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Sahab Sibuea
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

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Penatalaksanaan Holistik Infeksi Dengue pada Pria Pra Lansia dengan Pengetahuan Preventif Kurang Melalui Pendekatan Kedokteran Keluarga Annisa Yulida Syani; Sahab Sibuea
MAJORITY Vol 9 No 2 (2020): MAJORITY
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Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF) are diseases transmitted through Aedes sp. This infection in tropical and subtropical climates. Prevention with hygiene and healthy living habits and maintaining a clean environment. Family doctors is important to treating sufferres, doctors must pay attention to the environment and daily behavior of sufferers and their families that have an impact on the recurrence process or spread of dengue disease. This study was to identify risk factors to management based on a problem solving framework through a family medicine approach. Primary data by history taking, physical examination and home visits. Secondary data from patient medical records. Assessment based on a holistic diagnosis in a qualitative and quantitative. The results is functional grade 2 patients with DHF, internal risk factors namely lack of knowledge about the disease and prevention. External risk factors are piles of goods next to the patient's house and piles of clothes in the house that are not arranged, wells and bathtubs in the house that are not closed. Intervention by counseling regarding dengue disease with hygiene and healthy live habits. Evaluation, there has been a slight change in behavior where patients, families and local residents do Burying, Draining, and Closing. Conclusion is that clinical problems in patients require attention in changing hygiene and healthy living behavior which takes time to get a change. Health workers are tasked with solving clinical problems ,finding, and providing solutions to problems in the environment that affect the health of all.
PENATALAKSANAAN HOLISTIK DEMAM BERDARAH DENGUE GRADE 1 PADA ANAK USIA 2 TAHUN MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH PUSKESMAS GEDONG AIR Efrans Caesar; Intan Nanda Rezeki; Sahab Sibuea
MAJORITY Vol 11 No 2 (2023): MAJORITY
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Abstract

Dengue hemorrhagic fever (DHF) is an acute viral disease caused by the dengue virus, characterized by a fever lasting 2-7 days, bleeding, such as nosebleeds and red spots on the skin, body (ptechiae), bleeding gums, decrease in the number of platelets, form of hemoconcentration in the form of plasma discharge and such signs as increased hematocrite, ascites, pleural effusion. Implementation of GP services through identification of risk factors, clinical problems and patient management in family-centred, patient-centred in the study focus to family centered because the patient is 2 years old and community-centred evidence-based medicine. The study conducted is a case report with the purpose of management to increase the knowledge of the family about patient disease. Primary data were obtained through history, medical examination and home visits. Secondary data were obtained from the health reports of the patient. The assessment isĀ  based on a comprehensive diagnosis of the beginning, process and end of the study quantitatively and qualitatively. The patient is a girl with complaints of fever for 3 days. Complaints of fever followed by weakness, bleeding gums accompanied by nausea and vomiting. The diagnosis and treatment are made according to the latest theories and journals. After the intervention, clinical symptoms decreased and the awareness of patients and their families increased. The diagnosis of DHF in this patient was consistent with the theory of several guidelines and journals, and it was observed that the knowledge of the patient and his family changed after an intervention based on evidence-based medicine.