Dokter Keluarga 2012 Cardio

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Dr. TA Larasati, M.

Kes

P EN G A N TA R P ELAYA N A N
D O K TER K ELU A R G A
KARAKTERISTIK

PRIMER

SEMUA UMUR

SEMUA ORGAN

KLINIS
PELAYAN AN D O KTER
KELU ARG A
KOMPREHENSI
F

KOLABORATIF HOLISTIK

PRINSI
P

KOORDINATIF COTINUING
Sam ple Research Findings in
H ealth Psychology
One of the strongest predictors of who is likely to have
a heart attack among American adults is a hostile
personality trait and a tendency towards hostile
interactions with others.
After surgery, patients in a hospital room with a
pleasant view go home sooner and with fewer
complications that those looking at a blank wall.
Premature infants in the hospital given 15 minutes of
light massage per day gain weight faster and go home
sooner
Keeping a diary where one writes about important
thoughts and events boosts the bodys immune system
and improves physical health.
Hostile and conflictual interactions with ones spouse or
partner can suppress the immune system and increase
the risk of developing colds.
Laughter is a powerful painkiller.
Sam ple Research Findings in
H ealth Psychology (cont.)
Some people with asthma can suffer full-blown attacks after
looking at artificial flowers.
People with few friends and who lead isolated lives are twice
as likely to die during a given time period.
After a heart attack, patients who owned pets were
significantly less likely to die in the following year.
Blood pressure decreases when pet owners talk to their pets
or are in the presence of their pets during stressful events.
Men who performed volunteer work once a week lived longer
and were healthier than men who volunteered less than once
a week.
Depression is a stronger predictor of heart attacks and poor
recovery from a heart attack than high cholesterol or
cigarette smoking.
When people watch tropical fish in an aquarium with their full
attention, they lower their blood pressure and heart rate
significantly.
People taught relaxation and meditation techniques showed
lower blood pressure and less complications during surgery.
H um an D isease:Three M odels

Medical Model
Biopsychosocial
Model
Epidemiological
Model

Human Disease
M edicalM odel

Emphasis on medical treatment


Youre either healthy or youre not.

Missing important dimensions of health


Psychology and Social aspect are separate
Address disease but may not consider
quality of life (QOL)
Epidem iologicalM odel

Host

Environme
Agent nt
BiopsychosocialM odel

Health (and illness) are


caused/influenced by many factors.
Mind and body are not separate
Relationships are significant to health
Health is on a continuum
BiopsychosocialM odelof
D isease
Biology
Age, sex Psychology
Disease state Attitudes/beliefs
Genetics/heredity Mood state
Physical Behaviors
symptoms Religiosity/spiritual
Meds/drugs/addic ity
tion
Environment
School/work place Social
Church Support:
Social norms / cultural formal/informal
norms Roles:
Community / Health work/family/peers
services Physician-patient
Neighborhoods / National relationship
economy Socioeconomic
Mass media status
Policy / laws
Im plications

Consider biological, psychological, and


social factors
Relationships are significant to health
Patient and doctor
Patient and family, friends, others

Keep people healthy rather than wait


to treat them when they become ill.
Exam ple:hIPERTEN SI
Psychology
Its always in the
Biology
CARDIOVASCULAR back of my mind
Guilt: cant work as
family history
CEPHALGIA, fuzzy much
Depression, stress
vision,
I just miss DELICIOUS
FOOD
Environment
Healthcare at VA, has to
Social
travel Marriage suffering
Dclass offered Doesnt trust doctor
Fast food everywhere;
(non-compliant)
supersized portions Boss did not
2nd hand smoke triggers
promote
desire to smoke Cant play with
Cultural norm
grandkids
embarrassed by weight
ST RESSFULL Env

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