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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) 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
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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Analysis of Predisposing Factors Affecting Community Participation in COVID-19 Vaccination Pujianto, Bambang; Angraini, Dian Isti; Karyus, Aila
Journal of Health Promotion and Behavior Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). As of June 29, 2022, there were 542,188,789 cases of COVID-19 in the world, and 6,339,275 people died. Recipients of the COVID-19 vaccine in Central Lampung District dose 1 were 898,900 (81.95%) of the 80% target. Those who received the 2nd dose vaccine were 683,002 (62.27%) of the 70% target and booster vaccines by 23,665 (2.16%) of the 40% target. The study aimed to analyze the predisposing factors that influence participation in the COVID-19 vaccination in the community in Central Lampung district in 2022.Subjects and Method: A cross-sectional study was conducted in three sub-districts of Central Lampung district from July to September 2022. A total of 110 people were selected for this study. The dependent variable was the decision of participating in the COVID-19 vaccination. The inde­pendent variables were Knowledge, Education, Attitudes, Health Information, and Trust. Data was collected by using a questionnaire. Data were analyzed using a logistic regression test.Results: Health information (aOR= 18.58; 95% CI= 1.83 to 188.05; p= 0.013), and level of trust (aOR= 18.54; 95% CI= 2.77 to 123.80; p= 0.003) were related to community participation in the COVID-19 vaccination.Conclusion: Health information and public trust related to participation in the COVID-19 vaccination in the community. Keywords: predisposing factors, behavior, COVID-19 vaccination.Correspondence:Bambang Pujianto. Masters Program in Public Health, Faculty of Medicine, Universitas Lampung, Indonesia. Jl. Prof. Dr. Ir. Sumantri Brojonegoro No.1, Gedong Meneng, Rajabasa, Bandar Lam­pung, Indonesia. 35141.  Email: pujiantob73@gmail.com. Mobile: +6285840346246. Journal of Health Promotion and Behavior (2023), 08(01): 44-52DOI: https://doi.org/10.26911/thejhpb.2023.08.01.06
Relationship between Age, Gender, Education Level, Employment Status and Comorbidity with Nutritional Status in Hemodialysis Patients Zuraida, Reni; Yoga, M. Agung Prasetya Adnyana; Angraini, Dian Isti; Sayekti, Wuryaningsih Dwi; Berawi, Khairun Nisa
Jurnal Gizi dan Pangan Vol. 20 No. 1 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.1.41-50

Abstract

This research aimed to determine the relationship between age, gender, education level, employment status, and comorbidities with nutritional status in hemodialysis patients. It employed a cross-sectional design. The population consisted of end-stage renal disease outpatients undergoing hemodialysis, totaling 84 respondents aged 19‒59 years. The sampling method utilized was simple random sampling. This research was conducted from October to November 2024. Nutritional status was measured using the Subjective Global Assessment (SGA) questionnaire. Statistical tests employed included chi-square and logistic regression analyses. The statistical results indicated a significant relationship between employment status and nutritional status, comorbidity and nutritional status in hemodialysis patients (p<0.05). No significant relationships were found between age, gender, and education level with nutritional status among hemodialysis patients (p>0.05). The factors associated with nutritional status among hemodialysis patients are comorbidity (OR=6.618; 95% CI:2.124–20.619, p<0.05) and employment status (OR=5.887; 95% CI:1.585–21.870, p<0.05). Malnutrition is closely related to the presence of comorbidities in hemodialysis patients; therefore, it is crucial to treat and manage comorbidities to prevent the progression of malnutrition in this population. Health workers in the hemodialysis department should pay more attention to the nutritional status of patients who are unemployed.
Edukasi dan pelatihan pembuatan snack risol lele jantung pisang bergizi pada kader sebagai alternatif menu PMT pangan lokal bagi ibu hamil Febriani, Wiwi; Komala, Ramadhana; Zuraida, Reni; Angraini, Dian Isti; Happy, Terza Aflika; Wijaya, Sofyan Musyabiq; Rahmadhani, Eka Putri; Rahmanisa, Soraya; Yunianto, Andi Eka
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 2 (2025): March
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i2.29508

Abstract

AbstrakZat gizi memegang peranan penting selama kehamilan, di mana kekurangan energi dan protein kronis dapat menyebabkan dampak buruk pada ibu dan janin. Salah satu strategi untuk mengatasi kebutuhan gizi ibu hamil adalah melalui program pemberian makanan tambahan berbasis pangan lokal. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader kesehatan dalam menciptakan kudapan bergizi bagi ibu hamil dengan memanfaatkan pangan lokal, seperti ikan lele dan jantung pisang. Kegiatan pengabdian ini berupa kegiatan edukasi dan demonstrasi. Kegiatan ini dilaksanakan pada 28 Agustus 2024 pukul 13.00 di Balai Desa Cipadang, Kabupaten Pesawaran, Lampung. Sebanyak 30 kader berpartisipasi dalam sesi edukasi dan pelatihan yang mencakup pembuatan kudapan risol lele jantung pisang (RILPIZ). Hasil kegiatan menunjukkan bahwa nilai pengetahuan kader sebelum dilakukan penyuluhan dan pelatihan sebesar 79.67 ± 9.64 poin. Setelah melalui kegiatan penyuluhan dan pelatihan, nilai post-test meningkat menjadi 88.67 ± 10.08 poin, dengan kenaikan rata-rata pengetahuan sebesar 9.00 ± 10.94 poin. Temuan ini menegaskan bahwa kegiatan penyuluhan yang disertai dengan pelatihan dapat memberdayakan kader untuk menciptakan solusi inovatif berbasis pangan lokal dalam upaya meningkatkan gizi ibu hamil dan berpotensi sebagai pendekatan berkelanjutan untuk mengatasi tantangan gizi pada ibu hamil. Kata kunci: ibu hamil; jantung pisang; kudapan; pangan local; pemberian makanan tambahan AbstractNutrition plays a crucial role during pregnancy, where chronic deficiencies in energy and protein can adversely affect both the mother and fetus. One strategy to address the nutritional needs of pregnant women is through supplementary feeding programs based on local food sources. This community service initiative aimed to enhance the knowledge and skills of health workers in creating nutritious snacks for pregnant women using local food ingredients, such as catfish and banana flower. This community service is in the form of educational and demonstration activities. This activity was carried out on August 28, 2024 at 13.00 at the Cipadang Village Hall, Pesawaran Regency, Lampung. A total of 30 health workers participated in education and training sessions, which included the preparation of the nutritious snack rissole filled with catfish and banana flower. The results of the activity showed that the knowledge value of the cadres before the counseling and training was 79.67 ± 9.64 points. After going through the counseling and training activities, the post-test value increased to 88.67 ± 10.08 points, with an average increase in knowledge of 9.00 ± 10.94 points. These findings confirm that counseling combined with practical training can empower health workers to develop innovative local food-based solutions for improving maternal nutrition, with the potential to serve as a sustainable approach to addressing maternal nutrition challenges. Keywords: pregnant women; banana flower; snacks; local food; supplementary feeding
Path Analysis on Determinants Affecting Adherence to Pharmacological Treatment of Type 2 Diabetes Mellitus in Farmers Sormin, Merris Hartati; Saftarina, Fitria; Suharmanto, Suharmanto; Pramesona, Bayu Anggileo; Angraini, Dian Isti
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4539

Abstract

Type 2 diabetes mellitus is a non-communicable disease and is a major chronic and long-term health problem in society. If uncontrolled, it tends to worsen due to complications. Diabetes mellitus requires long-term treatment. This study aims to determine the factors that affect adherence to pharmacological treatment of type 2 diabetes mellitus in farmers. This study used a quantitative method with a cross-sectional approach. The sample size was 165 farmers who were selected by purposive sampling. This study was conducted from May to June 2024 in the working area of Sukadamai Community Health Center, Natar, South Lampung, Indonesia. Data were collected based on questionnaires. The results showed that adherence to pharmacological treatment of type 2 diabetes mellitus is directly related to age (b=-1.601; 95%CI=-3.260-0.583; p=0.059), self-motivation (b=2.500; 95%CI=0.856-4.144; p=0.003), duration of illness (b=1.587; 95%CI=0.209-0.964; p=0.024), and family support (b=2.840; 95%CI=1.311-4.369; p=0.000). There is an indirect relationship between education and adherence through the knowledge variable (b=0.962; 95%CI=0.307-1.617; p=0.004). Indirectly, education is related to adherence through income (b=2.363; 95%CI=1.618-3.107; p=0.000), self-efficacy to adherence through self-motivation (b=0.261; 95%CI=-0.657-1.180; p=0.577), and family support through self-motivation (b=2.287; 95%CI=1.361-3.214; p= 0.000). Healthcare workers should repeatedly provide counseling on primary education materials, such as the importance of continuous control, pharmacological and non-pharmacological interventions, and other secondary prevention measures to prevent complications in patients diagnosed with type 2 diabetes mellitus.
HUBUNGAN USIA DAN HIPERTENSI DENGAN KEJADIAN BPH DI BANGSAL BEDAH RSUD DR. H. ABDUL MOELOEK TAHUN 2017 Muhammad Iz Zuddin Adha; Rizki Hanriko; Dian Isti Angraini
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 8 No 1 (2020): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.1 Edisi November 201
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v8i1.34

Abstract

ABSTRAK Pendahuluan: Benign prostate hyperplasia (BPH) sering terjadi pada usia lanjut. Sekitar 50% laki-laki yang memiliki usia diatas 50 tahun diketahui memiliki bukti patologi BPH. Usia dan hipertensi diketahui menjadi faktor dalam proses terjadinya BPH. Tujuan dari penelitian ini adalah untuk mengetahui hubungan usia dan hipertensi dengan kejadian BPH di Bangsal Bedah RSUD Dr. H. Abdul Moeloek tahun 2017. Metode: Penelitian ini menggunakan metode case control study. Jenis data yang dipakai adalah data sekunder dari rekam medis. Sampel diambil dari pasien bangsal bedah RSUD Dr. H. Abdul Moeloek tahun 2017. Teknik pengambilan sampel adalah consecutive. Analisis data dilakukan dengan analisis univariat, analisis bivariat dengan chi-square, dan analisis multivariat dengan metode regresi logistik ganda. Hasil: Rerata usia subjek penelitian adalah 66,00 ± 10,17 tahun untuk kelompok kasus. dan 53,36 ± 16,19 tahun untuk kelompok kontrol. Pada kelompok kasus, persentase hipertensi sebesar 36,7% sedangkan yang tidak hipertensi sebesar 63,3%. Pada kelompok kontrol persentase hipertensi sebesar 10% sedangkan yang tidak hipertensi sebesar 90%. Hasil penelitian menunjukan bahwa usia ?50 tahun (OR = 11,947; nilai p=0,009) dan hipertensi (OR = 7,898; nilai p=0,017) merupakan faktor risiko terjadinya BPH. Pembahasan: Pada usia tua, terjadi ketidakseimbangan hormon testosteron dan estrogen sehingga mempengaruhi pembesaran kelenjar prostat. Peningkatan ekspresi VEGF (Vascular Endothelial Growth Factor) pada kondisi hipertensi akan menginduksi angiogenesis dan mengakibatkan terjadinya peningkatan gejala klinis BPH. Kesimpulan: Terdapat hubungan usia dan hipertensi dengan kejadian BPH di Bangsal Bedah RSUD Dr. H. Abdul Moeloek tahun 2017. Kata Kunci: BPH, hipertensi, usia ABSTRACT Background: Benign prostate hyperplasia (BPH) often occurs in old age. About 50% of men over 50 years are known to have BPH pathology evidence. Age and hypertension are known to be factors in the process of BPH. The purpose of this study was to determine the relationship of age and hypertension with the occurrence of BPH in the Surgical Ward of RSUD Dr. H. Abdul Moeloek in 2017. Methods: This study uses a case control study method. The type of data used is secondary data from medical records. Samples were taken from surgical ward patients of Dr. H. Abdul Moeloek in 2017. The sampling technique was consecutive sampling. Data analysis was performed with univariate analysis, bivariate analysis with chi-square, and multivariate analysis with multiple logistic regression methods. Results: The mean age of the study subjects was 66.00 ± 10.17 years for the case group. and 53.36 ± 16.19 years for the control group. In the case group the percentage of hypertension was 36.7% while non-hypertension was 63.3%. In the control group the percentage of hypertension was 10% while non-hypertension was 90%. The results showed that age ?50 years (OR = 11,947; p value = 0.009) and hypertension (OR = 7.898; p value = 0.017) were risk factors for BPH. Discussion: In old age, there is an imbalance of the hormones testosterone and estrogen which affects the enlargement of the prostate gland. Increased VEGF (Vascular Endothelial Growth Factor) expression in hypertensive conditions will induce angiogenesis and result in an increase in clinical symptoms of BPH. Conclusion: There is a relationship between age and hypertension with the occurrence of BPH in the Surgical Ward Dr. H. Abdul Moeloek in 2017. Keywords : BPH, hypertension, age
HUBUNGAN PERAN GURU, ASUPAN MAKAN DAN AKTIVITAS FISIK TERHADAP KEJADIAN OBESITAS PADA ANAK SEKOLAH DASAR AL- KAUTSAR BANDAR LAMPUNG Renti Kusumaningrum Samosir; Dian Isti Angraini; Sutarto Sutarto; Dyah Wulan S.R Wardani
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 7 No 2 (2019): JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 7.2 Edisi Mei - Oktob
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v7i2.67

Abstract

ABSTRAK Latar Belakang: Obesitas pada anak usia sekolah disebabkan oleh banyak faktor, diantaranya peran guru, asupan makan dan aktivitas fisik. Guru dapat memberikan pendidikan gizi yang akan mempengaruhi perilaku gizi anak dalam memilih makanan dan aktivitas fisik. Penelitian ini bertujuan untuk mengetahui hubungan antara antara peran guru, asupan makan dan aktivitas fisik terhadap kejadian obesitas pada anak SD Al-Kautsar Lampung. Metode Penelitian: Penelitian ini merupakan penelitian analitik cross-sectional. Penelitian ini dilakukan di SD Al-Kautsar dengan 46 responden yang diambil dengan teknik proportionate stratified random sampling. Data dikumpulkan dengan menggunakan kuesioner dan food recall 2x24 jam. Data dilakukan uji analisis menggunakan uji Chi-Square. Hasil Penelitian: Hasil analisis menunjukkan bahwa 56,5% responden mengalami obesitas, dengan mayoritas peran guru kurang (69,6%), asupan energi kurang (45,7%), asupan protein lebih (43,5%), asupan lemak kurang (54,3%), asupan karbohidrat lebih (34,8%), dan aktivitas fisik yang sama, baik rendah maupun tinggi (50%), dengan hasil analisis bivariat terdapat hubungan antara peran guru (p=0,011; OR=35,5), asupan energi (p=0,025; OR=4,857), asupan protein (p=0,005; OR=6,4), asupan lemak (p=0,029; OR=5,625), asupan karbohidrat (p=0,013; OR=5,667) dan aktivitas fisik (p=0,003; OR=6,75) terhadap kejadian obesitas. Simpulan Penelitian: Terdapat hubungan antara peran guru, asupan makan dan aktivitas fisik terhadap kejadian obesitas pada anak SD Al-Kautsar Lampung.
Model Gerabah (Gerakan Kontrol Bahaya Diabetes Dan Hipertensi) Sebagai Upaya Pencegahan dan Penanggulangan Penyakit Kronis Angraini, Dian Isti; Febriani, Wiwi; Carolia, Novita; Mayasari, Diana; Anggraeni, Liza; Fitri, Dilla Syahra Noor; Fathaniah, Widya
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 5, No 2 (2024)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v5i2.4322

Abstract

Model GERABAH (Gerakan Pengendalian Bahaya Diabetes dan Hipertensi) telah secara khusus dibuat dan diadaptasi untuk inisiatif pemberdayaan pendidikan dan masyarakat yang bertujuan mengurangi penyakit kronis seperti diabetes mellitus (DM) dan hipertensi. Model ini dirancang dengan teknik edukasi dan pemeriksaan kesehatan. Kegiatan ini bertujuan untuk meningkatkan pemahaman dan keterampilan masyarakat dalam mencegah dan menanggulangi penyakit kronis (DM dan Hipertensi). Metode yang akan dilakukan adalah dengan memberikan penyuluhan, pemeriksaan kesehatan (gula darah sewaktu dan tekanan darah), serta konseling. Kegiatan Model GERABAH ini dilaksanakan di desa Merak Batin Kecamatan Natar Kabupaten Lampung Selatan pada tanggal 29 November 2023. Peserta kegiatan ini adalah 65 orang pralansia dan lansia di desa Merak Batin. Hasil evaluasi pelaksanaan pengabdian menunjukkan bahwa sebanyak 83,1% peserta mengalami peningkatan pemahaman menjadi baik, sedangkan sebanyak 12,3% peserta memiliki pemahaman yang cukup mengenai pencegahan dan penanggulangan penyakit kronis (DM dan Hipertensi) baik secara medikamentosa ataupun non medikamentosa. Rata-rata pemahaman responden meningkat yang sebelumnya 55,1 pada pretest menjadi 81,5 pada posttest. Hasil analisis statistik menggunakan uji Wilcoxon menunjukkan bahwa terdapat perbedaan rata-rata yang bermakna secara statistik pada nilai pretest dan postest peserta mengenai pencegahan dan penanggulangan penyakit kronis (DM dan Hipertensi) (p=0,000). Hasil pemeriksaan gula darah sewaktu dan tekanan darah didapatkan bahwa peserta yang memiliki kadar glukosa darah tinggi 47,7% dan memiliki tekanan darah tinggi sebanyak 89,2%. Model GERABAH ini terbukti efektif dalam meningkatkan pengetahuan dan kemampuan Masyarakat dalam mencegah dan menanggulangi penyakit kronis (DM dan Hipertensi)
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.
Penatalaksanaan Dermatitis Numularis pada Perempuan 50 Tahun melalui Pendekatan Dokter Keluarga di Puskesmas Satelit Kota Bandar Lampung: Fakultas Kedokteran, Universitas Lampung Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung Ali, Muhammad Chaidar; 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.v15i2.1622

Abstract

Nummular dermatitis (ND) is a chronic inflammatory skin disorder characterized by round, coin-shaped lesions accompanied by itching and inflammation. Although more commonly affecting men aged 55–65 years, it can also occur in other age groups. Several risk factors contribute to its development, including dry skin, irritant exposure, infections, and environmental conditions. Family physicians play a vital role in promotive, preventive, curative, and rehabilitative efforts to improve patients’ quality of life. This study aimed to implement a comprehensive family medicine approach by identifying both internal and external risk factors and providing management based on Evidence-Based Medicine (EBM), emphasizing patient-centered, family-focused, and community-oriented care. This case report involved primary data collection through direct interviews, family anamnesis, physical examinations, and home visits to assess environmental, social, and family aspects. Secondary data were obtained from medical records. A holistic assessment using qualitative and quantitative methods was conducted throughout the management process. A 50-year-old woman presented with complaints of sudden-onset itching on the dorsal feet, knees, and arms persisting for one week, which progressively worsened and was accompanied by skin lesions. Interventions included patient and family education, family conference, pharmacological therapy, and supportive non-pharmacological management. Triggering factors identified in this case were dry skin, repeated trauma, limited health literacy, and occupational exposure. A holistic family medicine approach proved effective in reducing symptoms, enhancing patient knowledge, and preventing recurrence.
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 Aurelina, Renata Bagus Pratama Bambang Pujianto Bayu Anggileo Pramesona Daulay, Suryani Agustina Deddy Nur Wachid Delmi Sulastri Dita Rifzian, Malyca Rachmaniar Dwi Indria Anggraini Dwita Oktaria Dyah Wulan S.R Wardani Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Ety Apriliana Ety Apriliana Fathaniah, Widya Firdawati, Firdawati Fitri, Dilla Syahra Noor Fitria Saftarina Ginting, Kristian Pieri Happy, Terza Aflika Hardisman Harmaina, Harmaina Intanri Kurniati Karimah Khitami Aziz Karyus, Aila Khairun Nisa Khairunnisa, Lyliani Khairunnisa, Salma Kirana, Falahdila Rebika Kristian Pieri Ginting Leni Ervina, Leni Liana Sidharti, Liana Lidya Angelina Purba Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Miranda, Alyzah Nabila Muhammad Abdul Ghoni Sutardi Muhammad Iz Zuddin Adha Muhammad Jundi Nasrullah Muhammad Yusran Mukhlis Imanto Nisa Karimah Nisa, Lutfi Khoirun Novita Carolia Novita Carolia Novita Carolia Nurtandhee, Mutiara Putu Risyaning Ayu Ramadhan, Rifqi Ihza Ramadhana Komala Reni Zuraida Renti Kusumaningrum Samosir Riska Oktavioni Salsabilla Rizki Arisandi Rizki Hanriko Rodiani Salsabila, Hasri Aghnia Sekar Ronna Fiskasari Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Soraya Rahmanisa Sormin, Merris Hartati Sri Hasnawati Suharmanto Suharmanto Suharmanto Suryadi Suryadi Susianti Susianti Sutarto Sutarto Taufiqy, Athaya Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wuryaningsih Dwi Sayekti Yaktiworo Indriani Yoga, M. Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yusrawati Yusrawati Zenith Puspitawati