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"Latar BelakangSkizofrenia merupakan salah satu gangguan mental paling berat yang menimbulkan resiko jangka panjang. Tatalaksana yang komprehensif dikembangkan dalam panduan praktik klinis (PPK) yang ditetapkan oleh berbagai institusi, termasuk RSUPN Dr. Cipto Mangunkusumo. Namun, melihat rendahnya angka remisi, implementasi PPK di RSCM patut dipertanyakan. Penelitian ini akan mengevaluasi kesesuaian pelayanan berdasarkan PPK dalam pengobatan orang dengan skizofrenia (ODS) di RSCM.MetodeStudi ini akan dilakukan dengan metode cross-sectional, observasional retrospektif menggunakan data sekunder dari rekam medis ODS di bangsal psikiatri dewasa di RSCM. Data tersebut akan diintegrasikan ke dalam formulir penilaian kesesuaian pelayanan berdasarkan PPK dan dianalisis dengan mixed method.HasilTerdapat 52 (20.16%) ODS dirawat inap dari 258 pasien di bangsal jiwa dewasa RSCM di 2022. Dari 38 subjek, 23 (60.5%) pasien berada di kisaran umur 18-29, 29 (76.3%) adalah laki-laki, 33 (86.8%) belum menikah, 38 (100%) menggunakan BPJS/JKN untuk pembiayaan, 24 (63.2%) komorbid dengan kelainan dari axis III, 28 (73.7%) tidak patuh dengan pengobatan, dan 2 (5.3%) mengalami readmisi dalam 30 hari setelah pulang dari perawatan. Setelah mengevaluasi kepatuhan manajemen terhadap PPK, ditemukan 37 (97.4%) memiliki ketaatan penuh, sedangkan 1 (2.6%) ketaatan parsial. Namun, di antara 37 yang taat penuh, hanya 30 (81,1%) yang mencapai ketiga kriteria target luaran. KesimpulanPelayanan skizofrenia di bangsal jiwa dewasa RSCM memiliki ketaatan kepada PPK dengan baik, di mana hampir semua pasien ditangani dengan kepatuhan penuh.

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Introduction

Schizophrenia is amongst the most severe mental disorders which poses a long-term up to a lifetime risk. Comprehensive management strategies were established in clinical practice guidelines (CPG) by institutions, including RSUPN Dr. Cipto Mangunkusumo. However, with the low rate of remissions, the implementation of CPG in RSCM is questioned. This research will evaluate the guideline adherence in the management for people with schizophrenia (PWS) in RSCM.

Method

An observational, retrospective cross-sectional study will be conducted using the secondary data from medical records of PWS in the adult psychiatric units in RSCM. The data will be integrated into an evaluation form of guideline adherence and analysed in mixed methods.

Result

There are 52 (20.16%) hospitalised PWS out of 258 patients in the RSCM adult psychiatric unit in 2022. Out of 38 subjects, 23 (60.5%) patients were in the age range of 18-29, 29 (76.3%) were males, 33 (86.8%) were not married, 38 (100%) were aided by BPJS/JKN for their hospitalisation fee, 24 (63.2%) had comorbidities from axis III, 28 (73.7%) were not compliant to medication, and 2 (5.3%) experienced readmission within 30 days after discharge. After evaluating the adherence of their management to CPG, we found 37 (97.4%) were in full adherence, while 1 (2.6%) is partially adherence. However, among the 37 that were in full adherence, only 30 (81.1%) achieved all three criteria of the target outcome.

Conclusion

The schizophrenia management in the RSCM adult psychiatric unit was in good adherence to the CPG, wherein almost all patients were managed in full adherence."

"Latar BelakangSkizofrenia merupakan salah satu gangguan mental paling berat yang menimbulkan resiko jangka panjang. Tatalaksana yang komprehensif dikembangkan dalam panduan praktik klinis (PPK) yang ditetapkan oleh berbagai institusi, termasuk RSUPN Dr. Cipto Mangunkusumo. Namun, melihat rendahnya angka remisi, implementasi PPK di RSCM patut dipertanyakan. Penelitian ini akan mengevaluasi kesesuaian pelayanan berdasarkan PPK dalam pengobatan orang dengan skizofrenia (ODS) di RSCM.MetodeStudi ini akan dilakukan dengan metode cross-sectional, observasional retrospektif menggunakan data sekunder dari rekam medis ODS di bangsal psikiatri dewasa di RSCM. Data tersebut akan diintegrasikan ke dalam formulir penilaian kesesuaian pelayanan berdasarkan PPK dan dianalisis dengan mixed method.HasilTerdapat 52 (20.16%) ODS dirawat inap dari 258 pasien di bangsal jiwa dewasa RSCM di 2022. Dari 38 subjek, 23 (60.5%) pasien berada di kisaran umur 18-29, 29 (76.3%) adalah laki-laki, 33 (86.8%) belum menikah, 38 (100%) menggunakan BPJS/JKN untuk pembiayaan, 24 (63.2%) komorbid dengan kelainan dari axis III, 28 (73.7%) tidak patuh dengan pengobatan, dan 2 (5.3%) mengalami readmisi dalam 30 hari setelah pulang dari perawatan. Setelah mengevaluasi kepatuhan manajemen terhadap PPK, ditemukan 37 (97.4%) memiliki ketaatan penuh, sedangkan 1 (2.6%) ketaatan parsial. Namun, di antara 37 yang taat penuh, hanya 30 (81,1%) yang mencapai ketiga kriteria target luaran. KesimpulanPelayanan skizofrenia di bangsal jiwa dewasa RSCM memiliki ketaatan kepada PPK dengan baik, di mana hampir semua pasien ditangani dengan kepatuhan penuh.

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Introduction

Schizophrenia is amongst the most severe mental disorders which poses a long-term up to a lifetime risk. Comprehensive management strategies were established in clinical practice guidelines (CPG) by institutions, including RSUPN Dr. Cipto Mangunkusumo. However, with the low rate of remissions, the implementation of CPG in RSCM is questioned. This research will evaluate the guideline adherence in the management for people with schizophrenia (PWS) in RSCM.

Method

An observational, retrospective cross-sectional study will be conducted using the secondary data from medical records of PWS in the adult psychiatric units in RSCM. The data will be integrated into an evaluation form of guideline adherence and analysed in mixed methods.

Result

There are 52 (20.16%) hospitalised PWS out of 258 patients in the RSCM adult psychiatric unit in 2022. Out of 38 subjects, 23 (60.5%) patients were in the age range of 18-29, 29 (76.3%) were males, 33 (86.8%) were not married, 38 (100%) were aided by BPJS/JKN for their hospitalisation fee, 24 (63.2%) had comorbidities from axis III, 28 (73.7%) were not compliant to medication, and 2 (5.3%) experienced readmission within 30 days after discharge. After evaluating the adherence of their management to CPG, we found 37 (97.4%) were in full adherence, while 1 (2.6%) is partially adherence. However, among the 37 that were in full adherence, only 30 (81.1%) achieved all three criteria of the target outcome.

Conclusion

The schizophrenia management in the RSCM adult psychiatric unit was in good adherence to the CPG, wherein almost all patients were managed in full adherence."

"ABSTRAKMahasiswa keperawatan harus memiliki persepsi yang positif terhadap perawat profesional serta memiliki motivasi yang tinggi untuk melanjutkan ke program profesi. Masih banyak lulusan sarjana keperawatan yang belum semuanya melanjutkan ke program profesi. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan antara persepsi tentang perawat profesional dan motivasi mahasiswa keperawatan reguler tingkat akhir melanjutkan ke program profesi. Desain penelitian ini menggunakan cross-sectional. Sampel penelitian yaitu dengan cara cluster sampling sebanyak 304 responden mahasiswa reguler tingkat akhir di empat institusi pendidikan profesi keperawatan di Jakarta. Hasil uji Chi-square menunjukkan terdapat hubungan yang bermakna antara persepsi tentang perawat profesional dan motivasi mengikuti program profesi.

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ABSTRACTNursing students should possess positive perception on nursing profession and high motivation to advance into clinical practice program. There are many bachelors of nursing who are yet to advance into clinical practice program. This study aimed to identify relationship between perception on professional nurses and motivation to advance into clinical practice program in senior students of regular program. The study design was cross sectional. 304 students from four different nursing institutions in Jakarta were selected through cluster sampling technique. Chi square analysis revealed a significant correlation between perception on professional nurses and motivation to advance into clinical practice program."

"[ABSTRAKMasyarakat di perkotaan sering mengkonsumsi makanan cepat saji/fast food yang menurut mereka lebih praktis serta juga menyukai makanan yang cenderung berminyak seperti makanan yang di goreng dan bersantan karena tidak sulit untuk mendapatkannya. Hal ini sudah merupakan menjadi gaya hidup. Makanan tersebut banyak mengandung lemak dan berkolesterol. Makanan yang mengandung lemak kolesterol dapat sebagai pemicu untuk timbulnya kolelitiasis. Penatalaksanaannyasaat ini ada yang dengan laparaskopi kolesistektomi. Klien yang akan menjalanitindakan laparaskopi membutuhan preoperative teaching. Klien yang mendapatkan preoprative teaching dapat menurunkan stress dan meningkatkan kemampuan koping klien terhadap tindakan laparaskopi kolesistektomi.

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ABSTRACTPeople in urban area eat fast food frequently which consider as simple choice and love fatty food such as deep fry food and coconut milk contained food because it's easy to get. This is a lifestyle. Those food contain a lot of fat and cholesterol. Fatty food can trigger a cholelithiasis. Treatment to cholelithiasis ischolelitectomy laparoscopy. Client going on laparoscopy need a preoperativeteaching. This kind teaching will reduce stress and improve client's coping ability to cholelitectomy laparoscopy., People in urban area eat fast food frequently which consider as simple choice andlove fatty food such as deep fry food and coconut milk contained food because it’seasy to get. This is a lifestyle. Those food contain a lot of fat and cholesterol.Fatty food can trigger a cholelithiasis. Treatment to cholelithiasis ischolelitectomy laparoscopy. Client going on laparoscopy need a preoperativeteaching. This kind teaching will reduce stress and improve client’s coping ability to cholelitectomy laparoscopy.]"

"This 2nd edition (of the original Successful private practice in neuropsychology) provides an updated overview of key principles and processes for establishing, maintaining and developing neuropsychology practice and neuro-rehabilitation program (NRP) treatment in medical center and/or private practice settings. Essential elements of an entrepreneurial model that work well in the medical center context and the necessary role of variety and peer review in the private practice setting are also discussed."