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All Journal Paediatrica Indonesiana Indonesian Journal of Obstetrics & Gynecology Science Jurnal Ners Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Jurnal Abdi Kesehatan dan Kedokteran
Indrayadi, Indrayadi
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Dentistry Health Professions Immunology & microbiology 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.
Efektivitas Media Edukasi Berbasis Cerita dalam Mengurangi Praktik Buang Air Besar Sembarangan (BABS): Suatu Systematic Literature Review Indrayadi, Indrayadi; Ramadhan, Ahmad Rasyid Ridha; Yuhansyah, Yuhansyah; Natasya, Nazwa
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 1 (2026): Januari-Juni 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.1.1-10.2026

Abstract

Upaya pengurangan praktik Buang Air Besar Sembarangan (BABS) menuntut strategi edukasi yang tidak hanya informatif, tetapi juga mampu menyentuh aspek kognitif, emosional, dan budaya masyarakat. Penelitian ini bertujuan melakukan Systematic Literature Review (SLR) untuk mengidentifikasi, mengevaluasi, dan mensintesis temuan-temuan ilmiah terkait efektivitas media edukasi berbasis cerita budaya dalam mengurangi praktik BABS. Penelitian ini menerapkan metode Systematic Literature Review (SLR) dengan pendekatan sintesis kualitatif (narrative dan thematic synthesis) guna mengkaji secara sistematis temuan-temuan empiris mengenai efektivitas media edukasi berbasis cerita dalam upaya mengurangi praktik Buang Air Besar Sembarangan (BABS) yang terindeks pada DOAJ, Scopus, dan Google Scholar, dengan rentang tahun terbit 2019–2025. Hasil sintesis menunjukkan bahwa intervensi edukasi sanitasi berbasis cerita efektif dalam meningkatkan pengetahuan, membentuk sikap positif, serta mendorong perubahan perilaku masyarakat. Efektivitas tersebut meningkat ketika media yang digunakan sesuai dengan konteks budaya lokal, memiliki unsur naratif yang kuat, dan disampaikan oleh fasilitator kompeten. Mekanisme kognitif–emosional seperti narrative transportation, identifikasi tokoh, dan keterlibatan aktif peserta juga memperdalam internalisasi pesan sanitasi. Efektivitas intervensi tetap dipengaruhi oleh faktor eksternal seperti rendahnya literasi, ketidaksesuaian konteks sosial, kurangnya pendampingan lanjutan, serta keterbatasan fasilitas sanitasi. Temuan ini menegaskan bahwa kualitas narasi perlu ditopang oleh ekosistem sosial dan infrastruktur yang memadai agar perubahan perilaku dapat berlangsung secara konsisten dan berkelanjutan.
Pengaruh Edukasi Kesehatan Terhadap Kesiapsiagaan Masyarakat Dalam Pertolongan Pertama Hipoglikemia: The Effect of Health Education on Community Preparedness in Providing First Aid for Hypoglycemia Ariani, Sri Purwanti; Indrayadi, Indrayadi; Yuhansyah, Yuhansyah; Ernawati, Ernawati; Rapika, Rapika
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.162

Abstract

Hypoglycemia is an emergency condition in individuals with diabetes mellitus that can lead to decreased consciousness and even death if not managed promptly and appropriately. A low level of community knowledge and preparedness in recognizing the signs and symptoms and in providing first aid for hypoglycemia constitutes a major risk factor for the development of complications. This activity aimed to improve the preparedness of the Basirih Village community in providing first aid for hypoglycemic events through health education. This activity employed a pre-experimental design with a one-group pretest–posttest approach involving an intervention group and a control group. The sample consisted of residents of Basirih Village selected using purposive sampling. The measured variable was community preparedness in hypoglycemia first aid, encompassing knowledge, attitudes, and skills. The research instruments included standardized questionnaires and skill observation checklists. Data analysis was conducted by comparing pretest and posttest scores in both groups. The results demonstrated a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group after the provision of health education (p < 0.001). In contrast, no significant differences were observed between pretest and posttest scores in the control group (p > 0.05). These findings indicate that health education has a significant effect on improving community preparedness in providing first aid for hypoglycemia. It can be concluded that health education is effective in enhancing the preparedness of the Basirih Village community toward hypoglycemic events. This activity is recommended to be implemented continuously as a promotive and preventive effort to reduce hypoglycemia-related complications at the community level.
Pengaruh Pendidikan Kesehatan Terhadap Kesiapan Masyarakat Dalam Tindakan Awal Stroke Akut: The Effect of Health Education on Community Readiness in Early Management of Acute Stroke Ernawati, Ernawati; Ariani, Sri Purwanti; Indrayadi, Indrayadi; Yuhansyah, Yuhansyah; Nadia, Nur
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.164

Abstract

Acute stroke is a neurological emergency that requires prompt management, as delays can result in permanent brain damage and even death. In Kelayan Subdistrict, community knowledge regarding the signs, symptoms, and initial actions for acute stroke remains low, which increases the risk of delayed treatment. Therefore, health education is necessary to enhance community preparedness in recognizing and responding to stroke appropriately. This study aimed to analyze the effect of health education on community preparedness in providing initial actions for acute stroke in Kelayan Subdistrict. The study employed a pre-experimental one group pretest–posttest design involving intervention and control groups, with interventions including counseling, leaflets and posters, and demonstrations of the FAST method. Community preparedness was measured before and after the intervention using questionnaires on knowledge, attitudes, and skills. The results showed a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group following the health education program (p < 0.001), whereas the control group showed no significant changes (p > 0.05). These findings indicate that health education effectively enhances the community’s ability to recognize stroke signs and symptoms and take timely and appropriate initial actions. In conclusion, health education effectively improves the preparedness of the Kelayan Subdistrict community in responding to acute stroke and is recommended to be implemented routinely as a promotive and preventive measure to support early detection and timely response to stroke at the community level.
Co-Authors Aditiawati Aditiawati, Aditiawati Albernande, Anggy Ariani, Sri Purwanti Ernawati Ernawati Fauzi, Moretta Damayanti Julius Anzar, Julius Khalid, Naman Msy Rita Dewi, Msy Rita Nadia, Nur Natasya, Nazwa Nugraha, Fajar Yuda Peby Maulina Lestari, Peby Maulina Ramadhan, Ahmad Rasyid Ridha Rapika, Rapika Ria Nova, Ria RM Indra, RM Rose Mafiana Sutrisno, Muhammad Al Farisi Wafa, Akhmad Farhan Wahyu Asnuriyati Yuhansyah, Yuhansyah Yulianto kusnadi Yulisnawati Hasanah