Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Medula
Aila Karyus
Fakultas Kedokteran Universitas Lampung
Education Medicine & Pharmacology Neuroscience Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Penatalaksanaan Holistik pada Perempuan Usia 60 Tahun dengan Diabetes Mellitus Tipe 2 melalui Pendekatan Kedokteran Keluarga Sonia Anggraini; Aila Karyus
Medula Vol 11 No 1 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i1.185

Abstract

Diabetes Mellitus (DM) is a global public health problems, in 2014 the prevalence of DM sufferers reached 9% of the world's total population and 90% of them are DM type 2. The mortality rate for DM disease in 2012 worldwide reached 1.5 million. In 2013, the International Diabetes Federation (IDF) estimated there were 382 million people with DM in the world. Family approach in the management of diabetes mellitus helps identify factors that influence both clinical, personal and psychosocial family. This study is intended as the application of family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient's problem-solving framework with a patient centered and family approach. This is a case report study. Primary data were collected by history, physical examination, examinations and home visits to assess the physical environment. A 60 years old woman diagnosed with type 2 diabetes mellitus with lacking knowledge of the disease, curative treatment behaviour, poor diet, rarely exercising and low physical activity and low family knowledge about diabetes mellitus. After the intervention, the patient has shown clinical improvement and changes in behavior towards the patient's disease. In the quantitative assessment, there is an increase in all aspects assessed which are knowledge, diet and physical activity. Management of diabetes mellitus patients holistically and comprehensively, patient center, family approach with diabetes mellitus treatment is needed in order to prevent acute and advanced complications.
Penatalaksanaan Secara Holistik pada pasien 67 Tahun dengan Ulkus Kaki Diabetikum: Laporan Kasus Nimas Shifa Azzahra; Aila Karyus
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1948

Abstract

Diabetic foot ulcers are a chronic complication of diabetes mellitus that has a high prevalence globally, including in Indonesia. This condition can lead to a decreased quality of life and increase the risk of infection and amputation. This study discusses the case of a 67-year-old woman with a diabetic foot ulcer who was managed through a comprehensive approach based on EBM to improve the healing process and prevent complications. This study is structured as a case report, with primary data collected through anamnesis, physical examination, and home visits. Secondary data sources were obtained from the patient's medical records at the community health center. The evaluation was conducted using a holistic diagnostic approach, both quantitatively and qualitatively, covering the initial stages, implementation process, and final results of the study. Patient Mrs. H, 67, complained of a wound that had not healed for three months. Additional complaints included frequent hunger, frequent thirst, and frequent urination. In this study, diagnosis and management were carried out in accordance with current guidelines and literature, including glycemic control, wound care, health education, and regular monitoring. After a five-day holistic intervention, there was a decrease in fasting blood glucose from 262 mg/dL to 210 mg/dL (19.8% decrease), improvement in nutritional adequacy figures through food recall obtained data on energy reduction from 60.86% to 33.9%, with details of carbohydrates from 280% to 122.8%, protein 152.9% to 143.2%, and fat from 434% to 325.8% and an increase in patient knowledge scores from 50 to 80 (scale 0-100).
Co-Authors Nimas Shifa Azzahra Sonia Anggraini