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Yusti Siana
Universitas Baiturrahmah
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Korelasi Lama Terapi Hemodialisis dengan Skor Geriatric Depression Scale (GDS) pada Lansia Penderita Penyakit Ginjal Kronik (PGK) di RSUP Dr. M. Djamil Padang Regina Zenia Wulandari; Fredia Heppy; Yusti Siana
Scientific Journal Vol. 4 No. 4 (2025): SCIENA Volume IV No 4, July 2025
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v4i4.251

Abstract

Latar belakang: Depresi merupakan gangguan suasana hati yang sering ditemukan pada pasien geriatri. Terdapat tiga stressor yang sering berperan dalam kejadian depresi pada pasien geriatri, seperti gangguan fungsional, kondisi fisik medis, pengobatan atau tatalaksana medis jangka panjang yang dijalani pasien. Hemodialisis merupakan salah satu tatalaksana medis jangka panjang pada pasien penyakit ginjal kronik stadium terminal. Ketergantungan pada mesin dialisis sepanjang hayat berisiko menimbulkan perasaan tertekan dan ketidaknyamanan serta kelelahan yang merupakan ciri khas depresi secara umum. Berdasarkan studi terdahulu diperoleh hubungan lama terapi hemodialisis dengan risiko kejadian depresi.  hasil kuesioner Geriatric depression scale. Sedangkan studi korelasi lama terapi hemodialisis dengan skor geriatric depression scale. Tujuan penelitian : Penelitian ini bertujuan untuk mengetahui korelasi antara lama terapi hemodialisis dengan skor Geriatric Depression Scale pada lansia penderita penyakit ginjal kronik. Jenis penelitian ini adalah analitik observasional dengan desain penelitian potong lintang. Responden penelitian berjumlah 33 orang. Teknik pengambilan sampel dengan metode consecutive sampling. Metode penelitian: Pengumpulan data menggunakan kuesioner Geriatric Depression Scale untuk menentukan skor dan derajat depresi pada lansia. Analisis data dilakukan dengan menggunakan SPSS. Hasil Penelitian : Mayoritas responden lansia muda, jenis kelamin laki-laki 84,8% dan tingkat pendidikan menengah 51,5%, telah menikah 75,8%, semua responden tidak bekerja, tidak memiliki pengasuh profesional, dan tidak berpenghasilan 100%, serta penyakit yang mendasari utama yaitu hipertensi 51,5% dan diabetes melitus 27,7%, rerata lama hemodialisis pada lansia dan skor GDS yaitu 5,18 bulan dan 21,73. Hasil analisis data menggunakan uji korelasi range spearman menemukan bahwa tidak terdapat hubungan yang bermakna antara lama hemodialisis dengan skor GDS pada pasien lansia dengan PGK di RSUP Dr. M. Djamil Padang (p=0,17 dan r=0,23). Kesimpulan: Tidak terdapat hubungan yang bermakna antara lama hemodialisis dengan skor GDS pada pasien lansia dengan PGK di RSUP Dr. M. Djamil Padang.
GAMBARAN KADAR SGOT,SGPT DAN BILIRUBIN PADA PASIEN KOLELITIASI DI RSI SITI RAHMAH PADA TAHUN 20121-2023 Mhd Nurhuda; Yusti Siana; Mutiara Annisa
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1097

Abstract

Cholelithiasis or gallstones form from an imbalance of chemical content in bile that causes the deposition of one or more of the bile components. According to data from the World Health Organization (WHO), the incidence of cholelithiasis in the world was 11.7% in 2017. Risk factors are closely related to cholelithiasis such as age, sex, and BMI. Usually, gallstones that block the bile ducts can cause damage to liver cells and inhibit bile flow which can affect liver function such as SGOT, SGPT, and bilirubin which will indicate liver damage. Objective: Knowing how the description of SGOT, SGPT, and bilirubin levels in cholelithiasis patients at RSI Siti Rahmah Padang in 2021-2023. Method: This type of research is a categorical descriptive study with a cross- sectional study approach design, with the estimated population in this study being patients with cholelithiasis at RSI Siti Rahmah Padang in 2021-2023 with 86 samples using purposive sampling techniques. Univariate data analysis is presented in the form of frequency. Results: From a total sample of 86 people, most of the cholelithiasis sufferers at the age of ≥ 51 years were 41 people (47.7%), most were female at 58 people (67.4%), most with normal BMI at 55 people, most with normal SGOT levels at 62 people (72.1%), most with normal SGOT levels at 53 people (61.6), Most with normal total bilirubin levels of 56 people (65.1%), most with elevated total bilirubin levels of 48 people (55.8%), most with normal indirect levels of 60 people (69.8%). Conclusion: Most patients with ≥ age 51 years, most patients are female, most patients with normal levels of SGOT, SGPT, total bilirubin and indirect bilirubin and most patients with elevated bilirubin levels.
OPTIMALISASI PERAN TENAGA KESEHATAN DALAM PENYALURAN BANTUAN DAN PELAYANAN MEDIS BAGI KORBAN BENCANA DI BATU BUSUK KOTA PADANG SUMATERA BARAT Yusti Siana; Mhd Nurhuda; Dian Puspita
Nusantara Hasana Journal Vol. 5 No. 8 (2026): Nusantara Hasana Journal, January 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i8.1894

Abstract

Flood disasters cause various health problems among affected communities, including an increased risk of infectious diseases and limited access to healthcare services. This community service activity aimed to improve the health status of flood victims through medical services, aid distribution, and health education in Batu Busuk, Padang City. The program was implemented by a medical team consisting of lecturers from the Faculty of Medicine, Baiturrahmah University, medical staff from Rahmi Hatta Clinic, and healthcare workers from Pauh Public Health Center using a community-based service approach. The methods included health examinations, medication distribution, health counseling, and referral services for specific cases. The results showed improved access to healthcare services and a reduction in post-disaster health complaints. This activity contributed to supporting community health recovery and enhancing disaster preparedness for future events.
POTENSI ANTIOKSIDATIF MAGNESIUM GLYCINATE DALAM MEMPERBAIKI PROFIL LIPID DAN HOMEOSTATIS GLUKOSA PADA KONDISI OBESITAS Yusti Siana; Rifkin Malik; Dian Puspita; Mhd Nurhuda; Ridwan Marshal
Nusantara Hasana Journal Vol. 6 No. 2 (2026): Nusantara Hasana Journal, July 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v6i2.2322

Abstract

Obesity is a chronic metabolic disease characterized by excessive fat accumulation resulting from a long-term imbalance between energy intake and expenditure. This condition is closely associated with insulin resistance, chronic inflammation, dyslipidemia, elevated blood glucose, and increased total cholesterol. Magnesium, particularly magnesium glycinate with its high bioavailability and good gastrointestinal tolerability, has attracted considerable attention as a supportive nutritional therapy. This literature review aimed to analyze the effectiveness of magnesium glycinate supplementation on blood glucose and total cholesterol levels in obesity induced by a high-fat and high-fructose diet. This review was conducted by searching scientific articles from PubMed, Scopus, ScienceDirect, SpringerLink, and Google Scholar. Eligible studies were published between 2018 and 2025 and discussed obesity, high-fat high-fructose diet, magnesium glycinate, glucose metabolism, lipid metabolism, and experimental animal studies. Evidence indicates that magnesium glycinate improves insulin sensitivity by activating insulin receptors and GLUT-4 transporters, suppresses chronic inflammation through inhibition of the NF-κB pathway, and reduces oxidative stress. Furthermore, magnesium glycinate improves lipid metabolism by reducing cholesterol synthesis and increasing fatty acid oxidation, thereby contributing to reductions in blood glucose and total cholesterol levels in obesity models. Magnesium glycinate has considerable potential as a supportive therapy for obesity through improvement of glucose and lipid metabolism. Its high bioavailability makes it more effective than several other magnesium formulations in improving hyperglycemia and dyslipidemia.
PENERAPAN LAYANAN KHITAN INKLUSIF DAN RAMAH ANAK DISABILITAS DI RSI SITI RAHMAH Mhd Nurhuda; Yusti Siana; Dian Puspita
Nusantara Hasana Journal Vol. 6 No. 2 (2026): Nusantara Hasana Journal, July 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v6i2.2326

Abstract

Circumcision is one of the most frequently performed minor surgical procedures globally, carried out for medical indications, hygiene standards, and socio-religious considerations. Clinically, circumcision has been proven to effectively minimize the risk of urinary tract infections (UTIs), prevent local pathological conditions such as phimosis and balanoposthitis, and reduce the transmission of sexually transmitted pathogens. Despite being a fundamental medical procedure, the accessibility and success rate of circumcision are heavily influenced by the readiness of healthcare facilities and the adoption of technical approaches tailored to the patient's physiological and psychological conditions. In the pediatric population with disabilities—including individuals with Autism Spectrum Disorder (ASD), Cerebral Palsy, Down Syndrome, and other intellectual disabilities—the execution of circumcision presents significant clinical complexities. Neurodivergent characteristics and functional limitations in this group often trigger sensory hypersensitivity, expressive communication barriers, and high levels of pre-procedural anxiety. These conditions have the potential to evoke resistance responses, such as physical agitation or meltdowns during the procedure. Without specialized management, this dynamics not only increases the risk of long-term psychological trauma but also heightens intraoperative complications—such as tissue trauma and bleeding—as well as postoperative complications due to wound hygiene challenges. On the other hand, the majority of healthcare facilities still apply conventional circumcision protocols that are not yet integrated with disability-inclusive care principles. The lack of sensory-friendly infrastructure, limited pre-procedure preparation modules for caregivers, and insufficient competency among healthcare professionals in disability-friendly interactive approaches constitute major systemic barriers to fulfilling the healthcare rights of children with special needs. RSI Siti Rahmah holds a strategic position to intervene in this issue through the formulation and implementation of an Inclusive and Disability-Friendly Circumcision Service model. This approach integrates behavioral management strategies, adjustments to a sensory-friendly clinical environment, and active caregiver involvement based on the concept of Family-Centered Care (FCC). Based on this urgency, this community service program was conducted to implement and evaluate an integrated, safe, minimally traumatic, and standardized circumcision service model for children with disabilities at RSI Siti Rahmah
Co-Authors Ade Teti Vani Adelin, Prima Billy Mesty Handoyo Dian Puspita Fazilla Arma Fredia Heppy Harun Harnavi Kendall Malik Melya Susanti Mhd Nurhuda Muhamad Ivan Mutiara Annisa Rahma Triyana Regina Zenia Wulandari Ridwan Marshal Rifkin Malik Rinita Amelia Rosmaini Rosmaini Ruhsyahadati Ruhsyahadati Vindi Domita Yudha E. Pratama Yuliza Birman Yuni Handayani