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All Journal Majority Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Diana Mayasari
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Penatalaksanaan Holistik Pada Wanita Lanjut Usia Dengan Katarak Melalui Pendekatan Kedokteran Keluarga di Wilayah Puskesmas Karang Anyar akhlish dzikrullah ahmad; Diana Mayasari
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Cataracts are the cause of blindness which accounts for approximately half of all blindness in the world, especially in developing countries. This is because in developing countries the level of knowledge related to this disease is still low. Awareness of the importance of checking eye health regularly is still low. From this figure, cataract is the highest cause of blindness, about 81 percent. The method used is case report. Primary data were obtained through autoanamnesis and alloanamnesis, physical examination and home visits, to complement family data, psychosocial and environmental data. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study qualitatively. Based on a holistic diagnosis, it was found that an 88-year-old patient complained of wanting to check the condition of his right and left eyes because there was foggy vision in both eyes, the right eye looked more foggy than the left. On eye localis status, eye examination found: The lens of the right eye is cloudy, mature, with a shadow test - with 6/20 vision, and the left eye is immature cloudy with a shadow test + with a vision of 1/60. Internal risk factors in the form of lack of sufficient knowledge of the disease he suffered. The evaluation results showed a strong desire to perform cataract surgery and awareness of the importance of therapy for hypertension. Cases of elderly patients in the form of cataracts and hypertension. Selecting the patient's daughter-in-law as PMO and patient companion. Mrs. M has dared to perform cataract surgery. The patient's management, namely lens extraction, was appropriate. There has been a change in knowledge of Mrs. M, Mr. H, Mrs. U, and Mr. S regarding the disease suffered by the patient and how to respond to it because of the counseling carried out by the researcher.
Hubungan Penyakit Jantung pada Kehamilan dengan Kematian Maternal di RSUD Abdul Moeloek Bandar Lampung periode 2016—2019 Regina Pingkan; Ratna Dewi Puspita Sari; Diana Mayasari; Taufiqurrahman Rahim
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Maternal mortality is maternal deaths during pregnancy, childbirth, and puerperium but not due to other causes such as accidents or falling in every 100,000 live births. One of the important risk factors for maternal mortality is Peripartum Heart Disease. Peripartum Heart Disease (PPHD) is the highest cause of maternal death in 2018 at Abdul Moeloek Hospital in Bandar Lampung. This study aims to determine the relation between PPHD and maternal mortality. This research was a retrospective cohort study design and conducted in October—November 2019 at Abdul Moeloek Hospital in Bandar Lampung. The research sample was 96 respondents obtained using simple random sampling technique. The data used are secondary data from medical records from January 2016 to September 2019. The case group consisted of 48 pregnant women suffering from cardiac disease and the control group consisted of 48 pregnant women who did not suffer from cardiac disease. Data were analyzed by univariate and bivariate tests using the chi-square statistical test with α = 0.05.There were 9 respondents (18.75%) in the case group who experienced maternal death and 1 respondent (2.1%) in the control group who experienced maternal death. Statistical test results obtained there is a relation between Peripartum Heart Disease with maternal mortality in RSUD Abdul Moeloek Bandar Lampung period of 2016—2019.
Holistic Management of A Female Patient with Diabetic Neuropathy and Osteoarthritis through Family Medicine Approach Marcella Dena Fernanda; Diana Mayasari
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 1 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i1.pp363-375

Abstract

Diabetic neuropathy is the most common complication found in diabetes patients, with a lifetime prevalence of over 50% among those with diabetes. The World Health Organization (WHO) estimates that approximately 528 million people worldwide suffer from osteoarthritis (OA), an increase of 113% since 1990. The progression of diabetic neuropathy can be controlled through a healthy lifestyle and medication adherence, as can osteoarthritis through healthy living and physical exercise. This study applies family doctor services by identifying internal and external risk factors, clinical problems, and patient management based on Evidence-Based Medicine, focusing on the patient, family, and community. This study is a case report that collects primary data through anamnesis, physical examination, home visits, and environmental data, along with secondary data from the patient’s medical records. Assessments were conducted holistically, both qualitatively and quantitatively, from the beginning to the end of the study. Mrs. Y, 61 years old, presented with complaints of numbness and tingling in all four limbs accompanied by pain in both knees, with a history of diabetes for 15 years. The patient was diagnosed with diabetic neuropathy and osteoarthritis. In this case, diagnosis and management were carried out according to relevant theories and journals. Following intervention, there was a reduction in clinical symptoms and an increase in knowledge among the patient and her family. The diagnosis and management of this patient were conducted holistically, patient-centered, with a family approach, and community-oriented. Based on several current theories and studies, there was an improvement in the patient’s family knowledge.
Co-Authors akhlish dzikrullah ahmad Marcella Dena Fernanda Ratna Dewi Puspita Sari Regina Pingkan Taufiqurrahman Rahim