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Penatalaksanaan Holistik Pasien Balita dengan Asma Persisten Ringan melalui Pendekatan Kedokteran Keluarga Arinda Stefani; Diana Mayasari
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.v10i3.151

Asthma is a chronic respiratory disease based on chronic inflammation which results obstruction and hyperreaction of the respiratory tract as a result of the interaction between genetic, host, and environmental factors. Studies on the natural history of asthma show that nearly 80% of cases begin during the first 6 years of life. Asthma management must be continuous monitoring to achieve controlled asthma, doctors must manage patients holistically from various aspects to improve quality of life. Implementation of family-based evidence based medicine by identifying risk factors, clinical problems, and patient management based on patient problem solving framework with patient centred and family approach. This study is a case report. Primary data were obtained through alloanamnesis, physical examination, home visits to complete family and psychosocial data, as well as the environment. Assessment based on holistic diagnostic from the beginning, process and in the end of thr study quantitatively and qualitatively. Patients under five with mild persistent asthma. Internal factors in cases such as genetic factors, age, and lack of awareness in avoiding trigger factors. External factors are lack of family knowledge about asthma and its complications and a dusty environment. Pharmacological and non-pharmacological interventions are carried out in the form of education in preventing asthma attacks in patients. The diagnosis and management of these patients has been carried out in a holistic, patient centered, family approach and based on several recent theories and studies. In the behavior change process, the patient and family have reached the adoption stage.

Penatalaksanaan Holistik pada Wanita Dewasa dengan Penyakit Paru Obstruktif Kronis dengan Riwayat Merokok dan Paparan Asap Rokok melalui Pendekatan Kedokteran Keluarga Diwanti Aulia Hasanah; Hanifah Choirunnisa; Diana Mayasari
Jurnal Penelitian Perawat Profesional Vol 5 No 2 (2023): Mei 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i2.1421

Penyakit yang dikenal sebagai penyakit paru obstruktif kronik (PPOK) didefinisikan sebagai gejala pernapasan yang bertahan lama dan hambatan aliran udara yang disebabkan oleh kelainan saluran napas yang progresif. Merokok adalah faktor risiko paling umum untuk PPOK. Dengan mengidentifikasi faktor risiko, masalah klinis, dan manajemen pasien berdasarkan pendekatan yang berpusat pada pasien dan keluarga terhadap masalah pasien, penelitian ini bertujuan untuk memberikan layanan dokter keluarga berbasis evidence based medicine kepada pasien. Ini adalah penelitian laporan kasus. Data primer dikumpulkan melalui anamnesis (autoanamnesis dan alloanamnesis dari keluarga dan pasien), pemeriksaan fisik, dan kunjungan rumah. Rekam medis pasien menyediakan data sekunder yang diperlukan. Evaluasi didasarkan pada diagnostik yang komprehensif dari awal, pertengahan, dan akhir penelitian. Ny. S, pasien PPOK, khawatir gejalanya akan memburuk dan penyakitnya akan semakin parah. Masalah pada pasien dan keluarga disebabkan oleh kurangnya informasi tentang kondisi kesehatan, serta kurangnya dorongan keluarga untuk berhenti merokok dan memeriksakan kesehatan secara teratur. Masalah pasien dikelola secara holistik dan menyeluruh. Telah dilakukan konseling untuk membantu pasien dan keluarga pasien belajar lebih banyakmengenai penyakitnya.

Dampak Paparan Panas di Lingkungan Kerja Terhadap Kesehatan Pekerja Reinita Aulia; diana mayasari; fitria saftarina
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.660

Heat exposure occurs when the body absorbs more heat than can be received through the process of thermoregulation. Workers who are exposed to heat or work in a hot environment may be at risk of experiencing heat stress which can adversely affect the worker's health. Heat exposure can cause physiological responses from various organs and cause various health problems. This article aims to discuss the impact of heat exposure in the work environment on the health of workers and preventive strategies that can be done. Heat exposure is a contact between an individual and the environment which can pose a risk of increased body temperature and perceived discomfort. Through the high frequency and intensity of heat waves, exposure to heat can cause physiological responses to various systems, namely the central nervous, musculoskeletal cardiovascular, and integumentary systems which if not properly controlled can lead to pathological conditions. Health problems that can occur are heat stroke, heat exhaustion, heat syncope, heat cramp and heat rash. Several steps must be implemented to protect the health of workers from exposure to heat in the work environment so that workers are not at risk of experiencing work-related injuries or illnesses.

Penatalaksanaan Holistik pada Balita Usia 2 Tahun dengan Masalah Gizi melalui Pendekatan Kedokteran Keluarga Nurul Fitri Insani; Diana Mayasari; Salsabila Dzakiyyah Zahra
Jurnal Penelitian Perawat Profesional Vol 5 No 2 (2023): Mei 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i2.1466

Pendek atau stunting merupakan salah satu jenis gizi buruk (malnutrisi), penyebab utama masalah global penyakit pada masa pertumbuhan. Tingginya prevalensi dan rendahnya kemajuan dalam mengatasi stunting dapat diakibatkan oleh faktor gizi buruk yang dialami oleh ibu hamil maupun balita, faktor sosioekonomi, penyakit infeksi, pengetahuan ibu yang kurang, pola asuh yang salah, sanitasi dan higiene yang buruk, serta pelayanan kesehatan yang rendah. Tujuan penelitian ini yaitu mengidentifikasi faktor risiko internal dan eksternal serta masalah klinis pada pasien, menerapkan pendekatan dokter keluarga yang holistik dan komprehensif sesuai masalah yang ditemukan pada pasien dan melakukan penatalaksanaan berbasis Evidence Based Medicine yang bersifat family-approach, patient-centered, dan community oriented. Studi yang dilakukan adalah laporan kasus. Data primer diperoleh melalui anamnesis, pemeriksaan fisik dan kunjungan ke rumah.Data sekunder didapat dari buku KIA pasien. Hasil yang didapat yaitu An. G, usia 2 tahun mengalami tinggi badan dan berat badan tidak sesuai usianya. Tidak ada keluhan lainnya. Riwayat persalinan pasien lahir di bidan pada usia kehamilan 37 minggu dengan BB lahir 2600 gram dan PB lahir 45 cm. Riwayat makan pasien yaitu ASI tidak eksklusif sampai usia 6 bulan, selanjutnya pasien mulai MP-ASI dan ASI hingga usia saat ini. Ibu pasien mengatakan bahwa pasien terkadang memakan jajanan warung dan minum minuman pemanis buatan. Ayah pasien yang tinggal serumah merupakan perokok dan kadang-kadang merokok di dalam rumah. Penegakan diagnosis dan penatalaksanaan pada pasien ini telah dilakukan secara holistik, patient centered, family approach dan berdasarkan beberapa teori serta penelitian terkini. Terdapat perubahan pengetahuan dan sikap pada keluarga pasien terhadap pencegahan stunting.

Penatalaksanaan Holistik Wanita Usia 49 tahun dengan Tuberkulosis Paru dan Diabetes Mellitus Tipe 2 dengan Tingkat Pengetahuan Minimal dan Sikap Menjaga Kelangsungan Pengobatan melalui Pendekatan Kedokteran Keluarga Clarisa Rahmah; Shenia Verinda Harsa; Diana Mayasari
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.639

Infectious diseases with comorbidity are important health problems that are supposed to be evaluated immediately because they have the potential for complications if no intervention is carried out. Tuberculosis (TB) is an infectious disease that is still a problem in the world especially in developing countries. Diabetes mellitus is estimated to be the cause of 15% of tuberculosis cases today, because it could decrease the immune system which can cause someone prone to get infectious disease. The family approach in the management of Pulmonary Tuberculosis and diabetes mellitus can help identify factors that influence clinically, personally and family psychosocial so that management will be more comprehensive. This study is a case report. Primary data were obtained through history taking, physical examination, supporting examination and home visits to assess the physical environment. Prior to the intervention, the patient's knowledge about the disease was lacking, the pattern of curative treatment, diet was not good, rarely exercised. Family knowledge about Pulmonary Tuberculosis and diabetes mellitus is still low. After the intervention, there was an improvement in the knowledge score and attitude to maintan continuity of treatment which increased by 40 points. After the treatment was carried out on the patient, there was an improvement in the knowledge and attitude to maintan continuity of treatment regarding the disease, as well as an improvement in diet and physical activity patterns.

PENATALAKSANAAN HOLISTIK PADA PRIA USIA DEWASA MUDA DENGAN GANGGUAN CEMAS MENYELURUH DAN KEPRIBADIAN INTROVER MELALUI PENDEKATAN KEDOKTERAN KELUARGA Mhd. Nur Ridha Asshaf; Diana Mayasari
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.v13i5.765

Anxiety disorders are a group of conditions that have characteristics in the form of excessive anxiety conditions, accompanied by behavioral, physiological, and emotional changes of the person. Behaviors found in individuals with anxiety disorders include panic for no reason, excessive and unwarranted fear of objects or living conditions, and unexplained worry. By identifying risk factors, clinical problems, and providing management to patients with the application of holistic family doctor services based on evidence-based medicine. This study is a case report. Primary data are obtained through history and physical examination. Secondary data is obtained from the patient's medical record at the Puskesmas. Assessment is carried out based on a holistic diagnosis of the beginning, process, and end of the study quantitatively and qualitatively. Assessment based on the initial holistic diagnostics, process and end of study qualitatively and quantitatively. Mr. A, 35, came in for routine control of his excessive anxiety. The results of the axial diagnosis are established Axis 1 of generalized anxiety disorder (F41.1). Axis 2 there is no diagnosis. Axis 3 there is no diagnosis. Axis 4 patients have problems related to the social environment. Axis 5 patient GAF score 70-61. When measured using the Penn State Worry Questionnaire, a score of 45 was obtained. Patients are intervened holistically using a family doctor approach. The patient's final diagnostic results have applied an intervention in the form of Cognitive Behavior Therapy and when remeasured using the Penn State Worry Questionnaire obtained a value of 29 which means not in a state of anxiety that interferes

PENATALAKSANAAN HOLISTIK PADA PRIA LANSIA DENGAN PENYAKIT PARU OBSTRUKTIF KRONIS EKSASERBASI AKUT DENGAN RIWAYAT MEROKOK DAN PAPARAN DEBU OKUPASI MELALUI PENDEKATAN KEDOKTERAN KELUARGA Feby Aulia Hasanah; Diana Mayasari
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.v13i5.766

Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and limited airflow due to airway or alveolar abnormalities that are usually caused by exposure to harmful gases or particles. In addition, COPD causes deaths related to factors of old age and exposure to harmful substances. Symptoms can worsen into acute exacerbation COPD which can lead to death. The family approach in the management of acute exacerbation COPD helps to identify influential factors both clinically, personally, and psychosocially so that the management will be more comprehensive. Family doctor practice are evidence based medicine by identifying risk factors, clinical problems, and patient management based on patient problems with a holistic approach. This study is a case report. Primary data were obtained through history taking, physical examination, labs exam and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning to the end. Prior to the intervention, the patient's knowledge of the disease he suffered was lacking, curative treatment patterns, poor diet, infrequent exercise, and cachexia. The family's knowledge of chronic obstructive pulmonary disease is still low. After the intervention, there was an improvement in the postest value of knowledge, CAT index, PSQI, 6MWD, food recall, and weight gain. After the treatment was carried out on the patient, there was a hope to an improvement in the knowledge regarding the disease, as well as an improvement in diet and physical activity patterns.

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