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INDONESIA
ARKESMAS [Arsip Kesehatan Masyarakat]
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Articles 14 Documents
Search results for , issue "Vol 3 No 2 (2018)" : 14 Documents clear
Health Related-Quality of Life in CKD and Dialysis Patients in Asian Countries : A Systematic Review Aan Anjarwati
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.3 KB) | DOI: 10.22236/arkesmas.v3i2.3007

Abstract

ABSTRACT Introduction: Chronic Kidney Disease (CKD) and Chronic dialysis has a great impact on patients health-related quality of life (HRQOL). The impacts are about the morbidity, mortality, and the survival rate of the dialysis therapy. We focused this systematic review in Asian countries. Methods: Systematic Review with PRISMA method retrieved from online database such as PubMed, Wiley and ProQuest using a keyword “Health Related-Quality Life (HRQOL)”, “Chronic Kidney Disease (CKD) patient OR ESRD (End Stage Renal Disease), CKD with Hemodialysis OR CKD dialysis at Asian Country”. The end of this search we got 10 journals. Results: The measurement HRQOL in CKD or dyalisis patients such EQ-5D and Kidney Disease Quality of Life (KDQOL). There are 4 country used KDQL (Korea, China, India, Singapore and Indonesia). The result show HRQOL in CKD patients has declined when the level of CKD increased especially when the amount of albumin high and the level of hemoglobin decline. HRQOL in dialysis patient has lower depressive mood in planned dialysis group than unplanned dialysis. There are no difference in KDCS, PCS, or MCS scores between patients treated by hemodialysis and CAPD. They also got 5 more years when choose dialysis (Hemodialysis). Conclusion: Health related quality of life (HRQOL) related with progressive of CKD level. The level that should pay attention is CKD level 3 where HRQOL can decreased. When the patients routine dialysis (CAPD or hemodialysis) used concern about the medicine (such erythropoietin, routine medicine) and the laboratory (albumin and hemoglobin). The more progressive level of CKD the lower of HRQOL. Keywords: Health Related Quality of Life (HQOL), CKD (Chronic Kidney Disease), Dialysis, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD).
Could We Derive Benefit From Implementing Electronic Medical Records In Hospital?: A Structured Evidence and Narrative Review Sarah Rosiana Rahmawati
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.911 KB) | DOI: 10.22236/arkesmas.v3i2.3008

Abstract

Introduction One method chosen by many hospitals to achieve efficiency is the use of an Electronic Medical Record (EMR) system. This study discusses the EMR and its relationship with the efficiency and quality of hospital services through patient outcomes and users’ (physicians’ and nurses’) perspectives. Method A structured evidence and narrative review using the PRISMA method, with articles retrieved from online databases including PubMed, Wiley, ScienceDirect and ProQuest. The study’s period of review dates back ten years. Results The advantages of EMRs are decreased length of stay (LOS) and infection rate, plus a reduced probability of readmission once a patient safety event has occurred. EMRs reduce nurse, licensed vocational nurse (LVN) and registry cost per hour. EMRs provide enhanced ability in completing medical records and clinical documentation. The disadvantages are greater inefficiency in medical-surgical acute settings and increased cost per patient day. EMR does not reduce LOS in ICU. Some physicians also complain about the inefficiencies and time loss created by EMR. Conclusion The implementation of EMR in hospitals has advantages and disadvantages. Hospital management should undertake more analysis and consideration prior to deciding whether or not to use EMR. Keywords: Electronic medical records, hospital, patients’ outcomes, efficiency
The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review Leawaty Leawaty; Adik Wibowo
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.344 KB) | DOI: 10.22236/arkesmas.v3i2.3010

Abstract

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.
Perilaku Gizi, Status Gizi, dan Morbiditas Penyakit Infeksi pada Petani dan Buruh Tani Perempuan di Pemalang Desiani Rizki Purwaningtyas
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (342.066 KB) | DOI: 10.22236/arkesmas.v3i2.3051

Abstract

Kualitas sumber daya manusia (SDM) pertanian merupakan faktor penting dalam keberhasilan pembangunan Indonesia sebagai negara agraris. Pembangunan kualitas SDM pertanian erat kaitannya dengan status gizi dan morbiditas penyakit infeksi yang juga berhubungan dengan perilaku gizi. Oleh karena itu, penelitian ini bertujuan untuk mengkaji perilaku gizi, status gizi, dan morbiditas penyakit infeksi pada petani dan buruh tani padi perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah. Penelitian ini merupakan studi kuantitatif dengan desain cross-sectional. Subyek pada penelitian ini adalah 97 petani dan buruh tani pada perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah dengan teknik sampling cluster random sampling. Pengumpulan data melalui pengukuran antropometri dan wawancara dengan menggunakan kuesioner. Uji statistik yang digunakan adalah Chi-Square. Hasil penelitian ini menunjukkan bahwa sebagian besar contoh memiliki pengetahuan gizi yang kurang, sikap gizi positif, praktek gizi dan keamanan pangan sedang, status gizi normal berdasarkan IMT dan LLA, dan morbiditas penyakit infeksi yang rendah. Uji Chi-Square menunjukkan pengetahuan gizi berhubungan nyata dengan status gizi berdasarkan IMT. Morbiditas penyakit infeksi tidak berhubungan nyata dengan status gizi berdasarkan IMT, tetapi berhubungan nyata dengan status gizi berdasarkan lingkar lengan atas (LLA).

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