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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)

rpcpe
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Published by Universitas Gadjah Mada

ISSN : 2613943X EISSN : 26205572 DOI : https://doi.org/10.22146/rpcpe

Core Subject : Health, Education,

Education Health Professions Medicine & Pharmacology Public Health

The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, civitas akademika and medical practitioners. This journal is an official journal of the College of Indonesian Primary Care Physicians in collaboration with the Department of Family and Community Medicine of the Faculty of Medicine, Universitas Gadjah Mada, with the inaugural publication in January, 2018. The limited number of scientific journals of primary care and family medicine in Indonesia encouraged the College of Indonesian Primary Care Physicians to create a journal which focuses on the primary care, family and community medical sciences, and to disseminate the information to academics, health practitioners, and the public. This journal contains scientific information on strengthening efforts of primary care, various health problems in primary care, principles of education and family medicine services, and the efforts to create a healthier and prosperous community in Indonesia and the world.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 9 Documents

Search results for , issue "Vol 2, No 2 (2019): May" : 9 Documents clear

Stress Level Relationship with Prediabetes Events in Sleman Yogyakarta Novi Husmarini; Wahyudi Istiono; Ronny Tri Wirasto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

BACKGROUND: Prediabetes prevalence in the world is increasing, and is estimated to reach20.6% in 2025. Prediabetes prevalence in Indonesia is almost double the prevalence of diabetes mellitus. Prediabetes often does not cause symptoms, but has already started to occur with both microvascular and macrovascular complications in some patients. Stress is a disorder of the body and mind caused by changes and demands of life. Stress that occurs at this time, is part of the effects of modern life, and cannot be avoided, both in the work environment, and school, as well as family and society. In the state of stress the secretion of the hormone cortisol increases, which pushes the pancreas to produce insulin, so that there is an increase in blood sugar levels.OBJECTIVE: This study was conducted with the aim to know the relationship of stress level in prediabetes sufferer and know the description of stress level of prediabetes patient in Sleman Yogyakarta area.METHODS: This research was a quantitative studywith a cross sectional design, done in the working area of first health facility of Sleman Regency, Yogyakarta. Sampling was done by simple random sampling, and research subjects were patients in the working area of Puskemas in Sleman that fulfilled inclusion and exclusion criteria then examined.RESULTS: The mean age of the study subjects was 46.7 years (SD 11.02). The distribution of subjects of the study was 121 females (78.1%), and 34 males (21.9%). Based on a total of 155 respondents, 19 respondents (12.3%) were diagnosed with prediabetes based on TTGO results and 136 people (87.7%) had normal TTGO results. Based on a total of 155 respondents, 69 respondents (47.1%) had a mild stress level, 80 respondents (49%) moderate stress level and 6 respondents (3.9%) had severe stress level. The result of bivariate analysis showed that there was no correlation between stress level and prediabetes occurrence in Sleman Yogyakarta and p = 0.825 (CI 95%: 0.879-1.67) was not statistically significant (p>0.05). Prediabetes prevalence was 12.3% in the study population.CONCLUSSION: There was no correlationbetweenstress level with the occurrence of prediabetes in Sleman Yogyakarta area. Stress levels were moderate among prediabetes sufferers more than mild and severe stress levels.

Advanced Life Support in Obstetrics Lisa Soldat
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Multiple barriers to high quality maternity care have been identified in Indonesia. One barrier is the shortage of well-trained maternity care providers, particularly in remote and rural areas. Maternity care training programs do not consistently prepare their graduates to provide high quality care. Poor pre-service training may then be compounded by a lack of post-service supervision and inadequate multispecialty teamwork. Maternity care continuing education is an important means to reinforce and improve the skills needed to provide high quality maternity care. Programs that have been developed for low- to middle-income countries focus on providing culturally appropriate information to improve competency, communication and teamwork. Improvement in quality of care has been documented, showing a decrease in maternal morbidity and mortality. This trend is reflected in improvements in patient satisfaction and trust, and ultimately supports the tenets of patient-centered care.

Physical Activity as a “Cheapest Health Tax Payment” Toward Better Health for All Ernawati Ernawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Indonesia currently faces many health-related problems, both in terms of increased morbidity and mortality due to infectious and non-communicable diseases, which stem from increasing unhealthy behaviors. The progress of science and technology is still not able to overcome this dilemma. Another problem is that actual health financing is already very good for helping communities with the existence of National Health Insurance. But over time it turned out that many obstacles appeared that could disrupt its sustainability. This becomes a serious problem that must be well thought out for the community so that people are not harmed. All of these problems arise as a result of the majority of people who have not been actively involved in prevention activities. Most of our society has behaviors that do not support health, but they engage in inactivity that is actually detrimental to health.

Prolanis Influence on Decreasing Blood Pressure of Hypertension Patients in Puskesmas Pandak II Bantul 2017 Florentina Sita Murti; Hari Kusnanto Josef; Wahyudi Istiono
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: People with hypertension over age 25 years reached 40% in 2008 according to the World Health Organization and 75% occurred in developing countries. Hypertension management must be focused on first-rate health care which could reduce death-risk, disabilities, and the cost burden. Badan Pengelola Jaminan Social obliges every first-rate health care to have to apply Program Pengelolaan Penyakit Kronis (Prolanis).Objectives: This study aims to determine the difference of decreased blood pressure in Prolanis and Non-Prolanis groups in Puskesmas Pandak II.Methods: This quantitative research with cohort retrospective design used secondary data of hypertension patients who are following Prolanis compared with those who are not in Puskesmas Pandak II. Data covered characteristics of patients, blood pressure, and Body-Mass Index (BMI) over one year. The analysis used repeated measures ANOVA. Results: The comparison with the treatment group showed significant differences in blood pressure variable, diastolic pressure variable, and BMI, interaction and measureable differences during the study period in all three variables. There was an uptrend in the Non-Prolanis group and a downtrend in the Prolanis group.Conclusions: Decreased blood pressure of patients with hypertension is better in Prolanis than Non-Prolanis groups.

Analysis of Determinant Factors of Low Exclusive Breastfeeding Practice in Urban Slum Community of Surabaya Hanna Tabita Hasianna Silitonga; Abigail Elsha Tiara Susanto; Nadya Refina Tiurlan Barasa
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: The World Health Organization’s recommendation for infant feeding is exclusive breastfeeding for the first six months followed by semi-solid food. The purpose of the study is to analyse determinant factors related to low exclusive breastfeeding’s practice in the urban slum community of Surabaya. Methods: This is a qualitative study with a case study in one of the urban slum areas of Surabaya. Data were collected by in-depth interviews and focus group discussion (FGD) with mothers, interviews with key-informants; posyandu cadre and the community leader for validation. Ishikawa diagram tool was used to identify and categorize determinant factors. The Urgency, Seriousness, Growth (USG) method was used to prioritize factors.Results: There are 9 determinant factors categorized into 5 categories; two ‘main’ factors, three ‘method’ factors, two ‘material’ factors, one ‘money’ factor and one ‘environment’ factor. The one factor that was considered the priority to be resolved is from the environment factor that is local beliefs of breastfeeding and expressed breast milk.Discussions and Conclusions: Education of mothers about expressed breast milk is an initial step to overcome low exclusive breastfeeding’s practice in this community due to mothers having to work outside the house. There is also a need for strengthening support groups so working mothers continuously exclusive breastfeed and provide optimal nutrition for infants.

Family Support Relationship with The Rate of Schizophrenia Patients in Puskesmas Rongkop District Gunungkidul Yogyakarta Joko Subandono; Adi Heru Sutomo; Carla R. Marchira
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: According to the result of Basic Health Research 2013 in Gunungkidul Regency, the prevalence of the serious mental disorders is 2.05 per mil, with the average in the Province of Yogyakarta of 2.70 per mil, where Gunungkidul Regency is categorized high. Visits of schizophrenics in the work area of Public Health Center/Pusat Kesehatan Masyarakat (Puskesmas) Rongkop rank to 8, and this shows the number of people with serious mental disorders is high. Most cases of mental disorders are found in the Petir Village, which is 37 people, spread in all hamlets. This public health concern needs family and community support so that the patients can re-socialize with their community.Objectives: This research was aimed to determine the relationship between family support and recurrence of schizophrenia, the level of family support for schizophrenia and the recurrence rate of schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta.Methods: Population in this research includes families who have experienced schizophrenia in the work area of Puskesmas Rongkop located in Petir Village, Rongkop, Gunungkidul. The samples were taken by including 37 respondents of total sampling. The analysis of hypothesis testing of collected data was made by using the Spearmen Rho correlation test aided by SPSS 16.00 program.Results: Family support for patients with schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta is 35.13% in the medium category. The recurrence rate of schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta is 62.16% in the low category. There is a positive and significant correlation between family support and recurrence of schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta with correlation coefficient 0.649 with 1% significance level.Conclusions: Family support for patients with schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta is in the medium category. The recurrence rate of schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta is in a low category. There is a positive and significant correlation between family support relationship with recurrence of schizophrenia in the work area of Puskesmas Rongkop Gunungkidul Yogyakarta.

Description of Patient Acceptance of Use of Mask by Doctor at Poly Out-Patient Care Puskesmas, Bantul Wahyu Pamungkasih; Adi Heru Sutomo; Mahar Agusno
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: The use of masks affects doctor and patient communication verbally and nonverbally.Objectives: This study aims to describe the patients’ acceptance of the use of surgical masks by doctors in the patient's hearing, trust, and closeness.Methods: The research used qualitative design with phenomenological approach. In-depth interviews were conducted with 18 outpatients. Data were analyzed by content analysis.Results: Patient acceptance will be good when patients have the concept that masks are worn as a uniform and according to rules to prevent disease transmission. The use of masks does not affect the closeness and trust of patients even though they reduce hearing ability of patients, especially elderly patients. Still, they do not always ask the doctor about what is unclear. Some patients consider masks to be useful for preventing smelling of patients.Conclusions: The use of masks by doctors is acceptable to patients, does not affect the trust and closeness of patients even though it reduces hearing ability in certain patients.

Case Report: Thalassemia with Malnutrition Budi Arifianto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

A 2 years old patient presented with a complaint of weight that had not increased in the past few months. The patient was identified by the Puskesmas Team in an integrated UKM activity on March 30, 2017, with a condition of complaining of fever and being taken to the local midwife, but there had been no improvement. Next, after the examination, the patient was advised to be referred to Sukadana Regional Hospital, East Lampung Regency, Lampung, where physical and laboratory examinations were conducted with results showing hemoglobin (Hb) 6.9 and a pediatrician established a diagnosis of thalassemia.

Why does she suffer prolonged status asthmaticus? Mora Claramita; Nur Afrainin Syah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

A mother (Y) aged 55 years, was hospitalized with ‘Status Asthmaticus’, for 4 days in a hospital, with admission through an Emergency Department Service. The case history was ‘Intermittent Asthma’ with corticosteroid inhaler treatment for the past three years and ‘Diabetes Mellitus’ (DM) Type 2, controlled by the treatment of Metformin and Acarbose. The results of the history, physical examination, and laboratory lead to the main diagnosis ‘Status Asthmaticus’. Blood glucose before and when at the hospital was within normal limits (with treatment). Asthma attack was absent during the last 2 years, relapsed 2 years ago because of 'Bronchopneumonia'.

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Contact Name
Hari Kusnanto J

Contact Email
rpcpe.fk@ugm.ac.id

Phone
62274 31203

Journal Mail Official
rpcpe.fk@ugm.ac.id

Editorial Address
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Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Hari Kusnanto J

Contact Email rpcpe.fk@ugm.ac.id

Phone 62274 31203

Journal Mail Official rpcpe.fk@ugm.ac.id

Editorial Address -

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Hari Kusnanto J

Contact Email
rpcpe.fk@ugm.ac.id

Phone
62274 31203

Journal Mail Official
rpcpe.fk@ugm.ac.id

Editorial Address
-

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA