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Olga Leodirista
Perbedaan kejadian sindrom metabolik pada kelompok pasien skizofrenia yang mendapat risperidon, quetiapin, dan olanzapine dalam hubungannya dengan pola diet, tingkat aktivitas, riwayat obesitas dalam keluarga, kebiasaan merokok, dan jumlah obat = Differences in metabolic syndrome in the schizophrenic patients with risperidone, quetiapin, and olanzapine in relation to diet patterns, activity levels, history of obesity in the family, smoking habits, and medications in cipto mangunkusumo hospital / Olga Leodirista
"ABSTRAK

Pendahuluan : Sindrom metabolik merupakan kumpulan kondisi medis yang dapat menyebabkan seseorang terkena diabetes melitus tipe 2 atau penyakit kardiovaskuler. Prevalensi sindrom metabolik pada populasi psikiatri memiliki hasil yang cukup bermakna yaitu sebanyak 3,3% sampai 68% pasien. Olanzapine dikatakan sebagai antipsikotik atipikal yang paling banyak menyebabkan sindrom metabolik, diikuti quetiapin dan risperidon. Metode: Penelitian observasional dengan rancangan studi potong lintang yang dilakukan pada Oktober 2017 hingga September 2018 di unit rawat inap dan rawat jalan Jiwa Dewasa RSCM. Subjek adalah pasien skizofrenia laki-laki dan perempuan dengan rentang usia 18-59 tahun yang mendapat terapi risperidon, quetiapin atau olanzapin. Pada subjek dilakukan wawancara karakteristik, pengukuran antropometri, pengisian food record 4x24 jam, serta pengambilan sampel darah puasa. Hasil: Pada karakteristik pengukuran sindrom metabolik didapatkan hasil bahwa 70,2% subjek mengalami obesitas sentral dan 79,1% subjek berada di dalam kelompok overweight-obesitas. Sebanyak 80,6% subjek memiliki gambaran pola diet dengan hasil kurang-cukup dari kebutuhan AKG, 89,6% dengan tingkat aktivitas rendah-sedang, 61,2% tidak merokok, 38,8% dengan riwayat obesitas keluarga, dan 59,7% berada dalam kelompok polifarmasi. Peneliti membagi sindrom metabolik menjadi dua kelompok, menurut kriteria IDF dan berdasarkan parameter klinis rutin. Terdapat perbedaan proporsi bermakna antara kelompok sindrom metabolik berdasarkan parameter klinis dengan kelompok obat risperidon, olanzapin, dan quetiapin dengan nilai p=0,017. Terdapat perbedaan proporsi secara bermakna antara kejadian sindrom metabolik kriteria parameter klinis dengan kebiasaan merokok (p=0,011). Diperoleh nilai p=0.012 yang menunjukkan bahwa korelasi antara perilaku merokok dan sindrom metabolik bermakna secara statistik. Nilai korelasi sebesar 0.293 menunjukkan korelasi positif dengan kekuatan korelasi lemah. Kesimpulan: Hasil yang bermakna didapatkan pada kelompok sindrom metabolik berdasarkan parameter klinis. Hasil pada kelompok sindrom metabolik berdasarkan IDF tidak bermakna secara statistik dimungkinkan karena parameter laboratorium berada dalam rentang normal, karena pada subjek telah mendapatkan terapi, dan modifikasi gaya hidup.

ABSTRACT

Introduction: The metabolic syndrome is a medical conditions that can cause a person to develop type 2 diabetes mellitus or cardiovascular disease. The prevalence of metabolic syndrome in the psychiatric population has significant results, which are 3.3% to 68% of patients. Olanzapine and clozapine are said to be atypical antipsychotics that cause the most metabolic syndrome, followed by quetiapin and risperidone. Method: Observational study with a cross-sectional study design conducted in October 2017 to September 2018 in the RSCM Adult Mental Health Inpatient and Outpatient Unit. The research subjects were male and female schizophrenic patients with an age range of 18-59 years who received risperidone, quetiapin or olanzapin therapy. Characteristic interviews, anthropometric measurements, 4x24 hour food record filling, and fasting blood sampling were conducted. Results: On the characteristics of the metabolic syndrome measurement, it was found that 70.2% of the subjects had central obesity and 79.1% of the subjects were in the overweight-obese group. As many as 80.6% of subjects had a description of diet patterns with results that were approximately the same as those of AKG requirements, 89.6% with low-moderate activity levels, 61.2% no smoking, 38.8% with a history of family obesity, and 59.7 % are in the polypharmacy group. The researchers divided the metabolic syndrome into two groups, according to IDF criteria and based on routine clinical parameters. There were differences in the significant proportions between the metabolic syndrome group based on clinical parameters with the drug group risperidon, olanzapin, and quetiapin with a value of p = 0.017. There was a significant difference in proportion between the incidence of metabolic syndrome criteria for clinical parameters and smoking habits (p = 0.011). Obtained p value = 0.012 which indicates that the correlation between smoking behavior and metabolic syndrome is statistically significant. The correlation value of 0.293 shows a positive correlation with the strength of a weak correlation. Conclusion: Significant results were obtained in the metabolic syndrome group based on clinical parameters. Results in the metabolic syndrome group based on IDF were not statistically significant because laboratory parameters were in the normal range, because the subjects had received therapy and lifestyle modification.
"
2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Limpah Kurnia
Hubungan antara kesehatan jiwa ibu dari anak penderita bibir sumbing dengan kualitas perawatan luka pasca operasi birir sumbing = Relation between mental health of mother with cleft lip children and quality of caring scar after cheiloplasty
"Latar Belakang.
Tujuan dari operasi bibir sumbing adalah untuk memperbaiki celah bibir/ sumbing bibir dengan mencapai hasil yang baik yaitu bentuk bibir yang simetris kiri - kanan dan juga kualitas parut yang halus, dengan alasan tersebut maka keberhasilan operasi tidak hanya bergantung pada kemampuan teknik operasi yang baik dan peralatan serta benang yang digunakan dalam operasi tersebut melainkan juga perawatan luka pascaoperasi yang sangat berpengaruh terhadap kualitas .Perawatan luka pascaoperasi dilakukan oleh pengasuh anak yaitu ibu kandung yang memiliki peran penting dalam proses perawatan luka pascaoperasi. Pengetahuan ibu tentang tata cara perawatan luka dan status kejiwaan ibu memiliki hubungan yang tidak dapat dipisahkan. Pada studi ini kami akan mencari hubungan diantara keduanya yaitu status kejiwaan ibu dan kualitas dari perawatan luka/ parut pascaoperasi bibir sumbing.
Bahan dan Metode
Studi ini adalah studi potong lintang, dilakukakn di Rumah Sakit Cipto Mangunkusumo pada periode Januari ? Desember 2014 dengan partisipasi dari ibu yang memiliki anak bibir sumbing yang secara sukarela menyetujui untuk dilakukan tindakan operasi bibir sumbing pada anak mereka yang dibuktikan dengan menandatangani lembar persetujuan. Partisipan diwawancarai dan mengisi kuisioner Self Reporting Quistionnaire-20 (SRQ-20) dan Mini International Neuropsychiatric Interview Versi on International Classification of Disease X ( M.I.N.I ICD X) yang diterbitkan oleh Organisasi Kesehatan Dunia sebagai uji diagnosti untuk gangguan jiwa. Pemeriksaan pada ibu dilakukan sebelum operasi pada penderita bibir. Pada studi ini kami menggunakan The Stony Brook Scar Evaluation Scale sebagai nilai ukur terhadap kualitas parut.
Hasil
Didapatkan 5 orang ibu yang terdiagnosa menderita gangguan jiwa berdasarkan pemeriksaan dengan menggunakan Self Reporting Questioneer - 20 yang menjawab pertanyaan dengan jawaban "ya" yang mempunyai nilai lebih dari 5, dan kami melakukan pemeriksaan lebih lanjut dengan menggunakan M.I.N.I ICD X untuk mengetahui jenis dari gangguan jiwa tersebut yang dilakukan 2 bulan pascaoperasi didapatkan hasil bahwa seluruh ibu yang awalnya terdiagnosa menderita gangguan jiwa dianggap sehat dan seluruh gejala klinis sebagai gangguan jiwa telah menghilang. Kualitas parut dari 22 operasi bibir sumbing didapatkan hasil 6 anak dengan parut yang memiliki kualitas kurang baik dengan nilai The Stony Brook Scar Evaluation Scale kurang dari 5 ( nilai 3 sebanyak 5 orang anak dan 1 orang anak memiliki nilai 4 ). Data dianalisa dengan menggunakan SPSS dan diuji dengan menggunakan Chi Square test ( Fisher's exact Test ), tidak terdapat hubungan yang signifikan antara kondisi kesehatan jiwa ibu dengan kualitas perawatan parut pascaoperasi bibir sumbing (Exact sig 1.00).
Background
The aim of cheiloplasty is correcting of cleft lip with the good quality to achieve symmetrical on left and right side and also with the finest scar. Hence those reason not only depend on excellent surgery procedural skill and materrial used by surgeon but also caring of wound after surgery which most influential the healing of scar. Postoperative wound care by mother as a caregiver. Mother participation as a caregiver for caring the wound is the most important thing. Mother knowledge of wound care and mental health of mother are both closely relationship. This study, we are looking for Relation between mental health of Mother and quality caring of scar after cheiloplasty.
Material and Methods
The study is cross sectional, in Cipto Mangunkusumo Hospital since on January - December 2014 with participant all of mother who agree her children to perfome cheiloplasty after informed consent. The participant Interviewed and quistionnaired by Self Reporting Quistionnaire-20 (SRQ-20) and of Mini International Neuropsychiatric Interview Versi on International Classification of Disease X ( M.I.N.I ICD X) by World Health Organization for diagnostic of mental health disorder on mother before perfome cheiloplasty. We use The Stony Brook Scar Evaluation Scale as parameter of scar quality.
Result
There are 5 mother's mental health disorder according examinated by Self Requesting Questioneer - 20 who answered "yes" above 5 point, and we perfomed advanced examination using M.I.N.I ICD X to knowing dygnoses of mental health disorder. Mother advaced examination perfomed over 2 month after cheiloplasty on children, and the result are all of clinical sign of mother disorder were disappeared. Quality of caring scar from 22 cheiloplasty, only 6 scar categorised not god below 5 point of The Stony Brook Scar Evaluation Scale (3 point 5 children and 4 point 1 child). Data Analysed by SPSS and tested by Chi Square test (Fisher's exact Test), there is no significance relationship between Mother?s mental health and Quality of caring scar after cheiloplasty (Exact sig 1.00)."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Alfi Fajar Almasyhur
Uji Validitas Instrumen Connor-Davidson Resilience Scale 25 (CD-RISC 25) versi Bahasa Indonesia = The Validation Study of Connor-Davidson Resilience Scale 25 (CD-RISC 25) in Indonesia
"Latar Belakang: Resiliensi merupakan salah satu faktor penting yang berhubungan dengan proteksi terhadap munculnya gangguan jiwa maupun berkurangnya gejala. Saat ini instrumen yang umum digunakan untuk menilai resiliensi pada individu adalah Connor-Davidson Resilience Scale (CD-RISC), namun properti psikometri pada instrumen tersebut masih belum jelas untuk versi bahasa Indonesia. Penelitian ini memiliki tujuan untuk mendapatkan nilai validitas serta reliabilitas instrumen CD-RISC 25 versi bahasa Indonesia.
Metode: Dilakukan validitas isi instrumen dengan melibatkan delapan orang pakar dari Departemen Ilmu Kedokteran Jiwa Fakultas Kedokteran Universitas Indonesia (FKUI). Penelitian ini merupakan penelitian potong lintang terhadap 125 subjek mahasiswa Fakultas Kedokteran Universitas Indonesia dengan metode pengambilan sampel stratified random sampling untuk uji validitas konvergen serta reliabilitas konsistensi internal, dan sebanyak 30 subjek untuk reliabilitas test-retest. Subjek diminta untuk mengisi instrumen CD-RISC 25 versi bahasa Indonesia dan Rosenberg Self-Esteem Scale (RSES), dan mengisi ulang CD-RISC 25 setelah 1 bulan.
Hasil: Hasil validitas isi mendapatkan I-CVI 0.75 hingga 1 dan S-CVI/Ave 0.96. Validitas konvergen memperoleh nilai r = 0.539; p < 0.001. Nilai Cronbach’s Alpha untuk reliabilitas konsistensi internal adalah 0.917. Reliabilitas test retest menunjukkan intraclass correlation 0.732, dan mayoritas pernyataan memiliki nilai r > 0.3.
Kesimpulan: Instrumen CD-RISC 25 versi bahasa Indonesia memiliki validitas serta reliabilitas yang baik untuk menilai resiliensi.
Backrground: Resilience is one of the important factors which is associated with the protection of mental illness development and reduced symptoms. In present, the widely used instrument to assess resilience is Connor-Davidson Resilience Scale (CD-RISC), however its psychometric properties is not known for the Indonesian version. This study aims to provide validity and reliability of CD-RISC 25 Indonesian version.
Methods: Content validity was performed by including eight experts from Psychiatry Department, Faculty of Medicine University of Indonesia. This study was a cross-sectional study with 125 subject of Faculty of Medicine University of Indonesia students using stratified random sampling for convergent validity and internal consistency reliability, and 30 subjects for test-retest reliability. The subjects were asked to complete CD-RISC 25 instrument and Rosenberg Self-Esteem Scale (RSES), and asked to complete CD-RISC 25 once more after 1 month.
Results: The value of I-CVI was 0.75 until 1 and S-CVI/Ave was 0.96 for content validity. Convergent validity showed the value of r = 0.539; p < 0.001. Cronbach’s Alpha for internal consistency reliability was 0.917. Test-retest reliability showed 0.732 for intraclass correlation, and majority of statments showed r > 0.3.
Conclusion: The instrument of CD-RISC 25 Indonesian version has good validity and reliability for assessing resilience."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2021
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UI - Tugas Akhir  Universitas Indonesia Library
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Darien Alfa Cipta
Faktor-Faktor yang Berhubungan dengan Pengetahuan Dokter Keluarga tentang Pengelolaan Gangguan Depresi = Factors Associated to Family Physicians’ Knowledge towards Depressive Disorder Management
"Latar Belakang: Gangguan depresi merupakan gangguan jiwa yang lazim pada masyarakat dengan angka kesenjangan pengobatan sebesar 91% dan memiliki prevalensi sebesar 5-20% di layanan kesehatan primer. Untuk mengatasi kesenjangan pengobatan pada gangguan depresi tersebut, integrasi antara layanan kesehatan jiwa ke dalam layanan primer menjadi hal yang penting. Pengetahuan dokter keluarga tentang pengelolaan gangguan depresi diperlukan untuk dapat melakukan deteksi dini dan tatalaksana agar luaran klinis menjadi lebih baik. Penelitian ini ditujukan untuk mengetahui gambaran tingkat pengetahuan dokter keluarga tentang pengelolaan gangguan depresi serta faktor-faktor yang terkait.
Metode: Penelitian merupakan penelitian observasional dengan desain potong lintang. Sampel sebanyak 83 dokter keluarga didapatkan dari anggota Perhimpunan Dokter Keluarga Indonesia (PDKI). Pengambilan data dilakukan menggunakan kuesioner demografis, kuesioner penilaian pengetahuan, dan kuesioner care coordinator scale (CCS). Data dianalisis dengan regresi linier multivariat.
Hasil: Pengetahuan dokter keluarga tentang gangguan depresi pada domain preventif, diagnostik, dan tatalaksana farmakologis belum sesuai harapan. Berdasarkan uji multivariat, didapatkan faktor-faktor yang berhubungan dengan tingkat pengetahuan adalah faktor edukasi pengobatan (p=0,006) dan faktor tindak lanjut (p=0,04) pada skala CCS, dengan R2 sebesar 0,077.
Simpulan: Diperlukan intervensi untuk memperkuat kapasitas dokter keluarga dalam melakukan pengelolaan gangguan depresi, dengan fokus pada aspek tatalaksana farmakologis.
Background: Depressive disorder is a common mental disorder with a treatment gap of 91%, with a prevalence of 5-20% in the primary care setting. To address the treatment gap for depressive disorder, integrating mental health services into primary care is essential. Fair knowledge of the management of depressive disorder is required to provide early detection and initial treatment for a better clinical outcome. The aim of this study is to understand the level of knowledge of family physicians about the management of depressive disorders and the factors associated with it.
Methods: This is an observational study with a cross-sectional design. A sample of 83 family physicians was obtained from The Association of Indonesian Family Physician members. Data were collected using a demographic questionnaire, knowledge assessment questionnaire, and care coordinator scale (CCS) questionnaire. Data were analysed using multivariate linear regression.
Results: The knowledge of family physicians of depressive disorder management in the domains of prevention, diagnostic, and pharmacological management, has not met expectations. Medication education (p=0,006), and follow-up care plan (p=0,04) domains of CCS are factors associated with family physicians’ knowledge of the management of the depressive disorder in the multivariate analysis, with R2 of 0,077.
Conclusion: Interventions to strengthen the capacity of family physicians in managing depressive disorder are required, with a focus on the pharmacological management aspect."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2021
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UI - Tugas Akhir  Universitas Indonesia Library
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Adhitya Sigit Ramadianto
Gejala depresi dan ansietas pada peserta Program Pendidikan Dokter: Hubungan dengan Koping dan Resiliensi = Symptoms of Depression and Anxiety among Medical Students: Association with Coping and Resilience.
"ABSTRAK
Latar Belakang. Prevalensi berbagai masalah kesehatan jiwa, termasuk depresi dan ansietas, pada peserta program pendidikan dokter lebih tinggi dibandingkan populasi umum, diduga akibat stresor terkait pendidikan. Resiliensi dan metode koping merupakan dua faktor yang diduga berhubungan dengan kerentanan peserta didik mengalami depresi dan ansietas. Penelitian ini bertujuan untuk mengetahui prevalensi gejala depresi dan ansietas pada peserta program pendidikan dokter, serta hubungannya dengan resiliensi dan metode koping. Metode. Penelitian ini dilakukan secara potong lintang pada sampel yang ditentukan secara stratified random sampling dari seluruh tingkat peserta didik di Fakultas Kedokteran Universitas Indonesia. Subyek mengisi sendiri kuesioner penelitian yang terdiri dari kuesioner sosiodemografik, pengukuran gejala depresi dan ansietas (Depression Anxiety Stress Scale [DASS]), pengukuran resiliensi (Connor-Davidson Resilience Scale [CD-RISC]), dan pengukuran metode koping (Brief COPE). Hasil. Prevalensi kumulatif gejala depresi dan ansietas pada peserta didik adalah 22,2% dan 48,1% dengan mayoritas berada dalam derajat ringan atau sedang. Gejala depresi lebih tinggi signifikan pada peserta didik yang tidak tinggal dengan keluarga inti; sedangkan gejala ansietas lebih tinggi signifikan pada perempuan serta pada peserta didik Tingkat 1 dan Profesi Tahun 1. Median skor CD-RISC adalah 68 (interquartile range 58-77) dari skor maksimal 100. Peserta didik lebih banyak menggunakan problem-focused dan emotion-focused coping dibandingkan dengan dysfunctional coping. Resiliensi berkorelasi negatif dengan gejala depresi (r = -0,428; p < 0,001) dan gejala ansietas (r = -0,298; p < 0,001). Koping disfungsional berkorelasi positif dengan gejala depresi (r = 0,461; p < 0,001) dan ansietas (r = 0,378; p < 0,001), terutama koping behavioral disengagement dan self-blame. Pembahasan. Prevalensi gejala depresi dan ansietas pada peserta didik relatif tinggi. Gejala depresi dan ansietas yang ringan tetap dapat menimbulkan distres dan hendaya yang dapat memengaruhi performa peserta didik, serta berisiko berkembang menjadi gangguan jiwa yang lebih berat. Intervensi kesehatan jiwa dapat ditujukan pada peserta didik dengan faktor risiko seperti resiliensi rendah atau koping disfungsional.
ABSTRACT
Introduction. Prevalence of mental health issues, including depression and anxiety, among medical students is relatively high, thought to be related to academic stressors. Resilience and coping methods are two factors hypothesized to be associated with students' vulnerability to depression and anxiety. This study aims to find the prevalence of depression and anxiety symptoms among medical students, and its association with resilience and coping methods. Methods. This is a cross-sectional study conducted in students from the Faculty of Medicine Universitas Indonesia, selected from all study years through stratified random sampling. Subjects fill in questionnaire that consists of sociodemographic questions, measurement of depression and anxiety symptoms (Depression Anxiety Stress Scale [DASS]), measurement of resilience (Connor-Davidson Resilience Scale [CD-RISC]), and measurement of coping methods (Brief COPE). Results. Cumulative prevalence of depression and anxiety symptoms among medical students are 22,2% and 48,1%, respectively. Students not living with their families show significantly higher depressive symptoms. Anxiety symptoms are significantly higher among female students and those in the first year of preclinical studies and in the first year of clinical rotations. Median score of CD-RISC is 68 (interquartile range 58-77) from a maximum of 100. Students use problem-focused and emotion-focused coping more frequently than dysfunctional coping. Resilience is negatively correlated with depression (r = -0,428; p < 0,001) and anxiety symptoms (r = -0,298; p < 0,001). Dysfunctional coping is positively correlated with symptoms of depression (r = 0,461; p < 0,001) and anxiety (r = 0,378; p < 0,001), especially behavioral disengagement and self-blame. Discussion. Prevalence of depression and anxiety symptoms among medical students is high. Even mild symptoms can cause distress and impairment that can affect students' performance. They are also at risk of developing more severe mental health issues. Mental health interventions can be aimed toward students with identified risk factors such as low resilience and dysfunctional coping.
"
2020
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UI - Tesis Membership  Universitas Indonesia Library
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Imelda Gracia Gani
Uji validitas dan reliabilitas instrumen mother-infant bonding scale dalam versi Bahasa Indonesia = Validity and reliability test of mother- infant bonding scale in Indonesian version
"[ABSTRAK
Bonding antara ibu dengan anak merupakan proses yang bersifat dinamik dan dua arah. Bonding berperan sangat penting pada masa awal kehidupan seorang anak. Bonding yang terbentuk akan mempengaruhi sikap pengasuhan ibu terhadap anak yang masih bergantung penuh pada dirinya. Bonding juga mempengaruhi perkembangan sensorik dan motorik anak. Dalam jangka panjang, gangguan bonding dapat menyebabkan berbagai gangguan emosi dan perilaku pada anak. Diperlukan alat ukur untuk menilai bonding antara ibu dengan anak, sehingga jika terdapat masalah maka dapat dilakukan intervensi segera. Penelitian ini dilakukan untuk mengelaborasi kesahihan dan keandalan instrumen Mother-Infant Bonding Scale dalam Bahasa Indonesia. Kesahihan instrumen ini dalam Bahasa Indonesia baik, dibuktikan oleh uji validitas isi. Keandalan instrumen Mother-Infant Bonding Scale versi Bahasa Indonesia menurut nilai Cronbach?s alpha untuk keseluruhan butir instrumen adalah 0,4; untuk faktor lack of affection adalah 0,4; sedangkan untuk faktor anger and rejection adalah 0,5.
ABSTRACT
Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child?s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon.
We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2.
;Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon.
We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2.
;Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon.
We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2.
, Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon.
We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2.
]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Agung Wiretno Putro
Hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan tingkat kontrol asma pada pasien asma di RSUPN Dr. Cipto Mangunkusumo = Relationship between depressive disorder and quality of life psychosocial stressors level of asthma control in asthmatic patients at Dr. Cipto Mangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanya
komorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhi
kualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yang
harus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahui
hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan
tingkat kontrol asma pada pasien asma.
Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yang
memiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguan
depresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto Mangunkusumo
Jakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,
instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,
instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test
(ACT).
Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asma
dengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitas
hidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidup
berdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan
(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p
= 0,001).
Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memiliki
skor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatan
psikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidak
memiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yang
tinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yang
memiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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R A Mulya Liansari
Uji validitas dan reliabilitas working alliance inventory (WAI) versi Bahasa Indonesia = Validity and reliability testing of working alliance inventory (WAI) Bahasa Indonesia version
"ABSTRAK
Latar Belakang: Psikoterapi merupakan salah modalitas dalam tatalaksana gangguan jiwa yang banyak memberikan luaran positif. Studi-studi dalam bidang psikoterapi umumnya menilai luaran dan proses psikoterapi, salah satu luaran yang dinilai adalah aliansi terapeutik dan dianggap sebagai faktor prediksi yang konsisten terhadap luaran terapi selama 30 tahun penelitian di bidang psikoterapi. Pengukuran aliansi terapeutik merupakan hal penting karena dapat menjamin proses psikoterapi yang efektif sehingga dapat meningkatkan kualitas layanan psikoterapi. Dalam bidang pendidikan pengukuran aliansi terapeutik dapat digunakan untuk menilai kemampuan peserta didik dalam membangun dan memelihara aliansi terapeutik selama menjalankan praktik psikoterapi. Saat ini belum ada instrumen versi bahasa Indonesia yang sahih dan handal untuk mengukur aliansi terapeutik. Instrumen Working Alliance Inventory WAI yang umum digunakan dalam mengukur aliansi terapeutik dipilih untuk dilakukan uji validitas dan reliabilitas dalam studi ini.Metode: Studi dilakukan di Poliklinik Jiwa Dewasa Rumah Sakit Cipto Mangunkusumo terhadap 100 pertemuan psikoterapi yang dilakukan selama bulan Desember 2016 hingga Mei 2017. Sesi psikoterapi yang dinilai adalah minimal pertemuan ketiga pasien dengan terapis yang sama. Sebelum diterapkan, telah dilakukan uji coba instrumen WAI Bahasa Indonesia pada 10 pertemuan psikoterapi. Uji validitas yang digunakan adalah validitas isi oleh 4 orang pakar psikoterapi dan validitas konstruksi dengan uji korelasi Pearson. Uji reliabilitas menggunakan reliabilitas konsistensi internal dengan mencari nilai Cronbach rsquo;s Alpha. Analisis uji validitas konstruksi dan reliabilitas menggunakan perangkat Statistical Package for the Social Sciences SPSS versi 20.Hasil: Partisipan studi terdiri dari 99 orang pasien dan 18 orang terapis. Pendekatan psikoterapi yang dilakukan pada 100 pertemuan berupa psikoterapi suportif 54 sesi, Cognitive Behavior Therapy CBT 20 sesi, dan psikoterapi psikodinamik 26 sesi. Uji validitas isi WAI versi Bahasa Indonesia untuk terapis dan pasien menghasilkan koefisien relevansi sebesar 1 yang berarti semua poin pernyataan relevan dengan konsep aliansi terapeutik. Uji validitas konstruksi menghasilkan instrumen WAI terapis adalah valid untuk setiap poin namun pada WAI pasien terdapat satu poin pernyataan nomor 9 yang tidak valid. Uji reliabilitas WAI Bahasa Indonesia menghasilkan nilai Cronbach rsquo;s Alpha sebesar 0,898 untuk kuesioner pasien dan 0,929 untuk kuesioner terapis.Kesimpulan: Uji validitas WAI Bahasa Indonesia dinilai valid untuk validitas isi. Berdasarkan validitas konstruksi, WAI Bahasa Indonesia versi terapis valid untuk mengukur aliansi terapeutik, dan versi pasien didapatkan 1 dari 36 poin pernyataan yang memiliki nilai p>0,05. Uji reliabilitas WAI Bahasa Indonesia menyimpulkan bahwa instrumen ini reliabel dalam mengukur aliansi terapeutik dengan Cronbach rsquo;s alpha 0,898 versi pasien dan 0,929 versi terapis .Kata Kunci: aliansi terapeutik, validitas, reliabilitas, Working Alliance Inventory
ABSTRACT
Background Psychotherapy is one of many therapeutic modalities in psychiatry that have been proven to produce positive outcomes. Studies in the field of psychotherapy commonly measure the process of psychotherapy and its outcome, therapeutic alliance is one of the measured aspects, as 30 years of research has shown that it consistently predicts the outcome of therapy. Measurement of therapeutic alliance is needed to assure the effectiveness of psychotherapeutic services in order to improve its quality. For educational purposes, the measurement of therapeutic alliance could assess the ability to build and to maintain alliance in psychiatric training. Currently, there is no valid and reliable instrument to measure therapeutic alliance. The Working Alliance Inventory WAI has been commonly used for such purpose and this study aims to evaluate its validity and reliability.Methods This study was conducted in the Adult Psychiatric Clinic of Cipto Mangunkusumo Hospital on 100 psychotherapy sessions from December 2016 to May 2017. Only psychotherapy with at least 3 sessions with the same therapist was included in this study. WAI Bahasa Indonesia underwent pilot trial in 10 psychotherapy sessions prior to testing. Content validity was assessed by 4 experts in psychotherapy, while construct validity was tested using Pearson correlation test. Cronbach rsquo s alpha was used to assess internal consistency as a measure of reliability. Analysis was performed using Statistical Package for the Social Sciences SPSS version 20.Results There were 99 patients and 18 therapists included in this study. Among the 100 psychotherapy sessions, 54 sessions were supportive psychotherapy, 20 sessions cognitive behavioral therapy, and 26 sessions psychodynamic psychotherapy. For content validity, relevance coefficient of WAI Bahasa Indonesia for therapist and for patient is 1, signifying that all items are relevant with the concept of therapeutic alliance. For construct validity, all items in WAI Bahasa Indonesia for therapist are valid, but one item in WAI Bahasa Indonesia for patient is not valid. Testing for internal consistency produced Cronbach rsquo s alpha of 0,898 and 0,929 for patient and therapist, respectively.Conclusion WAI Bahasa Indonesia achieved good content validity in measuring therapeutic alliance. WAI Bahasa Indonesia for therapist also achieved construct validity, but 1 out of 36 items in WAI Bahasa Indonesia for patient is not sufficiently valid with p value 0,05. For reliability, WAI Bahasa Indonesia achieved good internal consistency values with Cronbach rsquo s alpha 0,898 and 0,929 for patient and therapist, respectively.Keywords reliability, therapeutic alliance, validity, Working Alliance Inventory "
2017
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Siahaan, Kristiane
Prevalensi psikopatologi pada pasien HIV yang Mendapatkan terapi efavirenz dan faktor-faktor yang memengaruhinya = Psychopathology in HIV patients receiving efavirenz treatment : prevalence and associated Factors
"ABSTRAK
Latar Belakang. Efavirenz adalah salah satu obat antiretroviral lini pertama dalam tatalaksana infeksi HIV. Namun, penelitian dari beberapa negara menunjukkan sekitar 50% pengguna efavirenz mengalami efek samping psikiatrik, seperti gangguan tidur, mimpi buruk, insomnia, cemas, depresi sampai gangguan kognitif. Penelitian ini bertujuan untuk mengetahui prevalensi psikopatologi pada ODHA yang mendapatkan terapi efavirenz, serta faktor yang berhubungan, seperti faktor demografik, mekanisme koping, dan stigma.
Metode. Studi potong lintang ini menggunakan kuesioner yang diberikan pada pasien HIV di UPT HIV RSUPN Cipto Mangunkusumo yang menggunakan efavirenz. Psikopatologi diukur menggunakan SCL-90, mekanisme koping dengan Brief COPE, dan stigma dengan Berger HIV Stigma Scale. Selain itu, faktor demografik seperti usia, jenis
kelamin, riwayat gangguan jiwa, riwayat penggunaan narkotika, dan stadium HIV.
Hasil. Prevalensi psikopatologi pada pasien HIV yang diterapi dengan EFV sebesar 50 dari 112 subjek penelitian (44,6 %). Gejala psikopatologi terbanyak yang didapatkan adalah depresi 25.0% diikuti oleh gejala obsesif kompulsif 17.9%. Faktor yang menunjukkan hubungan signifikan dengan adanya psikopatologi adalah usia (p=0,01), stigma (p=0,01), dan riwayat penggunaan alkohol/zat psikoaktif lainnya (p=0,02).
Kesimpulan. Depresi merupakan psikopatologi yang paling banyak didapatkan pada penelitian ini. Faktor usia, stigma, dan riwayat penggunaan alkohol/zat psikoaktif lainnya mempunyai hubungan yang bermakna terhadap munculnya gejala psikopatologi pada pasien yang mendapatkan terapi EFV.
ABSTRACT
Background. Efavirenz is one of the first-line antiretroviral drugs in the management of HIV infection. However, research from several countries shows that about 50% of efavirenz users experience psychiatric side effects, such as sleep disorders, nightmares, insomnia, anxiety, depression to cognitive disorders. This study aims to determine the
prevalence of psychopathology in HIV patients who received efavirenz therapy, as well as related factors, such as demographic factors, coping mechanisms, and stigma.
Method. This cross-sectional design used a questionnaire given to HIV patients at UPT HIV Cipto Mangunkusumo General Hospital who used efavirenz. Psychopathology was measured using SCL-90, coping mechanism with COPE Brief, and stigma with Berger HIV Stigma Scale. In addition, demographic factors such as age, sex, history of mental
disorders, history of drug use, and stage of HIV.
Results. The prevalence of psychopathology in HIV patients treated with EFV was 50 out of 112 study subjects (44.6%). The most common psychopathological symptom was depression 25.0% followed by obsessive compulsive symptoms 17.9%. Factors that showed a significant correlation with the prevalence of psychopathology were age (p = 0.01), stigma (p = 0.01), and history of alcohol / other psychoactive substance use (p = 0.02).
Conclusion. Depression is the most commonly obtained psychopathology in this study. Age, stigma, and history of using alcohol / other psychoactive substance use have a significant significant correlation with the prevalence of psychopathological symptoms in patients receiving EFV therapy."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
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Rayinda Raumanen
Hubungan ketaatan pengobatan pada orang dengan gangguan jiwa (ODGJ) dengan regimen obat antipsikotik dan sistem layanan kesehatan di RSUP Nasional Dr. Cipto Mangunkusumo = Association among treatment adherence of people living with mental disorder, antipsychotic regimens, and mental health service system in RSUP Nasional dr. Cipto Mangunkusumo
"Latar belakang. Ketaatan pengobatan merupakan faktor penting untuk memberikan luaran yang baik pada ODGJ. ODGJ yang taat dengan pengobatan baik taat akan medikasi maupun perjanjian kontrol dapat mengalami pengurangan gejala psikopatologi, penurunan tingkat admisi rumah sakit, dan menurunnya tingkat kekambuhan gejala. Banyak faktor yang memengaruhi ketaatan pengobatan yang berasal dari ODGJ dan keluarga, tenaga kesehatan, dan layanan kesehatan. Faktor layanan kesehatan yang dimaksud adalah kompleksitas regimen obat, pembiayaan, akses, dan sistem rujukan pada layanan kesehatan. Sebagai rumah sakit rujukan nasional, kasus di RSUP Nasional dr. Cipto Mangunkusumo cenderung kompleks dan jenis obat yang terdapat pada rumah sakit ini lebih bervariasi dibandingkan fasilitas kesehatan lain. Sehingga penelitian ini dilakukan untuk mengetahui hubungan faktor layanan kesehatan dengan ketaatan pengobatan di RSUP Nasional dr. Cipto Mangunkusumo.
Metode. Penelitian ini menggunakan pendekatan mixed methods, pendekatan kuantitatif ditujukan untuk melihat hubungan regimen pengobatan dengan ketaatan pengobatan dan kualitatif untuk melihat pengaruh pembiayaan, akses, dan sistem rujukan pada ketaatan pengobatan ODGJ di RSUP Nasional dr. Cipto Mangunkusumo. Desain yang digunakan untuk metode kuantitatif adalah repeated measures, data ketaatan pengobatan ODGJ diambil tiap bulan dengan menggunakan instrumen self-report MARS selama 3 bulan berturut-turut dan jenis obat yang digunakan diambil dari catatan rekam medis. Selanjutnya dilakukan analisis perbandingan rerata skor MARS dan rerata skor MARS per domain antara regimen obat I (antipsikotik tunggal maupun kombinasi antipsikotik) dan regimen obat II (antipsikotik kombinasi dengan psikotropika lainnya). Penelitian kualitatif pada penelitian ini menggunakan metode wawancara mendalam dengan subjek yang sudah menyelesaikan pengambilan data MARS selama 3 bulan. Data yang diperoleh kemudian dibuat transkrip dan dimasukkan ke dalam matriks. Matriks yang dibuat kemudian divalidasi dengan metode triangulasi isi, metode, maupun investigator.
Hasil. Pada penelitian kuantitatif ditemukan ODGJ dengan regimen obat II dalam 3 bulan cenderung memiliki skor MARS lebih tinggi dibandingkan dengan regimen I meskipun secara statistik tidak bermakna. Akan tetapi, pada analisis domain MARS terdapat hubungan bermakna antara skor sikap bulan II dan III pada regimen obat I (p=0,03). Pada penelitian kualitatif ditemukan bahwa biaya pengobatan, biaya transportasi, biaya kebutuhan non medis, akses, jarak, waktu, motivasi, dan penolakan ke layanan kesehatan dapatmemengaruhi ketaatan pengobatan ODGJ di RSUP Nasional dr. Cipto Mangunkusumo.
Simpulan. Regimen pengobatan memengaruhi sikap ODGJ pengobatan. Demikian pula biaya untuk pengobatan, dan non-pengobatan, akses, jarak, waktu, motivasi, dan penolakan ke fasilitas kesehatan memengaruhi ketaatan pengobatan ODGJ.
Background. Adherence to treatment is an important factor to provide good outcomes in people living with mental disorder (PLWMD). PLWMD who are adherent to both medication and doctor’s appointment can experience a reduction in psychopathological symptoms, decreased hospital admissions, and decreased rates of symptom recurrence. Factors influencing adherence to treatment originate from PLWMD and their families, health workers, and health services. The health service factors that can affect adherence include the complexity of drug regimen, cost, access, and the referral system of health services. As a national referral hospital, case at RSUP Nasional dr. Cipto Mangunkusumo tends to be complex and the types of drugs available at this hospital are more varied than other health facilities. This research was conducted to determine the relationship between health service factors and medication adherence in RSUP Nasional dr. Cipto Mangunkusumo.
Method. This study used a mixed-methods approach. A quantitative approach aimed at seeing the relationship between treatment regimens and adherence and a qualitative approach to see the effect of cost, access, and referral systems on PLWMD treatment adherence at RSUP Nasional dr. Cipto Mangunkusumo. The design used for the quantitative method was repeated measurements. Treatment adherence was taken monthly using the MARS self-report instrument for 3 consecutive months and the types of drugs used were taken from medical records. Furthermore, a comparative analysis of the MARS score’s mean per domain was carried out between drug regimen I (single antipsychotic or combination antipsychotic) and drug regimen II (combination antipsychotic with other psychotropic drugs). Qualitative research in this study used in-depth interviews with subjects who have completed the MARS data collection for 3 months. The obtained data were transcribed and entered into a matrix. The matrix was validated using the content, method, and investigator triangulation.
Results. In the quantitative study, it was found that PLWMD with drug regimen II within 3 months tended to have a higher MARS score than regimen I although it was not statistically significant. However, in the MARS domain analysis, there was a significant relationship between month II and III attitude scores on drug regimen I (p = 0.03). In qualitative research, it was found that medical costs, transportation costs, costs for non-medical needs, access, distance, time, motivation, and refusal to health services could affect compliance with PLWMD treatment at RSUP Nasional dr. Cipto Mangunkusumo.
Conclusion. The treatment regimen influences attitudes towards treatment of PLWMD. Likewise, costs for treatment and non-treatment, access, distance, time, motivation, and refusal to go to health facilities affect compliance of PLWMD."
Depok: Fakultas Kedokteran Universitas Indonesia , 2020
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