Penyakit Paru Obstruktif Kronik (PPOK) adalah penyakit yang ditandai dengan hambatan aliran udara di saluran napas yang tidak sepenuhnya reversibel. Hambatan aliran udara ini bersifat progresif dan berhubungan dengan respons inflamasi paru terhadap partikel atau gas yang beracun atau berbahaya. Berdasarkan laporan dari Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2018 PPOK merupakan penyebab keempat kematian di dunia. Sekitar 5% dari seluruh kematian di dunia pada tahun 2015 diakibatkan oleh PPOK. WHO memperkirakan jumlah kasus PPOK akan mengalami peningkatan dari peringkat 6 pada tahun 1990 menjadi peringkat 3 pada tahun 2020 sebagai penyebab kematian di dunia, sedangkan prevalensi PPOK di Indonesia menurut RISKESDAS 2013, usia >30 tahun sebesar 3,7% tertinggi terdapat di Provinsi Lampung sebesar 1,4%. Penelitian ini menerapkan pelayanan dokter keluarga berbasis evidance based medicine dengan mengidentifikasi faktor risiko, masalah klinis, serta penatalaksanaan dengan pendekatan patient centred dan family approach. Studi ini merupakan studi deskriptif laporan kasus. Data primer diperoleh melalui aamnesis, pemeriksaan fisik dan kunjungan rumah. Data sekunder didapat dari rekam medis. Hasil penelitian ini menunjukkan terdapat pemahaman mengenai penyakit yang lebih baik dan kepatuhan berobat yang berdampak pada keberhasilan terapi.  Kata Kunci : Diagnostik holistik, Lansia, Penyakit Paru Obstruktif Kronis  ABSTRACT Chronic Obstructive Pulmonary Disease (COPD) is a disease characterized by obstruction of air flow in the airways that is not completely reversible. These air flow barriers are progressive and associated with the inflammatory response of the lung to toxic or dangerous particles or gases. Based on reports from Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2018, COPD is the main fourth cause of the death in the world. Around 3.17 million deaths in the world or 5% of all deaths in the world in 2015 were caused by COPD. According to the World Health Organization (WHO) estimates the number of COPD cases will increase, from 6th in 1990 to 3 rd in 2020 as the most common cause of death in the world, while the prevalence of COPD in Indonesia based on RISKESDAS data in 2013 is 3.7%. Applying the principles of a holistic and comprehensive family doctor approach in detecting internal and external risk factors and solving EBM problems. This study is a descriptive study of case reports. Primary data were obtained through anamnesis, physycal examination, and home visits. Secondary data were obtained from the patient's medical record. In the evaluation, the results were obtained in the form of a better understanding of the disease and medication adherence that have an impact on the success of therapy.  Keyword : Holistic diagnostics, The elderly, Chronic Obstructive Pulmonary Disease Â
One of the breakthrough efforts that can reduce the maternal mortality rate as is Maternity Planning and Complication Prevention is expected to motivate the behavior of pregnant women in an effort to accelerate the reduction of maternal mortality. The high maternal mortality rate in Pringsewu regency is caused by a lack of screening for pregnant woman because it is suspected that there are still many high – risk pregnant woman who have not been found or have not come to health facilities. The aim of the research is knowledge of factors associated with behavior of pregnant women in childbirth planning and complication prevention programs. This research is a quantitative study with a cross sectional design. The data was collected by questionnaire tool. The population in this study were pregnant women who had an antenatal care in January 2021 at 3 public health centers that representing Pringsewu Regency, namely the community health center which had the highest moderate, and lowest coverage of Pregnancy visits 1 and 4 visits as many as 122 pregnant women. While the sample in this study was 96 pregnant women. Before the data collection, a questionnaire was tested on 30 respondents. The data analysis in this study is univariate test, bivariate test, and multivariate test. Based on the results of the study, it is known that some of pregnant women in Pringsewu regency have good behaviour, namely 62,5%. The results showed that there were 5 variables that had a significant relationship with the behavior of pragnant women in complication preventif program including knowledge (p value 0,030),attitudes (p value 0,000), availability of infrastructure (p value 0,033), distance to health facilities (p value 0,030) and husband’s support (p value 0,017). The most dominant variable related to the behaviour of pregnant women in complication prevention program is attitude where has the highest OR value of 5,881. In order to inprove the behavior of the community,especially pregnant women in complication prevention program, the Departement of Health needs to empower the community such as implementing the standby village, so that the community is able to independently fulfill the health facilities or infrastructure that are not yet available, namely village ambulances and village blood banks to support the implementation of complication prevention program so as to reduce maternal mortality rate (MMR) and infant mortality rate (IMR).
The visual inspection with acetic acid (VIA) test coverage in Bandar Lampung was 53.76% in 2019 and a pre-survey result showed that VIA implementation in Bandar Lampung was not yet optimal. The problem in this research was to do a comparative study on the cervical cancer earlier detection by using VIA method in Bandar Lampung according to the Regulation of Ministry of Health No. 29 in 2017 concerning breast cancer and cervical cancer mitigations. This was a comparative study by using r-test (Pearson Product Moment). The result showed a weak correlation between VIA equipment amounts to VIA test coverage in Bandar Lampung, a strong correlation between trained human resource amount to VIA test coverage in Bandar Lampung, a moderate correlation between numbers of examination and VIA coverage in Bandar Lampung, and moderate correlation between numbers of information technique activities and VIA coverage in Bandar Lampung. The most dominant factor was trained human resources.
Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). As of June 29 2022, there were 542,188,789 cases of COVID-19 in the world, and 6,339,275 people died. Recipients of the COVID-19 vaccine in Central Lampung District dose 1 were 898,900 (81.95%) of the 80% target. Those who received the 2nd dose vaccine were 683,002 (62.27%) of the 70% target and booster vaccines by 23,665 (2.16%) of the 40% target. The study aimed to analyze the predisposing factors that influence participation in the COVID-19 vaccination in the community in Central Lampung district in 2022. Subjects and Method:A cross-sectional study was conducted in three sub-districts of Central Lampung district from July to September 2022. A total of 110 people were selected for this study. The dependent variable was the decision of participating in the COVID-19 vaccination. The independent variables were Knowledge, Education, Attitudes, Health Information, and Trust. Data was collected by using a questionnaire. Data were analyzed using logistic regression test. Results: Health information (aOR= 18.58; 95% CI= 1.83 to 188.05; p= 0.013), and level of trust (aOR= 18.54; 95% CI= 2.77 to 123.80; p= 0.003) were related to community participation in the COVID-19 vaccination. Conclusion: Health information and public trust related to participation in the COVID-19 vaccination in the community.
Program KB adalah upaya mengatur kelahiran anak, jarak dan usia ideal melahirkan, mengatur kehamilan melalui promosi, perlindungan dan bantuan sesuai dengan hak reproduksi untuk mewujudkan keluarga yang berkualitas. Situasi pandemic covid 19 mengakibatkan penurunan jumlah peserta KB. Tujuan pengamatan ini untuk mengamati fenomena lesunya partisipasi masyarakat dalam program KB dan menentukan strategi agar pelayanan KB dapat menjangkau semua calon peserta KB. Jenis penelitian kualitatif, dengan metode pengumpulan data menggunakan wawancara mendalam dan focus group discussion dengan pengelola KB di tingkat provinsi maupun kabupaten. Pelaksanaan pengamatan pada Mei sampai Juni 2022. Hasil pengamatan diperoleh lesunya partisipasi masyarakat dalam program KB modern dikarena selama pandemic tidak ada pelayanan KB bergerak yang melibatkan banyak media massa dan pelayanan di fasilitas kesehatan terbatas, pelayanan diselenggarakan dengan memberikan pil atau kondom terhadap pasangan usia subur yang membutuhkan KB ulangan namun metode tersebut sangat tinggi potensi putus pakainya. Saran kepada BKKBN Provinsi Lampung agar mendorong pengelola program KB intensif memberikan pelayanan KB bergerak dan memanfaatkan media promosi digital untuk menginformasikan pelayanan KB.
Quality health services will increase patient repeat visits. Puri Husadatama Hospital is the only private hospital in Mesuji Regency that provides dental and oral polyclinic services. The data of patients who visited the dental and oral polyclinic in 2020 were 194 people, and in 2021 there were 509 people. Fluctuations in inpatient visits and the Covid-19 pandemic have resulted in changes in service procedures that require patients and staff to carry out additional activities to implement health protocols. The purpose of the study was to determine the relationship between service quality and patient repeat visits to dental and oral services at the dental and oral polyclinic of Puri Husadatama Hospital in 2022. This type of research is an analytic survey with a cross-sectional approach. The population of 616 patients was those who visited the dental and oral polyclinic of Puri Husadatama Hospital from 2021 – February 2022. A sample of 110 people was taken by consecutive sampling. Data collection using a questionnaire in the google form. The analysis performed was univariate, bivariate using Chi-Square test. The results showed that the highest number of respondents were aged 26-45 years, (51.8%) and the female sex was 63.6%. While SMA education is 40.0%, not/not yet working is 47.3%. Patients with repeat visits > 1 time amounted to 78.2%. Most quality dimensions were stated to be good from the tangible aspect (74.5%), Empathy (84.5%), reliability (96,4%) and responsiveness (93.6%), and assurance (97.3%). Chi-Square tests showed that the dimension variable of quality responsiveness had a significant relationship on repeat visits (p value=0.005).The dimension variable of quality responsiveness had a significant relationship on repeat visits. It is recommended to maintain an increase in patient repeat visits at the dental and oral polyclinic of Puri Husadatama Hospital, so that service officers and management continue to carry out the 5 dimensions of service quality, even during the Covid-19 pandemic. Keywords: Service Quality, Dental, and Oral Polyclinic, Repeat Visits ABSTRAK Pelayanan kesehatan yang berkualitas akan meningkatkan kunjungan ulang pasien. Rumah Sakit Puri Husadatama merupakan satu-satunya rumah sakit swasta yang ada di Kabupaten Mesuji yang memberikan pelayanan di poliklinik gigi dan mulut. Data pasien yang berkunjung ke poliklinik gigi dan mulut di tahun 2020 sebanyak 194 orang, dan tahun 2021 sebanyak 509 orang. Fluktiatifnya kunjungan pasien dan kondisi pandemi Covid-19 mengakibatkan perubahan prosedur pelayanan yang mengharuskan pasien dan petugas melakukan kegiatan tambahan penerapan protokol kesehatan. Tujuan penelitian untuk mengetahui hubungan kualitas pelayanan terhadap kunjungan ulang pasien pada pelayanan gigi dan mulut di poliklinik gigi dan mulut Rumah Sakit Puri Husadatama tahun 2022. Jenis penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi sebesar 616 pasien adalah pasien yang berkujung ke poliklinik gigi dan mulut Rumah Sakit Puri Husadatama periode tahun 2021 – Febuari 2022. Sampel sebesar 110 orang diambil secara consecutive sampling. Pengumpulan data menggunakan kuesioner dalam google form. Analisis yang dilakukan adalah univariat, dan bivariat dengan uji Chi-Square. Hasil penelitian didapat jumlah terbanyak responden berumur 26-45 tahun, (51,8%) dan jenis kelamin perempuan 63,6%. Sedangkan pendidikan SMA 40,0%, tidak/belum bekerja 47,3%. Pasien dengan kunjungan ulang lebih dari 1 kali sebesar 78,2%. Dimensi kualitas pelayanan mayoritas dinyatakan baik dari aspek tangible (74,5%), Empathy (84,5%), reliability (96,4%) dan responsiveness (93,6%), serta assurance (97,3%). Uji Chi-Square menunjukkan variabel dimensi kualitas responsiveness berhubungan signifikan terhadap kunjungan ulang (p value 0,005). Variabel dimensi kualitas responsiveness berhubungan signifikan terhadap kunjungan ulang. Disarankan untuk menjaga peningkatan kunjungan ulang pasien di poliklinik gigi dan mulut Rumah Sakit Puri Husadatama, agar petugas pelayanan dan manajemen tetap melaksanakan 5 dimensi kualitas pelayanan, meskipun dalam masa pandemi Covid-19. Kata Kunci: Kualitas Pelayanan, Poliklinik Gigi dan Mulut, Kunjungan Ulang.
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