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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 103 Documents

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The Role of Primary Care Physicians (DLP) in Community Care Dhanasari Vidiawati Trisna Sanyoto; Nur Afrainin Syah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Dokter Layanan Primer (DLP) or Primary Care Physician (PCP) is a newly introduced term by the Indonesian government in 2013 since the enforcement of Medical Education Law 20/2013. DLP is a physician who solidifies his/ her education and career in primary care. They have postgraduate medical training in primary care and are experts in this field. In most countries, to be a generalist physician practising at primary care facilities such as health centres and primary care clinics, medical school graduates have to take postgraduate medical training to be proficient in terms of knowledge and skills in primary care services. Family medicine is the main body of knowledge of the primary care postgraduate training program in those countries even though their graduates are called differently among countries. These physicians are called family doctors or family physicians in the United States of America (USA), general practitioners (GPs) in Commonwealth countries, huisarts in the Netherlands. In Indonesia, where social, economic, and cultural diversity is very high in various regions, in addition to Family Medicine, Community Medicine and Public Health....

Dokter Lubis Program Siti Marlina
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

.....The Indonesian government via a program called Healthy Living Community Movement (GERMAS) emphasizes the principle of healthy life style for community, family and individual to create healthy nation estimated number of children with special needs in Indonesia in 2015 is about 7-10% of the total number of children. In this regards, children with special needs should be assisted to achieve their better condition of health through healthy lifestyle. Handling of children with special needs aims at emphasizing the potential of the children rather than focusing on their barriers, and also maintaining an optimistic attitude to be able to provide medical, psychological, and prevention services. The various conditions of children with special needs are not an excuse to avoid them, but rather generate awareness on respect to the diversity of individuals and give attention and services as ideal as they need. One effort developed to handle children with special needs is the ‘Dokter Lubis’ program (school children as peer educator for children with special needs) which includes promotive, preventive, curative and rehabilitative activities......

Developmental Trial of Maternity Education Control Cards Adolfina Nilasari; Mora Claramita; Shinta Prawitasari; Lisa Soldat
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: The behavior of a pregnant woman in maintaining her health during pregnancy is influenced by her knowledge of pregnancy. The greater the knowledge of pregnant women about pregnancy, the better the attitude of pregnant women in maintaining their pregnancy. Consequently, a primary care physician who is a health manager of pregnant women needs to pay attention to this knowledge aspect. Primary care physicians should be able to quickly identify the level of knowledge of pregnant women about pregnancy and determine whether that knowledge is sufficient. For that purpose, primary care physicians need to have the right measurement instruments.Objectives: This study aimed to develop, validate and test the instruments that primary care physicians can use to identify and add to pregnant women’s level of knowledge about pregnancy.Methods: This study involved research and development of a validated instrument that consisted of several stages, namely development, validation and testing. Validation was done through two stages, specifically content validation by experts and face validation by 7 doctors. The experimental phase was a quasi-experimental research with 35 pregnant women who presented for antenatal examination at the Puskesmas Banguntapan I (Community and Primary Health Care Center). T-tests were used to determine whether there was a significant difference between the knowledge of pregnant women before and after using the Maternity Education Control Cards.Results: The validated instrument called the Maternity Education Control Card developed by primary care physicians can be used to identify and increase the level of knowledge of pregnant women about pregnancy. The Maternity Education Control Card was validated by several experts, including communication experts, obstetricians and the Maternal and Child Health Program Coordinator at Bantul Regency. Layout, style, accessibility, and feasibility were assessed by a team of validators at the Puskesmas Banguntapan I (7 doctors and 1 midwife coordinator). The data analysis showed that there was a significant difference between pre-test and post-test scores (p = 0.000). This value was not influenced by age variables, educational level, number of pregnancies nor previous antenatal care frequency, but the level of education did affect the post-test value. The duration required for education was between 9 - 20 minutes, with an average of 14.63 minutes (± 2.61). The duration required for education related to the delta of pre and post-test values. The greater the delta, the longer time required for education.Conclusions: Maternity Education Control Card has been successfully established, validated and proven to significantly increase pregnant women’s knowledge about pregnancy.

Perceptions of Internship Doctors on Promotive and Preventive Health Services in Puskesmas (Community and Primary Health Care Center) Mariatul Fadillah; Murwani Emasrissa Latifah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Health care services are any efforts that are self-administered or done jointly within an organization to maintain and improve health, prevent and cure diseases and restore the health of individuals, families, groups and/or communities. Promotional and preventive services are conducted by individuals or groups in improving health and preventing the occurrence of outcomes unwanted by the community. Community Primary Health Care Centers (Puskesmas) are primary health care centers for the community which serve as the location of the new family doctors internship program in Indonesia.Objectives: The purpose of this study is to investigate the perception of internship doctors on the promotion and preventive services at the Puskesmas where they are placed for internship.Methods: This research is a quantitative analytical study with cross-sectional research design through the distribution of a questionnaire in the form of a Google survey form to all internship doctors in 571 Puskesmas in Indonesia. The questionnaire contains a list of questions that have been categorized according to the parent theory used, namely the Lawrence Green theory. The samples obtained in this study included 218 internship doctors.Results: From this study it was found that as many as 130 people (59.6%) of intern doctors who conducted promotive and preventive health services at Puskesmas came from State Universities. As many as 86 people (39.4%) of interns who conducted promotive and preventive health services at Puskesmas were 25 years old, with 143 (65.6%) females and 184 people (84.4%) unmarried. From the results of logistic regression analysis of Awareness Level, Knowledge Level, Time, Potential Revenue and Government Support, all factors have significant influence on the internship doctors’ perceptions on the promotive and preventive health care services (p<0.05).Conclusion: In this research, there are profiles and factors that significantly influence the internship doctor’s perceptions on health promotion and preventive services at Puskesmas.

Clinical Symptoms Used for Screening Diabetic Populations with Family History of Type 2 Diabetes Mellitus Siti Marlina; I Dewa Putu Pramantara; Hari J. Kusnanto; Mark Alan Graber
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: The annual prevalence of diabetes is increasing worldwide. With this growing concern, the identification of clinical symptoms in high risk populations, such as those with a family history of diabetes, is becoming increasingly important.Objectives: This study aimed to determine the use of clinical symptoms and history as a screening tool for diabetes mellitus (DM) in a population with a family history of Type 2 Diabetes Mellitus (T2DM).Methods: The design of this research was a cross sectional study. The subjects of this study were a sample population with family history of T2DM living in Kasihan and Sewon District of Bantul Regency. Data were collected through interviews with questionnaires, anthropometric measurements, total cholesterol tests, triglycerides and fasting blood glucose tests. Data analysis used univariate, bivariate and multivariate analyses. For screening purposes, validity was performed against risk factors with fasting blood glucose as a gold standard.Results: Prevalence of DM was 30.5%, and prediabetes 26.5%. Body Mass Index (BMI) prevalence =23 kg/m2 59.02%, hypertension 42.62%, physical inactivity 21.31%, and dyslipidemia 78.69%. Polyuria, polydipsia, and weight loss were significantly associated with T2DM. Birth history of weight =4 kg or Gestational Diabetes Mellitus (GDM) was a risk factor associated with T2DM incidence (p = 0.018; OR: 1.93; CI 95%: 1.12-3.34). The sensitivity of a combination of several factors, birth history of baby =4 kg or GDM with dyslipidemia (sensitivity 87.3% specificity 40.9%), birth history of weight =4 kg or GDM with dyslipidemia and hypertension (sensitivity 94.7% specificity 26.7%), combination of the five factors studied (sensitivity 92.3% specificity 50%). Combination of birth history of heavy baby =4kg or GDM and BMI = 23 kg/m2 and hypertension had a likelihood ratio of 9.Conclusions: This study determined the prevalence of T2DM in populations with a family history of diabetes is high, with birth history of weight = 4 kg or GDM as a factor associated with T2DM, and other clinical symptoms having a fairly high prevalence. Therefore, a comprehensive lifestyle change needs to be done.

Impact of Training by Family Doctor on Cadre Performance in Counseling at Posbindu Dusun Tahunan of Gunungkidul Regency T. Herjuna Hadiyanta; Wahyudi Istiono; I Dewa Putu Pramantara
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Increasing cases of non-communicable diseases (NCDs) are becoming a serious public health threat because they dominate the top 10 global causes of death. The government is trying to control it by way of early detection of NCDs risk factors through Posbindu (Integrated Coaching Groups) activities. At this time Posbindu programs are not running optimally because the volunteers called cadres (Kader) are not confident in doing counseling. Cadres find it difficult to read and understand the modules by themselves, while special training on counseling has not been prioritized. Optimally, family doctors as community oriented care providers need to train cadres to be skilled in counseling so that risk factors can be controlled as early as possible.Objectives: The purpose of this study was to assess whether the impact of role playing training by family physicians can improve the volunteer cadres’ performance in providing counseling compared with those who rely on only reading the modules.Methods: The design of this study was a quasi-experimental research with a sample size of 50 participants. The treatment was provided in the form of counseling to 11 volunteers (cadres) who were specially trained. Analysis of pre and post-test data used a variety of tests (t-test).Results: Cadres who were trained by family physicians showed a significant increase in mean knowledge level (p value 0.007) of 22.9. An average increase 4 weeks after training showed no significant difference (p value 0.346) when compared to results immediately after the training. Knowledge of cadres only reading the module showed no significant mean difference (p value 0.6871). There was a significant difference of mean knowledge between the trained cadres which was higher than the cadres who only read the modules (p value 0.005). There was also a significant increase in the average knowledge of participants after receiving counseling by trained cadres (p value 0.001) of 22.28.Conclusion: There was a significant increase in cadre knowledge about NCDs risk factors after being specially trained by family physicians. Knowledge of cadres before and after being given modules without training showed no significant change. There was also a significant increase in participants’ knowledge after receiving counseling by trained cadres. Training of cadres with role playing methods was demonstrated to increase participants’ knowledge significantly and can be considered a determinant of success in improving cadre performance in counseling.

Impact of Brief Interactive Psycho-Education Intervention on Caregiver toward Family Care Burden for Schizophrenic Patients at Puskesmas Kasihan II, Bantul Triatmi Dyah Wahyuning; Adi Heru Sutomo; Carla R. Marchira
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Background: Schizophrenia is a chronic severe mental disorder which causes a substantial burden of care for family caregivers.Objective: This study aimed to identify the effect of a brief interactive psycho-education intervention on caregivers towards family care burden for schizophrenic patients.Method: This study was a quasi-experimental design with one control group. Data were obtained from a random sample of patients who came to Puskesmas Kasihan II (Community and Primary Health Care Center). The participants in this research were 68 caregivers, who were divided into treatment and control groups. Both groups were administered a pre and post-test with the Burden Assessment Schedule questionnaire early in the first week and in the end or fourth week. The treatment group received a brief interactive psycho-education of schizophrenic patient care over one week for 4 sessions, while the control group received the prescribed essential medicines as usual.Results: This study showed that the average scores of the pre-test for the two groups were not significantly different (p value 0.77), while the averages of the post-tests were significantly different (p value 0.001).Conclusion: It was concluded that a brief interactive psycho-education for caregivers of schizophrenic patients was effective to decrease family care burden.

Case Report: Type 2 Diabetes Mellitus Shofi Hesfianto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

.......A patient who was first diagnosed with a chronic disease often does not fully understand the meaning or significanceof the chronic disease with which his/ her body suffers, against the risk of future complications if the disease is not well-controlled. On the other hand, in this reported case, the patient’s expectation was that her chronic disease, the T2DM, can be cured. Therefore, a shared understanding between health care providers and patient is likely the key to commencing the course of managing any chronic disease in a patient effectively.......

Case Report: Worm Infection in Children Evia Marfu'ah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 1 (2018): January
Publisher : Faculty of Medicine, Public Health, and Nursing

........The problem in this case was not about medical treatment of a pinworm disease, which was probably easily treated with antihelmintic within 1-2 days. At a glance this problem seems trivial, however, the interesting and challenging aspects of the above case are: 1) How to maintain the sustainability of clean and healthy life behavior by patients and their families, so the risk of worm infection does not occur in the future; 2) Behavior and use of latrines in the family where only 1 exists for all family members, to be healthy and regularly managed; and 3) How to educate the mother of the patient that this worm infection can occur in an outbreak, if the healthy lifestyle is not properly done while she keeps selling candle ice for elementary school children near their home........

Stress Level Relationship with Prediabetes Events in Sleman Yogyakarta Novi Husmarini; Wahyudi Istiono; Ronny Tri Wirasto
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: Prediabetes prevalence in the world is increasing, and is estimated to reach20.6% in 2025. Prediabetes prevalence in Indonesia is almost double the prevalence of diabetes mellitus. Prediabetes often does not cause symptoms, but has already started to occur with both microvascular and macrovascular complications in some patients. Stress is a disorder of the body and mind caused by changes and demands of life. Stress that occurs at this time, is part of the effects of modern life, and cannot be avoided, both in the work environment, and school, as well as family and society. In the state of stress the secretion of the hormone cortisol increases, which pushes the pancreas to produce insulin, so that there is an increase in blood sugar levels.OBJECTIVE: This study was conducted with the aim to know the relationship of stress level in prediabetes sufferer and know the description of stress level of prediabetes patient in Sleman Yogyakarta area.METHODS: This research was a quantitative studywith a cross sectional design, done in the working area of first health facility of Sleman Regency, Yogyakarta. Sampling was done by simple random sampling, and research subjects were patients in the working area of Puskemas in Sleman that fulfilled inclusion and exclusion criteria then examined.RESULTS: The mean age of the study subjects was 46.7 years (SD 11.02). The distribution of subjects of the study was 121 females (78.1%), and 34 males (21.9%). Based on a total of 155 respondents, 19 respondents (12.3%) were diagnosed with prediabetes based on TTGO results and 136 people (87.7%) had normal TTGO results. Based on a total of 155 respondents, 69 respondents (47.1%) had a mild stress level, 80 respondents (49%) moderate stress level and 6 respondents (3.9%) had severe stress level. The result of bivariate analysis showed that there was no correlation between stress level and prediabetes occurrence in Sleman Yogyakarta and p = 0.825 (CI 95%: 0.879-1.67) was not statistically significant (p>0.05). Prediabetes prevalence was 12.3% in the study population.CONCLUSSION: There was no correlationbetweenstress level with the occurrence of prediabetes in Sleman Yogyakarta area. Stress levels were moderate among prediabetes sufferers more than mild and severe stress levels.

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Hari Kusnanto J

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Contact Name Hari Kusnanto J

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Phone 62274 31203

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Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

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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