Penyuluhan, Cek Kesehatan Dan Pengobatan Gratis Di Klinik Kartika Husada

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Happy Elda Murdiana ◽  
Istri Bartini ◽  
Nisa Isneni Hanifa
Keyword(s):  
Quality Of Life ◽  
Community Service ◽  
Service System ◽  
Microvascular Complications ◽  
Cost Effective ◽  
Community Services ◽  
Proactive Approach ◽  
Optimal Quality ◽  
Health Service System

Diabetes Mellitus is a silent killer disease that can cause both macro and microvascular complications. The prevalence of DM in Indonesia is 1.5% of interviews diagnosed with doctors, and in DIY 12.2% of DM patients are not treated and show taking medication or using insulin from all ages in the Yogyakarta area 89.94%. Prolanis is a health service system and a proactive approach that is implemented in an integrated manner that involves participants, health facilities, and BPJS Kesehatan in the framework of health care for BPJS Kesehatan participants who suffer from chronic diseases to achieve optimal quality of life with cost-effective and efficient health services. Community service is carried out at the Kartika Husada Clinic in DM prolanic patients with counseling methods about DM disease and its prognosis and appropriate pharmacological and non-pharmacological therapies. Followed by supporting health tests as a basis for drug administration. The administration of drugs to prolanis patients is carried out by the interactive Information and Education Communication (IEC) method for both the patient and accompanying family. A series of community services carried out to support the BPJS prolanis program which aims to improve the quality of life of patients by controlling blood sugar and regulating lifestyle.

scholarly journals PENGETAHUAN DAN PERSEPSI PESERTA PROLANIS DALAM MENJALANI PENGOBATAN DI PUSKESMAS

2017 ◽  
Vol 2 (1) ◽  
pp. 18
Author(s):  
Vivien Dwi Purnamasari
Keyword(s):  
Quality Of Life ◽  
Bivariate Analysis ◽  
Inclusion Criteria ◽  
Adherence Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Proactive Approach ◽  
Correlational Method ◽  
Optimal Quality

Abstract: PROLANIS was a system of health services and proactive approach that can be implemented in an integrated manner involving participants, health facilities, and BPJS. Presence of PROLANISTS would encourage participants with chronic illness to achieve optimal quality of life with an indicator of 75% had good results on a specific examination. The purpose of this reasearch was to analyzing correlation between knowledge and perceptions of PROLANIS participants with PROLANIS adherence in treatment at Puskesmas. This research design used correlational method with Cross Sectional approach. The population of this research was 101 PROLANIS’s participants who have met the inclusion criteria. Samples were taken with total sampling with total of 101 participants. Univariate and bivariate analysis (Chi Square) was used in this research. The results showed PROLANIS adherence level was only 48.5%. In bivariate analysis, knowledge (p = 0,002), and perception (p = 0,008) correlated to PROLANIS adherence at Puskesmas Kota Kediri. The conclusion is knowledge and perception level correlated to PROLANIS’s participants compliance in treatment at Puskesmas. Suggestion in this research is Puskesmas officer can give information related to illness clearly and accurately to PROLANIS’s participants and their family.Key words : Adherence PROLANIS, Knowledge, PerceptionAbstrak: PROLANIS adalah suatu sistem pelayanan kesehatan dan pendekatan proaktif yang dilaksanakan secara terintegrasi yang melibatkan peserta, fasilitas kesehatan dan BPJS. Adanya kepatuhan PROLANIS akan mendorong peserta penyandang penyakit kronis mencapai kualitas hidup optimal dengan indikator 75% memiliki hasil yang baik pada pemeriksaan spesifik. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan dan persepsi peserta PROLANIS dengan kepatuhan PROLANIS dalam menjalani pengobatan di Puskesmas. Desain penelitian ini menggunakan metode korelasional dengan pendekatan Cross Sectional. Populasi penelitian ini adalah 101 peserta PROLANIS yang telah memenuhi kriteria inklusi. Sampel diambil dengan total sampling dengan jumlah 101 peserta. Pada penelitian ini menggunakan analisa univariat, dan analisa bivariat (Chi Square). Hasil penelitian menunjukkan tingkat kepatuhan PROLANIS hanya sebesar 48,5%. Pada analisis bivariat diperoleh tingkat pengetahuan (p=0,002), persepsi (p=0,008) memiliki hubungan dengan kepatuhan PROLANIS di Puskesmas Kota Kediri. Kesimpulan dari penelitian ini adalah terdapat hubungan tingkat pengetahuan dan persepsi dengan kepatuhan peserta PROLANIS dalam menjalani pengobatan di Puskesmas. Saran pada penelitian ini adalah petugas Puskesmas dapat memberikan informasi terkait penyakit yang diderita dengan jelas dan akurat kepada peserta dan keluarga peserta PROLANIS.Kata Kunci : Kepatuhan PROLANIS, pengetahuan, persepsi

scholarly journals What Is Known and Unknown About Twice-Weekly Hemodialysis

2015 ◽  
Vol 40 (4) ◽  
pp. 298-305 ◽  
Author(s):  
Yoshitsugu Obi ◽  
Rieko Eriguchi ◽  
Shuo-Ming Ou ◽  
Connie M. Rhee ◽  
Kamyar Kalantar-Zadeh
Keyword(s):  
Quality Of Life ◽  
De Novo ◽  
Urine Volume ◽  
Cost Effective ◽  
Standard Of Care ◽  
Treatment Regimens ◽  
Interdialytic Weight Gain ◽  
Cost Effective Treatment ◽  
Incremental Hemodialysis

Background: The 2006 Kidney Disease Outcomes Quality Initiative guidelines suggest twice-weekly or incremental hemodialysis for patients with substantial residual kidney function (RKF). However, in most affluent nations de novo and abrupt transition to thrice-weekly hemodialysis is routinely prescribed for all dialysis-naïve patients regardless of their RKF. We review historical developments in hemodialysis therapy initiation and revisit twice-weekly hemodialysis as an individualized, incremental treatment especially upon first transitioning to hemodialysis therapy. Summary: In the 1960's, hemodialysis treatment was first offered as a life-sustaining treatment in the form of long sessions (≥10 hours) administered every 5 to 7 days. Twice- and then thrice-weekly treatment regimens were subsequently developed to prevent uremic symptoms on a long-term basis. The thrice-weekly regimen has since become the ‘standard of care' despite a lack of comparative studies. Some clinical studies have shown benefits of high hemodialysis dose by more frequent or longer treatment times mainly among patients with limited or no RKF. Conversely, in selected patients with higher levels of RKF and particularly higher urine volume, incremental or twice-weekly hemodialysis may preserve RKF and vascular access longer without compromising clinical outcomes. Proposed criteria for twice-weekly hemodialysis include urine output >500 ml/day, limited interdialytic weight gain, smaller body size relative to RKF, and favorable nutritional status, quality of life, and comorbidity profile. Key Messages: Incremental hemodialysis including twice-weekly regimens may be safe and cost-effective treatment regimens that provide better quality of life for incident dialysis patients who have substantial RKF. These proposed criteria may guide incremental hemodialysis frequency and warrant future randomized controlled trials.

scholarly journals Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Shima Ghannadi ◽  
Atieh Amouzegar ◽  
Parisa Amiri ◽  
Ronak Karbalaeifar ◽  
Zhale Tahmasebinejad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Microvascular Complications ◽  
Glycosylated Hemoglobin ◽  
Self Care ◽  
Self Management ◽  
Diabetic Patients ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background.Type 2 diabetes is an increasingly common condition with several preventable microvascular complications such as kidney damage. Nephropathy is expensive to manage, especially as hospital dialysis treatment. Improving patients’ knowledge, attitude, and practice (KAP) toward their condition can achieve better control, delay complications, and improve their quality of life. This study evaluated the KAP and self-care behaviors of diabetic patients on dialysis and variables that affect it.Methods.This cross-sectional study was conducted at Shahid Beheshti academic hospitals of Tehran, Iran. Face-to-face interviews were held to fill five validated questionnaires: three evaluating KAP, one evaluating self-management, and one evaluating quality of life.Result.117 diabetic patients on hemodialysis (42 females) with mean (SD) age of68.70±9.26years were enrolled in the survey. The scores for patient’s KAP, self-care, and quality of life were59.90±11.23,44.27±8.35,45.06±12.87,46.21±10.23, and26.85±13.23, respectively. There was significant negative correlation between patients’ knowledge and attitude with their glycosylated hemoglobin level and their fasting blood sugar. There was significant correlation between patients’ knowledge and practice with their self-care activities.Conclusion.The present study suggests that patients’ KAP scores have a practical effect upon self-care behavior. This highlights the needs for effective diabetes education programs in developing countries like Iran.

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

scholarly journals Gambaran Kualitas Hidup pada Pasien Diabetik Retinopati Berdasarkan Tingkat Keparahan Visus

2020 ◽  
Vol 10 (2) ◽  
pp. 105
Author(s):  
Novita Dhewi Ikakusumawati ◽  
Dewi Magistasari ◽  
Novena Adi Yuhara ◽  
Tri Murti Andayani ◽  
Supanji Supanji ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Utility Score ◽  
Microvascular Complications ◽  
Cross Sectional ◽  
Number Of Patients ◽  
High Prevalence ◽  
Anxiety Depression

Diabetic retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) which incidence increases with the high prevalence of DM. The presence of these complications will affect quality of life, especially vision-related. The purpose of this study was to determine the quality of life in RD patients assessed using the VFQ-25 and EQ-5D questionnaires, and to determine the of quality of life based on the visual acuity (VA) severity. This study was an observational study in outpatient with diabetic retinopathy during October 2018 – Januari 2019 period, in RSUP dr. Sardjito and RS Mata Dr. YAP, Yogyakarta. The design of this study was cross sectional which observed quality of life and vision. Quality of life was measured by specific for vision instrument (NEI-VFQ-25)  and  generic instrument  (EQ-5D-5L). The number of patients in this study were 100 patients with an average age of 55 years, the most frequent type of RD was 84% proliferative RD. The average quality of life scores in RD patients measured using the VFQ-25 and EQ-5D utility questionnaires were 64.1 ± 16.2 and 0.61 ± 0.24, respectively. Based on VFQ-25, the most affected subscales were driving, dependence, and role difficulties subscale. Meanwhile, domains that have the most problems with the EQ-5D were pain / discomfort and anxiety / depression (78%). The total VFQ-25 score decreased with increasing visual severity, i.e. normal / mild (n = 19) 73.50 ± 15.08; moderate (n = 15) 68.14 ± 15.33; and severe (n = 66) 60.48 ± 15.64. The EQ-5D utility score showed a similar pattern, with scores of 0.66 ± 0.27 (normal / mild); 0.65 ± 0.22 (medium); and 0.59 ± 0.24 (severe); respectively. The higher severity of visual acuity so the quality of life become lower.

Hypnosis: An Altered State of Consciousness

2021 ◽  
Author(s):  
Sayani Basu
Keyword(s):  
Quality Of Life ◽  
Cost Effective ◽  
Altered State ◽  
Therapeutic Method ◽  
Altered State Of Consciousness ◽  
The Brain

Hypnosis, an induced trance state, poses significant effects on the brain and this phenomenon is considered a viable, cost-effective and safe therapeutic method that boosts the quality of life.

Applying Social Aspects in Home Telecare Design to Improve the Safety of Users and Quality of Service

2016 ◽  
pp. 1048-1072
Author(s):  
Lawrence Chidzambwa
Keyword(s):  
Quality Of Life ◽  
Patient Safety ◽  
Life Quality ◽  
Cost Effective ◽  
Medical Intervention ◽  
Social Dimension ◽  
Social Aspects ◽  
The Social ◽  
Solution Design

Telecare enables remote and cost-effective home treatment of patients, improving the safety and quality of life of frail individuals. However, despite increased availability of telecare devices, many are not fully used and often ignored due to poor social perception and experience. The research suggests the social aspects of quality and safety related to user experience have not been considered. This can lead to misuse or non-use of telecare devices, reducing patient safety and quality of life. This chapter explores the implications for the lack of social considerations in telecare and develops a series of models and methodologies to integrate the social dimension with the traditional medical intervention focus. By applying semiotics and normative behavioural theory, the authors show how a Normative Home Telecare Framework can improve telecare solution design and ensure take up and use of the devices and increase patient safety and life quality.

Palliative care of cancer survivors

2015 ◽  
pp. 661-670
Author(s):  
Mary S. McCabe ◽  
Stacie Corcoran
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Cancer Diagnosis ◽  
Childhood Cancer Survivors ◽  
The Family ◽  
Heavy Burden ◽  
Optimal Quality

Being told you are cancer-free does not mean you are free of the consequences of the disease. Seventy-six percent of cancer survivors are over age 60 years and have coexisting medical conditions that complicate posttreatment recovery to maximum health. Childhood cancer survivors also carry a heavy burden of medical and psychological problems resulting from their experience with cancer. Cancer diagnosis and treatment affects the family as well as the patient. Improvements are needed in the coordination of care for cancer survivors to assure optimal quality of life.

scholarly journals The Square Curve Paradigm for Research in Alternative, Complementary, and Holistic Medicine: A Cost-Effective, Easy, and Scientifically Valid Design for Evidence-Based Medicine and Quality Improvement

2003 ◽  
Vol 3 ◽  
pp. 1117-1127 ◽  
Author(s):  
Soren Ventegodt ◽  
Niels JØrgen Andersen ◽  
Joav Merrick
Keyword(s):  
Quality Of Life ◽  
Evidence Based Medicine ◽  
Cost Effective ◽  
Holistic Medicine ◽  
Evidence Based ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
New Research ◽  
Based Medicine

In this paper we present a new research paradigm for alternative, complementary, and holistic medicine — a low-cost, effective, and scientifically valid design for evidence-based medicine. Our aim is to find the simplest, cheapest, and most practical way to collect data of sufficient quality and validity to determine: (1) which kinds of treatment give a clinically relevant improvement to quality of life, health, and/or functionality; (2) which groups of patients can be aided by alternative, complementary, or holistic medicine; and (3) which therapists have the competence to achieve the clinically relevant improvements. Our solution to the problem is that a positive change in quality of life must be immediate to be taken as caused by an intervention. We define “immediate” as within 1 month of the intervention. If we can demonstrate a positive result with a group of chronic patients (20 or more patients who have had their disease or state of suffering for 1 year or more), who can be significantly helped within 1 month, and the situation is still improved 1 year after, we find it scientifically evidenced that this cure or intervention has helped the patients. We call this characteristic curve a “square curve”. If a global, generic, quality-of-life questionnaire like QOL5 or, even better, a QOL-Health-Ability questionnaire (a quality-of-life questionnaire combined with a self-evaluated health and ability to function questionnaire) is administered to the patients before and after the intervention, it is possible to document the effect of an intervention to a cost of only a few thousand Euros/USD. A general acceptance of this new research design will solve the problem that there is not enough money in alternative, complementary, and holistic medicine to pay the normal cost of a biomedical Cochrane study. As financial problems must not hinder the vital research in nonbiomedical medicine, we ask the scientific community to accept this new research standard.

Sign in / Sign up

Export Citation Format

Share Document