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All Journal Jurnal Gizi dan Pangan JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kebijakan Kesehatan Indonesia Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Media Gizi Indonesia (MGI) Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Gizi Klinik Indonesia JMM (Jurnal Masyarakat Mandiri) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Journal of Health Promotion and Behavior Amerta Nutrition Jurnal Kreativitas PKM SRIWIJAYA JOURNAL OF MEDICINE Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Kesehatan Community Development Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Reswara: Jurnal Pengabdian Kepada Masyarakat JKPBL (Jurnal Kesehatan Panca Bhakti Lampung) Poltekita: Jurnal Pengabdian Masyarakat Jurnal Abdimas ADPI Sains dan Teknologi ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Jurnal Pengabdian Pada Masyarakat Jurnal Keperawatan Profesional (KEPO) JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Poltekita: Jurnal Pengabdian Masyarakat JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Dian Isti Angraini
Department Of Community Medicine And Public Health, Faculty Of Medicine, Universitas Lampung, Jalan Prof. Soemantri Brojonegoro 1, Bandar Lampung
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PENGARUH PENGETAHUAN DAN SIKAP SUAMI TERHADAP PERILAKU IBU DALAM PEMBERIAN ASI EKSKLUSIF DI DESA NEGERI SAKTI KECAMATAN GEDONG TATAAN KABUPATEN PESAWARAN Adelia Meutia Putri; Dian Isti Angraini; Sofyan Musyabiq Wijaya
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.114

Abstract

Breast milk is infant food that God made that can not be replaced with any food. Giving breast milk can increase emotional relationship between baby with their mother. The husband who is an integral part of the family and has the role of head of the family, is very necessary for his support so that exclusive breastfeeding is achieved. Some research shows that implementation on giving exclusive breastfeeding will increase if there is a family support. This research purpose is to knowing the effect of husband’s knowledge and attitude towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency. This research done with analytical observation with case control method. Data source is using secunder data from health centre’s noting and interview with a questionnaire of 60 respondents. The results shows a meaningful relation between husband’s knowledge towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency (p=0,00) with odds ratio 25,000. And there is a meaningful relation between husband’s attitude towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency (p=0,007) with odds ratio 4,571).
Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas: Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas Karimah Khitami Aziz; Dian Isti Angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.130

Abstract

Isolated Systolic Hypertension (ISH) is an increase of systolic blood pressure (BP) without diastolic BP common in old age. ISH may develop from a history of chronic essential hypertension or result from arterial stiffness in normotensive person. Secondary causes of arterial stiffness are type 1 diabetes, osteoporosis with calcification, atherosclerosis, peripheral vascular disease, thyrotoxicosis and aortic disorders. Implementation of family medicine and evidence based medicine by identifying risk factors, clinical problems and management based on a patient centered and family approach. This study is a case report. Primary data were obtained through history taking, physical examination and home visit. The assessment based on the holistic initial diagnosis, process and final diagnosis by in-depth interviews, observation and notes. The patient complained of intermittent headaches and blurred vision since 1 week ago. Complaints for the first time and never been treated. The patient's concern with the complaint interferes with his activities and rest. The patient's expectation of complaints is reduced and not worsen. Patients' perceptions of complaints occur due to certain lifestyles causing diseases that are not known for sure by patient and their family. The patient was diagnosed with grade II ISH. The patient's father had history of hypertension and heart disease. The patient's treatment pattern is curative, rarely has light physical activity, lack of knowledge about the disease, inappropriate diet and eating habits, elderly age and lack of family knowledge about the disease and its complications. Functional degree 2. After the intervention shows clinical improvement and changes in behavior. ISH in the elderly with insufficient knowledge about risk factors, drug use and adherence to BP control can cause acute and advanced complications.
Hubungan Depresi, Ansietas, dan Stres dengan Status Gizi pada Mahasiswa Fakultas Kedokteran Universitas Lampung Sekar Ronna Fiskasari; Dian Isti Angraini; Muhammad Yusran
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.144

Abstract

Nutritional problems that are still faced by adolescents in Indonesia are underweight, overweight, and obesity, which are interpretations of malnutrition. Multiple factors play a role in the formation of nutritional status, including psychological factors that can be seen through depression, anxiety, and stress status. This research aimed to find the relationship between depression, anxiety, and stress with nutritional status in students of Medical Faculty Lampung University. A cross sectional research was performed involving 107 subjects, which calculated by unpaired categorical comparative formula, taken from students of Medical Faculty Lampung University by purposive sampling. Nutritional status, which determined by BMI, was measured by using body weight scale and stature meter, while depression, anxiety, and stress were measured by using Depression, Anxiety, Stress Scale 42 (DASS-42). Data were analyzed by using Chi-Square test. There were 45,5% subjects with poor nutritional status, 21,5% subjects with depression, 43,9% subjects with anxiety, and 26,2% subjects with stress. Bivariate analysis showed that there was no relationship between depression and nutritional status (p=0,321), there was no relationship between anxiety and nutritional status (p=0,100), and there was no relationship between depression and nutritional status (p=0,110). There were no relationship between depression, anxiety, and stress with nutritional status in students of Medical Faculty Lampung University.
Hubungan Otitis Media Akut Dengan Riwayat Infeksi Saluran Pernapasan Atas Pada Anak Lidya Angelina Purba; Mukhlis Imanto; Dian Isti angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.145

Abstract

Children are very susceptible to Acute Otitis Media (AOM) because the anatomical shape of the eustachian tube is shorter, more flexible and more horizontal than adult. Two thirds of all children have an episode of acute otitis media in the first 3 years of life. Upper Respiratory Tract Infection (ARI) is one of the most common risk factors for causing acute otitis media (AOM) in children. This is because the inflammatory process that occurs in ARI causes damage to mucocilia, goblet cells, and mucus glands in the epithelium of the nasopharynx and middle ear. Children aged under 5 years will usually experience upper respiratory tract infections of two to seven episodes per year. Children who have frequent episodes of ARI are more likely to experience episodes of AOM. his is also in line with repeated episodes of ARI against the risk of AOM recurrence. Recurrent ARI is an ARI that occurs at least four times a year. Therefore, the diagnosis and management of ARI in children as early as possible must be done properly, so that the incidence of ARI in children does not progress to AOM. The causes of otitis media are multifactorial, the anatomical variation of the eutachian tube, and the invasive ability of the pathogen compared to the human's immune system. The diagnosis of otitis media can be confirmed by fulfilling 3 criteria: sudden appearance of the disease, found signs of effusion (known fluid) in the middle ear, found signs of middle ear inflammation.
Penatalaksanaan Holistik Pasien Laki-Laki Usia 57 Tahun Dengan Low Back Pain (LBP) Melalui Pendekatan Kedokteran Yuliana; Dian Isti Angraini
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.v13i5.779

Abstract

Low back pain is one of the common health problems that 50–80% of adults experience at some point in their life. The overall burden of LBP arising from ergonomic exposures at work was estimated at 21.8 million disability adjusted life years (DALYs). To apply the principles of family doctor medicine according to the problems found in patients in various aspects and carry out a holistic and comprehensive management that includes patient-centered, family approached, and community-oriented based on evidence-based medicine. This study is a case report. Primary data were obtained through autoanamnesis, physical examination and home visits, filling in family folders, completing family data, psychosocial and environmental data. Patient Mr. S, 57 years old, working as a mosque cleaner, came to Karang Anyar Primary Health Care, has a complaint of lower back pain since 2 months ago. The pain felt was like being stabbed and radiated to the patient's left leg. Initially, the patient admitted that the pain didn’t interfere with his work activities, but since the last 2 weeks before came to the Primary health care, the patient complained that the pain was getting worses and interfered with his activities. The patient was diagnosed as Low Back Pain (LBP). There are several factors that influence the patient's condition, namely internal and external risk factors. Holistic management with a family medicine approach is needed for patients with to low back pain to identify problems in various aspects in order to support the success of therapy.
Penatalaksanaan Holistik Paseien Wanita Usia 73 Tahun Dengan Skizofrenia Dan Hipertensi Melalui Pendekatan Kedokteran Keluarga Muhammad Jundi Nasrullah; Dian Isti Angraini
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.817

Abstract

Schizophrenia is a syndrome characterized by decreased or inability to communicate, impaired reality, cognitive impairment, and difficulty performing daily activities. Hypertension is a persistent condition of systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg. According to Riskesdas 2018 there are 7.0 per 1,000 Indonesian population suffering from schizophrenia. Meanwhile, the prevalence of hypertension at the age of ≥ 18 years was 34.1%. This case report describes a 73-year-old woman with complaints of difficulty sleeping at night because she still hears whispering voices and accompanied by headaches. Mental status examination revealed perceptual disturbances in the form of auditory hallucinations and thought content disturbances in the form of suspicious delusions. The management provided is in the form of medical and non-medical therapy as a holistic intervention with a family medicine approach. This study is aim to identifying risk factors, clinical problems, and management with a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The results of this study is patient was diagnosed with schizophrenia and hypertension. Limited knowledge of patients and families about the patient's disease is a factor that causes complaints to occur. In addition, dietary patterns in the family that are not suitable are also another factor that causes health problems suffered by patients. Holistic and comprehensive management of patient problems has been carried out by providing counseling to increase the knowledge of the patient's family.
Penatalaksanaan Holistik Pada Ibu Rumah Tangga Dengan Carpal Tunnel Syndorme (CTS) Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Kebon Jahe Aurelina, Renata; Angraini, Dian Isti
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Carpal tunnel syndrome (CTS) is a syndrome that arises due to neuropathic pressure on the median nerve in the carpal tunnel at the wrist which is precisely under the flexor retinaculum. Risk factors for CTS include obesity, sedentary wrist activity, pregnancy, genetic heredity, and rheumatic inflammation. So that proper treatment is needed and carried out holistically with a family medicine approach to achieve therapeutic success. Application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient-centered and family problem-solving framework. Primary data were obtained through anamnesis, physical examination, supporting examinations and home visits to assess the physical environment. Patient Mrs. S, 49 years old, came with complaints that the thumb, index finger and middle finger of the right hand felt numb and stiff since one month ago. The patient is worried that the complaint will worsen and interfere with activities. The patient was clinically diagnosed with CTS (ICD-10 G56.0). Furthermore, management, intervention and evaluation are carried out. On evaluation, there were reduced complaints, increased patient knowledge about the disease and changes in behavior in the position of doing daily homework. After carrying out holistic and comprehensive management, patients experience an increase in knowledge about their disease. Complaints of numbness and stiffness in the patient's right hand are reduced, the patient and his family do homework in the right way and position.  
Penatalaksanaan Holistik pada Pasien Lansia Dengan PPOK dan Hipertensi Melalui Pendekatan Kedokteran Keluarga di Puskesmas Kalirejo Khairunnisa, Lyliani; Angraini, Dian Isti; Harmaina, Harmaina
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.v14i1.877

Abstract

Chronic Obstructive Pulmonary Disease (COPD) and Hypertension is a non-communicable disease which become a health problem globally and in Indonesia. COPD and Hypertension can be controlled through a healthy lifestyle which support from family and community is needed, therefore it is important to carry out holistic management through a family approach to patients. This study is a case report. Primary data were obtained through anamnesis from the patient's family, physical examination, and home visits to assess the physical environment. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study. The results, Mr. E is 64 years old, with COPD and history of uncontrolled hypertension in the past 10 years. Internal risk factors include a history of smoking in the past 30 years and lack of knowledge about the disease. External risk factors are the lack of knowledge of the patient's family about the patient's disease, smoking behavior in the home by other family members and the patient's workplace with a lot of exposure to smoke. Interventions were carried out in the form of education. After the intervention, changes in patient knowledge, blood pressure, CAT Score and lifestyle were obtained. The diagnosis in this patient complies with the national guidelines. The management given is in accordance with the guidelines, there is a change in knowledge of the patient and the patient's family after the intervention is carried out by providing counseling based on evidence-based medicine which is patient centered and a family approach.
Penatalaksanaan Holistik Pada Perempuan Usia 65 Tahun Dengan Hypertensive Heart Disease (HHD) dan Dislipidemia Melalui Pendekatan Kedokteran Keluarga Akmal, Vina Amelia; Angraini, Dian Isti
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.v14i1.882

Abstract

Hypertensive heart disease (HHD) is a term applied to refer to heart disease as a whole, starting from left ventricular hypertrophy (LVH), cardiac arrhythmias, coronary heart disease, and chronic heart disease, which are caused by increased blood pressure, either directly or indirectly. The number of patients with Hypertensive Heart Disease (HHD) is not known with certainty, but in several studies it is stated that people with hypertension will develop heart disease. Often patients fail in treatment because of their inability to modify their lifestyle, so doctors must treat patients holistically from various aspects. Application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient-centered and family problem-solving framework. The study conducted was a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from patient medical records. Patient Mrs. S, 65 years old, came with complaints that discomfort when breathing and frequent palpitations. Known to suffer from hypertension since 18 years ago and a history of hospitalization due to a previous heart disease. The patient had been taking antihypertensive medication but stopped it because he felt he was fine. The patient is worried that the complaint will worsen and interfere with activities. The patient was clinically diagnosed with HHD. Furthermore, management, intervention and evaluation are carried out. The diagnosis and management of these patients has been carried out holistically, patient centered, family approach and community oriented based on several recent theories and research. In the process of behavior change, the patient has reached the trial stage.
Hubungan Pengetahuan Mengenai Hidrasi Sehat dan Kecukupan Minum Air Putih dengan Kelebihan Berat Badan: Tinjauan Pustaka Muhammad Abdul Ghoni Sutardi; Angraini, Dian Isti; Zuraida, Reni
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.908

Abstract

Water is a very important nutrient and is the most constituent component of the human body. Most of the water required by the body comes from drinking. Each person's fluid needs vary depending on physical activity, age, weight, ambient temperature and humidity. Fluid water is recommended over other types of beverages. Water needs about two liters or eight glasses a day for adolescents and adults who do light activities in the office and home under daily temperature conditions. Hydration knowledge can be a factor that affects the fulfillment of a person's water intake. Good hydration knowledge will make a person choose fluid consumption based on quality and quantity so that their fluid needs are met. Unfulfilled fluid intake can lead to dehydration. Dehydration is defined as a state of the body when fluid expenditure is greater than fluid intake. Dehydration can be a risk factor for overweight. Overweight is a condition when there is an accumulation of excess fat due to an imbalance between energy intake and energy used for a long time. Dehydration can cause a decrease in cognitive function and mood that causes weakness and laziness in physical activity; dehydration also causes fluid and electrolyte imbalances that increase appetite; and dehydration can increase glycerol and free fatty acids resulting in increased triglyceride formation. Adequate water intake can lead to weight loss by slowing gastric emptying and increasing metabolism.
Co-Authors Adelia Meutia Putri agustyas tjiptaningrum Ahdalifa, Pinkan Akhmad Rizki Farhan Akmal, Vina Amelia Al Supartinah Al Supartinah, Al Ali, Muhammad Chaidar Amourisva, Assyiva Putri Andriansah, M. Anggraeni, Liza Anisa Maulidia Anjaya, Putri Ulayya Athallah, Dimas Rifqi Aurelina, Renata Bachtiar, Nabylly Aghna Bagus Pratama Bambang Pujianto Bayu Anggileo Pramesona Carolia, Imelda Daulay, Suryani Daulay, Suryani Agustina Deddy Nur Wachid Delmi Sulastri Diana, Mayasari Dita Rifzian, Malyca Rachmaniar Dwi Indria Anggraini Dwita Oktaria Dyah Wulan S.R Wardani Dyah Wulan Sumekar Rengganis Wardani Efrida Warganegara Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Ety Apriliana Ety Apriliana Fathaniah, Widya Fauzi Ahmad Muda Firdawati, Firdawati Fitri, Dilla Syahra Noor Fitria Saftarina Ginting, Kristian Pieri Giska Tri Putri Habsari, Maharani Kusuma Hafizha, Syifa Happy, Terza Aflika Hardisman Harmaina, Harmaina Indria, Anggraini Dwi Intanri Kurniati Islami, Andi Rassya Daffa Jausal, Anisa Nuraisa Jhons Fatriyadi Suwandi Kania, Susi Karima, Nisa Karimah Khitami Aziz Karyus, Aila Khairun Nisa Khairunnisa, Lyliani Khairunnisa, Salma Kirana, Falahdila Rebika Kristian Pieri Ginting Larasati, Ratri Mauluti Leni Ervina, Leni Liana Sidharti, Liana Lidya Angelina Purba Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Miranda, Alyzah Nabila Muhamad Fathurrahman Zain Muhammad Abdul Ghoni Sutardi Muhammad Iz Zuddin Adha Muhammad Jundi Nasrullah Muhammad Yusran Mukhlis Imanto Mukhlis Imanto, Mukhlis Nisa Karimah Nisa, Lutfi Khoirun Nixon Steven Novita Carolia Novita Carolia Novita Carolia Nurtandhee, Mutiara Putu Risyaning Ayu Rahmani, Adrina Rizka Ramadhan, Rifqi Ihza Ramadhana Komala Rangga Firdaus Ratna, Maya Ganda Reni Zuraida Renti Kusumaningrum Samosir Riska Oktavioni Salsabilla Rizki Arisandi Rizki Hanriko Rodiani Roro Rukmi Windi Perdani, Roro Rukmi Rudiyanto, Waluyo Salsabila, Hasri Aghnia Sangging, Putu Ristyaning Ayu Sari, Merry Indah Sekar Ronna Fiskasari Sembiring, Dustin Delano Pranata Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Soraya Rahmanisa Sormin, Merris Hartati Sri Hasnawati Suharmanto Suharmanto Suharmanto Suryadi Suryadi Susianti Susianti Sutarto Sutarto Taufiqy, Athaya Utari Gita Mutiara Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wuryaningsih Dwi Sayekti Yaktiworo Indriani Yoga, M. Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yuningrum, Hesti Yusrawati Yusrawati Zenith Puspitawati