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Abstrak "Leave no one behind" adalah prinsip inti dari Organisasi Kesehatan Dunia (WHO) untuk mencapai kesehatan yang merata dan menyeluruh. Upaya ini ditujukan untuk mengatasi kesenjangan kesehatan dan menyediakan layanan berkualitas dan terjangkau bagi semua orang, terutama mereka yang paling rentan dan terpinggirkan, termasuk dalam layanan kesehatan gigi untuk orang dengan gangguan jiwa. Komunikasi adalah kunci keberhasilan perawatan. Diagnosa dan rencana perawatan yang sesuai membutuhkan komunikasi yang baik. Orang dengan gangguan jiwa seperti depresi berat dan skizofrenia menghadapi kendala komunikasi: depresi menyebabkan respons tertunda dan penyempitan pikiran, sementara skizofrenia menyebabkan disorganisasi pikiran dan bicara. Rumah Sakit Jiwa dr. H. Marzoeki Mahdi Bogor, sebagai rumah sakit rujukan terbesar di Indonesia, merawat banyak pasien dengan gangguan jiwa, termasuk depresi berat dan skizofrenia. Diperlukan keterampilan komunikasi khusus selama perawatan untuk mencapai hasil yang sukses. Penelitian ini bertujuan menemukan pendekatan terbaik dalam berkomunikasi dengan pasien depresi berat dan skizofrenia di Rumah Sakit Jiwa dr. H. Marzoeki Mahdi Bogor. Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan terdiri dari dokter gigi, pasien dengan gangguan jiwa, dan keluarga pasien. Data dikumpulkan melalui wawancara mendalam, observasi, dan analisis dokumen, kemudian dianalisis dengan teknik reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa komunikasi yang efektif adalah dengan melibatkan kesabaran, empati, dan keterampilan mendengarkan aktif, sangat penting dalam keberhasilan perawatan gigi pada pasien dengan gangguan jiwa. Pengetahuan tentang kondisi psikologis pasien dan pelatihan komunikasi interpersonal bagi tenaga kesehatan juga penting untuk meningkatkan kualitas perawatan. Penelitian ini merekomendasikan pengembangan kebijakan dan pelatihan untuk meningkatkan keterampilan komunikasi bagi tenaga kesehatan di rumah sakit jiwa guna meningkatkan efektivitas komunikasi dan hasil perawatan gigi pada pasien dengan gangguan jiwa. Kata Kunci: komunikasi, perawatan gigi dan mulut, gangguan jiwa, depresi berat, skizofrenia, fenomenologi.
Abstract "Leave no one behind" is a core principle of the World Health Organization (WHO) aimed at achieving comprehensive and equitable health. This effort seeks to address health disparities and provide quality and affordable services for everyone, particularly the most vulnerable and marginalized, including dental care services for individuals with mental disorders. Communication is key to successful treatment. Proper diagnosis and treatment planning require effective communication. Individuals with mental disorders such as severe depression and schizophrenia face communication challenges: depression leads to delayed responses and narrowed thinking, while schizophrenia causes disorganized thoughts and speech. Dr. H. Marzoeki Mahdi Mental Hospital in Bogor, the largest referral hospital in Indonesia, treats many patients with mental disorders, including severe depression and schizophrenia. Special communication skills are required during treatment to achieve successful outcomes. This study aims to identify the best approach to communicating with patients with severe depression and schizophrenia at Dr. H. Marzoeki Mahdi Mental Hospital in Bogor. The research employs a qualitative method with a phenomenological approach. Informants include dentists, patients with mental disorders, and their families. Data were collected through in-depth interviews, observation, and document analysis, then analyzed using data reduction, data presentation, and conclusion drawing techniques. The results show that effective communication, involving patience, empathy, and active listening skills, is crucial in the success of dental care for patients with mental disorders. Knowledge of the patients' psychological conditions and interpersonal communication training for healthcare providers are also important in improving the quality of care. This study recommends the development of policies and training to enhance communication skills for healthcare providers in mental hospitals to improve communication effectiveness and dental care outcomes for patients with mental disorders. Keywords: Communication, Dental Care, Mental Disorders, Severe Depression, Schizophrenia, Phenomenology.
Background: Schizophrenia is a disease that experiences one or more abnormal functions that interfere with a person's autonomy in work, education, social relations, and self-reliant life. People with schizophrenia disease are candidates for psychosocial rehabilitation. One of the services in RS. Dr. H. Marzoeki Mahdi Bogor is a psychosocial rehabilitation service. Objectives: Assessing the quality impact of psychosocial rehabilitation services on the performance of personal and social functions in schizophrenia patients in Dr. H. Marzoeki Mahdi Bogor Hospital in 2020. Method: Combination Research namely quantitative and qualitative research that begins with quantitative research of 39 patients according to the criteria of inclusion and continued with qualitative research by conducting in-depth interviews, and observation of psychosocial rehabilitation services. Hypotheses Data with bivariate relationship tests. Results: There are significantly related to CI 95% are age, education, relapse frequency, tangibles, reliabelity, responsiveness, assurance and Emphaty. Conclusion: Good quality of service can change the performance capacity of personal and social functions schizophrenia patients and advised to the installation of psychosocial rehabilitation to improve the competence of nurses and other staff with education and training, improvement of facilities and infrastructure, and increase cooperation and coordination with cross-sector.
Sejak penerbitan Peraturan Menteri Kesehatan Republik Indonesia Nomor: 890/MENKES/PER/VIII/2007 tentang Organisasi dan Tata Kerja Politeknik Kesehatan, di lingkungan Departemen Kesehatan (kini Kementerian Kesehatan) terdapat tiga puluh tiga (33) Politeknik Kesehatan. Dari kesemuanya yang tersebar di seluruh Indonesia, terdapat institusi pendidikan Jurusan Kesehatan Gigi atau disingkat JKG yang belum pelaksanaan implementasi nama jenis pendidikan Diploma bidang kesehatan sebagaimana tertuang di dalam Peraturan Menteri Kesehatan nomor:1192/MENKES/PER/X/2004 tertanggal 19 Oktober 2004 yaitu Jurusan Keperawatan Gigi dan bukan Jurusan Kesehatan Gigi -sebagaimana yang digunakan hingga kini-.Tesis ini membahas mengenai faktor-faktor yang berpengaruh terhadap implementasi PerMenKes tersebut (faktor komunikasi,sumber daya dan disposisi) dan sebagaimana teori yang terkait sebagaimana peneliti George C.Edward III,2006 dalam riset implementasi kebijakan. Penelitian ini menggunakan data primer dengan pendekatan studi deskriptif cross sectional terhadap Pejabat Pelaksana Jurusan Kesehatan Gigi pada 18 Poltekkes seluruh Indonesia. Dari 36 orang yang masing-masing Jurusan diambil data dari Ketua dan Sekretaris Jurusan. Teknik pengambilan sampelnya adalah nonprobability sampling. Pengolahan datanya menggunakan SPSS Complex Sample versi 13. Analisis datanya menggunakan chi square dan regresi linear ganda. Hasil penelitian menunjukkan bahwa belum semua responden siap mengimplementasikan PerMenKes tersebut sedangkan menurut pernyataan Edward III(1984:P.1) bahwa implementasi kebijakan adalah aktivitas yang terlihat setelah dikeluarkan pengarahan yang sah dari suatu kebijakan yang meliputi upaya mengelola input untuk menghasilkan ouput atau outcomes bagi masyarakat. Variabel yang paling berpengaruh atau dominan terhadap implementasi kebijakan adalah pemberian wewenang Exp.(b) =Hasil penelitian menyarankan perlunya pemberian wewenang secara formal agar perintah dapat dilaksanakan secara efektif, berkenaan pula dengan bagaimana kebijakan dikomunikasikan pada organisasi dan atau publik. Dengan demikian melakukan hubungan dan mengaktifkan berbagai saluran komunikasi secara baik, serta ketersediaan sumber daya dalam hal ini adalah Standar Operasional Prosedur sebagai petunjuk dan pedoman. Dan kesemuanya sangat diperlukan dalam pelaksanaan kebijakan untuk implementasi nama jenis institusi pendidikan Jurusan Keperawatan Gigi berlangsung lancar.
Since the publication of Regulation of the Minister of Health of the Republic of Indonesia Number: 890/MENKES/PER/VIII/2007 on Organization and Administration of Health Polytechnic, in the Ministry of Health (now Ministry of Health) there were thirty-three (33) Health Polytechnic. From all of which spread across Indonesia, there are educational institutions or abbreviated Dental Health Programs JKG but until now there has been implementation of the name of the type of education diploma in the field of health as contained in the Minister of Health number: 1192/MENKES/PER/X/2004 dated October 19, 2004 the Department of Nursing and Dental Health Programs Dental-not as used up to now-.This thesis discusses the factors that influence the readiness of the implementation of the Health Minister (individual factors, communication, resources and disposition) and as relevant as the researcher's theory that George C. Edward III, 2006, inresearch policy implementation. This study uses primary data in a cross-sectional descriptive study approach to Officer Executing Dental Health Programs in 18 polytechnic entire Indonesia.Dari 36 people who each retrieved data from the Department Chair and the Secretary of the Department. Sample collection techniques are nonprobability sampling. Processing the data using SPSS Complex Sample version 13. Analysis of the data using chi square and logistic regression.The results showed that not all respondents are ready to implement it while according to a statement Health Minister Edward III (1984: P.1) that policy implementation is an activity that looks after the legal directives issued from a policy that includes efforts to manage the inputs to produce outputs or outcomes for the community . Variables of the most influential or dominant over the readiness of policy implementation is the empowerment Exp. (b) = The results suggest the necessity of giving formal authority to command can be executed effectively, is also concerned with how policy is communicated to the organization and or the public. Thereby engage and activate a variety of communication channels are good, and the availability of resources in this regard is the Standard Operating Procedures as instructions and guidelines. And all of them indispensable in the implementation of policies for implementation type name Programs Nursing Dental education institutions takes place smoothly.
Tujuan: Penelitian bertujuan untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kepatuhan kontrol pasien glaukoma di Poliklinik Mata RSUP. Dr. Cipto Mangunkusumo tahun 2017.
Metode: Penelitian menggunakan rancangan crossectional. Populasi adalah pasien glaukoma yang berkunjung di Poliklinik Mata RSUP Dr. Cipto Mangunkusumo bulan Juli-September 2017. Instrumen yang digunakan adalah kuesioner dengan skala sikap.
Hasil: Kepatuhan kontrol pasien glaukoma di Poliklinik Mata RSUP Dr. Cipto Mangunkusumo bulan Juli-September 2017 adalah 74%. Berdasarkan analisis bivariat didapatkan variabel yang berhubungan dengan kepatuhan kontrol pasien glaukoma adalah lama menderita (0,000), tingkat pengetahuan (0,000), motivasi berobat (0,000), dukungan keluarga (0,000) dan peran tenaga kesehatan (0,000). Berdasarkan analisis multivariat, motivasi berobat mempunyai pengruh terbesar dalam kepatuhan kontrol pasien glaukoma (OR =12.015).
Kesimpulan: Perlunya peran serta keluarga, tenaga kesehatan dalam memberikan dukungan terhadap pasien glaukoma supaya timbul motivasi untuk disiplin dalam program pengobatan dan patuh untuk kontrol sesuai jadwal.
Kata kunci: Kepatuhan kontrol, glaukoma, rumah sakit
Background: Glaucoma is the second largest cause of blindness in the world after cataracts. It is estimated that there will be 79.4 million glaucoma patients by 2020 worldwide, the prevalence of glaucoma in Indonesia is 0.5%. Symptoms of glaucoma are often unrecognized because they resemble other symptoms of the disease so that the late glaucoma diagnosis results in total blindness. From the research of glaucoma seminar in 2013-2014 in RSCM, 64 patients with open-angle glaucoma were 51,4% advanced condition, 13,5% were totally blind, 76 patients with closed angle glaucoma 41,4% advanced condition, 26, 4% total blindness.
Objective: The objective of this research is to know what factors are related to compliance control of glaucoma patients in Poliklinik Mata RSUP. Dr. Cipto Mangunkusumo in 2017.
Methods: The study used crossectional design. The population is glaucoma patients who visit the Eye Poliklinik Mata RSUP. Dr. Cipto Mangunkusumo from July- September 2017. The instrument used is questionnaire with attitude scale.
Results: Compliance of control of glaucoma patients at Eye Polyclinic of Dr. Cipto Mangunkusumo from July to September 2017 is 74%. Based on the bivariate analysis, the variables related to the control compliance of glaucoma patients were long suffering (0,000), knowledge level (0,000), treatment motivation (0,000), family support (0,000) and the role of health workers (0.000). Based on multivariate analysis, motivation of medication has the biggest influence in compliance control of glaucoma patients (OR = 12.015).
Conclusion: The need for family participation, health personnel in providing support to glaucoma patients to generate motivation for discipline in treatment programs and adherence to controls on schedule.
Keywords: Compliance control, glaucoma, hospital
