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
Epidemiological
Model

Biopsychosocial
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

Agent

Environme
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
Biology
CARDIOVASCULAR
family history
CEPHALGIA, fuzzy
vision,
Environment
Healthcare at VA, has to
travel
Dclass offered
Fast food everywhere;
supersized portions
2nd hand smoke triggers
desire to smoke
Cultural norm
embarrassed by weight
ST RESSFULL Env

Psychology
Its always in the
back of my mind
Guilt: cant work as
much
Depression, stress
I just miss DELICIOUS
FOOD
Social
Marriage suffering
Doesnt trust doctor
(non-compliant)
Boss did not
promote
Cant play with
grandkids

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