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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 131 Documents

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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'.

Prevent Mortality Rates of Pregnant Women in Preeclampsia Condition Based on Characteristics Analysis Rifka Irhamna; Xela Adilla Pramesthi; Yuman Arya Nasrullah; Minarni Wartiningsih
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Preeclampsia is the leading cause of the deaths of pregnant women in Indonesia (30.9%). The cause of preeclampsia until now is not known for sure. The purpose of this study was to determine the characteristics of preeclamptic pregnant women based on age, parity, body mass index and based on a history of hypertension, family history of hypertension, and level of education.Methods: The research method is observasional descriptive. The sampling technique is total sampling. The sample in this study were preeclamptic pregnant women in Dr. Mohammad Soewandhie Hospital in the period of 1 January up to 31 Desember 2017 amounting to 100 samples.Results: The results showed that 55% of preeclampsia pregnant women aged >35 years, 65% of primipaternity preeclampsia mothers, 63% obesity, 67% had no history of hypertension, 78% had no family history of hhypertension, and level of education does not affect the condition.Conclusions and Discussions: The highest risk factors for preeclampsia are age> 35 years, primipaternity and obesity. Therefore, it needs appropriate prevention methods to avoid the emergence of pregnancy problems and their complications include recognizing the signs and symptoms of preeclampsia, be aware of risk factors for the causes of preeclampsia, routine antenatal care, and adopting a healthy lifestyle.

Reviving critical thinking and sense of ethics and humanity through “Exploring Human Enhancement Technology” Wika Hartanti; Nurazid Mahardinata; Soenarto Sastrowijoto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Background The advancement of human enhancement technology (HET) has raised concerns among bioethicist due to its potential to undermine human nature. The existence and application of this technology in medical practice is inevitable facts which shifted medical practice. Medical education institutions have no choice except to prepare and equip future doctors with moral and ethical capacity to deal with this challenge, hence the development of this HET module.ObjectiveOur study aimed to explore students’ perspectives and acceptance of the HET module.MethodWe asked students to write daily commentaries expressing their perspectives and acceptance throughout the module. Content analysis was performed on these textual data based on three main issues: (1) opinions on the module design (contents and methods); (2) reflections on overall learning experiences; and (3) applicability of the knowledge and skills. We analysed students’ grade to confirm achievements of learning objectives and effectivity of the module.Results A total of 78 medical students self-enrolled into this elective module in 2015 and 2016, and wrote daily commentaries posted online. Most students thought that the teaching methods were stimulating critical thinking, encouraging open-safe discussion, and sensitizing students to humanity issues. Topics related to ethics, humanities, and social sciences discussed were perceived as interesting and provided new perspectives. In overall reflection, students felt for the 1sttime in medical school they had an enjoyable yet life-changing learning experience through this module. Students were inspired to use the knowledge and skills gained from this module to be better doctors, deliver comprehensive patient care, and contribute more to humanity. The LOs were well achieved as indicated with the students’ understanding of the HET concept and discourses, and their ability to show critical analysis, build and present logical-ethical arguments, and suggest a recommendation for better HET application in their group as well as individual works.ConclusionThe module was delivered effectively and well accepted by the students. Most importantly, the module had successfully engaged students in various personalized form and influenced students’ positive transformation regarding personal, academic and professional commitments. The module showed potentials for further development and implementation as part of the mandatory medical curriculum.

Training Effectiveness in Change Knowledge and Attitude of Social Health Workers (Cadres) on Tuberculosis Disease Diah Prasetyorini; Hari Kusnanto; Mora Claramita
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Tuberculosis is a contagious disease that is still a public health problem. Indonesia is the country with the second most frequent tuberculosis cases in the world. One of the element that play a role in tuberculosis control is qualified human resources, including health cadres.Objectives: To determine the effectiveness of training to increase knowledge and change the attitude of the health cadres against tuberculosis in Gunungkidul.Methods: This study uses the Quasy Experiment research design, with a pretest-posttest design. Before the given intervention is given a pretest, then intervention in the form of training, after that do the posttest. After that analysis and test significance.Results: There were 70 health cadres, 35 were given intervention (training) and 35 as controls. There was a significant increase in knowledge in training cadres (p < 0.05) and there was a difference in the level of knowledge between trained and untrained (p < 0.05), there was a change in attitude on the trained and untrained cadres (p < 0.05).Conclusions: With the training, it can be improve knowledge and influence the attitude of health cadres against tuberculosis.

Case Report: Pregnancy with Systemic Lupus Erythematosus (SLE) Ika Hermawati; Fitriana Murriya Ekawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

A 24-year-old female patient who was pregnant with a gestational age of 30 weeks came to attend an integrated prenatal check-up at Daren Village Hall at the invitation of the village midwife on April 14, 2017. During the examination, there were no complaints except a lack of appetite. The patient comes by the husband, but the husband cannot accompany him during the examination process because he will work. The patient has been married for 2 years, where the pregnancy at the time of this examination is the first pregnancy.

Case Report: Type 2 Diabetes Mellitus with Oral Abscess and Obesity I Fatkurochman Fatkurochman; Aghnaa Gayatri
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Patient Mrs. L, a 62 y.o woman, private job, Javanese, address Kalikangkung Village RT/RW 03/06, Pangkah Subdistrict, Tegal Regency came to the Nusa Penida I Puskesmas to check blood sugar levels due to dentist referral with a molar tooth abscess 1 above right. The patient's right cheek is swollen for 2 days, pain when chewing and radiating to the right ear. Pulsating pain in the right upper jaw. The patient feels a foul smell coming from the oral cavity. The patient feels fever and headache. The maxillary teeth are sensitive to cold or heat for 2 weeks when eating hot or cold foods feels like the pain is electrocuted to the right temple. Previously the patient had never checked his blood sugar level.

Page 5 of 14 | Total Record : 131

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Contact Name
Hari Kusnanto J

Contact Email
rpcpe.fk@ugm.ac.id

Phone
62274 31203

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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

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