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- 저자 : ( Gemalasari Novita Liman ) (검색결과 2 건)
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( Gemalasari Novita Liman ),( Imam Subekti ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Diabetic nephropathy is found in 20%-40% of diabetic patients who are mostly type 2 diabetes. Research fi nding out the effectiveness of angiotensin-converting enzyme inhibitor (ACEI) for reducing microalbuminuria incident in type 2 diabetic patient with normoalbuminuria have been published. This evidence based case report (EBCR) will show the search and critical appraisal of those studies. Methods: The search of evidence was done in Pubmed and Cochrane Library database using keywords. After applying inclusion and exclusion criteria, fi ltering doubles, reading abstract and looking for full text availability: there were two remaining journals which were appraised based on standardized British Medical Journal criteria of validity, importance, and applicability. Results: Of the two meta-analysis, Article written by Hirst JA et al. is valid, important, and applicative for patient`s case. Meanwhile, article written by Vejakama P et al. is valid, but not important and applicative because of studies` heternogenity Conclusions: ACEI reduced microalbuminuria incident by 16% signifi cantly over placebo for type 2 diabetic patients with normoalbuminuria.
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( Gemalasari Novita Liman ),( Chici Pratiwi ),( Muchtaruddin Mansyur ),( Nadira Susilo ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Based on program evaluation conducted at a hypertension primary health care, we found that the major problem of this clinic was lack of medication and control compliance of the patients. The chosen solution to solve this problem was developing an education-oriented control book for hypertensive patients in primary health care. Methods: This qualitative study lasted for nine days in a hypertension primary health care clinic in Central Jakarta, Indonesia. It consisted of six stages: the project design, development of control book, development of communicative educational messages, pretesting, revision, and evaluation by health professionals. Health staffs working at the clinic participated in fi lling the ten-question questionnaire of evaluation for previous control book and education-oriented control book. The mean scores were compared using t-test or Mann-Whitney U test. Discrimination was validated by the area under the curve (AUC) of receiver operating characteristic (ROC) curve analysis. Results: The education-oriented control book has 20 pages, 20. 5 cm X 14. 5 cm in size. The second page (after the title page) until the sixth page contains communicative educational messages. The seventh-the nineteenth page consist of patient`s health care records and the last page was for blood pressure chart. From the analysis, we found total mean scores for previous control book and education-oriented control book were 29. 2 ± 1. 64 and 34. 2 ± 1. 64 (p<0. 001). ROC curve analysis showed statistically signifi - cant power of discrimination in education-oriented control book (AUC = 0. 881). Conclusions: The education-oriented control book presented a signifi cant discrimination in our population and has potential for clinical applications as a part of health promotion media in hypertension primary health services.
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