Hasil Pencarian  ::  Simpan CSV :: Kembali

"Latar Belakang : Penilaian praktik kolaborasi interprofesi tenaga kesehatan penting dilakukan untuk memberikan gambaran mengenai praktik kolaborasi interprofesi bagi praktisi kesehatan dan bagi institusi pendidikan yang merencanakan pengalaman pembelajaran bagi mahasiswa profesi kesehatan. Berdasarkan telaah literatur penilaian praktik kolaborasi interprofesi dapat menggunakan Collaborative Practice Assessment Tool CPAT . Instrumen CPAT belum pernah digunakan di Indonesia sehingga perlu dilakukan validasi terlebih dahulu. Tujuan penelitian ini adalah melakukan uji validitas dan reliabilitas CPAT adaptasi Bahasa Indonesia.Metode : Penelitian ini menggunakan desain potong lintang untuk menilai validitas kuesioner CPAT adaptasi Bahasa Indonesia pada tenaga kesehatan. Penelitian melibatkan 304 responden tenaga medis dan kesehatan di Rumah Sakit Cipto Mangunkusumo dan dilaksanakan bulan Maret hingga Juni 2017. Penelitian ini melalui 3 tahap yaitu adaptasi bahasa, uji coba dan pengumpulan data untuk validasi. Data yang diperoleh kemudian dianalisis menggunakan perangkat SPSS 20.0 dengan exploratory factor analysis EFA untuk mengetahui jumlah subskala sekaligus menguji validitas dan reliabilitas kuesioner.Hasil : Sejumlah 304 kuesioner memenuhi untuk syarat analisis lebih lanjut. Hasil uji validitas konstruk ,menunjukkan hasil baik dan terdapat 3 butir pernyataan yang dihilangkan. Nilai koefisien korelasi 53 butir pernyataan > 0,3 dengan tingkat signifikansi 5 . Ektraksi dengan metode principal component analysis dan rotasi oblimin memperoleh 8 komponen hubungan antar anggota tim; hambatan dalam tim; hubungan tim dengan masyarakat; koordinasi dan pembagian peran dalam tim; pembuatan keputusan dan manajemen konflik; kepemimpinan; misi, tujuan, sasaran; keterlibatan pasien, tanggung jawab dan otonomi . Nilai koefisien alfa kuesioner CPAT adaptasi Bahasa Indonesia sangat baik yaitu 0,916.Kesimpulan : CPAT adaptasi Bahasa Indonesia valid dan reliabel untuk digunakan sebagai instrumen penilaian praktik kolaborasi interprofesi. Terdapat perubahan distribusi butir kuesioner pada komponen dan perbedaan komponen CPAT versi asli dan CPAT adaptasi Bahasa Indonesia. Instrumen CPAT adaptasi Bahasa Indonesia memenuhi kriteria validitas konstruk dan kriteria reliabilitas yang baik secara keseluruhan maupun setiap komponen. Kuesioner CPAT dapat digunakan lebih lanjut untuk menilai praktik kolaborasi interprofesi tenaga kesehatandi Indonesia.

---

Background Assessment of interprofessional collaborative practice of healthcare practitioners is important to provide an overview of current practices. The assessment is also strategic for educational institutions that plan to prepare learning experiences for medical and health professions rsquo students. A thorough literature review suggested that the Collaborative Practice Assessment Tool CPAT can be used to assess the practice of interprofessional collaboration in health setting. This instrument has not been used in Indonesia hence,it must be validated first. The purpose of this study was to provide evidence on the validity and reliability of Indonesian adaptation of CPAT.Method This study used cross sectional design to provide evidence on the validity and reliability of Indonesian version of CPAT questionnaire. The study involved 304 medical and healthcare practitioners at Cipto Mangunkusumo Hospital from March to June 2017. The study was conducted through 3 stages language adaptation, pilot study and validation study. The data was analyzed using SPSS 20.0 with exploratory factor analysis EFA to identify the number of subscales and to provide evidence of the validity and reliability of the questionnaire.Result A total of 304 completed questionnaires were eligible for analysis.The results of the construct validity test was good and a total of 3 items were removed from 56 item of an original CPAT. The correlation coefficient of 53 items was 0.3 with significance level of 5 . Extraction using principal component analysis and oblimin rotation method resulted in 8 components relationships among members team barriers team relationships with community coordination and role sharing decision making and conflict management leadership, missions, meaningful purpose, goals patient involvement responsibilty and autonomy . Cronbach alpha of Indonesian version of CPAT was very good 0,916.Conclusion The Indonesian version of CPAT was valid and reliable to be used as an instrument to assess interprofessional collaborative practice of health professionals. There were some changes in the total number of items, the distribution of items to the subscales and identified subcales in Indonesian CPAT compared to the original CPAT. The Indonesian version of CPAT fulfills the criteria of construct validity and reliability of a questionnaire both as a whole set and in each subscale. The questionnaire can be used further to assess interprofessional collaboration practiceof health professionals in Indonesia."

"Penilaian kecakapan mental pasien dalam mengambil keputusan medis secara obyektif sangat penting untuk menyeimbangkan antara otonomi pasien dan melindungi pasien dari pilihan yang tidak dipahaminya. Saat ini di Indonesia, penilaian kecakapan bergantung pada penilaian klinis dokter, dan belum ada alat ukur untuk menunjang penilaian tersebut. Tujuan dari penelitian ini adalah mendapatkan alat ukur MacArthur Competence Assessment Tool for Treatment (MacCAT-T) versi Bahasa Indonesia yang valid dan reliabel. Uji validitas dan reliabilitas dilakukan pada MacCAT-T yang telah diterjemahkan dan disempurnakan dalam Bahasa Indonesia. Validasi isi melibatkan penilaian kualitatif setiap butir pertanyaan oleh tiga orang ahli, kemudian diukur dengan pendekatan kuantitatif content validity index. Validitas isi MacCAT-T versi Bahasa Indonesia menunjukkan nilai I-CVI maupun S-CVI/ave 1,00 yang menggambarkan alat ukur ini relevan dalam menilai kemampuan mengambil keputusan medis. Setelah itu peneliti yang terlatih merekam wawancara MacCAT-T kepada tiga subyek pasien, dan ketiga rekaman tersebut dinilai oleh enam subyek rater. Konsistensi internal dinilai dengan cronbach’s-alpha dan reliabilitas inter-rater dinilai dengan intraclass correlation coefficient. Konsistensi internalnya baik dengan skor cronbach’s-alpha 0,907. Derajat kesepakatan inter-rater secara umum baik dengan hasil ICC 0,915 (IK95% 0,857 – 0,955). Derajat kesepakatan yang paling tinggi terdapat pada domain apresiasi dengan nilai ICC 0,958 (IK95% 0,869-0,993), diikuti dengan penalaran dengan nilai ICC 0,910 (IK95% 0,799-0,977), dan yang paling rendah pada domain pemahaman dengan nilai ICC 0,870 (IK95% 0,672-0,966). Oleh karena itu, dapat disimpulkan bahwa MacCAT-T yang telah diterjemahkan ke dalam Bahasa Indonesia dapat digunakan oleh peserta didik spesialis Ilmu Kedokteran Jiwa tahap akhir dan psikiater yang terlatih karena valid dan reliabel untuk menilai kecakapan mental dalam mengambil keputusan medis

---

Assessing a patient’s mental capacity to consent for treatment is necessary in order to equally consider maintenance of the patient’s autonomy and protect them from choices that they might not understand. Determination of a patient’s capacity in Indonesia relies solely on clinical judgment. Therefore, the objective of this study is to translate the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) instrument into Bahasa Indonesia and evaluate the validity and reliability of the Indonesian version. Validity and reliability testing were carried out on MacCAT-T, which has been translated into Bahasa Indonesia. Content validity was assessed by three experts and calculated using the Content Validity Index (CVI). I-CVI and S-CVI/ave values of the Indonesian version of MacCAT-T are both 1.00, which shows that the instrument is relevant in assessing capacity to consent for treatment. The MacCAT-T was administered to three patients by a trained researcher and the results were recorded. All recordings were assessed by six trained raters. Afterwards, the reliability properties of MacCAT-T were examined by intra-class correlation coefficient and Cronbach’s alpha value. Cronbach’s alpha value was found to be 0.907. The degree of inter-rater agreement was generally good, with an overall ICC of 0.915 (95% CI 0.857–0.955). The highest degree of agreement was found in appreciation, with an ICC value of 0.958 (95% CI 0.869-0.993), followed by reasoning ICC 0.910 (95% CI 0.799-0.977), and understanding ICC 0.870 (95% CI 0.672-0.966). From this study, it can be concluded that the Indonesian version of MacCAT-T is a valid and reliable tool to assess mental capacity to consent to treatment and can be used by trained final-year psychiatric residents and psychiatrists in Indonesia."

"Latar Belakang: Menurut Undang-Undang Nomor 18 Tahun 2014 tentang Kesehatan Jiwa, orang dengan gangguan jiwa (ODGJ) yang melakukan tindak pidana harus mendapatkan pemeriksaan Kesehatan Jiwa, salah satunya untuk menentukan kecakapan hukum seseorang untuk menjalani proses peradilan atau competence to stand trial (CST). Prinsip CST adalah pelaku kriminal harus memahami tuntutan terhadapnya dalam pengadilan dan membantu pengacaranya dalam pembelaan terhadap dirinya. Instrumen MacCAT-CA merupakan alat bantu pemeriksaan CST yang dapat memastikan psikiater mencakup area topik yang relevan secara konsisten serta memiliki sistem skoring yang terstandardisasi sehingga dapat membandingkan performa tersangka. Hingga saat ini, belum ada instrumen yang dapat menjadi alat bantu pemeriksaan CST di Indonesia sehingga perlu dilakukan adaptasi instrumen MacCAT-CA versi Bahasa Indonesia.Metode: Studi ini merupakan uji kesahihan isi serta studi kualitatif yang melibatkan lima pakar hukum dan empat pakar psikiater forensik. Pengukuran kesahihan isi dilakukan dengan menggunakan item content validity index (I-CVI) dan scale content validity index (S-CVI). Data kualitatif penelitian ini adalah berupa pernyataan pakar yang disampaikan melalui focused group discussion (FGD) dan secara tertulis mengenai adaptasi butir-butir instrumen MacCAT-CA agar dapat disesuaikan dengan sistem hukum, latar belakang, serta budaya Indonesia. Pemadatan fakta dilakukan pada pernyataan pakar, kemudian diproses menjadi satu interpretasi (coding). Selanjutnya peneliti melakukan pengumpulan fakta dan interpretasi yang sejenis.Hasil: Sembilan butir instrumen MacCAT-CA memiliki nilai I-CVI 0,78 atau lebih, sementara 13 butir memiliki nilai I-CVI di bawah 0,78. Nilai S-CVI/UA dan S-CVI/Ave berturut-turut adalah 0,14 dan 0, 56. Berdasarkan analisis data kualitatif, diperlukan penyesuaian instrumen MacCAT-CA pada aspek hukum, tingkat kerumitan pertanyaan, serta penyesuaian nama serta situasi pada contoh kasus. Usulan pertanyaan untuk instrumen MacCAT-CA versi bahasa Indonesia mencakup profesi hukum, proses atau tahapan hukum, istilah hukum, pemahaman seseorang  mengenai tindakannya dan bahwa mereka bersalah, barang bukti maupun saksi, fakta-fakta yang dapat disampaikan di persidangan, dan pemahaman mengenai hal-hal yang dapat meringankan maupun memberatkan seseorang dalam pengadilan.Kesimpulan: Hasil uji kesahihan isi menunjukkan bahwa perlu dilakukan modifikasi pada butir-butir instrumen MacCAT-CA agar sesuai dengan populasi di Indonesia. Modifikasi butir dapat dilakukan sesuai masukan yang diberikan oleh pakar pada penelitian selanjutnya.

---

Background: According to Law of The Republic of Indonesia Number 18 of 2014 on Mental Health, people with mental disorders who commit criminal acts must undergo a mental health examination, one of which is to determine competence to stand trial (CST). The principle of CST is the criminal must understand his charge and assist his legal counsel in defending him. The MacCAT-CA is a CST examination tool that can ensure psychiatrists to consistently cover relevant topics and have a standardized scoring system so that they can compare the performance of suspects. Until now, there is no instrument that can be used as a tool for CST examination in Indonesia. Thus, an adaptation of the MacCAT-CA for the Indonesian population is necessary.

Methods: This study involved five legal experts and four forensic psychiatrists. We evaluated the content validity of the MacCAT-CA using item content validity index (I-CVI) and scale content validity index (S-CVI). We also collected qualitative data through focused group discussions (FGD) and in writing regarding the adaptation of the MacCAT-CA items so that it can be adapted according to the legal system, background, and culture in Indonesia. Condensation of facts was carried out on expert statements, then processed into one interpretation (coding). Then, we collected facts and similar interpretations.

Results: Nine items have an I-CVI value of 0.78 or more, while 13 items have an I-CVI value below 0.78. The values of S-CVI/UA and S-CVI/Ave are 0.14 and 0.56, respectively. Based on qualitative data analysis, it is necessary to adjust the MacCAT-CA instrument on legal aspects, the level of complexity of the questions, as well as adjustments to the names and situations in the case example. The proposed questions for the Indonesian version of the MacCAT-CA instrument cover the legal professions, legal processes or stages, legal terms, a person's understanding of their actions and whether they are guilty or not, evidence and witnesses, facts that can be presented at trial, and understanding of things that can relieve or incriminate someone in court.

Conclusion: The results of the validity test indicate that it is necessary to modify the MacCAT-CA instrument to suit the Indonesian population. The experts’ input in this research can guide the adaptation of this instrument in further research."

"[ABSTRAKLatarbelakang: Perubahan akibat menua yang terjadi pada gigi dan jaringan sekitarnya dapat mempengaruh ikualitas hidup seseorang. Penelitian ini dilakukan untuk menganalisis hubungan antara status kesehatan gigi mulu tdengan kualitas hidup lansia menggunakan alat ukur Oral Health Assessment Tool (OHAT) dan Geriatric Oral Health Assessment Index (GOHAI). Di Indonesia, masih banyak daerah yang tidak terjangkau dokter gigi, sehingga diperlukan alat ukur yang dapat digunakan oleh tenaga kesehatan selain dokter gigi dan kader. Tujuan: Uji kesepakatan antar rater, validasi dan reliabilitas OHAT dan GOHAI, menganalisis hubungan kesehatan gigi mulut dan kualitas hidup serta mengetahui faktor yang paling berpengaruh terhadap kesehatan gigi mulut dan kualitas hidup lansia. Metode: Potong Lintang. Pencatatan data sosiodemografis dan pemeriksaan intraoral. Wawancara untuk pengisian kuesioner kualitas hidup lansia. Hasil: Penilaian antar rater dengan uji Kappa menunjukkan konsistensi yang cukup baik. Alat ukur kualitas hidup valid dan reliabel. Padauji chi-square, tidak terdapat hubungan antara status kesehatan gigi mulut dankualitas hidup. Kesehatan gigi mulut berhubungan bermaknadengan jenis kelamin (p=0.026) dan pendidikan (p=0.015). Kualitas hidup berhubungan bermakna dengan tingkat ekonomi (p=0.01). Kesimpulan: Alat ukur Oral Health Assessment Tool dan Geriatric Oral Health Assessment Index dapat digunakan di Indonesia. Tidak ada hubungan antara status kesehatan gigi mulut dan kualitas hidup lansia di Indonesia. Jenis kelamin merupakan faktor yang paling mempengaruhi kualitas hidup lansia.

---

ABSTRACTBackground: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders., Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.]"

"Malnutrisi sering dialami oleh pasien kanker dan dapat menyebabkan penurunan kualitas hidup. Oleh karena itu, identifikasi awal pasien yang berisiko malnutrisi harus dilakukan pada semua pasien kanker, namun hingga saat ini, belum ada baku emas alat skrining yang digunakan di bagian rawat jalan radioterapi. Penelitian ini merupakan studi potong lintang yang dilakukan untuk membandingkan skrining malnutrisi Malnutrition Screening Tool (MST) dan Abridged Patient-Generated Subjective Global Assessment (abPG-SGA) pada 144 pasien kanker yang akan menjalankan radioterapi di RSUPNCM, dengan Patient- Generated Subjective Global Assessment (PG-SGA) sebagai baku emas. Didapati sebanyak 41% pasien berisiko malnutrisi (PG-SGA). Skrining MST dinilai mudah dan cepat dengan rerata waktu pengerjaan 21 detik, dan memiliki nilai sensitivitas 84,75%, spesifisitas 77,65%, nilai prediksi positif (NPP) 0,73, nilai prediksi negatif (NPN) 0,88, dan nilai area under the ROC curve (AUC) 0,812. Skrining abPG-SGA memiliki sensitivitas 98,31%, spesifisitas 92,94%, NPP 0,91, NPN 0,99, AUC 0,956, dan rerata waktu pengerjaan 2 menit 24 detik. Kesimpulan yang dapat diambil adalah abPG-SGA merupakan alat skrining yang lebih baik dan akurat untuk digunakan di bagian rawat jalan radioterapi.

---

Malnutrition is common among cancer patients and can lead to decreased quality of life. Therefore, early identification of patients at risk of malnutrition should be performed in all cancer patients, but until now, there is no gold standard of nutrition screening tool that should be used in outpatient radiotherapy setting. This study was a cross-sectional study conducted to compare Malnutrition Screening Tool (MST) and Abridged Patient-Generated Subjective Global Assessment (abPG-SGA) as nutrition screening tools in 144 radiotherapy outpatients against Patient-Generated Subjective Global Assessment (PG-SGA) as the gold standard. Forty-one percent of patients were at risk of malnutrition (PG- SGA). The MST was a simple and quick tool with an average of 21 seconds. It had 84.75% sensitivity, 77.65% specificity, positive predictive value (PPV)=0.73, negative predictive value (NPV)=0.88, and area under the ROC curve (AUC)=0.812. The abPG-SGA yielded 98.31% sensitivity, 92.94% specificity, PPV=0.91, NPV=0.99, AUC=0.956, and it took an average of 2 minutes 24 seconds. In conclusion, the abPG-SGA is a better and more accurate screening tool in outpatient radiotherapy setting."