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All Journal Jurnal Gizi dan Pangan Medula Juke Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Journal of Medicine and Health Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Ilmu Kedokteran dan Kesehatan JURNAL ILMIAH KESEHATAN SANDI HUSADA Community Development Journal Jurnal Ilmiah Biologi Eksperimen dan Keanekaragaman Hayati (J-BEKH) JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences JK Unila (Jurnal Kedokteran Universitas Lampung) Nursing and Health Sciences Journal (NHSJ) Action Research Literate (ARL) International Journal of Advanced Health Science and Technology Journal Of World Science Jurnal Sylva Lestari JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Midwifery Science: Basic and Applied Research Jurnal Keperawatan Profesional (KEPO) International Journal of Health, Engineering and Technology Jurnal Ilmu Kesehatan dan Gizi Majority Jurnal Ilmiah Kesehatan Sandi Husada Journal of Medicine and Health
Reni Zuraida
Universitas Lampung
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Factors Influencing the Selection of Healthy and Unhealthy Diet Behavior in Adolescent Girls in Bandar Lampung Dian Isti Angraini; Izzah, Asiah Nurul; Nisa, Khairun; Zuraida, Reni
International Journal of Advanced Health Science and Technology Vol. 3 No. 2 (2023): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i2.216

Abstract

Adolescence is a period of a transitional development from children to adult women who are generally 10-21 years old. Adolescents have significant physical, psychosocial, and cognitive changes that can affect adolescent dietary behavior. The purpose of this study was to determine the effect of affecting factors on unhealthy dietary behavior in adolescent girls. This research is an analytic observational study, with a cross-sectional design approach using primary data, which was conducted from April to June 2022. The sample is 135 adolescent girls aged 15-21 years old taken using multistage random sampling who met the inclusion and exclusion criteria. The data was obtained by filling out the questionnaire and analyzed by using the chi-square test. The results showed that 56.3% of respondents had unhealthy dietary behavior. The results of the bivariate analysis showed that nutritional status (p = 0.000; PR = 2.072) and body image (p = 0.000; PR = 0.559) influenced unhealthy dietary behavior. Meanwhile, knowledge (p=0,227), age (p=0,158), pocket money (p=0,452), and peers (p = 0.120) did not influence unhealthy dietary behavior. It can be concluded that there is an influence of nutritional status and body image factors on unhealthy diet behavior. Based on the research results, adolescent girls must have a healthy diet according to balanced nutrition guidelines in achieving normal nutritional status and a good body image.
PENATALAKSANAAN HOLISTIK PASIEN REMAJA PUTRI USIA 19 TAHUN DENGAN TUBERKULOSIS MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH PUSKESMAS RAWAT INAP SIMPUR Ayu Paramita, Nadhea; Zuraida, Reni
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.856

Abstract

Tuberculosis (TB) is an infectious disease that is still a problem in developing countries. Worldwide. Although the government has implemented many programs for controlling the TB, the role of family physician is very important in treating TB. In dealing with these problems, the need for cooperation from various parties in a comprehensive and holistic manner. Implementing comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence based medicine with strategies that are patient centered, family oriented and community oriented.The analysis of this study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from aupporting investigation.The assessment is carried out based on a holistic diagnosis of the initial, process, and final study quantitatively and qualitatively. Patient Nn.N, 19 years old, came to the clinic with cough , easy fatigue, weight loss and night sweats since 2 months ago. The patient was diagnosed with clinically confirmed pulmonary tuberculosis. After the intervention, pulmonary TB complaints improved. There is a change in behavior towards the patient's disease where the quantitative assessment found an increase in all aspects assessed, namely knowledge, diet, and physical activity.
Penatalaksanaan Holistik Pasien Vertigo Pada Ny. S Umur 34 Tahun Di Puskesmas Campang Raya Melalui Pendekatan Kedokteran Keluarga Yulia Puspita Sari; Zuraida, Reni
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.v13i7.870

Abstract

Vertigo is a term that comes from the Latin, vertere, which means twisting. In general, vertigo is known as an illusion of movement or a hallucination of movement. Vertigo is found in the form of complaints in the form of a sense of spinning or a sense of moving from the surrounding environment (circular vertigo) but sometimes complaints are also found in the form of a feeling of being pushed or pulled away from the vertical plane (vertical linear). Apply a holistic and comprehensive approach to family doctors in detecting risk factors, clinical problems, and patient management based on evidence based medicine and is family- approached and patient-centered. Primary data were obtained through anamnesis, physical examination, supporting examinations and home visits to assess the physical environment. Mrs. S, 34 years old, came to the Campang Raya Community Health Center with complaints of dizziness since two days before coming to the Puskesmas. Spinning dizziness arises suddenly, is felt continuously and gets worse when the patient raises his head to sit or stand after sleeping. Complaints accompanied by nausea, vomiting, and cold sweats. Complaints have been repeated and the first time was felt six years ago. The patient's concern is that the complaint gets heavier and interferes with daily activities. The patient was diagnosed with vertigo based on history and physical examination. A holistic management has been carried out with the approach of a family doctor, through non-medical and medical interventions were carried out on patients and their families with education related to the patient's illness in three home visits. The evaluation results obtained were reduced patient complaints and increased knowledge of patients and their families regarding vertigo.
Penatalaksanaan Holistik Pada Wanita Usia 59 Tahun dengan Hipertensi dan Dislipidemia Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Tanjung Sari Syafni, Alma Nazelia; Zuraida, Reni
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.881

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 data from the 2018 National Basic Health Research, there are 54.4% of the Indonesian population aged ≥ 15 years with cholesterol levels (≥ 200 mg/dl. Purpose of writing This is to apply the principles of family medicine services and carry out holistic management based on a framework for solving patient problems using a patient-centered, family focused and community oriented approach based on Evidence Based Medicine. This study is a case report. Internal risk factors were found, namely family history, unbalanced nutritional intake, and lack of knowledge of the disease. Ekxternal risk factors include lack of family knowledge about desease prevention and complication, lack of supervision over diet and medication. Patient Mrs. J, 59 years old, was diagnosed as grade I hypertension, dyslipidemia, and grade I obesity. In this case, diagnosis and treatment were carried out in accordance with theory and related journals. After the intervention was carried out, there was a reduction in clinical symptoms and an increase in patient and family knowledge. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health.
Hubungan Pengetahuan Mengenai Hidrasi Sehat dan Kecukupan Minum Air Putih dengan Kelebihan Berat Badan: Tinjauan Pustaka Muhammad Abdul Ghoni Sutardi; Angraini, Dian Isti; Zuraida, Reni
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.v13i7.908

Abstract

Water is a very important nutrient and is the most constituent component of the human body. Most of the water required by the body comes from drinking. Each person's fluid needs vary depending on physical activity, age, weight, ambient temperature and humidity. Fluid water is recommended over other types of beverages. Water needs about two liters or eight glasses a day for adolescents and adults who do light activities in the office and home under daily temperature conditions. Hydration knowledge can be a factor that affects the fulfillment of a person's water intake. Good hydration knowledge will make a person choose fluid consumption based on quality and quantity so that their fluid needs are met. Unfulfilled fluid intake can lead to dehydration. Dehydration is defined as a state of the body when fluid expenditure is greater than fluid intake. Dehydration can be a risk factor for overweight. Overweight is a condition when there is an accumulation of excess fat due to an imbalance between energy intake and energy used for a long time. Dehydration can cause a decrease in cognitive function and mood that causes weakness and laziness in physical activity; dehydration also causes fluid and electrolyte imbalances that increase appetite; and dehydration can increase glycerol and free fatty acids resulting in increased triglyceride formation. Adequate water intake can lead to weight loss by slowing gastric emptying and increasing metabolism.
Hubungan Citra Tubuh dengan Status Gizi pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Lampung Marzon, Mafalda; Zuraida, Reni; Oktafany, Oktafany; Berawi, Khairun Nisa
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.910

Abstract

In adolescence, health and nutrition have an important role in determining health and nutritional status in the next phase of the life cycle. The prevalence of abnormal nutritional status in Lampung Province is 24.91% for late adolescence aged 19 years and 35.97% for aged 20-24 years, while normal nutritional status for those aged 19 years is 75.09% and those aged 20-24 year amounted to 64.03% according to Riskesdas 2018. This occurs because there are factors that can influence nutritional status, such as body image. This study aims to determine the relationship between body image and nutritional status. The research design used in this research is analytical with a cross sectional approach, with a simple random sampling technique. There were 116 respondents obtained using the unpaired comparative categorical analytical formula. In this study there were 2 variables, namely body image and nutritional status. Body image variables are measured by MBSRQ (Multidimensional Body Self Relations Questionnaire) and body image variables are measured by body mass index. The data collected was analyzed univariately and bivariately with Chi-Square. The results of the univariate test showed that abnormal nutritional status was 65.5%, while normal nutritional status was 34.5%. In terms of body image, 20.7% of respondents had a positive body image and 79.3% had a negative body image. Based on bivariate analysis, there is a relationship between body image and nutritional status (p = 0.023). From the research results, it can be concluded that there is a significant relationship between body image and the nutritional status of students in the Medical Education Study Program, Faculty of Medicine, University of Lampung.
Homeostasis Tubuh Nasyafa, Syabila Febrilia; Saputra, Oktadoni; Zuraida, Reni
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.941

Abstract

The body has mechanisms at the cellular level to maintain internal balance, called dynamic balance. Even though the external environment undergoes changes, the body continues to operate to prevent deviation from this balance. Environmental changes can affect internal systems, so homeostasis is needed to prevent damage to cells, tissues and organs through regulatory mechanisms. Homeostasis regulation involves local control (paracrine and autocrine responses) as well as reflex control involving the nervous and endocrine systems. Homeostasis is a basic concept of physiology that plays an important role in maintaining internal stability and adaptive responses in the body. The importance of homeostasis lies in the fact that the body's cells and tissues can only remain alive and function efficiently if their internal conditions are maintained properly. All organ systems depend on each other to maintain homeostasis, and changes in one system can affect other body systems. Homeostasis includes the body's ability to maintain a stable internal environment despite changes such as temperature, air, atmospheric oxygen, carbon dioxide levels, physical activity, exposure to toxins, disease, drug therapy, fever, and diet. Disruption of homeostasis can cause dysfunction and loss of control of organs in the body. Several physiological systems are regulated by homeostasis, such as thermoreceptors which regulate body temperature and the role of homeostasis in the endocrine system to regulate hormonal balance and hormone regulation in the body. Homeostasis is influenced by several constant conditions, including body temperature and body fluid balance, which are maintained within predetermined limits (the so-called homeostatic range). Examples of other variables are the pH of the extracellular fluid, the concentration of sodium, potassium and calcium ions, and blood sugar levels. Homeostasis is an automatic process and mechanism carried out by living creatures to maintain constant conditions so that their bodies can function normally, even though changes occur in the environment inside or outside the body.
PENDEKATAN HOLISTIK PADA NY. M UMUR 59 TAHUN DENGAN DIABETES MELLITUS TIPE 2 MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS TANJUNG SARI NATAR Yahmal, Putri; Zuraida, Reni
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.973

Abstract

Data from the International Diabetes Federation (IDF) in 2021, the number of people with Diabetes Mellitus (DM) in the world reached 537 million adults. Indonesia is ranked 7th with 10.7 million. Lampung Province in 2021 there is an increase in the prevalence of DM to 88,518 people. The aim of application of Evidence Based Medicine (EBM) based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on the patient problem solving framework with a patient centered and family approach. This study analysis is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Assessment was done based on holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively. Patient Mrs. M, 59 years old has internal risks, the patient rarely exercises, physical activity is relatively light, taking medicine irregularly, overweight nutritional status, Nutritional Adequacy Level (TKG) is less, still consuming foods that are not recommended for DM patients (consumption of fried foods), and lack of knowledge. Management of patients is holistic and comprehensive, patient-centered, family approach, and community-based in literature based on EBM. Patients were intervened with material in the form of power points. Patients experienced an increase in knowledge by 50 points, a decrease in blood sugar levels by 103 mg/dL and changes in patient behavior to consume food according to TKG.
Penatalaksanaan Holistik pada Anak Usia 3 Tahun dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Puskesmas Tanjung Sari Natar Ilmyasri, Siti Amalya; Putri, Sisy Rizkia; Zuraida, Reni
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1067

Abstract

Scabies is a dermatological disorder caused by the parasitic mite Sarcoptes scabei which is capable of digging tunnels in the skin and causing itching that gets worse at night. The aim of this study is to apply family doctor services based on evidence-based medicine to patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems using a patient centered and family approach. This study is a case report. The data obtained were primary data obtained through alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical records. Patients and their families have poor personal hygiene. The patient's family has insufficient knowledge about scabies, the habit of using towels together, and there is no regular schedule for washing and changing bed sheets, pillowcases and blankets. After carrying out holistic and comprehensive management using a family medicine approach, patient evaluation results were obtained in the form of increased knowledge of the patient's family regarding scabies, reduced complaints, and changes in behavior in maintaining personal and environmental hygiene.
Penatalaksanaan Holistik Pasien Anak Usia 5 Tahun Dengan Tb Paru Melalui Pendekatan Dokter Keluarga Di Wilayah Puskesmas Alkautsar, Ahmad; Zuraida, Reni
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1112

Abstract

Tuberculosis cases in children at 2022 reach 1.1 million in the world and 100,726 cases in Indonesia. Management of Tuberculosis in children needs holistic treatment with a family doctor approach to achieve Tuberculosis elimination targets. The aim of this study is  to 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. Diet and health behavior of patients classified as lacking. Knowledge about Tuberculosis disease and the implementation of healthy behavior in the family still poorly. After the intervention, there was an improvement in the diet and the patients diet behavior. Then there is an increase in knowledge through pretest and posttest as well as improvement in family life patterns to become healthier.  After holistic management was carried out based on the problems identified through family doctor approach, there was an increase in knowledge, nutritional intake, and better healthy behavior.
Co-Authors - Sulyaprilawati Achfisti, Sayidina Umar Adli Sutan Pambelo Ajeng Defriyanti Pusparini Ali Khomsan Alkautsar, Ahmad Ananda Christie Angelin Anis Permanasari Anjar Junia Puspita Anthia Vradinatika ASY SYADZALI Atika Rahmawati Audiani, Syafira Alifia Ayu Paramita, Nadhea Bagas Mukti Bayu Anggileo Pramesona Berawi, Khairunisa Budiarti, Khusnul Rohmah Catur Ariwibowo Catur Ariwibowo Cindy Aisyah Putri Dadang Sukandar Desmayanti Eka Saputri Desmayanti Eka Saputri Desta Stallaza Alifka Detty Novianty Dian I Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dicky Ardian Saputra Dieni Septiawati Ebti Rizki Utami Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Elisabet Alva Nadia Emantis Rosa Endah Setyaningrum, Endah Ety Apriliana Eveline Margo, Eveline Fadilah, Arifah Afkar Fatimah El Balqis Fayola, Diva Feni Astiti Fidha Rahmayani Firmansyah, Jaya Fitria Saftarina Gantarialdha, Nadya Giok Pemula Hadi Riyadi Haekal Alfhad Happy, Terza Aflika Hardianto, Devina Hasna Hamidah Ian Ivantirta Ilmyasri, Siti Amalya Indah Anita Dewi, Iswandi Darwis Izzah, Asiah Nurul Jausal, Anisa Nuraisa Jessica Putri Anumpitan Jhons Fatriyadi Suwandi Jihan Azita Maharani Jundi Fathan Mubina Keumala Hayati Khairun Nisa Khairun Nisa Kurniawaty, Evi Lantani Nafisah Heviana Listiani, Farida Luthfi Aulia Oktofani M. Agung Prasetya Adnyana Yoga M. Agung Prasetya Adnyana Yoga M.Rizki Fathurrohim Marga, Muhammad Panji Marzon, Mafalda Maulana Irfan Hazairin Siregar Meiyanti Mellisa, Stefani Monica Dwi Hartanti, Monica Dwi Muhammad Abdul Ghoni Sutardi Mukhlis Imanto Nailul Azizah Nasyafa, Syabila Febrilia Nedhea Mutiara Putri Nisa Arifah Nurlis Mahmud Nurtandhee, Mutiara Oktadoni Saputra, Oktadoni Oktafany, Oktafany Pemula, Giok Prambudi Rukmono Pramudyawati, Yustika Putri, Sisy Rizkia Putri, Tiara Triwansa Putu Arya Indira Prameswari Qurotulnguyun, Lutfia Radinal Mauludi Rahmadani, Letifa Rahmawati, Ona Ramadhana Komala Ratna Dewi Puspita Sari Ratna, Maya Ganda Razmi Zakiah Oktarlina Reni Agustin Revika Gina Luthfiya Riski Handiani Anwari Rizki Arisandi Rizwiki Oktavia Salsabila, Dea Muthia Samsul Bakri Samsul Bakri Samsul Bakri Samsul Bakri Shoafa Marwah Sihombing, Dewi Patresia Siregar, Wanda Feranti Siti mutmainnah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Susianti Susianti Susianti Susianti Susmalini Susmalini Sutanto Sutanto Sutarto Sutarto Sutyarso Sutyarso Syafni, Alma Nazelia Syahrul Hamidi Nasution Tasya Putri Atma Utami Raka Tondi Rosalinda Mandalahi Tri Umiana Soleha Ukhron Novansyah Vermitia Veronica Debora Wido Gamani Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wuryaningsih Dwi Sayekti Yahmal, Putri Yaktiworo Indriani Yaktoworo Indriani Yoga, M. Agung Prasetya Adnyana Yohana Yulia Puspita Sari Yunianto, Andi Eka Zakiah Zakiah Zefanya Angie