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Kata kunci: Program terapi rumatan metadon, kualitas hidup
Methadone Maintenance Treatment (MMT) is one of the programs to reduce the bad effect of Injection Drug User (IDU). The aims of this research is to find quality of life of patients Methadone Maintenance Treatment (MMT) patients at Tanjung Priok Public Health Center. This research has used Rapid Assessment Procedure (RAP) method an involved 7 informants. The Results of this research is look more effective base on physical health dimension, even though not perfect due to one of informant experiencing in sleeping disorders and psychological terms the persistence of negative feelings for the informant due to their status of divorced and jobless. For the social dimension is found for erectile dysfunction (who did not have sexual partners) and low social support. In the environmental dimension, some informants said unfavorable home environment. Still found one informant using benzodiazepines, it is recommended at regular counseling and social support for patients PTRM.
Keywords: Methadone maintenance treatment, quality of life
ABSTRAK RSUP Fatmawati sebagai salah satu rumah sakit pengampu PTRM di wilayah DKI Jakarta melakukan pembinaan terhadap beberapa satelit di wilayah kerjanya. Cakupan satelit yang rendah, masalah penggunaan napza lain serta beberapa satelit yang merasakan adanya perbedaan cara petugas pembina melaksanakan bimbingan membuat peneliti merasa perlu untuk melakukan evaluasi terhadap pembinaan dan efektivitasnya terhadap layanan PTRM di satelit. Penelitian ini dilakukan di RSUP Fatmawati dan 4 satelit diwilayah DKI Jakarta. Metode deskriptif-kualitatif digunakan untuk mengetahui evaluasi pembinaan PTRM RSUP Fatmawati di satelit dan; efektivitas pembinaan terhadap kualitas layanan di 4 satelit wilayah DKI Jakarta. Data diperoleh dari hasil wawancara mendalam dengan informan secara purposive yaitu petugas PTRM RSUP Fatmawati, petugas dan klien di satelit serta didukung dengan FGD dan studi dokumen laporan terkait. Selanjutnya data yang diperoleh direduksi, dikelompokkan sesuai pokok permasalahan, dan dianalisis dengan membandingkan antara hasil wawancara dan dokumen dalam bentuk uraian. Hasil penelitian ini menunjukkan, pertama, evaluasi pembinaan PTRM RSUP Fatmawati di satelit menunjukkan: (1) belum tersedia SPO pelaksanaan supervisi ke satelit; (2) belum seragamnya materi pelaksanaan supervisi oleh petugas; (3) persepsi petugas pelaksana mengenai layanan belum kearah kualitas pelayanan di satelit; (4) belum ada pengawasan dari Kementerian Kesehatan terkait pelaksanaan supervisi petugas RS Pengampu. Untuk itu diperlukan upaya untuk mengatasinya dengan membuat SPO pelaksanaan supervisi ke satelit yang baku dan dapat diterapkan dalam pelaksanaan supervisi ke satelit. Kedua, pembinaan sudah dilaksanakan secara efektif terhadap aspek output. Dikatakan efektif yaitu apabila tujuan yang ingin dicapai telah terlaksana, hal ini dibuktikan dengan keberhasilan layanan PTRM di 4 satelit wilayah DKI Jakarta. Pembinaan belum efektif terhadap aspek input dan proses layanan PTRM di satelit. Upaya yang harus dilakukan petugas Pembina adalah membuat usulan kepada Kementerian Kesehatan agar sistem pembinaan yang dilakukan oleh RS pengampu agar dapat mempunyai kewenangan terhadap pelayanan di satelit atau melakukan koordinasi kepada stake holder terkait masalah terhadap SDM dan fasilitas di satelit.
ABSTRACT Fatmawati Hospital is a referral hospital of MMT in Jakarta supervision to multiple satellites in the working area. Satellite coverage is low, other drug use problems, and some satellite that feel the difference in the way the coaches implement guidance makes researchers feel the need to evaluate the effectiveness of the guidance and the MMT in satellite services. The research was conducted in Fatmawati and 4 satellite region of Jakarta. Descriptive-qualitative method used to determine the evaluation of coaching MMT Fatmawati in satellite and; effectiveness of supervision on the quality of satellite services in 4 areas of Jakarta. Data obtained from in-depth interviews with informants purposively namely Fatmawati MMT officers, officials and clients in the satellite and supported by focus group study of documents and related reports. Furthermore, the data obtained is reduced, grouped according to subject matter, and analyzed by comparing the results of interviews and documents in narrative form. The results showed, first, formation evaluation MMT Fatmawati in satellite shows: (1) has not been available to the Satellite SPO implementation supervision, (2) the material has not been uniform implementation of supervision by officers, (3) perceptions regarding the executive officers yet toward service quality of service on satellites, (4) there is no supervision of the Ministry of Health on the implementation of the supervision officer RS custodian. Therefore, efforts to cope with the implementation of supervision to make SPO satellite and can be applied in the implementation of supervision to the satellite. Second, coaching is carried out effectively against the output aspect. Is said to be effective if the objectives have been accomplished, this is evidenced by the success of MMT services in 4 satellite Jakarta area. Yet effective coaching input and process aspects of MMT in the satellite services. Efforts must be made officers of PTRM Fatmawati Hospital is to make a proposal to the Ministry of Health for the system development undertaken by RS custodian in order to have the authority to services at the satellite or to coordinate the relevant stakeholders on HR issues and in satellite facilities.