Determinants of Treatment Adherence among Patients with Severe Mental Disorders at the Kedungmundu Primary Health Center in Semarang City

Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.

2020 ◽  
Vol 3 (2) ◽  
pp. 1-7
Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.


Author(s):  
Naresh Kumar S. J. ◽  
Ranganth B. G.

Background: Malaria is a major public health problem in several parts of country.  Malaria beliefs and practices are often related to culture, and can influence the effectiveness of control strategies. This study was undertaken to assess the awareness of malaria in rural areas of Kolar with varying endemicity.Methods: A cross sectional community based study was conducted. A sample of 207 Household respondents across the Kolar rural area were randomly selected and interviewed to collect information on awareness regarding Malaria. Two villages each were randomly selected from the two PHC areas in Mulbagal Taluk, Kolar District. PHC areas was taken based on annual parasite incidence more than 2 and less than 1 consistently in the past five years by using pre-tested structured proforma. Data analyzed by using epi info 2.5 version software.Results: It was observed that appropriate knowledge regarding malaria transmission from person to person is more in Devarayasamudra Primary Health Center area (69.2%) where API>2 compared to Nangli Primary Health Center area (26.2%) where API<1 and the knowledge regarding causes of malaria is also more in Devarayasamudra PHC area compared to Nangli area.  Majority (87%) of the respondents got information about malaria from the health workers at Devarayasamudra PHC area.Conclusions: The Community knowledge on malaria, its transmission and its prevalence and control clearly depends on the endemicity of malaria. The communities studied under Devarayasamudra PHC area which is problematic for malaria had a better knowledge on malaria transmission and its prevention.


2019 ◽  
Vol 6 (2) ◽  
pp. 91
Author(s):  
Diesty Anita Nugraheni ◽  
Prisca Widiyanti ◽  
Chaifah Salim Assaidi ◽  
Cendana Handayani Hariyadi ◽  
Kristina Dewi Pratiwi

ABSTRAK Proses pemberian informasi yang memuaskan antara pasien dan apoteker merupakan hal yang penting dalam penggunaan obat secara rasional oleh pasien dan sangat dipengaruhi oleh banyak faktor baik dispensing time, karakteristik pasien dan petugas kesehatan. Tujuan penelitian adalah untuk menganalisis faktor-faktor yang menentukan pengetahuan akhir pasien tentang obat di Puskesmas. Jenis penelitian ini adalah penelitian observasional yang dilakukan dengan metode cross-sectional. Populasi adalah pasien atau keluarga pasien yang mendapatkan obat di Unit Farmasi empat Puskesmas Kabupaten Sleman. Sampel dipilih menggunakan teknik systematic sampling. Sumber data primer yaitu menghitung dispensing time dan wawancara terstruktur. Data dianalisis menggunakan uji regresi linier dan crosstab. Faktor-faktor yang diteliti sebagai penentu pengetahuan akhir pasien tentang obat di Puskesmas yaitu waktu penyerahan obat (dispensing time), jenis petugas kesehatan yang menyerahkan obat, jenis kelamin, usia, pendidikan, suku bangsa, status pernikahan, pekerjaan, pendapatan, bahasa sehari-hari, dan area tinggal. Hasil penelitian menunjukkan faktor yang menentukan tingkat pengetahuan akhir pasien adalah jenis petugas kesehatan, usia, pendidikan, pendapatan, bahasa sehari-hari, dan area tinggal pasien yaitu dengan nilai p<0,1 pada analisis regresi linier. Kesimpulan penelitian yaitu tingkat pengetahuan pasien terkait obat di Puskesmas dapat digambarkan dengan persamaan regresi Y= 2,236 + 0,223 jenis petugas kesehatan - 0,338 usia + 0,231 pendidikan – 0,103 pendapatan – 0,115 bahasa – 0,403 area tinggal. Kata kunci: dispensing time, faktor, pengetahuan obat, puskesmas, sosiodemografi.  ABSTRACT The process of providing satisfactory information between patients and pharmacists was important in rational of drugs use and greatly influenced by many factors such as dispensing time, patient characteristics and health care workers. The objective of the study was to analyze the factors related to the patient's medication exit knowledge at primary health care. This research was an observational study conducted with cross-sectional method. The population werw patients or their families who get medication at pharmacy unit of four primary health care in the Sleman district. Samples were selected using systematic sampling techniques. The primary data source were observe dispensing time and structured interviews. Data were analyzed using linear regression and crosstab tests. The factors studied as determinants of the patient's medication exit knowledge at the primary health center were dispensing time, the health worker who dispensing drugs, sex, age, education, ethnicity, marital status, occupation, income,  language, and area of residence. The factors that determine patient’s medication exit knowledge were the type of health worker, age, education, income, language, and area of residence. The conclusion of the study is the patient’s medication exit knowledge at primary health center can be described by the regression equation Y = 2.236 + 0.223 types of health workers - 0.338 ages + 0.231 education - 0.103 income - 0.115 languages - 0.403 residence area. Keywords: dispensing time, factor, medication knowledge, primary health care, sociodemographic


2018 ◽  
Vol 1 (3) ◽  
pp. 038-045
Author(s):  
Eva Sartika Dasopang

Latar Belakang: Diabetes mellitus merupakan salah satu penyakit metabolisme yang terjadi pada seseorang karena terjadinya peningkatakan kadar gula darah melebihi batas normal. Peningkatan kadar gula terjadi karena adanya gangguan pada sekresi insulin dan kerja insulin. Salah satu cara untuk mencegah resiko terjadinya komplikasi dan kekambuhan pada diabetes mellitus adalah dengan menerapkan kepatuhan diet pada penderita diabetes mellitus. Kepatuhan diet pada penderita diabetes mellitus harus diperhatikan karena diet merupakan salah satu factor untuk menstabilkan kadar gula dalam darah menjadi normal dan mencegah terjadinya komplikasi pada penderita diabetes mellitus Metode Penelitian: Penelitian ini di desain secara cross sectional. Populasi pada penelitian ini adalah seluruh pasien diabetes mellitus yang melakukan kunjungan di Puskesmas Labuhan Medan pada bulan Juli 2017.Pengambilan sampel dilakukan dengan metode purposive sampling.Data dikumpulkan dengan menggunakan kuisioner dan analisis data menggunakan metode Chi square. Hasil: Penderita Diabetes Mellitus di puskesmas Pekan Labuhan Medan mempunyai tingkat pengetahuan rendah sebesar 2%, sedang 44% dan tinggi 54%.Sedangkan tingkat kepatuhan rendah sebesar 2%, sedang 46% dan tinggi 52%. Kesimpulan: Hasil penelitian menunjukan bahwa tidak terdapat adanya hubungan yang signifikan antara pengetahuan diet dengan kepatuhan diet pada penderita diabetes mellitus di Puskesmas Pekan Labuhan Medan dengan p value 0,001 (< 0,05). Background: Diabetes mellitus is one of metabolism disease due to abnormally high blood glucose level. The high blood glucose levels occur because of interference in insulin secretion and insulin action. One way to prevent the risk of complications and recurrence in diabetes mellitus is to apply dietary adherence to people with diabetes mellitus. Dietary compliance in people with diabetes mellitus must be considered because the diet is one factor to stabilize blood glucose levels to normal and prevent complications in people with diabetes mellitus. Methods: The research design was cross sectional. The population of this study were all diabetes mellitus patients The population in this study were all patients with diabetes mellitus who visited Primary Health Center of Labuhan Medan in July 2017. Sampling was performed by purposive sampling method. Data was collected using questionnaires and data were analyzed using the Chi-square method. Results: Diabetes Mellitus patients at Pekan Labuhan Medan Primary health center have a low level of knowledge of 2%, moderate 44% and high 54%. While the level of compliance was low at 2%, medium 46%, and high 52%. Conclusion: The results showed that there was no significant difference between knowledge of diet and dietary compliance in people with diabetes mellitus at the Pekan Labuhan Primary Health Center, Medan with p-value of 0,001 (< 0,05).


2018 ◽  
Vol 1 (2) ◽  
pp. 81-86
Author(s):  
Elfa Rahmawati Fitri ◽  
Herlin Fitriana Kurniawati

HIV/AIDS cases in Indonesia are still high including the infection from mothers to the babies. Infection cases from mothers to babies in Yogyakarta Special Province is also found on babies. The preliminary study also obtained the result that in 2015 not all of the pregnant women who were willing to have VCT (Voluntary Counseling and Testing) in Sleman Regency working area. The data of VCT  in Prambanan Primary Health Center also shows that the prevalence rate of VCT check as a preventive effort was still low. The research is aimed at investigating the correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. The study employed observational analytic with a cross-sectional approach. The population of the study was all mothers who did pregnancy examination and got counseling VCT service. The samples used accidental sampling technique. Data analysis used chi-square with the trustworthy rate 95%. The result of the study showed that there was no correlation between midwife and VCT on pregnant women. It can happen because of the midwife as a professional attendant could not attend the pregnant women full time. It can be concluded that there was no correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. It is expected that midwives can identify the problem in VCT on pregnant women by giving emotional and respect support to the patients as well as the families.


2021 ◽  
Vol 5 (1) ◽  
pp. 56-62
Author(s):  
Rimbun Wahyu Gumilar ◽  
Bobby Indra Utama ◽  
Hafni Bachtiar

Background : Overactive bladder (OAB) is a group of urgent symptoms, with or without urgent incontinence. Research shows that some Lactobacillus spp. can be a sign of a women bladder’s good health; and found a decrease number of Lactobacillus spp. in patients with OAB. This study aims to assess the correlation of Lactobacillus spp. colony with OAB using the OABSS score at Pauh Primary Health Center, Padang.Method : This research is an analytic study with a cross sectional comparative design. The research was conducted from December 2019 to February 2020 at Pauh Primary Health Center. All women aged 20-40 years who came to Pauh Primary Health Center during the study period were included in the study. Pregnant women, having pelvic abnormalities and a history of other urinary tract diseases or having a history of hypertension and diabetes mellitus were excluded in the study. Numerical data are presented in the form of central tendency. Bivariate analysis was performed using the t-independent test if the data distribution was normal and the Kolmogorov-Smirnov test if the distribution of the data was not normally distributed.Result: There were 42 samples consisting of 21 OAB respondents and 21 normal respondents. The age of the respondents in the OAB group was 28 ± 6.8 years, while the normal group was 32 ± 7.3 years (p> 0.05). The number of Lactobacillus spp colonies in the normal group was higher than the OAB group, namely 16,389,670 ± 74,380,427.9 CU / ml compared to 15,229,634 ± 67,553,932.9 CU / ml (p> 0.05).Conclusion: There was no correlation between the number of Lactobacillus Spp colonies and the incidence of Overactive Bladder. It is necessary to do further research regarding other risk factors associated with the incidence of OAB and the causes of the decrease number of Lactobacillus spp colonies in OAB patients and the presence of other microorganisms, especially pathogenic microorganisms. Keywords: overactive bladder, Lactobacillus, OABSS score


2020 ◽  
Vol 1 (3) ◽  
pp. 75-79
Author(s):  
Sholaikhah Sulistyoningtyas ◽  
Yeni Komala

Postpartum infections are still the leading cause of maternal death after bleeding and hypertension in pregnancy. The main cause of infection during the puerperal period is the presence of injury at perineum.Wound healing with perineal stitch quality assessment in the puerperium was expected to prevent postpartum mother from the danger of infection or physiological complaints that is by adding the intake or consumption of high protein diet in daily life.The purpose of this study was to determine the effect of high consumption of phyto-protein on perineal wound healing quality in postpartum mothers at Primary Health Center of Mlati II District Sleman Year 2017. The research design used was experimental research. The population used in this study was postpartum who maternally and experienced injury to the perineum. The result of p-value of REEDA scale shows p-value is 0,050=0,05 and for food record shows p value equal to 0,000<0,05, then the test result is significant. Conclusion and Suggestion: There is effect that happen between  high consumption of phyto-protein to quality of perineum healing with p value  0,05 (p value < 0,05). It is hoped that health workers can provide alternative counseling if they can not persuade postpartum women to abandon the culture of abstinence.


Author(s):  
Hosizah Hosizah ◽  
Kuntoro Kuntoro ◽  
Hari Basuki

The computer-based information system (CBIS) is adopted by almost all of in health care setting, including the primary health center in East Java Province Indonesia. Some of softwares available were SIMPUS, SIMPUSTRONIK, SIKDA Generik, e-puskesmas, etc. Unfortunately they were most of the primary health center did not successfully implemented. This study applied the Unified Theory of Acceptance and Use of Technology (UTAUT) to assess intention and usage of CBIS in East Java. It was a cross-sectional survey, conducted on February-Maret 2015. A total 30 of user CBIS were identified and questioners were distributed which 100% completed. The user’s CBIS intention was significantly influenced by performance expectancy, effort expectancy and social influence. CBIS usage was significantly influenced by user’s intention and facilitating conditions. UTAUT results indicated that the facilitating conditions have a major impact to use of CBIS in primary health center. The results of this study can be helpful to the East Java provincial Health Office to adjust their program strategies and tactic for providing user’s CBIS facilities in order to implement CBIS successfully.


2018 ◽  
Vol 15 (2) ◽  
pp. 38-40 ◽  
Author(s):  
Johann A. Ebenezer ◽  
Robert E. Drake

People with severe mental disorders in rural India have minimal access to mental health services. Project Shifa entails outreach to patients and families in 75 villages in rural central India. A team of local health workers led by one psychiatrist provide assessment, medications, education and follow-up services.


2019 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Putri Hidayatur Rochmah ◽  
Hanny Rasni ◽  
Kholid Rosyidi Muhammad Nur

Type 2 Diabetes Mellitus (T2DM) is one of the progressive chronic diseases that cause various complications. Complications that are often experienced by T2DM clients such as foot injuries can affect the quality of life. One of the factors influencing the quality of life is a coping mechanism. This study aimed to analyze the relationship between coping mechanisms and the quality of life of clients of T2DM in the working area of ​​Kaliwates Primary Health Center, Jember. The design of this research was analytical with a cross-sectional approach. Respondents in this study were 84 and obtained by a purposive sampling technique. The data collection method used the Cope Inventory and DQOL (Diabetes Quality of Life) questionnaire. The data analysis used Spearman correlation test with a significance level of 0.05. The results of the study showed that the most used coping was emotional-focused coping with an average value was 3.02 and the majority of respondents had a high quality of life of 67 respondents (79.8%). There is no correlation between coping mechanisms and the quality of life of clients of T2DM in the work area of ​​Kaliwates Primary Health Center, Jember (p-value = 0.273). Other factors such as anxiety, depression, physical activity, control of blood sugar, fatigue, and stress need to be assessed to improve the quality of life for clients of T2DM.


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