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Hari Kusnanto J
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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 5 Documents
 1 
Search results for , issue "Vol 4, No 2 (2021): May" : 5 Documents clear
Factors Associated with Mental Distress Among Medical Students of Universitas Pembangunan Nasional Veteran Jakarta Anisya Zakiyyahaya Arvant; Sri Wahyuningsih; Suzy Yusna Dewi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.62462

Abstract

Background: Mental distress refers to common mental disorders, such as depression, anxiety, and somatic symptoms, and is considered public health problem. It is reported that university students tend to have higher levels of mental distress compared to the general population, especially in medical students.Objective: The purpose of this study is to determine the risk factors affecting mental distress among medical students.Methods: A cross-sectional study using a survey was conducted among preclinical medical students at UPN Veteran Jakarta in June 2020. This study used proportional stratified sampling to complete questionnaires including demographic characteristics, adverse childhood experiences (ACE), family APGAR, and self-reporting questionnaire (SRQ-20). Data were analyzed by using logistic regression.Results: Among 138 participants, 36.2% had at least one of ACE, 55.1% of students came from a family with dysfunction, and 36.2% experienced mental distress. In multivariate analyses, some essential factors associated with mental distress are gender (OR=12.059, 95% CI: 2.311,62.916), adverse childhood experiences (OR=3.080, 95% CI: 1.903,4.983), family function (OR=2.733, 95% CI:1.097,6.809), and family structure (OR=0.290, 95% CI: 0.085,0.984).Conclusion: Students who are female, have history of adverse childhood experience, come from family with dysfunction, or non- nuclear family structure are more likely to be screened positive for mental distress. This study recommends an urgency of counselling service availability for medical students and community awareness to build a healthy family environment.
Health-Seeking Behavior of People in Five Sub-Districts in Karawang Regency Iqbal Ainnun Azis; Nita Arisanti; Helni Mariani; Dwi Agustian; Wulan Mayasari; Budi Sujatmiko
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.63490

Abstract

Background: Health-seeking behavior is an individual’s action to maintain and improve their degree of health and/or search for treatment, and it is influenced by many factors. The objectives of this study were to identify the preferences and reasons of people to visit healthcare facilities.Methods: This study was a descriptive study, conducted on November 5th 2019 at five sub-districts in Karawang Regency. Data were collected from all respondents using a guided questionnaire by trained enumerators. The respondents who did not complete the questionnaire were excluded from this study. Data were analyzed using Microsoft Office Excel 2013 and presented in percentages.Results: Out of 430 subjects, 18.6% were male and 81.4% were female, who were mostly in the age range of ≥ 18 years (99.5%). The sub-district health community center (Puskesmas) was the healthcare facilities most frequently visited and most preferred (39.7% and 40.9%), followed by a private clinic (21.3% and 22.3%) and a midwife (18.1% and 17.9%). Additionally, accessibility, affordability of the treatment cost, and waiting time were the main factors that influence people’s decision in using the healthcare facilities.Conclusion: The sub-district health community center was the healthcare facilities most frequently visited and most preferred by respondents. Accessibility, cost affordability, and waiting time were the factors that influence people’s decision in using the healthcare facilities.
Managing Rare Disease for Practicing Primary Care Physicians Cipta Mahendra
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.65031

Abstract

Primary care physicians (PCPs) are trained to provide care for a wide scope of medical conditions within their patient population. They are supposed to be the very first healthcare provider the patient should visit when having an illness. Accordingly, it is customary for PCPs to encounter many types of patient cases in their practice. In addition to common diseases, some patients may present with symptoms of a rare disease (RD).Unfortunately, PCPs often lack knowledge to promptly detect and manage the patients with such disease. A research from Ireland reveals that only a third of PCPs were able to establish a diagnosis for RD and refer the patient to the appropriate specialist1. In Spain, more than half the PCPs were deemed fair or poor in knowledge of RD2. Similar result was also obtained from an expert survey in Belgium, stating that the basic RD knowledge of most PCPs in the country is low3. It is therefore justifiable for Evans to say that many patients with RD are un- or misdiagnosed4 and thus, it may take years to finally get a correct diagnosis3. In Indonesia, there has been no published local- or nationwide research surveying the PCP’s knowledge concerning presentations of RD. 
Impact of Foot Care Education Program Using WhatsApp Group on Knowledge and Foot Care Practice in Diabetic Patients Yogi Fitriadi; Hari Kusnanto Josef; Cornelia Wahyu Danawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.65439

Abstract

Background: Diabetic ulcers are still one of the complications of diabetes that cause high costs for treatment and cause disability in diabetic patients due to leg amputation. Diabetic ulcers can be prevented by properly controlling blood sugar levels and foot care practice. Primary care doctors can provide knowledge about foot care practice to the community through Whatsapp Group. Whatsapp Group as one of the social media that is easily accessible via mobile phone can be used to carry out health education to the community continuously.Objectives: Determine the impact of foot care education through Whatsapp Group on knowledge and foot care practice of diabetic patients.Methods: Quasi experimental one group pretest and posttest design was be utilized in this study. Samples were obtained by purposive sampling from diabetic patients who visited and participated in Program Penanggulangan Penyakit Kronis activity in a primary healthcare clinic in Semarang at December 2020 until January 2021. Data were analyzed using the Friedman test and post Hoc Wilcoxon test.Results: Thirty six diabetic patients met the inclusion criteria. The median, minimum, and maximum score of the foot care knowledge before education through Whatsapp Group was 10 (4-13) and the score of foot care practice was 40 (21-56). Immediately after education, the score of knowledge was 12 (9-14) and foot care practice was 49.5 (23-69). One month after education, the knowledge score was 13 (9-14) and the foot care practice score was 50 (26-73). From the Friedman test, it was obtained p value = 0.00 (<0.05) and the Wilcoxon post hoc test p value = 0.00 (<0.05) for the knowledge and foot care practice before and immediately-one month after education. The post hoc Wilcoxon test results p value = 0.24 and p value = 0.79 for the score of knowledge and foot care practice immediately and one month after education.Conclusion: Foot care education through Whatsapp Group has an impact on knowledge and foot care practice for diabetic patients. There is an increase in knowledge and foot care practice after providing education through Whatsapp Group.Keywords: Foot Care Education, Whatsapp Group, Knowledge, Foot Care Practice, Diabetes
Case Report: Type 2 Diabetes Mellitus for The Elderly with Less Family Support Fitria Saftarina
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.67181

Abstract

Mrs. R, 65 years old came to Puskesmas B with complaints of fatigue during activities accompanied by weakness since 1 week ago. The patient has been diagnosed with Diabetes Mellitus since 2 years ago, but the patient admitted that she sometimes went to the health center once every 2 or 3 months depending on her complaints. According to the patient's acknowledgment, initially complaints of fatigue were felt rarely but gradually became more frequent and appeared during light activities and felt continuously. Complaints are not accompanied by blurred vision or numbness.The patient admitted that if the medicine from the Puskesmas ran out, complaints in the form of frequent thirst, frequent urination, hunger, and fatigue were felt again which indicated that the patient's blood sugar was rising, and the patient admitted that the highest blood sugar reached 600 mg/dL. During Mrs. R's treatment, she not only went to the health center for treatment but also frequently went to midwives and paramedics near the house.Mrs. R took the drugs metformin and glimepiride if she had just gone to a health professional when she had a complaint. Additionally, Mrs. R admitted that because of the complaint of feeling weak, Mrs. R often consumed date juice 3 X 1 spoon every day. Mrs. R is often given explanations by health workers to maintain her diet, but according to her she still cannot regulate her diet properly. Mrs. R still can be active and currently the patient is active as a housewife. Every Saturday, Mrs. R follows the exercise program from the village, namely elderly gymnastics, while on other days Mrs. R does not do sports, and only does home activities. Mrs. R denied smoking history, denied drinking alcohol, and denied taking drugs. Mrs. R currently lives with her husband and one grandson.

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