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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) JK Unila (Jurnal Kedokteran Universitas Lampung) Poltekita: Jurnal Pengabdian Masyarakat Jurnal Abdimas ADPI Sains dan Teknologi ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Jurnal Bina Pengabdian Kepada Masyarakat Jurnal Pengabdian Pada Masyarakat Jurnal Keperawatan Profesional (KEPO) Journal of Innovative and Creativity 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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Hubungan Rinosinusitis Kronis dengan Tingkat Kekambuhan Asma Pada Anak Andriansah, M.; Susianti, Susianti; Angraini, Dian Isti
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.953

Abstract

Asthma is one of the health problems that the world is fighting against, according to WHO in 2019 the global prevalence of asthma sufferers reached 262 million people with high mortality, causing 455,000 deaths. Apart from the high mortality rate, asthma also has a high morbidity rate. One of the reasons for the high morbidity rate in asthma is the high recurrence rate of asthma, which affects the productivity of asthma sufferers. In 2020, the asthma recurrence rate in adults was 40.7% and in children the asthma recurrence rate was divided into two groups based on age, namely in the under 18 age group it was 42.7% and in the under 5 year age group it was 52. 9%. There are many factors that influence the rate of asthma recurrence, namely allergic and non-allergic factors. One non-allergic factor that can trigger an asthma recurrence is an infection in the sinuses or sinusitis. The aim of this study was to determine the relationship between chronic rhinosinusitis and the rate of asthma recurrence in children. The method used was a review article by searching for articles using the keywords rhinosinusitis, asthma, asthma recurrence rate via Google Scholar and Pubmed, then the articles were reviewed and analyzed. The results of this review article are that there is a relationship between chronic rhinosinusitis and the rate of asthma recurrence in children, especially influencing the degree of asthma attacks in children.
PENATALAKSANAAN HOLISTIK PADA ANAK USIA 2 TAHUN DENGAN DIARE AKUT TANPA DEHIDRASI MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS KEDATON Kirana, Falahdila Rebika; Angraini, Dian Isti
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.970

Abstract

Diarrhea is the second cause of death in children under five years in developing countries. Diarrhea indicates an infection in the digestive tract. Applying the principles of family medicine and implementing holistic management based on the patient-centered, family-focused, and community-oriented approach grounded in Evidence Based Medicine. This study is a case report utilizing primary data obtained through anamnesis, physical examination, and home visits to get family, psychosocial, and enviromental data. Secondary data were obtained from the patient’s medical records. A 2-years-old female patient came with watery stools from 2 days ago. Patient didn’t care about self-hygiene with washing her hands. Patient also often buy snack near her house which is not healthy. The patient was diagnosed with acute diarrhea without dehydration. Holistic management was performed with a family physician-designed approach for A 2-years-old female patient, with acute diarrhea without dehydration based on the initial holistic diagnosis. The intervention has improved the patient’s knowledge and changed some behaviours of the patient and her family.
Penatalaksanaan Holistik Pada Ibu Rumah Tangga Usia 52 Tahun Dengan Dermatitis Kontak Iritan Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Kalirejo Dita Rifzian, Malyca Rachmaniar; Angraini, Dian Isti
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1117

Abstract

Irritant contact dermatitis (ICD) is an inflammatory skin disease caused by irritant materials or substances and can be found in everyone from all age groups, races, and genders. The definitive management is to find and avoid the cause (irritants). Applying a holistic and comprehensive family doctor approach in detecting risk factors, clinical problems, and patient management based on evidence based medicine through family-approached, patient-centered, and community-oriented. This is a case report study, which the primary data were obtained through anamnesis, physical examination, home visits. The secondary data were obtained through patient’s medical records. Mrs. P, 52 years old, presents redness and itchy spots on both soles of the feet and peeled skin since two weeks ago. The patient is worried that the complaints may interfere her daily activities. The patient is a housewife who has just replaced the bathroom floor cleaning fluid. Patient was diagnosed with ICD based on history and physical examination. The intervention results were patient complaints’ were reduced, knowledge of patients and her family regarding ICD increased, and some behaviours of the patients and family changed.
Penatalaksanaan Holistik Penyakit Pada Anak dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Segala Mider Amourisva, Assyiva Putri; Angraini, Dian Isti
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1120

Abstract

Scabies is a skin disease caused by the mite Sarcoptes scabei parasite, which causes itching that gets worse at night and can be transmitted through prolonged contact with sufferers. Factors that influence the prevalence of scabies are age, gender, poor hygiene, contact with sufferers, and also low knowledge about the disease. So that proper treatment is needed and carried out holistically with a family medicine approach to achieve therapeutic success. The purpose of writing this article is to apply of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem solving framework using a patient centered and family approach. This study is a case report. The data obtained are primary data obtained through autoanamnesis, alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical record. Patient An. N, 15 years old, came with his mother with complaints of severe itching at night since a month ago, there were reddish nodules the size of pins appearing on the palms of his hands, then spreading to other areas. The patient is worried that it will get worse and interfere with activities. The patient was clinically diagnosed with scabies. Furthermore, management, intervention and evaluation are carried out. On evaluation, there were reduced complaints, patient knowledge about the disease increased, and changes in behavior in maintaining personal and environmental hygiene. After holistic and comprehensive management, patients experience an increase in knowledge about their disease. Complaints of itching and nodules in patients are reduced, patients and their families maintain personal and environmental hygiene.
PENATALAKSANAAN HOLISTIK PASIEN LAKI-LAKI 52 TAHUN DENGAN SKIZOFRENIA PARANOID DI FASILITAS KESEHATAN PRIMER Taufiqy, Athaya; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1295

Abstract

Schizophrenia is characterized by fundamental and characteristic deviations from thought and perception, as well as by abnormal affect. Based on Riskesdas in 2019, the prevalence of schizophrenia in Indonesia was 6.7% per 1000 households. Proper handling holistically using a family medicine approach is needed to improve the patient's quality of life. Applying the principles of a holistic and comprehensive family doctor approach in detecting internal and external risk factors and solving EBM problems. This study is a descriptive study of case reports. Primary data were obtained through autoanamnesis and alloanamnesis, mental examination, and home visits. Secondary data were obtained from the patient's medical record. Patient Mr. P, 52 years old, has been diagnosed with schizophrenia paranoid, has difficulty sleeping at night accompanied by frequent talking to himself, hearing voices, and seeing shadows that others cannot see. Furthermore, comprehensive management is carried out, namely carrying out interventions using poster media and inviting patients to socialize. In the evaluation, the results were 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 family medicine approach is needed for patients with paranoid schizophrenia disease to identify problems in various aspects to support the success of therapy and improve the patient's quality of life.
Penatalaksanaan Pasien Perempuan Usia 33 Tahun dengan Infeksi Saluran Kemih dan Dispepsia melalui Pendekatan Dokter Keluarga di Wilayah Puskesmas Rawat Inap Kedaton Anjaya, Putri Ulayya; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

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

Abstract

Urinary tract infection (UTI) is an infection caused by the growth of microorganisms in the urinary tract that causes inflammation and bacteriuria. It is estimated that there are around 150 million cases of UTIs occurring each year worldwide, which can burden health care expenditures. Dyspepsia is a group of symptoms that include uncomfortable sensations in the abdomen, such as pain, bloating, nausea, and vomiting. It is estimated that almost 30% of cases encountered in general practice and 60% in gastroenterology practice are dyspepsia. Implementing comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with a patient-centered, family approach and community-oriented strategy. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data were obtained from the patient's medical records. Patient Mrs. H, 33 years old, came to the polyclinic with pain when urinating for 2 days, and nausea that had been felt for 7 days. The patient was diagnosed with UTI and Dyspepsia. Interventions were carried out in the form of providing health promotion using health posters regarding UTI and dyspepsia. The results of the intervention in patients were increased knowledge about the disease and compliance in implementing hygiene patterns, regular eating patterns, physical activity and reduced complaints experienced by patients. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health.
A case report PENATALAKSANAAN PASIEN PEREMPUAN USIA 72 TAHUN DENGAN ANEMIA PADA PENYAKIT GINJAL KRONIS MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS KEDATON Salsabila, Hasri Aghnia; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1326

Abstract

Anemia is a body condition characterized by a lower number of red blood cells or hemoglobin concentration than normal limits. According to WHO, 64 million or 23.9% of elderly suffer from anemia worldwide. One of the causes of anemia in the elderly is chronic kidney disease (CKD). According to RISKESDAS, the reported prevalence of CKD at ages ≥15 years is 0.38% in Indonesia with the highest incidence at ages 65-74 years. Appropriate holistic treatment using a family medicine approach is needed to improve the patient's quality of life. Implement comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with strategies that are patient centered, family approach and community oriented. This study is a case report. Primary data was obtained through history taking, physical examination and home visits. Secondary data was obtained from patient medical records. Patient Mrs. T, 72 years old, has been diagnosed with anemia, complains of weakness accompanied by fatigue, dizzy eyes and unsteadiness when walking. An intervention was carried out in the form of providing health promotion using health posters regarding anemia in chronic kidney disease. The results of the intervention in patients obtained increased knowledge about the disease and compliance in maintaining health for successful therapy. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health. Key words: Family Doctor, Anemia, Chronic Kidney Disease.
Penatalaksanaan pada Nn. I Usia 21 Tahun dengan Demam Dengue Melalui Pendekatan Kedokteran Keluarga di Puskesmas Kedaton Bandar Lampung Winata, Afriza; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1334

Abstract

Dengue fever (DF) is an acute viral infectious disease caused by the dengue virus which in general can be characterized by symptoms of fever for 2-7 days, accompanied by other symptoms in the form of bleeding, such as nosebleeds and red spots on the body (ptekiae), bleeding gums, decreased platelets, the form of hemoconcentration in the form of plasma leakage with signs such as increased hematocrit, ascites, pleural effusion. The purpose of this case report is to Implementing family doctor services by identifying risk factors, clinical problems, and patient management based on Evidence-Based Medicine that is family-approach, patient-centred and community-oriented. The study conducted 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 records at the puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. Patient is female with complaints of fever since 4 days ago. Fever followed by weakness, hedache, and nausea. In this case, the diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was an improvement in patient symptoms and an increase of patient knowledge.
The Management 52 Years Old Male With Hypercholesterolemia and Prehypertnsion Through Medical Approach Family in The Work Area of Puskesmas Tanjung Sari Natar Ahdalifa, Pinkan; Angraini, Dian Isti
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.v15i2.1608

Abstract

The prevalence of hypercholesterolemia in Indonesia increases with age. Hypercholesterolemia can cause cardiovascular and metabolic diseases. Riskesdas data shows abnormal cholesterol levels in the age of 45-55 years in Indonesia of 27.4%. Tekanan darah tinggi juga menjadi faktor risiko utama penyakit kardiovaskular. Risk factors for hypercholesterolemia and prehypertension are related to lifestyle so that they can be modified with appropriate management such as lifestyle interventions to prevent long-term complications and improve the quality of life of patients. Implementation of family doctor services based on evidence-based medicine in patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework with a patient-centered approach and a family approach. The analysis of this study is a case report. Primary data were obtained from anamnesis and physical examination. Secondary data were obtained from patient medical records at the Health Center. The assessment was carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. Patient Mr. M, 52 years old, came to the Tanjung Sari Natar Health Center with complaints of tingling in the feet, especially when the patient stood for more than 5 minutes since 3 days before. The patient was worried that his complaints could interfere with his daily activities. The patient is a casual laborer. Non-drug and drug interventions were carried out on the patient and his family with education related to the patient's illness in three home visits. The evaluation results obtained were that the patient's complaints decreased and the patient's and his family's knowledge regarding hypercholesterolemia increased. Holistic and comprehensive management of Mr. M's patient problems has been carried out by providing counseling to increase the knowledge of the patient and the patient's family.
Penatalaksanaan Perempuan Usia 48 Tahun Dengan Diabetes Melitus Tipe 2 Dan Prehipertensi Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Tanjung Sari Natar Miranda, Alyzah Nabila; Angraini, Dian Isti
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.v15i2.1610

Abstract

Diabetes Mellitus is a metabolic disease characterized by hyperglycemia due to abnormalities in insulin secretion, insulin action or both. Diabetes Mellitus is one of the degenerative diseases with a high prevalence and is increasing every year. There is a possibility of an increase in the number of people with Diabetes Mellitus in the future, so comprehensive management must be carried out which is expected to prevent complications and improve the quality of life of patients. The purpose of this case report is to apply Evidence Based Medicine-based services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework with a patient-centered, family-focused, and community-oriented approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. After the intervention, there was an increase in patient and family knowledge regarding the importance of health care checks, regular medication consumption, diet patterns and physical activity that are appropriate for people with Diabetes Mellitus. After holistic management with a family doctor approach, Mrs. N age 48 years with type 2 Diabetes Mellitus adjusted based on initial holistic diagnostics. The interventions carried out have increased patient and family knowledge about the importance of control to health workers, regular drug consumption, diet patterns and physical activity as indicated by improvements in the final holistic diagnostics.
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 Anisa Nuraisa Jausal 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 Eka Putri Rahmadhani Emantis Rosa Ernawaty, Tutik 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, 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 Meiyanti Meiyanti, Meiyanti 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 Naila Fathiya Isnanto Nisa Karimah Nisa, Lutfi Khoirun Nixon Steven Novita Carolia Novita Carolia Novita Carolia Nurtandhee, Mutiara Perdana, Azzahra Gadis Junita 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 Susmalini, Susmalini Sutarto Sutarto Taufiqy, Athaya Tutik Ernawati Utari Gita Mutiara Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wuryaningsih Dwi Sayekti Yaktiworo Indriani Yana, Risda Yoga, M. Agung Prasetya Adnyana Yoga, Made Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yuningrum, Hesti Yusrawati Yusrawati Zenith Puspitawati