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KOPERASI BATIK BAKTI & KONTRIBUSINYA PADA SEJARAH EKONOMI PONOROGO Tutik Ernawati
Sejarah dan Budaya : Jurnal Sejarah, Budaya, dan Pengajarannya Vol 10, No 2 (2016)
Publisher : Universitas Negeri Malang

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Abstract

PEWARISAN KEBERAGAMAN DAN KETELADANAN MELALUI SEJARAH LOKAL Tutik Ernawati
Sejarah dan Budaya : Jurnal Sejarah, Budaya, dan Pengajarannya Vol 11, No 2 (2017)
Publisher : Universitas Negeri Malang

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Abstract

Penatalaksanaan Holistik Pasien Lansia dengan Hipertensi Derajat 1, Diabetes Mellitus Tipe 2, Obese Grade I, dan Hiperkolesterolemia Melalui Pendekatan Kedokteran Keluarga di Puskesmas Rawat Inap Kedaton Dinda Afifa; Tutik Ernawati; Adela Putri Agata
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.411

Abstract

Hypertension is one of the degenerative disease. Degenerative disease is a chronic non-communicable disease due to deterioration in organ function due to the aging process. The prevalence of hypertension in lampung reached 7,95%. Through identifying the risk factors, clinical problems, conduct patient management holistically by applying family doctors according to evidence based medicine through a patient center, family approach, and community oriented. This study is a case report. The primary data obtained through anamnesis, physical examination, and home visits to complete the family data, psychosocial and environmental data. Assessment based upon a holistic diagnosis of early, process, and the final quantitative and qualitative studies. Based on a holistic diagnosis, the patient had a history of hypertension and type 2 diabetes mellitus for more than 10 years, as well as hypercholesterolemia and obesity. Patients routinely seek treatment at the clinic and routinely take medication every day. The patient's diet is still irregular and the patient rarely does physical activity. The diagnosis and managemet of the patient has been done holistically, patient centered, family approach and in accordance with national guidelines and based on evidence based medicine. Changes in patient and family knowledge and behaviour occur after patient center and family approach interventions.
Penatalaksanaan Holistik Wanita Pralansia Dengan Diabetes Mellitus Tipe II Tidak Terkontrol Melalui Pendekatan Dokter Keluarga Shafa Inayatullah; Tutik Ernawati; Eko Budi Santoso
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Diabetes mellitus needs to be managed comprehensively, including pharmacological and nonpharmacological treatment. The treatment goals, complication prevention, and increased quality of life can be achieved by understanding the disease to build self-awareness to modify lifestyles, both diet, as well physical activity. To identify risk factors, clinical problems, conduct patient management holistically by applying family doctors according to evidence based medicine through a patient centered and family approach. Design study is a case report. The primary data obtained through anamnesis (autoanamnesis), physical examination, and home visits. Secondary data were obtained from the patient's medical record. Mrs. S, 56 years old, with type two diabetes mellitus since 5 years ago, concerns about her worsening disease. Knowledge limitations of the patient's health condition, unhealthy diet, and physical inactivity are the factors causing problems in patient’s family. Holistic and comprehensive management of the problems of Mrs. S has been carried out by providing counseling using posters to increase the knowledge of the patient and the patient's family regarding the patient's diet and the importance of physical exercise, as well as routine control to the nearest health facility. After the evaluation, it was found that the patient’s blood sugar decreased while in patient.
Penatalaksanaan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Satelit Niken Rahmatia; Tutik Ernawati
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

The high prevalence of scabies can be caused by poverty, low levels of education, poor hygiene, availability of clean water and density of residents. Diagnosis and treatment are carried out with a holistic and comprehensive family medicine approach. Primary data were obtained through history taking, physical examination and home visits, and secondary data from the patient's medical records. Patient's case a 51-year-old has suffered from scabies (ICD 10 - B86) that has recurred three months ago, but the patient still has a functional degree of 1 in carrying out daily activities. Internal factors in patients are poor personal hygiene, towels and bed linen do not wash regularly even though it has been used other than by family members, as well as curative treatment patterns. External factors in patients are low family income (ICD10-Z59.6), lack of home lighting and ventilation, densely populated home environments, lack of cleanliness in the home environment, and low patient and family knowledge about scabies. The holistic and comprehensive eradication approach uses a family medicine approach in the form of education about the causes, transmission, treatment and prevention of diseases. Scabies disease is difficult to eradicate if it is not accompanied by changes in clean and healthy lifestyle.
Penatalaksanaan Holistik Pada Pasien Tuberkulosis Melalui Pendekatan Kedokteran Keluarga Putri Octavia Sari; Tutik Ernawati
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Indonesia ranks third in most cases of tuberculosis (TB) in the world. This is due to the low knowledge about TB and the low level of medication taking. Therefore, the role of family doctor is needed to manage patients holistically from various aspects. This study is a descriptive study of case reports. Primary data were obtained through alloanamnesis, physical examination and home visits. Secondary data were obtained from the patient's medical record. Patient Mr. A, 21 years old, came for routine TB treatment and has been diagnosed two months ago. The patient has poor nutritional status. Problems needed by patients are lack of physical activity, lack of patient knowledge of TB, lack of family support and smoking habits. Regarding pharmacological and non-pharmacological intervention in patients is education about the disease for patients and families. The evaluation results of the intervention are that patients who have begun physical and family activities have supported for routine treatment. But patient’s family still have the habit of smoking indoors. Holistic management of TB patients is needed. The patient's level of knowledge about the disease and the importance of the family knowing the schedule for treatment and a healthy lifestyle determine the success of TB treatment. Patient and Family took doctor’s advice well after intervention, but lifestyle changes such as smoking habit haven’t done optimally
HOLISTIC MANAGEMENT OF A 69 YEAR OLD FEMALE PATIENT WITH LOW BACK PAIN AND GRADE 2 HYPERTENSION IN A PRIMARY HEALTH CARE Adli, Farhan Kamali; Karyus, Aila; Ernawati, Tutik
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.v13i7.878

Abstract

Based on data from the World Health Organization, it is estimated that around 15-20% of the world's population suffers from hypertension and Hypertension in Indonesia is the third cause of death in all age groups, namely around 6.7% of the total population of deaths in Indonesia. The prevalence of musculoskeletal diseases in Indonesia is 11.9% and based on symptoms, the prevalence of musculoskeletal diseases in Indonesia reaches 24.7%. Meanwhile, the prevalence of musculoskeletal disease in Lampung reached 18.9%. Apply the principles of family medicine services to patients and carry out holistic management based on the patient problem found with patient-centered approach, family focused, and community oriented based on Evidence Based Medicine. This study is a case report with Primary data obtained through history taking, physical examination and home visits to complete family, psychosocial and environmental data. 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. Mrs. L 69 years old, came with complaints of headaches, heavy shoulders and lower back pain. The patient was diagnosed as hypertension and low back pain. In this case, the diagnosis and treatment were carried out according to the theory and related journals. After the intervention, there was a decrease in clinical symptoms and an increase in patient and family knowledge. Holistic management can improve the knowledge, attitudes, and behavior of patients and family in maintaining their health.
PENATALAKSANAAN HOLISTIK PADA AN. TM USIA 18 TAHUN DENGAN BELLS PALSY MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA UPTD PUSKESMAS NATAR Amalia, Shafira; Ernawati, Tutik
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.v14i6.1149

Abstract

Bell palsy is an acute paralysis of the peripheral facial nerve (N. Clinical manifestations caused by Bell's palsy can include impairment, disability, handicap, and entertainment, and can cause mental problems for sufferers. Applying the principles of family medicine services and carrying out holistic management based on a framework for solving patient problems with a patient-centered, family-focused, and community-oriented approach based on Evidence-Based Medicine. This study is a case report using primary data obtained through history taking, physical examination, and home visits to complement family data, and psychosocial and environmental data. Secondary data was obtained from patient medical records. Patient An. TM aged 18 years with complaints of stiffness on the right side of the face since two days ago. The patient has a habit of riding a two-wheeler without using head protection. The patient also had a history of varicella two years ago. Holistic management with a family doctor approach has been carried out for An.TM aged 18 years with Bell's palsy which was adjusted based on the initial holistic diagnosis. Before the intervention, the patient and family are given a pretest to measure the patient's level of knowledge regarding the disease they are suffering from. During the intervention, the patient is explained about the disease he is suffering from using media in the form of posters, and the patient is given education regarding the importance of completing treatment, how to prevent the disease, and doing facial exercises. At the last visit, a posttest was given to the patient and family with the results being a significant increase in knowledge about the disease they were suffering from and awareness of the importance of changing patient habits.
Gambaran Sikap Percaya Diri Korban Bullying Verbal Di MAN 3 Sleman Tutik Ernawati; Nararya Rahadyan Budiyono
Perspektif : Jurnal Pendidikan dan Ilmu Bahasa Vol. 2 No. 3 (2024): September : Jurnal Pendidikan dan Ilmu Bahasa
Publisher : STAI YPIQ BAUBAU, SULAWESI TENGGARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59059/perspektif.v2i3.1479

Abstract

Verbal bullying, namely bullying that is carried out by mocking or throwing words that lead to excessive humiliation which causes excessive fear and a decrease in self-confidence in the victim. The purpose of this study was to determine the description of the self-confidence of MAN 3 Sleman verbal bullying victims. The method used in this research is descriptive qualitative. The subjects in this study amounted to 7 students who were victims of verbal bullying and 21 students as observers as observers of the validity of verbal bullying events and see the self-confidence of victims of bullying. The results of this study indicate that verbal bullying behavior has an impact on the self-confidence of victims of bullying, namely there are victims of bullying who experience a decrease in self-confidence, such as when doing activities or learning at school, victims become afraid to express their opinions or arguments, prefer to be alone, quiet, and even dare not go to school, but there are also victims of verbal bullying who experience increased self-confidence because the bullying behavior becomes motivation. The benefits of this research are to provide an overview and also knowledge about the description of the self-confidence of victims of verbal bullying MAN 3 Sleman so as to add theoretical references regarding the impact, anticipation and efforts regarding verbal bullying.
Holistic Management Of A 35-Year-Old Woman With Breast Abscess Through A Family Medicine Approach Sofia Tyasni Darma Perbasya; Tutik Ernawati
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

The aim of this study is to identify risk factors and clinical issues faced by patients, and to evaluate the implementation of family doctor services based on evidence-based medicine with a patient-centered, family-based, and community-oriented approach to improve care quality. This study used a case report design with a holistic approach to analyze the patient’s clinical condition and the role of family and environmental factors in recovery. Data collection included autoanamnesis (interviews with the patient), alloanamnesis (interviews with family members), physical examinations, diagnostic tests, and home visits. Data analysis combined qualitative methods to explore the context of health issues and family dynamics, with quantitative analysis to support findings from diagnostic tests. The approach aims to provide effective interventions for both the patient and their family, improving overall health quality. The research findings the mastitis experienced by the patient is closely linked to the patient's hygiene practices and personal habits, such as bathing every two days and frequently scratching areas around the breast folds. Additionally, a significant risk factor contributing to the condition is the frequent use of bras that do not fit properly. These factors combined have likely contributed to the development of mastitis. Furthermore, increasing the knowledge of the family members as a support system for the patient plays a crucial role in preventing the recurrence of the disease. When family members understand the patient's condition and necessary care measures, they can better assist in managing the illness and minimizing the risks.