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Hubungan Aspek-aspek Perawatan Kaki Diabetes dengan Kejadian Ulkus Kaki Diabetes pada Pasien Diabetes Mellitus Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

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Diabetic foot is one of chronic complications of Diabetes Mellitus. Bad management and care for diabetic foot will lead to become Diabetic Ulcers. Mortality and amputation remain frightening to Diabetic patients. One of the Diabetic foot management in order not to develop further serious problem is Diabetic Foot Care. This study aimed to identifying aspects of Diabetic foot care due to Diabetic foot ulcers in PKU Muhammadiyah Hospital of Yogyakarta. It was a cross sectional study. The research sample were patients with Diabetes Mellitus in PKU Muhammadiyah Hospital of Yogyakarta who met the inclusion criteria and with the number of 21 people for each case and control group using purposive sampling technique. The check list used comprised 6 aspects of Diabetic Foot Care. The data required was then made nominal and analyzed using Chi Square statistical test with degree of significance 95%. The findings showed that there were significant correlations between Diabetic Foot Care aspects with Diabetic Foot Ulcers, except for aspect of routine foot control. The probability value between 0,002 to 0,030 was gained from related 5 aspects. However there was one aspect that did not show significant value of p > 0,050. It was concluded that there was significant correlations between 5 aspects of Diabetic Foot Care with the occurrence of Diabetic Foot Ulcers.Kaki Diabetes merupakan salah satu komplikasi kronik Diabetes. Kaki diabetes yang tidak dikelola dan dirawat dengan baik akan mudah mengalami luka dan cepat berkembang menjadi Ulkus Diabetes. Angka kematian dan laju amputasi masih menjadi momok yang menakutkan bagi para diabetesi. Salah satu upaya pengelolaan kaki diabetes agar tidak menjadi problem yang serius dikemudian hari adalah perawatan kaki diabetes. Penelitian ini bertujuan untuk mengetahui aspek- aspek perawatan kaki diabetes yang berhubungan dengan kejadian Ulkus Kaki Diabetes di RS PKU Muhammadiyah Yogyakarta.â Jenis penelitian ini adalah penelitian Cross Sectional. Sampel penelitian ini adalah pasien DM di RS PKU Muhammadiyah Yogyakarta yang memenuhi kriteria inklusi dan berjumlah 21 orang untuk masing-masing kelompok kasus dan control dengan menggunakan teknik Purposive Sampling. Check List yang digunakan berisi seputar aspek-aspek perawatan kaki diabetes yang meliputi 6 aspek. Data yang didapatkan kemudian dinominalkan dan diolah dengan uji statistik Chi Square, menggunakan derajat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara aspek-aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes, kecuali untuk aspek kontrol kaki berkala. Dari 5 aspek yang dihubungkan mendapatkan nilai probabilitas antara 0,002 sampai 0,030. Sedangkan 1 aspek lainnya tidak menunjukkan taraf signifikansi karena p > 0,05. Dari hasil di atas dapat disimpulkan bahwa terdapat hubungan yang bermakna antara 5 aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes.

Evaluasi Pelayanan Kesehatan, Perilaku Masyarakat, dan Lingkungan di Wilayah dengan Angka Kematian Bayi (AKB) Tinggi Dewi, Arlina; Sulistyawati, Endang; Asmi, Sarah Ayu Budi; Arini, Merita
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

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Recently, Pejawaran District has high IMR minimal 5 year and higher than national average. The aims of this research are to evaluate health care, community behavior, and environment in Pejawaran District. This research uses observational method with survey approach. The 97 sample are women who ever deliver the life baby and live in Pejawaran for 5 years. Maternal-neonatal health cares in Pejawaran are good, which are enough in available, acceptable-continuely, accessible, affordable, and good quality. Health behaviors are various and some components should be more concerned (proper washing hand, brushing teeth, âkadarziâ, birth attendance, health insurance and smoking). Illness behaviors are still low, especially mother knowledge. Sick role behaviors are various especially the community efforts to take medication. Achievement is good in the knowledge of health care places and the understanding of the rights of sick people although the understanding of the duties is low. Unfulfilled health housing component are ratio wide house with family members (22,7%), floor (51,5%), wall (49,5%), roof (3,1%), ventilation (66%), lighting (20,6%), and cages of animal (51,6%). Unfulfilled health basic sanitation are the drinking water source (100%), excreta disposals (87%), garbage bin (4,1%), andwaste water disposal (50,5%). The conclution are maternal-neonatal health care in Pejawaran District have fulled requirement; health related behaviors achievement are various, but mostly must be increased; and the majority environment archievement haven ât fulled health requirements yet.Kecamatan Pejawaran memiliki AKB tinggi selama 5 tahun terakhir dan lebih tinggi dibanding rata-rata nasional. Tujuan penelitian ini adalah mengevaluasi pelayanan kesehatan, perilaku masyarakat, dan lingkungan di Kecamatan Pejawaran. Penelitian ini menggunakan metode observasional dengan pendekatan survei. Sampel sebanyak 97 yaitu ibu yang pernah melahirkan 1 bayi lahir hidup dan tinggal di Pejawaran minimal 5 tahun. Pelayanan kesehatan maternal-neonatal cukup tersedia, dapat diterima-berkelanjutan, mudah dicapai, dapat dijangkau, dan berkualitas. Perilaku sehat masyarakat bervariasi, komponen yang masih memerlukan perhatian adalah mencuci tangan dengan benar, menggosok gigi, kadarzi, penolong persalinan, asuransi kesehatan dan merokok. Perilaku sakit masih rendah khususnya pengetahuan ibu. Perilaku peran sakit beragam khususnya perilaku mencari kesembuhan. Pengetahuan adanya tempat pelayanan kesehatan dan kepemahaman terhadap hak orang sakit tercapai dengan baik walaupun kepemahaman terhadap kewajiban orang sakit masih rendah. Komponen rumah yang belum mencapat syarat kesehatan adalah kepadatan rumah (22,7%), lantai (51,5%), dinding (49,5%), langit-langit (3,1%), ventilasi (66%), pencahayaan (20,6%), dan kandang ternak (51,6%). Sanitasi dasar yang belum mencapat syarat kesehatan adalah sumber air bersih (100%), sarana pembuangan kotoran (87%), sarana pembuangan sampah (4,15%), dan sarana pembuangan limbah (50,5%). Kesimpulan yang diperoleh adalah pelayanan kesehatan maternal-neonatal Kecamatan Pejawaran sudah memenuhi syarat; cakupan perilaku masyarakat terkait kesehatan beragam, namun sebagian besar harus diperbaiki; dan cakupan komponen lingkungan sebagian besar belum memenuhi syarat kesehatan.

Kepuasan Pasien terhadap Komunikasi Dokter Pasien di Puskesmas Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 2 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

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Doctor patient communication is the important basis of diagnosis, therapy and preventive process. In a few cases in Primary, Care, most of doctrs do wrong diagnosis because of inhibition in communication. In a busy doctor practice, communication takes short time. Patient are dissatisfied to doctor care because of less attention and opportunity to express their feeling. The objective of this study is to determine the correlation between patient satisfaction and duration of doctor patient communication in Community Health Centre. The research method used cross sectional design with analytic type. The collected data using satisfaction questionnaire that filled directly by respondent and direct observation by researcher to duration of doctor patient communication. Sixty-four respondents selected at random from eight Community Health Centres in Primary Care where doctor care the patient. Spearman Correlation test is used to analyze the data. The study finds out that the duration of doctor patient communication is 2,96Â±1,27 minutes on average. Based on eight categories (greeting, non verbal, empathy, language, listening, giving information, summarizing, motivation) of patient satisfaction level, the highest score is empathy and the lowest score is greeting. Patient satisfaction score to female doctor is higher than male (p=0,026). There is moderate correlation (r=0,444, p<0,005) between patient satisfaction and duration of doctor patient communication in Community Health Centre. In conclusion, there is moderate correlation between patient satisfaction and duration of doctor patient communication in Community Health Centre.Komunikasi dokter pasien merupakan landasan yang penting dalam proses diagnosis, terapi maupun pencegahan penyakit. Dalam beberapa kasus di Primary Care banyak dijumpai dokter yang keliru mendiagnosis karena adanya hambatan dalam komunikasi. Pada praktik dokter yang sibuk komunikasi yang terjadi hanya sangat singkat. Ketidakpuasan sebagian pasien terhadap layanan dokter karena merasa kurang diperhatikan dan tidak ada kesempatan dalam mengungkapkan perasaannya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kepuasan pasien dengan durasi komunikasi dokter pasien di Puskesmas. Metode penelitian menggunakan rancangan cross sectional dengan jenis penelitian analitik. Pengumpulan data menggunakan kuisioner kepuasan yang diisi langsung oleh responden dan observasi langsung oleh peneliti terhadap durasi komunikasi dokter pasien. Enampuluh empat responden pasien terpilih secara acak dari delapan Puskesmas tempat dokter Primary Care memberikan pelayanan. Analisis data menggunakan uji Spearman Correlation. Hasil penelitian didapatkan rata rata durasi komunikasi dokter pasien 2,96Â±1,27 menit. Dari delapan komponen kategori (greeting, non verbal, empathy, language, listening, giving information, summarizing, motivation) tingkat kepuasan pasien yang tertinggi pada empathy dan yang terendah pada greeting. Skor kepuasan pasien terhadap dokter perempuan lebih tinggi daripada dokter laki laki (p= 0,026). Terdapat korelasi sedang (r = 0,444, p<0,005) antara kepuasan pasien dengan komunikasi dokter pasien di Puskesmas. Dari hasil tersebut dapat disimpulkan bahwa terdapat hubungan sedang antara kepuasan pasien dengan komunikasi dokter pasien di Puskesmas.

Potential Fraud in The Primary Healthcare Fathurrohman, Nizar; Dewi, Arlina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7373

This study discusses of potential fraud at the primary healthcare. Fraud is more often associated with secondary healthcare, namely hospitals, so that fraud in primary healthcare rarely supervises. Premi of JKN around 38.5 trillion and estimating the potential fraud of around 5% will disappear 1.8 trillion per year. This research used qualitative methods with phenomenological design, as the data are collected using in-depth interview and observation techniques. The number of respondents in this research were 3 public healthcare and 2 private healthcare in X regency. The results showed potential fraud in primary healthcare related to human resources (HR), management of health service, leadership policies, management of capitation funds and operational audits.

PATIENT SAFETY INCIDENT DIFFERENCES BETWEEN ACCREDITED AND NOT ACCREDITED PRIMARY HEALTH CENTER Dewi, Arlina; Seftaviani, Nevi; Rochmawati, Erna
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83109

The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients? safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients? safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife?s treatment while transferring and about the education involved minor harm.

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