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Penatalaksanaan Skabies Infeksi Sekunder Pada Anak Usia Sekolah Dengan Pendekatan Kedokteran Keluarga Di Puskesmas Natar Aprina Adha Widiastini; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Scabies is a parasitic infection of the skin caused by Sarcoptes scabei var hominis. Synonyms or other names for scabies are scabies, the itch, gudig, budukan, and agogo itching. Many factors support the development of this disease, including low socioeconomic conditions, poor personal hygiene, level of knowledge, age and contact with sufferers both directly and indirectly. This situation facilitates the transmission and infestation of Sarcoptes scabei. This study is a case report. Primary data were obtained through history taking, physical examination and home visits. Assessment is based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. In the results obtained a 7-year-old boy with complaints arise pimples accompanied by itching, especially at night since 11 months ago. Patients have aspects of internal risk in the form of poor personal hygiene, habits of children who sleep in the same room with their parents, bed linen, pillowcases, and curtains are rarely washed, repeated use of clothes before washing and use towels together. The external risk aspects are low income family with a fairly dense home environment, lack of cleanliness of the home environment, and low patient and family knowledge about scabies. Home visits were carried out 3 times to intervene in patients and families. The diagnosis and management of these patients is done holistically, patient centered, family approached and based on several theories and the latest research. In the process of behavior change, An. M has reached the trial stage. The process of behavior change in An. M and family in personal hygiene have been seen after intervention.
Perbedaan Pengetahuan antara Sebelum dan Sesudah Pelatihan Mengenai Pentingnya Antenatal Care pada Kader Posyandu Desa Gunungtiga, Kecamatan Ulubelu, Kabupaten Tanggamus, Lampung Charisatus Sidqotie; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

In 2015, the maternal mortality rate (MMR) in Tanggamus Regency amounted to 16 events consisting of 3 maternal deaths, 4 maternal deaths, 9 postpartum maternal deaths. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services, one of which is health care for pregnant women (antenatal care/ANC). ANC must meet the minimum frequency of 4 visits. However, the uneven distribution of health workers and the low knowledge of health cadres about the importance of ANC is still low, so the number of ANC visits is still low. This study used the quassy experimental method with the design of one group pretest-posttest design. The sampling technique is total sampling. The research was conducted from April to July 2018, located in Gunungtiga Village, Ulubelu District, Tanggamus Regency, Lampung. The samples that were obtained were 18 Posyandu cadres. The median value of the knowledge pre-test is 30, while the median value of the post-test knowledge is 80. The results of the bivariate analysis p = 0,000. There was a significant difference between the training regarding the importance of antenatal care for the knowledge of Posyandu cadres in Gunungtiga Village.
Peningkatan Pengetahuan pada Kader Posyandu tentang Imunisasi di Kecamatan Ulubelu, Tanggamus, Lampung Alvin Widya Ananda; Fitria Saftarina; Betta Kurniawan; Dian Isti Angraini
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

The coverage of infant immunization in 2017 in Lampung province in the form of BCG immunization was 99.88%, DPT1 was 100% and measles was 100%. However, there are still districts that do not reach the target of measles immunization (
Tatalaksana Medikamentosa pada Low Back Pain Kronis M. Muhlis Rizki; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Low back pain (LBP) is a leading cause of disability throughout the world. The prevalence of low back pain is reported to be as high as 84%, with 12% of the population being disabled by low back pain. The prevalence in Indonesia is 24,7%, most of them are related with occupation that involves with the strength of spine, resulting in overload and trigger the accelerated degenerative articular. Based on the duration of pain, LBP is divided into acute, subacute, and chronic. Low back pain that persists for more than 12 weeks is defined as chronic LBP. Chronic LBP requires multimodal therapy, but seems to follow the main principle, such as to reduce the pain, to prevent muscle stiffness, and to enhance patients’ quality of life. The most common drugs used to treat pain in chronic LBP are NSAID, gabapentinoid, and muscle relaxant. NSAID, as the first modality to treat chronic LBP, works by inhibiting prostaglandin through the inhibition of both COX 1 and 2 (non-selective) or directly of COX 2 (selective). The use of NSAID is limited in patients with gastrointestinal and cardiovascular symptoms. Gabapentinoid is an anti-convulsant drug which involves in neurotransmitter modulation in afferent neuron presynaptic receptors, but this drug requires titration and it should be taken for considerations. Lastly, muscle relaxant is categorized into two different mechanisms, which directly works in spinal cords and skeletal muscles (antispastic) and in central nervous system conduction (antispasmodic) to prevent muscle spasms, but still considering about the risk of drug abuse. By taking all side effects of all therapy modalities into consideration, NSAID is chosen as first-line therapy to treat chronic LBP.
Perbedaan Pengetahuan Antara Sebelum Dan Sesudah Pelatihan Pengukuran Status Gizi Balita Pada Kader Posyandu Desa Gunungtiga, Kecamatan Ulubelu, Kabupaten Tanggamus, Lampung Rika Rahmawati; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

In 2016 Tanggamus Regency had 70 cases of infant mortality, under-fives with malnutrition 1,371 cases (3.31%), and 1 case of malnutrition, and the coverage of community participation in under-fives growth monitoring was 75.6% . However , uneven distribution of health workers and low knowledge of health cadres about measuring the nutritional status of children, so the coverage of nutritional status is still low. This study uses the quassy experimental method with the design of one group pretest-posttest design. The sampling technique is total sampling. The research was conducted from April to July 2018, located in Gunungtiga Village, Ulubelu District, Tanggamus Regency, Lampung. The subjects that were obtained were 18 Posyandu cadres. The result of the median value of the knowledge pre-test is 30, while the median value of the post-test knowledge is 80. The results of the bivariate analysis p = 0,000. There were significant differences between before and after training in measuring the nutritional status of children under five to the knowledge of Posyandu cadres in Gunungtiga Village.
Dampak Infeksi SARS-Cov-2 Terhadap Penderita Hipertensi Haekal Alfhad; Fitria Saftarina; Betta Kurniawan
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Coronavirus disease 2019 (COVID-19) is the first viral outbreak pneumonia in Wuhan, China, in December 2019, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2). WHO reported 2.241.359 positive cases of COVID-19 patients worldwide, with a cumulative death toll of 152.551 men by April 19, 2020. As in 18 April 2020, Indonesia itself hit 6.248 positive cases with a total of 535 deaths, according to the Indonesian Health Ministry. SARS-Cov-2 is a coronaviral (β) beta group virus. In order to enter the target cell, SARS-CoV 2 uses the ACE Angiotensin conversion enzyme (ACE) 2. This can reduce the function of ACE2 which changes Angiotensin 2 into Angiotensin (1-7). The disrupted production of Angiotensin (1-7) can cause a vasodilator effect that is not optimal, so the condition of people with hypertension can be worsen. The risk of SARS-Cov-2 infection is higher among those suffering from hypertension with the drug Renin-Angiotensin-Aldosterone System inhibitor, due to the expression of ACE2. Overexpression of ACE2 may make it easier for SARS-CoV-2 to penetrate the body.
Determinants of type 2 diabetes mellitus in agricultural community Fitria Saftarina; Dian Isti Angraini; Diana Mayasari
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 11 ISSUE 1, 2023
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2023.11(1).40-46

Abstract

ABSTRAK Latar Belakang: Prevalensi DM di perkotaan sebanyak 2,6% dibandingkan pedesaan sebanyak 1,4%. Namun hal yang cukup menarik, proporsi Glukosa Darah Puasa Terganggu (GDPT) dan Toleransi Glukosa Terganggu (TGT) pada penduduk di pedesaan lebih tinggi dibandingkan perkotaan yaitu 3,7% dan 5,4%. Hal ini menunjukkan bahwa penduduk di pedesaan lebih berisiko terkena DM tipe 2 jika tidak dilakukan intervensi.Tujuan: Penelitian ini bertujuan menganalisis determinan kejadian DM tipe 2 pada populasi agrikulturMetode: Jenis penelitian adalah case control study, dengan sampel penelitian adalah petani yang menderita DM tipe 2 (kasus) dan petani yang tidak menerita DM (kontrol). Penelitian dilaksanakan di Kecamatan Gedong Tataan Kabupaten Pesawaran dengan jumlah masing-masing kelompok sebanyak 41 orang. Pengambilan data dilakukan dengan mengukur Indeks Massa Tubuh, tekanan darah, wawancara dengan kuesioner IPAQ-SF dan Indeks BrinkmannHasil: Hasil penelitian didapatkan jumlah jenis pestisida, faktor genetik dan aktifitas fisik merupakan faktor determinan terjadinya DM tipe 2. Responden yang menggunakan pestisida ≥ 2jenis pestisida memiliki risiko 2,7 kali kemungkinan menderita DM tipe 2 dibanding yang menggunakan 1 jenis pestisida. Responden dengan riwayat keluarga menderita DM memililiki kemungkinan (odds) 16,03 kali menderita DM dibandingkan yang tidak memiliki riwayat keluarga DM. Respoden dengan aktifitas fisik rendah memiliki kemungkinan (odds) 4,154 menderita DM dibandingkan responden dengan yang memiliki aktifitas fisik tinggi.Kesimpulan: Diperlukan upaya promotif dan preventif terutama untuk masyarakat yang menggunakan pestisida ≥ 2jenis pestisida,  riwayat keluarga menderita DM tipe 2 dan aktifitas fisik rendah.KATA KUNCI: DM tipe 2: faktor risiko, , populasi agrikultur  ABSTRACTBackground: The prevalence of type 2 Diabetes Mellitus (DM) in urban areas was 2.6% compared to 1.4% in rural areas. However, what is quite interesting is that the proportion of disturbed fasting blood glucose (GDPT) and impaired glucose tolerance (TGT) in rural residents is higher than in urban areas, namely 3.7% and 5.4%, respectively. This shows that rural residents are more at risk of developing type 2 DM if no intervention is carried out.Objectives: This study aims to analyze the determinants of the prevalence of type 2 DM in the agricultural population.Methods: This type of research is a case-control study, with the sample being farmers who suffer from type 2 DM (cases) and farmers who do not suffer from DM (controls). The research was conducted in Gedong Tataan District, Pesawaran Regency with the number of each group as many as 41 people. Data were collected by measuring Body Mass Index, and blood pressure, interviews with the IPAQ-SF questionnaire, and the Brinkmann Index.Results: The results showed that the number of types of pesticides, genetic factors, and physical activity were the determining factors for the occurrence of type 2 DM. Respondents who used pesticides 2 types of pesticides had a 2.7 times risk of suffering from type 2 DM compared to those who used 1 type of pesticide. Respondents with a family history of DM have a 16.03 times possibility of suffering from DM compared to those without a family history of DM. Respondents with low physical activity had 4,154 chances of suffering from DM compared to respondents who had high physical activity.Conclusions: Promotive and preventive efforts are needed, especially for people who use pesticides 2 types of pesticides, family history of suffering from type 2 DM, and low physical activity. KEYWORD: agricultural population; risk factors; type 2 of DM
The analysis of factors to predict eating behavior among adolescent girls: A community-based study in Indonesia Dian Isti Angraini; Fitria Saftarina; Sofyan Musyabiq Wijaya
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 11 ISSUE 2, 2023
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2023.11(2).62-76

Abstract

Background: The eating behavior of adolescent girls is often not concerned with the nutritional content of food, consuming more fast food, causing changes in eating behavior leading to unhealthy eating behavior. The impact of unhealthy eating behavior is the emergence of obesity and underweight. Adolescent eating behavior is influenced by predisposing, supporting, and reinforcing factors.Aims: This study aims to analyze the factors to predict the eating behavior of community-based adolescent girls in Indonesia.Method: This study uses a quantitative method with a cross-sectional approach. The sample consisted of 210 adolescent girls aged 15-18 years in the city of Bandar Lampung, Indonesia. Data were taken from July to October 2022. The sample was taken using the multistage random sampling method and analyzed using the chi-square test and logistic regression.Results: As many as 75 adolescent girls (35.7%) have unhealthy eating behavior, 164 people (78.1%) have poor nutritional knowledge, 6 people (2.9%) experience early menarche, 98 people (46.7%) were malnourished, 99 people (47.1%) had an eating disorder, 74 people (35.2%) had a risky personality, 109 people (51.9%) were dissatisfied with their body image, 100 people (47.6%) had a low allowance, 109 people (51.9%) influenced by social media, 98 people (46.7%) influenced by idols, 136 people (64.8%) influenced by family, 111 people (52.9%) influenced by teachers, and 76 people (36.2%) were influenced by their peers. Statistically, the factors related to the eating behavior of adolescent girls were knowledge (p=0.016), nutritional status (p=0.000), eating disorder (p=.0.008), personality (p=0.002), body image (p= 0.006), allowance (p=0.11), social media (p=0.000), idol figures (p=0.03), family (p=0.037), teachers (p=0.048) and peers (p=0.000 ), while menarche was not related (p=0,241). The most associated factors in predicting the eating behavior of adolescent girls are nutritional status, eating disorders, personality, body image, social media, idol figures, teachers, and peers.Conclusion: The prevalence of unhealthy eating behavior in adolescent girls is 35.7% and the most associated factors in predicting the eating behavior of adolescent girls are nutritional status, eating disorders, personality, body image, social media, idol figures, teachers, and peers.
PENATALAKSANAAN PEREMPUAN USIA 53 TAHUN DENGAN SINDROM METABOLIK MELALUI PENDEKATAN KEDOKTERAN KELUARGA Pangestu, Arief Ristia; Ibrahim, Syachrony; Saftarina, Fitria; Febriawan, Rahmat
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 4 (2024): Volume 11 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i4.13555

Abstract

Indonesia menghadapi penyakit menular dan tidak menular (PTM). Salah satu PTM adalah Sindrom Metabolik (SM). Jumlah penderita SM tahun 2019 ± 12-37% dari total penduduk Asia di dunia, 21,66% di Indonesia, 20,59% di Lampung. Pendekatan keluarga membantu mengidentifikasi faktor klinis, individu, psikososial dalam keluarga sehingga penatalaksanaannya lebih global. Menerapkan pelayanan dokter keluarga berbasis evidence based medicine dengan menganalisis faktor risiko, permasalahan klinis, penatalaksanaan pasien menurut kerangka penyelesaian permasalahan pasien menggunakan patient centered dan family approach. Penelitian ini adalah laporan kasus. Data primer dari anamnesis, pemfis, pemeriksaan penunjang, kunjungan rumah. Penilaiannya dari hasil diagnosis holistik awal-akhir studi secarakualitatif dan kuantitatif. Pasien mengeluh pusing, lelah, nyeri leher-bahu selama 8 hari. Pasien mempunyai riwayat dislipidemia, hipertensi terkontrol, DM tipe 2 sejak tahun 2019. Pasien didiagnosis SM menurut anamnesis, pemfis, pemeriksaan penunjang. Pemahaman pasien tentang penyakit, kebiasaan pola makan buruk dan jarang olahraga. Setelah intervensi terjadi penurunan gejala klinis dan perubahan perilaku pasien dan keluarga. Diagnosis dan penatalaksanaan pasien dilakukan holistik dan komprehensif, patient center,  family appropried dengan pengobatan SM teratur menurut EBM dibutuhkan untuk mengendalikan tekanan darah, glukosa darah, kolesterol, penurunan berat badan yang lebih ideal, dan mengubah perilaku pasien menjadi lebih baik. mencegah komplikasi.
PENATALAKSANAAN HOLISTIK PADA WANITA USIA 72 TAHUN DENGAN HIPERTENSI DAN DISLIPIDEMIA MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS RAJABASA INDAH Pangestu, Arief Ristia; Ibrahim, Syachrony; Saftarina, Fitria
Jurnal Medika Malahayati Vol 8, No 1 (2024): Volume 8 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i1.13612

Abstract

Abstrak: Penatalaksanaan Holistik Pada Wanita Usia 72 Tahun dengan Hipertensi dan Dislipidemia Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Rajabasa Indah. Sesuai dengan data yang dikeluarkan WHO, diperkirakan sekitar 15-20% penduduk dunia menderita hipertensi dan menurut data American Heart Association tahun 2021, lebih dari 100 juta orang Amerika mempunyai kadar kolesterol total >200 mg/dl. Data Indonesia dari Riset Kesahatan Dasar tahun 2018 menunjukkan bahwa 54.4% penduduk Indonesia dengan usia ≥15 tahun mempunyai kadar kolesterol ≥200 mg/dl.
Co-Authors Abiyyi Pratama HW Agung, Lovina Ramadhita Ahmad Fauzi Akhmad Rizki Farhan Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda 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 Athoriq, Muhammad Reivan Putra Atika Damayanti Atika Rahmawati Azelia Nusa Dewiarti Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana Mayasari Dinda Annisa Fitria Dinda Aulia Khairani Dwi Indria Anggraini Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Rabbaniyah Fairuz Rabbaniyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Ihsanti Dwi Rahayu Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karimah, Nisa Kartika, Juspeni Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari Diana Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad, Innou Dhanu Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nainggolan, Hotman Natama Nisa Karimah Noeril Asy Syifa Zahara Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nyimas, Naflah Nadila Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Rika Rahmawati Rizky Arif Prasetyo Rizqa Atina Rizwiki Oktavia Rodiani Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Shaffa Aulia Shabrina Shafia, Anindya Sinum, Ilham Muhammad Soedjarwo Soedjarwo Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa TA Larasati Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Winda Puspita Sari Yasmin, Deffina Widya Yulita Tricia Zenith Puspitawati