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Penatalaksanaan Holistik Ulkus Kaki Diabetik Melalui Pendekatan Kedokteran Keluarga Ananda Christie Angelin; Reni Zuraida
Medula Vol 12 No 1 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i1.449

Abstract

Diabetes mellitus (DM) has reached epidemic proportions worldwide, Indonesia is the sixth ranked country in the world. Diabetes with complications is the third highest cause of death in Indonesia. This study applies a holistic and comprehensive family doctor service by identifying risk factors, clinical problems and patient management based on Evidence Based Medicine with a patient centered approach and a family approach in cases of diabetes with complications of diabetic foot ulcers. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family), physical examination and home visits. Patient Mrs. K, 56 years old, was diagnosed with Diabetic Foot Ulcers and Type 2 Diabetes Mellitus. The patient has limited support and knowledge of the family about the patient's disease and its complications as well as the pattern of curative treatment. Holistic and comprehensive management of Mrs. K has been carried out to increase the knowledge of patients and families about DM with complications.
Holistic Management with a Family Doctor's Approach in Women 55 Years Old with Hypertension First Degree M.Rizki Fathurrohim; Reni Zuraida
Journal of Midwifery Science: Basic and Applied Research Vol 4, No 1 (2022): Juli 2022
Publisher : Prodi DIII Kebidanan Blora Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.62 KB) | DOI: 10.31983/jomisbar.v4i1.8962

Abstract

Hipertensi atau yang sering disebut darah tinggi merupakan salah satu penyakit tidak menular yang merupakan masalah di Indonesia. Riskesdas 2018 menunjukkan prevalensi hasil pengukuran tekanan darah, hipertensi naik dari 25,8% menjadi 34,1%. Penanganan hipertensi dapat dilakukan dengan modifikasi faktor risiko berupa gaya hidup termasuk diet, kebiasaan olahraga, stres, dan kebiasaan merokok. Banyak penderita hipertensi yang masih minim pengetahuan mengenai hipertensi. Tujuan dari penelitian ini unutk mengidentifikasi faktor resiko, masalah klinis, melakukan penatalaksanaan pasien secara holistik dengan menerapkan dokter keluarga sesuai evidence-based medicine melalui pendekatan patient centred dan family approach. Pasien perempuan usia 55 tahun dengan sakit kepala yang dirasakan hilang timbul dan mengalami gannguan tidur sejak 2 hari yang lalu. Selain itu, pasien juga ingin mengontrol tekanan darahnya. Pasien memiliki riwayat hipertensi sejak 4 tahun yang lalu. Kurangnya perhatian dan dukungan keluarga tentang penyakit, faktor risiko dan pencegahan timbulnya masalah yang terjadi pada pasien dan keluarga. Penegakan diagnosis dan penatalaksanaan pada pasien ini telah dilakukan secara holistik, patient centered, family approach serta sesuai panduan nasional dan berdasarkan. Perubahan pengetahuan serta perilaku pasien dan keluarga terjadi setelah dilakukan intervensi yang bersifat patient centred dan family approach.
Pengaruh Pemanfaatan Lahan Pekarangan Rumah Terhadap Kejadian Stunting Revika Gina Luthfiya; Sutarto; Reni Zuraida
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.532

Abstract

Stunting is an irreversible growth disorder that can be influenced by many factors, one of which is influenced by inadequate nutritional intake. The prevalence of stunting in Indonesia is still quite high, so various efforts have been made by the government to tackle the stunting problem. One of the efforts made is to socialize the use of yard land as an effort to prevent and deal with stunting. This article is a literature review compiled to determine the effect of nutritional intake from the home garden on the prevalence of stunted and non-stunted toddlers. The literature sources used in this article use national and international scientific articles published in 2013-2022. Nutritional intake which is the main cause is macronutrient intake, namely carbohydrate, protein and fat intake. Intake of macronutrients provides a large energy contribution to the level of daily energy adequacy. Energy deficit that occurs in toddlers aged 1-5 years is the biggest cause of stunting. Toddlers with stunting will experience chronic growth failure, if not treated immediately it will have a long impact until puberty. Utilization of the yard will affect the amount and type of variation in nutritional intake in toddlers, the diversity of commodities from the home yard will increase the nutritional intake of toddlers so as to avoid chronic malnutrition and stunting. Keywords: Stunting, Use of yard land, Nutritional Intake
Hubungan Antara Asupan Makanan Terhadap Diabetes Mellitus Tipe 2: Sebuah Studi Pustaka Putu Arya Indira Prameswari; Reni Zuraida
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.595

Abstract

Type 2 diabetes mellitus (DMT2) is a global health problem with a significant impact on life. The prevalence of DM in the world reached 537 million people in 2021. DMT2 is a metabolic disorder caused by increased blood glucose levels. One of the risk factors DMT2 is dietary intake. Dietary intake is the main cause of the rapid increase in the incidence of DM in developing countries. Blood glucose levels are mainly influenced by dietary carbohydrates, high intake of fast food, carbonated drinks, intake of red meat, sweet foods and excessive intake of white rice are also thought to contribute to an increased risk of insulin resistance in DMT2. Based on this, the author are interested in conducting a literature study about the relationship between dietary intake and type 2 diabetes mellitus. Based on the literature study, it can be concluded that there is a significant relationship between dietary intake and DMT2 so that food intake can affect the incidence of DMT2 in individuals. Various types of dietary components can affect the risk of developing DMT2, therefore healthy dietary intake and regular diet patterns can be done to reduce the risk of various diseases.
Faktor-faktor yang Berhubungan dengan Pengeluaran Kolostrum Ukhron Novansyah; Reni Zuraida; Sutyarso Sutyarso
Jurnal Penelitian Perawat Profesional Vol 4 No 3 (2022): Agustus 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i3.1076

Abstract

Kematian bayi dapat dicegah melalui pemberian Air Susu Ibu. Banyak faktor yang menyebabkan seseorang tidak dapat menyusui bayi. Salah satunya ialah air susu tidak keluar. Studi ini menggunakan artikel jurnal nasional dan internasional dari tahun 2012 hingga tahun 2022 sebanyak 17 artikel, dan 10 artikel yang memenuhi syarat. Database yang digunakan adalah Pubmed, NCBI dan Google Scholar dengan kata kunci “kolostrum” dan “pengeluaran”. Peneliti membuat rangkunan dan analisis serta interpretasi. Rata-rata waktu keluarnya kolostrum pertama pada ibu post sectio caesaria adalah lebih lambat dibandingkan rata-rata waktu keluarnya kolostrum pertama pada ibu post partum spontan. Hal ini mengindikasikan bahwa terdapat perbedaan lama waktu keluarnya kolostrum pertama pada ibu post partum spontan dengan post sectio caesaria. Faktor yang mempengaruhi pengeluaran kolostrum antara lain adalah pijat okstosin, daya hisap bayi dan inisiasi menyusu dini.
Pendekatan Holistik Pada Pria Usia 52 Tahun Dengan Tinea Cruris Melalui Pendekatan Kedokteran Keluarga di Puskesmas Rawat Inap Tanjung Sari Shoafa Marwah; Reni Zuraida
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.v13i5.758

Abstract

In Indonesia, dermatophytosis is 52% of all dermatomycosis and Tinea Cruris is the most common dermatophytosis. This disease is important to be managed comprehensively so that treatment goals can be achieved. Family doctor practice are evidence based medicine by identifying risk factors, clinical problems, and patient management based on patient problems with a patient centered and family 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. Before intervention, the patient's knowledge about the disease and personal hygiene was lacking. The family's knowledge of Tinea Cruris is still low. After the intervention, there was an improvement in the knowledge score of patients and their families which increased by 50 points. A holistic management has been carried out with the approach of a family doctor, Mr. I was 52 years old with Tinea Cruris based on initial holistic diagnostics. The interventions carried out have increased patient knowledge and changed some of the behavior of patients and their families, as indicated by improvements in the final holistic diagnostic
Analisis Faktor yang Memengaruhi Perilaku Ibu Hamil dalam Pemeriksaan HbsAG Pemula, Giok; Zuraida, Reni; Susianti, S
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.703 KB) | DOI: 10.30604/jika.v6i2.509

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HBsAg examination is important to detect Hepatitis B in pregnant women, so it needs to be done during the first visit with the help of health. The results of the pre-survey at the Way Kandis Health Center in 2020, it was found that only 55.2% of pregnant women performed HbsAg examinations. The Purpose of the study was to determine the factors that influence the behaviour of pregnant women in the HBsAg examination at Way Kandis Health Center, Bandar Lampung City, in 2021. The design of this study was analytic with a cross-sectional approach. The number of samples in this study was 112 pregnant women, with a sampling technique of accidental sampling. Bivariate analysis using Chi-square. The results of the univariate study found that most pregnant women, 50.9% did not perform HBsAg examination, most of the pregnant women have less knowledge of 53.6%, the attitudes of pregnant women were negative 57.1%, the perception of pregnant women was negative 50.9%. Most of the distance travelled to close health services is 57.1%, negative husband support is 50.9%. The results of the bivariate test showed that there was a significant relationship between knowledge of attitudes, perceptions, distance travelled, husband's support with the behaviour of pregnant women with HBsAg examination at Way Kandis Health Center, Bandar Lampung City in 2021.  Abstrak: Pemeriksaan HbsAg merupakan hal penting untuk mendeteksi Hepatitis B pada ibu hamil, sehingga perlu dilakukan pada saat kunjungan pertama di tenaga kesehatan. Hasil prasurvei di Puskesmas Rawat Inap Way Kandis pada tahun 2020, didapatkan hanya 55,2% ibu hamil yang melakukan pemeriksaan HbsAg. Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi perilaku ibu hamil dalam pemeriksaan HbsAg di Puskesmas Rawat Inap Way Kandis Kota Bandar Lampung Tahun 2021. Desain penelitian ini adalah analitik dengan pendekatan cross sectional. Jumlah sampel pada penelitian ini 112 ibu hamil, dengan tekhnik pengambilan sampel accydental sampling. Analisa bivariat menggunakan Chi-square. Hasil penelitian univariat didapatkan bahwa sebagian besar ibu hamil 50,9% tidak melakukan pemeriksaan HbsAg, sebagian besar pengetahuan ibu hamil kurang 53,6%, sikap ibu hamil negatif 57,1%, persepsi ibu hamil negatif 50,9 %. Sebagaian besar jarak tempuh kepelayanan kesehatan dekat yaitu 57,1%, dukungan suami negatif 50,9%. Hasil uji bivariat didapatkan ada hubungan yang bermakna antara pengetahuan sikap, persepsi, jarak tempuh, dukungan suami dengan perilaku pemeriksaan HbsAg ibu hamil di Puskesmas Rawat Inap Way Kandis Kota Bandar Lampung Tahun 2021.
Hubungan Asupan Makan Selama Pembelajaran Tatap Muka terhadap Status Gizi Anak Sekolah Dasar: Tinjauan Pustaka Jessica Putri Anumpitan; Reni Zuraida; Syahrul Hamidi Nasution
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.824

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Since the COVID-19 outbreak was first discovered in Wuhan City, China, Indonesia has issued a policy to maintain social distance at the community level, so that the education sector diverts online learning. Online learning is learning using the internet network and handheld cellphones and computers as learning media. There are several models of online learning applications such as classroom, zoom, as well as whatsapp group. In the case of COVID-19 in Indonesia, children aged 5-12 years have an obese nutritional status with a diet often followed by weight gain and an increase in the frequency of sitting. This is caused by children's activities to stay at home and lead to the creation of a new lifestyle for children, namely a sedentary lifestyle. Parents also experience a dilemma in teaching their children during online learning because parents are not yet popular with distance learning using handheld cellphones or computers as learning media. Therefore, the SKB 4 Ministers also stipulate face-to-face learning because the pandemic has become endemic. During face-to-face learning in Indonesia, children aged 5-12 years have good nutritional status due to the activities of children who are able to return to activities outside the home such as returning to school. If food intake is balanced according to needs accompanied by the selection of the right food ingredients will give birth to good nutritional status. Food intake that exceeds the body's needs will cause excess weight and conversely food intake that is less than needed will cause the body to become thin and susceptible to disease.
Penatalaksanaan Arthritis Gout pada Perempuan Usia 59 Tahun dengan Pendekatan Kedokteran Keluarga Indah Anita Dewi,; Reni Zuraida
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Gout is a progressive disease due to deposition of monosodium urate (MSU) crystals in joints, kidneys, and other connective tissues as a result of chronically elevated serum uric acid levels above normal. The prevalence of hyperuricemia and gout in Indonesia is higher than other Asian countries. Dietary factors with excessive puring consumption are one of the risks factor of gout. Therefore, in an effort to treat disease, the role of the family is needed to achieve good therapeutic goals. The purpose of this study is to identify internal and external risk factors in patients, apply a holistic and comprehensive family doctor approach, and perform management based on Evidence Based Medicine that is familyapproach and patient-centered. A 59-year-old female patient came with complaints of pain in both knees. Initially the pain was only felt in the patient's right knee, a few weeks later the patient began to feel pain in the patient's left knee. Complaints are accompanied by swelling, redness and heat. The patient has been diagnosed with gout since 2 years ago. Patients do not routinely control their illness and only seek treatment if complaints interfere with their activities. Internal risk factors are the patient does not know the target of normal uric acid levels, what types of food can cause uric acid levels, the pattern of curative treatment, and the patient does not like to exercise. The external risk to the patient is that the family does not know how to prepare food according to the patient's diet and appropriate physical activity. Intervention was carried out regarding the type of food and appropriate physical activity and the importance of routinely checking uric acid in 3 home visits. After the evaluation, the knowledge of the patient and family about the disease were increased.
Penatalaksanaan Holistik pada Pasien Anak Usia 8 Tahun dengan Diagnosis Talasemia Melalui Pendekatan Kedokteran Keluarga Reni Agustin; Reni Zuraida
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Beta thalassemia occurs a decreasing of beta chain synthesis. In individuals with Beta Thalassemia, there can be a total loss of the β globin chain (Thalassemia Major) or a partial loss of the β globin chain (Thalassemia Minor). In 2019, there are more than 10,531 Thalassemia patients in Indonesia, and estimated 2,500 newborns with Thalassemia every year in Indonesia. The study was case report, Patient An. N, 8 years old, has been diagnosed with Thalassemia and has fears of growing complaints and does not improve because of late blood transfusion. Limited knowledge about the patient's health condition such as risk factors of thalassemia, complications of thalassemia, prevention of thalassemia, food that need to be avoided, also lack of motivation and encouragement for families to bring their children for blood transfusion routinely are factors that cause problems that occur in patients and families. Holistic and comprehensive management of An. N’s problems has been done by providing counseling to improve the patient's family knowledge.
Co-Authors - Sulyaprilawati Achfisti, Sayidina Umar Achmad, Bilal Ajeng Defriyanti Pusparini Alfhad, Haekal Ali Khomsan Alkautsar, Ahmad Ananda Christie Angelin Andana, Luthfi Shiba Angraini, Dian I Anis Permanasari Anthia Vradinatika Anwari, Riski Handiani Aprilliana, Ety Ari Wahyuni Astiti, Feni ASY SYADZALI ATIKA RAHMAWATI Audiani, Syafira Alifia Ayu Aprilia Ayu Paramita, Nadhea Balqis, Fatimah El Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Berawi, Khairunisa Betta Kurniawan, Betta Budiarti, Khusnul Rohmah Catur Ariwibowo Catur Ariwibowo Dadang Sukandar Dani Kartika Sari Daulay, Suryani Agustina Desmayanti Eka Saputri Desmayanti Eka Saputri Desta Stallaza Alifka Dewi Nur Fiana Dian I Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dieni Septiawati Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Ebti Rizki Utami Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Endah Setyaningrum, Endah Ety Apriliana Eveline Margo, Eveline Fadilah, Arifah Afkar Faridah Alatas Fauziah Lubis Fayola, Diva Firmansyah, Jaya Fitria Saftarina Fitria, Aghniya Rizqy Fitria, Saftarina Gantarialdha, Nadya Gemayangsura, Gemayangsura Giok Pemula Gustiar, Husaini Hadi Riyadi Hamidah, Hasna Hanna Mutiara, Hanna Happy, Terza Aflika Hardianto, Devina Hasanah, Sabila Huwaidy, Alwan Hibban Al Ilmyasri, Siti Amalya Indah Anita Dewi, Indri Windarti Intanri Kurniati Irawati, Nur Ayu Virginia Iswandi Darwis Ivantirta, Ian Izzah, Asiah Nurul Jausal, Anisa Nuraisa Jessica Putri Anumpitan Jhons Fatriyadi Suwandi Kartika, Juspeni Keumala Hayati Khairun Nisa Khairun Nisa Kurniawaty, Evi Lantani Nafisah Heviana Larasati, Ratri Mauluti Listiani, Farida Lucky Indar Wigati Luthfi Aulia Oktofani M. Agung Prasetya Adnyana Yoga M.Rizki Fathurrohim Maharani, Jihan Azita Manik, Ipan Jeremia Marga, Muhammad Panji Marzon, Mafalda Meiyanti Mellisa, Stefani Monica Dwi Hartanti, Monica Dwi Mubina, Jundi Fathan Muhammad Abdul Ghoni Sutardi Muhammad Ricky Ramadhian Muhammad Yusha Akbar Mukhlis Imanto Mukti, Bagas Nadia, Elisabet Alva Nailul Azizah Nasyafa, Syabila Febrilia Nisa Arifah Novi Nurhayati, Novi Novianty, Detty Nurlis Mahmud Nurtandhee, Mutiara Oktadoni Saputra Oktadoni Saputra, Oktadoni Oktafany, Oktafany Oktarlina, Razmi Zakiah Oktavia, Rizwiki Pambelo, Adli Sutan Pemula, Giok Prambudi Rukmono Pramudyawati, Yustika Puspita, Anjar Junia Putri, Cindy Aisyah Putri, Nedhea Mutiara Putri, Sisy Rizkia Putri, Tiara Triwansa Putu Arya Indira Prameswari Qonita, Adzrok Qurotulnguyun, Lutfia Radinal Mauludi Rahmadani, Letifa Rahmawati, Ona Rahmayani, Fidha Ramadhana Komala Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Reni Agustin Revika Gina Luthfiya Rika Lisiswanti Rizki Arisandi Rudiyanto, Waluyo Salsabila, Dea Muthia Samsul Bakri Samsul Bakri Samsul Bakri Saputra, Dicky Ardian Setiorini, Anggi Shinta Nareswari, Shinta Shoafa Marwah Sihombing, Dewi Patresia Siregar, Wanda Feranti Siti mutmainnah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Surriandari, Latifah Dwi Susianti Susianti Susianti Susianti Susianti, Susianti Susmalini, Susmalini Sutanto Sutanto Sutarto Sutarto Sutyarso Sutyarso Syafni, Alma Nazelia Syahrul Hamidi Nasution TA Larasati Tasya Putri Atma Utami Raka Tondi Rosalinda Mandalahi Tri Umiana Soleha Tsanya, Nayla Priyanka Dara Tutik Ernawati Ukhron Novansyah Vermitia Veronica Debora W, Dyah Wulan Sumekar R. W., Dyah Wulan Sumekar R. Wido Gamani Wiwi Febriani Wuryaningsih Dwi Sayekti Yahmal, Putri Yaktiworo Indriani Yaktoworo Indriani Yoga, M. Agung Prasetya Adnyana Yohana Yulia Puspita Sari Yunianto, Andi Eka Zahran, Muhammad Alif Zakiah Zakiah Zamahsjari Sahli Zefanya Angie