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All Journal Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya JURNAL ILMIAH KESEHATAN SANDI HUSADA JK Unila (Jurnal Kedokteran Universitas Lampung) International Journal of Advanced Health Science and Technology International Journal of Health, Engineering and Technology Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Majority Jurnal Ilmiah Kesehatan Sandi Husada
Dian Isti Angraini
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Penatalaksanaan Holistik Pasien Skabies Pada Anak Dengan Hygiene Kurang Baik Di Puskesmas Hanura Melalui Pendekatan Kedokteran Keluarga Muhammad Muizzulatif; Dian Isti Angraini
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Scabies is a skin disease caused by the mite Sarcoptei scabei hominis variety. This disease is a public health problem, especially in tropical and subtropical climates. According to the World Health Organization (WHO), globally it is estimated that as many as 300 million people are currently infected with scabies with a prevalence ranging from 0,2% to 71%. Scabies attacks in groups. Because easy transmission occurs through skin contact either directly or indirectly. Appropriate holistic management using a family medicine approach is needed to achieve therapeutic success and prevent transmission to the community. Patient R, a male student aged 10 years, complained of itching between the fingers, especially at night, since 3 weeks ago. Internal risks in the form of lack of personal hygiene, lack of knowledge, curative treatment patterns, and early adolescence. External risks include similar complaints in the surrounding environment, poor family hygiene, humid houses and poor ventilation, low socioeconomic status, lack of family knowledge. A holistic and comprehensive management effort uses a family medicine approach in the form of education about the causes, transmission, treatment and prevention of disease. The results obtained in the form of a better understanding of the disease and changes in behavior that have an impact on the success of therapy. Holistic management with a family medicine approach is needed for patients with scabies to identify problems in various aspects in order to support the success of therapy and prevent transmission.
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 (
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

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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.
Penatalaksanaan Pasien Tinea Korporis Pembuat Kerupuk Dengan Pendekatan Kedokteran Keluarga Fauzia Tria Andara Sari; Dian Isti Angraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Tinea corporis is an infectious skin infection caused by dermatophytes that colonize and obtain nutrients from keratin, causing infections in the skin in the form of inflammatory reactions. The incidence of tinea corporis is high in tropical and subtropical climates as well as in populations with low socioeconomic status who live in crowded environments and low hygiene. The diagnosis of tinea corporis is based on history taking and physical examination. This case will discuss the identification of risk factors, management and prevention of tinea corporis in cracker makers based on patient-centered and family approach. This study is a case study with data obtained from history taking, physical examination, home visits, and patient medical records. Case, 30-year-old woman works as a cracker maker, lives in a main family, with a moderate daily activities, lack of personal hygiene and environment, and good relations between family members. The patient complained of itching accompanied by a burning sensation and redness around the side folds of the breast, back and right thigh since about 1 week before coming to the health center. After a holistic intervention with the educational method, it can be seen that there are good developments in patients ranging from decreased clinical symptoms to changes in good behavior towards personal and environmental hygiene, conclusions, family medicine services are effective in the management of tinea corporis. Providers resolve clinical problems and also deal with internal, external, psychosocial and environmental risks.
Hubungan Pengetahuan Gizi Ibu Hamil terhadap Peningkatan Berat Badan Selama Kehamilan di Puskesmas Bandar Lampung Tasya Khalis Ilmiani; Dian Isti Angraini; Rizki Hanriko
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Adequacy of nutrition for pregnant women is very important because it can contribute to both the mother and the baby. Pregnant women with poor nutritional status can cause a risk of fetal development, disability in infants, low birth weight, and death before birth. Nutrition in pregnant women is influenced by the mother's nutritional knowledge during pregnancy. This study aims to determine the relationship between nutritional knowledge in pregnant women and weight gain during pregnancy. The design of study was cross sectional analytic using primary data obtained from the questionnaires and secondary data obtained from the KIA / KMS book that include maternal weight. Sampling was examined at Puskesmas Bandar Lampung which is Kedaton, Way Kandis, Satellite, Sukaraja, Sukabumi, and Simpur Puskesmas in 2018. The total sample is 130 pregnant womans with purposive sampling technique. The data analysis using Chi Square with α = 0.05 and CI = 95%. The results of the research showed that there is a relationship between nutritional knowledge in pregnant women and weight gain during pregnancy in Bandar Lampung Primary Health Center with a value of p = 0.003. From the results of this study it can be concluded that nutritional knowledge in pregnant women influences the weight gain during pregnancy.
Penatalaksanaan Holistik pada Pasien Laki-Laki Dewasa dengan Penyakit Paru Obstruktif Kronik melalui Pendekatan Kedokteran Keluarga Renti Kusumaningrum Samosir; Dian Isti Angraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Chronic obstructive pulmonary disease (COPD) is a slow progressive and irreversible or partially irreversible lung disease. Risk factors for COPD include exposure to cigarette smoke, air pollution, exposure to dust and smoke in the work environment. The goal of COPD management is to reduce symptoms, prevent acute exacerbations and decreased lung function. This study is a case report with data obtained through history taking (autoanamnesis and alloanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Patient Mr. J 49-year-old diagnosed with COPD. Patients have aspects of internal risk in the form of a history of smoking for 16 years, lack of patient knowledge about the illness, feeling bored and stressed out of not working. The external risk aspects are in the form of lack of family knowledge about the disease and its complications as well as curative treatment patterns, a history of vehicle smoke exposure at work for 27 years. Home visits were done three times to intervene in the form of education and counseling in patients and families about the causes, risk factors, clinical symptoms, prognosis, to prevent complications. In the evaluation, it was found that the patient had shown improvement. The diagnosis and management of these patients has been done holistically, patient centered, family approached, community oriented and based on several theories and current research. In the process of behavior change, Mr. J has reached the trial stage for COPD diet and physical exercise after being given an intervention.
Factors Influencing the Selection of Healthy and Unhealthy Diet Behavior in Adolescent Girls in Bandar Lampung Dian Isti Angraini; Izzah, Asiah Nurul; Nisa, Khairun; Zuraida, Reni
International Journal of Advanced Health Science and Technology Vol. 3 No. 2 (2023): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i2.216

Abstract

Adolescence is a period of a transitional development from children to adult women who are generally 10-21 years old. Adolescents have significant physical, psychosocial, and cognitive changes that can affect adolescent dietary behavior. The purpose of this study was to determine the effect of affecting factors on unhealthy dietary behavior in adolescent girls. This research is an analytic observational study, with a cross-sectional design approach using primary data, which was conducted from April to June 2022. The sample is 135 adolescent girls aged 15-21 years old taken using multistage random sampling who met the inclusion and exclusion criteria. The data was obtained by filling out the questionnaire and analyzed by using the chi-square test. The results showed that 56.3% of respondents had unhealthy dietary behavior. The results of the bivariate analysis showed that nutritional status (p = 0.000; PR = 2.072) and body image (p = 0.000; PR = 0.559) influenced unhealthy dietary behavior. Meanwhile, knowledge (p=0,227), age (p=0,158), pocket money (p=0,452), and peers (p = 0.120) did not influence unhealthy dietary behavior. It can be concluded that there is an influence of nutritional status and body image factors on unhealthy diet behavior. Based on the research results, adolescent girls must have a healthy diet according to balanced nutrition guidelines in achieving normal nutritional status and a good body image.
The Relationship Between Dietary Protein Intake Restriction and Mortality Risk in Stage V Chronic Kidney Disease Patients With Haemodialysis : Literature Review M. Agung Prasetya Adnyana Yoga; Reni Zuraida; Dian Isti Angraini
International Journal of Health Engineering and Technology (IJHET) Vol. 3 No. 5 (2025): IJHET JANUARY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v3i5.241

Abstract

Chronic Kidney Disease (CKD) is a condition in which kidney function progressively declines and irreversibly diminishes so that the kidneys are unable to maintain metabolic, fluid and electrolyte balance resulting in uremia and azotemia. One of the kidney replacement therapies in stage 5 of CKD  is by hemodialysis procedure. There are 5 – 8 g/dialysis amino acids losses during the hemodialysis (HD) procedured , if protein loss is not replaced with adequate dietary protein intake it will certainly affect malnutrition which can increase the risk of mortality. Inadequate protein intake is associated with protein energy wasting. However, the associated impact of protein intake on mortality remains unclear. Literature review was conducted to identify the effect of  protein  intake restriction on mortality risk in CKD patients undergoing hemodialysis. Articles were searched through NCBI (The National Center for Biotechnology Information), PubMed/Medline and Science Direct. Prisma Method was used to describe the process of selecting journals in a structured manner so that valid journals are obtained for analysis in this study.  The results showed that appropriate management of protein intake for patients undergoing haemodialysis is necessary to prevent malnutrition, high protein intake can increase phosphorus and potassium levels and risk metabolic acidosis, and extensive restriction can lead to malnutrition and death with the hazard ratio 1.33. It is recommended that protein intake in CKD patients undergoing hemodialysis be in the range of 1.0 - 1.2 g/kg/day.
Penyebab Langsung (Immediate Cause) yang Mempengaruhi Kejadian Stunting pada Anak Bagus Pratama; Dian Isti Angraini; Khairun Nisa
Jurnal Ilmiah Kesehatan Sandi Husada Vol 8 No 2 (2019): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i2.167

Abstract

Short stature (stunting) is a nutritional problem that has implications on children’s growth problems. The consequences to the children are having lower length or height comparing to other children at their age. The results of nutritional status measurement show that less than -2 to -3 of standard deviations (stunted) and less than -3 of standard deviations (severely stunted). This condition occurs because the golden period is not achieved in the first thousand days of a child's life. Stunting can be caused by various factors like the conditions of mother or prospective mother, fetal period, infancy period or on the first thousand days period of life. Direct actors that influence stunting such as inadequate food intake and infectious disease, or the child's health status.
Penatalaksanaa Lansia Wanita Dengan Sindroma Metabolik Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Satelit Ratu Henggar Audrya Gharrieni; Dian Isti Angraini
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.v15i2.1616

Abstract

Metabolic syndrome is a collection of disorders that include insulin resistance, central obesity, dyslipidemia and high blood pressure. Definitions and criteria for diagnosing metabolic syndrome are constantly changing and are a topic of debate. In general, the prevalence of metabolic syndrome (SM) worldwide ranges from 20-25%, while in Indonesia it is 23.34%, with a higher prevalence in men (26.2%) than women (21.4%). Since hypertension and type 2 diabetes mellitus are chronic diseases and require long-term treatment, family physician services are needed to manage these diseases. The analysis in this study is a case report with primary data obtained from anamnesis and physical examination at the health center, and follow-up examinations during home visits to obtain environmental and social data. Secondary data were obtained from the patient's medical record at the Satellite Health Center. Assessment was carried out based on holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. In this case, diagnosis and treatment have been carried out according to theory and relevant journal references. After the intervention was given, there was an improvement in clinical symptoms and increased understanding of the patient and his family. The diagnosis and management of this patient was carried out holistically, patient centered, family approach, and community oriented. Based on a number of recent theories and studies, there is an increase in knowledge among the patient's family.
Co-Authors Ahmad Alvin Dictara Aila Karyus Alvin Widya Ananda Andrian Reza Saputra Ayu Agustira Bagus Pratama Betta Kurniawan, Betta Clara FIrhan Asifa Claudia Clara Diana Mayasari Dyah Wulan Sumekar RW Efriyan Imantika Fauzia Tria Andara Sari Febilla Naili Alfalah Fernanda Kusumawardani Fitria Saftarina Habibi Adhi Pratama Duarsa Hana Nafisah Intanri Kurniati Iswandi Darwis Itsa, Nando Abdila Izzah, Asiah Nurul Jhons Fatriyadi Suwandi Khairun Nisa M. Agung Prasetya Adnyana Yoga Minerva Nadia Muhammad Muizzulatif Nadia Rosmalia Dewi Oktadoni Saputra Oktafany Rachmi L.P. Rukmono Rachmi Lestari Rukmono Ratna Dewi Puspita Sari Ratu Henggar Audrya Gharrieni Reni Zuraida Renti Kusumaningrum Samosir Rizki Arisandi Rizki Hanriko Sofyan Musyabiq Wijaya Sumayyah Annida Syfa Dinia Putri Tasya Khalis Ilmiani Tri Umiana Soleha Winda Puspita Sari