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"In up to 80% of dyspepsia patients who consult a physician in the hospital, dyspepsia is considered to be functional dyspepsia. Although not associated with increased mortality, functional dyspepsia is a burden at both the community and national levels because it can cause physical, mental, and social ditress that can affect a patients quality of life. Health-related quality of life (HRQOL) is a multidimensional construct comprising at least three broad domains-physical, psychological, and social functioning-which can all be affected by a disease and its treatment. It is important to assess HRQOL in patients with functional dyspepsia to identify the effects of the disease and its treatment on patients. Both disease-specific and generic instruments can be used to assess HRQOL in patients with functional dyspepsia. Each instrument has it own advantages and limitations. The selection of instrument to assess HRQOL is determined by the study population, research questions, disease entities, and researcher preferences. The purpose of this article is to explain the concept of HRQOL and the use of HRQOL assessment in patients with functional dyspepsia.

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Hampir 80% pasien dispepsia yang berobat ke rumah sakit merupakan dispepsia fungsional. Dispepsia fungsional walaupun tidak meningkatkan mortalitas, namun dapat menjadi beban bagi komunitas dan negara, karena menimbulkan gangguan terhadap fisik, mental dan kualitas hidup pasien. Kualitas hidup terkait kesehatan merupakan konstruksi multidimensi yang terdiri dari setidaknya tiga domain yaitu fungsi fisik, psikologis dan sosial yang ketiganya dipengaruhi oleh penyakit dan pengobatan yang diberikan. Penilaian kualitas hidup terkait kesehatan merupakan hal yang penting pada pasien dispepsia fungsional untuk dapat mengidentifikasi dampak dari penyakit dan pengobatan yang diberikan kepada pasien. Instrumen generik dan spesifik penyakit dapat digunakan untuk menilai kualitas hidup terkait kesehatan pada pasien dispepsia fungsional. Masing-masing instrumen memiliki kelebihan dan keterbatasan. Pemilihan instrumen untk menilai kualitas hidup terkait kesehatan ditentukan berdasarkan populasi penelitian, pertanyaan penelitian, entitas penyakit, dan preferensi dari peneliti. Tujuan dari penulisan artikel ini adalah untuk menjelaskan mengenai konsep kualitas hidup terkait kesehatan dan penilaian kualitas hidup terkait kesehatan pada pasien dispepsia fungsional."

"Dyspepsia is a common complain in clinical practice. Correlation between helicobacter pylori (H. pylori) and functional dyspepsia had been reported in many studies, but studies that analyzed the severity of dyspepsia and H. pylori were limited and the result were controversial. This study is about to know the correlation between the severity of dyspepsia and H. pylori infection. A retrospective descriptive analysis to patients with dyspepsia at Permata Bunda Hospital, Medan was done in 2010-2014. Simple random sampling was done to get 44 patient with dyspepsia, 22 are H. pylori positive and 22 patients are H. pylori negative. The severity of dyspepsia assessed with porto alegre dyspeptic symptoms questionnaire (PADYQ) scoring instrument. Univariate and bivariate analysis (Chi-square and spearman correlation) were done using SPSS version 22. Epigastric pain is teh most common symptom in dyspepsia patients. There is a correlation between ulcer type dyspepsia and H. pylori infection (p=0.030), while dysmotility type and mixed type were not correlated. The severity of epigastric pain has significant positive correlation with H. pylori (r=0.386;p=0.01), while the severity of other symptoms such as nausea, vomit, and abdominal bloating have negative correlation with H.pylori. Dyspepsia total scoring is significantly lower in H. pylori positive than in H.pylori negative (p=0.033). There is a positive correlation between the severity of nausea, vamit, and abdominal bloating and H.pylori infection, and correlation between lower dyspepsia total scoring and H.pylori pain."

"Home Pharmacy Care (homecare) merupakan salah satu pelayanan kefarmasian yang dapat diberikan Apoteker dalam menunjang pemantauan dan pendampingan pengobatan pasien di Apotek. Namun, pembatasan kegiatan tatap muka karena pandemi COVID-19 membatasi pelayanan homecare oleh Apoteker. Melalui aplikasi telefarma yang terintegrasi dengan layanan Home Pharmacy Care pada sistem di Apotek Kimia Farma, dapat menjadi salah satu solusi dalam melakukan homecare tanpa harus bertatap muka dengan pasien. Pada kasus ini, homecare melalui telefarma dilakukan pada pasien rujuk balik dengan diagnosis jantung koroner, hipertensi, dan dispepsia. Homecare melalui telefarma memberikan efisiensi biaya, waktu, dan tenaga baik bagi pasien maupun apoteker, namun juga memiliki keterbatasan dalam penggalian informasi dan data pengobatan pasien. Kombinasi metode homecare dan telefarma dapat dilakukan karena masing-masing kekurangan dan kelebihan dalam pelaksanaannya. Apoteker sebaiknya selalu meningkatkan kemampuan dalam komunikasi dan penggalian informasi baik dengan pasien maupun dengan sesama tenaga kesehatan untuk meningkatkan pelayanan kefarmasian.

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Home Pharmacy Care (homecare) is one of the pharmaceutical services that can be provided by pharmacists in supporting monitoring and accompanying patient treatment at drugstore. However, restrictions on face-to-face activities due to the COVID-19 pandemic limit homecare services by pharmacists. Through the telefarma application hich is integrated with the Home Pharmacy Care service on the system at Kimia Farma Apotek, can be a solution for doing homecare without having to meet the patient directly. In this case, homecare via telepharma was carried out for back-referral patients (PRB) with a diagnosis of coronary heart disease, hypertension, and dyspepsia.

Homecare through telepharma provides cost, time and energy efficiency for both patients and pharmacists, but also has limitations in extracting patient information and treatment data. The combination of homecare and telepharma methods can be considered because of each advantages and disadvantages in its implementation. Pharmacists should always improve their skills in communication and gathering information both with patients and with fellow health workers to improve pharmaceutical services."