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All Journal Medula Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Maryanto, Erlicha Paramitha
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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KEPATUHAN IBU HAMIL TERHADAP KONSUMSI TABLET BESI: SUATU KAJIAN LITERATURE REVIEW Maryanto, Erlicha Paramitha
Syifa'Medika Vol 12, No 1 (2021): Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v12i1.2628

Abstract

Menurut WHO, di negara berkembang terdapat sekitar 4% kematian ibu berhubungan dengan anemia saat kehamilan yang dikarenakan perdarahan akut serta kurangnya asupan zat besi. Suplementasi tablet besi (Fe) diberikan pada ibu hamil menjadi upaya pencegahan anemia yang disebabkan oleh defisisensi zat besi. Keefektifan pemberian suplementasi zat besi menghadapi banyak tantangan salah satunya adalah kepatuhan ibu hamil dalam mengonsumsinya. Penelusuran pustaka dilakukan dengan database Pubmed dan Google Scholar  menggunakan kata kunci “iron supplementation”, “pregnancy”, dan “adherence”. Hasil yang didapat dari salah satu penelitian mengenai karakteristik waktu konsumsi tablet besi bahwa ada 50% responden kadang-kadang dan 10% mengaku jarang mengonsumsi tablet besi. Variabel interaksi dengan kategori baik, cukup, dan kurang antara ibu hamil dan tenaga kesehatan juga berpengaruh terhadap kepatuhan ibu hamil dalam mengonsumsi tablet besi (p value = 0,000). Dari penelaahan ini didapatkan bahwa ada beberapa faktor yang mempengaruhi kepatuhan ibu hamil dalam mengonsumsi tablet besi yaitu usia, pendidikan, pekerjaan, efek samping tablet besi, dukungan keluarga, dan interaksi antara ibu hamil dan tenaga kesehatan. Kepatuhan ibu hamil dalam mengonsumsi tablet besi serta dukungan dari berbagai pihak adalah hal vital sebagai upaya pencegahan kejadian anemia dalam kehamilan.
Penatalaksanaan Holistik Pada Wanita Usia 50 Tahun dengan Gout Arthritis Melalui Pendekatan Kedokteran Keluarga Maryanto, Erlicha Paramitha; Karyus, Aila
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.879

Abstract

Gout arthritis is a progressive disease due to the deposition of monosodium urate crystals in joints, kidneys, and other connective tissues due to chronic hyperuricemia. This disease needs to be managed comprehensively so that patients must know about their disease and have awareness and can make lifestyle modifications so that treatment goals can be achieved, prevent complications that may occur, and improve the patient's quality of life. This can be realized with family medicine-based management. The aim of this study is to identify internal, external risk factors and clinical problems found in patients, apply a holistic and comprehensive family doctor approach according to the problems found in patients, and carry out evidence-based medicine management that is family-approach, patient-centered and community oriented. The study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record. A 50-year-old female patient came with complaints of pain in the both knees. The patient has been diagnosed with uncontrolled gout since 2 months ago. In the knowledge assessment, the initial score before the intervention was 5 (low) and after the intervention it was 9 (high). In the aspect of uric acid levels there is a decrease in uric acid levels from 9,3 mg/dL to 5,6 mg/dL. In the aspect of diet there is a change in the type of food that is appropriate. In the aspect of physical activity there is a change in physical activity of 30 minutes of exercise per day. Enforcement of diagnosis and management of these patients has been done holistically, patient centered, family approach and community oriented based on several theories and the latest research. In the process of behavior change, the patient has reached the trial stage.
Co-Authors Karyus, Aila