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Penatalaksanaan Holistik Seorang Anak Perempuan Berusia 8 Tahun dengan Disentri dan Dehidrasi Sedang: Sebuah Laporan Kasus dengan Pendekatan Kedokteran Keluarga Nathan, Daniel Setiawan; Rostiaty, Erti
The Indonesian Journal of General Medicine Vol. 5 No. 1 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/mk8m8p17

Abstract

Pendahuluan : Peradangan yang terjadi di usus yang disebabkan oleh mikroorganisme yang menyerang lendir usus dikenal sebagai disentri. Di antara penyebab disentri di seluruh dunia, kita dapat menyebutkan Shigella, strain Escherichia coli yang agresif, dan kadang-kadang bakteri seperti Campylobacter, yersinia, salmonella, dan parasit seperti Entamoeba histolytica. Untuk menghindari komplikasi, penanganan secara menyeluruh menggunakan pendekatan kedokteran keluarga dengan fokus pada pasien, keluarga, dan masyarakat. Studi ini adalah kasus. Alloanamnesis dan pemeriksaan fisik adalah metode yang digunakan untuk mendapatkan data awal. Diagnosis holistik digunakan untuk menilai dari awal, proses, dan akhir penelitian. Penilaian dilakukan secara kuantitatif dan kualitatif. Laporan Kasus : Seorang anak laki-laki usia 8 tahun datang dengan keluhan BAB cair yang dialami > 10x pada hari ini. Keluhan BAB cair ini sudah dialami pasien selama 2 hari ini. Kotoran berwarna kuning kehijauan, berampas, berlendir, dan terdapat darah pada kotoran. Ibu mengatakan BAK pasien berkurang tidqak seperti biasanya. Ibu pasien mengatakan sebelumnya pasien makanan jajanan yang dibeli ayahnya sepulang kerja. Ibu mengatakan anaknya minum lebih banyak dari biasanya. Secara klinis dan pemeriksaan fisik pasien didiagnosis Disentri. Kesimpulan : Faktor risiko internal berupa kurangnya pengetahuan terkait penyakit dan kebersihan diri seperti cuci tangan. Faktor risiko eksternal berupa kurangnya pengetahuan keluarga dan kebersihan rumah yang masih kurang baik. Dilakukan intervensi medikamentosa dan non-medikamentosa pada pasien dan keluarga.
Penatalaksanaan Holistik Seorang Laki-Laki Berusia 19 Tahun Dengan Tuberkulosis dan Malnutrisi serta Anemia : Sebuah Laporan Kasus dengan Pendekatan Kedokteran Keluarga Nathan, Daniel Setiawan; Rostiaty, Erti
The Indonesian Journal of General Medicine Vol. 5 No. 1 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/mhwpgf62

Abstract

Pendahuluan: Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis, terutama mempengaruhi paru-paru dan dapat menyebar ke organ lain. Penyakit ini erat kaitannya dengan malnutrisi, terutama di negara berpendapatan rendah dan menengah, di mana malnutrisi memperburuk perjalanan penyakit TB serta meningkatkan risiko komplikasi seperti anemia. Laporan kasus ini mengevaluasi penatalaksanaan holistik pada seorang laki-laki berusia 19 tahun yang didiagnosis dengan TB paru, malnutrisi, dan anemia. Laporan Kasus: Pasien datang dengan gejala batuk berdahak lebih dari tiga minggu, penurunan berat badan signifikan, dan kelelahan. Pemeriksaan fisik menunjukkan indeks massa tubuh (BMI) 16 kg/m², sedangkan hasil penunjang menunjukkan infiltrat paru dan anemia normositik. Pendekatan holistik melibatkan terapi obat anti-TB (OAT) standar selama 6 bulan, suplemen zat besi dan vitamin B kompleks untuk anemia, serta diet tinggi kalori dan protein untuk memperbaiki status gizi. Edukasi lingkungan juga diberikan untuk mengurangi risiko penularan, termasuk peningkatan ventilasi rumah dan etika batuk. Setelah satu bulan pengobatan, pasien menunjukkan perbaikan gejala, peningkatan berat badan 2 kg, dan hasil dahak negatif. Kesimpulan: Pendekatan holistik dengan kedokteran keluarga sangat penting untuk memastikan penatalaksanaan pasien berjalan optimal. Dengan melibatkan pasien, keluarga, dan lingkungan dalam penatalaksanaan TB, malnutrisi, dan anemia, maka diharapkan tercapai kesembuhan yang lebih baik dan mencegah terjadinya penularan serta kekambuhan penyakit di kemudian hari.
An Analysis Study on the Effect of the Use of Electronic Medical Records on the Effectiveness and Efficiency of Services at Public Health Centers (Puskesmas) in Indonesia: A Systematic Review Nathan, Daniel Setiawan; Rostiaty, Erti
The International Journal of Medical Science and Health Research Vol. 5 No. 7 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/zphqxk59

Abstract

Background: EMR utilize electronic systems to store, manage, and share patient health information more efficiently and accurately. Given the importance of using EMR in improving the quality and efficiency of health services in Indonesia, this study aims to systematically review the existing evidence related to the effectiveness of EMR implementation on the effectiveness and efficiency of services at Puskesmas in Indonesia. This study follows the PRISMA 2020 standard, examining English literature from 2014 to 2024. The study excluded editorials, reviews from the same journal, and submissions without DOI. PubMed, SagePub, SpringerLink, and Google Scholar are used as literary sources. Results: Initially getting 360 articles from online databases (PubMed, SagePub, SpringerLink, and Google Scholar), eight relevant papers were selected after three rounds of screening for full-text analysis. Conclusion: Overall, the use of Electronic Medical Records at primary healthcare in Indonesia provides many advantages in terms of the effectiveness and efficiency of health services, especially in accelerating queue waiting time, registration, service in the police, and drug taking. However, to achieve optimal implementation, efforts to improve technology infrastructure, training for health workers, and good network management are needed to overcome technical obstacles and ensure smooth service flow at the primary healthcare.
Association of Management Efficiency to Improve the Quality of Health Services in Primary Health Care : a Systematic Review Nathan, Daniel Setiawan; Rostiaty, Erti
The Indonesian Journal of General Medicine Vol. 1 No. 3 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The goal of this study is to showed the association of management efficiency to improve the quality of health services in primary health care. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements.  Several different online reference sources, like Pubmed and SagePub, were used to do this.. Result: In the PubMed database, the results of our search brought up 387 articles, whereas the results of our search on SagePub brought up 187 articles. The results of the search conducted for the last year of 2013 yielded a total 23 articles for PubMed and 11 articles for SagePub. In the end, we compiled a total of 7 papers, 5 of which came from PubMed and 2 of which came from SagePub. We included three research that met the criteria. Conclusion: The research does not explicitly show a relationship between efficiency and patient satisfaction, but it does show a relationship to facility improvement and development. Much literature shows a relationship between improvement and development of facilities on patient satisfaction.
The Relationship between the Use of Health Information Systems and Community Satisfaction with Health Services in Primary Health Care: a Systematic Review Nathan, Daniel Setiawan; Rostiaty, Erti
The Indonesian Journal of General Medicine Vol. 1 No. 3 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The goal of this study is to showed the relationship between the use of health information systems and community satisfaction with health services in primary health care. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. Several different online reference sources, like Pubmed and SagePub, were used to do this. Result: In the PubMed database, the results of our search brought up561 articles, whereas the results of our search on SagePub brought up 447 articles. The results of the search conducted for the last year of 2013 yielded a total 139 articles for PubMed and 67 articles for SagePub. In the end, we compiled a total of 12 papers, 8 of which came from PubMed and 4 of which came from SagePub. We included three research that met the criteria. Conclusion: Implementing a health information system in PHC is beneficial for patients, according to research. This naturally adds value to the service, which contributes to the high level of customer satisfaction.