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All Journal Medula Juke Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education JK Unila (Jurnal Kedokteran Universitas Lampung) Journal Medical Informatics Technology Jurnal Pengabdian Masyarakat JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Rika Lisiswanti
Universitas Lampung
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Peran Resiliensi dalam Mengurangi Stres Mahasiswa Kepaniteraan Klinik: Tinjauan Pustaka Syafira Salsabila; Lisiswanti, Rika; Yuningrum, Hesti; Ramadhian, Muhammad Ricky
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1417

Abstract

The transition from the preclinical to the clinical phase of medical education, characterized by a significant difference in the learning system and increased demands, often leads to stress among medical students. A very packed schedule, tight deadlines, and the need to adapt to a dynamic clinical environment are primary stressors for medical students during their clerkship. Prolonged high levels of stress can negatively impact mental health, academic performance, and the quality of medical care, increasing the risk of medical malpractice. Resilience, defined as an individual's ability to recover from difficult situations, has proven to be a crucial protective factor in mitigating the effects of stress. Resilience is a dynamic process demonstrated when individuals take adaptive actions in the face of adversity. It is not a genetic trait but a behavior that can be developed by strengthening the factors that support it. These factors can be internal, external, or interpersonal. One way to enhance resilience is through resilience training programs that involve interactive, independent, and reflective workshops. High levels of resilience among medical students are associated with increased subjective well-being, reduced stress levels, and a more positive perception of quality of life and the educational environment. Therefore, by enhancing resilience, medical students can better cope with the pressures of clerkship, maintain mental health, and optimize academic performance in medical care.
Effect of Disease Acceptance on Glycemic Control in Type 2 Diabetes Mellitus Patients Muhammad Arbyanka Diontama; TA Larasati; Anisa Nuraisa Jausal; Lisiswanti, Rika
Journal Medical Informatics Technology Volume 3 No. 1, March 2025
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v3i1.98

Abstract

This study aims to analyze the relationship between disease acceptance and glycemic control in patients with type 2 diabetes mellitus (T2DM). A narrative systematic review was conducted using the Preferred Reporting Items for Systematic Reviews method, identifying 929 articles from various scientific databases, including PubMed®, ScienceDirect®, Cochrane Library®, and Google Scholar®. The screening and selection process resulted in 19 relevant articles, consisting of a mix of experimental studies and observational studies, that were analyzed to evaluate the impact of disease acceptance on diabetes management and glycemic control in T2DM patients. The review findings show that higher disease acceptance is significantly associated with improved self-management, better glycemic control (with reduced HbA1c levels), and decreased levels of stress and depressive symptoms. Several acceptance-based psychological interventions, such as Acceptance and Commitment Therapy (ACT) and group education programs, were found effective in enhancing disease acceptance. These interventions also help patients achieve optimal glycemic control. These findings emphasize the importance of applying psychological approaches in the management of T2DM to support more comprehensive and sustainable disease care, ultimately improving the quality of life for T2DM patients
HUBUNGAN TINGKAT KECEMASAN KOMUNIKASI DENGAN KEAKTIFAN MAHASISWA KEDOKTERAN DALAM DISKUSI PROBLEM BASED LEARNING Dika Pratiwi Adifa; Rika Lisiswanti; Rasmi Zakiah Oktarlina
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.v7i2.56

Abstract

ABSTRACT Background: Problem-Based Learning (PBL) is a strategic learning system design which aimed at enhancing and optimizing the collaborative learning, contextual and self- directed. Factors that influence PBL’s success are a good scenario, responsible facilitator and students who can be able to active in PBL. Factors such us lack of preparation, communication skills and anxiety can affect the activeness. This study aims to determine the relationship between anxiety level of communication with activeness on PBL. Methods: The design of study was cross sectional quantitative. The sample in this study were 240 respondents. with a total sampling technique. Anxiety level of communication’s data obtained through anxiety scale communication and activeness on PBL get by instrument of activeness. The analysis test using chi- square. Result: There is a significant relationship between anxiety level of communication with activeness on PBL with p = 0,000 (p<0,05). Conclusions: There was a relationship between anxiety level of communication with activeness on PBL medical student of Lampung University.
EDUKASI TENTANG RISIKO INFEKSI PARASIT USUS PADA PERILAKU OPEN DEFECATION SEBAGAI UPAYA MENINGKATKAN PENCAPAIAN OPEN DEFECATION FREE YANG MENUNJANG PENINGKATAN DERAJAT KESEHATAN ANAK INDONESIA Mutiara, Hanna; Lisiswanti, Rika; Ramadhian, Muhammad Ricky; Islami, Suryadi; Apriliana, Ety; Fatriyadi, Jhons
BESIRU : Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2024): BESIRU : Jurnal Pengabdian Masyarakat, Februari 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/480vf954

Abstract

Sustainable Development Goals (SDGs) have set 17 development goals that must be achieved by 2030. One of the goals is to ensure a healthy and prosperous life for all communities. This health-related component is related to access to clean water and sanitation to create a healthy environment and will reduce the risk of transmission of various infectious diseases, especially diarrhea. Diarrhea is currently one of the biggest killers of toddlers in Indonesia. This disease is an environmental-based disease that is closely related to the practice of open defecation. Diarrhea can be caused by several etiologies, including intestinal parasitic diseases.  One of the targets set out in the SDGs related to healthy sanitation is access to achieving stop open defecation behavior. Stichting Nederlandse Vrijwilligers (SNV) in April 2022 stated that of the 9 million residents in Lampung, around 1 million people do not have access to a toilet or still practice open defecation. Of the 15 city districts in Lampung Province, only five regions have implemented ODF. The aim of this activity is to make an effort to improve children's health status, in particular increasing knowledge about the risk of intestinal parasite infection in open defecation behavior. This is expected to increase motivation and practice to stop open defecation so that it can increase the achievement of open defecation free in Indonesia, especially Lampung Province. It is hoped that this will improve the level of health, especially for Indonesian children who are the nation's next generation.
Fluktuasi Nilai HbA2 pada Carrier β-Thalasemia: Literature Review Qoriba, Fathan; Sangging, Putu Ristyaning Ayu; Maulana, Muhammad; Lisiswanti, Rika
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1306

Abstract

Thalassemia is a form of microcytic anemia caused by impaired synthesis of the globin protein in hemoglobin, with β-thalassemia being one of the most common types. β-thalassemia arises from mutations in the β-globin gene located on chromosome 11, resulting in reduced or absent production of the β-globin chain. According to the World Health Organization (WHO, 2019), the global prevalence of β-thalassemia major is estimated at 39.96 million people (5.2% of the world’s population), with 1.5% identified as carriers. In Indonesia, the 2018 Riskesdas survey reported 7,209 cases of β-thalassemia. The decreased synthesis of the β-globin chain leads to elevated levels of HbA2 and HbF. β-thalassemia is classified into three categories: minor, intermediate, and major. This review focuses on the characteristics of HbA2 and its significance in diagnosing the β-thalassemia carrier. This article is a narrative literature review that examines various studies on HbA2 (HbA2) and its role in the β-thalassemia carrier. The literature reviewed was sourced from several databases, including PubMed, Google Scholar, and Elsevier, using the keywords "Carrier β-thalassemia" and "HbA2." The selected studies span from 2010 to 2024. Hemoglobin A (HbA) is the primary type of hemoglobin found in adults, with HbA2 and HbF serving as minor components. Individuals with β-thalassemia exhibit reduced or absent production of the β-globin chain, leading to an imbalance between α and β chains and an associated increase in HbA2 levels. Elevated HbA2 levels are commonly observed in β-thalassemia carriers, making this measurement important for predicting the risk of β-thalassemia major in their offspring. Studies suggest that HbA2 levels can be influenced by conditions such as megaloblastic anemia and iron deficiency. Additionally, factors like pregnancy and serum ferritin levels have been investigated, with mixed findings on their potential impact on HbA2 levels.  
Relationship between Student Engagement in Learning and Grade Point Average of Students Kristiani, Rini; Oktafany; Setiawan, Gigih; Lisiswanti, Rika
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1353

Abstract

Student engagement in learning is a form of student participation in the learning process. There are three dimensions in student involvement, namely behavioral, emotional, and cognitive dimensions. This study aims to find the relationship between student engagement in learning and its dimensions on GPA in students of the Medical Education Study Program, Faculty of Medicine, Lampung University (PSPD FK Unila). This research design is descriptive analytic with a cross-sectional approach conducted on students of class 2022 PSPD FK Unila with the sampling technique is total sampling. The data collection process used the University Student Engagement Inventory (USEI) questionnaire along with demographic data for GPA. The research was conducted in October-November 2024. The analysis was conducted using the spearman test. The results showed that the level of student engagement The highest was in the medium + low category totaling 168 students (80.8%), the most dominant dimension in engagement was behavioral engagement, then cognitive, and the lowest was emotional. Most students' GPA is in the very satisfactory category (64.5%), followed by praise (20.2%), and the last is satisfactory (15.3%). There was a significant relationship between student engagement in learning and GPA (p value = 0.027, r = 0.155). Further analysis found that there was a relationship between behavioral engagement on GPA (p value = 0.014, r = 0.173) and cognitive engagement on GPA (p value = 0.021, r = 0.162), while emotional engagement showed no significant relationship on GPA (p value = 0.558). There is a significant relationship between student engagement in learning and GPA in FK Unila PSPD students. The dimensions that are significantly related to GPA are the dimensions of behavioral and cognitive engagement, while the emotional dimension does not show a significant relationship to student GPA.
Budaya Keselamatan Pasien Terhadap Keselamatan Pasien Rumah Sakit : Tinjauan Pustaka Hendri, Kevin; Anggileo Pramesona, Bayu; Ganda Ratna, Maya; Lisiswanti, Rika
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1374

Abstract

Patient safety culture is an important aspect of healthcare that focuses on risk reduction and improved patient safety. Patient safety goals are efforts to prevent incidents that can harm patients and health institutions that are designed to improve patient safety by reducing the risk of injury, error, or danger during the provision of health services. Patient safety goals have six points including correct patient identification, effective communication, safety of medications that must be watched out, ensuring the correct surgical site, correct procedures and correct patients, reducing the risk of infection due to health care and reducing the risk of patients falling. Factors that affect patient safety culture include communication, lifelong learning, working hours and occupational safety culture affecting patient safety. Things that greatly contribute to the patient safety culture include openness in communication (67.54%), cooperation in hospital units (67.48%), organizational learning and sustainable development (66.90%) and non-punitive responses in case of mistakes (65.07%).  The conclusion of this study is that all units have a role in patient safety. Patient safety culture and patient safety goals are very closely related to patient safety in hospitals. However, further research is needed related to other factors that affect patient safety culture, especially regarding family involvement in patient safety.
Cystatin C sebagai Biomarker Fungsi Ginjal: Literature Review Pestalozi, George; Akbar, Fareel Wahyu; Ramadhian, Muhammad Ricky; Graharti, Risti; Lisiswanti, Rika
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1410

Abstract

Kidneys are the primary organs responsible for the excretion of metabolic waste products. Glomerular Filtration Rate (GFR) serves as a critical parameter for assessing renal function, with serum creatinine traditionally utilized as the primary biomarker. However, the accuracy of creatinine-based assessments is limited by its susceptibility to external variables, including age, sex, muscle mass, and dietary intake. These factors can lead to variability in results and reduce diagnostic precision. To overcome these limitations, cystatin C (CysC) has gained prominence as a superior alternative biomarker. Unlike creatinine, serum CysC levels are minimally influenced by external factors, offering greater stability and sensitivity in detecting acute kidney injury (AKI), chronic kidney disease (CKD), and other renal impairments such as diabetic nephropathy. Cystatin C provides notable advantages in the reclassification of CKD stages, particularly in cases where GFR measurements are borderline. CysC has demonstrated superior reliability over creatinine in predicting complications such as delayed graft function (DGF), a condition often necessitating hemodialysis. Preoperative measurement of CysC levels is instrumental in predicting long-term renal function and identifying patients at elevated risk for adverse outcomes. Elevated serum CysC concentrations in patients with renal cell carcinoma (RCC) have been correlated with poorer prognoses and an increased likelihood of postoperative renal injury. Despite its clinical advantages, the routine adoption of CysC is constrained by certain limitations. Chief among these is the significantly higher cost of CysC assays compared to traditional creatinine tests, which restricts its widespread application to confirmatory diagnostics or complex clinical scenarios.
The Role of Between Scenario Quality and Prior Knowledge on the Effectiveness of Tutorial Discussions in Problem-Based Learning (PBL): Literature Review Mu'izabby, Iffah Salma; Oktafany, Oktafany; Ratna, Maya Ganda; Lisiswanti, Rika
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1460

Abstract

Problem-Based Learning (PBL) is a learning method that puts students at the centre of the learning process, encouraging them to learn independently through problem solving. One of the main approaches in PBL is tutorial discussion, which plays an important role in promoting deep learning. The effectiveness of tutorial discussions is influenced by three main aspects: the quality of the problem scenario, students' prior knowledge, and tutor performance. The scenario should be authentic, relevant to the students' level of understanding, and able to stimulate independent learning. Students' prior knowledge also affects their contribution to the discussion, as adequate understanding allows for more active engagement. In addition, the tutor's role in facilitating the discussion also influences the success of the PBL method. The quality of the scenario and prior knowledge play an important role in the effectiveness of Problem-Based Learning (PBL) discussions, although their relationship is not always statistically significant. The quality of a well-designed scenario can stimulate meaningful discussions, motivate students, and support the achievement of learning objectives. Prior knowledge, while not necessarily determining the success of the discussion, influences how students integrate new information. Groups with lower prior knowledge can show higher discussion effectiveness through active exploration. Overall, the effectiveness of PBL is influenced by the interaction between the quality of learning design and student characteristics, suggesting the need for a holistic approach in designing PBL scenarios.
Faktor-Faktor yang Memengaruhi Empati pada Mahasiswa Kedokteran Alifah, Rahmah; Lisiswanti, Rika; Ratna, Maya Ganda; Oktafany
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1468

Abstract

Empathy in medical students is an important aspect that affects how medical students interact with patients and understand their feeling. In the medical world, empathy can enhance the doctor-patient relationship, improve patient satisfaction, and can even affect clinical outcomes. Patients who feel empathy from their doctors are more likely to fully explain their symptoms and actively engage in the doctor-patient relationship. Research shows that empathetic doctors tend to have more satisfied and compliant patients. A number of studies have identified that the level of empathy in medical students varies and is influenced by several factors. The purpose of this literature review is to identify the factors that affect empathy in medical students. The journal were obtained from Google Scholar and Pubmed database with keyword (Empathy) and (Medical Student) for publication in 2015-2024. Journal inclusion criteria used were medical student population, journals that discussed the relationship between several factors with empathy levels, and published between 2015-2024. Exclusion criteria are journals that cannot be accessed completely. The method of analysis carried out in this literature review is a descriptive method, which describes and explains through narratives of the articles found. Based on the results of review from several journals, it was found that factors such as stress, role models, empathy training, mental health, self-control, self-motivation, social awareness, and social skills, perception of learning environment, personality, self-reflection, emotional intelligence, and gratitude.
Co-Authors Akbar, Fareel Wahyu Alifah, Rahmah Anggileo Pramesona, Bayu Anisa Nuraisa Jausal Aprilliana, Ety Ari Wahyuni Asep Sukohar Dika Pratiwi Adifa Drisnaf Swastyardi Dwita Oktaria Dyah Wulan Sumekar Ety Apriliana Falamy, Ryan Fardiansyah, Ahmad Irzal Farhana, Shabrina Fitria Saftarina Fuad Fadillah Ganda Ratna, Maya George Pestalozi Gerliandi, Egi Oktarian Hanna Mutiara, Hanna Hendri, Kevin Jhons Fatriyadi Suwandi Kristiani, Rini Marcelia, Selvi Merry Indah Sari Mu'izabby, Iffah Salma Muhammad Arbyanka Diontama Muhammad Maulana Muhammad Ricky Ramadhian Muhammad Yusran Nora Ramkita Nurul Utami Oktadoni Saputra Oktadoni Saputra, Oktadoni Oktafany Oktafany, Oktafany Puspita, Ratna Dewi Qoriba, Fathan Rahmadian, M. Ricky Ramadhana Komala Rasmi Zakiah Oktarlina Ratna, Maya Ganda Reni Zuraida Risti Graharti Rossi Sanusi Rudiyanto, Waluyo Sangging, Putu Ristyaning Ayu Sari, Merry Indah Septiani, Linda Setiawan, Gigih Sofyan Musyabiq Wijaya Suryadi Islami Sutarto . Sutarto Sutarto Syafira Salsabila Syazili Mustofa TA Larasati Titi Savitri Prihatiningsih Tri Umiana Soleha Yuningrum, Hesti Zafira Pringgoutami