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All Journal Paediatrica Indonesiana Indonesian Journal of Obstetrics & Gynecology Science Jurnal Ners
Indrayadi, Indrayadi
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Health Professions Medicine & Pharmacology Nursing Public Health

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Penanganan Kasus Kehamilan 32 Minggu dengan Hipertiroid Janin-Fetal Goiter Albernande, Anggy; Sutrisno, Muhammad Al Farisi; Lestari, Peby Maulina; Mafiana, Rose; Kusnadi, Yulianto; Indrayadi, Indrayadi; Aditiawati, Aditiawati
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.609

Abstract

Hipertiroid pada kehamilan didefinisikan sebagai peningkatan kadar free T4. Hipertiroid terjadi pada 2/1000 kehamilan yaitu hipertiroid yang tidak terkontrol selama kehamilan meningkatkan risiko krisis tiroid, kelahiran prematur, dan kematian janin. Pasien Ny. DK 21 tahun datang dengan keluhan benjolan di leher kanan sebesar telur puyuh, hamil 21 minggu, dengan hasil USG fetal goiter. Pemeriksaan fisik didapatkan keadaan umum baik, suhu 36,60C; tekanan darah: 120/80 mmHg; frek. nadi: 92x/menit; frek. nafas: 20 x/menit. Pada pemeriksaan Leopold I didapatkan tinggi fundus uteri 21 cm, teraba bagian lunak. Leopold II teraba tahanan memanjang di sisi kiri kesan punggung. Leopold III teraba bagian terbawah bulat, melenting dan keras U 5/5, kesan kepala. DJJ 159x/mnt, TBJ 1240 gram. Pada pasien dilakukan observasi dan kontrol dengan rentang 2 minggu setelah pemeriksaan. Tata laksana pada pasien ini adalah asam folat, kalsium karbonat, vitamin D, propylthiouracil, folamil, dan ferrous sulfat.Management of Cases 32 Weeks Gestational Pregnancy with Fetal Hyperthyroidism-Fetal GoiterAbstractHyperthyroidism in pregnancy is defined as an increase in free T4 levels. Hyperthyroidism occurs in 2/1000 pregnancies where uncontrolled hyperthyroidism during pregnancy increases the risk of thyroid crisis, premature birth and fetal death. Patient Mrs. 21 year old DK came with complaints of a lump in her right neck the size of a quail egg, 21 weeks pregnant, with ultrasound results of fetal goiter. Physical examination revealed good general condition, temperature 36.60C; blood pressure: 120/80 mmHg; Strange. pulse: 92x/minute; Strange. breath: 20 x/minute. On examination by Leopold I, the height of the uterine fundus was 21 cm, and the soft part was palpable. Leopold II has a longitudinal resistance on the left side of the dorsal impression. Leopold III palpable lower part round, melted and hard U 5/5, head impression. DJJ 159x/minute, TBJ 1240 grams. Patients were observed and monitored at intervals of 2 weeks after the examination. Treatment for this patient is folic acid, calcium carbonate, vitamin D, propylthiouracil, folamyl and ferrous sulfate.Key words: Hyperthyroidism, fetal goiter, propylthiouracil
Nerve conduction parameters in children with severe acute malnutrition treated with standard nutritional therapy Khalid, Naman; Dewi, Msy Rita; Indra, RM; Anzar, Julius; Nova, Ria; Indrayadi, Indrayadi; Hasanah, Yulisnawati; Fauzi, Moretta Damayanti
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.54-60

Abstract

Background Nerve damage has been found in malnourished patients due to deficiencies in micronutrients and macronutrients. Studies on nerve conduction in malnourished children are scarce, specifically those comparing nerve conduction parameters before and after nutritional intervention, are few. Objective To identify nerve conduction changes in children with severe acute malnutrition (SAM) treated with standard nutritional therapy. Methods This was a one-group pretest-posttest quasi-experimental study on children with SAM aged 1 month to 18 years who received standard nutritional therapy for 3 months. We recorded anthropometric data and measured motor and sensory nerve conduction velocity (NCV) of the upper and lower limb nerves before and after the nutritional intervention. Results Thirty participants were included in the study; only 27 underwent post-treatment follow-up nerve conduction testing. All anthropometric indices increased after the intervention, except for body length/height. Moderate correlations were observed between pre-intervention weight and NCVs of the right sural sensory (r=0.496; P=0.005) and left median motor (r=-0.502; P=0.024) nerves. After intervention, conduction velocities of the left median sensory nerve (r=0.750; P=<0.001), right median motor nerves (r=0.521; P=0.015), left ulnar motor nerves (r=0.628; P=0.005), and left tibial motor nerves (r=0.419; P=0.047), had moderate to strong correlations with weight. There were moderate post-treatment correlations between BMI and NCV in the right ulnar (r=0.534; P=0.013) and right fibular (r=0.441; P=0.031) motor NCVs. Conclusion There are significant correlations between weight and some motor and sensory NCVs, as well as between BMI and motor NCVs, after 3 months of receiving nutritional therapy.
Pengembangan Model anti Perundungan melalui Pendekatan Komunikasi Terapeutik pada Guru di Banjarmasin Wahyu Asnuriyati; Indrayadi, Indrayadi; Nugraha, Fajar Yuda; Wafa, Akhmad Farhan
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51415

Abstract

Perundungan merupakan bentuk kekerasan antar teman sebaya yang berdampak serius terhadap kesejahteraan psikologis, sosial, dan akademik siswa. Penelitian ini bertujuan untuk menguji efektivitas model intervensi anti perundungan dengan pendekatan komunikasi terapeutik dalam menurunkan perilaku perundungan pada siswa sekolah menengah pertama di Kota Banjarmasin. Penelitian menggunakan pendekatan quasi-experimental dengan desain pretest-posttest control group. Lokasi penelitian terbagi menjadi dua wilayah, yaitu Banjarmasin Tengah sebagai kelompok perlakuan dan Banjarmasin Barat sebagai kelompok kontrol. Populasi penelitian berjumlah 22.363 siswa, dengan jumlah sampel 200 responden yang dipilih menggunakan rumus Fleiss dan dibagi secara seimbang antara kelompok perlakuan (n=100) dan kelompok kontrol (n=100). Intervensi diberikan kepada guru pada kelompok perlakuan melalui pelatihan model komunikasi terapeutik, yang kemudian diterapkan kepada siswa. Pengumpulan data dilakukan menggunakan Olweus Bully/Victim Questionnaire (OBVQ), dan analisis menggunakan uji t berpasangan (paired t-test). Hasil penelitian menunjukkan adanya perbedaan signifikan antara sebelum dan sesudah intervensi dengan nilai t = 6,983; p = 0,000 (p < 0,05), yang menandakan bahwa intervensi komunikasi terapeutik efektif dalam menurunkan perilaku perundungan. Temuan ini memperkuat pentingnya pendekatan komunikasi terapeutik sebagai strategi preventif dan promotif dalam menciptakan lingkungan sekolah yang aman dan suportif bagi siswa.
Co-Authors Aditiawati Aditiawati, Aditiawati Albernande, Anggy Fauzi, Moretta Damayanti Julius Anzar, Julius Khalid, Naman Msy Rita Dewi, Msy Rita Nugraha, Fajar Yuda Peby Maulina Lestari, Peby Maulina Ria Nova, Ria RM Indra, RM Rose Mafiana Sutrisno, Muhammad Al Farisi Wafa, Akhmad Farhan Wahyu Asnuriyati Yulianto kusnadi Yulisnawati Hasanah