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EFEKTIVITAS PENYULUHAN KESEHATAN CA SERVIKS TERHADAP MOTIVASI PEMERIKSAAN IVA PADA WANITA PASANGAN USIA SUBUR Karyus, Aila; Putri, Dian Utama Pratiwi; Baharza, Satria
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 2 (2020): April 2020
Publisher : LPPM STIKES KENDAL

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Abstract

Pasien kanker serviks di Provinsi Lampung masih cukup tinggi. Data dari 2018, dari Januari hingga Juli, ditemukan bahwa area Puskesmas Blambangan adalah area yang memiliki insiden IVA positif tertinggi 4,33%, diikuti oleh Puskesmas Wonogiri 2,55%, Pusat Kesehatan Kalibalangan 2,17%. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penyuluhan kesehatan terhadap kanker serviks terhadap motivasi Inspeksi Asam Asetat (VIA) pada wanita PUS di Pagar Puskesmas Blambangan, Kabupaten Lampung Utara 2019. Jenis penelitian ini adalah penelitian kuantitatif, dengan jenis penelitian Pra-Eksperimental.Populasi dalam penelitian ini sebanyak 92 wanita PUS dengan sampel 44 orang, penelitian ini menggunakan kuisioner sebagai instrumen penelitian. Analis data menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukkan bahwa rata-rata motivasi ibu sebelum konseling adalah 33,57 dengan standar deviasi 4,261. Motivasi setelah konseling diperoleh rata-rata 69,82 dengan standar deviasi 4,288. Ada pengaruh penyuluhan kesehatan kanker serviks pada motivasi  pemeriksaan (IVA) Inspeksi pada Wanita PUS di Wilayah Kerja Puskesmas Blambangan Parah Kabupaten Lampung Utara 2019 (p-value <0,00). Kata kunci : penyuluhan kesehatan, kanker serviks, motivasi, IVA THE EFFECTIVENESS OF HEALTH EDUCATION ON CERVICAL CANCER ON THE MOTIVATION OF ACETIC ACID INSPECTION IN EFA WOMEN ABSTRACT Cervical cancer patients in Lampung Province are still quite high. Data from 2018, from January to July, it was found that the Blambangan Health Center area had the highest positive IVA incidence, 4.33%, followed by the Wonogiri Health Center 2.55%, Kalibalangan Health Center 2.17%. The purpose of this study was to determine the effect of health education on cervical cancer on the motivation of Acetic Acid Inspection (VIA) in EFA women in Pagar Puskesmas Blambangan, North Lampung Regency 2019. This type of research is quantitative research, with the type of Pre-Experimental research. Population in this study as many as 92 EFA women with a sample of 44 people, this study used a questionnaire as a research instrument. Data analysts used univariate and bivariate analysis. The results showed that the average motivation of mothers before counseling was 33.57 with a standard deviation of 4.261. Motivation after counseling obtained an average of 69.82 with a standard deviation of 4.288. There is an influence of cervical cancer health education on the motivation of examination (IVA) Inspection of EFA women in the Work Area of ??the Blambangan Parah Health Center in North Lampung Regency 2019 (p-value <0.00. Keywords: health counseling, cervical cancer, motivation, IVA
CORRELATION BEETWEEN MOTIVATION AND SUPERVISION ON COMPLETENESS FILLING MEDICAL RESUME BY DOCTOR Farista, Achmad Deza; Karyus, Aila
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

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Abstract

ABSTRAK   Resume medis merupakan catatan yang mencerminkan segalai nformasi penting yang menyangkut pasien, dijadikan sebagai dasar untuk menentukan tindakan yang lebih lanjut dalam upaya pelayanan medis. Angka kelengkapan pengisian dokumen rekam medis tahun 2019 di RSUD Pesawaran sebesar 43,33%, sedangkan untuk resume medis yang tidak lengkap sebesar 37,4%%.Untuk mengetahui hubungan antara Motivasi dan Supervisi terhadap kelengkapan pengisian resume medis oleh dokter di RSUD Pesawaran.Penelitian ini menggunakan desain observasional dengan pendekatan cross sectional. yang dilakukan pada pada Februari - Mei 2020 di RSUD Pesawaran. Populasi penelitian adalah seluruh dokter yang terlibat di pelayanan rawat inap RSUD Pesawaransejumlah 37 dokter dengansampel penelitian adalah total seluruh populasi, sejumlah 37 responden. Analisis data menggunakan univariat dan bivariat. Untuk bivariat gunakan uji chi-quere.Ada hubungan motivasi dengan kelengkapan pengisian resume medis oleh dokter di RSUD Pesawaran  (p value 0,029. OR 6) dan ada hubungan supervisi dengan kelengkapan pengisian resume medis oleh dokter di RSUD Pesawaran  (p value 0,022. OR 7,04)(? <0,05).Dari hasil penelitian disarankan bahwa RSUD Pesawaran dapat meningkatkan motivasi  dan sikap dokter dengan memberikan feedback/umpan balik pada DPJP terkait hasil kegiatan pengisian kelengkapan resume medis. Serta dapat melakukan supervises ecara berkala dan teratur satu bulan sekali, Supervisor perlu mengikuti pelatihan supervise sehingga dapat melakukan supervise dengan baik dan sesuai dengan standar, Memberlakukan system reward dan punishment sebagai dampak dari penilaian atau feedback dalamsupervisi. Kata kunci:Kelengkapan Resume Medis, Motivasi, Supervisi  
F FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN PROGRAM RUJUK BALIK (PRB) PASIEN HIPERTENSI DI RSUD ALIMUDDIN UMAR KABUPATEN LAMPUNG BARAT Sari, Lia Puspita; Rahayu, Dewi; Karyus, Aila; Pratiwi Putri, Dian Utama; Budiati, Endang
An Idea Health Journal Vol 4 No 01 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i01.135

Abstract

Referral Program (PRB) is a health service program that is provided to JKN participants with chronic diseases with stable conditions and still requiring treatment at first-level health facilities. Hypertension is a chronic disease that can only be controlled and requires long-term and even lifelong treatment so that patient compliance with hypertension treatment is required. Patient compliance is a determining factor for the success of hypertension therapy with controlled blood pressure results. This study was to determine what factors are associated with visits to the Referback Program for Hypertensive Patients at Alimuddin Umar Hospital, West Lampung Regency. The population of this study were 135 patients in the Internal Medicine Polyclinic who were included in the research criteria. This research was conducted from August 2022. This research includes quantitative research with a Cross Sectional approach. Data collection using medical records. The results showed that there was a relationship between hospital facilities and DRR visits for hypertension patients, there was a relationship between the competence of health workers and DRR visits for hypertension patients, and there was a relationship between ease of information and PRB visits for hypertension patients. The ease of information variable is the dominant variable in the referral patient visit. It is necessary to monitor and evaluate the implementation of the Referback Program, to conduct more intensive socialization regarding the Referback Program, to Health Facilities or participants about how useful this referral programs.
A Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Berat Badan Lahir Rendah Di Kabupaten Mesuji Tahun 2022 Lestari, Rini Iwan; Rahayu, Dewi; Budiati, Endang; Irianto, Sugeng Eko; Karyus, Aila
An Idea Health Journal Vol 3 No 02 (2023): JULY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i02.157

Abstract

According to WHO (2020) 35.5% of infant deaths are caused by low birth weight (LBW). In Indonesia, 79.1% of deaths occur in infants. In Mesuji District, there were 97 cases of LBW from 2,786 births. The research objective was to analyze the factors associated with the incidence of low birth weight in Mesuji District. This type of quantitative research, with a case control approach design. study population, all newborns were 2,907 babies. The research sample is 124 respondents. The sampling technique was purposive sampling. The method of collecting data is by observing checking medical record books and MCH books. Based on statistical tests, it was found that there was a relationship between maternal age (p-value 0.035, OR 2.476), ANC visits (p-value 0.000, OR 24.537), maternal nutritional status (p-value 0.001, OR 4.253), and anemia (p-value 0.010 OR 3.133) with the incidence of low birth weight in Mesuji District.The ANC visit variable became the dominant variable (p-value 0.000 OR 22.624) with the incidence of LBW. Suggestions, it is hoped that the health office can facilitate increased collaboration in improving education and community empowerment in order to create public understanding of health behavior and optimal utilization of health services.
HOLISTIC MANAGEMENT OF A 69 YEAR OLD FEMALE PATIENT WITH LOW BACK PAIN AND GRADE 2 HYPERTENSION IN A PRIMARY HEALTH CARE Adli, Farhan Kamali; Karyus, Aila; Ernawati, Tutik
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.878

Abstract

Based on data from the World Health Organization, it is estimated that around 15-20% of the world's population suffers from hypertension and Hypertension in Indonesia is the third cause of death in all age groups, namely around 6.7% of the total population of deaths in Indonesia. The prevalence of musculoskeletal diseases in Indonesia is 11.9% and based on symptoms, the prevalence of musculoskeletal diseases in Indonesia reaches 24.7%. Meanwhile, the prevalence of musculoskeletal disease in Lampung reached 18.9%. Apply the principles of family medicine services to patients and carry out holistic management based on the patient problem found with patient-centered approach, family focused, and community oriented based on Evidence Based Medicine. This study is a case report with Primary data obtained through history taking, physical examination and home visits to complete family, psychosocial and environmental data. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study. Mrs. L 69 years old, came with complaints of headaches, heavy shoulders and lower back pain. The patient was diagnosed as hypertension and low back pain. In this case, the diagnosis and treatment were carried out according to the theory and related journals. After the intervention, there was a decrease in clinical symptoms and an increase in patient and family knowledge. Holistic management can improve the knowledge, attitudes, and behavior of patients and family in maintaining their health.
Penatalaksanaan Holistik Pada Wanita Usia 50 Tahun dengan Gout Arthritis Melalui Pendekatan Kedokteran Keluarga Maryanto, Erlicha Paramitha; Karyus, Aila
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.v14i1.879

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Gout arthritis is a progressive disease due to the deposition of monosodium urate crystals in joints, kidneys, and other connective tissues due to chronic hyperuricemia. This disease needs to be managed comprehensively so that patients must know about their disease and have awareness and can make lifestyle modifications so that treatment goals can be achieved, prevent complications that may occur, and improve the patient's quality of life. This can be realized with family medicine-based management. The aim of this study is to identify internal, external risk factors and clinical problems found in patients, apply a holistic and comprehensive family doctor approach according to the problems found in patients, and carry out evidence-based medicine management that is family-approach, patient-centered and community oriented. The study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record. A 50-year-old female patient came with complaints of pain in the both knees. The patient has been diagnosed with uncontrolled gout since 2 months ago. In the knowledge assessment, the initial score before the intervention was 5 (low) and after the intervention it was 9 (high). In the aspect of uric acid levels there is a decrease in uric acid levels from 9,3 mg/dL to 5,6 mg/dL. In the aspect of diet there is a change in the type of food that is appropriate. In the aspect of physical activity there is a change in physical activity of 30 minutes of exercise per day. Enforcement of diagnosis and management of these patients has been done holistically, patient centered, family approach and community oriented based on several theories and the latest research. In the process of behavior change, the patient has reached the trial stage.
Penatalaksanaan Holistik Penyakit PPOK pada Pasien Lansia Usia 76 Tahun Melalui Pendekatan Kedokteran Keluarga di Puskemas Susunan Baru: Indonesia Abdillah, Kemas Yahya; Karyus, Aila
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.v14i1.892

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Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition characterized by limited airflow. The Global Burden of Disease Study reports the prevalence of COPD is 251 million cases. One factor that plays a role is long-term smoking behavior, either actively or passively. The clinical manifestation of COPD is a cough with phlegm that persists for more than 3 months, is dry and accompanied by shortness of breath, especially when the patient is active. Management of COPD consists of medical and non-medical. COPD is a lung disease that can be treated and prevented. However, in treating COPD, there needs to be participation and support from the patient and family. This study is a case report. Primary data was obtained through history taking, physical examination and home visits. Secondary data was obtained from patient medical records. Assessment is based on a holistic diagnosis from the beginning, process and end of the study qualitatively and quantitatively. Based on the study. patient Mr. P is 76 years old with a diagnosis of COPD, Mr. P has concerns that the patient's illness could cause him to die. The patient hopes to recover and not take routine medication again. Knowledge about COPD and trigger factors such as trash fumes and cigarette smoke from the surrounding environment are problems that occur in patients. Holistic management is needed for patients with COPD to identify problems that occur in patients so that patients can have a better quality of life.
Penatalaksanaan Holistik Pasien Perempuan Dewasa Usia 54 Tahun Dengan Dermatitis Kontak Alergi Melalui Pendekatan Kedokteran Keluarga Dzakirah, Inas; Karyus, Aila
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1126

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Allergic contact dermatitis is dermatitis that occurs due to exposure to allergens outside the body, mediated by a type 4 hypersensitivity reaction. This disease is generally synonymous with pruritus has erythema, oedem,. This disease results in a high rate of morbidity and its prevalence has increased in recent decades. This article is a form of application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and management based on a problem-solving framework with a patient-centered and family-centered approach. This study is a Case Report. Primary data were obtained through autoanamnesis, physical examination, home visits to complete family and psychosocial data, as well as the environment. Assessment based on a holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively.Adult female patient aged 54 years with allergic contact dermatitis. On internal factors in cases such as genetic factors, age factors, and ignorance of the originator. External factors are the lack of family knowledge about kontak alergic dermatitis, its complications and the environment that has many allergens. Pharmacological and non-pharmacological interventions were carried out in the form of education in preventing the onset of symptoms of allergic contact dermatitis in patients. Diagnosis and management of these patients has been carried out in a holistic, patient-centered, family approach and based on several theories and recent research. In the process of change, patients and families have reached the adoption stage.
Penatalaksanaan Holistik Pasien Anak Usia 15 Tahun dengan Dermatitis Atopik melalui Pendekatan Dokter Keluarga di Wilayah Puskesmas Segala Mider Dewi, Mega Endiana; Bulfiah, Siti Noor Fadilah; Karyus, Aila
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1159

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Atopic dermatitis (AD) is a skin disorder that often occurs in infants and children, characterized by itching, frequent relapses, and a characteristic distribution of lesions. Management of DA contained in the 5 pillars which include patient education, prevention and modification of precipitating factors, improvement of optimal skin barrier function, management of inflammatory skin disorders, and control of the itch-scratch cycle. The aim of this study is to apply the principles of family medicine services to patients and carry out holistic management based on the patient problem found with patient-centered approach, family focused, and community oriented based on Evidence Based Medicine. This study is a case report with Primary data obtained through history taking, physical examination and home visits to complete family, psychosocial and environmental data. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study. The result is there are internal and external factors happened to tje patient.  After the intervention, there was an improvement of symptom. Then there is an increase in knowledge through pretest and posttest. After holistic management was carried out based on the problems identified through family doctor approach, there was an increase in symptom as well knowledge abaout the disease.
Analisis Penggunaan Indeks Gizi Prognostik pada Kesintasan Keseluruhan Pasien Kanker Payudara Sofiatin, Fitri; Irianto, Sugeng Eko; Setiaji, Bambang; Karyus, Aila
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 14 No 2 (2024): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: April 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v14i2.1905

Abstract

Indeks gizi prognostik, dihitung melalui formula sederhana menggunakan kadar albumin serum dan jumlah sel limfosit dalam darah tepi. PNI telah dilaporkan terkait dengan efek terapeutik. Penelitian ini bertujuan untuk mengetahui hubungan antara nilai indeks gizi prognostik dengan kesintasan keseluruhan pasien kanker payudara. Penelitian observasional analitik yang berfokus pada analisis kesintasan pasien kanker payudara di RSUD Abdul Moeloek, Provinsi Lampung tahun 2018 dengan Keterangan Kelaikan Etik No. S.25/019/FKES10/2023 pada tanggal 15 Februari 2023 yang di keluarkan oleh Universitas Mitra Indonesia. Sampel terdapat 159 pasien kanker payudara menggunakan purposive sampling. Data dianalisis multivariat dengan uji regresi logistik ganda.  Hasil penelitian terdapat 6 pasien meninggal (3,75%) dan 153 pasien (96,25%) bertahan. Nilai rerata PNI pada pasien kanker payudara yaitu 70,0175 dengan PNI <45 sebanyak 44 orang dan PNI >45. Hasil kesintasan keseluruhan pasien kanker payudara yang memiliki nilai indeks gizi prognostik lebih dari 45 sebanyak 90,7%. Data menunjukkan bahwa terdapat hubungan antara PNI terhadap kesintasan keseluruhan 5 tahun dengan nilai p 0,046 dengan OR 0,171 dimana pasien dengan PNI <45 berisiko memiliki kesintasan < 5 tahun 0,171 kali lebih besar. Kesintasan keseluruhan pasien kanker payudara dalam 5 tahun sebanyak 96,25%. Terdapat hubungan indeks gizi prognostik dengan kesintasan keseluruhan pasien kanker payudara.