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A Comparative Study of Cervical Cancer Early Detection by Using Visual Inspection with Acetic Acid (VIA) Method in Bandar Lampung in 2019 Concerning Breast Cancer and Cervical Cancer Mitigations Febri Adriati; Aila Karyus; Achmad Djamil
Journal for Quality in Public Health Vol. 4 No. 2 (2021): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v4i2.191

Abstract

The visual inspection with acetic acid (VIA) test coverage in Bandar Lampung was 53.76% in 2019 and a pre-survey result showed that VIA implementation in Bandar Lampung was not yet optimal. The problem in this research was to do a comparative study on the cervical cancer earlier detection by using VIA method in Bandar Lampung according to the Regulation of Ministry of Health No. 29 in 2017 concerning breast cancer and cervical cancer mitigations. This was a comparative study by using r-test (Pearson Product Moment). The result showed a weak correlation between VIA equipment amounts to VIA test coverage in Bandar Lampung, a strong correlation between trained human resource amount to VIA test coverage in Bandar Lampung, a moderate correlation between numbers of examination and VIA coverage in Bandar Lampung, and moderate correlation between numbers of information technique activities and VIA coverage in Bandar Lampung. The most dominant factor was trained human resources.
Penatalaksanaan Pasien Wanita 63 Tahun dengan Tuberkulosis Paru dan Diabetes Melitus Tipe 2 Melalui Pendekatan Dokter Keluarga di Puskesmas Susunan Baru Desti Dwi Rahmah; Aila Karyus
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.v13i7.847

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which can attack the lungs and other organs. As many as 10.6 million people worldwide suffer from tuberculosis (TB) with an increase in the incidence rate of 3.6% between 2020 and 2021. Type 2 diabetes mellitus (DM) is one of the most important risk factors for worsening TB with a risk of active TB 2 -4 times higher in individuals with type 2 DM than non-DM. The study conducted in the form of a case report. Data were obtained through anamnesis, physical examination, laboratory examination, and medical records at PUSKESMAS. The assessment carried out based on the initial holistic diagnosis, process, and the final of the study both quantitatively and qualitatively. Based on the study, case a 63-year-old female patient with complaints of dry cough and phlegm for 2 months accompanied by an itchy throat, chills, decreased appetite and body weight. The patient has type 2 DM since 6 years. Family doctor services carried out to identify risk factors, clinical problems, as well as evidence-based medicine with patient management through a family approach, patient-centred, and community-oriented. Interventions done both medically and non-medically in the form of patient and family education about pulmonary tuberculosis and type 2 DM. Evaluation after the intervention obtained a decrease in fasting blood sugar, an increase in knowledge about the patient's disease, and an improvement in eating patterns.
Hubungan Asupan Makan dengan Kejadian Kurang Energi Kronis (KEK) pada Ibu Hamil di Wilayah Kerja Puskesmas Sukaraja Kota Bandar Lampung Ahmad Alvin Dictara; Dian Isti Angraini; Diana Mayasari; Aila Karyus
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The prevalence of chronic energy deficiency (CED) in Lampung Province in 2013 was 21,3% for pregnant women and 17,5% in non-pregnant women, in Bandar Lampung was 24,5%. The problem of chronic energy deficiency (CED) in women is influenced by various factors, namely food intake, incorrect understanding of nutrition, the entry of undernourished food products from outside and chronic infectious diseases.This study was conducted to determine the relation of food intake with CED in pregnant women in working area of Sukaraja health center in Bandar Lampung.This type of researchwas quantitative using cross sectional approach with consecutive sampling technique. The inclusion criteria were pregnant women in the first and second trimesters, aged 20-35 years, and willing to be respondents. The exclusion criteria were women with chronic infection, anemia, and hyperemesis gravidarum. The research respondents were 71 pregnant women. Food intake data were obtained from the Semi quantitative food frequency questionnaire and CED data by measuring the upper arm circumference (LILA). Data were analyzed by fisher exact test.The results showed that there were 8.5% of respondents suffering from CED. Respondents who have less energy intake (36.6%), less carbohydrate intake (69.0%), less protein intake (11.3%), and less fat intake (39.4%). Based on the results of the analysis, it was found that energy and protein intake was associated with CED (p = 0.022) and (p = 0.017), while carbohydrate and fat intake was not related to CED (p = 0.167) and (p = 0.204). The conclusion of this study is that there is a significant relationship between energy and protein intake with the incidence of CED in pregnant women in the work area of Sukaraja Health Center, Bandar Lampung City.
Analysis of Factors Associated with Pregnant Women’s Adherence in Consuming Iron (Fe) Tablets Sevania, Nabila; Dewi Woro Astuti; Aila Karyus
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 1 (2025): Desember
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i1.274

Abstract

Anemia in pregnant women remains a major public health problem that increases the risk of pregnancy complications, childbirth difficulties, as well as maternal and infant mortality. One preventive effort is the provision of iron (Fe) tablets; however, adherence to consumption among pregnant women is still low. This study aims to analyze the factors associated with pregnant women’s adherence in consuming Fe tablets at Kedaton Public Health Center, Bandar Lampung City in 2025.This research employed a cross-sectional design with a quantitative approach. The study population consisted of 334 pregnant women who underwent antenatal examinations from January to April 2025, with a sample of 77 respondents selected through simple random sampling. Data were collected using a structured questionnaire and analyzed using the chi-square test with a 95% confidence level (α=0.05).The results showed that age (p=0.000), education (p=0.045), knowledge (p=0.009), attitude (p=0.022), and husband’s support (p=0.009) were significantly associated with adherence to Fe tablet consumption. The majority of non-compliance was caused by limited knowledge and low awareness of the benefits of iron supplementation.In conclusion, age, education, knowledge, attitude, and husband’s support significantly influence adherence to Fe tablet consumption. It is recommended that health workers strengthen nutrition education programs and involve families in supporting pregnant women to improve adherence and reduce the risk of anemia.
Penatalaksanaan Holistik pada Laki-Laki Usia 58 Tahun dengan Penyakit Paru Obstruktif Kronik (PPOK) Melalui Pendekatan Dokter Keluarga di Wilayah Kerja Puskesmas Kalirejo Saphira Murfi; Aila Karyus
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 1 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i1.pp457-466

Abstract

Penyakit Paru Obstruktif Kronik (PPOK) merupakan penyakit yang ditandai dengan adanya hambatan pada aliran udara pada saluran napas. Gejala utama PPOK antara lain, seperti sesak napas, batuk, dan produksi sputum yang meningkat, sehingga dapat mempengaruhi interaksi dan juga aktivitas sehari-hari. Prevalensi PPOK di Indonesia berdasarkan data Riset KesahatanDasar (RISKESDAS) pada tahun 2013 adalah sebesar 3,7%, dengan prevalensi pada provinsi Lampung yaitu sebesar 1,4%pada umur >30 tahun. Tujuannya sebagai penerapan pelayanan dokter yang berbasis evidance based medicine pada pasien.Studi ini menggunakan laporan kasus, dengan data primer yang didapati dari anamnesis, pemeriksaan fisik dan kunjungan rumah untuk melengkapi data keluarga, data psikososial dan lingkungan. Data sekunder didapati dari rekam medis pasien di Puskesmas. Penilaian dilakukan berdasarkan diagnosis holistik awal, proses, dan akhir studi secara kualitatif dan kuantitatif. Pasien Tn. P usia 58 tahun dengan diagnosis PPOK. Faktor risiko internal meliputi riwayat merokok pasien sejak lama.Faktor eksternal meliputi kurangnya pengetahuan keluarga tentang penyakit pasien dan gaya hidup yang kurang baik. Pada pasien dilakukan intervensi berupa edukasi dan didapatkan perubahan pengetahuan serta perubahan perilaku. Penegakkan diagnosis dan penatalaksanaan pada pasien ini telah dilakukan secara holistik, patient centered, dan family approach.
Penatalaksanaan Holistik Gagal Jantung Kongestif dan Hipertensi pada Wanita Usia 60 Tahun melalui Pendekatan Kedokteran Keluarga Dhipayasa Adirinarso; Aila Karyus
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 1 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i1.pp574-588

Abstract

ABSTRAK Latar Belakang: Penyakit jantung dan hipertensi merupakan masalah kesehatan utama di dunia dengan angka kesakitan yang tinggi. Riskesdas 2018 mencatat prevalensi gagal jantung kongestif di Indonesia sebesar 1,5%. Di Provinsi Lampung, pada tahun 2013 terdapat sekitar 5.560 penderita gagal jantung, sementara kasus hipertensi di Indonesia mencapai 63 juta orang, dan sekitar 6,2 juta kasus terjadi di Lampung.Tujuan: Menerapkan pendekatan kedokteran keluarga yang menyeluruh dan sesuai dengan kondisi pasien, serta memberikan penatalaksanaan berbasis Evidence-Based Medicine yang berfokus pada pasien, keluarga, dan masyarakat.Metode: Data primer dikumpulkan melalui autoanamnesis, pemeriksaan fisik, dan kunjungan rumah. Data sekunder berasal dari rekam medis pasien. Evaluasi dilakukan secara kualitatif dan kuantitatif melalui diagnosis holistik awal dan akhir. Hasil: Pasien Ny. S 60 tahun, mengeluh sesak napas saat beraktivitas berat selama setahun terakhir dan merasa lebih baik saat istirahat. Pasien telah didiagnosis gagal jantung kongestif selama 1 tahun dan hipertensi selama 10 tahun. Pola makan tinggi garam dan lemak, kurang aktivitas fisik, serta minimnya pengetahuan dan dukungan keluarga menjadi faktor yang memperburuk kondisi pasien. Penatalaksanaan dilakukan sesuai dengan teori dan jurnal ilmiah.Kesimpulan: Pendekatan holistik dapat meningkatkan pengetahuan serta membantu perubahan sikap dan perilaku pasien. Dukungan keluarga sangat penting dalam proses pengobatan dan perawatan pasien. Kata Kunci: Dokter Keluarga, Gagal Jantung Kongestif, Hipertensi, Tatalaksana Holistik