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All Journal TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora MEDIXA: Journal of Modern Medical Insight & Experience
Guo Xinyuan
Universitas Prima Indonesia
Humanities Computer Science & IT Engineering Public Health Other

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Faktor Risiko Kejadian Psoriasis pada Pasien Rawat Jalan di RS Royal Prima Medan: Studi Case-Control Guo Xinyuan; Tri Suci; Liena Liena; Fioni Fioni
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i1.14812

Abstract

Psoriasis is a chronic immune-mediated inflammatory disease characterized by keratinocyte hyperproliferation and persistent systemic inflammation, and is associated with genetic predisposition and metabolic comorbidities. Identifying its determinants is important to improve prevention and clinical management. This study aimed to analyze the association between age, body mass index (BMI), smoking history, family history of psoriasis, diabetes mellitus, and hypertension with the occurrence of psoriasis in outpatients at the Dermatology and Venereology Clinic of Royal Prima Hospital, Medan, from 2024 to 2025. This study used an analytical observational design with a retrospective case-control approach. A total of 210 respondents were included, consisting of 105 cases (patients diagnosed with psoriasis) and 105 controls (patients without psoriasis). Controls were selected from patients attending the same clinic during the same period without a diagnosis of psoriasis to ensure comparability and minimize selection bias. Data were obtained from medical records and analyzed using the Chi-square test and binary logistic regression. Bivariate analysis showed that age ≥45 years, BMI ≥25 kg/m², smoking history, family history of psoriasis, diabetes mellitus, and hypertension were significantly associated with psoriasis (p < 0.05). Multivariate analysis revealed that age ≥45 years (Adjusted OR = 1.85; 95% CI: 1.02–3.35; p = 0.042), BMI ≥25 kg/m² (Adjusted OR = 1.98; 95% CI: 1.09–3.61; p = 0.024), family history of psoriasis (Adjusted OR = 6.45; 95% CI: 2.82–14.75; p < 0.001), and diabetes mellitus (Adjusted OR = 2.41; 95% CI: 1.05–5.54; p = 0.037) remained significant predictors. Family history of psoriasis was identified as the most dominant determinant. These findings highlight the importance of early screening in high-risk individuals, particularly those with a family history of psoriasis and metabolic comorbidities, to support timely detection and improve clinical management. In conclusion, genetic and metabolic factors, along with age, are key determinants of psoriasis occurrence.
Diabetic Foot Exercise as a Nursing Intervention to Improve Blood Glucose Stability in Patients with Type 2 Diabetes Mellitus: A Case Study Guo Xinyuan; Tri Suci
MEDIXA : Journal of Modern Medical Insight & Experience Vol. 1 No. 2 (2026): June 2026
Publisher : CV. Laskar Karya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65678/medixa.v1i2.399

Abstract

Type 2 Diabetes Mellitus is a chronic metabolic disease that can lead to unstable blood glucose levels and complications when not properly managed. This study aimed to describe the use of diabetic foot exercise as a nursing intervention to support blood glucose stability in a patient with Type 2 Diabetes Mellitus. A descriptive case study design was used with one female patient treated in the Tulip 2 Room at RSUD Sidoarjo. Data were collected through nursing assessment, observation, physical examination, laboratory records, and blood glucose measurements before and after the intervention. Diabetic foot exercise was given in three sessions, with each session lasting 15–30 minutes. The patient was guided to perform simple movements involving the feet and lower legs. The results showed a gradual reduction in blood glucose levels during the intervention period. Blood glucose decreased from 576 mg/dL before the first session to 475 mg/dL after the third session. Diabetic foot exercise may help support glucose control by increasing lower limb muscle activity, improving peripheral circulation, and encouraging self-care. This intervention is simple, low cost, and easy to apply in nursing care. However, it should be used together with medication, dietary management, and regular blood glucose monitoring
Co-Authors Liena Liena Tri Suci