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All Journal Medula Biomedical Journal of Indonesia JOURNAL LA MEDIHEALTICO Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Ade Yonata, Ade
Bagian Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Lampung
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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EDUKASI KESEHATAN MENGENAI PENGELOLAAN PENYAKIT KRONIS SEBAGAI UPAYA MENINGKATKAN KUALITAS HIDUP PADA PETANI DI DESA MARGA AGUNG LAMPUNG SELATAN Suharmanto, Suharmanto; Kurniawan, Betta; Yonata, Ade; Graharti, Risti; Hadibrata, Exsa; Wintoko, Risal
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 9 No. 2 (2024): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v9i2.3381

Abstract

Riskesdas tahun 2018 mendapatkan penyakit kronis seperti hipertensi sebesar sebesar 34,11%, diabetes melitus sebesar 8,5%, gout sebesar 1,45%, hiperkolesterolemia sebesar 8,6%. Hal ini dapat terjadi akibat perubahan gaya hidup yang tidak sehat yang mengakibatkan terganggunya aktivitas hidup sehari-hari dan menurunnya kualitas hidup. Tujuan kegiatan ini adalah meningkatkan pemahaman masyarakat agrikultur mengenai pengelolaan penyakit kronis melalui edukasi kesehatan sebagai upaya meningkatkan kualitas hidup. Kegiatan ini meliputi memberikan informasi melalui edukasi kesehatan tentang pengelolaan penyakit kronis pada masyarakat agrikultur. Solusi yang ditawarkan adalah penyampaian informasi melalui edukasi kesehatan tentang pengelolaan penyakit kronis. Kegiatan ini dilaksanakan di Desa Marga Agung Kecamatan Jati Agung Lampung Selatan pada bulan September 2024. Sasaran kegiatan ini adalah masyarakat petani sebanyak 30 orang. Hasil yang diharapkan dari kegiatan pengabdian ini adalah tersampaikannya materi tentang pengelolaan penyakit kronis. Metode yang digunakan dalam kegiatan ini adalah penyuluhan dan dilanjutkan dengan diskusi. Penyuluhan diharapkan dapat meningkatkan pengetahuan masyarakat tentang kualitas hidup. Materi penyuluhan yang diberikan mencakup materi tentang kualitas hidup. Diskusi dilakukan setelah pemberian materi selesai dilaksanakan. Peserta bertanya tentang materi yang belum dipahami tentang kualitas hidup. Penyuluhan terbukti efektif meningkatkan pemahaman tentang kualitas hidup serta upaya pencegahan penyakit.
HUBUNGAN USIA, ULTRAFILTRATION RATE (UFR), INTERDIALYTIC WEIGHT GAIN (IDWG), DAN DIABETES MELITUS DENGAN KEJADIAN HIPOTENSI INTRADIALITIK PADA PASIEN GAGAL GINJAK KRONIK DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG Nurfatin, Ghina Nisrina; Yonata, Ade
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1731

Abstract

Chronic kidney disease is a clinical syndrome due to changes in kidney’s function or structure with management by hemodialysis. The complication of hemodialysis is intradialytic hypotension, whose incidence is influenced by several factors. The study aims to determine the correlation between age, Ultrafiltration Rate (UFR), Interdialytic Weight Gain (IDWG), and diabetes mellitus with the incidence of intradialytic hypotension. The study is an analytic observational study with cross-sectional design at the hemodialysis installation of RSUD Dr. H. Abdul Moeloek in December 2022 - January 2023 using primary data from 72 patients. Data analysis using the Chi-Square test and multiple logistic regression. Most of the respondents were female (56.9%), ≤65 years old (83.3%), had UFR >10 ml/KgBB/H (59.7%), IDWG of >3 kg (37.5%), history of diabetes mellitus (55.6%) , intradialytic hypotension (58.3%), and the most blood pressure reduction occurred in the 1st hour. There was no correlation between patient’s age (p=0.200) and intradialytic hypotension but there were a correlation between UFR (ml) (p=0.000), IDWG (kg) (p=0.000), and a history of diabetes mellitus (p=0.000) with intradialytic hypotension. Ultrafiltration Rate has an effect of 20.744 times on intradialytic hypotension. There was a correlation between UFR (ml), IDWG (kg), and diabetes mellitus with the incidence of intradialytic hypotension in patients with chronic renal failure. Ultrafiltration Rate (UFR) has the most impact on the incidence of intradialytic hypotension at RSUD dr. H. Abdul Moeloek Lampung.
HUBUNGAN GANGGUAN GINJAL DENGAN ANGKA KEMATIAN PADA PASIEN RAWAT INAP COVID-19 DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG Gerizha, M. Rakha; Yonata, Ade
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1734

Abstract

Coronavirus Disease 2019 (Covid-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The risk of death from Covid-19 is reported to be higher due to kidney damage which causes various complications in patients. The background of this research was to determine the relationship between kidney disorders and the mortality rate of inpatients with Covid-19 at RSUD Dr. H. Abdul Moeloek, Lampung. This type of research is a retrospective analytic descriptive with a cross sectional approach, conducted from November to December 2022 at the Abdul Moeloek Hospital in Bandar Lampung. The population in this study were patients diagnosed with Covid-19 who were recorded as inpatients at RSUD Dr. H. Abdul Moeloek with a total of 361 samples selected according to the inclusion and exclusion criteria. The analytical test in this study used the Chi square test. Based on research, the majority of Covid-19 patients were female, aged 19- 59 years, with length of stay <14 days. The mortality rate for Covid-19 patients with comorbid kidney disorders is 54%. The results of the Chi Square test for the relationship between kidney impairment and mortality in Covid-19 hospitalized patients showed a p-value of 0.000. There is a relationship between kidney disorders and the death rate of Covid-19 inpatients at Dr. H. Abdul Moeloek Lampung Province. Hospitalized patients with comorbid CKD are more at risk of dying compared to Covid-19 patients without CKD.
Faktor Risiko dan Komplikasi Hipertensi Tidak Terkontrol di Indonesia: Literature Review Puspitasari, Nabila; Yonata, Ade; Islami, Suryadi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1822

Abstract

Uncontrolled hypertension is one of the major public health problems in Indonesia and contributes substantially to increased morbidity and mortality related to cardiovascular disease and target organ damage. This condition occurs when blood pressure remains above the recommended target despite the use of antihypertensive therapy. This article aims to review and analyze risk factors and complications associated with uncontrolled hypertension in the Indonesian population. The study applied a literature review design with article searches conducted through the Google Scholar and Garuda databases in accordance with the PRISMA 2020 guidelines. Following the selection process, twelve articles met the inclusion criteria and were analyzed descriptively. The review results indicate that the dominant risk factors for uncontrolled hypertension include older age, obesity, diabetes mellitus, dyslipidemia, employment status, low educational level, poor medication adherence, excessive salt intake, physical inactivity, smoking, and psychological stress. The most frequently reported complications were stroke, chronic kidney disease, heart failure, myocardial infarction, and hypertensive retinopathy. These findings demonstrate that uncontrolled hypertension in Indonesia remains a serious challenge that requires integrated control strategies through early detection, optimization of therapy, improvement of patient adherence, and strengthening of promotive and preventive interventions based on primary health care services and community involvement.
Analisis Kadar Ureum Pra-Hemodialisis dan Mortalitas pada Pasien Penyakit Ginjal Kronis Stadium 5 di RSUD Dr. H. Abdul Moeloek Bandar Lampung Niswah, Vira Kamalia; Yonata, Ade; Komala, Ramadhana; Darwis, Iswandi
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 3 (2026): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.3 (2026) : Article i
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.v12i3.1034

Abstract

Background: Chronic kidney disease (CKD) stage 5 is the final phase that requires patients to undergo hemodialysis as the main treatment. Monitoring blood urea levels before hemodialysis is an important aspect because these values can reflect the risk of death in patients. Based on this, the study aims to examine the relationship between pre-hemodialysis urea levels and mortality rates in CKD stage 5 patients at Dr. H. Abdul Moeloek Regional General Hospital in Lampung Province. Method: This study applied a quantitative observational design with a retrospective cohort approach. The data analyzed were obtained from secondary sources, namely, medical records of patients diagnosed with stage 5 CKD. The sample included 150 patients who received hemodialysis in 2023–2024, selected through consecutive sampling. Data were analyzed univariately; normality was assessed using the Shapiro-Wilk test, and bivariate analysis was conducted using the Mann-Whitney Test. Results: The mean pre-hemodialysis urea level in deceased patients was higher than in discharged patients. The Mann-Whitney test showed a significant difference in urea levels between the two groups (p=0.0001), indicating a relationship between pre-hemodialysis urea levels and patient mortality. Discussion: The findings suggest that pre-hemodialysis urea levels can serve as an indicator of mortality risk in patients with stage 5 CKD. Patients with higher urea levels tend to have a greater risk of death. Conclusion: There is a significant correlation between pre-hemodialysis urea levels and mortality in patients with stage 5 CKD. Patients with higher urea levels have a higher risk of death.
Co-Authors Akbar, Dafa Rafiqi Aziz, M. Alamsyah Betta Kurniawan, Betta Effendi, Ian Fadhlurrahman, Fadhlurrahman Gerizha, M. Rakha Hadibrata, Exsa Indrajaya, Taufik Intanri Kurniati Iswandi Darwis Karima, Nisa Khaerunnisa P, Maya Lukman Pura Lumentut, Anastasia M. Maelissa, Merlin M. Muhartono Muhartono Niswah, Vira Kamalia Nurfatin, Ghina Nisrina Nurul Islamy Puspitasari, Nabila Ramadhana Komala Ratna, Maya Ganda Risal Wintoko Risti Graharti Sayuti, Marzuqi Sofyan Musyabiq Wijaya Suhaimi, Novadian Suharmanto Suryadi Islami Syahrul Hamidi Nasution Taruna, Achmad Wirawan, Wahyudi Zulkhair Ali