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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 131 Documents
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Empowerment of Dasawisma and Health Cadres as Family Cadres to Optimize Family Posyandu Fitriadi, Yogi; Mahmudah, Noor Afif; Ekawati, Fitriana Murriya; Fauziah, Siti Rizki; Ngang, Inggong; Nababan, Adelina Novita; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.88130

Abstract

Background: Health cadres are one of the important elements in realizing health in society. In the North Lombok region, the change in the status of ordinary Posyandu to family Posyandu makes health care in the community more comprehensive for all family members. For this reason, efforts to increase the capacity of health cadres are important to improve health status in the family sphere. Objective: This study aims to see the effect of training on increasing the capacity of family cadres on the knowledge of family cadres in the North Lombok Regency area. Method: The sampling process is carried out using the cluster sampling method where each village representative in the Kayangan sub-district of North Lombok Regency sends a cadre representative to train to increase the capacity of Dasawisma cadres to become family cadres. A descriptive analysis of respondents' characteristics and differences in knowledge scores before and after family cadre training activities were conducted. The data analysis process was carried out with the Wilcoxon Test because the data distribution was abnormal. Result: Thirty-three health cadres meet the inclusion and exclusion criteria. The results showed that the median value (maximum-minimum) of family cadres before training, shortly after training and six months after training was 66.67 (36.67-80), 66.67 (53.33-83.33) and 70 (53.33-96.67). From the Wilcoxon test, there was a statistically significant difference between the knowledge score before training and six months after training (p<0.05). There was no statistically significant difference between the knowledge score before training and shortly after training, as well as the knowledge score shortly after training and 6 months after training (p>0.05). Conclusion: Family cadre empowerment training can improve knowledge scores 6 months after training, but there is no significant difference in knowledge score improvement shortly after training as well as between knowledge scores shortly after training and 6 months after training.
HIV in Elderly Patient Fatmala, Galuh Dyah; Claramita, Mora; Rusetiyanti, Nurwestu
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.93047

Abstract

The patient is 66-year-old men from a small village in the foot of the Merapi volcano, Java Island, Indonesia. He is a husband and a father of three children with three granddaughters. He describes his life as a happy snack fruit farmer, adores living with his caring wife and enjoying role as a mosque priest in his village. But all are disrupted as his health condition has worsened in the past year. Previously, he has been hospitalized twice with the final diagnosis of chronic obstructive pulmonary disease; the tuberculosis has been ruled out by acid fast bacillus test since he also presenting with significant weight loss. Otherwise, he also has multiple visits to dermatologist due to itchy all over his body which is not improving with primary health center (puskesmas) medication. For his blurry eyes, he has been referred by his general practitioner to the ophthalmologist to be suspected with glaucoma and have lanatoprost medication for his eyes daily. He is also having diagnosis of lumbago with sciatica by neurologist since both of his legs are always sore and tingling. All of his outpatient visits and hospitalizations are covered by government health coverage in the same hospital as he has been referred by puskesmas.
Primary Care-Led Health System in Indonesia Nugraha, Ryan Rachmad; Claramita, Mora; Josef, Hari Kusnanto
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.95657

Abstract

It is a general consensus that investing more in primary care will lead to better health outcomes overall, and therefore, primary care should be the focus of development for health services. A body of evidence that intervention in primary care is cost-effective and reduces health system burden and disparities (1–7). Making primary care the focus of health development is crucial for the sustainability of the health system, particularly amidst the changing demographic landscape and disease burden. Designing health service or needs to start at primary care at its heart. This is concurrent with WHO 2008 report on Primary Care (8): “… focus of reform that reorganizes health services as primary care, i.e., around people’s needs and expectations so as to make them more socially relevant and more responsive to chancing world while produced better outcomes –  service delivery reforms.” 
The Association Between Demographic, Socio-Economic, Smoking Habits and Food Cravings in Adolescents Venessa, Benedicta; Muhammad, Harry Freitag Luglio; Ekawati, Fitriana Murriya
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.96103

Abstract

Background: Food cravings are one of the factors that can increase the risk of being overweight in adolescents. Food cravings can be influenced by several factors, such as smoking habits and demographic and socio-economic conditions. Objective: Therefore, this study aims to see whether there is a relationship between demographic, socio-economic conditions, and smoking habits with the incidence of food cravings in adolescents. Methods: This study used a cross-sectional study and was conducted online in July-September 2021 involving 249 respondents from 2 senior high schools in Gunungkidul Regency. Data on demographic, socio-economic conditions, and smoking habits were collected using the Global Youth Tobacco Survey questionnaire, while data on food cravings were collected using the Food Cravings Questionnaire-Trait-reduced questionnaire. Results: From this study, it was found that the variables gender (p value: 0.000), age (p-value: 0.028), and smoking frequency (p-value: 0.045) were significantly related to the FCQ-Tr score. Conclusions: Demographic conditions (gender and age) and smoking habits (smoking frequency) are associated with the incidence of food cravings. However, further research is needed with a wider population to prove the results of this study.
Correlation Between Self-Motivation and Family Support on Stress Levels and Self-Acceptance of Type 2 Diabetes Mellitus Patient Krisnansari, Diah; Wulansari, Rahmawati; Husnannisa, Fadhila
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.97563

Abstract

Background: Type 2 Diabetes Mellitus patients often have psychological problems related to burdens and worries about their illness, so they need family support as a support system in dealing with existing worries and emotional burdens. Family support will lead to self-confidence and motivation to deal with their problems. Motivation can come from family support and also from the patient's self-motivation. Motivation from family support and self-motivation is related to the patient's stress level and self-acceptance. Objectives: To determine the correlation between self-motivation and family support on stress levels and self-acceptance in type 2 Diabetes patients at Sumbang Banyumas. Methods: The analytic observational study with a cross-sectional approach on 49 respondents with type 2 Diabetes Mellitus used the Hensarling Diabetes  Family Support Scale Questionnaire, Treatment Self-Regulation Questionnaire, General Health Questionnaire-12, and Berger's Self-Acceptance Scales. Data were analyzed using the gamma correlation test with α<0.05. Results: The results showed  89.8% were over 45 years old, 83.7% were women, 69.4% were elementary school graduates, 53% were not working,  81.6% had a monthly income below the Regional Minimum Wage, 71.4% had no genetic of Diabetes Mellitus, 34.7% had a long duration of suffering from Diabetes Mellitus < 5 years and 5 - 10 years and 73.5% had good APGAR score, 73.4% had good self-motivation, 69.4% had good family support, 67.3% had mild stress levels and 75.5% had good self-acceptance. There was a significant correlation between self-motivation (p= 0.037) and family support (p= 0.000) on stress levels and there was a significant correlation between self-motivation (p = 0.000) and family support (p = 0.000) on self-acceptance. Conclusions: Self-motivation and family support correlate with stress levels and self-acceptance of type 2 Diabetes Mellitus patients at Sumbang Banyumas.
Factors Influencing the Occurrence of Preeclampsia in Pregnant Women at Primary Care Clinic Andoko, Dewanto; Hendrik, Hendrik; Moningkey, Shirley; Soeryani, R Wianti; Sungono, Veli
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.97566

Abstract

Background: Preeclampsia is a common medical complication during pregnancy, affecting approximately 5-15% of all pregnancies. This research aims to identify factors influencing the occurrence of preeclampsia at a Primary care clinic in Bandar Selamat, Tembung, Medan, in the year 2023. Method: This study adopts a cross-sectional approach, involving pregnant women with a gestational age of ≥20 weeks who visited the primary care clinic in Bandar Selamat, Tembung, Medan, from July to December 2023. A total of 37 respondents were sampled using convenience sampling. The dependent variable was the occurrence of preeclampsia, while independent variables included age, parity, medical history, calcium supplementation, and employment history. Multivariate analysis was conducted using SPSS version 23. Result: 16.8% of the respondents experienced preeclampsia. Additionally, 21.6% were in the unhealthy reproductive age group, 72.9% were primigravida, 13.5% had a medical history, 43.2% had poor calcium supplementation, and 40.5% were employed. Multivariate analysis revealed that Age (P-value: 0.044, OR: 24.5, 95% CI: 1.082 - 556.407), Parity (P-value: 0.252, OR: 4.926, 95% CI: 0.32 - 75.4), History of Chronic Disease (P-value: 0.32, OR: 40.484, 95% CI: 1.37 - 1196.2), Calcium Supplementation (P-value: 0.167, OR: 11.582, 95% CI: 0.3 - 374.8), and Employment Status (P-value: 0.679, OR: 1.849, 95% CI: 0.1 - 33.87) are associated with preeclampsia. Conclusion: There is a significant relationship between age, parity, history of chronic disease, and the occurrence of preeclampsia in pregnant women at the primary care clinic in Bandar Selamat, Tembung, Medan. History of Chronic Disease is the most influential variable (OR: 40.484).
The Uncertainty in Family Medicine Training Claramita, Mora; Irawati, Yulia Dewi
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98083

Abstract

Ever since we heard about family medicine training, there have been lots of differences within the context of primary care compared to the specialization in the hospital’s settings. One of them is the ‘uncertainty.’ The uncertainty of health care started from the process of development of diagnosis because of the first contact nature of patients in primary care settings with possible signs and symptoms can lead to number of diseases1. A cough symptom can be uncomplicated influenza, a very sign of the start of an epidemic, or signs of a more contagious severe illness like Tuberculosis, or a non-infectious problem but can be life-threatening for the patient. We also still need to consider the ‘illnesses’ so that the patients can have their perceptions regarding the health problems and the treatment they should receive. At this point, two-way dialogue to overcome the uncertainty in handling health problems is the key to understanding patients’ perspectives. Only by understanding patients’ perspectives can family doctors work together with the patient to approach a more suitable treatment and health care planning.
Study of Tuberculosis (TB) Management Documentation with Directly Observed Treatment Short Strategy Course (DOTS) in Puskesmas, Hospital, and Lung Disease Treatment Unit (UP3) Slamet, R Sunarko; Josef, Hari Kusnanto; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98104

Abstract

Background: WHO suggests that pulmonary TB is a global emergency for humans since 1993. Where the burden of TB disease in the community is still very high, it is estimated that there are still about 9.5 million new TB cases, and about 0.5 million deaths caused by TB worldwide. WHO Global Tuberculosis Report states that TB is still a major health issue even though TB is a preventable and treatable disease. WHO Global Tuberculosis Report argues that TB has existed from the first millennium to the millennium and is still a global health problem. Objectives: Monitoring and evaluation is one of the most vital management functions to assess the success rate of TB program implementation. The presence of regular and ongoing monitoring functions to detect problems early in the implementation of planned activities so that they can be fixed as soon as possible. This evaluation also assesses the extent to which the predetermined objectives and outcomes have been achieved at the end of the period. In conducting the assessment of success, indicators, and standards. Method: The method although initially rarely considered in qualitative research methodologies, is today an important and integral part of the qualitative research methodology. This is due to the growing awareness and new understanding in the researchers, that a lot of data is stored in the form of documents and artifacts. So that the excavation of data sources through document studies becomes complementary to the qualitative research process. Even Guba as quoted by Bungin states that the use and use of existing documents determines the credibility level of a qualitative research result. Result: The results showed that all health facilities in Puskesmas, hospitals, and UP3 had followed TB management with DOTS strategy. In general, implementing the five DOTS pillars at puskesmas was better than in hospitals and UP3, but supporting documents on DOTS pillar implementation in hospitals and UP3 were more complete.  Conclusion: The achievement of the DOTS program at the health service facility conducted by the research shows that the puskesmas is better than the hospital and UP3.
Holistic Management in Adolescent Patients with Atopic Dermatitis Through Family Medicine Approach: A Case Report Anita, Anita; Moningkey, Shirley; Handoko, Marshell
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98605

Abstract

Atopic Dermatitis (AD) is a chronic, recurrent skin inflammation accompanied by itching and occurring in specific areas of the body. AD is often associated with other atopic diseases such as allergic rhinitis and bronchial asthma. It can affect individuals of all ages but is most common in infants and children. AD that appears in adolescents and adults is also increasingly recognized. This case report aims to explore the role of family physicians in the holistic and comprehensive management of AD in adolescents through a family medicine approach to prevent relapses and reduce the severity of AD. Data were obtained through auto-anamnesis, physical examination, and home visits. LAK, a 21-year-old final-year student, reported a red rash on her upper right arm for the past month, which she found very bothersome. Internal factors aggravating her symptoms included her mother's allergic rhinitis, the patient never using skin moisturizers, and not cleaning her body immediately after sweating. External factors included having to walk to campus through busy, hot, and dusty roads and the stress from her final-year thesis. Diagnosis and management were carried out holistically through patient-centered, family-focused, and community-oriented. The family medicine approach emphasizes prevention, patient education, and long-term management to reduce the severity of AD. Through a family medicine approach, changes in behavior, particularly in prevention, will occur, allowing AD to be managed and preventing relapses
The Impact of Health Education Training on Knowledge of Prevention and Control of Hypertension among Youth Group Fitriadi, Yogi; Fajri, Imam Khoirul; Pramantara, I Dewa Putu
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.100855

Abstract

Introduction: Hypertension is a serious issue that can lead to various complications if not prevented and managed, starting from adolescence and young adulthood. Education on non-communicable diseases related to hypertension has been limited in schools, with little focus on community settings. This study aims to examine the impact of health education for adolescents and young adults on changes in knowledge and behavioral practices for the prevention and control of hypertension. Methods: This study employs a quasi-experimental design with pretest and posttest without a control group. Subjects were obtained through purposive sampling, resulting in a total of 32 respondents. Demographic characteristics and Kirkpatrick Level I evaluations were analyzed univariately. The comparison of knowledge scores before and after the intervention was analyzed bivariate, taking data normality into account. Results: After receiving health education for adolescents and young adults, there was a significant increase in knowledge scores regarding hypertension prevention and control before and after the intervention (p<0.001). The evaluation of the training program yielded very good scores, with the highest percentage from the facilitator evaluations. Conclusion: There was an increase in knowledge scores related to hypertension prevention and control among adolescents and young adults after receiving health education interventions from health professionals.

Page 12 of 14 | Total Record : 131

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