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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 Need for Palliative Care in Primary Health Care Nita Arisanti; Dany Hilmanto; Elsa Pudji Setiawati; Veranita Pandia
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

.................... The access to palliative care in ends of life is one of the patients’ rights. Therefore it should be delivered into every level of health care for patients and family members. In some countries, palliative care is more frequent delivered in hospitals compare to primary health care, even though primary health care has a significant role in providing palliative care. Most families prefer to care for patients at home rather than in the hospital................................... The implementation of palliative care in Indonesia is still very limited to certain hospitals, even though doctors in primary care have great potential to offer such care to people in the community. Some of the factors contributing to the implementation are cultural and socioeconomic factors, patient and family perceptions, attitudes of service providers, lack of trained personnel, distribution of palliative care units, lack of consolidation and limited funds. As a result, patients with end-stage disease die in hospitals without receiving palliative care or dying at home with inadequate support................

Patients’ and families’ experiences in Lung Tuberculosis treatment in Kebumen District, Central Java Province: A phenomenology study of ‘Drop Out’ and ‘Uninterrupted’ groups Pratama Adi Prabawa; Mora Claramita; I Dewa Putu Pramantara
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: Tuberculosis (TB) is still a worldwide health problem based on the impact of the disease, difficulties in the eradication and drop out tendency in treatment. One of the problems of TB in Indonesia is the high incidence of drop out treatment. Discontinuation of treatment leads to treatment failure, a source of transmission and drug resistance.Objectives: This study aimed to examine the process of meaning-making for the patients and their families’ as well as their PMO (Pengawas Minum Obat) / DOT-TB (Direct Obverser Treatment of Patients with Positive Pulmonary Tuberculosis) experience in pulmonary tuberculosis treatment of ‘Uninterrupted’ and ‘Drop Out’ groups.Methodology: A qualitative phenomenological approach was used with a purposive sampling strategy to select the participants. The data were collected by a psychologist with an in-depth interview with 7 patients and their families who continued the treatment until fully recovered (‘Uninterrupted’) and 7 patients and their families who dropped out the TB treatment (‘Drop out’) with the total subjects are 28 people. The location of research was in the Kebumen District which includes a Puskesmas (Community Health Center), Hospital and UP3 (Pulmonary Disease Treatment Unit). The Colaizzi method was used to analyze the data.Results: Patients' and their family's knowledge about TB of both groups were insufficient. However, the ‘Uninterrupted’ group were found to be self-motivated and received all possible psychological, and physical supports from their family while encouraging treatment adherence as factors that support the sustainability of pulmonary TB treatment. Whereas, these factors were not found in the ‘Drop out’ group.Conclusions: Self-motivation and family support / PMO for pulmonary TB patients is the key to the sustainability of pulmonary tuberculosis treatment until fully recovered. Education and counseling for pulmonary TB patients and their families / PMOs are absolutely necessary in Indonesia.

The Effect of Reproductive Health Counseling to the Perception on Prevention Behavior of Leucorrhea in Female Students at SMAN 1 Temon (Based on the Health Belief Model/HBM Theory) Beti Wulansari; Wahyudi Istiono; Shinta Prawitasari
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: Leucorrhea is a problem that is often experienced by women. Female adolescents have inadequate knowledge about handling and preventing leucorrhea. This inadequate knowledge has an impact on the perception that leucorrhea will not affect their health. But in reality, for the last 3 (three) years from 2014 to 2016, there was an increase in complaints according to the screening results by Puskesmas Temon 2 (Community Health Center). Because of this reason, interventions are needed regarding the knowledge about leucorrhea prevention applying the Health Belief Model (HBM) theory, including perceptions of seriousness, vulnerability, benefits, obstacles, and impulse to act that can be measured by a perceptual score.Objectives: This study aimed to determine the effect of reproductive health counseling on the perceptual score of seriousness, vulnerability, benefits, obstacles, and impulse to act involving female students’ perceptions in leucorrhea prevention behavior of SMAN 1 Temon (Senior High School) before and after health counseling. The score was measured by the HBM.Methods: The research was a quasi-experimental study with a time series design. The population of this research was the female students of class X and XI SMAN 1 Temon. The sample consisted of 55 female students who had fulfilled the inclusion and exclusion criteria by using simple random sampling technique. Data were analyzed using eepeated ANOVA test with significance level (α) of 0.05.Results: The results of this study indicated that there were significant differences in perception scores (p = 0.000) before counseling and after counseling in perceptions of seriousness in prevention, vulnerability to leucorrhea, benefits in prevention, barriers to preventive action, encouragement to act and total HBM score. Conclusions: Reproductive health counseling about leucorrhea based on the Health Belief Model theory is effective to improve female adolescent students' perception in taking action to prevent leucorrhea, especially in perception scores of seriousness, vulnerability, benefits, obstacles, and impulse to act in leucorrhea prevention behavior of female students in SMAN 1 Temon.

Study of Acceptance and Application of Calgary Cambridge Communication Guideline for Doctor-Patient Communication in Primary Health Care Widyastuti Widyastuti; Mora Claramita; Retna Siwi Padmawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: Communication is a basic skill that must be acquired by every doctor just like all other clinical skills. One of communication guidelines for doctor-patient that is the most widely used in many countries is the Calgary-Cambridge Communication Guideline (CCCG). However, since CCCG is based on the Western style of communications, a further study is necessary to determine whether CCCG is acceptable and applicable in Indonesia.Methods: This research was an analytic descriptive study with a cross-sectional design. The research was conducted from December 2016 until January 2017 in Yogyakarta with 58 primary care doctors. The data was collected using the CCCG-based questionnaire method with a cross-cultural adaptation.Results: The CCCG is well accepted although its application is not optimum. The acceptance rate was 4.03 (indicating highly acceptable), while the application rate was 3.74 (indicating occasionally implemented). There was a significant difference between the acceptance and application rates (p<0.01). There were no significant differences between the acceptance rates of Puskesmas (Community and Primary Health Care Center) and non-Puskesmas (p = 0.115) facilities while the application was significantly different (p = 0.001). The application levels of the Puskesmas were lower than those in non-Puskesmas. Additionally, there was no difference in the acceptance or application of CCCG for doctors who have and who have not attended communication training.Conclusion: There was no difference in the acceptance of CCCG, but there was a difference in its application. The application rate at Puskesmas was lower than non-Puskesmas facilities. The experience in communication training did not affect the acceptance and the application rates of CCCG.

The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul RR Anugrah Wiendyasari; Hari Kusnanto; Tunjung Wibowo
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: At the Community and Primary Health Care Center in Bantul, the number of paramedics receiving Integrated Management of Childhood Illness (IMCI) training is very limited and not evenly distributed. With the low number of IMCI trained officers, this affects the skill of the officers in conducting the IMCI. Fewer skills affect the handling of sick children including the recognition of general danger signs, classification, designing appropriate action, as well as providing treatment and counseling.Objective: This study aimed to know the effectiveness of IMCI Mini Training intervention to improve health workers’ skills in handling sick children with IMCI.Methods: This research was a quasi-experimental study with a non-equivalent pre-post control group design. The sample of this study was a group of health workers who implement IMCI in daily work at 20 Community and Primary Health Care Centers in Bantul. Data were collected by observing 20 health workers in the control group and 20 health workers in IMCI treatment group before and after receiving IMCI Mini Training. Data results were analyzed using univariate, bivariate and multivariate statistical tests.Results: Using t-test analysis the mean value of health worker’s pretest and posttest skill scores in implementing IMCI in control group showed no significant difference (p=0.857) while in the treatment group, the mean value of pretest and posttest score showed a significant difference (p=0.000). In the treatment group, the improvement of sign recognition skills was significant (p=0.000) compared with the classification (p=0.148), treatment (p=0.009), communication and counseling (p=0.005). Multivariate analysis of linear regression showed that IMCI Mini Training was significant in improving the skill of health workers (p=0.000) compared with variables: age (p=0.970), duty (p=0.425), IMCI training history (p=0.686), category of Community and Primary Health Care Center (p=0.409) and education (p= 0.474). IMCI Mini Training improved significantly the sign recognition skills (p=0.000), classification (p=0.001) as well as communication and counseling (p=0.011) but was not significant in treatment skill (p=0.093). IMCI Mini Training can be done in a shorter time and more interactive method by using ICATT.Conclusion: This study showed that IMCI Mini Training increased health workers’ skills in IMCI implementation with the advantages of shorter course time, lower cost, and more interactive methods. The IMCI skills were enhanced by the provision of IMCI Mini Training which includes skills in the recognition of common signs, classifications as well as providing appropriate communication and counseling.

The Effect of Mental Health Training on Attitudes and Knowledge of Cadres in Early Detection of Mental Disorders in Tanjungsari Sub-district, Gunungkidul Regency Nur Alifa Istiani; Adi Heru Sutomo; Mahar Agusno
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

ABSTRACTBackground: In developing countries, the proportion of undetected mental disorders is still high. This is due to the lack of time and skill of primary health care providers in early detection and therapy. Community empowerment through cadres plays an important role in improving the early detection of mental disorders. Attitudes and knowledge of cadres are influenced by several factors such as the level of formal education, employment status, economic status and the level of knowledge gained through training.Objectives: This study aimed to determine the effect of mental health training on the attitude and knowledge of cadres in the early detection of mental disorders.Methods: This study was a quasi-experimental research with a pre and posttest design. The population in this research was all (posyandu) volunteer cadres in the working area of the Community and Primary Health Care Center Hargosari, Tanjungsari, amounting to 45 people. The sampling technique used in this study was total sampling. The research instrument used was the questionnaire. Data analysis used the Wilcoxon test for comparison of scores (p<0.05).Results: The results of the mean value for pretest of knowledge = 13.44 and posttest = 17.38. Wilcoxon test showed there was a significant change in knowledge with the value p=0.0000 (<0.05). The results of the average value of pretest attitude = 36.71 and posttest = 45.20. Wilcoxon test showed there was a significant change in attitude with the value p = 0.0000 (<0.05).Conclusion: In conclusion, there was a significant influence by providing health training on the attitude and knowledge of cadres in the early detection of mental disorders in Tanjungsari District, Gunungkidul Regency.

Case Report: Abortus Spontan Incomplete Agus Putu Agung
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

A woman patient on behalf of NWM aged 28 years came with her husband to Community and Primary Health Care Center complaint of rupture of membranes and fetus with placenta going out at home, 3.5 hours before go to Community and Primary Health Care Centre (Puskesmas). When the incident occurred, the patient was at home, and the patient pulled the placenta by herself. The patient was not in strenuous activity, and there was no prior history of vaginal bleeding before. The patient has no fever and does not suffer any pain. The calculation of the first day of last menstruation on April 30, 2017, shows that her second pregnancy is 22 weeks old. First pregnancy miscarriage at 17 weeks' gestation. The patient suffered severe nausea and vomiting during the first semester of pregnancy and was admitted to the Puskesmas Nusa Penida I for four days with a diagnosis of hyperemic gravidarum. Patients did not immediately go to the Puskesmas because they had to bury their babies first in Setra. ........................

Case Report: Multidrug-resistant Tuberculosis (MDR TB) Aswita Damayanti; Alfi Raudatil Jannah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

...................... The patient lived with her husband, her three children, and a very old mother-in-law. The patient was the first child of 2 siblings with a history of spontaneous birth and was assisted by a birth attendant with cry spontaneously. Her mother-in-law had the same history of the disease, i.e., the first category of pulmonary TB. Her mother-in-law was treated at the primary health care facility for six months and was declared cured by the primary health care facility ten years ago. Her sister-in-law also suffered from the third category of pulmonary TB and did not regularly take the medication, and she died two years ago. The patients have a history of miscarriage once, which was during her fourth pregnancy. Her mother and father were Javanese. The patient's husband worked as a laborer on a coconut farm. So, the income was uncertain every day. The patient came from the lower socio-economic class, so the patient had health insurance for low-income people or JAMKESMAS (Health Coverage). The patient's social relationship with the community was not good because the neighborhood marginally ostracized the patient's family due to her family history which suffered from pulmonary tuberculosis........................

Primary Care Entrepreneurship to Anticipate Disruptive Era of the 4th Industrial Revolution Erfen Gustiawan Suwangto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January
Publisher : Faculty of Medicine, Public Health, and Nursing

The Fourth Industrial Revolution (4IR) is the fourth major industrial era since the initial Industrial Revolution of the 18th century. It is characterized by a fusion of technologies that is blurring the lines between the physical, digital, and biological spheres collectively referred to as cyber-physical systems1. It is marked by emerging technology breakthroughs in a number of fields, including robotics, artificial intelligence, nanotechnology, quantum computing, biotechnology, the Internet of Things, the Industrial Internet of Things (IIoT), fifth-generation wireless technologies (5G), additive manufacturing/3D printing and fully autonomous vehicles.........

The Role of Primary Health Care in the Prevention of Noncommunicable Diseases Indah S Widyahening
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Noncommunicable diseases (NCDs) currently cause more deaths than all other causes combined. Cardiovascular diseases, cancer, chronic respiratory diseases and diabetes are the four major NCDs that are responsible for 82% of NCD deaths. Approximately 42% of all NCD deaths globally occurred before the age of 70 years; 48% of NCD deaths in the low- and middle-income countries and 28% in high-income countries were in individuals aged under 70 years.(1) Because of its chronic nature and the complications that arisen, NCDs bring devastating social, economic and public health impact. The management of its various long-term complications accompanied by the typical existence of multimorbidity will give rise to an increased complexity of care in the future. Aging, improved medical therapies, demographic transition, life-style changes, globalization and urbanization are factors that are contributing to the increased prevalence, severity and complexity of NCDs.........

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Hari Kusnanto J

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Home Page

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Contact Name Hari Kusnanto J

Contact Email rpcpe.fk@ugm.ac.id

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