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"Obyektif: Untuk menilai kualitas hidup pada pasien dengan penyakit kronis, WHO mengembangkan instrumen penilaian kualitas hidup yaitu WHOQOL-100 yang terdiri dari 100 butir pertanyaan dalam 6 domain dan 24 facet. Untuk kepentingan kepraktisan dikembangkan pula versi singkatnya yaitu WHOQOL-BREF yang terdiri dari 26 pertanyaan dalam 4 domain. Tujuan penelitian ini untuk mengetahui apakah WHOQOL-100 dan WHOQOL-BREF stabil dan terpercaya dalam menilai kualitas hidup pada pasien yang berobat jalan di RSCM.Metode: Responden adalah pasien yang didiagnosis menderita penyakit kronis dan sedang berobat jalan di poli rawat jalan RSCM dan petugas kesehatan (perawat, pegawai dan residers) yang bertugas di RSCM. Validasi dilakukan dengan menguji Discriminant Validity dengan r test, sensitivitas, spesifisitas dan akurasi menggunakan Analisis Diskriminan, dan Analisis Faktor menggunakan Principal Componen Analysis. Untuk mengetahui reliabilitas dilakukan uji Cronbach 's alpha untuk memperkirakan internal consistency dan Test-Retest menggunakan Pearson 's r correlation.Hasil: Hasil uji sentivitas, spesifitas menunjukkan hasil yang cukup valid sedangkan pada Analisis Faktor terdapat 15 pertanyaan yang berkorelasi lemah pada WHOQOL-100 dan pada WHOQOL-BREF 9 pertanyaan. Uji Cronbach's alpha menghasilkan internal consistency seperti yang diharapkan. yaitu antara 0,6138-0,7808 untuk WHOQOLBREF dan 0,6320-0,8190 untuk WHOQOL-100 Test-Retest menunjukkan tidak ada perbedaan yang bermakna antara test dan retest. Sedangkan pada t-test menunjukkan perbedaan yang bermakna antara pasien dan orang sehat, kecuali pada domain spiritual.Kesimpulan: WHOQOL-100 dan WHOQOL-BREF valid dan terpercaya namun ada beberapa pertanyaan yang perlu diperbaiki, terutama pads tats bahasa agar mudah dipahami.

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Objective: To assess quality of life in chronically ill patients, WHO developed an instrument which is called WHOQOL-100 contain 100 items of questions in 6 domain and 24 facets. For practical purpose an abbreviated 26 item and 4 domain instrument, the WHOQOL-BREF has been developed. The aim of this research is to analyze the reliability and validity of the WHOQOL-100 and WHOQOL-BREF in assessing the quality of life of patients Cipto Mangunkusumo Hospital.Methods: Respondents consist of the chronically ill ambulatory patients who came to Cipto Mangunkusumo Hospital and hospital personnel (paramedics, administrative and the residents) who are on duty in RSCM. Data analyses were carried out using SPSS 11.0. To analyze the validity, the Discriminant validity determined via t-test. For sensitivity, specificity and accuracy determined via Discriminant Analysis and Confirmatory Factor Analysis of the items was carried out using Principal Component Analysis. To analyze the reliability we uses Cronbach's alpha to estimate the internal consistency, and for test-retest we use Pearson's r correlation.Result: The sensitivity, specificity and accuracy show good validity, even though there are 15 questions which have low correlation in WHOQOL-100 and 9 questions in WHOQOL-BREF. Cronbach's alpha show good internal consistency in the range 0.6138-0.7808 for the WHOQOL-BREF and 0.6320-0.8190 for the WHOQOL-100. For test-retest there is no significant difference between test and retest. And for t test there is significant difference between patients and health persons, except for spiritual domain.Discussion; WHOQOL-100 and WHOQOL-BREF are valid and reliable, even though there are several questions that have to be' reviewed' especially in connotation to make the questions more comprehensible for Indonesians."

"Latar belakang: Lanjut usia merupakan populasi yang rentan terhadap gangguan kesehatan dan mempengaruhi kualitas hidup. Kondisi rongga mulut yang buruk dapat menyebabkan rasa sakit, ketidaknyamanan, infeksi bahkan gangguan nutrisi sehingga dapat mempengaruhi kualitas hidup.  Kesehatan rongga mulut merupakan bagian penting bagi kesehatan umum dan mendukung tercapainya kualitas hidup yang baik. Untuk mengukur persepsi lansia mengenai dampak kesehatan rongga mulut terhadap kehidupan sehari-hari maka dibuat suatu instrumen kualitas hidup terkait kesehatan rongga mulut. Instrumen yang paling umum digunakan adalah versi singkat Oral Health Impact Profile (OHIP-14). Tujuan: Menguji validitas dan reliabilitas instrumen OHIP-14 versi Indonesia pada populasi lansia di PSTW Binaan Dinsos DKI Jakarta. Metode: Metode penelitian yang dilakukan adalah potong lintang. Versi asli OHIP-14 yang berbahasa Inggris diterjemahkan ke dalam Indonesia melalui proses cross cultural-adaptation pada populasi lansia di Panti Sosial Tresna Werdha Binaan Dinas Sosial DKI Jakarta. Reliabilitas instrumen diuji menggunakan konsistensi internal yang dinilai dengan Cronbach’s alpha, sedangkan test-retest dinilai menggunakan intraclass correlation coefficient. Validitas konvergen diuji dengan melihat hubungan antar masing-masing domain, total skor OHIP dan persepsi diri mengenai gigi geligi, pengunyahan dan estetika. Validitas konvergen diuji dengan membandingkan skor OHIP dengan status kondisi rongga mulut. Hasil: Berdasarkan analisis didapatkan hasil bahwa domain pertanyaan OHIP-14 adalah signifikan dengan intraclass correlation coefficient per domain adalah 0,521-0,770, dan intraclass correlation coefficient skor total OHIP-14 adalah 0,78. Sedangkan nilai Cronbach’s alpha skor total OHIP-14 adalah 0,932. Kesimpulan: penelitian ini menunjukkan bahwa instrumen OHIP-14 versi Indonesia adalah valid dan reliabel sebagai alat ukur dalam mengevaluasi dampak kesehatan rongga mulut terhadap kualitas hidup pada studi epidemiologi populasi lansia di Indonesia.

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Background: To measure individual oral health perception toward daily activities capability, an evaluation of Oral Health Related Quality of Life is made. The most commonly used instrument is the short version of Oral Health Impact Profile (OHIP-14), developed by Slade.

Aim: This study aimed to validate an Indonesian short version of OHIP-14 in elderly population.

Methods: The original English version of OHIP-14 was translated into Indonesian language (OHIP-14ID) and applied in the elderly populations in government nursing homes. Reliability was examined by test-retest with evaluated by Cronbach’s alpha and average inter-item correlation coefficients. Convergent validity was established by examining relationships between the OHIP domain, total OHIP scores, and self-reported satisfaction on general dentition, chewing function, and aesthetics. Discriminant validity was examined by comparing OHIP scores and dental status.

Results: Internal consistency coefficient of the total OHIP-14ID score as absolute agreement was 0.770. The Cronbach’s alpha value for total OHIP-14ID scores was 0.932. All domain of OHIP-14ID confirmed significant value.

Conclusion: This study suggested that the OHIP-14ID can be used as a valid and reliable instrument for evaluating the impacts of oral condition to quality of life in epidemiological studies among the elderly in Indonesia."

"Latar Belakang : Occupational Fatigue Exhaustion Recovery OFER sebagai instrumen penilaian kelelahan pada pekerja selain bisa mendapatkan tingkat kelelahan kronis, kelelahan akut juga dapat menilai kecukupan intershift recovery dan banyak dipergunakan secara luas di berbagai negara, akan tetapi belum ada dalam versi Bahasa Indonesia. Penelitian ini bertujuan untuk mendapatkan OFER15 versi Bahasa Indonesia yang valid dan reliabel. Metode Penelitian : Adaptasi OFER15 versi aslinya menggunakan metode 10 langkah dari ISPOR International Society for Pharmacoeconomics and Outcomes Research diikuti dengan uji validitas butir dan faktor serta uji reliabilitas. Pengujian dilakukan terhadap 172 pekerja baik itu dengan sistem shift maupunnonshift pada IndustriManufacturedi PT X di Jakarta. Hasil Penelitian : Hasil dari ISPOR pada penelitian ini terjadi beberapa penyesuaian bahasa dan idioms. Keseluruhan 15 butir OFER15 versi Bahasa Indonesia dinyatakan valid r = 0.496-0.649 . Hasil Analisis Faktor Eksploratori mengidentifikasi struktur tiga faktor yang signifikan yang memiliki kompatibilitas yang dapat diterima untuk model kuesioner OFER-15 asli. Nilai Alpha Cronbach OFER15 versi Bahasa Indonesia adalah 0.82 pada Subskala Kelelahan Kronis , 0.88 pada Subskala Kelelahan Akut dan 0.82 pada Subskala Intershift Recovery.Didapatkan hasil tes-retest dengan nilai Intra-Class Correlation> 0.8 pada setiap subskala. Hasil penelitian di PT X dari 172 pekerja didapatkan 91 orang mengalami kelelahan kronis, 33 nya kekurangan waktu pemulihan kerja, 68 orang mengalami kelelahan akut, 34 nya kekurangan waktu pemulihan kerja, dan 13 orang 8 tidak mengalami kelelahan akibat kerja. Kesimpulan : OFER15 versi Bahasa Indonesia ini memiliki validitas, reliabilitas dan stabilitas internal baik, sebagai instrumen yang dapat dipergunakan untuk menilai kelelahan umum akibat kerja pada populasi pekerja di Indonesia.

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Background : Occupational Fatigue Exhaustion Recovery OFER is an instrument for general fatigue assessment in workers, whether chronic fatigue, acute fatigue and adequacy of intershift recovery and has widely been used in many countries, however there hasn rsquo t been Indonesian version. This research aims at obtaining a valid and reliable OFER15 Indonesian version.

Methods : Adaptation of the original version of OFER15 using the 10 step methods of ISPOR International Society for Pharmacoeconomics and Outcomes Research followed by a validity test of items and factors as well as a reliability test. The test was conducted toward 172 employees either in shift or non shift systems in a ManufacturingIndustry at PT X in Jakarta.

Results : The result of ISPOR in this research, there were some adjustment of idioms in Indonesia Language. All of 15 items the OFER15 questionnaire Indonesian version were all valid r 0.496 0.649. The results of Exploratory Factors Analysis identified a significant three factor structure that had an acceptable compatibility to the model of original OFER15 questionnaire. The Alpha Cronbach of OFER15 Indonesian version is 0.82 for the Chronic Fatigue Subscale, 0.88 for the Acute Fatigue Subscale and 0.82 for the Intershift Recovery Subscale. In the reliability test, the score of Intra Class Correlationis 0.8. The results of applying this instrument to 172 workers of this company, identified 91 workers suffered chronic fatigue among them 33 had inadequate intershift recovery, 68 workers suffered acute fatigue among them 34 had inadequate intershift recovery and 13 workers 8 did not experience fatigue due to work.

Conclusion : The OFER15 Indonesian version is valid, reliabel and has good internal stability. This instrument can be used to assess general fatigue due to work among Indonesian workers."

"Anterior knee pain (AKP) sering disamakan dengan nyeri patellofemoral, merupakan keluhan yang sering dirasakan dari individu yang aktif secara fisik. Pada militer kejadian AKP sering tidak terlaporkan sehingga diperlukan instrumen evaluasi luaran klinis khususnya pada populasi militer. Anterior knee pain scale (AKPS) atau Skor Kujala, dalam Bahasa Indonesia merupakan instrumen yang sudah terbukti sahih dan andal mengevaluasi keterbatasan fungsional pada pasien umum dengan diagnosis patellofemoral pain syndrome. Tesis ini bertujuan untuk menguji kesahihan dan keandalan kuesioner AKPS versi Bahasa Indonesia pada prajurit militer khususnya Kostrad dengan nyeri lutut anterior. Metode penelitian adalah studi potong lintang dengan jumlah subjek 34 orang yang sesuai kriteria inklusi dan eksklusi. Subjek kemudian dilakukan inform consent, pemeriksaan fisik, pengisian kuesioner, dan dilakukan test-retest kuesioner pada hari ke tiga sejak pengisian pertama. Hasil penelitian didapatkan koefisien korelasi antara 0,423-0,779, dan Cronbach’s alpha keseluruhan adalah 0,806. Nilai ICC 0,993 dengan tingkat kepercayaan 95%. Hasil analisis menunjukkan nilai korelasi dan konsistensi internal diatas nilai minimal yang berarti sahih dan andal dengan tingkat signifikansi p<0.05. Kesimpulannya, AKPS versi Bahasa Indonesia terbukti sahih dan andal digunakan sebagai alat ukur keterbatasan fungsional penderita nyeri lutut anterior pada prajurit militer.

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Anterior knee pain (AKP) is often referred to as patellofemoral pain and is often felt in physically active individuals. The incidence of AKP often goes unreported in the military, so clinical outcome evaluation instruments are needed, especially in the military population. Anterior knee pain scale (AKPS) or Kujala Score in the Indonesian version, is an instrument that has been proven valid and reliable to evaluate functional limitations in patients with a diagnosis of patellofemoral pain syndrome. This study aims to test the validity and reliability of the Indonesian version of the AKPS questionnaire on military soldiers, especially Kostrad with anterior knee pain. Study design is cross sectional with the total of subject are 34 that met the inclusion and exclusion criteria. Subjects were then given informed consent, physical examination, filling out the questionnaire, and a test-retest was conducted for filling out the questionnaire on the third day after the first filling. The results showed that the correlation coefficient was between 0.423-0.779, and the overall Cronbach's alpha was 0.806. The ICC value is 0.993 with a 95% confidence level. The results of the analysis show that the correlation and internal consistency values are above the minimum value, which means they are valid and reliable with a significance level of p<0.05. In conclusion, the Indonesian version of the AKPS proved valid and reliable to measure functional limitations in patients with anterior knee pain in military soldiers."

"ABSTRAK Latar Belakang. Gangguan cemas menyeluruh (GCM) merupakan salah satu bentuk gangguan ansietas tersering pada populasi epilepsi yang dapat menurunkan kualitas hidup, sehingga deteksi dini sangatlah penting. Generalized Anxiety Disorder-7 (GAD-7) merupakan instrumen penapis GCM satu-satunya yang pernah divalidasi pada pasien epilepsi, yaitu di Korea dengan titik potong ≥7. Instrumen GAD-7 dapat dikerjakan pasien sendiri kurang dari 3 menit, sehingga cocok digunakan di poliklinik neurologi. Penelitian ini bertujuan untuk mendapatkan kuesioner GAD-7 versi bahasa Indonesia yang valid, reliabel dan akurat untuk menapis GCM pada pasien epilepsi dewasa.Metode Penelitian. Penelitian dibagi menjadi 2 tahap. Tahap pertama meliputi adaptasi lintas budaya berdasarkan ketentuan World Health Organization (WHO), uji validitas isi berdasarkan penilaian pakar mengenai relevansi butir pertanyaan GAD-7 hasil adaptasi, dilanjutkan uji validitas interna, reliabilitas interna dan reliabilitas test-retest pada 30 pasien epilepsi yang memenuhi kriteria inklusi. Tahap kedua adalah uji diagnostik. Hasil GAD-7 dengan titik potong ≥7 dibandingkan dengan wawancara Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) sebagai baku emas.Hasil. Koefisien validitas isi berdasarkan metode Martuzua dari GAD-7 hasil adaptasi bahasa Indonesia adalah 0,847. Hasil uji validitas interna dengan korelasi Spearman didapatkan koefisien korelasi 0,648 hingga 0,800 (p<0,01). Uji reliabilitas konsistensi interna dengan Cronbach?s Alpha 0,867. Perbedaan nilai koefisien korelasi dan Cronbach?s Alpha antara pemeriksaan pertama dan retest menunjukkan reliabilitas test-retest yang baik. Dari 146 subyek uji diagnostik, prevalensi GCM hasil pemeriksaan MINI ICD-10 sebesar 16,4%. Dengan titik potong ≥7, GAD-7 memiliki sensitivitas 100% dan spesifisitas 84,4%. Kesimpulan. Kuesioner GAD-7 versi Indonesia terbukti valid dan reliabel sehingga dapat digunakan untuk menapis GCM. Dengan titik potong ≥7, GAD-7 memiliki nilai akurasi yang tinggi untuk menapis GCM pada pasien epilepsi dewasa.ABSTRACT Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7."

"ABSTRAKLatar Belakang : Perubahan yang terjadi pasca bedah pada area wajah dan leherdapat menyebabkan perubahan fisik, yang termasuk didalamnya perubahanPenampilan Wajah dan Leher yang dapat mempengaruhi Quality of Life Pasien.Tujuan: Menilai perbedaan QOL antara pasien dengan kategori simetri jikadibandingkan dengan pasien kategori asimetri pada pasien pasca reseksimandibula dengan rekonstruksi pelat pada kasus ameloblastoma.Metode Penelitian: 20 subyek penelitian dilakukan penilaian QOL denganmenggunakan University of Washington Questionnaire (UW QOL) versi BahasaIndonesia yang telah dilakukan cross cultural adaptation serta memiliki 8 itempernyataan yang valid dengan nilai konsistensi Alpha Cronbach?s sebesar 0,817.Penilaian perubahan fisik dilakukan dengan menggunakan fotografi frontal ekstraoral dengan membuat kategori asimetri, dengan perhitungan asymmetry index danperhitungan pergeseran menton.Hasil : Terdapat perbedaan QOL yang signifikan antara pasien dengan kategoriasimetri wajah jika dibandingkan dengan pasien kategori simetri wajah padapasien pasca reseksi mandibula dengan rekonstruksi pelat. Pada pasien dengankategori simetri memiliki skor QOL yang lebih tinggi dibanding pasien dengankategori asimetri.Kesimpulan:Perubahan fisik pada wajah dan leher pasca reseksi bedah denganrekonstruksi pelat mempengaruhi penilaian QOL pasien.

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ABSTRACTBackground: Changes that occur after surgery on the face and neck area can becategorized into physical changes, which can affect the Quality of Life of Patients.This becomes important when the patient is a barometer of the success of theactions in the field of medicine.Purpose: Assess QOL differences between patients with asymmetry categorieswhen compared with patients categories symmetry in patients with post-resectionof mandibular reconstruction plate in the case of ameloblastoma.Methods: 20 subjects research conducted QOL assessment using the Universityof Washington Questionnaire (UW-QOL) Indonesian version that has been madecross-cultural adaptation and has 8 valid statement items and the value ofconsistency Cronbach's Alpha in point 0.817. Assessment of physical changesdone by using extra-oral photography frontal asymmetry by creating categories,with the calculation of the index and a shift asymmetry menton.Results: There were significant differences in QOL among patients withsymmetry categories compared with those categories of asymmetry in patientswith post-resection mandibular reconstruction plate. In patients with categorysymmetry has a higher QOL scores than patients with category symmetry.Conclusions: Physical changes in the face and neck after surgical resection withreconstruction plate affect patient QOL assessment."

"ABSTRAKLatar Berlakang: Cedera medula spinalis (CMS) merupakan suatu kondisi medis yang kompleks dan dapat menyebabkan disabilitas. Pada CMS terjadi gangguan baik sementara maupun menetap pada fungsi motorik, sensorik, atau otonom. Gangguan tersebut mengakibatkan menurunnya kemampuan fungsional seorang penderita CMS. Penelitian ini bertujuan untuk menilai kesahihan dan keandalan SCIM III versi bahasa Indonesia untuk menilai kemampuan fungsional penderita CMS.Metode: SCIM III versi bahasa Inggris diterjemahkan ke dalam bahasa Indonesia melalui metode penerjemahan forward-backward serta dilakukan cognitivedebriefing sehingga didapatkan SCIM III versi bahasa Indonesia. SCIM III versi bahasa Indonesia ini digunakan kepada 30 orang penderita CMS di dua rumah sakit dan satu wisma penderita CMS di Jakarta. Tiga orang rater menilai setiap subjek menggunakan rekaman video. Penilaian ulang dilakukan oleh peneliti satu minggu kemudian. Kesahihan konstruksi dan kriteria dinilai menggunakan koefisien korelasi. Untuk uji keandalan, digunakan intraclass correlation coefficient untuk menilai keandalan inter-rater, paired t-test untuk keandalan test-retest, dan Cronbach?s α untuk internal consistency.Hasil: Didapatkan nilai korelasi lebih dari 0,4 (p<0,05) untuk kesahihan konstruksi dan kriteria. Intraclass correlation coefficient lebih dari 0,8 (p<0,05) untuk keandalan inter-rater, nilai korelasi lebih dari 0,6 (p<0,05) untuk keandalan test-retest dan Cronbach?s α 0,895 untuk keandalan internal consistency.Kesimpulan: SCIM III versi bahasa Indonesia terbukti sahih dan andal untuk menilai kemampuan fungsional penderita CMS.

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ABSTRACTObjective: Spinal cord injury (SCI) is a medically complex condition and can cause disability. Patients with spinal cord injury usually have either temporary or permanent insult to motor, sensory, or autonomic function. The impairments reduce the functional capacity of the patients. The aim of the study was to assess the validity and reliability of Indonesian version of SCIM III to measure the functional capacity of patients with SCI.Methods: English version of SCIM III was translated to Indonesian involving a forward-backward translation and cognitive debriefing to develop Indonesian version of SCIM III. The tool was administered to 30 patients with SCI in two centers and a residential home of SCI in Jakarta. Three raters evaluate each subject by using video record. Writer assessed each subject one week later. Construct and criterion validity was assessed by using correlation coefficient. For reliability, intraclass correlation coefficient was used for inter-rater reliability, paired t-test for test-retest reliability, and Cronbach?s α for internal consistency.Results: There was correlation coefficient above 0,4 (p<0,05) for construct and criterion validity. Intraclass correlation coefficient above 0,8 (p<0,05) for inter-rater reliability, correlation coefficient above 0,6 (p<0,05) for test-retest reliability and Cronbach?s α 0,895 for internal consistency.Conclusion: Indonesia version of SCIM III was proven to be valid and reliable to assess the functional capacity of patients with SCI."

"Latar Belakang : Karies gigi adalah penyakit multifaktorial yang dimana terjadinya karies tergantung dari berbagai faktor. CAMBRA adalah sebuah petunjuk komprehensif bagi para dokter gigi dalam melakukan penilaian suatu risiko karies pada individu. 1 Perkembangan teknologi komunikasi saat ini semakin penting dalam kehidupan sosial masyarakat, seperti semakin meluasnya penggunaan internet dan  smartphone. Tujuan : Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan hasil penilaian pada aplikasi SKOR GIGI dan CAMBRA versi Bahasa Indonesia pada anak usia 0-5 tahun dengan karies. Metode Penelitian : Penelitian ini dilakukan dengan total 36 sampel  yang memenuhi kriteria inklusi. Peneliti melakukan uji validitas reliabilitas terlebih dahulu pada 18 pernyataan yang akan digunakan pada aplikasi SKOR GIG dengan menggunakan Google Form. 36 sampel diperiksa menggunakan SKOR GIGI dan 6 hari kemudian dilakukan penilaian dengan CAMBRA versi Bahasa Indonesia. Hasil dari 2 penilaian tersebut kemudian dibandingkan untuk didapatkan hasil penelitian. Hasil : 18 butir pernyataan pada aplikasi SKOR GIGI dinyatakan valid dan reliabel. Hasil uji McNemar menunjukkan tidak terdapat perbedaan bermakna antara penilaian risiko karies dengan menggunakan aplikasi SKOR GIGI dan CAMBRA versi Bahasa Indonesia yang menandakan bahwa aplikasi SKOR GIGI mampu melakukan penilaian risiko karies yang sama seperti CAMBRA versi Bahasa Indonesia.Kesimpulan : Tidak didapatkan perbedaan bermakna pada hasil penilaian risiko karies dengan menggunakan aplikasi SKOR GIGI dan dengan menggunakan CAMBRA versi Bahasa Indonesia pada anak usia 0-5 tahun dengan karies.

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Background : Dental caries is a multifactorial disease in which the occurrence of caries depends on various factors. CAMBRA is a comprehensive guide for dentists in assessing an individual's caries risk. CAMBRA can carry out a systematic caries risk assessment and generate a caries risk level. The development of communication technology is currently increasingly important in people's social lives, such as the increasingly widespread use of the internet and  smartphones.

Objective: This study aims to determine whether there are differences in the results of caries risk assessment of  smartphone applications SKOR GIGI and CAMBRA Indonesian Version in the group of children aged 0-5 years with caries.

Methods : This research was conducted with a total of 36 samples that met the inclusion criteria. Researchers carried out examination in 36 samples using the SKOR GIGI and 6 days later an assessment using the Indonesian version of CAMBRA. The results of the 2 assessments were then compared to obtain research results.

Results : 18 statement items in the SKOR GIGI application are declared valid and reliable. The results of the McNemar test showed that there was no significant difference between the caries risk assessment using the Indonesian version of CAMBRA and  smartphone application SKOR GIGI, indicating that SKOR GIGI application was able to perform the same caries risk assessment as the Indonesian version of CAMBRA.  

Conclusion : There was no significant difference in the results of the caries risk assessment using the SKOR GIGI application and using the Indonesian version of CAMBRA in children aged 0-5 years with caries."

"Gangguan menelan atau disfagia sering dijumpai pada pasien stroke, kanker kepala dan leher, serta lansia. Disfagia dapat meningkatkan risiko malnutrisi, aspirasi, dan kematian. Pasien disfagia juga rentan mengalami ansietas atau depresi yang berdampak pada penurunan kualitas hidup. Dysphagia Handicap Index (DHI) merupakan instrumen swaisi yang dirancang khusus untuk menilai kualitas hidup pasien disfagia. Instrumen DHI terdiri dari 25 pertanyaan yang meliputi penilaian domain fisik, fungsional, dan emosional, serta telah diterjemahkan dan divalidasi dalam berbagai bahasa. Penelitian ini bertujuan untuk menguji validitas dan reliabilitas DHI versi Bahasa Indonesia. Kuesioner DHI diterjemahkan ke dalam Bahasa Indonesia melalui proses forward translation dan backward translation, serta cognitive debriefing. Hasil terjemahan balik juga didiskusikan dan disetujui oleh penulis utama DHI. Kuesioner DHI versi Bahasa Indonesia (DHI-INA) final kemudian diujikan kepada 46 subjek dengan berbagai etiologi disfagia. Sebanyak 20 subjek kemudian melakukan pengisian ulang satu minggu setelah pengisian pertama. DHI-INA menunjukkan korelasi yang kuat antara masing-masing domain dan skor total [fisik (r = 0,93); fungsional (r = 0,97); emosional (r = 0,93); dan keparahan (r = 0,84)]. Konsistensi internal DHI-INA juga menunjukkan nilai yang baik (Cronbach's = 0,87), begitu pula uji tes-retest untuk skor total (ICC = 0,94). Tingkat keterbacaan DHI-INA setara dengan kelas 7 berdasarkan formula grafik Fry. Kuesioner DHI-INA merupakan kuesioner yang valid dan reliabel untuk menilai kualitas hidup pasien disfagia.

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Swallowing problem or dysphagia often found in stroke patients, head and neck cancer, and elderly. Dysphagia increases the risk of malnutrition, aspiration, and death. Patient with dysphagia also prone to have anxiety or depression which has an impact on decreasing quality of life. The Dysphagia Handicap Index (DHI) is a self-administered instrument specially designed to assess the quality of life of dysphagic patients. The DHI instrument consists of 25 questions covering physical, functional, and emotional aspects and has been translated and validated into various languages. This study aims to test the validity and reliability of the Indonesian version of DHI. The DHI questionnaire was translated into Indonesian through a forward and backward translation process, and cognitive debriefing. The backward translation results were discussed and approved by the lead author of DHI. The final Indonesian version of the DHI Questionnaire (DHI-INA) was then tested on 46 subjects with various etiologies of dysphagia. A total of 20 subjects were then refilled one week after the first administration. DHI-INA showed strong correlation between each domain and total score [physical (r = 0.93); functional (r = 0.97); emotional (r = 0.93); and severity (r = 0.84)]. The internal consistency of DHI-INA was also good (Cronbach's a = 0.87), as well as test–retest reliability for the total scores (ICC = 0.94). The readability level of DHI-INA is 7th grade using the Fry graph formula. The DHI-INA questionnaire is a valid and reliable questionnaire to assess the quality of life of dysphagia patients."

"Latar Belakang: Pengukuran kualitas manajemen nyeri perlu untuk dilakukan untuk mengeksplorasi strategi pengobatan nyeri pascabedah yang efektif serta untuk meningkatkan kualitas pelayanan nyeri pascabedah. American Pain Society Patient Outcome Questionnaire Revised APS-POQ-R merupakan instrumen yang paling sering digunakan untuk menilai kualitas manajemen nyeri di berbagai Negara namun kesahihan serta keandalan kuesioner ini belum pernah dilakukan di Indonesia pada pasien pascabedah. Metode: Penelitian ini uji psikometrik menggunakan rancangan deskriptif potong lintang. Kuesioner diterjemahkan ke Bahasa Indonesia menggunakan pedoman Internasional.Hasil terjemahan akan diujikan pada 102 pasien yang menjalani bedah elektif di RSUPN Cipto Mangunkusumo. Uji kesahihan isi menggunakan koefisien Aiken v, uji kesahihan konstruksi menggunakan analisis faktor dan uji korelasi corrected item total correlation. Uji keandalan menggunakan konsitensi internal Chronbach ?. Hasil: Uji kesahihan isi formula Aiken V didapatkan bahwa APS-POQ-R versi Indonesia sahih dengan nilai 0,8-1 angka V ge; 0,5 . Analisis faktor menghasilkan 5 faktor utama dari 18 pertanyaan instrumen: aktivitas dan gangguan tidur, pengaruh nyeri terhadap emosi, efek samping, persepsi tatalaksana nyeri, dan derajat nyeri. Uji kesahihan konstruksi dengan corrected item total correlation menunjukan semua pertanyaan memiliki korelasi yang baik yakni berkisar 0,244-0,799 korelasi ge; 0,3 . Nilai korelasi antara tiap-tiap faktor dalam instrumen APS-POQ-R versi Indonesia baik yakni berkisar 0,319-0,407. Uji konsistensi internal instrumen APS-POQ-R versi Indonesia memiliki nilai yang baik yakni sebesar 0,663 ? >0,5. Simpulan: APS-POQ-R versi Indonesia menunjukkan nilai kesahihan dan keandalan yang memuaskan. Berdasarkan hasil penelitian ini APS-POQ-R versi Indonesia dapat digunakan untuk menilai kualitas manajemen nyeri pascabedah dan sebagai alat bantu untuk meningkatkan mutu pelayanan kesehatan di RSUPN Cipto Mangunkusumo. Namun masih dibutuhkan penelitian uji kesahihan dan keandalan instrumen APS-POQ-R versi Indonesia lanjutan dengan jumlah sampel yang lebih besar dengan berbagai latar belakang pada daerah berbeda di Indonesia untuk bisa menggambarkan karakteristik masyarakat Indonesia yang beragam.

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Background: Measurement of pain management quality need to be done to explore the effective strategies for postoperative pain management and to improve the quality of postoperative pain services. The American Pain Society Patient Outcome Questionnaire Revised APS POQ R is the most commonly used instrument to assess the quality of pain management in many countries but the validity and reliability of this instrument has not been verified in Indonesia for postoperative patients.

Methods: The study was a descriptive, cross sectional psychometric study. The revised questionnaire was translated into Bahasa Indonesia according to international guidelines. The translation results will be tested in 102 patients who underwent elective surgery at Cipto Mangunkusumo General Hospital. The content validity test using coefficient Aiken v formula and then construction validity test using factor analysis and corrected item total correlation. For realibility using Internal Consistency Chronbach.

Results: The validity test of Aiken V formula showed the Indonesian version of APS POQ R instrument was valid with score of 0.8 1 scale V was ge 0.5 . Factor analysis generated five main factors out of 18 questions activity and sleep disturbances, impact of pain to emotion, side effects, pain management perception, and pain scale. Constructed validity test with corrected item total correlation showed all questions had good correlation, which ranged between 0.244 to 0.799 correlation ge 0.3 . Correlation between each factors of the Indonesian version of APS POQ R instrument ranged 0.319 0.407. Internal consistency test of the Indonesian version of APS POQ R instrument was 0.663 0.5.

Conclusion: The Indonesian version of APS POQ R instrument was valid and showed satisfying result. Based on the present study, the Indonesian version of APS POQ R instrument was able to measure the quality of postoperative pain management hence, this was able to improve the quality of health services in Cipto Mangunkusumo Hospital. However, further research with larger sample size is required to define various characteristics of Indonesian people."