Analisis Pengalaman Keluarga Merawat Pasien Skizofrenia dengan Masalah Halusinasi Pendengaran Pasca Hospitalisasi

2019 ◽  
Vol 4 (2) ◽  
pp. 282
Author(s):  
Isti Harkomah
Keyword(s):  
Health Services ◽  
Family Support ◽  
Depth Information ◽  
Continuous Family ◽  
Family Experience ◽  
Schizophrenic Patients ◽  
Heavy Burden ◽  
Document Review ◽  
Depth Interviews

<p><em>Clients with hallucinations really need continuous family support both internal and external families. Reduced external family support will cause a heavy burden on the internal family in caring for hallucinatory clients. The reason families bring to the hospital is the inability to treat patient hallucinations at home after hospitalization because hallucinations pose a burden on the family. The purpose of this study was to find out in-depth information about family experience in treating schizophrenic patients who experience auditory hallucinations after hospitalization. This research is qualitative research, the phenomenology approach uses the method of collecting data by in-depth interviews and document review. Data were obtained by in-depth interviews with six participants. The results of the study are two main themes, namely family understanding of recognizing hallucinatory problems after hospitalization and family experience in treating schizophrenic patients with hallucinatory problems.It is hoped that health services will further improve the quality of health services in providing health education to families about how to properly care for hallucinatory patients and families are expected to be able to treat hallucinogenic patients well.</em></p><p><em><br /></em></p><p><em><em>Klien dengan halusinasi sangat membutuhkan dukungan dari keluarga secara terus menerus baik keluarga internal maupun eksternal. Berkurangnya dukungan keluarga eksternal akan menimbulkan beban yang berat bagi keluarga internal dalam merawat klien halusinasi. Alasan keluarga membawa ke RSJ adalah ketidakmampuan merawat halusinasi pasien dirumah pasca rawat inap karena halusinasi menimbulkan beban bagi keluarga. Tujuan penelitian ini adalah untuk mengetahui informasi mendalam tentang pengalaman keluarga dalam merawat pasien skizofrenia yang mengalami masalah halusinasi pendengaran pasca hospitalisasi. Penelitian ini merupahkan penelitian kualitatif, pendekatan fenomenologi menggunakan metode pengumpulan data dengan wawancara mendalam dan telaah dokumen. Data didapatkan dengan wawancara mendalam terhadap enam partisipan. Hasil wawancara dianalisis dengan menggunakan metode Collaizi. Hasil penelitian yaitu terdapat 2 utama tema yaitu pemahaman keluarga tentang mengenal masalah halusinasi pasca hospitalisasi dan pengalaman keluarga dalam merawat pasien skizofrenia dengan masalah halusinasi.Diharapkan bagi pelayanan kesehatan agar lebih meningkatkan mutu pelayanan kesehatan dalam memberikan pendidikan kesehatan kepada keluarga tentang cara merawat pasien halusinasi yang benar dan keluarga diharapkan dapat merawat pasien halusinasi dengan baik.</em></em></p>

scholarly journals ANALISIS KEPUASAN PASIEN RAWAT INAP KELAS III DI RSUD KOTA KOTAMOBAGU

2021 ◽  
Vol 9 (1) ◽  
pp. 36
Author(s):  
Fernando M Mongkau ◽  
Gustaaf A. E. Ratag ◽  
Aaltje E. Manampiring
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Sampling Technique ◽  
Depth Information ◽  
City Hospital ◽  
Class Iii ◽  
The Republic ◽  
The Right ◽  
Depth Interviews

Health is one of the human rights, and by the mandate of the 1945 Constitution of the Republic of Indonesia, it has been emphasized that everyone has the right to health services. Fulfillment of patient papacy at Kotamobagu City Hospital to increase service capacity and status of Kotamobagu City Hospital which is in the Important BLUD stage, public satisfaction can be fulfilled by examining 5 dimensions in health services, namely reliability, assurance, tangibility, empathy, and responsiveness. The research objective was to obtain in-depth information about the satisfaction level of class III inpatients at Kotamobagu City Hospital. A qualitative approach with a descriptive approach using in-depth interviews. conducted from October to February 2021, at the Kotamobagu City Hospital, 18 patients in the inpatient room were the study informants, the patient informants were taken as samples using an accidental sampling technique. Data analysis using content analysis techniques. The results showed that the dimensions of reliability were still there were specialist doctors who were not punctual inpatient care, dimensions of responsiveness, lack of courtesy and friendliness of officers to patients, and dimensions of physical evidence of hospital facilities and infrastructure were incomplete. Three things have not been maximized so that it affects patient satisfaction. These three things are to further improve the punctuality of specialists in examining patients, courtesy, and friendliness of officers to patients, and incomplete facilities and infrastructure. Keywords: Patient Satisfaction, Quality of Service, Inpatient

scholarly journals Factors associated with quality of life among cancer patients in Sri Lanka

2018 ◽  
Vol 5 (7) ◽  
pp. 2705 ◽  
Author(s):  
Dilka Rukshani ◽  
Pabasara Kahandawala ◽  
Kasun Jayawardana ◽  
Dilan Karunarathne ◽  
Lahiru S. Galgamuwa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sri Lanka ◽  
Family Support ◽  
Cancer Patients ◽  
Modern Method ◽  
Value Systems ◽  
Continuous Family ◽  
Incurable Disease ◽  
Education Status

Background: Quality of life (QOL) is individuals’ perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. It is an effective modern method of early identification of chronic incurable disease patients. This study was designed to determine the level and the possible contributory factors of quality of life in heterogeneous groups of cancer patients in Sri Lanka.Methods: This study was conducted at National Cancer Institute of Sri Lanka. WHOQOL-BREF questionnaire was used to assess QOL of cancer patients. Multivariate linear regression model was used to evaluate the associations of demographic variables, clinical characteristics, and social support status with the quality of life measures.Results: 167 of cancer patients were participated. The mean overall QOL score was 53.07±SD 12.68. Higher QOL was associated with patients who were married, higher educated, employed, had good family support and longer duration of illness. Significantly lower QOL was found in those who involved on radiotherapy treatments and feeling alone. Marital status, education status, comorbidity, family support and feeling alone were identified as predictors for QOL among the study group.Conclusions: The overall QOL score was considerably low in our study. Continuous family support and good education may significantly improve the QOL of cancer patients. Psychosocial and awareness programs to the family members and neighbours should be implemented to enhance the quality of life of cancer patients. 

scholarly journals Reinforcement of human resources in implementing healthy indonesian program with family approach

2020 ◽  
Author(s):  
Retno Widiarini ◽  
Djazuly Chalidyanto ◽  
Eva Rusdianah
Keyword(s):  
Human Resources ◽  
Continuous Training ◽  
Group Discussions ◽  
Center Staff ◽  
Family Approach ◽  
Design And Methods ◽  
Document Review ◽  
Feeling Overwhelmed ◽  
Depth Interviews

Background: The Healthy Indonesia Program is a government program implemented with the Family Approach (HIP-FA) through a survey on healthy families. However, the quality of the program depend on the performance of the Human Resources (HR). This study aims to examine various aspects of HR in implementing the program at health centers. Design and methods: Data were collected through in-depth interviews, Focus Group Discussions, and document review on eight informants at the Health Office center. Results: Four themes revealed from the study: being burdened, feeling overwhelmed, feeling incompetent, and confused managing technology. The results showed that the implementation of the HIP-FA survey is an additional burden for health center staff. Conclusions: It is necessary to strengthen the implementation of all programs through continuous training and education, positive affirmation, recalculating employee workload and remunerations.

scholarly journals PENGETAHUAN DAN SIKAP TENAGA KESEHATAN TERHADAP PELAPORAN DAN SISTEM PELAPORAN MEDICATION ERROR DI RSU MONOMPIA GMIBM KOTA KOTAMOBAGU

PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 360
Author(s):  
Dwi Baluntu ◽  
Weny I. Wiyono ◽  
Marina Mamarimbing
Keyword(s):  
Health Services ◽  
Medication Error ◽  
General Hospital ◽  
Medication Errors ◽  
Health Workers ◽  
Disciplinary Action ◽  
Qualitative Descriptive ◽  
Quality Of Health Services ◽  
Depth Interviews

ABSTRACT This research to determine the knowledge and attitudes of health workers regarding reporting and reporting systems of medication errors has been carried out. Medication errors is any event that can cause or resulted  in improper health services or harm to patients that actually can be avoided. This research is a qualitative descriptive study using in-depth interviews with data analysis conducted using thematic analysis. The results showed that the health workers at Monompia General Hospital GMIBM Kotamobagu did not understand the reporting of medication errors, decision making to report medication errors was determined by the severity of the result of errors and lack of reporting due to fear of disciplinary action and fear of losing their jobs. Monompia General Hospital GMIBM Kotamobagu City continues to strive to improve the quality of health services, but the limitations of facilities and infrastructure as well as human resources were the obsracles. Keywords : Knowledge, Medication Errors, Reporting System ABSTRAK Telah dilakukan penelitian untuk mengetahui pengetahuan dan sikap tenaga kesehatan mengenai pelaporan dan sistem pelaporan medication error. Medication error merupakan setiap kejadian yang dapat menyebabkan atau berakibat pada  pelayanan kesehatan yang tidak tepat atau membahayakan pasien yang sebenarnya dapat dihindari. Penelitian ini merupakan penelitian yang bersifat deskriptif kualitatif menggunakan wawancara mendalam dengan analisis data yang dilakukan menggunakan tematik analisis. Hasil penelitian menunjukan bahwa tenaga kesehatan  di RSU Monompia GMIBM Kota Kotamobagu belum memahami mengenai pelaporan medication error, pengambilan keputusan untuk melaporkan kesalahan pengobatan ditentukan oleh tingkat keparahan hasil dari kesalahan dan minimnya tingkat pelaporan disebabkan karena tenaga kesehatan takut tindakan disiplin serta takut kehilangan pekerjaan. RSU Monompia GMIBM Kota Kotamobagu terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan sarana dan prasarana serta sumber daya manusia menjadi kendala tesendiri. Kata kunci : Pengetahuan, Medication error, sistem pelaporan

Quality of Life, Integrative Community Therapy, Family Support, and Satisfaction with Health Services Among Elderly Adults with and without Symptoms of Depression

2016 ◽  
Vol 88 (2) ◽  
pp. 359-369 ◽  
Author(s):  
Vanessa de Lima Silva ◽  
Caroline Addison Carvalho Xavier de Medeiros ◽  
Gerlane Coelho Bernardo Guerra ◽  
Priscila Helena Antunes Ferreira ◽  
Raimundo Fernandes de Araújo Júnior ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Family Support ◽  
Elderly Adults ◽  
Symptoms Of Depression

scholarly journals ACCUPRESSURE PROGRAM AT THE HEALTH CENTERS IN SOUTH JAKARTA IN 2018

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Sandra Octaviani Dyah Puspita Rini ◽  
Anhari Achadi
Keyword(s):  
Qualitative Research ◽  
Health Services ◽  
Health Workers ◽  
The Body ◽  
Health Centers ◽  
Acupuncture Points ◽  
Traditional Health ◽  
Document Review ◽  
Depth Interviews

Abstract. Traditional Health Services is a treatment or therapy using methods and medication that is based on the experience and skills of our ancestors that can be accounted for and is in accordance with the norms prevailing in the community. One example is acupressure, ehich is a healing method that uses pressure on certain points of the body or acupuncture points. This type of service has been regulated in various laws on traditional health. However, not all Health Centers provide this service. In South Jakarta City, there are only two Health Centers that provide acupressure services. This is a qualitative research, and aims to analyze the policies and implementation of the implementation of acupressure services in the Health Centers and its obstacles. The data was collected through in-depth interviews and document review. In this study we found that the quality and quantity of health workers trained in acupressure and their comprehension of the program was inadequate. In addition, the room for acupressure is only found in health centers that have provided this service. Communication is still a problem, because there is no regulation socialization regarding the regulation of acupressure services for policy implementers. However, 60% of patients were satisfied with the services provided. Abstrak. Pelayanan Kesehatan Tradisional adalah pengobatan/atau perawatan dengan cara dan obat yang berdasarkan pada pengalaman dan keterampilan turun temurun secara empiris, dapat dipertanggungjawabkan dan diterapkan sesuai dengan norma yang berlaku di masyarakat. Salah satu diantaranya adalah akupresur. Akupresur merupakan suatu cara penyembuhan dengan teknik penekanan titik-titik tertentu pada tubuh (titik-titik akupunktur) yang menggunakan jari-jari tangan ataupun alat bantu seperti batang kayu. Pelayanan jenis ini sudah dituangkan dalam berbagai undang-undang tentang kesehatan tradisional. Namun, tidak semua puskesmas menyelenggarakan layanan ini. Di Kota Jakarta Selatan, hanya terdapat dua Puskesmas yang menyelenggarakan pelayanan akupresur. Penelitian ini adalah penelitian kualitatif, dan bertujuan untuk menganalisis kebijakan dan implementasi pelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Metode pengumpulan data melalui wawacara mendalam dan telaah dokumen. Dalam penelitian ini ditemukan bahwa kualitas dan kuantitas tenaga kesehatan yang terlatih akupresur dan mengerti tentang program masih belum mencukupi. Selain itu, ruangan untuk akupresur hanya terdapat pada puskesmas yang sudah menyediakan pelayanan ini. Komunikasipun masih menjadi masalah, karena belum ada sosialisasi regulasi tentang pengaturan pelayanan akupresur bagi pelaksana kebijakan.

scholarly journals PEMANFAATAN PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) OLEH IBU BERSALIN DI PUSKESMAS X TAHUN 2013

2020 ◽  
Vol 3 (1) ◽  
pp. 25-36
Author(s):  
Renny Listiawaty
Keyword(s):  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Qualitative Approach ◽  
Cross Sectional ◽  
Factors Associated ◽  
Document Review ◽  
Depth Interviews

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN RESILIENSI CAREGIVER SKIZOFRENIA DI WILAYAH KERJA PUSKESMAS POIGAR DAN PUSKESMAS ONGKAW

2021 ◽  
Vol 8 (2) ◽  
pp. 11
Author(s):  
Yessica Christy Riany Pesik ◽  
Ralph B.J Kairupan ◽  
Andi Buanasari
Keyword(s):  
Health Center ◽  
Family Support ◽  
Coping With Stress ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Positive Direction ◽  
Work Area ◽  
Schizophrenic Patients ◽  
Consultation Services

Abstract: Family support is important factor in creating a resilience in the effort to treat schizophrenia patients. The purpose of this study is to investigate the relationship between family support with the resilience of schizophrenic caregivers in the work area of Poigar Health Center and Ongkaw Health Center. This study used quantitative study with cross sectional approach, The sample was taken using non-probability techniques, purposive sampling. This studyinvolved 52 respondents from both Health Care Centre. The results of the study showed the level of strength (closeness) between variabels is moderate (0.285), positive direction, and significant (p = 0.041 <α = 0.05). This study concluded there as a moderate, positive and significant relationship between family support (28.5%) with caregiver resilience. Suggestions, for health centers to further improve the quality of health services for families of schizophrenic patients such as, consultation services, family-related counseling such as adaptation with schizophrenic sufferers, coping with stress and family resources and efforts to overcome stigma.Keywords: Family Support; Caregiver Resilience; Schizophrenia Abstrak: Dukungan keluarga adalah faktor penting dalam menciptakan ketahanan dalam upaya untuk merawat pasien skizofrenia.  Tujuan dari penelitian ini adalah untuk mengetahui dan membuktikan hubungan antara dukungan keluarga dengan resiliensi caregiver skizofrenia di wilayah kerja Puskesmas Poigar dan Puskesmas Ongkaw.  Metode penelitian yang digunakan adalah studi kuantitatif dengan pendekatan cross sectional, analisis data memnggunakan teknik korelasi Rank Spearman.  Sampel diambil dengan menggunakan teknik non-probabilitas. Jumlah sampel adalah 52 responden dari kedua puskesmas.  Hasil penelitian menunjukkan tingkat kekuatan (kedekatan) antara variabel sedang (0,285), arah positif, dan signifikan (p = 0,041 <α = 0,05). Kesimpulan: ada hubungan yang moderat, positif dan signifikan antara dukungan keluarga (28,5%) dengan resiliensi caregiver.  Saran, bagi pusat kesehatan untuk lebih meningkatkan kualitas layanan kesehatan untuk keluarga pasien skizofrenia seperti, layanan konsultasi, konseling terkait keluarga seperti adaptasi dengan penderita skizofrenia, mengatasi stres dan sumber daya keluarga dan upaya untuk mengatasi stigma.Kata Kunci : Dukungan Keluarga; Resiliensi Caregiver; Skizofrenia

scholarly journals Policy Implementation Performance Related to the Procurement of PRB Drugs in the Subdistrict Primary Healthcare Center Pharmacy and PRB Pharmacy in Central Jakarta Quarter I, II, and III of 2019

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sari Ulfa Nardia ◽  
Amal Chalik Sjaaf
Keyword(s):  
Health Center ◽  
District Health ◽  
Healthcare Center ◽  
Descriptive Approach ◽  
Policy Institute ◽  
Catastrophic Disease ◽  
Document Review ◽  
Depth Interviews ◽  
Primary Healthcare Center

Back-Referral Program (PRB) is one way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. The unavailability of pharmacies and drugs for PRB causes the PRB program not to run optimally, thus increasing the catastrophic disease sufferers and absorbing big claims in JKN. This study is qualitative research with a descriptive approach using the method of in-depth interviews and document review. The research informants' criteria were: the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center, and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not optimal, which was influenced by policy standards and objectives, resources, communication between organizations, the implementers' attitude, the implementing organization's characteristics, and the economic, social, and politics. Coordination, commitment, and evaluation of activities from the Ministry of Health, BPJS Health, Government Service Goods Procurement Policy Institute, and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug.

scholarly journals Strategy to increase the quality of service and safety patients in the hospital Imelda Medan 2020

2021 ◽  
Author(s):  
Monica Putri ◽  
Ermi Girsang ◽  
Linda Chiuman ◽  
Ulina Karo Karo
Keyword(s):  
Quality Of Service ◽  
Patient Safety ◽  
Health Services ◽  
General Hospital ◽  
Urban Areas ◽  
Swot Analysis ◽  
International Standards ◽  
Sample Method ◽  
Depth Interviews

Background: Currently, health services have very important demands, including services in hospitals that must be professional with international standards. Health services no longer only focus on patient satisfaction but also focus more on patient safety (patient safety). The aim of the study was to determine the strategy for improving the quality of service and patient safety at the Imelda General Hospital in 2020.  Methods: This research used descriptive qualitative research with an inductive approach. The data used in this study came from in-depth interviews with respondents. The population was drawn from organizational staff at the Imelda Hospital Medan, namely the medical committee, nursing committee, PMKP committee, PPI committee and materials. The sample method used is exhaustive sampling.Results: Based on the research results obtained, the Imelda Hospital Medan is included in a hospital that is able to compete in a competitive market, especially in urban areas. Based on the SWOT analysis, the Imelda Medan General Hospital is able to take advantage of the existing strengths and opportunities with the results of IFE= 2.52 and EFE= 2.50 and are in cell V in the IE matrix.Conclusions: So, the strategy used in determining the strategy for improving quality and patient safety at the Imelda Hospital, Medan in 2020 is hold and maintain, which means maintaining and maintaining existing policies but does not rule out the possibility to improve for the better.

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