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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,074 Documents
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Correlation of Earlobe Crease and Clinically Identified Forehead Wrinkles with Severity of Coronary Artery Lesions in Patients with Stable Angina Pectoris Agnes L. Panda; Janry A. Pangemanan; Fanny D. Kojansow
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.39347

Abstract

Abstract: Identification of high-risk subjects is crucial in prevention of coronary heart disease. Ear lobe crease and forehead wrinkles are easily identifiable physical signs that could potentially be an indicator of coronary artery lesion severity. This study aimed to determine the relationship between earlobe crease and forehead wrinkles morphology with severity of coronary artery stenosis in patients with stable angina pectoris using modified Gensini score. This was an observational study with a cross-sectional approach. All subjects who met the inclusion criteria were taken photos of their forehead area and both right and left ears. Assessment of scores and correlation analysis of earlobe crease and forehead wrinkles assessment with the severity of coronary artery stenosis using Gensini modification scores were later done. The results showed that from a total of 40 study subjects, 28 patients (70%) were male. Forehead wrinkle scores in patients with stable angina pectoris were mainly classified into score 1 and 2, totalling 32 (80%) patients. Earlobe crease form were dominated by type A (65% vs 35%). Patients with type B morphology on average have a Gensini value of 9 points lower than type A (reference) (p <0.001). As for the Gensini modified score in patients with non-zero forehead wrinkle scores, it was clearly 4−5 units greater than those with a zero score. However, the sample size of patients with zero forehead wrinkle score was indeed too small (n=3) to make the difference meaningful (p=0.507). In conclusion, there is a significant positive relationship between identification of earlobe crease and the severity of coronary artery stenosis but there is no strong relationship between the identification of forehead wrinkles and the severity of coronary artery stenosis in patients with stable angina pectoris, in this case with a modified Gensini score.Keywords: stable angina; earlobe crease; forehead wrinkles; modified Gensini score
Correlation between Right Ventricular Function with Revascularization Time and 30-day Mortality in ST-Elevation Myocardial Infarction Patients Underwent Right Coronary Artery Intervention Marshell Luntungan; Dewi U. Djafar; Agnes L. Panda; Agustinus M. Sarayar; Filipus M. Yofrido
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.39436

Abstract

Abstracts: Right ventricular (RV) function provides strong prognostic information in patients treated with primary percutaneous coronary intervention (PCI) due to myocardial infarction. Longitudinal RV systolic function can be assessed by the measurement of the tricuspid annular plane systolic excursion (TAPSE). This study aimed to evaluate the correlation between TAPSE and revascularization time with 30-day mortality using TIMI risk score in patients presenting STEMI who underwent revascularization of right coronary artery (RCA). This was a descriptive amd analytical study. Data were collected from iSTEMI Registry database which consisted of 49 STEMI patients undergoing PCI in RCA and TAPSE measurement at Prof. Dr. R. D. Kandou General Hospital from October 3rd, 2018 to July 28th, 2019. Echocardiographic examination was done within 48 hours of hospitalization. A descriptive analysis and bivariate correlation with Spearman’s rho were applied between given variables. P-value of <0.05 was considered to be statistically significant. The results showed that the mean age of the patients was 57.92 10.345 years old and 79.2% were male. The mean TAPSE measurement was 18.51 mm +/- 3.63 mm. The median revascularization time was 357.5 minutes  while median TIMI score was 4. Shorter treatment time (p=0.708) and lower TIMI score (p=0.923) were not associated with better right ventricular function measured with TAPSE in patients undergoing RCA intervention. In conclusion, right ventricular function is not associated with revascularization time and thirty days mortality in patients presenting with ST-elevation acute myocardial infarction involving right coronary artery.Keywords: tricuspid annular plane systolic excursion; revascularization time; right coronary artery; ST-elevation myocardial infarction
Complete Blood Test as a New Prognostic Factor in Fournier’s Gangrene Ivan D. P. Sunardi; Ari Astram; Christof Toreh; Eko Arianto; Fredrik G. Langi
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.39811

Abstract

Abstract: Fournier’s gangrene is a form of necrotizing fasciitis that begins in the genital and perineal areas and can extend through the fascia to the groin, thigh, and even the abdominal wall. This disease is still associated with a high mortality rate even though with comprehensive therapy. Simple examination, such as a complete blood count, is widely used as a marker of inflammation and could be used as a prognostic factor for Fournier’s gangrene. This study aimed to compare Fournier Gangrene Severity Index (FGSI) and complete blood count as a prognostic factor in Fournier’s gangrene cases by using machine learning. This was an observational study with a longitudinal data collection design according to cohort method. The results obtained 30 patients with Fournier’s gangrene at Prof. Dr. R. D. Kandou Hospital, Manado. Mortality prediction analysis using algorithms of regularized generalized linear model (GLM) and support vector machine (SVM) showed that the AUCs were 98% and 97.5% for GLM and SVM respectively for the regularized GLM and SVM in the ROC curve analysis, with the superiority to the FGSI (p<0.001). In conclusion, the complete blood count could be used as a novel prognostic value of Fournier’s gangrene cases.Keywords: complete blood count; Fournier Gangrene Severity Index (FGSI); prognostic scoring system; Fournier’s gangrene Abstrak: Gangren Fournier adalah bentuk fasiitis nekrotikans yang dimulai di daerah genital dan perineum dan dapat meluas melalui fasia ke selangkangan, paha, dan bahkan dinding perut. Penyakit ini masih dikaitkan dengan angka kematian yang tinggi meskipun dengan terapi komprehensif. Pemeriksaan sederhana seperti hitung darah lengkap, banyak digunakan sebagai penanda peradangan dan dapat digunakan sebagai faktor prognostik untuk gangren Fournier. Penelitian ini bertujuan untuk membandingkan Fournier Gangrene Severity Index (FGSI) dengan pemeriksaan parameter hitung darah lengkap sebagai faktor prognostik pada kasus dengan gangren Fournier menggunakan machine learning. Jenis penelitian ialah observasional dengan desain pengumpulan data longitudinal menurut metode kohort. Hasil penelitian mendapatkan 30 pasien dengan gangren Fournier di RSUP Prof. Dr. R. D. Kandou Manado. Analisis prediksi mortalitas menggunakan algoritma Regularized Generalized Linear Model (GLM) dan Support Vector Machine (SVM) menunjukkan bahwa AUC masing-masing sebesar 98% dan 97,5% untuk GLM dan SVM tereguler pada analisis kurva ROC, dengan keunggulan dibandingkan FGSI (p<0,001). Simpulan penelitian ini ialah pemeriksaan darah lengkap dapat dijadikan sebagai faktor prognostik baru untuk kasus gangren Fournier.Kata kunci: hitung darah lengkap; Fournier Gangrene Severity Index (FGSI); sistem skoring prognostik; gangren Fournier
Factors Related to Sanitation of Passenger Ships at Bitung Ocean Harbour Albert S. T. Teo; Joy A. M. Rattu; Junita M. Pertiwi; Welong S. Surya
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41344

Abstract

Abstract: Ship sanitation is all efforts aimed to environmental factors in ship to break the chain of disease transmission in order to maintain and enhance its health status. The ship's sanitation inspection is intended to issue a sanitation certificate in order to obtain a Sailing Health Permit. This study aimed to analyze the factors related to sanitation of passenger ships that docked at the port of Bitung ocean harbor. This was a quantitative analytical survey study with a cross sectional design. This study was carried out at the Bitung ocean harbor, Bitung, Indonesia from October 2021 to January 2022, on 90 crew members of the Doro Londa Motor Ship anchored at the Port Samudera Bitung. The results showed that there were relationships, as follows: between knowledge of crew members and ship sanitation (p<0.009); between the captain's leadership and ship sanitation (p<0.013); between the role of officers and ship sanitation (p<0.004); and between the crew's knowledge, the leadership of the captain, and the role of the officer with the sanitation of passenger ships anchored at the port of Bitung ocean harbor. The officer's role was the most dominant variable. In conclusion, factors related to ship sanitation are crews’ knowledge, captain leadership, and officers’ role, Keywords: crew knowledge; captain leadership; officer role; ship sanitation Abstrak: Sanitasi kapal adalah segala usaha yang ditujukan terhadap faktor lingkungan di kapal untuk memutuskan mata rantai penularan penyakit guna memelihara dan mempertinggi derajat kesehatan. Pemeriksaan sanitasi kapal dimaksudkan untuk pengeluaran sertifikat sanitasi guna memperoleh Surat Izin Kesehatan Berlayar (SIKB). Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan sanitasi kapal penumpang yang berlabuh di Pelabuhan Samudera Bitung. Jenis penelitian ialah survei analitik kuantitatif dengan desain potong lintang. Penelitian dilaksanakan di Pelabuhan Samudera Bitung, Kota Bitung, Indonesia pada bulan Oktober 202-Januari 2022 terhadap 90 anak buah kapal (ABK) Kapal Motor Doro Londa yang berlabuh di Pelabuhan Samudra Bitung. Hasil penelitian menunjukkan terdapat hubungan antara: pengetahuan ABK dengan sanitasi kapal (p<0,09); antara kepemimpinan nahkoda dengan sanitasi kapal (p<0,013); antara peranan petugas dengan sanitasi kapal (p<0,04); dan antara pengetahuan ABK, kepemimpinan nahkoda dan peranan petugas dengan sanitasi kapal (p<0,05). Peranan petugas merupakan variabel yang paling dominan. Simpulan penelitian ini ialah pengetahuan ABK, kepemimpinan nakhoda, dan peranan petugas merupakan faktor-faktor yang berhubungan dengan sanitasi kapal. Kata kunci: pengetahuan anak buah kapal; kepemimpinan nahkoda; peranan petugas; sanitasi kapal
Bullous Pemphigoid Treated with Corticosteroid: A Case Report Dwi M. Trisnowati; Hyacintha P. Budi; Shienty Gaspersz; Meilany Durry
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41403

Abstract

Abstract: Bullous pemphigoid (BP) is an autoimmune disease clinically characterized by pruritic, large, tense subepidermal bullae over normal skin, erythematous or urticarial plaques. The pathogenesis related to the immune system towards BP antigen 180 and 230. Mild lesions may be treated with topical corticosteroid but the more extensive lesions are treated with oral corticosteroids. We reported a case of 58-year-old man came with clear fluid-filled blisters on the body since a week ago. Dermatological examination revealed multiple vesicle-bullae, filled with clear fluid, tense walls. Nikolsky sign and Asboe-Hansen sign were negative. Histopathological examination supported the diagnosis of BP. Diagnosis was established based on anamnesis, and physical and histopathological examinations. The patient was treated with systemic corticosteroid due to the consideration of the extensive lesions. Methylprednisolon was given intravenously at a dose of 43.75 mg per day which was then replaced orally for tapering off. The dose reduction of 4 mg per week was carried out according to the clinical improvement. In conclusion, this case improved after being treated with systemic corticosteroid for approximately 2-3 months.Keywords: bullous pemphigoid; corticosteroid Abstrak: Pemfigoid bulosa (PB) merupakan penyakit bula autoimun ditandai dengan pruritus dan bula subepidermal besar berdinding tegang di atas kulit yang normal, eritematosa atau plak urtikaria. Patogenesisnya berhubungan dengan sistem kekebalan tubuh yaitu respons imun terhadap antigen BP 180 dan 230. Penatalaksanaan untuk lesi ringan diberikan kortikosteroid topikal, sedangkan untuk lesi luas dengan kortikosteroid sistemik. Kami melaporkan seorang laki-laki berusia 58 tahun dengan keluhan lepuh-lepuh berisi cairan jernih pada hampir seluruh tubuh sejak satu minggu lalu. Pada pemeriksaan fisik ditemukan vesikel-bula, multipel, berisi cairan jernih, dinding tegang. Pemeriksaan tanda Nikolsky dan Asboe-Hansen negatif. Pemeriksaan histopatologik mendukung diagnosis PB. Tatalaksana yang diberikan berupa kortikosteroid sistemik karena pertimbangan lesinya yang luas. Metilprednisolon diberikan secara intravena dengan dosis 43,75 mg per hari yang kemudian diganti pemberian per oral saat tapering off. Penurunan dosis 4 mg metilprednisolon per minggu dilakukan sesuai dengan perbaikan kondisi klinis. Simpulan kasus ini ialah pemfigoid bulosa yang mengalami perbaikan setelah diterapi dengan kortikosteroid sistemik selama kurang lebih 2-3 bulan.Kata kunci: pemfigoid bulosa; kortikosteroid
Reasons of Refusal to Long Acting Reversible Contraception (LARC) on Reproductive Age Women: a Scoping Review Biancha Andardi; Ditia G. S. P. Rahim; Anhari Achadi
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41489

Abstract

Abstract: Contraception is essential in reproductive health service. Through proper contraception, various risks related to pregnancy and birth can be avoided. Long acting reversible contraception (LARC) is deemed as the most efficient contraceptive metod. However, it faces significant refusal among women worldwide. This study aimed to determine the reason of LARC refusal among reproductive age women. A scoping review was done using a guideline from Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) on studies performed on Asian developing countries. The results showed that a total of seven articles were analyzed. The most common reason for LARC refusal was the disagreement of husband or other family members. Prior knowledge of LARC might increase the acceptance of LARC. In conclusion, since the most common reason for LARC refusal was the disagreement of husband or other family members, education of LARC method on pregnant women, their spouses, and their families is essential to reduce that rate of LARC refusal.Keywords: contraception; long acting reversible contraception; refusal
Effects of Drainage Volume on Changes of Blood Acidity, and Partial Arterial Pressure of Oxygen and Carbon Dioxide in Massive Pleural Efusion Denny U. Suprapto; Adrian Tangkilisan; Wega Sukanto; Christha Tamburian; Fredrik G. Langi
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41492

Abstract

Abstract: Massive pleural effusion is a condition in which there is a buildup of fluid beyond normal in the pleural cavum with a volume of two-thirds of one side of the pulmonary field proven with the help of chest X-ray. Drainage of pleural effusion fluid is a management treatment for pleural effusion, but nevertheless it has complications such as pain, bleeding, pneumothorax, and pulmonary edema. Blood gas analysis is simple and essential examination in emergency medicine, which is able to provide valuable information about the acid-base status, ventilation, and oxygenation of a patient. This study aimed to analyze changes in blood acidity (pH), oxygen partial pressure (PaO2) and carbon dioxide partial pressure (PaCO2) in patients with massive pleural effusion at Prof. Dr. R. D. Kandou Hospital, Manado. This was a prospective cohort study with a longitudinal data collection design according to the cohort method. The results of the overall linear regression analysis supported the effect of drainage on PaCO2, PaO2, and pH, and indicated that the relationship between drainage volume and PaO2 was positive. Meanwhile, descriptively and statistically, there was no meaningful relationship between pH and PaCO2 and drainage volume. In conclusion, there is a positive relationship between drainage volume and PaO2, however, there is no significant relationship between pH and PaCO2 with drainage volume.Keywords: massive pleural effusion; pH; PaCO2; PaO2 Abstrak: Efusi pleura masif adalah suatu keadaan dimana terjadi penumpukan cairan melebihi volum normal di dalam kavum pleura dengan volume duapertiga dari satu sisi lapang paru yang dapat dibuktikan dengan bantuan X foto toraks. Drainase cairan efusi pleura merupakan manajemen tatalaksana untuk efusi pleura, namun memiliki komplikasi seperti nyeri, perdarahan, pneumotorak, dan edema paru. Analisis gas darah merupakan pemeriksaan yang sederhana namun esensial dalam ilmu kedokteran gawat darurat, yang mampu memberikan informasi berharga mengenai status asam basa, ventilasi maupun oksigenasi dari pasien. Penelitian ini bertujuan untuk untuk menganalisis perubahan tingkat keasaman darah (pH), tekanan parsial oksigen (PaO2) dan karbon dioksida (PaCO2) pada pasien dengan efusi pleura massif. Jenis penelitian ialah prospektif dengan desain pengumpulan data longitudinal menurut metode kohort di RSUP Prof. Dr. R. D. Kandou Manado. Hasil analisis regresi linear secara keseluruhan menunjang efek volume drainase terhadap PaCO2, PaO2, dan pH dengan hasil hubungan volume drainase dengan PaO2 bersifat positif namun tidak didapatkan hubungan bermakna antara pH dan PaCO2 dengan volume drainage. Simpulan penelitian ini ialah terdapat hubungan positif antara volume drainase dengan PaO2, namun tidak didapatkan hubungan bermakna antara pH dan PaCO2 dan volume drainase.Kata kunci: efusi pleura massif; pH; PaCO2; PaO2
Prospective Study on Determination of Optimal Drainage Volume in Massive Pleural Effusion Based on Pleural Effusion Index Jeff Lapian; Adrian Tangkilisan; Wega Sukanto; Christha Tamburian; Fredrik G. Langi
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41495

Abstract

Abstract: Clinical manifestations of pleural effusion are influenced by the fluid volume and the underlying disease. Pleural effusion index (PEI) is the ratio between the maximum width of pleural effusion and maximum width of hemithorax in patient with lateral decubitus position. However, PEI as the indicator of pleural effusion volume is rarely used. This study aimed to determine the optimal drainage volume of massive pleural effusion based on initial PEI value. This was an observational study with a hospital-based prospective cohort design conducted at Prof. Dr. R. D. Kandou Hospital in Manado, Indonesia. Samples were patients presented with massive pleural effusion. This study analyzed the details of thoracentesis, demographic profile, past medical history, clinical charac-teristics, laboratory findings, postoperative observations, admission and discharge time. The results obtained 32 patients with massive pleural effusion, consisting of 17 males (53%) and 15 females (47 %). The average respirations of pre-drainage and delta-drainage patients were 27 times per minute and 24 times per minute respectively while the standard deviations were slightly different. The median respiratory rate of post-drainage was 24 times per minute. In conclusion, measurement of PEI in pre-drainage patients had significant correlation in determining the optimal drainage volume.Keywords: pleural effusion; pleural effusion index Abstrak: Manifestasi klinis efusi pleura dipengaruhi oleh volume cairan dan penyakit yang mendasarinya. Pleural effusion index (PEI) adalah perbandingan antara lebar maksimum efusi pleura dan lebar maksimum hemitoraks pada pasien dengan posisi lateral dekubitus, namun PEI sebagai indikator volume efusi pleura jarang digunakan. Penelitian ini bertujuan untuk menentukan volume drainase optimal efusi pleura masif berdasarkan nilai PEI awal. Jenis penelitian ialah studi observasional dengan desain kohort prospektif berbasis rumah sakit di Prof. Dr. R. D. Rumah Sakit Kandou Manado, Indonesia. Sampel penelitian ialah pasien dengan efusi pleura masif. Pada penelitian ini dianalisis rincian torakosentesis, profil demografis, riwayat penyakit terdahulu, karakteristik klinis, hasil laboratorium, pengamatan pasca operasi, waktu masuk dan keluar. Penelitian ini melibatkan 32 pasien terdiri dari 17 laki-laki (53%) dan 15 perempuan (47%). Respirasi rerata pasien pra-drainase dan delta-drainase masing-masing 27 kali per menit dan 24 kali per menit sedangkan standar deviasinya hanya sedikit berbeda. Tingkat pernapasan rerata pasca drainase ialah 24 kali per menit. Simpulan penelitian ini ialah pengukuran PEI pada pasien pra drainase memiliki korelasi bermakna dalam menentukan volume drainase yang optimal.Kata kunci: efusi pleura; pleural effusion index
Analisis Faktor-faktor yang Berhubungan dengan Waktu Tunggu Pelayanan di Poliklinik Rawat Jalan Rumah Sakit Sentra Medika Kabupaten Minahasa Utara Irene M. Sumayku; Karel Pandelaki; Grace D. Kandou; Paula G. Wahongan; Jeini E. Nelwan
e-CliniC Vol. 11 No. 1 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i1.44251

Abstract

Abstract: Waiting time is a potential component to cause unsatisfaction. The waiting time is used by patients to get services from the registration place to entering doctor's examination room. Observation at the research site indicated that there were still problems related to patients’ waiting time, especially outpatients. This study aimed to analyze certain factors related to waiting time for services at the outpatient clinic of Sentra Medika Hospital, North Minahasa Regency. This was a quantitative and analytical survey study using the cross-sectional design. This study was conducted at the Outpatient Clinic of Sentra Medika Hospital. The instrument used in this study was a questionnaire that had been tested for validity and reliability. The results obtained 353 patients as respondents. The statistical analysis indicated a correlation between knowledge (p=0.031) and administrative service (p=0.015) with waiting time but there was no correlation between infrastructure (p=0.793) and waiting time. In conclusion, the patient’s knowledge and administrative service are correlated with waiting time at outpatient clinic of Sentra Medika Hospital, North Minahasa Regency. Keywords: waiting time; hospital; outpatients Abstrak: Waktu tunggu pasien merupakan salah satu komponen yang potensial menyebabkan ketidakpuasan. Waktu tunggu digunakan oleh pasien untuk mendapatkan pelayanan dari tempat pendaftaran sampai masuk ke ruang pemeriksaan dokter. Hasil observasi di lokasi penelitian menunjukkan masih adanya masalah yang berhubungan dengan waktu tunggu pasien khususnya pasien rawat jalan. Penelitian ini bertujuan untuk menganalisis beberapa faktor yang berhubungan dengan waktu tunggu pelayanan di poliklinik rawat jalan Rumah Sakit Sentra Medika Kabupaten Minahasa Utara. Jenis penelitian ialah kuantitatif dengan rancangan penelitian survei analitik, menggunakan desain potong lintang. Penelitian dilakukan di poliklinik rawat jalan Rumah Sakit Sentra Medika Kabupaten Minahasa Utara. Responden penelitian berjumlah 353 pasien. Instrumen penelitian berupa angket yang telah diuji validitas dan reliabilitasnya. Hasil penelitian mendapatkan bahwa terdapat hubungan antara pengetahuan pasien (p=0,031) dan pelayanan administrasi (p=0,015) dengan waktu tunggu namun tidak terdapat hubungan antara sarana prasarana (p=0,793) dengan waktu tunggu. Simpulan penelitian ini ialah pengetahuan pasien dan pelayanan administrasi berhubungan dengan waktu tunggu di poliklinik rawat jalan Rumah Sakit Sentra Medika Kabupaten Minahasa Utara. Kata kunci: waktu tunggu; rumah sakit; pasien rawat jalan
Analisis Strategi Promosi Kesehatan dalam Meningkatkan Partisipasi Pria (Vasektomi) pada Program Keluarga Berencana di Provinsi Sulawesi Utara Cyndi P. O. Taloko; Lydia E. N. Tendean; Aaltje E. Manampiring
e-CliniC Vol. 11 No. 1 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i1.44265

Abstract

Abstract: The main problem of vasectomy implementation in family planning and reproductive health programs is the low participation. This study aimed to analyze health promotion strategies in increasing male participation (vasectomy) in the Family Planning Program in North Sulawesi Province. This was a qualitative study using in-depth interviews with 20 informants related to the family planning program, especially vasectomy. Informants consisted of stakeholders, religion and community leaders, and male family planning motivators and acceptors. The results showed that the health promotion strategy in terms of advocacy by policy makers was carried out in the form of budget support by the central and provincial governments, however, it still required support from local governments in the form of special policies or budget support and there were still obstacles in the form of limited providers who wanted to perform male family planning services in health facilities. Social support with an approach through religion and community leaders had been carried out in religion activities or meeting activities but had not yet been able to measure the success of the support. Male family planning motivators and acceptors played a role in increasing male participation (vasectomy) through the dissemination of correct information and testimonials. In conclusion, health promotion to increase male participation (vasectomy) in family planning programs in North Sulawesi Province requires strategies in the form of advocacy by policy makers (stakeholders), social support through religion and community leaders as well as community empowerment by male family planning motivators and acceptors done optimally. Keywords: health promotion; family planning; male participant; vasectomy Abstrak: Masalah utama yang dihadapi implementasi metode kontrasepsi vasektomi ialah rendahnya partisipasi pria dalam pelaksanaan program Keluarga Berencana (KB) dan kesehatan reproduksi. Penelitian ini bertujuan untuk menganalisis strategi promosi kesehatan dalam meningkatkan partisipasi pria melalui vasektomi pada Program KB di Provinsi Sulawesi Utara. Jenis penelitian ialah kualitatif melalui wawancara mendalam terhadap 20 informan yang berhubungan dengan program KB, khususnya vasektomi. Informan terdiri dari stakeholder, tokoh agama/tokoh masyarakat (Toga/Toma), motivator KB pria, dan akseptor KB pria. Hasil penelitian mendapatkan bahwa strategi promosi kesehatan dari segi advokasi oleh pihak penentu kebijakan dilakukan dalam bentuk dukungan anggaran oleh pemerintah pusat maupun provinsi, namun masih membutuhkan dukungan pemerintah daerah berupa kebijakan khusus ataupun dukungan anggaran, serta masih terdapat kendala berupa terbatasnya provider yang mau melakukan pelayanan KB pria di fasilitas kesehatan. Peningkatan kesertaan KB pria melalui dukungan sosial dengan pendekatan melalui toga/toma telah dilaksanakan pada kegiatan keagamaan atau kegiatan pertemuan namun belum bisa diukur capaian keberhasilan dari dukungan tersebut. Motivator KB pria dan akseptor KB pria telah berperan dalam meningkatkan partisipasi pria (vasektomi) melalui penyebaran informasi yang benar maupun testimoni. Simpulan penelitian ini ialah promosi kesehatan untuk meningkatkan partisipasi pria pada program KB vasektomi di Provinsi Sulawesi Utara membutuhkan strategi dalam bentuk advokasi oleh pemangku kebijakan (stakeholder), dukungan sosial melalui Toga/Toma serta pemberdayaan masyarakat oleh motivator KB pria maupun akseptor KB pria yang dilakukan secara optimal. Kata kunci: promosi kesehatan; Keluarga Berencana; partisipasi pria; vasektomi

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