Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
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.
Articles
131 Documents
<![CDATA[CASE REPORT: Interprofessional Collaboration in the Management of Scabies Re-infestation: A Single Case Study in a Rural Area of East Nusa Tenggara Province, Indonesia ]]>
<![CDATA[Maria Damayanti Gufra Putri Say]]>;
<![CDATA[Nita Arisanti]]>;
<![CDATA[Insi Farisa Desy Arya]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 3 (2021): September ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.66563
<![CDATA[Mr. A presented with complaints of itching and reddish patches on his stomach, palms and fingers for about three weeks. The patient had been diagnosed with scabies infestation three times before and had previously been declared cured.Dermatological exam on this patient showed erythematous papules, rounded, well-defined, discrete spread and multiple measuring 0.2 x 0.2 cm on patient’s hand fingers, palm and abdomen. Excoriation and lichenification were also noticed.The presence of cuniculi were no longer found and some parts had undergone lichenification, marked by darkened skin color due to chronic scratching.The patient is a clove trader who often goes from one village to another to collect cloves. Every time he stops in a village, the patient will stay at a relative's house. He never brings personal towels and gloves while traveling. Often the towels and sarongs that are used by the host are lent to him. He always borrows towels and sarongs from the owner of the house where he is staying. Every time he comes home from traveling, the patient will suffer from itching which causes his wife and children to also get similar itching.]]>
<![CDATA[Effects of Family Function on Blood Sugar Control in Patients with Type 2 Diabetes Mellitus ]]>
<![CDATA[Yayuk Fathonah]]>;
<![CDATA[Ana Fauziyati]]>;
<![CDATA[Muhammad Malik]]>;
<![CDATA[Muhammad Hanif]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 3 (2021): September ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.69859
<![CDATA[Background: A long term treatment can happen for patients with diabetes mellitus (DM), which can negatively affect their lives and their families. Family support is an important factor to help them adapt to their DM and maintain their self-management. Doctors must assess family function of the patients with DM during their treatment.Objective: This study aimed to observe the effects of family function on blood sugar control in type 2 DM patients who were included in PROLANIS (chronic disease management program) at Puskesmas Banguntapan 2 Bantul, D.I. Yogyakarta, Indonesia.Methods: This quantitative analytical study was conducted with a cross-sectional design in November-December 2019 by using the Family APGAR instrument and fasting blood sugar tests from the DM patients’ venous blood. Its sampling technique was the total sampling of the PROLANIS participants who suffered from DM and met inclusion criteria of this study. All obtained data of this study were analyzed by Spearman Product Moment analysis to determine the effects of family function on their fasting blood sugar levels.Results: This study found that there was a significant effect of family function on blood sugar control in the patients with type 2 DM (p=0.008). This finding indicated that the family function was an important aspect in controlling their blood sugar.Conclusion: The family function was an influential factor to optimize the treatment of patients with type 2 DM. The assessment on the family function should be a part of their routine examination in primary healthcare units.]]>
<![CDATA[Management of Thirst in Hemodialysis Patients in Primary Services ]]>
<![CDATA[Sri Lestari]]>;
<![CDATA[Iri Kuswadi]]>;
<![CDATA[Heru Prasanto]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 3 (2021): September ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.70027
<![CDATA[The incidence and prevalence of chronic kidney disease (CKD) has increased worldwide and in Indonesia. There were about 53,940 people with stage 5 CKD based on data from the Indonesian Renal Registry (IRR) in 2018. Incidence crude rate is 251 per million population and prevalence crude rate is 499 per million population for the entire population1. The prevalence of CKD has almost doubled in 5 years, from 2‰ in 2013 to 3.8‰ in 2018. Hemodialysis (HD) is a renal replacement therapy modality that is in great demand by the public compared to the other two modalities, namely peritoneal dialysis and kidney grafts. In 2018, there was a consistent increase in the number of new patients and active HD patients. Active patients is the total number of patients (either new or old patients) who are still undergoing routine HD. The number of new patients has doubled compared to 2017. This also resulted in a sharp increase in the number of active patients compared to the previous year.]]>
<![CDATA[Making and Validating a Promotive and Preventive Effort Model for Stages 1-5 of Chronic Kidney Disease in Primary Care Services ]]>
<![CDATA[Anita Rahman Hajam]]>;
<![CDATA[Bambang Djarwoto]]>;
<![CDATA[Mora Claramita]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 1 (2022): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.33866
<![CDATA[Background: The prevalence of Chronic Kidney Disease (CKD) is continuously increasing worldwide, including in Indonesia and has become a global public health problem. With the increased number of patients with CKD and the limited number of nephrologists, primary care physicians and specialists should play an important role in providing quality sustainable prevention and treatment by improving promotive and preventive efforts in primary care. Most patients with CKD can be managed by doctors in primary care in collaboration with specialist doctors in secondary and tertiary care. However, clinical practice guidelines for promoting and preventing CKD in primary care apparently have not been optimally implemented.Objective: This research aimed to make a promotive and preventive model for stages 1-5 of CKD in primary care.Methods: This research employed a research and development strategy with the following stages: (1) Preliminary study stage (literature review), (2) Development stage (initial draft of the model) and (3) Resources validation stage (in-depth interviews).Results: Five primary care physicians, two internists and one nephrologist participated in the validation stage for the initial draft of the model. The three stages of this research obtained the pattern of doctor's practice for CKD and the feedback related to the model to be adjusted according to the condition of primary care in Indonesia.Conclusion: There is a lack of understanding and awareness of primary care physicians about prevention and treatment of CKD, and a lack of supporting examination facilities for serum creatinine and albuminuria in primary care for screening of the risk factors of CKD. A promotional and preventative model of stages 1-5 for CKD in primary care was successfully made and validated.]]>
<![CDATA[Effects of Motivation, Knowledge, and Skills of Lung Tuberculosis Officers on Case Detection Rate of Health Centers ]]>
<![CDATA[Margareta Suhanika Purnaningsih]]>;
<![CDATA[Elsa Pudji Setiawati]]>;
<![CDATA[Kuswandewi Mutyara]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 1 (2022): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.53026
<![CDATA[Background: One of the main indicators of tuberculosis prevention is the Case Detection Rate (CDR). The CDR of health centers in East Lampung Regency in 2017 was 24.8% which is still below the national standard. Case finding was still being done passively and suspect screening in several health centers was found lacking attention to the patient's medical history. Accordingly, increasing CDR needs improvement efforts to be strongly influenced by tuberculosis officers.Objectives: This study aimed to determine the effects of motivation, knowledge and skills of tuberculosis Officers on CDRs of community health centers in East Lampung Regency.Methods: This study is a cross-sectional quantitative study with total sampling. Data were obtained from questionnaires, checklists and secondary data from community health centers and East Lampung District Health Office. Respondents are 34 community health centers in Lampung Timur represented by 89 officers. Dependent variable was CDR while motivation, knowledge, and skills were the independent variables. The data were analyzed by Rank Spearman tests and multiple linear regression methods.Results: Respondents showed they were lacking in motivation, good knowledge and skills. Rank Spearman correlation coefficient ranged between 0.665 to 0.696 with sig.=0,000. Regression sig values were 0.000 for motivation, 0.0962 for knowledge and 0.001 for skills. Adjusted R square was 0.703, while regression coefficient was 2.872 for motivation and 1.196 for skills.Conclusion: There were significant correlations between motivation, knowledge and skills with CSRs of community health centers in East Lampung Regency. Knowledge had no effect on CSR but motivation and skills have a significant effect partially and simultaneously. Motivation contributed the biggest effect.]]>
<![CDATA[Sharing Management of COVID-19 in America as well as Public Health Centers and Primary Clinics in Indonesia ]]>
<![CDATA[Siti Marlina]]>;
<![CDATA[Hari Kusnanto]]>;
<![CDATA[Mark Alan Graber]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 1 (2022): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.65665
<![CDATA[Since the Coronavirus-2019 (COVID-19) was declared by the World Health Organization (WHO) as a pandemic on March 11, 2020, and then Indonesia declared COVID-19 a national disaster on March 14, 2020, COVID-19 cases in Indonesia and the world have increased rapidly. Puskesmas and clinics are at the forefront of handling and preventing the transmission of COVID-19. Puskesmas and clinics must prepare their own resources and service protocols in order to serve the community without neglecting the safety and health of patients and health workers from the risk of transmission of COVID-19. Health workers meet with patients and visitors to health facilities every day, sometimes even with inadequate personal protective equipment (PPE), so they are very much at risk of being exposed to COVID-19, from patients or vice versa. With the increase in COVID-19 cases, a comprehensive effort is needed in case management and efforts to break the chain of transmission and keep health workers protected in conducting their duties. Modification of health service facilities in Puskesmas and clinics, changes in service flow, standard operating procedures for health services must be adjusted by paying attention to the safety of health workers and patients/visitors to avoid COVID-19 transmission. Preparedness of Puskesmas and clinics in facing the COVID-19 pandemic should be done by strict management according to the patient's condition by paying attention to PPE principles, conducting strict surveillance of suspected and positive COVID-19 cases, case reporting system within 1x 24 hours to the District/City Health Office, conducting epidemiology investigations and providing risk communication to the community as well as improving networks with stakeholders, across sectors and local community leaders.]]>
<![CDATA[Risk Factor Identification of Multi-Drug Resistant Tuberculosis ]]>
<![CDATA[Kurnia Fajar Chasanah]]>;
<![CDATA[Ika Trisnawati]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 1 (2022): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.68766
<![CDATA[Background: Multi-drug resistant tuberculosis (MDR-TB) is a serious health problem with high morbidity and mortality. The identification of risk factors is needed to prevent the incidence TB-MDR. Objective: To identify the risk factors of TB-MDR in the Special Region of Yogyakarta.Method: This study used a case control design to assess the risk factors for the incidence of MDR-TB. Patients diagnosed with MDR-TB compared to non-MDR TB patients were then compared to exposure to the risk factors studied. The results of the study were analyzed by calculating the mean and proportion. Next, Chi-square tests and analysis of odds ratio (OR) with 95% confidence interval (CI) were conducted using a 2x2 dummy table as an aid with multivariate logistic regression analysis.Result: There were 53 patients with MDR-TB as the case group and 106 non-MDR TB patients as controls. There were no significant differences between the two groups regarding the characteristics of age, sex, place of residence, and type of work (p>0.05). The multivariate analysis found the risk factors associated with an increased incidence of MDR-TB were a history of previous TB treatment (p<0.001; OR 31.82; 95%CI: 9.40-107.77) and surrounding TB (p<0.01; OR 4.45; 95%CI: 1.45-13.70), while other factors that were not significantly related to the incidence of MDR-TB included body mass index, distance of home to health facilities where taking medicine, smoking, drinking alcohol, history of BCG vaccination, education, income, medication adherence, and comorbidities (p> 0.05).Conclusion: The risk factors found to be associated with an increased incidence of MDR-TB in this study were the presence of surrounding TB patients and a history of previous TB treatment.]]>
<![CDATA[Maternal Mortality Care / 3 Overdue 4 Overly ]]>
<![CDATA[Quranayati Quranayati]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 1 (2022): January ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.69543
<![CDATA[Preeclampsia is a hypertensive condition that occurs in pregnant women whose gestational age has reached 20 weeks or after delivery who previously had normal blood pressure and increased to 140/90 mmHg or more. Preeclampsia condition is a vasospastic disease that involves many systems and is characterized by hemoconcentration, hypertension, and proteinuria >300 mg/24 hours. These symptoms can be seen during pregnancy, childbirth and in the puerperium which can be accompanied by convulsions and coma. Preeclampsia is one of the causes of maternal and perinatal mortality, and can be detected at gestational age >34 weeks with blood pressure < 140 /110 mmHg, then the patient may have preeclampsia.]]>
<![CDATA[Scabies in an Adolescent with Poor Personal Hygiene ]]>
<![CDATA[Dian Isti Angraini]]>;
<![CDATA[Neema Putri Prameswari]]>;
<![CDATA[Eko Budi Susanto]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 2 (2022): July ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.73317
<![CDATA[Skin disease is one of the public health problems in developing countries such as Indonesia. One of the common skin diseases is scabies, a parasitic infestation that is highly contagious and can cause significant morbidity. Scabies can cause prolonged itching and excoriation, resulting in secondary infection1.Scabies is a skin disease caused by infestation and sensitization of the parasite, Sarcoptes scabiei var. hominis. Scabies is transmitted through several ways, namely direct contact with the skin or indirectly through clothing, bed linen, mattresses, and toiletries. Symptoms that appear are itching and skin eruptions in the form of papules, nodules, and vesicles due to a hypersensitivity reaction2. People who are infected with scabies can transmit it to others even though they do not show symptoms until the infection is successfully treated and the mites and eggs are destroyed3.]]>
<![CDATA[Analysis of Prediabetes Risk Factors at Primary Health Care Centers ]]>
<![CDATA[Russy Novita Andriani]]>;
<![CDATA[Yogi Fitriadi]]>;
<![CDATA[Cornelia Wahyu Danawati]]>;
<![CDATA[Hari Koesnanto]]>;
<![CDATA[Robikhul Ikhsan]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 2 (2022): July ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
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DOI: 10.22146/rpcpe.74552
<![CDATA[Background: The condition of prediabetes is still reversible whereas diabetes is irreversible. Prediabetes prevalence continues to increase rapidly worldwide. It is estimated that >470 million people will have prediabetes by 2030. The prevalence and risk factors for the cause of prediabetes in the Daerah Istimewa Yogyakarta (DIY) are not known because there was not enough research and data. Yogyakarta has a high risk of prediabetes because Yogyakarta has the highest level of sugar consumption in Indonesia (16.9%). Objective: This research aimed to analyze the risk factors for prediabetes and identify the most dominant risk factors for prediabetes in primary health care centers at DIY. Methods: This observational, analytical research used a cross-sectional study approach. The population of this research was the population in DIY. The subjects of the research were a group of individuals aged >25 years in Sleman and Bantul who met the inclusion and exclusion criteria. A sample size estimate of the study was a minimum of 312 patients. The data were analyzed by using chi square and multivariate logistic regression with significance set as p<0.05. Results: The research was conducted in two districts of Sleman and Bantul. The total number of study subjects was 346 and 67people were excluded because they had diabetes. Subjects with hypertension and prediabetes were 20 people and statistically significant with the value of p = 0.001 (Prevalence Ratio (PR) = 3.16 95% CI: 2.85-3.46). Age was also associated with the incidence of prediabetes with p = 0.029. The results of the multivariate logistic regression analysis were p>0.05 was hypertension (p = 0.022, PR 4.239; 95% CI: 0.203-0.962) and central obesity (p = 0.040, PR 5.253; 95% CI: 0.163-0.868). Conclusion: Prediabetes prevalence was 11.1% in the study population. The risk factors associated with the incidence of prediabetes were age, central obesity and hypertension. The most dominant factor was central obesity.]]>
