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Behavioral Study of Diabetes Mellitus Patients in Blood Glucose Control: A Phenomenological Study Febriyanti, Febriyanti; Masrul, Masrul; Najirman, Najirman; Indrapriyatna, Ahmad Syafruddin; Yunir, Em; Mudjiran, Mudjiran; Semiarty, Rima; Yulia, Dwi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4918

Abstract

The disease pattern in Indonesia is currently shifting from infectious diseases to degenerative diseases. This pattern is accompanied by the problem of a double burden of disease. The incidence of degenerative diseases is increasing along with changes in lifestyle and environmental behavior. One of the threats of degenerative diseases to public health is diabetes mellitus. The prevalence of diabetes in people aged over 15 years increased from 10.9% in 2018 to 11.7% in 2023. This shows that this disease is not only a problem for the elderly but also affects the productive age group. The main causes include unhealthy diet, lack of physical activity, and obesity. This study aims to observe and explore the behavior of people with diabetes in controlling blood glucose while suffering from diabetes. The research method used in this study is qualitative research with a phenomenological approach, with the informant selection technique using the snowball technique of 25 people. The main instrument of qualitative research is the researcher herself. The researcher is a nurse with a Masters in Nursing. The researcher as a facilitator also uses the tools used in the study as data collection instruments, namely the Digital Voice Recorder in this case the researcher's cellphone (Oppo A92) and interview guidelines and field notes and the researcher conducted in-depth interviews for approximately 3 weeks, data processing and data analysis using the Colaizzi method which consists of seven stages. Based on the results of in-depth interviews with 25 informants, 16 themes of the phenomenon of factors causing uncontrolled blood glucose were obtained, including incorrect knowledge about diabetes, the assumption that diabetes is a harmless disease, boredom factors in managing diet, poor behavior in daily eating habits, taking medication not according to the given dose, rarely or not doing sports activities, having an attitude that ignores the rules in following a diet while suffering from diabetes, information obtained from health workers and family is minimal, information from various media such as the internet is not utilized, limited health workers in providing education, feelings of hopelessness while suffering from diabetes mellitus, feeling that they do not get support from family or health workers in treating diabetes while suffering from diabetes mellitus, alternatives to drugs from the hospital are taking herbal medicines. The phenomenon of the dominant factors causing uncontrolled blood glucose is incorrect knowledge about diabetes, as well as the assumption that diabetes is a harmless disease, as well as boredom factors in regulating diet, and poor behavior in daily eating habits, as well as rarely or never doing sports activities, and having attitudes and behaviors that ignore the rules in undergoing treatment while suffering from diabetes.
Korelasi Indeks Massa Tubuh dan Lingkar Perut dengan Kadar Glukosa Darah Sewaktu Assyura, Fazhladia; Firdawati, Firdawati; Asterina, Asterina; Yulia, Dwi; Mahata, Liganda Endo; Welan, Rahmani
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1078

Abstract

Latar Belakang: Kesehatan lansia mempunyai pengaruh besar terhadap perkembangan Indonesia karena pertumbuhan penduduk Indonesia yang mempunyai struktur aging population. Salah satu usaha yang dapat dilakukan untuk menjaga kesehatan lansia dengan tujuan menciptakan lansia yang produktif dapat dilakukan dengan melakukan penilaian beberapa parameter kesehatan yang mudah dipahami seperti IMT, lingkar perut dan kadar glukosa darah.Objektif: Penelitian ini bertujuan untuk mengetahui korelasi antara IMT dan lingkar perut dengan hasil skrining kadar glukosa darah sewaktu pada pra lansia dan lansia di Nagari Sumanik tahun 2021.Metode: Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Penelitian dilaksanakan pada Januari – Desember 2022. Data penelitian ini berasal dari data sekunder hasil pengabdian masyarakat pada bulan Oktober 2021 dengan besar sampel 40 orang pra lansia dan lansia. Analisis bivariat menggunakan uji Spearman Rank.Hasil: Hasil penelitian ini menunjukan rerata IMT adalah 26,93±5,168 kg/m2. Rerata lingkar perut yaitu 97±12,3. Rerata hasil skrining kadar glukosa darah sewaktu adalah 140±78,775 mg/dl. Hasil uji statistik ditemukan bahwa tidak terdapat hubungan antara IMT dengan hasil skrining kadar glukosa darah sewaktu (p = 0,738) dan r-correlation 0,054. Uji statistik lingkar perut dengan hasil skrining kadar glukosa darah sewaktu menunjukan tidak terdapat hubungan (p = 0,765) dan r-correlation 0,048.Kesimpulan: Tidak terdapat hubungan antara IMT dan lingkar perut dengan hasil skrining kadar glukosa darah sewaktu dengan korelasi sangat lemah. Kata Kunci: IMT, lingkar perut, kadar glukosa darah sewaktu, pra lansia, lansia
Overview of Bacterial Profile of Bloodstream Infections in the Intensive Care Unit (ICU): Single Center Observational Study at Dr. M. Djamil General Hospital, Padang, Indonesia Rara Puspita Impelleren; Yulia, Dwi; Yoshie Anto Chicamy
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 8 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i8.1055

Abstract

Background: Bloodstream infection (BSI) is a condition characterized by positive blood cultures in patients who have systemic infections. Bloodstream infections have developed into a threat to public health worldwide with high mortality rates in intensive care settings. This study aims to determine the bacterial profile of BSI in the intensive care unit (ICU) of Dr. M. Djamil General Hospital Padang. Methods: This study is a retrospective descriptive study with a cross-sectional design from secondary data at the Microbiology and Medical Records Installation Laboratory of Dr. M. Djamil General Hospital Padang. All blood samples from patients aged ≥18 years in the ICU who are suspected of being infected will be cultured and identified with VITEK 2 in 2022. Results: A total of 243 blood samples consisted of 126 men (52%) and 117 women (48%) with the largest age range being 41-60 years (48%). The diagnosis of BSI was found in 94% with the most common comorbidities being malignancy (42%) and stroke (15%). The most common bacterial bloodstream infections were found in the ICU of Dr. M. Djamil General Hospital Padang., namely Gram-positive bacteria (66%) and coccus (66%). The most common type of bacteria identified with the VITEK 2 automatic tool is Staphylococcus hominis. Multidrug-resistant organisms (MDRO) found in this study were 8% with the most common causes, namely extended spectrum B-lactamase (ESBL). Blood samples in this study found bacteria due to contamination by 38%. Conclusion: The BSI bacterial profile found was mostly in the ICU of Dr. M. Djamil General Hospital Padang is a Gram-positive bacterium, coccus-shaped, Staphylococcus hominis and ESBL. Blood cultures found bacteria contaminated by 38%.
Pengaruh Pemberian Kukis Kombinasi Tepung Ikan Tongkol (Euthynnus affinis) dan Tepung Bayam (Amaranthus tricolor) Dengan Penambahan Probiotik Dadih Terhadap Kadar Feritin Serum Pada Tikus Wistar Anemia Azahra, Azizah Firda; Lipoeto, Nur Indrawaty; Rofinda, Zelly Dia; Rita, Rauza Sukma; Desmawati, Desmawati; Yulia, Dwi; Fasrini, Ulya Uti
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 11 (2025): SENTRI : Jurnal Riset Ilmiah, November 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i11.4950

Abstract

Anemia is a global health problem characterized by low hemoglobin and ferritin levels due to iron deficiency, which affects growth, cognition, and disease risk, particularly in children and women of reproductive age. Local food–based nutritional interventions such as skipjack tuna (heme iron), spinach (non-heme iron), and dadih (probiotics) have the potential to provide synergistic effects in improving iron status. This study aimed to determine the effect of cookies made from a combination of skipjack tuna flour and spinach with the addition of dadih probiotics on serum ferritin levels, as well as the effectiveness of Sodium Nitrite (NaNO₂) in decreasing ferritin and hemoglobin levels as indicators of anemia. The study used a Post-Test Only Control Group design with 36 female Wistar rats induced with anemia using NaNO₂ at a dose of 25 mg/200 g BW for 18 days, then divided into six treatment groups for 28 days. Ferritin levels were measured using the ELISA method. The results showed that administering cookies made from the combination of skipjack tuna flour and spinach with dadih probiotics significantly increased ferritin levels (P=0.000) compared to the control and single-ingredient groups. NaNO₂ was proven effective as an anemia-inducing agent. This combined cookie formulation has the potential to improve serum ferritin levels.
Perbandingan Benefit Cost Analysis Laboratorium Dengan Metode KSO Reagen Rental dan Cost per Reportable Result Shinta Dewi, Viola; Astiena, Adila Kasni; Semiarty, Rima; Yurniwati, Yurniwati; Yulia, Dwi; Putra, Abdi Setia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2171

Abstract

Healthcare financing is the foundation of sustainable hospital services, including laboratory units that have high needs for equipment, reagents, and maintenance. Inefficient financing can hinder service quality and reduce the hospital's capacity to meet patient needs. Dr. M. Djamil Padang General Hospital, as a national referral hospital, faces these challenges, particularly in hematology testing, which dominates the laboratory service load. Although the number of tests decreased in 2024, laboratory costs actually increased beyond the budget ceiling, forcing a change in the financing method from CPRR back to Reagent Rental Operational Cooperation. This condition emphasizes the need for a comprehensive evaluation of the laboratory financing scheme through Benefit Cost Analysis to determine the most efficient and sustainable method. Methods: This study used a mixed method approach with a sequential explanatory strategy to analyze the financing of hematology laboratory tests. Quantitative research was conducted through benefit and cost analysis. The qualitative approach was conducted through in-depth interviews with informants from various hospital units. Results: The monetary benefit of the reagent rental KSO was Rp12.903.315.976 and the CPRR was Rp12.229.845.066. The total cost of the reagent rental KSO was Rpp2.485.694.024,- and the CPRR was Rp3.159.164.934. The Benefit Cost Ratio for the KSO reagent rental is 4.44, while that for the CPRR is 3.84. The selection of a laboratory operational cooperation model is not only a matter of cost efficiency but also considers the clinical context, internal capacity, and long-term strategy of the hospital. All informants felt that both the reagent rental KSO and the CPRR KSO had their own advantages and disadvantages, and in choosing a KSO, they looked more at its use and the hospital's current financial condition. Conclusion: Both KSO models are feasible because they generate positive NPV and BCR > 1. Financially, KSO Reagen Rental is more profitable than KSO CPRR
Perbedaan Kejadian Metastasis Pada Berbagai Jenis Sel Kanker Paru di RSUP Dr. M. Djamil Padang Tahun 2020-2022 Arifani, Adinda Rizky; Ermayanti, Sabrina; Yulia, Dwi
Jurnal Ilmu Kesehatan Indonesia Vol. 7 No. 1 (2026): Maret 2026
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v7i1.1796

Abstract

Latar Belakang: Insiden dan angka kematian yang tinggi pada kanker paru disebabkan oleh kanker paru yang umumnya baru terdiagnosis saat sudah mencapai stage lanjut dan sebagian besar mengalami metastasis ke luar paru atau sekitar 57% kasus. Kanker paru terbagi menjadi beberapa subtipe berdasarkan jenis selnya, antara lain adenokarsinoma, karsinoma sel skuamosa, karsinoma sel besar, dan tipe campuran. Objektif: Penelitian ini bertujuan untuk mengetahui perbedaan kejadian metastasis pada berbagai jenis sel kanker paru. Metode: Penelitian ini adalah penelitian analitik observasional dengan desain penelitian cross sectional dengan mengambil data sekunder berupa rekam medis pasien kanker paru jenis karsinoma sel kecil di RSUP Dr. M. Djamil Padang. Sampel penelitian sebanyak 127 sampel yang memenuhi kriteria inklusi. Pengambilan sampel dilakukan dengan teknik total sampling. Analisis data bivariat menggunakan uji statistik Chi-square. Hasil: Mayoritas pasien kanker paru adalah laki-laki (72,4%), kelompok usia 40-69 tahun (87,4%), dan perokok (54,3%). Jenis sel kanker yang paling umum dijumpai adalah karsinoma sel skuamosa (56,7%) dan tidak ditemukan adanya jenis karsinoma sel besar. Pasien kanker paru lebih banyak mengalami metastasis (70,1%). Jenis sel yang paling banyak mengalami metastasis adalah adenokarsinoma (79,5%). Tidak terdapat perbedaan yang bermakna terhadap kejadian metastasis pada berbagai jenis sel kanker paru (p=0,199). Kesimpulan: Tidak terdapat yang bermakna terhadap kejadian metastasis pada berbagai jenis sel kanker paru di RSUP Dr. M. Djamil Padang Tahun 2020−2022.