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"Tujuan: Penelitian bertujuan untuk menilai hubungan antara dukungan sosial, spiritualitas, dan stress terhadap beban keluarga dan kenyamanan pasien kanker. Metode: Desain penelitian yang digunakan adalah cross sectional dengan teknik purposive sampling, melibatkan 106 keluarga dan 106 pasien kanker. Penelitian ini menggunakan lima instrumen yaitu: Multimodal Scale of Perceived Social Support (MSPSS), Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Scale (FACIT-sp), Perceived Stress Scale (PSS-10), Caregiver Reaction Assessment Scale (CRA), dan kuesioner kenyamanan pasien kanker. Hasil: Penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara dukungan sosial dengan beban keluarga (p value 0.030), spiritualitas dengan beban keluarga (p value 0,000), dan stress dengan beban keluarga (p value 0.024). Stadium kanker tidak memiliki hubungan yang signifikan dengan kenyamanan pasien kanker (p value 0.080). Kesimpulan: Dukungan sosial, spiritualitas, dan stress berpengaruh terhadap beban keluarga. Diperlukan intervensi terkait dukungan sosial, spiritualitas, dan menagamen stress untuk menurunkan beban keluarga pasien kanker. 

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To determine the relationship between social support, spirituality, and stress towards the family caregivers burden and patients comfort. Method: Cross sectional was used. Purposive sampling technique involving 106 family caregivers and 106 cancer patients. This study utilized five instruments: Multimodal Scale of Perceived Social Support (MSPSS), Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Scale (FACIT-sp), Perceived Stress Scale (PSS-10), Caregiver Reaction Assessment Scale (CRA), and instrument for cancer patients comfort. Result: There was a significant relationship between social support and family caregiving burden (p value 0.030), spirituality and family caregiving burden (p value 0,000), stress and family caregiving burden (p value 0.024). There was no significant relationship  between cancer stage and patients comfort (p value 0.080). Conclusion: Social support, spirituality, and stress affect the family caregiving burden. It need intervention in social support, spirituality, and stress management to decrease the family caregiving burden."

"Pengkajian dan pelayanan resep serta dispensing merupakan bagian dari standar pelayanan farmasi klinik di apotek. Pelayanan resep yang teliti dengan waktu tunggu yang singkat menjadi salah satu upaya dalam meningkatkan kepuasan serta kenyamanan pasien. Evaluasi mengenai waktu tunggu pelayanan penting dilakukan sebagai salah satu indikator evaluasi mutu pelayanan kefarmasian di apotek untuk mengetahui kecepatan pelayanan farmasi dalam meningkatkan kepuasan juga kenyamanan pasien. Evaluasi dilakukan melalui observasi langsung dan pencatatan waktu tunggu pelayanan tiap resep obat jadi dan obat racikan di Apotek Roxy Poltangan. Hasil evaluasi menunjukkan rata-rata waktu pelayanan baik obat jadi maupun racikan sudah sesuai dan dapat dikatakan baik karena masih berada dalam rentang 15-30 menit. Faktor-faktor yang memengaruhi waktu pelayanan resep di Apotek Roxy Poltangan yaitu jenis resep, jumlah staf yang bertugas, jumlah obat yang diambil, dan sistem komputer yang digunakan.

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Assessment and prescription and dispensing services are part of the clinical pharmacy service standards in pharmacies. Careful prescription service with short waiting times is one of the efforts to increase patient satisfaction and comfort. Evaluation of waiting time for important services is carried out as an indicator for evaluating the quality of pharmaceutical services in pharmacies to determine the speed of pharmaceutical services in increasing patient satisfaction and comfort. Evaluation was carried out through direct observation and recording of waiting times for each finished drug prescription and concoction drug at the Roxy Poltangan Pharmacy. The evaluation results show that the average service time for both finished and concoction drugs is appropriate and can be said to be good because it is still in the range of 15-30 minutes. Factors that affect prescription service time at the Roxy Poltangan Pharmacy are the type of prescription, the number of staff on duty, the number of drugs taken, and the computer system used."

"Latar Belakang: Sel endotel kornea (SEK) paling mudah mengalami kerusakan pasca fakoemulsifikasi (fako). Pengaturan parameter fako menjadi salah satu cara untuk mengurangi kerusakan SEK. Tekanan intaokular (TIO) selama fako berlangsung mempengaruhi kenyamanan pasien. TIO dipengaruhi oleh pengaturan parameter fako. Tujuan: Membandingkan pengaturan fako dengan parameter high (H) dan low (L) di Rumah Sakit Cipto Mangunkusumo (RSCM) terhadap SEK dan persepsi nyeri pasien selama fako. Desain: Uji klinis randomisasi tersamar ganda. Hasil: 48 sampel untuk kedua kelompok fako parameter high dan low terkumpul selama periode November 2013-April 2014. Penilaian objektif SEK meliputi endothel cell density (ECD) dan central corneal thickness (CCT). Persepsi nyeri untuk menilai persepsi nyeri pasien digunakan kartu visual analog scale (VAS) yang telah menjadi standar JCI di RSCM. Terjadi peningkatan CCT dan penurunan ECD kedua kelompok parameter pasca fako 1 bulan, masing-masing 0.23VS2.23 dan 8.53VS6.99 (p>0.05). Tidak ada perbedaan signifikan pada VAS kedua parameter. Efikasi fako berdasarkan penilaian cumulative dissipated energy (CDE) kelompok H lebih baik daripada L (15.80VS21.29). Kesimpulan: Tidak ada perbedaan keamanan dan kenyamanan pasien fako parameter H dan L.

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Background: Corneal endothelial cell (CEC) prone to damage after phacoemulsification (phaco). Phaco parameter setting is an effort to reduce damage to the CEC. Patient?s comfort during phaco is influenced by IOP during phaco, in which are influenced by parameter settings.

Purpose: To compare phaco setting parameters from high (H) and low (L) parameters in Cipto Mangunkusumo (CM) hospitals impacted on CEC and patient?s pain perception (PP) during phaco procedure.

Study design: randomized control trial double blind.

Results: 48 outpatients were elegibly selected by RCT at CM hospital in periods of November 2013 ? April 2014. Impact of setting parameter difference were observed by objective measurement of endothel cell density (ECD), central corneal thickness (CCT). For PP a JCI approved standard using visual analog scale (VAS) were adapted. A built in software for phaco US energy count which is cumulative dissipated energy (CDE) used to objectively timed the phaco time, duration of operation (DO) were timed, and standard visual acuity (VA) was also noted. Analisis data using general linear model (GLM) repeated measures. Increase of CCT and decrease of ECD after 1 month in high and low phaco parameter are not significantly difference, respectively 0.23VS2.23 and 8.53VS6.99 (p>0.05).Significant difference were found in CDE between H and L; 15.80VS21.29 (p0.015).No statisticaly significant difference of VAS nor DO and VA.

Conslusion: No different in safety and patient's comfort using high and low parameter phaco."