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All Journal Universa Medicina Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Pancasakti Journal Of Public Health Science And Research Eduvest - Journal of Universal Studies Jurnal Kedokteran Meditek Malahayati International Journal of Nursing and Health Science
Pertiwi, Junita Maja
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Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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ANALISIS PERSEPSI DAN PENGETAHUAN MASYARAKAT TERHADAP PENYAKIT KUSTA DI KELURAHAN MASARANG, KABUPATEN MINAHASA, SULAWESI UTARA Pati, Josefa M.; Wungouw, Herlina I. S.; Pertiwi, Junita Maja
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.33858

Abstract

Kabupaten Minahasa masih menjadi salah satu kabupaten di Indonesia dengan masalah kusta yang belum mencapai target eliminasi nasional. Rendahnya angka kesembuhan dan jumlah penderita yang terus bertambah menjadi masalah kesehatan klasik yang belum terselesaikan. Penelitian ini bertujuan untuk mengetahui persepsi dan pengetahuan masyarakat terhadap penyakit kusta di Kelurahan Masarang, Kabupaten Minahasa dengan menggunakan pendekatan kualitatif. 13 informan yang terdiri atas petugas kesehatan, tokoh masyarakat, tetangga dan penderita kusta dipilih untuk mendapatkan gambaran tentang persepsi dan pengetahuan. Menggunakan metode wawancara mendalam dan content analysis, kami menemukan disparitas pengetahuan pada kelompok informan. Petugas kesehatan selaku ujung tombak penganggulangan kusta memiliki pengetahuan yang sangat baik tentang kusta, namun pada kelompok tokoh masyarakat hingga penderita, pengetahuan cenderung menurun kearah kurang baik. Hal ini diakibatkan oleh perbedaan tingkat pendidikan dan keterpaparan akan informasi kusta. Kami juga menemukan hal menarik pada persepsi informan, meskipun pengetahuan mereka kurang namun kami menemukan secara umum persepsi mereka baik. Hal ini tergambar dalam interaksi sosial mereka, dimana mereka memperlakukan penderita kusta dengan baik. Rasa takut akan kusta hanya terjadi di fase awal saja, seiring berjalan waktu keberterimaan dalam lingkungan sosial menjadi baik. Untuk meningkatkan kualitas penelitian di masa depan, kami menyarankan perlunya pelibatan mediator dan penggunaan metode wawancara mendalam yang lebih baik untuk mengatasi kesulitan mendapatkan informasi pada penderita kusta.
Prediksi Gangguan Kognitif Ringan Menggunakan Pencitraan Resonansi Magnetik dan Deep Learning: Sebuah Studi Meta-Analisis Setiawan, Budi; Wariki, Windy Mariane Virenia; Warouw, Finny; Momole, Ansye Grace Nancy; Tumewah, Rizal; Pertiwi, Junita Maja
Jurnal Kedokteran Meditek Vol 31 No 2 (2025): MARCH
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i2.3463

Abstract

Introduction: Mild Cognitive Impairment (MCI) is a condition characterized by cognitive decline that does not interfere with daily activities but increases the risk of progressing to Alzheimer's Dementia (AD). Early detection of MCI progression to AD is crucial for early intervention. Purpose: The purpose of this meta-analysis to evaluate the performance of Convolutional Neural Networks (CNNs), an artificial intelligence used to analyze complex data such as images, in predicting the conversion of MCI to AD using MRI data. Methods: A meta-analysis was conducted following PRISMA guidelines, utilizing articles from PubMed and Wiley Online Library. Inclusion criteria focused on studies that used CNN in conjunction with MRI to diagnose MCI. A total of 39 articles with 40 comparative studies were analyzed. Results: The CNN showed an average accuracy of 0.7910 (p < 0.0001), sensitivity of 0.7698, specificity of 0.8467, and an Area Under the Curve (AUC) of 0.8063. High heterogeneity (I² = 90.90%) indicated significant variation across studies. Sub meta-analysis revealed consistent performance despite the heterogeneity. Conclusion: CNN is potentially useful for predicting the progression of MCI to AD. Further research is needed to address heterogeneity, improve algorithms, expand datasets, and include more diverse populations.
Influence of Carotid Intima Media Thickness on The Patient's Memory Function Fails Heart with Ejection Fraction Left Ventricle Descends Tongku, Aurelia Sartika; Pertiwi, Junita Maja; Tangkudung, Gilbert; Kembuan, Mieke A.H.N.; Momole, Ansye G.N.
Eduvest - Journal of Universal Studies Vol. 5 No. 6 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i6.51267

Abstract

Heart failure (HF) with reduced left ventricular ejection fraction (LVEF) is frequently associated with cognitive decline, including memory impairment. This study investigates the relationship between carotid intima-media thickness (CIMT), a marker of subclinical atherosclerosis, and specific memory domains immediate, recall, and recognition in patients with reduced LVEF. A cross-sectional study was conducted on 52 HF patients at Prof. Dr. R.D. Kandou Hospital. Memory function was assessed using the Word List Memory Test, and CIMT was measured via carotid ultrasound. Regression analysis showed that increased CIMT in the left common carotid artery (CCA Sinistra) was significantly associated with lower immediate and recognition memory performance. Furthermore, elevated CIMT in both carotid arteries was negatively correlated with recall memory. These findings highlight a potential vascular contribution to cognitive impairment in HF patients, suggesting that subclinical carotid atherosclerosis may impair cerebral perfusion. The study provides clinical insight into the importance of vascular assessment in managing cognitive health in HF populations. Early detection of carotid pathology may offer a strategy to prevent or reduce cognitive decline in these patients.
Studi Meta-Analisis Transcranial Doppler Terhadap Glasgow Outcome Score Pada Cedera Otak Traumatik William, William; Tumewah, Rizal; Ngantung, Denny; Pertiwi, Junita Maja; Tumboimbela, Melke; Wariki, Windy Mariane Virenia
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18851

Abstract

ABSTRACT Traumatic brain injury (TBI) through primary and secondary brain injury causes ischemic, hypoxic, cerebral edema, increased intracranial pressure, which are related to physiological, emotional damage and disability. Transcranial Doppler (TCD) as a diagnostic tool can monitor increased intracranial pressure through hypoperfusion and also monitor vasospasm. This meta-analysis study aims to determine TCD as a diagnostic tool in predicting outcomes in TBI cases. Observational studies were taken on TCD examination in TBI cases. Clinical outcomes were assessed based on the Glasgow Outcome Score (GOS), Glasgow Outcome Score-Extended (GOS-E), and mortality. Secondary outcomes were the cut-off values of the Pulsatility Index (PI) and Lindegaard Ratio (LR) related to GOS, GOSE and mortality. Abnormal TCD values in TBI cases would have a 11 times greater likelihood of poor GOS (OR 11.51, 95% CI 7.75 to 17.10). Abnormal TCD had a 11 times greater likelihood of causing death compared to normal TCD (OR 11.05, 95% CI 5.99 to 20.40). Hypoperfusion on TCD had a 6 times greater likelihood of being associated with poor GOS (OR 6.33, 95% CI 0.28 to 144.48) and had a 22 times greater likelihood of causing death compared to vasospasm on TCD (OR 22.86, 95% CI 0.70 to 751.27). ROC curve analysis showed that the PI cut-off value of 1.03 and LR 3.3 were associated with poor GOS. TCD can be used as a diagnostic tool to predict poor GOS outcomes and mortality in TBI cases. Keywords: Transcranial Doppler, Glasgow Outcome Score, Traumatic Brain Injury ABSTRAK Cedera otak traumatik (COT) melalui cedera otak primer dan sekunder menyebabkan proses iskemik, hipoksik, edema serebral, kenaikan tekanan intrakranial, yang berkaitan dengan kerusakan fisiologis, emosional dan disabilitas. Transcranial Doppler (TCD) sebagai alat penunjang diagnostik dapat memantau kenaikan tekanan intrakranial melalui hipoperfusi dan juga memantau vasospasme. Studi meta-analisis ini bertujuan untuk menentukan TCD sebagai alat penunjang diagnostik dalam memprediksi luaran pada kasus COT. Studi observasional pemantauan TCD pada kasus COT diambil untuk dilakukan meta-analisis. Luaran klinis dinilai berdasarkan Glasgow Outcome Score (GOS), Glasgow Outcome Score-Extended (GOS-E), dan mortalitas. Luaran sekunder berupa nilai cut-off Pulsatility Index (PI) dan Lindegaard Ratio (LR) yang berhubungan dengan GOS, GOSE dan mortalitas. Nilai abnormal pada TCD akan memiliki kemungkinan 11 kali luaran GOS buruk (OR 11.51, 95% CI 7.75 to 17.10). TCD abnormal memiliki kemungkinan 11 kali menyebabkan kematian dibandingkan TCD normal (OR 11.05, 95% CI 5.99 to 20.40). Hipoperfusi pada TCD memiliki kemungkinan 6 kali berkaitan dengan GOS buruk (OR 6.33, 95% CI 0.28 to 144.48) dan memiliki kemungkinan 22 kali menyebabkan kematian dibandingkan vasospasme pada TCD (OR 22.86, 95% CI 0.70 to 751.27). Analisis kurva ROC memperlihatkan nilai cut-off PI 1.03 dan LR 3.3 berkaitan dengan GOS yang buruk. TCD dapat digunakan sebagai alat diagnostik untuk memprediksi luaran GOS buruk dan mortalitas pada kasus COT. Kata Kunci: Transcranial Doppler, Glasgow Outcome Score, Cedera Otak Traumatik 
Effectiveness of non-invasive transcranial magnetic stimulation therapy as a therapy for post-stroke visuospatial impairment: A meta-analysis Lapian, Albertus Theo; Warouw, Finny; Momole, Ansye Grace Nancy; Pertiwi, Junita Maja; Tangkudung, Gilbert
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.552

Abstract

Background: Visuospatial disorders refer to deficits in attention, exploration, and interaction with the contralateral side of space that cannot be attributed to primary sensory or motor dysfunction. These disorders are usually caused by lesions in the right hemisphere due to cerebral circulation disorders, such as stroke. Transcranial Magnetic Stimulation (TMS) has emerged as a noninvasive treatment option for addressing visuospatial deficits. Purpose: To evaluate the effectiveness of TMS as a therapy for visuospatial disorders in post-stroke patients. Method: This study was conducted using randomized controlled trials (RCTs) comparing TMS with sham treatment for post-stroke visuospatial impairment identified through searches in Google Scholar, PubMed/Medline, Clinical Key, Wiley Online, Science Direct, ResearchGate, and Neurona. A meta-analysis was conducted to assess the efficacy of TMS therapy for improving visuospatial deficits in post-stroke patients. Results: A total of 189 studies on TMS were identified with four homogeneous articles finally included in the meta-analysis. The analysis combined visuospatial assessments using the Motor-Free Visual Perception Test (MVPT), ​​Star Cancellation Test (SCT), Albert Test (AT), and Line Bisection Test (LBT). The meta-analysis revealed significant findings for the MVPT, with a weighted mean difference (WMD) of 2.43 (95% CI: 1.86 to 3.01, p < 0.001). For LBT, WMD was 2.69 (95% CI: 2.04 to 3.34, p = 0.020). Conclusion: The improvements in visuospatial function observed in participants undergoing TMS suggest that TMS may serve as a potential therapeutic option for post-stroke patients with visuospatial impairment.
Analysis of Barriers to the Implementation of Electronic Medical Records in the Outpatient Clinic of Gunung Maria Hospital, Tomohon Goni, Angelina; Pertiwi, Junita Maja; Wariki, Windy
Pancasakti Journal Of Public Health Science And Research Vol 5 No 2 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i2.1908

Abstract

The implementation of EMR is expected to improve the quality of healthcare services by facilitating faster access to patient data, reducing recording errors, and enhancing coordination among medical personnel. However, various challenges have been identified in practice, which hinder the system’s effectiveness. This study aims to analyze the barriers to EMR implementation in the Outpatient Clinic of Gunung Maria Hospital, Tomohon. A qualitative approach was employed, using in-depth interviews with informants directly involved in the EMR implementation process. The findings reveal that the barriers arise from multiple aspects. From the human resources perspective, additional time and training are needed to enable staff to adapt to the new system. In terms of technological infrastructure, unstable network connectivity and the limited availability of hardware, such as computers and printers in certain service units, hamper the data input process. Regarding software, the existing system does not fully meet the hospital’s operational needs. Procedurally, insufficient dissemination of the standard operating procedures (SOPs) has resulted in some staff not fully understanding the system’s workflow. Furthermore, the evaluation aspect remains problematic due to the absence of a fully functioning monitoring mechanism. External disturbances, such as power outages, have also contributed to service delays by disrupting the electronic documentation process. In conclusion, the EMR implementation at the outpatient clinic still faces various technical and non-technical challenges. Therefore, improvements and strengthening efforts across multiple aspects are required to ensure that the EMR system can operate more effectively and efficiently in supporting the enhancement of healthcare service quality.
Effectiveness of medium-chain triglyceride diet and low glycemic index therapy in drug-resistant childhood epilepsy: a systematic review, meta-analysis, and meta-regression Wiradarma, Elbert; Khosama, Herlyani; Warouw, Finny; Wariki, Windy M. V.; Jehosua, Seilly Yunita; Pertiwi, Junita Maja
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.245-256

Abstract

Background Drug-resistant epilepsy (DRE) challenges clinical management, with many patients failing to find relief. Medium-chain triglyceride diet (MCTD) and low glycemic index therapy (LGIT) are emerging variants of the ketogenic diet. MCTD and LGIT show promise but lack clear efficacy data. The purpose of this systematic review was to evaluate and compare the efficacy of MCTD and LGIT in the management of pediatric patients with DRE. Methods Four databases were searched (PubMed, Embase, Scopus, and Cochrane Library) from November 2024 to February 2025. Two independent reviewers meticulously screened titles, abstracts, and full texts, ensuring adherence to predefined criteria.  Data extraction encompassed study characteristics, participant demographics, intervention details, and outcomes, including seizure frequency, percentage reduction, and adverse events. Statistical analyses were performed using R 4.2.2 software, assessing heterogeneity with Cochrane Q and I² and utilizing random-effects and common-effects models. Results From 1489 articles found, 487 duplicates were removed, 897 were excluded based on title and abstract screening, and of the 47 full-text articles assessed for eligibility, 31 articles were excluded, resulting in 16 articles (9 MCTD and 7 LGIT) included in this review. The pooled estimates for the proportion of children achieving seizure freedom, ≥90% seizure reduction, and ≥50% seizure reduction following the intervention were comparable between the MCTD and LGIT groups. Based on the random-effects model, the overall success proportion of MCTD in reducing seizure frequency was 0.20 [95 % Confidence Interval (CI), 0.14-0.27] (p<0.01). Meanwhile, in the LGIT group, the overall success proportion was 0.27 [95% CI,0.14- 0.45] (p<0.01). Conclusion Both MCTD and LGIT demonstrate comparable efficacy, and no definitive conclusion can be drawn regarding the superiority of one diet over the other.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENERAPAN BUDAYA KESELAMATAN PASIEN DI RS GMIM SILOAM SONDER Kussoy, Kevin D W; Rampengan, Starry H.; Pertiwi, Junita Maja; Kaunang, Erling David; Kristanto, Erwin
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48233

Abstract

Budaya keselamatan dalam industri kesehatan, dianggap sebagai inisiatif penting untuk meningkatkan keselamatan pasien dan rumah sakit merupakan salah satu sara pemberi layanan kesehatan. Tujuan penelitian ini yaitu untuk menganalisis faktor-faktor yang berhubungan dengan penerapan budaya keselamatan pasien di RS GMIM Siloam Sonder. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Penelitian ini dilaksanakan di RS GMIM Siloam Sonder pada Mei-Juli 2025. Jumlah responden sebanyak 103 staf medis dan keperawatan. Instrument yang digunakan yaitu kuesioner. Data yang diperoleh dianalisis secara univariat, bivariat menggunakan uji fisher exact dan multivariat regresi logistic multinominal. Hasil uji fisher exact  diperoleh untuk kerjasama p=0,034, pengaturan staf dan tempo kerja p=0,827, pembelajaran organisasi p=0,724, respon terhadap eror p=0,003, dukungan supervisor p=0,016, komunikasi tentang eror p=0,094, keterbukaan komunikasi p=0,364, pelaporan kejadian p=0,325, dukungan manajemen p=0,025 dan penyerahan dan pertukaran informasi p=0,188. Hasil analisis multivariat ditemukan nilai -2 log likelihood of reduced model tertinggi yaitu dengan nilai 17,561 pada variabel respon terhadap eror dan nilai sig. 0,011. Kesimpulan penelitian ini yaitu faktor yang tidak berhubungan yaitu pengaturan staf dan tempo kerja, pembelajaran organisasi, komunikasi tentang eror, keterbukaan komunikasi, pelaporan kejadian serta penyerahan dan pertukaran informasi, sedangkan faktor yang berhubungan  dengan penerapan budaya keselamatan pasien di RS GMIM Siloam Sonder yaitu faktor kerjasama, respon terhadap eror, dukungan supervisor dan dukungan manajemen. Faktor yang paling berhubungan yaitu respon teradap eror.
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN POS PEMBINAAN TERPADU PENYAKIT TIDAK MENULAR DI WILAYAH KERJA PUSKESMAS KOYA KABUPATEN MINAHASA Pratasik, Juwitly Yensy; Pertiwi, Junita Maja; Nelwan, Jeini Ester
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.18164

Abstract

Penyakit tidak Menular (PTM) merupakan problem kesehatan global dan Indonesia. Angka kematian karena PTM sebesar 72,3%, diatas angka rata-rata kematian PTM di negera-negara Asia Tenggara sebesar 70%. Diantara upaya pengendalian PTM di Indonesia yaitu melalui deteksi dini kasus PTM melalui Posbindu Penyakit Tidak Menular (PTM). Namun data yang diperoleh di Kabupaten Minahasa menunjukkan bahwa tidak semua masyarakat memanfaatkan fasilitas tersebut. Hal ini terlihat dari jumlah kunjungan masyarakat di posbindu tahun 2022 sebanyak 19.060 orang (18,1%) dari sasaran deteksi dini 104.974 orang. Tujuan penelitian ini yaitu untuk menganalilis faktor-faktor yang berkaitan dengan pemanfaatan Posbindu PTM di Puskesmas Koya Kab. Minahasa. Penelitian ini merupakan penelitian observasional dengan pendekatan potong lintang (cross-sectional). Penelitian ini dilakukan di 17 Posbindu yang ada di Puskesmas Koya Kabupaten Minahasa pada bulan November-Desember 2023. Total sampel yang dipilih banyaknya 175 orang. Teknik pengambilan sampel memakai teknik Accidental Sampling. Variabel penelitian yakni pengetahuan, sikap, dorongan tenaga kesehatan, jarak tempuh, dorongan keluarga, dorongan kader dan pemanfaatan Posbindu PTM. Instrumen Penelitian yaitu kuesioner diambil dari penelitian sebelumnya oleh Sri Natalia Ginting (2019). Analisis data secara bivariat memakai uji Chi Kuadrat. Hasil penelitian ini menerangkan bahwasanya ada hubungan signifikan diantara pengetahuan (p < 0.001), sikap (p < 0.001), dorongan tenaga kesehatan (p = 0.027) dan dorongan kader kesehatan dengan pemanfaatan Posbindu PTM (p < 0.001). Kesimpulan penelitian ini yaitu pengetahuan, sikap, dorongan tenaga kesehatan dan dorongan kader kesehatan merupakan faktor-faktor yang berkaitan dengan pemanfaatan Posbindu PTM di Puskesmas Koya Kab. Minahasa.
HUBUNGAN FAKTOR DEMOGRAFI DAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA ORANG DENGAN GANGGUAN JIWA DI PUSKESMAS PASSI BARAT KABUPATEN BOLAANG MONGONDOW Sugeha, Inti Rizcy Sari; Fatimawali, Fatimawali; Pertiwi, Junita Maja
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.30411

Abstract

Penelitian ini bertujuan menganalisis hubungan antara faktor demografi dan dukungan keluarga dengan kepatuhan minum obat pasien dengan gangguan jiwa di Kecamatan Passi Barat. Penelitian menggunakan univariat, bivariat menggunakan uji chi square dan multivariat menggunakan uji regresi logistik. Hasil analisis univariat distribusi responden berdasarkan kepatuhan minum obat dengan mayoritas pada kategori kurang patuh sebanyak 62,5%, berdasarkan tingkat pengetahuan keluarga dengan mayoritas kurang baik sebanyak 56,25%, berdasarkan akses pelayanan Kesehatan dengan mayoritas pada kategori baik sebanayk 56,25%, berdasarkan dukungan keluarga dengan mayoritas kurang baik sebanyak 53,13%, berdasarkan status perkawinan keluarga dengan mayoritas pada kategori yang sudah menikah sebanyak 65,63%, berdasarkan status pekerjaan keluarga dengan mayoritas pada kategori bekerja sebanyak 56,25%, berdasarkan status ekonomi dengan mayoritas pada kategori ekonomi di atas UMK sebanyak 56,25%. Hasil bivariat uji chi square dijelaskan bahwa variabel yang menunjukkan nilai P < 0,05 adalah faktor pengetahuan keluarga, akses pelayanan Kesehatan, pekerjaan keluarga, status ekonomi keluarga, dan faktor dukungan keluarga. Berdasarkan Analisis Multivariat regresi logistik menunjukkan bahwa terdapat dua variabel bebas yaitu faktor pengetahuan dan faktor dukungan keluarga yang sangat berpengaruh signifikan dengan kepatuhan minum obat. Simpulan pada penelitian ini adalah tingkat pengetahuan keluarga dan dukungan keluarga sangat berpengaruh terhadap kepatuhan minum obat pasien dengan gangguan jiwa. Tingkat pengetahuan keluarga tentang penyakit jiwa memberikan dampak terhadap kepatuhan minum obat pada orang dengan gangguan jiwa, semakin baik pengetahuan, maka semakin tinggi tingkat kepatuhan pasien dalam mengkonsumsi obat.
Co-Authors Angelina Stevany Regina Masengi Angeline, Hedy Budi Setiawan Daniel Febrian Sengkey Edward Nangoy, Edward Erling David Kaunang Erwin Kristanto Fatimawali . Goni, Angelina Herlina I. S. Wungouw Herlyani Khosama Jehosua, Seilly Yunita Jimmy Posangi Kussoy, Kevin D W Lapian, Albertus Theo Mamahit, Juliet Merry Eva Mambo, Christi Diana Marthen Theogives Lasut, Marthen Theogives Mieke A.H.N. Kembuan, Mieke A.H.N. Momole, Ansye G.N. Momole, Ansye Grace Nancy Nelwan, Ester Jeini Ngantung, Denny Pati, Josefa M. Pratasik, Juwitly Yensy Rizal Tumewah Starry H. Rampengan Sugeha, Inti Rizcy Sari Tangkudung, Gilbert Tongku, Aurelia Sartika Tumboimbela, Melke Wariki, Windy M. V. Warouw, Finny William William Wiradarma, Elbert Yulianty Sanggelorang