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All Journal Medula JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal EduHealth Sains Medisina
Oktafany, Oktafany
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Veterinary

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Hubungan Efikasi Diri dan Identitas Profesional Mahasiswa Fakultas Kedokteran Universitas Lampung Sari, Merry Indah; Oktaria, Dwita; Oktafany, Oktafany
Jurnal Kedokteran Universitas Lampung Vol 3, No 2 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i2.2521

Abstract

Profesionalisme merupakan salah satu kompetensi yang wajib dimiliki oleh mahasiswa kedokteran yang nanti menjadi seorang dokter. Profesionelisme dokter yang merupakan dasar kontrak sosial antara masyarakat dengan profesi kedokteran telah menjadi perhatian dengan maraknya kasus kasus pelanggaran profesionalisme. Namun perilaku profesional bukanlah satu satunya aspek profesionalisme yang diperukan. Identitas profesional merupakan faktor yang harus diajarkan di institusi pendidikan. Fakultas kedokteran diwajibkan untuk mampu mengembangkan identitas profesional mahasiswa. Identitas profesional merupakan bagaimana seseorang mempersepsikan dirinya dengan suatu profesi. Perkembangan identitas profesional ini dipengaruhi oleh faktior di dalam dan di luar institusi pendidikan. Efikasi diri merupakan salah satu faktor yang mempengaruhi partisipasi mahasiswa dalam pembelajaran dan akhirnya mempengaruhi identitas profesional. Penelitian ini bertujuan untuk mengetahui hubungan efikasi diri dan identitas profesional akan membantu institusi dan juga para dosen untuk mengembangkan pembelajaran yang sesuai dengan perkembangan identitas profesional. Penelitian ini dilakukan dengan responden mahasiswa fakultas kedokteran dari seluruh jenjang pendidikan. Sampel diambil dengan metode stratified random sampling. Sebanyak 287 mahasiswa menjadi sampel dalam penelitian ini. Pengumpulan data dilakukan dengan pengisian kuesioner efikasi diri dan kuesioner identitas profesional. Hasil penelitian didapatkan skor efikasi diri mahasiswa adalah 136,25 dan skor identitas profesional 81.10. Analisis Bivariat dilakukan dengan uji Pearson dan didapatkan hubungan yang bermakna antara efikasi diri dan identitas profesional mahasiswa Fakultas Kedokteran Universitas LampungKata Kunci: efikasi diri, identitas profesional, profesionalisme
Review Article: Patofisiologi Dan Terapi Farmakologi Diabetes Melitus Tipe 2 Pada Pasien Geriatri Putri, Asyifa Adinda; Junando, Mirza; Oktafany, Oktafany; Sukohar, Asep
Sains Medisina Vol 2 No 5 (2024): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

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Abstract

Diabetes melitus (DM) adalah gangguan metabolisme pada pankreas yang menyebabkan peningkatan gula darah, atau dikenal sebagai hiperglikemia, akibat penurunan jumlah insulin yang diproduksi oleh pankreas. Menurut International Diabetes Federation (IDF) pada tahun 2021, jumlah pasien dewasa diabetes melitus di Indonesia mencapai 10,8%, setara dengan 19,4 juta orang, dan cenderung meningkat setiap tahunnya. Tujuan penelitian mengetahui patofisiologi dan terapi farmakologi diabetes melitus tipe 2 pada pasien geriatri. Metode dalam penelitian ini menggunakan desain Literatur Review yang dikumpulkan dari basis data Pubmed dan Google Scholar dengan kata kunci “Diabetes mellitus in geriatrics”. Hasil penelitian menunjukkan bahwa penderita diabetes melitus tipe 2 geriatri mengakibatkan peningkatan resistensi dan gangguan sekresi insulin. Perbaikan klinis pada pasien diabetes geriatri lebih sulit dikarenakan adanya penyakit kronis yang menyertainya sehingga dapat meningkatkan risiko komplikasi. Diperlukan perubahan gaya hidup serta terapi farmakologi berupa penggunaan insulin basal dikombinasikan dengan agen noninsulin. Metformin adalah terapi non insulin lini pertama. Obat lainnya yaitu tiazolidindion, sulfonilurea, DPP-4I, SGLT2-I, dan GLP-1. Terapi farmakologi disesuaikan dengan kondisi pasien seperti, komorbit yang diderita, status kognitif dan fisik, serta risiko hipoglikemia.
Literature Review: Kajian Potensi Interaksi Obat Antidiabetes Pada Pasien Diabetes Melitus Tipe 2 Dengan Komplikasi Hipertensi Natanael, Jessica; Damayanti, Ervina; Himayani, Rani; Oktafany, Oktafany
Sains Medisina Vol 2 No 6 (2024): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

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Abstract

Diabetes melitus (DM) tipe 2 merupakan gangguan metabolik yang ditandai dengan kondisi hiperglikemia yang disebabkan oleh insufisiensi insulin parsial atau total. Hasil penelitian yang dilakukan oleh Valliyot et al. pada tahun 2013 menunjukkan bahwa orang yang memiliki riwayat hipertensi berisiko 5 kali lebih besar menderita diabetes melitus dibandingkan dengan orang yang tidak memiliki riwayat hipertensi. Pengobatan diabetes melitus bersamaan dengan komplikasi hipertensi dapat berhasil jika ditangani dengan terapi yang tepat, namun jika tidak berhasil akan mengakibatkan adanya interaksi obat pada penggunaan kombinasi obat untuk kedua penyakit tersebut. Interaksi obat terjadi ketika obat berinteraksi dengan makanan, minuman, zat kimia, atau obat lain yang mengubah efek obat yang diberikan bersamaan atau hampir bersamaan. Studi ini diharapkan dapat bermanfaat untuk mengetahui potensi interaksi obat pada pasien diabetes melitus dengan komplikasi hipertensi. Metode yang digunakan adalah literature review dengan menggunakan database Google Scholar dengan rentang tahun artikel tahun 2015 sampai tahun 2024. Dari hasil yang didapatkan dapat disimpulkan bahwa kombinasi obat yang paling banyak mengalami interaksi adalah metformin dan amlodipin dengan mekanisme interaksi obat yang paling banyak adalah farmakodinamik serta tingkat keparahan interaksi obat yang terjadi paling banyak pada kategori moderate.
Hubungan Citra Tubuh dengan Status Gizi pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Lampung Marzon, Mafalda; Zuraida, Reni; Oktafany, Oktafany; Berawi, Khairun Nisa
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.910

Abstract

In adolescence, health and nutrition have an important role in determining health and nutritional status in the next phase of the life cycle. The prevalence of abnormal nutritional status in Lampung Province is 24.91% for late adolescence aged 19 years and 35.97% for aged 20-24 years, while normal nutritional status for those aged 19 years is 75.09% and those aged 20-24 year amounted to 64.03% according to Riskesdas 2018. This occurs because there are factors that can influence nutritional status, such as body image. This study aims to determine the relationship between body image and nutritional status. The research design used in this research is analytical with a cross sectional approach, with a simple random sampling technique. There were 116 respondents obtained using the unpaired comparative categorical analytical formula. In this study there were 2 variables, namely body image and nutritional status. Body image variables are measured by MBSRQ (Multidimensional Body Self Relations Questionnaire) and body image variables are measured by body mass index. The data collected was analyzed univariately and bivariately with Chi-Square. The results of the univariate test showed that abnormal nutritional status was 65.5%, while normal nutritional status was 34.5%. In terms of body image, 20.7% of respondents had a positive body image and 79.3% had a negative body image. Based on bivariate analysis, there is a relationship between body image and nutritional status (p = 0.023). From the research results, it can be concluded that there is a significant relationship between body image and the nutritional status of students in the Medical Education Study Program, Faculty of Medicine, University of Lampung.
Analisis Fear of Failure (FoF) pada Mahasiswa Kedokteran Vidini Caya, Tazkia; Oktafany, Oktafany; Islami, Suryadi
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.988

Abstract

Fear of failure is a person's response to the failure they experience and anticipation to avoid the bad consequences of that failure. Fear of failure can have both positive and negative impacts. Anyone can experience fear of failure, including medical students as students who are pursuing an education full of challenges and responsibilities. Medical students take a longer period of education and bear greater demands and roles than other students. To determine the level of fear of failure, the researchers used a research instrument in the form of a questionnaire, namely the Performance Failure Appraisal Inventory (PFAI). Universally, medical education educates students with the academic achievements that need to be achieved to obtain a license and guarantee a bright future. Without academic achievement and good achievement, degrees and job opportunities, even continuing education will not be easy to obtain. The level of fear of failure varies based on gender, academic year, Grade Point Average (GPA), interest in medical science, etc. Fear of failure shows a negative relationship with medical student learning achievement. Thus, fear of failure in medical students needs to be a concern for educational institutions in understanding student behavior and shaping the scope of teaching and providing counseling that can help medical students overcome the fear of failure.
Review Article: Tatalaksana Hipertensi Pada Kehamilan Santika, Mesi; Oktafany, Oktafany; Damayanti, Ervina; Sukohar, Asep
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1090

Abstract

Hypertension is an increase in blood pressure exceeds normal limits i.e. blood pressure ≥140/90 mmHg. Hypertension in pregnancy consists of four categories, namely preeclampsia/eclampsia, chronic hypertension, superimposed preeclampsia with chronic hypertension and gestational hypertension. Hypertension in pregnancy should be managed appropriately to reduce maternal and fetal morbidity and mortality rate, i.e. by preventing women from getting the risks of increased blood pressure, preventing disease progression and preventing the development of seizure and considering termination of pregnancy in life threatening situation for maternal and fetal health. The purpose of this literature review is to determine the management of hypertension in pregnancy. The method used is a literature review, i.e. by searching for both international and national literature using the google scholar and pubmed databases with the keyword "Management of hypertension in pregnancy". There are two categories of antihypertensive drug use in pregnancy, i.e. antihypertensive drugs that can be safely used in pregnancy and antihypertensive drugs to avoid in pregnancy. Antihypertensive drugs that are safe to use are labetalol, nifedipine, methyldopa, hydralazine, magnesium sulfate and prazosin. Antihypertensive drugs that should be avoided are angiotensin-converting enzyme inhibitor, angiotensin receptor blocker, diuretic, beta blocker (except labetalol) and calcium-channel blocker (except nifedipine and diltiazem).
POTENSI INTERAKSI OBAT PADA PASIEN SKIZOFRENIA Suri, Nurma; Salsabila, Lyansaputri; Adjeng, Andi Nafisah Tendri; Oktafany, Oktafany
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1165

Abstract

In the treatment of schizophrenia, antipsychotics as the main therapy are generally combined with additional therapy. Combination therapy has a risk of drug interactions. The aim of the study was to describe the potential factors that influence drug interactions. The study was conducted using observational quantitative analytic methods with a retrospective cross-sectional approach. The sample was selected by total sampling method in the medical records of inpatients at the Lampung Mental Hospital from January-December 2022. The Lexicomp software was used to identify potential drug interactions. In the 265 samples, 344 treatment profiles were obtained with a total of 1349 drugs used. Then, 1786 potential drug interactions were classified as level of risk A (0%), B (0.8%), C (80.2%), D (19%), and X (0%). There was a significant relationship between gender, length of stay, and number of drugs (p<0.05) on potential drug interaction level D (major). Multivariate analysis showed the number of drugs had the strongest relationship (p=0.000 OR=8.233) to potential drug interactions. There was a significant relationship between gender, length of stay, and number of drugs with potential drug interactions level D. The number of drugs had the strongest with potential drug interactions.
Insomnia pada Mahasiswa Kedokteran: Sebuah Tinjauan Pustaka Fuad Fadillah; Lisiswanti, Rika; Rudiyanto, Waluyo; Oktafany, Oktafany
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1416

Abstract

A person who struggles to fall asleep and/or stay asleep is said to have insomnia. In Southeast Asia, 67% of 1,508 persons suffer from insomnia worldwide, and 7.3% of those who suffer from it are students. About 67% of Indonesians suffer from insomnia, with mild insomnia accounting for 55.8% and moderate insomnia for 23.3% of cases. Students who suffer from insomnia suffer, particularly those studying medicine. Medical students' usage of devices and the stress that comes with learning are linked to insomnia. By interfering with the body's sleep and wake cycle and blocking the melatonin hormone's function, using electronics at night, particularly shortly before bed, can make it difficult for the body to regulate and manage the ideal time to go to sleep and the time to be awake. Through the HPA-axis mechanism, which is triggered by corticosteroid releasing factor (CRF) and arginine vasopressin (AVP), anxiety can result in sleeplessness. This may lead the body to produce more cortisol, which would raise the wakefulness system and result in insomnia. Those who suffer from insomnia, particularly the medical students in this piece, incur unpleasant consequences. Fatigue, memory loss, and concentration issues are some of the issues that cause insomnia and impact a person's performance during the day. Disrupting concentration makes learning ineffective, which can ultimately impact medical students' performance and the quality of graduates.
Literature Review: Factors Influencing the Incidence of Multi-Drug Resistant in Tuberculosis Patients Zahra Nur Sa'diyyah; Citra Yuliyanda Pardilawati; Oktafany, Oktafany; Asep Sukohar
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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Abstract

Multi-Drug Resistant (MDR) tuberculosis was tuberculosis resistance to at least two first-line drugs: isoniazid and rifampicin. This resistance meant that rifampicin and isoniazid were ineffective in eradicating the Mycobacterium bacteria. The primary factor contributing to MDR TB was treatment adherence. Non-adherence led to high rates of treatment failure and was directly linked to an increase in MDR TB cases. Therefore, it is crucial to understand the contributing factors of MDR TB to prevent and reduce new occurrences. To analyze the risk factors causing MDR TB incidence in Indonesia through a literature review. The study employed a literature review method, with data obtained from Google Scholar, Research Gate, Connected Papers, and Google Books. The study found several factors that contributed to MDR TB incidence, including patient adherence, motivation, alcohol consumption, smoking, nutritional status, diabetes mellitus, history of previous treatment, the role of healthcare workers, and contact with other TB patients. The conclusion of the 13 articles reviewed shows that adherence to treatment, motivation, alcohol consumption, smoking, nutritional status, diabetes mellitus, history of treatment, role of health workers, and contact with patients were factors influencing the occurrence of MDR-TB.
Patient Satisfaction with Pharmaceutical Services at the Outpatient Pharmacy Installation of Hospital X, Bandar Lampung City Yasmin Al Illyyin; Oktafany, Oktafany; Dwi Aulia Ramdini; Ihsanti Dwi Rahayu
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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Abstract

As the main referral hospital in Lampung Province, evaluating the quality of pharmaceutical services at Hospital X is necessary. Periodic assessment of patient satisfaction is essential to maintain service quality in accordance with expectations. Therefore, this study aims to evaluate the level of patient satisfaction with pharmaceutical services at the Outpatient Pharmacy Installation of Hospital X in Bandar Lampung City. This study employed a cross-sectional survey design, with a purposive sampling technique applied to outpatients or their companions during April–May 2025. Data were collected using the SERVQUAL questionnaire, which consists of five dimensions: tangibility, reliability, responsiveness, assurance, and empathy. The instrument was tested for validity (r count > r table) and reliability (Cronbach's alpha ≥ 0.6), and was declared valid and reliable. The data were analyzed by calculating the gap between patients' expectations and perceptions for each service dimension. A total of 354 respondents expressed being very satisfied with the tangibility (85.3%), reliability (87.7%), assurance (84.1%), and empathy (82.5%) dimensions, and satisfied with the responsiveness dimension (75.8%). All dimensions showed negative gaps (−0.534), with the largest gap in responsiveness (−0.84), indicating a significant discrepancy between patient expectations and experiences. The smallest gap was in reliability (−0.36), indicating that this dimension was closest to meeting patient expectations. Overall, outpatient satisfaction with pharmaceutical services at the Pharmacy Installation of Hospital The responsiveness dimension has the highest gap and should be the primary focus for improvement in order to enhance service quality.
Co-Authors Asep Sukohar Asep Sukohar Citra Yuliyanda Pardilawati Damayanti, Ervina DWi Aulia Ramdini Dwita Oktaria Fuad Fadillah Ihsanti Dwi Rahayu Junando, Mirza Khairun Nisa Mallarangeng, Andi Nafisah Tendri Adjeng Marzon, Mafalda Natanael, Jessica Putri, Asyifa Adinda Rani Himayani Reni Zuraida Rika Lisiswanti Rudiyanto, Waluyo Salsabila, Lyansaputri Santika, Mesi Sari, Merry Indah Suri, Nurma Suryadi Islami Vidini Caya, Tazkia Yasmin Al Illyyin Zahra Nur Sa'diyyah