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Fitria Saftarina
Universitas Lampung
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Dampak Paparan Panas di Lingkungan Kerja Terhadap Kesehatan Pekerja Reinita Aulia; diana mayasari; fitria saftarina
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.660

Abstract

Heat exposure occurs when the body absorbs more heat than can be received through the process of thermoregulation. Workers who are exposed to heat or work in a hot environment may be at risk of experiencing heat stress which can adversely affect the worker's health. Heat exposure can cause physiological responses from various organs and cause various health problems. This article aims to discuss the impact of heat exposure in the work environment on the health of workers and preventive strategies that can be done. Heat exposure is a contact between an individual and the environment which can pose a risk of increased body temperature and perceived discomfort. Through the high frequency and intensity of heat waves, exposure to heat can cause physiological responses to various systems, namely the central nervous, musculoskeletal cardiovascular, and integumentary systems which if not properly controlled can lead to pathological conditions. Health problems that can occur are heat stroke, heat exhaustion, heat syncope, heat cramp and heat rash. Several steps must be implemented to protect the health of workers from exposure to heat in the work environment so that workers are not at risk of experiencing work-related injuries or illnesses.
Penatalaksanaan Holistik Pada Pria Usia 85 Tahun Dengan Gout Arthritis Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Rawat Inap Gedong Tataan Chintya Chintya Redina Habsari; Fitria Saftarina
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.799

Abstract

Gout arthritis is a condition where there is an increase in serum uric acid levels above normal. Risk factors that influence high uric acid levels are age, genetics, excessive purine intake, obesity, and post menopause. This disease is important to be managed comprehensively because treatment goals can be achieved so that management needs to be carried out through a family approach. Identify internal and external risk factors and clinical problems present in the patient. Apply a holistic and comprehensive approach to family doctors according to the problems found in patients and carry out evidence-based medicine-based management that is family-approach, patient-centered and community-oriented. The study conducted is a Case Report. Primary data were obtained through history taking, physical examination through home visits and filling in the family folder, secondary data were obtained through patient medical record. Assessment is based on a holistic diagnosis of initial, process, and end visits. Patient Mr. I, 85 years old, complained of pain in the joints of the fingers of his right hand since 7 days ago. The patient has had these complaints since ± 20 years ago. Clinically the patient was diagnosed with Gout Arthritis (ICD-X M10.0). Furthermore, holistic management is carried out, namely intervention using poster media. In the evaluation, the results were obtained in the form of a better understanding of the disease and changes in behavior that have an impact on the success of therapy. The diagnosis and management of these patients has been carried out holistically, patient centered, family approach and community oriented based. In the process of behavior change, the patient has reached the trial stage.
Holistic Management of a 9 Year Old Boy Patient with Pulmonary TB Through a Family Doctor Approach in the Rajabasa Indah Community Health Center Area Fadhila, Syifa Rahmi; Khairunissa Athira Nauli Siregar; Tuti Malindasari; Fitria Saftarina; Belinda Apriannanti Beauty
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.v14i5.1122

Abstract

TB is a disease that is still difficult to complete. The estimated of the number of TB cases in children reaches 99,000 cases or 12% of the total case. The analysis of this study is case report. Assessment is carried out based on a holistic diagnosis from the start, process, and end of the study quantitatively and qualitatively. An. L, 9 years old, has a main complaint of coughing up phlegm. The patient also experienced complaints of not gaining weight, looking thin, and the patient's mother said her child had become less active since she was sick. The patient is a TB patient who has been undergoing OAT treatment for almost 4 months. Some of the factors that can influence the patient's condition are internal and external risk factors. In this case, a diagnosis of tuberculosis was carried out in accordance with current theories and research. After the intervention, there was a decrease in clinical symptoms and changes in the behavior of the patient and his family. The management given is in accordance with the guidelines, it can be seen that changes in behavior and knowledge of the patient and the patient's family are seen after intervention based on evidence-based medicine which is patient-centered, family approach.
Penatalaksanaan Holistik Wanita Usia 26 Tahun Dengan Kekurangan Energi Kronis Melalui Pendekatan Dokter Keluarga di Wilayah Puskesmas Rajabasa Indah Alia, Ega Chessa; Nyimas, Naflah Nadila; Saftarina, Fitria; Aprianna, Belinda
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.v14i6.1132

Abstract

Malnutrition in Pregnancy (ICD 10-O25) is a malnutrition problem cause by the lack of food or nourishment intake in a long period of time, up to years. One of the potential problem in long term macro malnutrition, specifically in pregnant women with ICD 10-O25 is give birth to Low Weight Baby (LWB), anemia and decreased immunity. In Indonesia, there are 17.3% pregnant women with ICD 10-O25. Lampung in particular, there are 13.6% pregnant women with ICD 10-O25. Therefor, it is crucial to comprehensively manage nutrition status, especially in pregnant women. Identify internal and external risk factors and clinical problems present in the patient. Apply a holistic and comprehensive family doctor approach according to the problems found in the patient and carry out medicine-based management. This study is descriptive study about case report. The primary data obtained through anamnesis, physical examination and a visit to the home. Secondary data were obtained from medical records of patients. The patient is a pregnant women with ICD 10-O25. The internal risk factor aspect in the patient is the patient's unhealthy eating and drinking patterns. Aspects of the patient's external factors due to lack of support and information from the family and the environment. Patients are given information about CED and healthy eating patterns. In addition, patients are assisted in applying their knowledge. The diagnosis enforcement and management with this patient has been done with family medical approach, several theories and latest researches. After intervention to the patient, the patient has better understanding and attempted to apply the knowledge. Furthermore, the patient’s Mid Upper Arm Circumference (MUAC) has been increased in the last evaluation visit.
PENATALAKSANAAN PADA LAKI-LAKI USIA 22 TAHUN DENGAN PENYAKIT GASTROESOFAGEAL REFLUX DISEASE (GERD) MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS GEDONG TATAAN Arrizky, Muhammad Heickal Ikhlasul Amal; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1296

Abstract

Gastroesophageal Reflux Disease (GERD) is a medical condition where stomach acid rises into the esophagus, with primary symptoms such as heartburn, regurgitation, chest pain, chronic cough, and hoarseness. GERD occurs due to the weakness of the valve between the stomach and esophagus. According to Riskesdas 2018, the prevalence of GERD in Indonesia is 40.8%, making it a significant health issue. Family doctor services that are oriented towards evidence-based medicine focus on identifying risk factors, clinical issues, and patient management through an approach that actively involves the patient and their family. This study used primary data through anamnesis, physical examination, and home visits to assess the environmental conditions that may impact the patient’s health. The assessment was done holistically, covering diagnosis, process, and research results both qualitatively and quantitatively. Indicators evaluated include diet, stress levels, adherence to therapy, physical activity, and environmental factors such as home cleanliness and access to healthcare. Before the intervention, the patient and family had limited knowledge about GERD, with unhealthy eating habits, such as irregular meals, overeating in one sitting, minimal intake of fruits and vegetables, and lack of exercise. After the intervention, the knowledge score increased from 4 in the pre-test to 9 in the post-test, indicating improved understanding of GERD and preventive measures. The holistic approach proved effective in improving the patient’s understanding, attitude, and behavior, as evidenced by improvements in the diagnostic evaluation at the end of the study.
Tatalaksana Menyeluruh Wanita Usia 60 Tahun dengan Hipertensi Derajat 1 dan Skabies Melalui Kedokteran Keluarga Agung, Lovina Ramadhita; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1314

Abstract

Family doctors provide evidence-based medicine services with a patient-centered and family-focused approach to identify clinical problems, risk factors, and patient management. This article is compiled using a case report method according to research needs. The data used are primary data obtained through anamnesis, both auto and alloanamnesis, physical examination, home visits to obtain data related to family, psychosocial and environment. A holistic diagnosis of various factors is carried out from beginning to end to solve the problem holistically. A 60-year-old woman was diagnosed with Grade I Hypertension and Scabies. The patient has internal risk aspects, namely obesity, poor hygiene, unbalanced diet, low knowledge of the disease, and stress. The external risk in this case is the lack of family knowledge regarding the patient's disease. Then, comprehensive management is carried out for the patient and family. Through this approach, it is expected to be able to improve the patient's knowledge, perspective, and actions. The role of the family to change the patient's lifestyle to be healthier as support for the patient, such as reminding to take medication and inviting exercise greatly affects the results of holistic management. The complexity of this problem requires time and cooperation between family doctors, patients, and families.
PENATALAKSANAAN HOLISTIK PASIEN PEREMPUAN USIA 55 TAHUN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DAN RIWAYAT TUBERCULOSIS (TB) PARU MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH PUSKESMAS PASAR AMBON Noviyanti, Dwi Wulan; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1329

Abstract

Chronic obstructive pulmonary disease (COPD) is defined as a lung disease with clinical symptoms as shortness of breath, coughing, phlegm production due to airway abnormalities that cause persistent airflow obstruction. This airflow obstruction in COPD is progressive and often associated with chronic-inflammation caused by exposure to noxious substances, such as cigarette smoke. Tuberculosis (TB) is a contagious-infectious disease caused by Mycobacterium-tuberculosis and most often manifests in the lungs (pulmonary TB), although-M.Tb can also infect other organs (extrapulmonary TB). History of pulmonary TB could cause permanent-damage to lung-anatomy and associated with loss of lung-function, such as bronchiectasis, fibrosis, or post-TB emphysema, which can increase the risk of COPD. Research by Fan H et al in 2021 stated that there was a risk of COPD in patients with a previous history of pulmonary TB. Providing family doctor services rooted in evidence-based medicine involves the identification of risk factors and clinical issues, along with the management of patients, all within a patient centered and family oriented problem solving framework. This study involves a case-report-analysis. Primary data were gathered through history taking, physical examinations, and home visits. The evaluation is conducted based on a comprehensive diagnosis-spanning the initial, process-oriented, and final phases of the study, using both quantitative and qualitative methods. Interventions for the patient-consisted of educational measures for patients and their families using posters and direct discussions. Following these interventions, there was an observed improvement in both knowledge and behavioral-changes both patient and family-behaviors, as evidenced by improvements in the final holistic-diagnostics.
PENATALAKSANAAN HOLISTIK PADA WANITA USIA 54 TAHUN DENGAN HIPERTENSI, DM TIPE 2 DAN HIPERKOLESTEROLEMIA MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS KARANG ANYAR Muhammad, Innou Dhanu; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1340

Abstract

Hypertension is a condition when blood pressure in the blood vessels increases chronically. Data from the World Health Organization (WHO) in 2015 showed that the incidence of hypertension in the world reached 1.13 billion and in 2025 the number of hypertension sufferers will continue to increase to reach 1.5 billion individuals. Type 2 DM is a metabolic disease characterized by hyperglycemia due to insufficiency of insulin secretion by pancreatic beta cells or impaired insulin function. According to the International Diabetes Federation (IDF), it is estimated that one in 11 adults or 90 million people (aged 20-79 years) in Southeast Asia will suffer from DM in 2021. Hypercholesterolemia is a condition characterized by high levels of cholesterol in the blood. According to (Riskesdas) 2018, it shows 21.2% of the Indonesian population aged ≥ 15 years. Hypertension, type 2 diabetes mellitus (T2DM) and hypercholesterolemia are chronic disease disorders that are interrelated with each other due to overlapping risk factors such as endothelial dysfunction, vascular inflammation, arterial remodeling, atherosclerosis, dyslipidemia and obesity. There are many cardiovascular complications in diabetes and hypertension, especially related to microvascular and macrovascular diseases such as stroke, heart failure, kidney disease, retinopathy, neuropathy and amputation. To reduce morbidity and mortality rates, Evidence Based Medicine-based service management is carried out in patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework with a patient-centered, family-focused and community-oriented approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively.
The Effect of Focus Group Discussions on Enhancing Adolescent Knowledge of Reproductive Health Salsabila, Karina Adra; Wardani, Dyah Wulan Sumekar Rengganis; Kusumaningtyas, Intan; Saftarina, Fitria
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.v14i9.1331

Abstract

Adolescents are individuals who have a great sense of curiosity, which can increase the risk of sexual and reproductive health issues. Adolescence is also experience puberty, in which the reproductive organs mature significantly. If these organs are not properly taken care, they can lead to various reproductive health issues. To prevent these issues, Various efforts are needed to increase adolescents' knowledges about reproductive health. One such effort can be giving health education using a method like Focus Group Discussion (FGD). This study aims to examine the impact of health education using the FGD method on improving knowledge about reproductive health among adolescents. The method that used in this study is a literature review. several literatures such as journals collected and analyzed them based on the findings from those studies. This research uses 8 journals, which consist  7 experimental research journals and 1 non-experimental research journal. The results, based on the analysis of these 8 previous studies, showed an improvement in the mean, median, as well as the minimum-maximum values before and after the intervention using the FGD method. The conclusion of this study is that there is a significant difference in the improvement of adolescents' knowledge about reproductive health before and after receiving health education through the FGD method.
LOW BACK PAIN: Literature Review Shafia, Anindya; Ismunandar, Helmi; Putri, Giska Tri; Saftarina, Fitria
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1631

Abstract

Low back pain (LBP) is one of the most common musculoskeletal problems and a leading cause of disability and global productivity loss. This condition can be either acute or chronic and is caused by various factors, including mechanical, radicular, and nociplastic components. The complexity of its etiology and the variability of treatment responses necessitate a comprehensive and multidimensional approach. This study is a literature review that examines scientific articles obtained from databases such as PubMed, Scopus, and Google Scholar. The articles reviewed were published between 2015-2025 and discussed aspects of  definition, epidemiology, classification, diagnosis, and pharmacological and non-pharmacological management of LBP. The review found that LBP has a high global prevalence, particularly among the productive age group and the elderly. Risk factors include biomechanical, psychosocial, and lifestyle aspects. Management of LBP involves pharmacological treatments (NSAIDs, tramadol, duloxetine) and non-pharmacological approaches (physical exercise, education, multidisciplinary rehabilitation). LBP is a complex public health issue with significant economic and social burdens. Effective management strategies require a biopsychosocial approach, appropriate use of screening tools, and multifactorial interventions tailored to the type and phase of pain. Prevention through education and physical activity has also proven effective in reducing the risk of LBP occurrence.
Co-Authors -, Intanri Kurniati -, Ramadhana komala Abiyyi Pratama HW Agung, Lovina Ramadhita Airlangga Damara Akhmad Rizki Farhan Aldo Fatejarum Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda Amalia, Usnida Khoiru Amallia, Rizka Dina Amelia, Rizqina Fara Andari, Michelle Safna Anggita Gardeesna Sari Anggraini, Dian Isti Anis Permanasari Anisya Yulida Syani Aprianna, Belinda Aprina Adha Widiastini Arlandi, Charity Binda Arrizky, Muhammad Heickal Ikhlasul Amal Arsistya Ayu Marella Asep Sukohar Athoriq, Muhammad Reivan Putra Atika Damayanti ATIKA RAHMAWATI Azelia Nusa Dewiarti Azka, Laisa Bachtiar, Nabylly Aghna Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Camilia, Anita Camillia, Anita Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Citra Yuliyanda Pardilawati Daniel Surya Wijaya Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana, Mayasari Dinda Annisa Fitria Dwi Indria Anggraini Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Endro Prasetyo Wahono Ety Apriliana Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Khanza Amalia Fairuz Rabbaniyah Fairuz Rabbaniyah Farhah, Putri Dzahabiyyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriana, Wiwi Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Fitriani Antika Dhamayanti Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Hanna Mutiara Hanna Mutiara, Hanna Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Iffatunnada Khalishah Ihsanti Dwi Rahayu Indri Windarti Indria, Anggraini Dwi Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karima, Nisa Karimah, Nisa Kartika, Juspeni Khairani, Dinda Aulia Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Laisa Azka Larasati, Ratri Mauluti Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri Mochammadin, Rafly Abdullah MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad Ridho Muhammad Yusran Muhammad, Innou Dhanu Muhartono Muhartono Muthia Aya Syahmalya Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nadiya Dewi Kusnadi Nainggolan, Hotman Natama Nanda Tiara Santika Naomi Elfriede Sirait Nisa Karimah Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nurul Utami Nyimas, Naflah Nadila Oktavia, Rizwiki Ovalia, Nora Wilya Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Damayanti Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Ridho Pambudi Rika Lisiswanti Rika Lisiswanti Rika Rahmawati Risti Graharti Rizky Arif Prasetyo Rizqa Atina Rodiani S, Johns Fatriyadi Salma Alya Ihsan Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Septiani, Linda Setiawan, Gigih Setiorini, Anggi Shaffa Aulia Shabrina Shafia, Anindya Silvi Qiro'atul Aini Sinum, Ilham Muhammad SOEDJARWO Soedjarwo, Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Soraya Rahmanisa Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti, Susianti Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa TA Larasati Tara Aulianova Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Viera Rininda Mauli Dinar Winda Puspita Sari Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wulan, Anggraini Janar Yadika, Adilla Dwi Nur Yasmin, Deffina Widya Yoga, M Agung Prasetya Adnyana Yogi Maryadi Yulita Tricia Zahara, Noeril Asy Syifa Zenith Puspitawati