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Laporan Kasus: Retardasi Mental Berat Pada Remaja Usia 16 Tahun dengan Riwayat Epilepsi Tidak Terkontrol Aziz, Rachman; Jiofansyah, Jiofansyah; Septa, Tendry
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.866

Abstract

Mental retardation (MR), also known as Intellectual Disability (ID), is a lifelong mental disorder characterized by significant cognitive and adaptive impairments, often associated with structural or functional brain anomalies and diverse etiologies that frequently co-occur with conditions such as epilepsy. In Indonesia, a survey conducted in 2012 revealed that 2.45% of the population had disabilities, including individuals with mental retardation. The World Health Organization (WHO) estimates the prevalence of mental retardation in Indonesia to be around 1-3% of the population, with one-quarter of cases classified as moderate to severe mental retardation. The occurrence of mental retardation is closely linked to a child's developmental trajectory, influenced by genetic and environmental factors. In terms of pathogenesis, the onset can originate from prenatal, perinatal, or postnatal factors, with various contributing elements, including a history of seizures. The severity levels are classified as mild, moderate, severe, or profound mental retardation. Epilepsy is a common neurological disorder in children, often co-occurring with mental retardation, found in 25% of cases. The occurrence of epilepsy can either accompany or be the cause of mental retardation, leading to a classification known as Developmental and Epileptic Encephalopathy (DEE). This case report will present the case of a teenager with mental retardation who has a history of recurrent seizures, illustrating the complex relationship between these two conditions. Hence, there is a need for a comprehensive approach and increased awareness in diagnosing and managing children with concurrent mental retardation and epilepsy with the goal of providing optimal care.
Faktor Yang Berhubungan Dengan Kepatuhan Minum Obat Pada Penderita Skizofrenia Fase Stabil Di Poli Rawat Jalan RS Jiwa Daerah Provinsi Lampung Tahun 2022 Harissa, Nola; Anggriani, Yusi; Sarnianto, Prih; Septa, Tendry
JFL : Jurnal Farmasi Lampung Vol. 12 No. 2 (2023): JFL : Jurnal Farmasi Lampung
Publisher : Program Studi Farmasi-Fakultas Matematika dan Ilmu Pengetahuan Alam-Universitas Tulang Bawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37090/jfl.v12i2.1110

Abstract

Adherence with antipsychotic treatment is very important to achieve optimal therapeutic results to the people with schizophrenia. The aim of the study is to determine the factors associated with medication adherence in patients with stable phase of paranoid schizophrenia at the Outpatient Polyclinic of the Regional Hospital of Lampung Province in 2022. This study used a crosssectional method with prospective data collection, a sample of 176 and the use of purposive sampling for the sampling technique. The data obtained were analyzed by using the chi square test to find out the relation between the dependent variable which is medication adherence, and the independent variables, namely perceptions of family support, knowledge related to disease, perceptions of drug side effects, and the perceptions of the pharmacist's role. To find out the dominant factors influencing the medicine compliance, the data were analyzed by using ordinal logistic regression. The study obtained of medicine compliance rates in paranoid schizophrenia patients based on the MMAS scale were good in 53 (30.1%), moderate in 62 (35.2%) and poor in 61 (34.7%). There is a relationship between medication adherence and the perception of family support (p value 0.038), knowledge related to disease (p value 0.005), perception of drug side effects (p value 0.003), and perception of the role of pharmacist (p value 0.000). The dominant factor affecting compliance to taking medication is the perception of the pharmacist's role with OR = 2.8, which means patients who get a good pharmacist role are more compliant in taking medication by 2.8 times. Keywords: Medication Compliance, Paranoid Schizophrenia, Stable Phase, Outpatient