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Akupresur PC6 terhadap CINV Pasien Kanker dengan Kemoterapi dalam Layanan Dokter Keluarga Hendrik, Hendrik -; Handoko, Marshell Timotius; moningkey, shiley
Nommensen Journal of Medicine Vol 9 No 2 (2024): Nommensen Journal of Medicine: Edisi Februari
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i2.1192

Abstract

Pendahuluan : Kanker telah menjadi bagian dari masalah kesehatan global yang paling penting. kemoterapi merupakan salah satu pengobatan kanker yang ada tetapi dapat menyebabkan beberapa masalah yang dapat mempengaruhi kualitas hidup pasien seperti mual dan muntah sehingga mencari pelayanan di fasilitas primer. Penerapan pelayanan kedokteran keluarga berbasis EBM seperti Stimulasi titik akupuntur dengan akupresur dipercaya dapat mengurangi keluhan mual muntah akibat kemeterapi. Tujuan dari evidence based case report (EBCR) ini adalah untuk melihat apakah penggunaan akupresur dapat mengatasi mual muntah akibat kemoterapi. Metode : pencarian literatur dilakukan pada PubMed, Google Scholar, dan ScienceDirect. Setelah literatur ditemukan, evaluasi dilakukan dengan menggunakan kuisioner telaah kritis. Hasil : dari tiga database di temukan 7 artikel yang dilanjutkan untuk telaah kritis. akupresure titik PC 6 menunjukkan penurunan terhadap mual dan muntah pada pasien yang menjalani kemoterapi. Akupresure titik PC 6 dapat direkomendasi pada layanan primer jika pasien masih mengalami mual muntah walaupun sudah terdapat pemberian obat antimuntah berhubung lokasinya yang mudah ditemukan dibanding titik akupresure yang lain Keyword : akupresur , CINV, PC 6 , neiguan.
Implementing Lifecycle-Based Clustering and Digital Integration in Indonesia’s Primary Healthcare: A Policy Analysis of Family Medicine’s Role in Sustainable Care Handoko, Marshell Timotius
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 1 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i1.5446

Abstract

Transforming primary healthcare in Indonesia through integrated, lifecycle-based approaches is a strategic effort to achieve a high-value, high-quality health system. This study analyzes the role of family medicine within Indonesia’s primary care model, highlighting how family doctors contribute to improved healthcare accessibility, continuity, and responsiveness. Family doctors serve as frontline providers across lifecycle clusters—including maternal and child health, productive adult care, elderly care, and infectious disease control. Their role in managing chronic illnesses, mental health, and preventive care is essential within the Indonesian context, as they deliver comprehensive services that address the biological, psychological, and social determinants of health. Digital integration through the Platform Satu Sehat and the Pemantauan Wilayah Setempat (PWS) dashboard supports real-time health monitoring, enabling family doctors to make data-driven decisions and provide proactive care. In addition, family doctors extend their impact through community engagement, leading immunization campaigns, health education, and public health initiatives. They also serve as patient advocates by coordinating multidisciplinary teams and guiding individuals through complex healthcare pathways. This Indonesia-based model demonstrates the potential of family medicine to drive sustainable, community-based primary care transformation and provides a replicable framework for other low- and middle-income countries. The findings reinforce the critical role of family doctors as a foundation for equitable access, improved quality of care, and resilient health systems.
Effectiveness of Home Visiting Programs To Prevent Maternal Depression: A Systematic Review of RCTs Liem, Jean Andrina; Rustiadi, Natalie Debora Devino; Wijovi, Felix; Heriyanto, Rivaldo Steven; Setyoputra, Bryan; Sucahyo, Emanuela Clarisa Karina; Lake, Josephus Rivaldo; Aurielle, Celine; Handoko, Marshell Timotius; Cipta, Darien Alfa
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.82560

Abstract

During prenatal and post-partum period, 10-20% of women experience depression. The quality of life and functional capacity of these women were also significantly impacted by depression. This condition also has an adverse effect on fetal development and newborn. Furthermore, home visit have been used to reduce maternal depression. However, the evidence of this still low. Hence, this review aims to evaluate the effectiveness of home visiting in preventing maternal depression. Articles for this systematic review were collected from several databases (PubMed, Scopus, Google Scholar, and ScienceDirect) using terms related to maternal depression, prevention, and home visiting. The quality of included studies were assessed using the Newcastle-Ottawa Scale (NOS). This systematic review is comprised of 13 high quality randomized clinical trials with 4.804 participants. Eleven studies indicate that home visiting effectively reduce depressive symptoms and a study shows that mothers receiving home visiting are twice less likely to develop depressive symptoms. Home visiting are also beneficial for low-income women amidst the low rate of mental health services. Only two studies state that there is no evidence that home visiting effectively reduces depressive symptoms and increases caregiving quality. However, some studies state that the mother's cognitive, child growth, and maternal depression may improve with home visiting integrated with cognitive behavioral therapy, counseling, education such as lectures, or video. Home visiting are effective in preventing maternal depression. Further studies are needed to compare the effectiveness of the intervention plan in home visiting. 
Systematic Review: The Correlation Burnout Rate in Cancer Patient Caregivers Febrianti, Erlin; Cipta, Darien Alfa; Esperanza, Maria; Handoko, Marshell Timotius; Sembiring, Melanie Darischa; Kristianti, Naftali Intania
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.82561

Abstract

The caregiver among cancer patients often experiences hardships while providing emotional, physical, and financial support for their family members. Cancer is one of the leading causes of death. However, due to improved cancer treatment, there is a reduced mortality rate and increased survival rate among patients with cancer, resulting in an increased and prolonged burden for both patients and caregivers. The caregiver is a professional in treating patients requiring extended outpatient care, assisting patients in their daily activities, and performing medical treatment. The method we used is a systematic review of the correlation between burnout rates in cancer patients' caregivers. Was also conducted a researcher's method uses a cross-sectional/study. We used 14 articles that correlated and searched the keyword cancer, patient cancer, burnout, and caregivers. Also, the results stated that caregivers are highly related to the level of burnout; thus, research shows caregivers have low self-esteem, adverse health effects, and depression. Ultimately, there is a high correlation between burnout in caregivers and cancer patients. Caregivers play a crucial role in the management of cancer patients. Giving caregivers the social support they need, educational resources, and supporting programs may decrease burnout because they need to provide for their mental health, which correlates with low self-esteem, adverse health effects, and depression. There is great potential for improvement in the design of cancer caregiver intervention studies to plan for future implementation, so more in-depth studies on this topic are needed. 
Factors Affecting the Level of Satisfaction of Doctors Using the YesDok Telemedicine Information System Handoko, Marshell Timotius; Lahindah, Laura
International Journal of Science and Society Vol 6 No 1 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i1.1025

Abstract

Healthcare is one of the most important things in today's society, especially with technology. Indonesia has the fewest doctors in Southeast Asia, at 0.4 doctors per thousand population. This innovation in medical services can help patients and medical personnel to be more efficient and effective. Telemedicine as the practice of using technology to deliver health services remotely. In virtual situations, trust becomes very important in online services. Doctors are the main important part of YesDok telemedicine services and the importance of doctor satisfaction as users of telemedicine information systems is the main target. Quantitative research was conducted on a sample of all YesDok in-house doctors, the data was analyzed with SPSS 25. The results showed a significant effect on the level of satisfaction of doctors using the telemedicine system on the information quality factor and the level of reliability. Showing the main important factors needed by doctors as users of the telemedicine system.