Currently, the world is facing immediate and unexpected changes every day due to the coronavirus disease 2019 (COVID-19) pandemic. These environmental stimulations have an impact on mental health, particularly in the case of children. Worldwide measures such as quarantine, social and physical distancing, and school closure can potentially take a toll on children’s mental health, in both the short and long terms. Grief, adjustment disorder and acute stress disorder (ASD) are some of the mental health issues that children are prone to suffer during a pandemic, leading to mood disorder, psychosis and even suicidal tendency, if not addressed and treated timely. As the pandemic continues, it is crucial to monitor children’s mental health status. Parents/ caregivers must receive continuous guidance on handling the situation appropriately. Both professionals and families/caregivers must tend to children’s mental health needs to safeguard their overall well-being.
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Schizoaffective disorder is a mental disorder accompanied by schizophrenic and affective symptoms that both stand out at one time. Affective symptoms that appear are manic, depressive or both. The prevalence of patients with schizoaffective disorder is about 0.3% of the general population. Women suffer more from schizoaffective disorder and usually suffer from depressive type schizoaffective disorder. The case that will be discussed here is a young adult woman who first suffered from a schizoaffective mixed type disorder. The difficulty faced in handling this case is to provide an understanding of the patient and family about schizoaffective disorders and how patients take medication regularly for a long time. Therefore, a biopsychosocial approach is considered the most suitable to overcome the difficulties in handling this case.
Penelitian ini bertujuan untuk mendapatkan informasi dan gambaran mengenai pelaksanaan SPM Rumah Sakit Bidang Farmasi menurut Menkes RI No 129 Tahun 2008 di RSUD Dr.A.Dadi Tjokrodipo Kota Bandar Lampung, dan mengukur serta mengevaluasi implementasi pencapaian SPM. Penelitian bersifat deskriptif. Sampel pada penelitian sebanyak 270 pasien rawat jalan BPJS yang menebus obat di Instalasi Farmasi RSUD Dr.A.Dadi Tjokrodipo. Instrumen penelitian adalah kuesioner kepuasan pelanggan dan lembar pengamatan resep. Hasil penelitian menunjukkan bahwa pelaksanaan SPM Rumah Sakit Bidang Farmasi di RSUD Dr.A.Dadi Tjokrodipo dipengaruhi oleh faktor input antara lain keterampilan petugas, sarana prasarana, jenis resep, ketersediaan obat, jenis pasien, peresepan dokter dan kebijakan yang efektif. Proses pelayanan resep dari tahapan penerimaan resep telah melalui verifikasi dan dilakukan pengecekan kembali sebelum penyerahan obat hasil pencapaian pelaksanaan SPM berdasarkan indikator waktu tunggu pelayanan obat jadi adalah 13 menit 8 detik dan untuk obat racikan 20 menit 34 detik, tidak adanya kesalahan pemberian obat sebesar 100%, penulisan resep sesuai formularium sebesar sebagai 89,26%, kepuasan pelanggan sebesar 91,9%. Dari hasil pencapaian empat indikator dapat dikatakan untuk waktu tunggu obat, tidak adanya kejadian kesalahan pemberian obat dan kepuasan pelanggan memenuhi SPM Bidang Farmasi sedangkan indikator penulisan resep sesuai formularium tidak memenuhi SPM Bidang Farmasi yang telah ditetapkan oleh Menteri Kesehatan. Ada pengaruh antara mutu pelayanan terhadap pemanfaatan instalasi farmasi dan variabel paling dominan mempengaruhi mutu pelayanan terhadap pemanfaatan instalasi farmasi adalah ketanggapan dan kepedulian.
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