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All Journal Jurnal Administrasi Kesehatan Indonesia Jurnal Aisyah : Jurnal Ilmu Kesehatan
Triana Karnadipa
Program Pendidikan Vokasi Universitas Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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PHYSIOTHERAPY SERVICE WITHOUT STANDARDIZED OPERATING PROCEDURES FROM PHYSIOTHERAPIST’S PERSPECTIVE: A CASE STUDY Triana Karnadipa
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.191-201

Abstract

Background: Treatment variations have been considered as a sign of an inappropriate healthcare service whether due to the underuse or the overuse of resources. To reduce these variations, establishing and implementing well-developed standardized operating procedures (SOPs) and evidence-based standardized clinical guidelines is required. A rehabilitation unit for children with disabilities in Makassar did not implement any SOPs or standardized clinical guidelines in their service and treatment. This conduct may have an adverse effect on physiotherapists’ professionalism.Aims: The study aimed to explore the possible impact of community-based rehabilitation (CBR) practice with no SOPs and evidence-based standardized clinical guidelines on the physiotherapists. Method: This study was a qualitative case study. The CBR unit was observed for 278-hours and the study conducted three semi-structured interviews. Three physiotherapists voluntarily participated in the study. Open, axial, and selective coding were conducted to encode the interview findings. The findings from observation encoded interview, field, and self-reflective notes were triangulated, analyzed thematically, and illustrated by the explorative model.Results: Working with no SOPs and guidelines was associated with variations in procedures by physiotherapists, irregularity in their treatment choices, liability feeling toward errors making, and Low self-confidence in their professionalism.Conclusion: Working without SOPs and guidelines was associated with psychological exertion of the physiotherapists. They showed uncertainty in their professional capabilities as a physiotherapist. It is recommended for YPAC Makassar city to develop SOPs and evidence-based standardized clinical guidelines for their organization.Keywords: children, community-based rehabilitation, disability, guidelines, standard-operating procedure 
Telehealth to Improve Physical Activity in Adults with Diabetes Mellitus: A Narrative Review Triana Karnadipa; Ari Nurfikri; Safrin Arifin
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (721.604 KB) | DOI: 10.30604/jika.v7i2.1030

Abstract

Physical activity has been evaluated to decrease mortality rates in people with diabetes mellitus. After the COVID-19 pandemic, healthcare delivery was leaned towards telemedicine or telehealth to conduct social distancing. The primary aim of this review is to evaluate formats and strategies used in telemedicine to improve physical activity in adults with diabetes mellitus. ProQuest, Medline, and CINAHL were searched for studies involving adults with diabetes mellitus (more than 18 years old); telemedicine; and physical activity outcomes. The quality of the studies was appraised using the JBI Critical Appraisal Checklists for risk of bias, study design, and quality of evidence. Data syntheses were conducted following a simplified approach by Popay et al. Themes were developed based on the findings. Five randomized controlled trials met the inclusion criteria. The risk of bias was determined low in most of the studies. Text messages were the most common method. Pedometer, accelerometer, and International Physical Activity Questionnaires were commonly used to quantify the level of physical activity. Frequent reminders using text messages to the participants were the common strategy to ensure their adherence. The telehealth intervention has not yet shown significant positive effects on physical activity in people with diabetes mellitus. Further studies conducting synchronous and hybrid telehealth to improve physical activity in adults with diabetes mellitus were needed. Abstrak: Aktivitas fisik telah dievaluasi untuk menurunkan angka kematian pada penderita diabetes mellitus. Setelah pandemi COVID-19, pemberian layanan kesehatan condong ke telemedicine atau telehealth untuk melakukan social distancing. Tujuan utama dari tinjauan ini adalah untuk mengevaluasi format dan strategi yang digunakan dalam telemedicine untuk meningkatkan aktivitas fisik pada orang dewasa dengan diabetes mellitus. ProQuest, Medline, dan CINAHL dicari untuk penelitian yang melibatkan orang dewasa dengan diabetes mellitus (lebih dari 18 tahun); telemedis; dan hasil aktivitas fisik. Kualitas studi dinilai menggunakan JBI Critical Appraisal Checklists untukrisiko bias, desain studi, dan kualitas bukti. Sintesis data dilakukan mengikuti pendekatan yang disederhanakan oleh Popay et al. Tema dikembangkan berdasarkan temuan. Lima uji coba terkontrol secara acak memenuhi criteria inklusi. Risiko bias ditentukan rendah di sebagian besar penelitian. Pesan teks adalah metode yang paling umum. Pedometer, akselerometer, dan Kuesioner Aktivitas Fisik Internasional biasanya digunakan untuk mengukur tingkat aktivitas fisik. Pengingat yang sering menggunakan pesan teks kepada para peserta adalah strategi umum untuk memastikan kepatuhan mereka. Intervensi telehealth belum menunjukkan efek positif yang signifikan terhadap aktivitas fisik pada penderita diabetes mellitus. Diperlukan penelitian lebih lanjut yang melakukan telehealth sinkron dan hibrida untuk meningkatkan aktivitas fisik pada orang dewasa dengan diabetes mellitus.
Co-Authors Ari Nurfikri Safrin Arifin