Siti Isfandari
Puslitbang Humaniora dan Manajemen Kesehatan Jl. Indrapura 17 Surabaya, Indonesia

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Innovation for Empowering People with Schizophrenia in Empowered Homes Denpasar City Puspasari, Herti Windya; Sitorus, Nikson; Agustiya, Rozana Ika; Pranata, Setia; Isfandari, Siti; Rachmawati, Tety
Indigenous Vol 8, No 1 (2023): March
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/indigenous.v8i1.20217

Abstract

Abstract. The problem in mental health services is recurrence in patients. One of the efforts to prevent recurrence is through People With Schizophrenoia (PWS) empowerment at the Rumah Berdaya in Denpasar City. This study is aimed to describe the innovation of PWS empowerment in Rumah Berdaya. It is a qualitative study using a case study design to get more information about the role and innovation empowerment of PWS in Rumah Berdaya. Qualitative data collected employed in-depth interview methods with interview guideline instruments. Informants were selected based on purposive sampling. The results showed that there were several innovations in empowering for PWS in Rumah Berdaya. There are recruitment of controlled PWS as honorary workers in the social service Denpasar City to work in Rumah Berdaya, Purchase of incense produced by PWS Rumah Berdaya for use in all the agencies government denpasar city, making coconut oil, paintings, screen printing t-shirts and tote bags by PWS and then sold offline at Rumah Berdaya and online by social media, assistance for PWS family with family support, dissemination and education to the community with the aim for reducing negative stigma of PWS. Therefore, Rumah Berdaya has contributed for PWS rehabilitation process in Denpasar city. Collaboration between the government by social services and health offices, volunteers, and community to support the empowerment of PWS in Rumah Berdaya has been effective. The strong commitment is needed to support the sustainability of the empowerment program at Rumah Berdaya.Keywords: Empowerment; innovation; schizophrenia.
Case Report: Diagnosis and Treatment of Psychosomatic Gastritis at a Primary Health Clinic in West Surabaya, Indonesia Roosihermiatie, Betty; Isfandari, Siti; Fauzia, Yurika
Folia Medica Indonesiana Vol. 54, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

Indonesia is highly populated of a total 238,452,952 people with 274,396 gastritis cases. However, psychosomatic gastritis was just reported by very few patients. Because of the common gastritis cases in Indonesia and with the act of Healthcare and Social Security Agency or BPJS, so primary health cares should diagnose and manage the cases. This study aimed to determine the diagnosis and management of psychosomatic gastritis at a primary health clinic in West of Surabaya. It was a case study. It was a case on a woman aged 45 years old. She was high school graduate, married and had a child. She experienced reflux gastritis and psychiatric condition of depression and anxienty disorders. She was treated by psychiatrist at the first time and self-medicated for the gastritis. After stopping visiting the psychiatrist, she had problems of gastritis in four months. Then, she was referred to internist and examined Ultra Sonography of abdominal organs with normal result. There was a conventional method to determine psychosomatic gastritis that consicting of life styles, psychologic factor, social factor, and behavior assessment. This patient was a local migrant who struggled to gain a better life in the city, had a trigger for his father's death, had a relatively low socioeconomic state and lived in a monthly boarding house, and was a part-time worker. First-line care should establish a psychosomatic diagnosis of gastritis and treat psychological disorders together with their somatic abnormalities. Thus, the first level of health services must provide holistic services consisting of physical, psychological and social aspects.