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Pendekatan Dokter Keluarga pada TB Paru Aditya Nur Rahman; Nur Alfi Khoirul Fajriati; Restiana Nugraheni Kusumastuti; Raden Roro Nadya Maureen; Burhannudin Ichsan; Kunari Mahanani
Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta 2024: Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Thalam
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Tuberkulosis (TB) merupakan penyakit kronik menular yang menyerang pada bagian saluran pernafasan tubuh manusia dan disebabkan oleh kuman Mycobacterium tuberculosis. Kelompok kuman Mycobacterium biasa disebut sebagai Bakteri Tahan Asam (BTA)(Maharani et al., 2018). Manifestasi klinis TB menurut kemenkes yaitu ; Batuk ≥ 2 minggu, batuk berdahak, batuk berdahak dapat bercampur darah, dapat disertai nyeri dada, sesak napas. Dengan gejala lain meliputi: Malaise, penurunan berat badan, menurunnya nafsu makan, menggigil, demam, berkeringat di malam hari (Kemenkes, 2019). Berdasarkan Global Tuberculosis Report 2020 yang diterbitkan oleh WHO, diperkirakan pada tahun 2019 terdapat insidens kasus sebesar 8,9 sampai 11 juta jiwa (PDPI, 2021). Indonesia merupakan negara dengan peringkat ketiga setelah India dan Cina dalam kasus TBC paru. Prevalensi TBC paru di Indonesia terbagi menjadi tiga wilayah, diantaranya Sumatera 33%, Jawa dan Bali 23%, dan Indonesia bagian timur 44% (Hamidah et al, 2020). Kabupaten Sukoharjo merupakan salah satu Kabupaten di Jawa Tengah dengan angka penemuan kasus (CDR) yang masih sangat jauh dari target nasional sebesar 70%. CNR untuk seluruh kasus TB tahun 2014 sebesar 52,05 per 100.000 penduduk, tahun 2015 53,83 per 100.000 penduduk dan tahun 2016 sebanyak 50,79 per 100.000 penduduk (Putri et al, 2018). Berdasarkan data dan permasalahan di atas, penulis tertarik melakukan upaya pendekatan kedokteran keluarga terhadap pasien dengan TB Paru untuk membantu mengidentifikasi faktor-faktor yang berpengaruh baik secara klinis personal, dan psikososial keluarga sehingga diharapkan dapat meningkatkan kualitas hidup pasien.
Pendekatan Kedokteran Keluarga pada Ny. S 58 Tahun dengan Kusta Multibasiler Indra Pradani Khumala; Lidya Goprani Umar; Marchella Krismonica Ningrum; Zalfa Afifah; Burhannudin Ichsan; Dwi Sartini
Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta 2024: Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Thalam
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Penyakit kusta adalah suatu penyakit menular yang disebabkan oleh bakteri Mycobacterium leprae,dan Indonesia menduduki peringkat ketiga dengan kasus kusta terbesar di dunia. Penyakit kusta masih menimbulkan masalah yang sangat kompleks, bukan hanya dari segi medis melainkan juga masalah sosial, ekonomi, dan budaya. Penyakit kusta apabila tidak terdiagnosis dan diobati secara dini, dapat mengakibatkan kecacatan menetap pada penderita. Kurangnya pengetahuan serta kepercayaan yang keliruterhadap penyakit kusta dan cacat yang ditimbulkan, mengakibatkan penyakit kusta ditakuti oleh masyarakat dan keluarga, termasuk sebagian petugas kesehatan, sehingga kondisi seperti ini yang menjadikan penderita kusta dijauhi oleh lingkungan sekitar. Penderita kusta akan diberikan pengobatan intensif melalui petugas di Puskesmas yang berkoordinasi langsung dengan Dinas Kesehatan dan selama pengobatan pelayanan kesehatan yang diberikan berorientasi pada pendekatan dokter keluarga. Sehingga tidak hanya berfokus pada masalah penyakit saja namun juga kepada masalah keluarga dan lingkungan sosial penderita Kami melaporkan kasus penyakit pada Ny. S yang terdiagnosis kusta multibasiler. Keluarga Ny. S memiliki bentuk keluarga nuclear family dengan fungsi holistic yang sangat baik. Penilaian fungsi fisiologis dengan APGAR Family Ny. S didapatkan skor 10 dimana dapat disimpulkan bahwa nilai fisiologis keluarga Ny. S sehat. Penilaian fungsi patologis menggunakan SCREEM didapatkan pasien tidakpernah menempuh pendidikan dan buta huruf serta ekonomi yang tergolong menengah kebawah. Prioritas masalah pada Ny. S yaitu rendahnya tingkat pengetahuan pasien dan keluarga terhadap penyakit yang diderita Ny. S sehingga pasien dan keluarga perlu dilakukan edukasi secara menyeluruh meliputi promotif, preventif, kuratif serta rehabilitatif.
A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure Audria Ersananda; Hanung Prasetya; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.11

Abstract

Background: Modern and sophisticated self-care education programs such as web-based methods and wireless networks can make changes in patient behavior to improve self-care management. Telemedicine is a potential alternative to continue providing patient health services by minimizing the risk of exposure and physical contact. This study aims to investigate relevant primary studies in order to assess the effectiveness of telemedicine to improve self-care in heart failure patients. Subjects and Method: This study used a systematic review and meta-analysis with PICO namely, P: Patients with heart failure, I; using telemedicine, C: not using telemedicine, O: increasing self care for heart failure patients. By searching for articles in 3 databases namely PubMed, Google Scholar, Cochrane which were published from 2013 to 2023, entering the following keywords (“Heart Failure” OR “congestive heart failure”) AND (Telemedicine OR “electronic health record” OR mHealth OR “ mobile health” OR “mobile app” OR “telehealth” OR “healthcare system information”) AND “self care” AND “randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: Meta-analysis was carried out on 9 primary studies using RCT study designs from several countries such as Canada, the United States, Colombia, Australia, Hong Kong, Finland with a total sample size of 1.018. The processed meta-analysis data found that telemedicine is effective for improving self-care in heart failure patients, and is statistically close to significant. Heart failure patients who received telemedicine-based education had an average self-care value of 0.33 SMD units higher than those who did not receive the intervention (SMD= 0.33; 95% CI= 0.15 to 0.52; p= 0.004). Conclusion: Telemedicine is effective for improving self care in heart failure patients. Keywords: Heart Failure, Self Care, Telemedicine. Correspondence: Audria Ersananda, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: audriaersa@gmail.com. Mobile: 082233999407.
Meta Analysis: Effect of Waiting Time and Outpatient’s Satisfaction in Hospitals Feby Safitri; Bhisma Murti; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.05

Abstract

Background: Service waiting time is one of the problems that causes patient complaints in several hospitals. The length of patient waiting time reflects how the hospital manages service components that are tailored to the patient's situation and expectations, as well as analyzing the effect of waiting time on the level of outpatient patient satisfaction at the hospital. The purpose of this study was to determine the effect of waiting time on the satisfaction level of outpatients at the hospital. Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population = Outpatients; Intervention = short waiting time < 2 hours; Comparison = long waiting time > 2 hours; Outcome = satisfaction. Articles are collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were "waiting time and satisfaction" OR "satisfaction" AND "outpatient" AND "hospital' AND "cross-sectional study". A total of 9 articles met the inclusion criteria, namely primary full text paper, cross-sectional study design, with a relationship size adjusted Odds Ratio (aOR), outpatient study subjects, interventions in the form of short waiting times < 2 hours and outcomes in the form of outpatient satisfaction for meta-analyses were then assessed using RevMan 5.3. Results: The meta-analysis which is dominated by Ethiopia shows that there is an effect of waiting time on patient satisfaction. Patients who receive services with short waiting times <2 hours have the possibility to be satisfied 6.86 times compared to long waiting times > 2 hours (aOR= 6.86; 95% CI= 1.31 to 3.26; p= 0.002) Heterogeneity (I2 = 83%) -> using random effects with statistically significant results. Conclusion: Patients who wait for a short time have the possibility to be satisfied 6.86 times compared to long waiting times. Keywords: waiting time, satisfaction, outpatien, hospital. Correspondence: Feby Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: safitri.feby@gmail.com. Mobile: +6282143749717.
Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work Fany Nurul Fawzi Hidayat; Setyo Sri Raharjo; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Abstract

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
Indonesian Medical Students' Perceptions of Computer Based Test (CBT) Questions on Public Health Competency Test: An Evaluation Study Burhannudin Ichsan; Anika Candrasari; Flora Ramona Sigit Prakoeswa; Ratih Pramuningtyas; Noval Gentha Mahesa; Schedar Shafrizal Amar
Journal of Health Policy and Management Vol. 11 No. 2 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: The Indonesian Medical Competency Standards (SKDI) are the educational standards for doctors in Indonesia. To prove that students have met the competency requirements, a competency test is necessary. Research results show that CBT of Public Health questions fall into the moderate-difficult category. This means that institutions must have a specific strategy to guide students. Subjects and Method: This qualitative study conducted in-depth interviews with Indonesian medical students who had passed or failed the Indonesian Medical Competency Test. The interviews were conducted online using Zoom. Informants were selected from various regions in Indonesia. Results: The study identified five themes. The five themes are: 1) varying perceptions of the difficulty level of public health questions, 2) lack of focus, 3) question patterns and reference books, 4) sources and methods of learning for the public health question, and 5) examinees' expectations. Conclusion: Students' perceptions of the difficulty level vary. This is also related to the students' own preparedness. Students have specific expectations regarding certain questions, such as those related to Indonesian national health insurance (BPJS), epidemiology, and others
Tantangan Dan Harapan Pasien Gagal Ginjal Kronis Dalam Menjalani Terapi Hemodialisis Jangka Panjang Mazaya Bilqiis Deswynand Sutedjo; Burhannudin Ichsan; Asri Alfajri; Siti Soekiswati
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1201

Abstract

Chronic Kidney Disease (CKD) is a progressive condition that requires long-term renal replacement therapy, one of which is hemodialysis, and it has a significant impact on patients’ physical, psychological, social, and economic conditions. The continuous and routine nature of hemodialysis often presents various challenges that affect patients’ quality of life. This study aimed to explore the challenges and hopes of patients with CKD undergoing long-term hemodialysis therapy. This study employed a qualitative design with a phenomenological approach. The study population consisted of patients with CKD undergoing hemodialysis at RSUD Dr. Moewardi Surakarta. The sample included 12 patients with CKD, five family members, and one healthcare professional, selected using purposive sampling. The research variables focused on the challenges and hopes experienced by patients during long-term hemodialysis therapy. Data were collected through in-depth interviews using semi-structured interview guidelines and were analyzed using content analysis. The results revealed that patients experienced multidimensional challenges, including physical challenges such as fatigue and post-dialysis symptoms; psychological challenges such as anxiety and treatment-related burnout; social challenges including stigma and limited social support; economic challenges related to job loss and financial burden; and logistical challenges such as travel distance and time constraints. On the other hand, patients expressed hopes of being able to return to daily activities, resume social roles, maintain family togetherness, and improve their quality of life. In conclusion, understanding the challenges and hopes of patients with CKD undergoing long-term hemodialysis is essential to support a holistic and sustainable care approach aimed at improving patients’ quality of life.
Co-Authors Achyarnis, Achyarnis Adi Fahmi Anshari Aditya Nur Rahman Aem Ismail Aflit Nuryulia Aflit Nuryulia Praswati Aini, Farida Nur Alfajri, Asri Anam, Zahra Hafizha Fitria Ananda Asriany Perdana Ananda Asriany Perdana, Ananda Asriany Anantasya, Arum Widya Anika Candrasari Anis Nur Widayati Arsita Rasmi Aryoseto, Lukman Asti Nurhayati Aswin Wikantama Athip Naufal Audria Ersananda AY Yanto Ayu Khoirotul Umaroh Ayyasi, Quanta Sansabilla Aziz, Yusuf Abdullah Bayu Hendro Wibowo Bayu Hendro Wibowo, Bayu Hendro Bhisma Murti Bhisma Murti Dahlia Winda Nurarifah Dasuki, Shoim Dedhy Sastiyono Dena Tri Solehaini Dena Tri Solehaini Desi Ekawati Dessy Wahyuni Desviana Rizki Kurniasari Devi Usdiana Rosyidah Devi, Ninda Callista Dewi Nirlawati Dewi Nirlawati, Dewi Dian Handini Dian Handini, Dian Didik Budhi Setiawan Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo, Didik Dinar Herdhiyanti Siwi Dona Dewi Nirlawati Dwi Sartini Ekki Dita Anggariksa Ekki Dita Anggariksa, Ekki Dita Erna Herawati Eurolia Naba Mutiara Fahrul Mahardian Amanu Faiz Maulana Fandy Akbar Brilliantama Fany Nurul Fawzi Hidayat Fara Aristya Prisma Feby Safitri Fery Ardi Kurniawan Flora Ramona Sigit Prakoeswa Geofany Hargi Findawan H.A.A. Soebijanto H.A.A. Soebijanto Hani Ariyanto Hanung Prasetya Hanung Prasetya Hanung Prasetya Hapsari, Windi Harsono Salimo Harsono Salimo Hartini, Riati Sri Hutami, Norma Putri Idoviari Putriyantiwi Imronudin Imronudin Indah Sri Astuti Indra Pradani Khumala Inggrit Thalasavia Utami Ismail, Aem Iwan Setiawan Jayanti Wulansari Jayanti Wulansari, Jayanti Jemmi Sastrawijayah Jonathan Eko Jonathan Eko, Jonathan Komala, Annisa' Meyndra Kunari Mahanani Kunari Mahanani Kurniawati, Novarina Kusuma Estu Werdani Lidya Goprani Umar M. Nur Sidiq M. Nur Sidiq, M. Nur Maharani Ayu Kusumawati Mahawan, Yasmin Faradila Marchella Krismonica Ningrum Mar’ah, Siti Sitatul Mazaya Bilqiis Deswynand Sutedjo Muhammad Iqbal Ilyasa Muhammad Nur Sidiq Muhammad Nur Sidiq, Muhammad Nur Muhammad Shoim Dasuki Mulyanto , Agus Mushhaf, Muhammad Dhiyaul Muzakar Isa Muzakar Isa Muzakar Isa Muzakar Isa Nabila Safhira Titan Kencana Nadya Dwi Puspitasari Najlah Amalia Nendika Dyah Ayu Nendika Dyah Ayu Murika Sari Nida Faradisa Fauziyah Niken Luthfiyanti Nining Lestari Noval Gentha Mahesa Nur Alfi Khoirul Fajriati Nuredis, Yudwari Adhicha Nurussyifa Afiana Zaen Prasetya, Hanung Pratama, Bertha Nanta Priscillah, Wildan Prisma, Fara Aristya Puspitasari, Nadya Dwi Puspitasari, Sintha Putri Rahmitasari Putri Rahmitasari, Putri Putri, Syahanita Anindira Raafika Studiviani Dwi Binuko Raden Roro Nadya Maureen Rahmawati Fajrin Ratih Pramuningtyas Ravi Assaro Al Adib Putra Restiana Nugraheni Kusumastuti Retno Wulandari Retno Wulandari Rini Kuswati Sabrina, Saskia Sahilah Ermawati Salsabila Purnamasari Salsabilla, Annisa Sari, Primadiati Nickyta Saskia Sabrina Sastrawijayah, Jemmi Schedar Shafrizal Amar SEPTIANA SEPTIANA Setyo Sri Raharjo Siti Soekiswati Siti Zulfatul Afifah Sitta Rahma Sri Rahayu Rendra Amiliya Stefi Meidiana Sulistyani Sulistyani Sulistyani Sulistyani, S Syahanita Anindira Putri Tri Agustina Tri Agustina, Tri Ulviani Yulia Husna Verawati Hadi Vitri Widyaningsih Wahyudya Setya Ananta Wati, Dwi Prasetyo Widayati, Anis Nur Wildan Priscillah Windi Hapsari Wisnu Wijayanto wisnu wijayanto Yeni Indriyani Yoga Prasadja Yudwari Adhicha Nuredis Yurita, Irma Yusuf Alam Romadhon Yusuf Ryadi Yusuf, Muchammad Zaen, Nurussyifa Afiana Zahra Hafizha Fitria Anam Zakky Cholisoh Zalfa Afifah