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All Journal Medula Jurnal Sejarah dan Budaya JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal EduHealth Jurnal Impresi Indonesia Perspektif: Jurnal Pendidikan dan Ilmu Bahasa Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Tutik Ernawati
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Religion Agriculture, Biological Sciences & Forestry Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Penatalaksanaan Holistik Pasien Anak Perempuan Usia 12 Tahun dengan Impetigo Bulosa melalui Pendekatan Keluarga Hasan, Hasan; Ernawati, Tutik
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.v15i2.1627

Abstract

The World Health Organization Department of Child and Adolescent Health and Development states that impetigo is an endemic disease that is found in many tropical and subtropical countries. The global prevalence of impetigo is estimated at 11.2%, 2.5 times higher in children (12.3%) than adults (4.9%). Impetigo is divided into two types, namely bullous and nonbullous impetigo. Bullous impetigo is a bullous, thin-walled lesion with a reddish border, most commonly caused by Staphylococcus aureus. The aim of study is implementing the principle of doctor service according to the problems found and carrying out holistic and comprehensive management including patient-centered and family approaches based on Evidence Based Medicine. This study is a case report. The data obtained include primary data were obtained through alloanamnesis and autoanamnesis, physical examination and home visits and secondary data were obtained from the patient's medical record. A twelve year old teenager patient had the main complaint of blisters in the left hand and left leg area. Complaints about the blisters that are felt do not decrease and become more widespread and itchy. The patient’s family is concerned that her complaints are getting worse. Clinically the patient was diagnosed with Impetigo Bullosa. Next, holistic management is carried out, namely intervention using poster media.The diagnosis and management of this patient has been carried out holistically and comprehensively. In the process of changing behavior, the patient has reached the trial stage.
Penatalaksanaan Holistik Hemoroid Interna Grade II pada Pria Usia 42 Tahun Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Rawat Inap Sukaraja Retno Mareintika; Ernawati, Tutik
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1514

Abstract

Hemorrhoids are submucosal swellings in the anal canal, consisting of venous plexuses, small arteries, and dilated areolar tissue. in 2019, approximately 4.4% of the global population suffered from hemorrhoidal disease. Data from WHO in 2017, the number of hemorrhoids cases reached 230 million people. In 2017, the global incidence of hemorrhoids increased to 54%. In Indonesia, based on the Basic Health Research (Riskesdas) data, it is estimated 2030, the number of individuals suffering from hemorrhoids will reach 21.3 million. The objective of this study is to identify internal and external risk factors, as well as clinical problems in patients, and to apply Evidence-Based Medicine (EBM) in the family doctor services for these patients. The management of patients was conducted based on a patient-centered, family-focused, and community-oriented problem-solving framework. Primary data were obtained through autoanamnesis, physical examination, and home visits, while secondary data were gathered from patients' medical records. The evaluation was based on a holistic diagnosis from the beginning to the end of the study, both qualitatively and quantitatively. Patient Mr. T, 42 years old, had a main complaint of bulging protruding mass from his anus that is exacerbated with defecation and bowel movements. accompanied by bleeding for the past week. The patient was concerned about the worsening of the condition. Clinically, the patient was diagnosed with Grade II Internal Hemorrhoids. A holistic management approach was implemented, including an intervention using a poster as a media. The diagnosis and management of this patient were carried out holistically and comprehensively, based on several theories and current research. During the behavior change process, the patient has reached the trial stage.
Penatalaksanaan Holistik pada Anak Laki-Laki Usia Lima Tahun dengan Tonsilitis Kronis melalui PendekatanKedokteran Keluarga di Wilayah Puskesmas Simpur Radharani, Radhika; Ernawati, Tutik
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1548

Abstract

Tonsillitis is an inflammation of the palatine tonsils which are part of Waldeyer's ring. The spread of this infection can occur through the air and hands. It can occur at any age, especially in children. Tonsillitis has been one of the causes of decreased academic achievement and absenteeism from school. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis and alloanamnesis from family and patients), physical examination, and home visits to assess the physical environment. The assessment is based on a holistic diagnosis of the initial, process, and final studies qualitatively and quantitatively. The result obtained is patient An. F, 5 years old with a diagnosis of chronic tonsillitis. Internal risk aspects include the age of the child, patient knowledge, clean and healthy lifestyle, dental and oral hygiene, and poor eating patterns. External risk aspects that affect the patient's condition include the lack of family supervision regarding the consumption of patient snacks, and the slow decision making of follow- up actions from patient complaints, the patient's family does not know about patient’s disease. Furthermore, holistic management of patients and families through the intervention of colored poster media in the form of information about the disease, triggers, and complications. Holistic and comprehensive management of chronic tonsillitis patients with patient centers and family focus methode according to EBM is needed so that they can be managed with therapy and change patient behavior so as to prevent complications.
A CONGESTIVE HEART FAILURE PADA PASIEN HYPERTENSIVE HEART DISEASE LAPORAN KASUS Djamil, Putri Amelia; Ernawati, Tutik
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.v16i4.1867

Abstract

Chronic heart failure is a major cause of morbidity among older adults and is frequently associated with uncontrolled hypertension. This case report aims to describe the management of chronic heart failure in a patient with hypertensive heart disease using a comprehensive family medicine approach. Data were obtained through detailed history taking, physical examination, medical record review, and home visits to assess family dynamics, health behaviors, and environmental factors influencing the patient’s condition. A 65 year old woman presented with progressive dyspnea that worsened during physical activity and when lying down. Her blood pressure was 142 over 95 mmHg, and chest radiography showed cardiomegaly. The patient was diagnosed with chronic heart failure with a history of long standing uncontrolled hypertension. Interventions included pharmacological and non pharmacological strategies consisting of optimization of antihypertensive therapy, low sodium diet education, fluid intake adjustment based on clinical status, structured physical activity recommendations, and active family involvement in monitoring treatment adherence and lifestyle modification. After three weeks of follow up, clinical improvement was observed with blood pressure reduced to 123 over 76 mmHg and a decrease in dyspnea severity measured by the visual analog scale from three to one. The knowledge score of the patient and family increased from 60 percent to 100 percent, accompanied by better medication adherence and routine follow up. A family based comprehensive approach contributed to symptom improvement, enhanced treatment adherence, and better blood pressure control in a patient with chronic heart failure and hypertension.
Co-Authors Adela Putri Agata Adli, Farhan Kamali Alnisrina, Dea Amalia, Shafira Asadha, Syahfa Alzena Asyifa, Takhfa Nur Attara Rafilia Adhata deralitha Dian Isti Angraini Dinda Afifa Djamil, Putri Amelia Dzakwan Cedri Ketierteu Eko Budi Santoso Farida, Lulu Farizy, Diaru Fauzan Harmaina Hasan Hasan Ilmiani, Tasya Khalis Intanri Kurniati Karyus, Aila Muhammad Fitra Wardhana Sayoeti Munthe, Rafif Muhaimin Ikhsan Musyayyadah, Musyayyadah Nararya Budiyono Niken Rahmatia Pratiwi, Bella Putra, Mahardika Putri Octavia Sari Radharani, Radhika Reni Zuraida Retno Mareintika Rini Sekartini Rizqillah, Laili Yumna Sahbani, Muhammad Hasbi Saptawati Bardosono Sari, Merry Indah Sasmita, Anggi Marta Dwi Shafa Inayatullah Sianturi, Efry Theresia Sinum, Muhammad Burdadi Adiwinoto Sofia Tyasni Darma Perbasya Susianti, Susianti Syamhudi, Muhammad Farras Afif Vinezzia, Dillyana