cover
Article Per Year (5 Year)
All
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
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
 10   11   12   13   14 
The Influence of Patient Attendance for 5 Years in Prolanis (Chronic Disease Management Program) on Body Mass Index and Chronic Disease Parameters Fadillah, Reza Arif; Afriandi, Irvan; Arya, Insi Farisa Desy
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.102827

Abstract

Background: Chronic diseases such as diabetes and hypertension are one of the biggest causes of death in the world and in Indonesia. Social Insurance Administration Organization or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, a health insurance in Indonesia, has a chronic disease management program or prolanis Patients who follow the prolanis program follow the prolanis program process for years. Objective: This study looks at whether patients who have followed the prolanis program for 5 years from 2019 to 2023 get good output results of health parameters such as blood pressure, HbA1c, Total Cholesterol, LDL, HDL, Ureum, Creatinine, and eGFR. Methods: This research method is a quantitative analytic retrospective on 151 patients who participated in the prolanis program during the period 2019 to 2023 with a pre-post retrospective research design. Normality tests were performed on all variables to determine the distribution of data distribution and bivariate analysis.  The parameters assessed were Body Mass Index, HbA1c, Total Cholesterol, LDL, HDL, Triglycerides, Ureum, Creatinine, eGFR and Blood Pressure. Results: The results showed that significant differences occurred in the values of HbA1c, ureum, creatinine, and eGFR parameters in the group of patients with attendance ≥40 months. The Δ value from 2023 to 2019 has a significant difference (p-value <0.05) based on the HbA1c variable which increased in value in the ≥40 months attendance group, and decreased in value in the <40 months attendance group, then there was no significant difference in the value of other parameters in all attendance groups. For hypertension, the highest incidence of hypertension occurred in attendance <40 months less than attendance ≥40 months so that there was no relationship between attendance and blood pressure values in the last year (year 2023). Conclusions: It was concluded that attendance for 5 years with attendance ≥ 40 months was beneficial in maintaining eGFR function compared to attendance < 40 months. However, it has not been proven to be beneficial in maintaining the stability of HbA1c in the attendance group ≥ 40 compared to the attendance group < 40 months. Although there was an increase in ureum and creatinine, attendance ≥ 40 months proved to be able to maintain the stability of ureum and creatinine in normal numbers. From the results of the study, the highest incidence of hypertension occurred in attendance ≥40 months compared to attendance <40 months, so there is no relationship between the number of attendance with blood pressure values.
Improving Community Health Outcomes through Integrated Services at Dewi Sartika Posyandu Perkasa, Brama Syukri; Fajri, Imam Khoirul; Wandhana, Nana
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.103246

Abstract

Background: Posyandu Dewi Sartika plays a vital role in delivering integrated primary healthcare services (ILP) to the community. However, challenges such as low community participation, inadequate training for health cadres, and limited infrastructure hinder its effectiveness.Methods A community diagnosis approach was employed, integrating qualitative and quantitative methods. Data were collected through focus group discussions, observations, and document reviews. Challenges were identified and prioritized using the USG (Urgency, Seriousness, Growth) method, while solutions were developed and evaluated using the McNamara screening technique.Results: The study identified 12 key challenges, including low community participation, limited service coverage, inadequate documentation systems, and high resource demands. Priority issues were low community participation and insufficient cadre training, both scoring highest on the USG scale. Proposed solutions include innovative cadre training, the "Sehat Bersama Warga" community engagement program, and strengthened stakeholder collaboration to address these issues effectively. Conclusions: This study underscores the importance of participatory approaches, capacity-building initiatives, and cross-sector partnerships in addressing systemic challenges in integrated primary healthcare. The proposed solutions are scalable and have the potential to improve health outcomes and community engagement sustainably.
Empowerment of the Disability Community through the Formation of Disability Cadres Lisa, Harti Rahmi Aunurul; Arininta, Nungki; Ekawati, Fitriana Muriya
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.103642

Abstract

Background people with disabilities are a vulnerable group in society and often face various obstacles in accessing basic services. Physical barriers, lack of information and lack of comprehensive services are the main obstacles that hinder access to adequate health services. The implementation of Posbindu has not included people with disabilities so far so there is no health data from people with disabilities. This problem shows that there is a significant gap in health services for people with disabilities.  Objective to fill the gap in health services for the disabled community. Method Parcipatory Action Research (PAR) with data collection by interview and Focus Group Discussion (FGD). The data was analyzed using a qualitative method using a thematic analysis approach. Results The six main factors faced by people with disabilities in accessing health services in the Kapanewon Kretek area are technical obstacles in accessing health services, limited physical access to health facilities, lack of proactive services, lack of program socialization, limited infrastructure and lack of family motivation. Intervention actions with a participatory approach involving people with disabilities as cadres in the implementation of disability-inclusive Posbindu. Discussion Community empowerment with a participatory community approach is an important step to overcome the gap in access to health services for people with disabilities in the Kapanewon Kretek area. The results of the evaluation of the implementation of cadre training showed a significant increase in cadre knowledge and skills, although practical implementation challenges remained. Recommendations for empowerment development are increasing the duration of training content, continuous assistance, the existence of special modules for cadres with disabilities, periodic evaluation and monitoring, increased family participation, cross-sector collaboration and the development of inclusive policies
The Use of Personal Protective Equipment (PPE) in Maternal Care During the COVID-19 Pandemic Mawarni, Devina Bunga; Ekawati, Fitriana Murriya; Putri, Likke Prawidya; Bismantara, Haryo
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.105109

Abstract

Introduction: The COVID-19 pandemic has driven rapid changes in healthcare delivery worldwide, including maternal care. In Indonesia, there has been an increase in maternal and infant mortality during the COVID-19 pandemic. Hospitals and health centers are high-risk locations for the transmission of this disease. Controlling potential hazards in healthcare facilities can be achieved by using Personal Protective Equipment (PPE). However, there has been an increased demand for PPE during the pandemic, leading to a shortage of availability. Nevertheless, PPE is a crucial component for protecting both healthcare staff and patients from COVID-19 transmission. Research related to the evaluation of PPE usage among healthcare workers during the COVID-19 pandemic, especially in maternal healthcare, is limited. Therefore, this study aims to evaluate the use of Personal Protective Equipment (PPE) by healthcare workers when providing maternal care in healthcare facilities in the city of Banjar, West Java. Methods: This research is a quantitative study in the form of a descriptive cross-sectional study. The minimum sample size consisted of 96 individuals, including general practitioners, midwives, nurses, and obstetricians who are currently actively providing maternal care services in healthcare facilities in the City of Banjar. Data collection was conducted using the snowball sampling method in February – March 2022, with the El-Sokkary questionnaire from 2021 as the modified instrument distributed online. Result: The research results showed that the majority of respondents were female (96,3%), worked as midwives (95,4%), were aged 25-34 years (40,3%), had 6-10 years of work experience (29,3%), and in the past two weeks, the majority worked in primary care settings (40,3%). Exposure to training and guidelines, as well as exposure to COVID-19 patients, were both considered high (grand mean 2,7 and 2,2). Healthcare facility policies indicated that the majority did not impose sanctions (75,2%) if personal protective equipment (PPE) was not used according to guidelines, and the compliance rate ranged from 65-80% (43,1%). The frequency of PPE usage was categorized as high (grand mean 3,6), with only 58,7% feeling that the availability of PPE was sufficient, with N95 masks and similar items experiencing the most shortages (73,3%). Healthcare workers' negligence was relatively low (grand mean 2,9), but the compliance with PPE usage guidelines varied from 0 to 42,8%, depending on the type of service provided.  Conclusion: The types of personal protective equipment (PPE) frequently used by healthcare professionals (midwives, nurses, general practitioners, and obstetricians) include surgical masks/N95 masks, waterproof surgical gowns, face shields, goggles, headgear, protective shoes, aprons, and gloves. The overall compliance rate for the use of PPE is approximately 65-80% according to local healthcare facility regulations. The evaluation of PPE usage indicates that the compliance with PPE usage among maternal healthcare providers varies depending on the type of service provided, with the highest compliance observed in the case of delivery services for suspected/confirmed COVID-19 patients. The results of this research are expected to be considered by healthcare facilities and relevant stakeholders in documenting and providing the necessary types of PPE required by healthcare professionals in their daily practice.
Stage 3 HIV Patient with Severe Dysfunctional APGAR Score: A Palliative Approach Prastiwi, Silvia Hari; Wasityastuti, Widya
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.91275

Abstract

Mr. D, a 45 years old patient was visited at home for his HIV stage 3.  The patient admitted that he had shortness of breath that was not affected by activity and there was no swelling in both legs. He also has a cough that produces sticky phlegm. He experiences diarrhea, even though it doesn’t happen every day. He was diagnosed with HIV since 2012 and admitted that did not comply with taking ARTs. He underwent the test two years after his wife was diagnosed with HIV; during this time, he also had persistent shortness of breath and lost weight due to a co-infection with tuberculosis. He acknowledged not taking ARTs on a regular basis for about ten years after receiving his diagnosis because he believed he had accepted his predicament. Since four years ago, his wife has been gone, leaving him with their children.He has two sons: the oldest, a 20-year-old who provides the family's foundation, and the younger, a 17-year-old who is still in school. The patient and their kids currently don't get along well because there isn't much communication between them and because the kids spend much of their time alone at home and don't say hello to each other. Because of the low economic status and the family's lack of concern for the patient's diet, the patient consumes the same foods every day, such as instant noodles or fried eggs.The patient's shortness of breath prevents him from working and interferes with his daily routines. He stated that because he was alone at home and was experiencing discomfort with his shortness of breath, he could only rest and lie down there. The patient was urged to be referred to Sardjito Hospital by the doctor at the Community Health Center (Puskesmas), but he was rejected on the grounds that he could not have a companion with him. 
Rationality of Antibiotic Therapy in Patients with Acute Pharyngitis Based on the Centor Score at the First Level Health Facilities Raditya, I Gede Wahyu Adi; Putra, I Dewa Gede Arta Eka
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103006

Abstract

Background: Pharyngitis is an inflammation of the pharyngeal wall caused by viruses, bacteria, allergies, trauma, irritants, and others. It is important to determine the cause of pharyngitis to ensure the need for antibiotic therapy, considering the high rate of antibiotic resistance. Objective: This study aims to determine the rationality of antibiotic therapy in patients with acute pharyngitis based on the Centor score at the primary health facility in Denpasar. Method: This study is a retrospective descriptive study by taking secondary data from medical records of patients with acute pharyngitis who received antibiotic therapy at Public Health Center A in East Denpasar and Clinic B in West Denpasar. From each primary health care, research samples were selected using systemic random sampling. The Centor score was assessed from the medical records of 32 patients at each primary health care. Rational antibiotic therapy is defined at a Centor score ≥4, while irrational <4. Results: The Centor score description in the sample shows that most samples have a Centor score of less than 4, where in the Public Health Center there were 23 (71.9%) samples and in the Clinic 22 (68.8%) samples. Overall, 45 (70.3%) samples had a Centor score <4, so in this study, only 29.7% of acute pharyngitis patients were rational to receive antibiotic therapy. Conclusions: The administration of antibiotics to patients with acute pharyngitis in primary health care in Denpasar is not rational. Socialization and education are needed for general practitioners in primary health care about the use of the Centor score in patients with acute pharyngitis to help clinicians determine whether or not antibiotic therapy is needed.
Potential of Purple Sweet Potato Ethanol Extract (Ipomea Batata L.) to Prevent Skin Aging in Menopausal Wistar Rats Wiryanthini, Ida Ayu Dewi; Sutadarma, I Wayan Gede; Dewi, Ni Putu Ratih Cahaya; Aryaweda, Made Dhiyo Wiweka
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103175

Abstract

Background: Menopause is a hypo-estrogenic condition due to decreased ovarian function, a natural thing experienced by women between the ages of 45 and 55, causing health problems on the skin, in the form of decreased collagen production so that skin elasticity decreases, and is prone to dry conditions, sagging to fine lines and wrinkles as a sign of skin aging also called Estrogen Deficient Skin (EDS). This study aims to determine the role of anthocyanin activity in purple sweet potatoes as phytoestrogens to overcome skin symptoms caused by EDS in the form of proliferation of collagen-forming cells, namely fibroblast cells in Wistar rats with a menopause model. Method: This research is purely experimental with the method Post Test Only Control Group Design which aims to determine the effect of administering purple sweet potato ethanol extract on the number of fibroblast cells in the skin tissue of Wistar rats with a menopause model. A total of 16 female Wistar rats aged 12 weeks that were bilaterally ovariectomized were divided into 2 groups, namely group P0 given 1 ml/day of distilled water, group P1 given ethanol extract of purple sweet potato at a dose of 400 mg/kg BW/day for 3 months. On the last day of treatment, the experimental animals were terminated and then skin tissue was taken to make histological preparations of Masson's Trichrome and to examine the number of fibroblast cells. Results: Data analysis using the Independent T test obtained significant results p=0.00 and Post Hoc LSD obtained significant results p<0.05 for all comparisons across groups. Conclusion: Based on these results, it can be concluded that Anthocyanin in ethanol extract of purple sweet potato can increase fibroblast cell proliferation in skin tissue of Wistar rats with a menopause model. Further research is still needed on other parameters to prove the role of Anthocyanin as a phytoestrogen to overcome EDS.
Leprosy Trophic Ulcer Management Karna, Ni Luh Putu Ratih Vibriyanti
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103179

Abstract

Background: Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae, also a polymorphic disease with a wide range of neurocutaneous manifestations. Unfortunately, delayed diagnosis and treatment are still an issue in endemic poor resource settings and in non-endemic countries due to global migration. Ulcer is not a common feature in leprosy patients, except during reactional states, Lucio’s phenomenon (LP), or secondary to neuropathies. Objective:To study the treatment options to manage leprosy trophic ulcer. Method: The Google-scholar, Science-Direct database, and ResearchGate from 2010 until September 2023 were searched using the keywords “leprosy ulcer”, “leprosy trophic ulcer”, “plantar leprosy ulcer”, and “leprosy ulcer management.” All available cohort studies, case-series, case-reports, and expert reviews were included with an emphasis on leprosy trophic ulcer management. Results: The trophic ulcer evolves initially from a trauma/deep fissure/callosity or tenderness over pressure-bearing areas of palms and soles. Anesthesia of the foot is the central factor in the pathogenesis of plantar ulcer. Sufficient rest for a simple ulcer is essential for ulcer healing. Topical treatment to promote wound healing includes phenytoin, zinc oxide, platelet-rich plasma (PRP), platelet-rich fibrin (PRF), and hydrocolloid dressing. Various surgical methods are available for management of plantar ulcers, including skin grafts and different types of flaps. In primary care settings, early detection, patient education, and self-care practices are essential in preventing severe ulcerations and recurrence. A clinical sign that can be suspected is the stage of threatened ulcer, called the pre-ulcerative with aseptic inflammation, usually occurring under a joint or a bony prominence of the foot and characterized by edematous lesions. Initial management in primary care including wound care and protection, limiting mobility, and reducing heavy loads on the wound area, especially in the lower extremities. Conclusion: Leprosy trophic ulcer management includes sufficient rest, topical treatment to promote wound healing, and various surgical methods.
Exercise and Chronic Diseases: A Scoping Review Imron, Moh. Ali; Adiatmika, I Putu Gede; Jawi, I Made
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103256

Abstract

Background: Regular exercise has been postulated as beneficial to prevent, treat, and manage a chronic disease that nowadays is caused by a sedentary life. However, its prescription and mechanism of how exercise positively affects health conditions is requiring further research. Objective: To investigate the types of regular exercise and exercise prescription and mechanisms in preventing or treating a chronic disease. Methods: This study reviewed articles from ProQuest, Science Direct, Wiley, and PubMed using the terms 'chronic disease', 'exercise', 'physical activity', and 'cytokine'. Results: Forty-six articles were reviewed in this study which originated from different regions spanning Asia, Europe, America, and Africa. The articles were categorized based on sample characteristics, which were; elderly, healthy adults, athletes, mice, and others. Each article describes an aerobic or anaerobic exercise performed under various interventions ranging from low, moderate, to high and comprehensively explains its effect on human biology, including on the body system, tissue adaptation, muscle hypertrophy, and neuroplasticity, by examining its effect on proteins, hormones, enzymes, microRNAs, as well as functional metrics pertaining to physical capacity enhancement. Conclusion: This review concludes that exercise will elicit effects on the immune and metabolic systems of people with chronic disease.
The Role of Antioxidant Therapy in the Management of Type 2 Diabetes Mellitus: A Literature Review Astini, Dewa Ayu Agung Alit Suka; Yasa, I Wayan Putu Sutirta; Jawi, I Made; Wande, I Nyoman
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.104276

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a metabolic disease and has become a global problem due to the rapid increase in the number of cases. This disease is characterized by chronic hyperglycemia caused by insulin resistance and pancreatic beta cell dysfunction. The occurrence of oxidative stress is known to play a central role in the development of T2DM complications, through increased reactive oxygen species (ROS) that worsen insulin resistance, worsen beta cell function, and trigger complications such as cardiovascular complications, nephropathy, and neuropathy. Objectives: This literature review aims to evaluate the scientific evidence supporting the use of antioxidant therapy as an additional approach in the management of T2DM, focusing on the effectiveness and mechanism of action of antioxidant compounds on glycemic parameters, oxidative stress, and diabetes complications. Methods: A literature search was conducted through databases on ScienceDirect, PubMed, and Google Scholar, with the keywords "antioxidant therapy", "type 2 diabetes mellitus", "oxidative stress", and "diabetes management". The selected articles included in vitro, in vivo studies, and clinical trials published in the period 2013-2023. Literature review focused on the biochemical mechanisms of antioxidant compounds and clinical outcomes related to glycemic parameters and diabetes complications. The literature extraction process was carried out from January to March 2024. Results: Supplementation of vitamin D, vitamin E, vitamin C, polyphenols, saponins, and flavonoids has been proven to reduce blood glucose levels and increase insulin sensitivity in type 2 diabetes mellitus. The mechanism involves increasing antioxidant activity, regulating glucose homeostasis, as well as modulating signaling pathways such as AMPK, PPAR, and GLUT4. Conclusions: This bioactive compound has potential as an adjunct therapy in the management of type 2 diabetes mellitus by targeting oxidative stress and insulin resistance. Further research is needed to determine optimal dosage and long-term effectiveness.

Page 13 of 14 | Total Record : 131

 10   11   12   13   14 

Filter by Year

2018 2025


Reset
Filter By Issues
All Issue Vol 8, No 1 (2025): January Vol 7, No 2 (2024): July Vol 7, No 1 (2024): January Vol 6, No 2 (2023): July Vol 6, No 1 (2023): January Vol 5, No 2 (2022): July Vol 5, No 1 (2022): January Vol 4, No 3 (2021): September Vol 4, No 2 (2021): May Vol 4, No 1 (2021): January Vol 3, No 3 (2020): September Vol 3, No 2 (2020): May Vol 3, No 1 (2020): January Vol 2, No 3 (2019): September Vol 2, No 2 (2019): May Vol 2, No 1 (2019): January Vol 1, No 3 (2018): September Vol 1, No 2 (2018): May Vol 1, No 1 (2018): January More Issue