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Comparison of the Quality of Life of Regular Hemodialysis Patients Based on the World Health Organization-BREF Score with the Missoula Score at RSUD Dr. Soegiri Lamongan Eka Ari Puspita; Muhammad Rafi Zufar Priyambodo; Sri Widyaningsih; Eko Budi Santoso
Kontribusia : Research Dissemination for Community Development Vol. 8 No. 2 (2025): Agustus 2025
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v8i2.10450

Abstract

Abstract: Background: Chronic kidney disease is becoming a health problem worldwide. The fact that chronic kidney disease patients cannot be separated from hemodialysis throughout their lives causes a significant decrease in physical and cognitive abilities in kidney failure patients, so that assessment of regular hemodialysis patients is very important because it can affect optimal quality of life. Objective: To determine the comparison of quality of life of regular hemodialysis patients based on the World Health Organization Quality of Life-BREF score with the Missoula VITAS Quality of Life Index-15 score. Methods: This study uses an observational analytical method, with a cross sectional study to be conducted on regular hemodialysis patients caused by chronic kidney disease at Dr. Soegiri Lamongan Hospital. The instruments used are the WHOQOL-BREF quality of life scale and the Missoula score. Discussion: The results of this study showed that there were significant differences in several quality of life domains between WHOQOL-BREF and Missoula score. WHOQOL-BREF tends to score higher in the physical and environmental health domains. In contrast, MVQOLI provides a more in-depth assessment of aspects of symptoms and physical function as well as psychological well-being. Conclusions: There was a difference in quality of life in patients on regular hemodialysis therapy with World Health Organization-BREF and Missoula scores.
Gangguan Psikotik Kronis dengan Ketidakpatuhan Pengobatan pada Skizofrenia Paranoid: Laporan Kasus Muhammad Rafi Zufar Priyambodo; Era Catur Prasetya
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 1 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i1.164

Abstract

Skizofrenia paranoid merupakan gangguan psikotik kronis dengan prevalensi global 0,3-1% yang menyebabkan distress berat melalui halusinasi multi-modal dan ketidakpatuhan pengobatan, terutama pada pasien pasca-migrasi kerja di Indonesia. Penelitian ini bertujuan mendokumentasikan kasus, menganalisis faktor etiologis, dan mengevaluasi terapi kombinasi trifluoperazine-clozapine. Menggunakan desain studi kasus observasional deskriptif kualitatif, populasi pasien dewasa RS Muhammadiyah Lamongan disampling purposive menjadi Tn. K (45 tahun). Instrumen mencakup auto/heteroanamnesis, status mental, dan rekam medis; analisis melalui pengkodean tematik dan GAF/DSM-5. Hasil menunjukkan halusinasi auditorik-visual persisten 16 tahun, GAF 21-30, diagnosis F20.0, dengan respons awal baik terhadap trifluoperazine 5 mg BID dan clozapine 25 mg OD. Kesimpulan menegaskan pendekatan biopsikososial multidisipliner meningkatkan kepatuhan dan fungsi sosial pada kasus resisten, dengan implikasi monitoring berkala di setting primer.