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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
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 6 Documents
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Search results for , issue "Vol 3, No 2 (2020): May" : 6 Documents clear
Adaptation of Home Falls and Accidents Screening Tool (HOME FAST) as a Fall Risk Screening Tool for the Elderly in First Level Health Facilities at Purworejo Regency Dewi Susilowardani; Wahyudi Istiono; I Dewa Putu Pramantara
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.33984

Abstract

Background: The Home Falls and Accidents Screening Tool (HOME FAST) is used for early detection of unsafe environmental conditions at home and risk factors for falls in the elderly. However, in Indonesia there are no data on the adaptation of this instrument. Objective: To determine if the HOME FAST adaptation can be used as a screening tool for the risk of falling in the elderly in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) of Purworejo Regency. Methods: This research was a quantitative study with a cross-sectional design. Subjects were elderly with age over 65 years in the Puskesmas Loano working area that met the inclusion and exclusion criteria. Results: After the adaptation of the HOME FAST instrument was completed, a validity test was performed and a r table result of 0.361 was obtained, indicating all questions were valid. Reliability testing using the Cronbach Alpha formula obtained 0.8461. Subjects were 300 respondents with a distribution of 135 men (45%) and 165 women (55%). The results of the bivariate analysis found three factors that were statistically significantly related, namely gender, age, and the total score of the HOME FAST adaptation instrument. Gender was statistically significantly correlated with a history of falls p = 0.045 (95% CI 2.14-2.56) with RP 1.57 while age was significant with p = 0.046 with (95% CI: 2.85-3.46), and the risk of unsafe total HOME FAST scoring with p = 0.024. From the 2x2 table calculations, the sensitivity of the HOME FAST adaptation scoring method was low with 46% and the specificity of 67%. Conclusion: The adaptation of HOME FAST has a sensitivity of 46% and a specificity of 67%. The prevalence of adaptation results from HOME FAST risk of falling was 36.66%, with the number of safe houses were 190 housing units and 110 unsafe houses.
Prediabetes Screening with American Diabetes Association (ADA) Scoring in the Primary Health Care Yogyakarta (Development And Validation Of Scoring Systems) Yaltafit Abror Jeem; Hari Koesnanto; Muhammad Robikhul Ikhsan
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.50503

Abstract

Background: Numerous studies have shown  the increasing of prediabetes incidence from the time being. Some of the prediabetes screening methods that can be performed at primary health care were American Diabetes Association (ADA) scoring for prediabetes. However, there was no data that describes the validity and applicability of the ADA scoring on prediabetes patients in Indonesia. Objective: To discribe prediabetes screening and to find out the applicability of the ADA scoring method in Yogyakarta primary health care. Method: The diagnostic test by scoring system of the ADA questionnaire was compared with OGTT (oral glucose tolerance test) as the gold standard. The subjects were patients of primary health care in Yogyakarta who fulfill the inclusion and exclusion criteria. Result: The subjects were 279 respondents with 227 female  (81.4%) and 52 male patients (18.6%). The mean age of the study subjects was 50.4 years (SD 12.81). The sensitivity and specificity of the scoring method of ADA was 61% and 71%. This could be influenced by the difference in BMI standard as one of the scoring items. Conclusion: Prediabetes prevalence was 11.1% in the study population. The sensitivity and specificity of the scoring method of ADA is 61% and 71%. The scoring method of ADA could not be used in primary health care.
The Need of Trusted Primary Care: Lesson Learnt from The COVID 19 Outbreak in Indonesia Trevino Aristarkus Pakasi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57624

Abstract

Indonesia declared COVID 19 as an outbreak since March 2020, where the President of Indonesia announced the fist two cases who were cured already. Since then a lot of publication, as well as information, spread out through social media. The hoax buster of the government had already put 134 hoaxes in the website only in one month 1. Thus, one can imagine how difficult for Indonesian people to understand the situation of the outbreak and to properly respond to it. Cases increased exponentially and it was estimated that Indonesia would reach 20,000 cases at the end of March 2020 2. The fact is up till the 6th of April 2020, Indonesia reported 2,491 cases 3.What happens to the estimation? Was it wrong or a lot of underreported cases occur in the community? Is it because of the intervention that the government launched effectively?
Family Caregiver Phenomenon that Treats Persons with Disabilities Since Birth Halawiah Wia Musi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57626

Abstract

Background: Disability is a disturbance or limitation of physical activity involving participation restrictions. The disturbance is a problem in the body’s function and its structure. Restrictions on physical activity are the difficulties faced in performing tasks or actions, while limiting participation is a problem experienced by individuals in engagement in life situations. Objective: This study aimed to provide an in-depth description of the feelings, explain the obstacles or difficulties experienced and explain the caregiver’s expectations of mothers/fathers/brothers in caring for children with disabilities from birth. Method: This study was a qualitative research with a descriptive phenomenology approach. Data collection was conducted through in-depth interviews of family caregivers of persons with disabilities since birth with inclusion and exclusion criteria. The data were analyzed by Colaizzi’s method and data triangulation was performed by a coder to maintain data validation. The sample selection was done by purposive sampling. The sample of the study amounted to 17 persons who were family caregivers. Result: The results showed that caregiver phenomenon in caring for persons with disabilities since birth is a burden. Psychological burdens include sadness, disappointment, anger, guilt, depression and ultimately acceptance. Additionally, there are financial burdens, time constraints and social stigma. Conclusions: Caregivers for persons with disabilities since birth experience several burdens, including psychological, physical, financial and social burdens. There is the psychological burden of anger, disappointment, fear, worry, and guilt which many finally can accept. The physical burden of fatigue, lack of sleep, lack of appetite may result in diseases such as gastritis, hypertension, along with muscle and joint disorders. Financial burdens are related to medical expenses, transportation, and daily necessities. The social burden involves stigma, negative labeling and lack of time with other families and communities. It is hoped all caregivers with family and community support can accept and overcome these challenges.
Case Report: Dengue Hemorrhagic Fever in Children Maria Wahyu Daruki
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57627

Abstract

Patients came to the Puskesmas with the patient's child with complaints of heat for 4 days ago before the patient went to the Puskesmas. The patient began to feel the body shivering for 4 days ago by feeling pain throughout the body accompanied by shivering and not having energy/feeling weak. At present, patients complain of headaches, joints ache and feel just want to stay alone. The patient checked the patient's temperature around 38-39˚C for 2 days ago. The patient did not complain of swallowing pain, decreased appetite, but the patient still ate a lot to improve the condition. The heat arises suddenly during the day, and the patient only takes the drug paracetamol but the heat and pain decrease only slightly. Patients had had time to go to the Puskesmas and check blood at that time obtained 138,000 platelet laboratory results, hematocrit 46.7% and leukocyte rate 3,200/mm3, the patient was given medication by a doctor at the Puskesmas paracetamol 3x500 and vitamin C, and recommended control again the next day. At the time of control, the patient's condition was still weak, headache was still persistent, and also joint pain was still present. Then blood was taken again, and platelet results were obtained 70,000/μl, hematocrit 70.1% and leukocyte count 6,500/mm3, around the patient's home there was 1 child who was treated with dengue fever. The patient complained of nausea but did not vomit. The gums are not bleeding and there are no nosebleeds, then an RL test and a positive result are performed. Patients are advised to be referred to Regional Public Hospital to get further treatment. The patient has never experienced this condition before. The patient had typhus but was not hospitalized, only with outpatient care. Other illnesses are just coughing and the common cold, not serious illnesses. The patient has a drug allergy to ciprofloxacin.
Knowledge, Attitude, and Practice of Malaria Community Worker towards Prevention and Control of Malaria in Kokap, Kulon Progo: A Pilot Study Noor Afif Mahmudah; Intan Esaputri; Halwan Fuad Bayuangga; Nova Yuli Prasetyo Budi; Alif Kurniawan; Ditha Marissya Daud; Jonathan Hasian Haposan
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.59710

Abstract

Background: Malaria Community Worker (CMW) has a crucial role in malaria prevention and control in the community. However, a number of studies showed that there is a lack of competence from MCW in carrying out its duties. Knowledge, attitudes and practice (KAP) can represent the behavior about health services. Objective: This study aimed to assess the knowledge, attitudes and practice of the Malaria Community Worker towards prevention and control of malaria in Kokap, Kulon Progo. Methods: KAP survey with cross-sectional design was conducted in this study. CMW from Puskesmas Kokap I (n = 8) was asked to fill out a KAP questionnaire. Descriptive statistics and inferential tests were used to analyze the data. Data were analyzed by IBM SPSS Statistics Version 25. Results: The study found that 100% of respondents (n = 8) obtained high knowledge scores with the highest aspect on understanding about malaria and the lowest on diagnosis. The attitude score showed a moderate attitude for 100% of respondents (n = 8) with the highest aspect was fogging for malaria prevention and the lowest was the attitude that malaria is a serious disease. Meanwhile, the score of practice described good practice in 100% of respondents (n = 8) with the lowest part was compiling daily/weekly reports to the malaria program coordinator of Primary Health Care. From the observations, there was no significant correlation (p> 0.05) between demographic characteristics and between knowledge, attitudes and practice. Conclusion: The CMWs had a high knowledge score, moderate attitude, and good practice towards malaria prevention and control. Further studies with a larger sample are recommended for future study. CMW training is also recommended to improve the KAP of CMW.

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