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Hubungan Peran Orang Tua Dengan Cakupan Imunisasi Dasar Lengkap Selama Pandemic di Lhokseumawe Haifa Ayu Dinarsono Putri; Mauliza Mauliza; Khairunnisa Khairunnisa; Mardiati Mardiati; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 2 (2025): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i2.1526

Abstract

The coverage of complete basic immunization in Indonesia in 2020 during the Covid-19 pandemic had not yet reached the expected target. The province with the lowest coverage was Aceh, with only 41.8%, indicating a significant gap from the national target. This study aims to determine the relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area. This research used a cross-sectional design with a cluster sampling technique. The univariate analysis showed that most of the children were male, totaling 48 (51.6%). The age of the fathers was mostly between 26–35 years (52 respondents or 55.9%), and the mothers’ age was also mostly between 26–35 years (63 respondents or 67.7%). The majority of both fathers and mothers had a senior high school education, with 49 (52.7%) and 39 (41.9%) respectively. Most of the basic immunization coverage in the Banda Sakti area was incomplete, amounting to 74 infants (79.6%), and the parental role was categorized as poor. The bivariate analysis using the Chi-square test and its alternatives showed a p value < 0.05, indicating a significant relationship between the roles of fathers, mothers, and parents in general, and the coverage of complete basic immunization. The conclusion of this study is that there is a significant relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area.
Studi Kasus Balita Usia 23 Bulan dengan Berat Badan Kurang di Desa Ulee Nyeu Puskesmas Banda Baro Tahun 2025 Azman Bripo; Puan Nassya Amalia Islmay; Nadia AlKhalifa; Noviana Zara
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.383

Abstract

Undernutrition is a severe nutritional deficiency condition caused by inadequate daily intake of energy and protein, which occurs over a considerable period of time. Malnutrition generally affects children under five years old and is influenced by various factors. According to the National Basic Health Research Report (Riskesdas) in 2018, the national proportion of children aged 6–24 months with undernutrition and severe malnutrition was recorded at 17.7%. This study is a case report of a 23-month-old boy living in a village in 2025. The case was observed over a three-week period using a home visit approach. The diagnosis of undernutrition was established based on national guidelines, specifically the Regulation of the Indonesian Minister of Health No. 2 of 2020 concerning child anthropometric standards. Anthropometric measurements showed the child had a height of 81 cm and a weight of 8.12 kg. The child’s nutritional status was classified as underweight based on the Weight-for-Age (W/A) Z-score. Following diagnosis, the patient received nutritional education, supplementary food, appetite-stimulating vitamins, and growth monitoring. The study concluded that several determinants contributed to the underweight condition in this 23-month-old patient, including behavioral factors, incomplete immunization, and recurrent infections.
Upaya Penanganan Tinea Capitis Dengan Pendekatan Kedokteran Keluarga Di Puskesmas Simpang Keuramat Kabupaten Aceh Utara Ulfa Zahara; Noviana Zara; Anita Aris
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 3 No. 3 (2025): August : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v3i3.1591

Abstract

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.
Upaya Penanganan Pasien Skabies Usia 23 Bulan Melalui Pendekatan Kedokteran Keluarga di Puskesmas Simpang Keuramat Danisa Indira Fatma; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 3 (2025): Agustus : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i3.2219

Abstract

A 23-month-old female patient presented with red, itchy bumps, accompanied by intense itching, which caused the skin to peel from scratching. These symptoms began less than a month before the visit and worsened one week before seeking treatment. The fluid-filled bumps burst due to scratching, causing sores and peeling skin. The itching was constant and tended to worsen at night. The use of moisturizer by the patient's mother provided little relief. The onset of these symptoms coincided with a visit from the patient's mother's younger brother, a student at the Islamic boarding school (Santri), who was staying at the patient's home during the holidays. Less than a month later, similar symptoms began to be felt by the patient, her siblings, and both parents. The diagnosis was based on primary data obtained through a history taking with the patient's mother, a direct physical examination during a home visit, and completion of the family file and the patient's medical records. The patient, suspected of having scabies, was treated with 5% permethrin cream, applied as directed, and cetirizine to reduce the itching. Case assessments are conducted holistically, assessing the initial condition, process, and final outcome of each visit both quantitatively and qualitatively. Interventions include not only treatment but also comprehensive family education. This education includes an explanation of the etiology and transmission of scabies, the importance of maintaining personal and environmental hygiene, and potential complications such as secondary skin infections due to scratching. The goal of this education is to improve patient and family compliance with therapy, prevent reinfection, and break the chain of disease transmission in the home environment. This approach is expected to not only reassure the patient but also raise family awareness of the importance of clean and healthy living practices as a long-term preventative measure.
Pengenalan Dan Pengelolaan Diabetes Melitus Dari Hulu Ke Hilir Pada Tenaga Kesehatan Pengelola Prolanis Maulina Debbyousha; Nur Fardian; Cut Khairunnisa; Noviana Zara; Mulyati Sri Rahayu
Academica : Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2025): Academica : Jurnal Pengabdian Kepada Masyarakat
Publisher : Lembaga Pusat Studi Sosial dan Humaniora [LPS2H]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.16947449

Abstract

Peningkatan jumlah kasus diabetes setiap tahun merupakan tantangan bagi tenaga kesehatan, tidak hanya bagi tenaga kesehatan yang bertugas di layanan sekunder namun juga di layanan primer. Layanan primer merupakan tonggak utama yang menjalankan program pengelolaan penyakit kronis (Prolanis). Tujuan pengabdian ini adalah untuk memperkenalkan tata cara pengelolaan diabetes melitus pada tenaga kesehatan yang mengelola Prolanis di layanan primer. Pengabdian kepada masyarakat ini dilakukan di Kota Lhokseumawe, dengan melibatkan tenaga kesehatan yang mengelola prolanis di tiga kabupaten kota yaitu: Kota Lhokseumawe, Kabupaten Aceh Utara dan Kabupaten Bireuen dengan jumlah peserta sebanyak 150 peserta. Metode yang digunakan adalah focus group discussion (FGD) dan edukasi menggunakan materi edukatif yang mudah dipahami, sesi tanya jawab interaktif dan demonstrasi praktis tentang tatacara pengelolaan diabetes. Pelakasanaan kegiatan ini diharapkan dapat meningkatkan pengetahuan dan praktik pengelolaan diabetes oleh tenaga kesehatan di layanan primer.
Upaya Pengelolaan Asma Bronkial pada Pasien Perempuan Usia 20 Tahun dengan Pendekatan Pelayanan Kedokteran Keluarga di Puskesmas Kuta Makmur Kabupaten Aceh Utara Raudah Novita Putri; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 1 (2025): Februari : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i1.1305

Abstract

A 20-year-old female patient came with a complaint of cough that had been experienced for ± 1 week, the cough was complained of as difficulty in expelling phlegm. The cough worsened at night and early morning so that it disrupted the patient's sleep quality. The cough would subside when the conditions started to warm up, and when drinking water. Shortness of breath often appears together with the cough. Complaints of shortness of breath and cough often appear during the rainy season, cold air, exposure to dust and smoke. Shortness of breath will subside if the patient uses an inhaler. The patient also complained of a fever that had been felt since 1 day ago. The fever felt by the patient remained high without any decrease in temperature. On physical examination, BP was 110/70 mmHg, RR 18 x / minute, HR 89 x / minute, BMI 19.6 kg / m2., Respiratory system wheezing in both lungs and X-ray results showed bronchitis. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment is based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. The interventions carried out are promotive, preventive, curative, rehabilitative and psychosocial efforts.
Upaya Pendekatan Kedokteran Keluarga pada Perempuan Usia 52 Tahun dengan DM Tipe 2 di Kecamatan Nisam Kabupaten Aceh Utara Muhammad Syifa Albi Nasution; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2353

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being. Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.
Upaya Pendekatan Kedokteran Keluarga pada Perempuan Usia 45 Tahun dengan Hipertensi di Aceh Utara Alya Fadila Husna; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2374

Abstract

Hypertension is a condition where blood pressure is persistently above the normal limit. This condition is a risk factor that can cause damage to vital organs, including the heart, brain, retina, kidneys, aorta, and peripheral blood vessels. This case study aims to describe the implementation of these management efforts in a 45-year-old female patient with hypertension in Blang Dalam Geunteng Village, Nisam District, North Aceh. Mrs. H, a 45-year-old woman, came to the General Clinic of Nisam Community Health Center with a primary complaint of headache since one week before the visit. The headache felt like a throbbing pain throughout the head and was intermittent. This complaint was quite disruptive to the patient's daily activities, especially when doing light household chores. In addition, the patient complained of a throbbing sensation in both eyes that began to be felt simultaneously with the onset of the headache. This complaint appeared mainly when waking up in the morning. The patient has a history of hypertension that has been diagnosed since 2024. Family history shows that the patient's biological mother also suffered from hypertension and one of the patient's siblings was also diagnosed with high blood pressure but had not started treatment. Physical examination showed a blood pressure of 150/90 mmHg. Data were collected through anamnesis, physical examination, supporting procedures, home visits, and family documentation. The holistic assessment included quantitative and qualitative aspects of the initial visit, the process, and the outcome of the visit. Interventions included hypertension education, medication adherence, a healthy lifestyle, and family support for blood pressure management and lifestyle. This case study demonstrates the importance of a holistic and continuous family medicine approach in the management of patients with grade II hypertension, particularly those with familial risk factors.
Studi Kasus Anak Usia 10 Bulan dengan Gizi Kurang di Desa Kuala Keureuto Barat Puskesmas Tanah Pasir Tahun 2025 Mumtaz Alvira; Zahrawanda Ashfarina Muslim; Zikra Ihtasya Annabila; Muhammad Daniyal; Jarita Jarita; Noviana Zara
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1742

Abstract

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.
Upaya Penanganan Pasien Laki-Laki Usia 60 Tahun dengan Diabetes Mellitus Tipe 2 Melalui Pendekatan Kedokteran Keluarga di Puskesmas Dewantara Kabupaten Aceh Utara Siregar, Anisah Nazrah; Noviana Zara
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2331

Abstract

A 60-year-old male patient presented with the chief complaint of numbness in both legs, which had been experienced for the past two years and had worsened over the last three months. This complaint was accompanied by persistent fatigue, even without engaging in strenuous physical activity. In addition, the patient reported frequent urination, especially at night (nocturia), and excessive thirst that had occurred for the past five years. The patient denied symptoms such as fever or disturbances in bowel movements. Regarding his medical history, the patient regularly consumed Glimepiride as part of his treatment for diabetes mellitus. Primary data were obtained through auto-anamnesis and physical examination during a home visit. During the visit, the family physician also completed the family folder and patient records to comprehensively document the patient’s health condition. Case assessment was carried out based on an initial holistic diagnosis, followed by continuous monitoring and final evaluation using both quantitative and qualitative approaches. The interventions provided included health education for the patient and his family regarding the causes and pathophysiology of diabetes mellitus. The physician also emphasized lifestyle modifications, such as adopting a balanced diet, engaging in light but regular physical activity, and maintaining adherence to prescribed medication. Furthermore, the patient was educated on the long-term management of diabetes mellitus and the importance of regular medical check-ups. The family physician also explained the potential complications that could arise, such as neuropathy, nephropathy, and retinopathy, so that the patient would be more compliant with treatment and preventive efforts. This comprehensive approach was expected to improve the patient’s quality of life while preventing further disease progression.
Co-Authors Aditya Fajar Perkasa Agiara, Lisna Ahmad Fauzan Ajeng Dwi Syafira Akbar, Muhammad Khalilul Al Muqsith, Al Muqsith Albin, Iskandar Alya Fadila Husna Ami, Ghisca Chairiyah Andi Saputra Angie Delashynta Rianda Anita Aris Anna Millizia Anna Millizia Apriani, Sri Reski Aqsha, Radhika Kharisma Dwi Aragibinafika, Aragibinafika Ardiansyah, Tgk. Fikri Ariba Nadiva Ayk, Dara Arif, Muhammad Fathul Ayuna, Della Vega Nisha Azari, Ayu Pramita Azman Bripo Balqis, Aisyah Br Tarigan, Ayu Permata Sari Chairina, Nanda Cut Asmaul Husna, Cut Asmaul Cut Ita Zahara, Cut Ita Cut Khairunnisa Danisa Indira Fatma Debbyosha, Maulina Dira Putri Nabila Fauzan, Rivhan Fitriani, Julia Fona, Tischa Rahayu Gusfanny, Dio Haifa Ayu Dinarsono Putri Harahap, Dwi Agustian Hasibuan, Aulia Arista Henny Putri Wahyuni Humairah, Helma Ikhsan, Maulana Ikhsan, Ridhalul Ilhami Surya Akbar , Teuku Imanda, Fetty Indira Fatma, Danisa Intan Zuryani Irbah, Hanadhia Ita Zahara, Cut Jannah, Jauza Raudhatul Jarita Jarita Julia Fitriany Julia Fitriany, Julia Julistia, Rini Juwita Sahputri Khaidir Khaidir, Khaidir Khairatunnisa Khairatunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Kharimah, Akhlakul Kholilullah, Vina Zaynah Lubis, Aisyah Nita Yasmin Lubis, Dzakwan Hakim M. Hafizd Fadhri Mailyn, Yaiza Aynaya Mardiati Mardiati Mardiati Mardiati Mardiati Mardiati Maulana Arya Jimbaran Maulana, Mohd Agus Maulina Debbyousha Maulina, Mutia Mauliza Mauliza Mauliza, Ade Mauliza, Mauliza Meutia Maulina, Meutia Meutia, Zahra Muhammad Alief Hawari Muhammad Arvin Harwansya Muhammad Bayu Rizaldy Muhammad Daniyal Muhammad Iqbal Muhammad Rizki Muhammad Syifa Albi Nasution Muhammad Yasir Muhammad Yasir Mulyati Sri Rahayu Mumtaz Alvira Muna, Zurratul Munthe , Kania Wiritanaya Mutia, Cut Mulya Muzainy, Nurhafizah Nabiilah, Anis En Nadia Alkhalifa Nadia Karimah Nadira , Cut Sidrah Nadira, Cut Sidrah Namira, Isra Narisha Amelia Putri Nashirah, Arini Nasution, Muhammad Husni Fansury Nina Herlina Nora Maulina Nora Maulina, Nora novalia, vera Nur Fardian Nur Fardian, Nur Nurul Afni Pohan, Adli Kurniawan Puan Nassya Amalia Islamy Puan Nassya Amalia Islmay Putri, Baluqia Iskandar Putri, Narisha Amelia Rahmi Surayya Rahmia Dewi, Rahmia Raudah Novita Putri Ridhalul Ikhsan Rinawati Rinawati Rizaldi, Muhammad Bayu Rizka, Adi Rozi, Dwi Novlita Sahputri, Juwita Saiful Ramadhan Sarah Rahmayani Siregar Sari, Bungsu Keumala Savitri, Dhannisa Ika Sawitri, Harvina Sayuti, Muhammad Septina, Viola Siratul Wahyuni Siregar, Anisah Nazrah Siregar, Dita Adhyaksa Siregar, Wina Yunida M Sri Yulianti Syafridah, Anita Teuku Ilhami Surya Akbar Teuku Yudhi Iqbal Tyahnandari, Febby Ulfa Zahara Uljannah, Annisa Utariningsih, Wheny Wahyuni, Hendra Wahyuni, Siratul Yolanda Restiani Yuziani, Yuziani Zahrawanda Ashfarina Muslim Zakiyya, Sarah Zikra Ihtasya Annabila Zilva Hayati Zirva, Afdhilla Zubir, Zubir Zuryani, Ulfa