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Pengobatan Pasien Gangguan Jiwa yang Dipasung Oleh Keluarga: Studi Kasus di Kabupaten Trenggalek Sulisetiorini; Adji Prayitno; Yosi Irawati Wibowo
Keluwih: Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2024): Keluwih: Jurnal Kesehatan dan Kedokteran (June)
Publisher : Direktorat Penerbitan dan Publikasi Ilmiah, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/kesdok.V5i2.6050

Abstract

Abstract—In Trenggalek Regency, East Java Province, psychotic patients are still found on pasung by their families even though the Free Pasung Program has been intensively carried out since 2015 by The Indonesian Government. This research aims to identifying the characteristics and status of pasung, medication history, and patient’s adherence to medication. The data collection was carried out through interviews with family members of patients with pasung and observation of medical records. A total of 14 psychotic patients were included in this study. Patients were in the productive age of 30-60 years (100%), not working (92.86%), the ratio of patients on pasung and with history of pasung was 1:1, the highest educational level was elementary school (71.43%), and family history (14.29%). Out of 14 patients, 3 patients received no medications, 4 patients received both oral and injectable medications, and 7 patients received oral medications; the majority of patients were given complementary medications (64.29%). The most common injections given were haloperidol decanoate and long-acting flufenazine decanoate; while oral medications frequently given were risperidone, chlorpromazine, trihexiphenidyl, haloperidol and trifluoperazine. Patients’ medication adherence rate was 63,64%. This finding indicated the importance of pharmacists’ role in providing drug information and counseling services to improve medication adherence of patients with psychotics. Keywords: adherence, pasung, pharmacist, psychotic Abstrak—Di Kabupaten Trenggalek Provinsi Jawa Timur masih ditemukan pasien gangguan jiwa psikotik yang dipasung oleh keluarga meskipun Program Bebas Pasung sudah gencar dilakukan sejak tahun 2015 oleh pemerintah Indonesia. Penelitian ini bertujuan untuk mengidentifikasi karakteristik dan status pasung, riwayat pengobatan, serta kepatuhan pasien terhadap pengobatan. Metode pengumpulan data melalui wawancara anggota keluarga pasien dengan pasung dan pengamatan rekam medis. Empat belas pasien gangguan jiwa psikotik terlibat dalam penelitian ini. Pasien berusia produktif 30-60 tahun (100%), tidak bekerja (92,86%), rasio status pasien dalam pasung dan riwayat pasung adalah 1:1, riwayat pendidikan terbanyak adalah sekolah dasar (71,43%), dan riwayat keluarga (14,29%). Dari 14 pasien, 3 pasien tidak menerima pengobatan, 4 pasien menerima pengobatan oral dan suntikan, dan 7 pasien menerima pengobatan oral; mayoritas pasien menerima pengobatan komplementer (64,29%). Obat suntikan yang paling umum diberikan adalah haloperidol dekanoat dan flufenazine dekanoat kerja panjang; sedangkan obat oral yang sering diberikan adalah risperidon, klorpromazin, triheksifenidil, haloperidol dan trifluoperazin. Tingkat kepatuhan pengobatan pasien adalah 63,64%. Temuan ini menunjukkan pentingnya peran apoteker dalam memberikan informasi obat dan layanan konseling untuk meningkatkan kepatuhan pengobatan pasien gangguan jiwa psikotik. Kata kunci: apoteker, kepatuhan, pasung, psikotik
Analysis of Risk Factors for Stunting at Semanding Public Health Center, Tuban, Indonesia Valentino Christianto; Adji Prayitno; Sylvi Irawati; April Nuraini
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1347

Abstract

Stunting is a health problem in all developing countries. Stunting causes low intellectual capacity in children, lowers competitiveness, and reduces the quality of human resources in the future. The purpose of this study was to determine the factors causing stunting that can be used as a measure for stunting prevention. A descriptive analysis was conducted using an observational method with a case-control design at the Semanding Community Health Center, Tuban Regency. Sampling was carried out using a total sampling technique with 130 respondents, divided into two groups: mothers with stunted toddlers (65 respondents) and mothers with non-stunted toddlers (65 respondents) from October to December 2023. Bivariate and multivariate data analyses were performed. Significant differences were found in the median maternal age at delivery (p=0.044), child's age when starting complementary foods in addition to breastfeeding (p=0.019), and timing of breastfeeding initiation after birth (p=0.025). The relationship between child characteristics that statistically significantly influenced the incidence of stunting was early initiation of breastfeeding (p=0.027). Early initiation of breastfeeding tended to influence the incidence of stunting