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All Journal Jurnal Kedokteran Brawijaya Pharmaciana: Jurnal Kefarmasian Jurnal Farmasi Klinik Indonesia Majalah Obat Tradisional JURNAL PENGABDI Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Ilmu Kefarmasian Indonesia Cendekia Journal of Pharmacy Journal SAGO Gizi dan Kesehatan Rengganis Jurnal Pengabdian Masyarakat Jurnal Locus Penelitian dan Pengabdian Makara Journal of Science
Phebe Hendra, Phebe
Faculty of Pharmacy, Universitas Sanata Dharma
Aerospace Engineering Agriculture, Biological Sciences & Forestry Automotive Engineering Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Health Professions Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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HUBUNGAN KONTROL HBA1C TERHADAP PROFIL LIPID PADA PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS SALAH SATU KECAMATAN, YOGYAKARTA Pramono, Zita Dhirani; Virginia, Dita Maria; Hendra, Phebe
Cendekia Journal of Pharmacy Vol 8, No 3 (2024): Cendekia Journal of Pharmacy
Publisher : Institut Teknologi Kesehatan Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/cjp.v8i3.298

Abstract

Diabetes melitus merupakan suatu penyakit kronis yang memiliki tingkat prevalensi tinggi di Indonesia. HbA1c menjadi prediktor pada kontrol glikemik pada pasien diabetes melitus. Nilai HbA1c yang tinggi menyebabkan kondisi peningkatan profil lipid baik trigliserida, LDL (Lipoprotein Kepadatan Rendah) , total kolesterol maupun penurunan kadar HDL (lipoprotein kepadatan tinggi). Penelitian ini bertujuan untuk mengetahui adanya hubungan kadar HbA1c terhadap profil lipid pada pasien diabetes melitus di Puskesmas salah satu kecamatan di Sleman, Yogyakarta. Penelitian ini dilakukan secara cross sectional, dengan subjek penelitian sebanyak 36 pasien yang telah memenuhi kriteria inklusi dan eksklusi.  Analisis statistika dilakukan secara univariat dan uji korelasi pearson antar variabel. Penelitian ini menunjukkan 26 pasien (72,2%) berjenis kelamin perempuan yang mengalami diabetes dan hipertensi pada kelompok peserta prolanis. Selain itu, 22 pasien memiliki umur berkisar antara 60-75 tahun, juga diketahui rata-rata pasien memiliki nilai sistolik yang didominasi sebesar 140-159 mmHg (33,3%) dan diastolik sebesar 85 mmHg (44,4%). Adanya 28 pasien (77,8%) memiliki nilai LDL ?100 mg/dL, 20 pasien (55,6%) memiliki nilai  HDL 50 mg/dL, 20 pasien (55,6%) memiliki nilai kolesterol total ?200 mg/dL, dan trigliserida. Kontrol glikemik yang ditunjukkan dengan kadar HbA1c pada subjek penelitian belum terkontrol dengan kadar ?7% sebanyak 23 orang (63,9%).  Hasil uji korelasi antar variabel diketahui bahwa terdapat korelasi kadar HbA1c terhadap profil lipid trigliserida, dengan nilai korelasi sebesar 0,480 (p0,05), dan tidak adanya korelasi antara kadar HbA1c terhadap profil lipid lainnya seperti LDL -0,057 (p0,05); HDL -0,290 (p0,05); Kolesterol Total   0,007 (p0,05). Sehingga dapat disimpulkan bahwa terhadap hubungan kontrol HbA1c terhadap profil trigliserida pada pasien diabetes melitus tipe 2. 
Evaluasi implementasi program rujuk balik (PRB) di Puskesmas Kota Semarang Karti, Indah Mayang; Priyatni, Nunung; Hendra, Phebe
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2968

Abstract

Background: The Referral Back Program (PRB) is a strategy of the Indonesian Health Insurance Agency (BPJS Kesehatan) to transfer the management of chronic disease patients from hospitals to community health centers in order to reduce referral burdens, improve efficiency, and maintain continuity of therapy. Its implementation still faces limitations in resources, suboptimal coordination, and low patient compliance, thus requiring a comprehensive evaluation to assess the program's effectiveness.Objective: This study aims to evaluate the implementation of the Referral Back Program (PRB) by reviewing the input, process, and output aspects of PRB implementation in community health centers in Semarang City in 2024.Method: This study is a descriptive qualitative study conducted in 10 pilot project community health centers in Semarang City in 2024. Data were collected through observation, in-depth interviews, and document studies. Respondents consisted of health center heads, health workers, PRB administrative staff, and PRB patients. Data analysis was performed using triangulation of sources, methods, and documents.Results: The implementation of PRB at the Semarang City Health Center in 2024 was not optimal. In terms of input, there was a shortage of health workers, uneven distribution of medicines, and manual administration. In terms of service implementation, guidelines were followed, but coordination between FPKTP and FPKTL was inconsistent and patient education was not structured. In terms of output, patient compliance was still low, program effectiveness was not optimal, and patient satisfaction was influenced by the availability of medicines and the smooth running of services.Conclusion: PRB at the Semarang City Health Center has not been effective due to limited resources, weak coordination, and low patient compliance. This condition shows a gap between policy and practice, so it is necessary to strengthen human resources, improve administration, increase coordination, and educate patients to support the success of PRB.
Co-Authors Andrestia Dias, Velia Aris Widayati Ariyanti, Ni Kadek Nining Bramantyo , Dominicus Adyatma Celine Dinanda, Laurenza Christianus Heru Setiawan Conrad Rambung, Charles Dewi Puspitasari Tirtaningtyas Gunawan Puteri, Maria Dita Maria Virginia Fenty Fenty, Fenty Filiana Santoso Florence Ignatia, Florence Ignatia Florentinus Dika Octa Riswanto Gidion Krisnadi, Gidion Gunawan Puteri, Maria Dewi Puspitasari Tirtaningtyas Hane, Angelina Rosari Ike Kumalasari, Ike Jeffry Julianus Karti, Indah Mayang Lisa Kurnia Sari, Lisa Kurnia Ni Luh Putu Dian Perwita, Ni Luh Putu Dian Nina Artanti Pinaryanto, Kartono Pramono, Zita Dhirani Pratiwi, Vera Dwi Priyatni, Nunung Putri , Elsha Tiany Rajagukguk, ⁠Greysianita Rita Suhadi Santi , Nyoman Pradnya Yoni Meytri Siallagan , Angela Meirella Tjiptadi, Felicia Melissa Wahyuning Setyani Yuditha Anggarhani Quraisyin, Yuditha Anggarhani Zalinar Udin