indonesia. Artikel dicari dengan kata kunci “seksual”, “diabetes”, dan “Indonesia” dengan MesH terms (dalam bahasa Inggris dan Indonesia), yang mencakup studi observasi maupun eksperimental. Pencarian dilakukan tanpa membatasi waktu penelitian dan bahasa. Data dianalisis dengan STATA untuk mencari besar prevalensi FSD dan odd ratio faktor yang berhubungan dengan FSD. Hasil: Sepuluh studi dengan desain potong lintang mencakup 572 perempuan DM tipe 2 di komunitas maupun rumah sakit. Rentang prevalensi pada kesepuluh studi ini adalah 9,8 – 78,2% dengan pooled prevalence 0,52 (IK 95% 0,49 – 0,56; I-squared 93,9%, p = 0,000) dan 0,62 (IK 95% 0,58 – 0,66; I-squared 68,7%, p = 0,001) jika satu studi dikeluarkan dari analisis karena penggunaan skor FSFI yang tidak standar. Usia di atas 45 tahun, menopause, penggunaan obat anti-hipertensi, dan kadar HbA1C berhubungan dengan FSD. Studi ini mempunyai keterbatasan berupa heterogenitas dan risiko bias artikel yang tinggi, luaran yang beragam, serta teks lengkap artikel yang sulit diperoleh. Studi ini juga menunjukkan adanya bias publikasi. Kesimpulan: Disfungsi seksual perempuan DM tipe 2 di Indonesia mempunyai prevalensi yang tinggi dan kemungkinan berhubungan dengan proses penuaan dan metabolik. Implikasi studi ini adalah bahwa perempuan dengan DM tipe 2 dianjurkan untuk evaluasi FSD secara rutin.

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Background: Female sexual dysfunction (FSD) is a neglected major complication of diabetes mellitus (DM). However, there is scarcity of data in Indonesia, which is currently ranked as the 7th in the world for the number of people with DM.

Objective: Our study aims to analyze the prevalence and factors of FSD among type 2 diabetes mellitus (T2DM) patients in Indonesia.

Methods: This systematic review was conducted using the PRISMA standard. Literature searching was performed in PubMed/Medline®, CINAHL®, Embase®, Proquest®, Scopus®, Indonesian local journals/ databases, and libraries, by considering human clinical studies. All observational and experimental studies in searching keywords “sexual”, “diabetes”, and “Indonesia” with MeSH terms (in English and Bahasa) were included, without time of study or language restriction. Pooled prevalence and odds ratio of associated factors of FSD were analyzed using STATA.

Results: Ten studies with cross-sectional design comprised of 572 females with T2DM, in both community and hospital settings. The prevalence of FSD ranged 9,8 – 78,2% and with random-effect model, it showed pooled prevalence 0,52 (95% CI 0,49-0,56; I-squared 93,9%, p = 0.000). After removing one study that was conducted with unstandardized FSFI cut off value, the prevalence of FSD was 0,62 (95% CI 0,58-0.66; I-squared 68,7%, p = 0.001). Age more than 45 years old, menopause, the use of antihypertensives, and HbA1c level were associated with FSD. Limitations of this article were its publication bias, in addition to its high heterogeneity and risk of bias among studies.

Conclusions: FSD was prevalent among T2DM patients in Indonesia and might associated with aging and metabolic factors. This conclusion implicated that females with T2DM need to be routinely evaluated for FSD."

"Pelayanan kesehatan di rumah sakit lebih ditekankan pada pelayanan yang bersifat kuratif dan rehabilitatif dimana obat-obatan merupakan salah satu faktor penting dalam penyembuhan penderita, sehingga perlu penanganan yang baik yang menjadi tugas instalasi farmasi. Untuk menjalankan tugas dan fungsinya dengan baik instalasi farmasi memerlukan sistem pendistribusian, dalam hal ini adalah prosedur distribusi obat yang cepat dan efisien.Depo farmasi ruang 11 merupakan bagian dari instalasi farmasi yang berfungsi mengendalikan distribusi obat sehingga penyediaan obat di ruangan senantiasa sesuai dengan perencanaan dan kebutuhan. Pasien ruang 11 terdiri dari pasien umum, pasien kontraktor dan pasien askes. Ruang 11 mempunyai kapasitas sebanyak 43 tempat tidur, terdiri dari VIP A, VIP B dan kelas 1. Sistem distribusi yang digunakan di ruang 11 adalah sistem distribusi persediaan di ruang dan sistem distribusi unit dosis parsial. Sistem distribusi obat tersebut dituangkan dalam bentuk depo farmasi.Penelitian ini bertujuan untuk menganalisis situasi sistem dan prosedur yang dilaksanakan kaitannya dengan peningkatan pelayanan farmasi di RSHS; mengkaji masalah-masalah yang menghambat dalam pelaksanaan prosedur; serta mencari alternatif yang diharapkan untuk mengurangi masalah tersebut.Metodologi yang digunakan dalam penelitian ini adalah metode telaah kasus dengan pendekatan deskriptif dengan cara penelusuran proses sejauhmana prosedur tetap yang ada dijalankan. Menggunakan data primer, yaitu melalui observasi dan wawancara. Sedangkan data sekunder diperoleh melalui catatan dan laporan farmasi bulan Juli 2000, protap, kebijakan, standar pelayanan farmasi, dan lain-lain.Dari hasil penelitian diperoleh prosedur tetap yang ada kurang mendukung terhadap pelayanan dan tidak memberikan kepuasan pasien, sehingga perlu dikembangkan.Dari hasil pembahasan dapat disimpulkan, apabila sistem distribusi obat didukung oleh prosedur yang baik dan mudah dilaksanakan, personal yang cukup, jumlah dan kemampuan kefarmasiannya meningkat, serta sarana bagi prosedur distribusi yang lengkap, diharapkan dapat mendukung terhadap pelayanan kesehatan secara efektif dan efisien.

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Analysis of Medicine in In-Patient Care of Interne Unit, Hasan Sadikin Hospital, BandungThe health service served by hospital is more emphasized on curative and rehabilitation service, there for drugs is one of essentiale factors in the cure process of the patients. Consequently, management of drugs have to be organized effectively as the main job of pharmacy installation. In applying its job and its function effectively, pharmacy installation requires good distribution system. In this case, the procedure of drugs distribution must be fast and efficient.

Pharmacy stand in Room 11 is a part of pharmacy installation which has function to contrail distribution of drugs, so that drugs supply in that room is suitable to the plan and requirement. There are three types of patient in Room 11, namely general patient, contractor patient and helath insurance patient. Room 11 has capacity; 43 beds contains VIP A, VIP B dan first class. Distribution system used in Room 11 is room supply distribution system and partial dose unit distribution system. The form of that distribution system is pharmacy stand.

This research is aimed to analyze the application of permanent procedure in relation to the improvement of pharmacy service in RSHS (Hasan Sadikin Hospital); to recite problems obstruct in procedure application; and to observe expected alternative in reducing those problems.

Methodology used in this research in case observation method with descriptive approach which try to measure how far the process of permanent procedure has been held by using primary data, that is through observation and interview. Mean while, secondary data is obtained through notes and pharmacy report in July 2000, permanent procedure, policy, pharmacy service standard etc.

The best assumed from the investigation is; if the drug distribution system supported by good procedure and easy to be applied, adequat personnel, increasing in amount and capability of its pharmacy, and sufficient in facility of distribution procedure, so we can expect that all of above factor can develop the health service efficiency and effectively."