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Fitria Saftarina
Universitas Lampung
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Journal : Medula

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PENATALAKSANAAN PADA NY. I USIA 54 TAHUN DENGAN DIABETES MELITUS TIPE 2 DAN DISLIPIDEMIA MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS GEDONG TATAAN Utami, Nabila Rachmadita; Aliffia Bingga, Isvi; Saftarina, Fitria; Putri, Giska Tri
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1155

Abstract

Diseases in Indonesia can generally be divided into communicable diseases and non-communicable diseases. Based on Riskesdas data, the number of DM suffers in Indonesia is increasing every year. In Indonesia, the prevalence of dislipidemia increase to 15.5% in the 55-64 year age group. Of these, 80% of patients died suddenly due to a heart attack, and 20% showed no symptoms. Patients must know about their disease and have awareness and motivation to make lifestyle modifications so that treatment goals can be achieved, so management is needed through a family approach. Application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on the patient's problem-solving framework with a patient centered approach and a family approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. Secondary data were obtained from patient medical records. Assessments are based on a holistic diagnosis from the start, process, and end of the study in a qualitative and quantitative manner. Mrs. I, 54 years old with type 2 diabetes mellitus (DM) and dyslipidemia, was worried that his complaints would get worse and not improve. Limited knowledge about the patient's health condition in the form of causative factors, prevention of type 2 DM and dyslipidemia, foods that need to be avoided and the lack of motivation and encouragement from families to bring patients for routine health control are factors that cause problems that occur in patients and families. Holistic and comprehensive management of the problems patient named as Mrs. I  has been carried out by providing counseling to increase the knowledge of patients and their families.
Gambaran Budaya Keselamatan Pasien di Rumah Sakit: Tinjauan Pustaka Amallia, Rizka Dina; Pramesona, Bayu Anggileo; Setiawan, Gigih; Saftarina, Fitria
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1389

Abstract

Patient safety culture is the key to providing high-quality and safe healthcare services. All healthcare providers, especially nurses, must be committed to creating and maintaining a strong patient safety culture. This research aims to gain a deep understanding of patient safety culture. The method used is a literature study taken from PubMed and Google Scholar databases published within the last 5 years and relevant to the topic. The selected articles are those that are fully available, focus on hospitals as the research site, and are written in Indonesian or English. The research shows that a good patient safety culture, characterized by leadership support, teamwork, open communication, and an effective incident reporting system, can improve the quality of healthcare and reduce risk of medical errors. However, many hospitals have not fully implemented a patient safety culture optimally. Some common challenges include low incident reporting rates, lack of leadership support, and a lack of a learning culture from mistakes. To address this problem, continuous efforts are needed to build a strong patient safety culture, such as increasing staff awareness, providing training, and creating safe environment for reporting errors.
- Kanker Prostat, Diagnosis Dini, dan Faktor Prognostik di Indonesia : Tinjauan Literatur: Tinjauan Literatur Mochammadin, Rafly Abdullah; -, Intanri Kurniati; -, Ramadhana komala; Fitria Saftarina
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1399

Abstract

Prostate cancer is one of the most common types of cancer among men, with a significantly increasing prevalence worldwide, including Indonesia. Early diagnosis of prostate cancer is critical to improving patient survival, and PSA (Prostate-Specific Antigen) serves as a key biomarker in this process. Elevated PSA levels are often an early indicator of prostate cancer, although many men are unaware of the symptoms in the early stages, which can lead to a late diagnosis. Therefore, regular screening of PSA levels is highly recommended, especially for men over the age of 50 years. This study evaluated the role of PSA in the diagnosis of prostate cancer as well as prognostic factors affecting patient survival. Results showed that high PSA levels were associated with the likelihood of prostate cancer, and factors such as the number of metastatic lesions and the patient's general health condition had a significant influence on clinical outcomes. Education about the symptoms and risks of prostate cancer needs to be improved to encourage men to undergo regular health checks. With a better understanding of prostate cancer and an appropriate
Preliminary Study on Anxiety Levels Among Palm Oil Farmers in Simpang Pematang District, Mesuji Regency-Lampung Province (2024) Bachtiar, Nabylly Aghna; Saftarina, Fitria; Larasati, Ratri Mauluti; Angraini, Dian Isti
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1425

Abstract

As the world's largest palm oil producer, Indonesia bears a significant responsibility for the well-being of its farmers, including mental health aspects, which remain a pressing issue. Farmers face various occupational pressures that have the potential to trigger psychological disorders, particularly anxiety. Poorly managed anxiety can lead to decreased concentration and productivity. This study aims to describe the anxiety levels experienced by palm oil farmers in Simpang Pematang District, Mesuji Regency, Lampung. A cross-sectional design was employed in this study, utilizing purposive sampling for sample selection. A total of 109 palm oil farmers participated as respondents, and the collected data were analyzed using frequency distribution. The results indicate that 14.7% of farmers exhibited symptoms of anxiety, with 11.9% experiencing mild anxiety and 2.8% experiencing moderate anxiety. No cases of severe anxiety were found among the respondents. Although the overall anxiety level identified in this study was lower than in previous research, it remains a matter of concern. These findings highlight the necessity of continuous efforts to enhance the mental well-being of farmers. Therefore, a more intensive mental health promotion program is required to improve farmers' understanding of stress management strategies. By doing so, farmers are expected to maintain their psychological well-being, ultimately contributing to increased productivity in Indonesia's palm oil agricultural sector.
Relationship Between Work Duration and Work Experience with the Occurrence of Low Back Pain in Online Motorcycle Drivers Farhah, Putri Dzahabiyyah; Setiorini, Anggi; Graharti, Risti; Saftarina, Fitria
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1429

Abstract

Low Back Pain (LBP) is one of the most prevalent musculoskeletal disorders globally and a leading cause of disability. One of the occupational groups at high risk of LBP is online motorcycle taxi drivers, who spend long hours in a static sitting position while riding. The primary factors contributing to LBP among online motorcycle taxi drivers include long working hours and extended work tenure. This study aims to analyze the relationship between working duration and work tenure with the occurrence of LBP among online motorcycle taxi drivers. Based on various studies, it has been found that working more than 8 hours per day can increase the risk of LBP by up to 3.6 times due to excessive muscle strain and spinal load. Additionally, work tenure exceeding 5 years is associated with a higher risk of LBP due to accumulated physical stress, which can reduce muscle performance and deteriorate overall physical condition. Studies conducted in various cities, such as Makassar, Surabaya, and Padang, have demonstrated a significant relationship between working duration, work tenure, and the incidence of LBP among online motorcycle taxi drivers. Implementing proper work time management and ensuring sufficient rest breaks during riding are crucial steps in reducing the risk of LBP among online motorcycle taxi drivers. Additionally, attention to ergonomic factors in riding posture is essential to minimize the negative impact on musculoskeletal health.
Overview of Personal Protective Equipment Use Among Oil Palm Farmers in Simpang Pematang Subdistrict, Mesuji Regency Camilia, Anita; Saftarina, Fitria; Febriani, Wiwi; Larasati, TA
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1437

Abstract

The use of personal protective equipment (PPE) is an essential effort in preventing occupational health and safety risks, especially for farmers working in the plantation sector. This study aims to analyze the use of PPE among oil palm farmers in Simpang Pematang Subdistrict, Mesuji Regency. The research employs a cross-sectional approach involving 105 oil palm farmers selected through purposive sampling. Data were collected using questionnaires and analyzed univariately. The findings show that the level of compliance with PPE usage is still low, with only 48.6% of farmers consistently adhering to PPE usage procedures. The use of specific PPE items such as masks and protective glasses is particularly low, at just 13.3% and 5.7%, respectively. The main barriers to PPE use include farmers' lack of understanding about its importance, limited availability of PPE, and misconceptions about its comfort. This study concludes that strategic efforts are needed to improve PPE compliance through education, outreach programs, and the provision of adequate PPE.
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