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Edukasi, Pemeriksaan Kesehatan, dan Pengobatan Gratis dalam Mencegah Kejadian Nyeri Neuropati Diabetik pada Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Dukuh Kupang Surabaya Harsa, I Made Subhawa; Andarini, Sri; Lestari, Pudji; Wiradinata, Harsono; Aska, Andra Agnez Al
Jurnal Abdidas Vol. 6 No. 4 (2025): Agustus 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v6i4.1175

Abstract

Tingginya prevalensi Nyeri Neuropati Diabetik (NND) menunjukkan urgensi penanganan komplikasi pada penderita Diabetes Melitus (DM) tipe 2. Faktor risiko diabetes memengaruhi kualitas hidup pasien. Di wilayah kerja Puskesmas Dukuh Kupang, sebagian besar penderita diabetes diketahui merupakan kelompok usia lanjut dan memiliki tingkat pendidikan yang rendah. Kegiatan ini bertujuan untuk meningkatkan pemahaman masyarakat tentang komplikasi NND, pemeriksaan kesehatan, serta memberikan pengobatan gratis bagi penderita DM tipe 2 dengan NND. Kegiatan dilaksanakan di Puskesmas Dukuh Kupang Surabaya yang dihadiri oleh seluruh pasien DM tipe 2 sebanyak 65 orang. Metode pelaksanaan meliputi ceramah, diskusi, pemeriksaan kesehatan, dan pengobatan gratis. Hasil evaluasi terhadap efektivitas kegiatan dilakukan menggunakan instrumen pre- dan post-test menunjukkan terdapat peningkatan yang signifikan pengetahuan peserta setelah diberikan edukasi (p<0,001). Melalui program ini disimpulkan bahwa edukasi dapat meningkatkan pengetahuan pasien DM tipe 2 dan diharapkan masyarakat dapat memperoleh layanan kesehatan dasar yang cepat dan tepat, sehingga mampu mengatasi permasalahan terkait NND.
Unraveling the intricacies: understanding the complexities of obesity, body image, and demographic influences among Indonesian high school adolescents Wiradinata, Harsono
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.20883

Abstract

This research addresses Indonesia's significant obesity issue among teenagers, highlighted by the 2022 Indonesian Health Survey. It explores the correlation between overweight-obesity prevalence and body image disturbances in high school adolescents, with a sample of 185 individuals selected through random sampling. Inclusion criteria involve parental consent for overweight-obese adolescents, while exclusion criteria consider specific health conditions or unwillingness to participate. Ethically, respondent anonymity and the lack of biological materials alleviate concerns. BSQ-34 prevalence rate analysis reveals a complex landscape influencing body image disturbances. While age and gender show limited associations, Body Mass Index correlates significantly, emphasizing its role. Conversely, no notable correlation is found with bullying, parenting styles, and social comparison, highlighting the independence of body image disturbances. Media influence stands out, warranting comprehensive investigations. In conclusion, these findings stress the complexity of body image concerns, advocating for holistic comprehension and interventions beyond singular influences, emphasizing the multifaceted nature of factors affecting high school adolescents' body image perceptions.
Association of Pain Location and Lidocaine Dosage with Clinical Response to Targeted Intramuscular Lidocaine Injection in Diabetic Neuropathic Pain Wiradinata, Harsono; Roethmia Yaniari; I Made Subhawa Harsa; Atik Sri Wulandari; Pratika Yuhyi Hernanda
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 15 No. 1 (2026): March 2026
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v15i1.5056

Abstract

Background: Diabetic neuropathic pain (DNP) is often refractory to oral analgesics. It is a complication of diabetes mellitus that causes sensory disturbances. Oral pharmacological therapies, including antidepressants, anticonvulsants, and opioids, often have limited efficacy and may cause systemic adverse effects. Objective: This prospective observational cohort study evaluated whether anatomical pain location and lidocaine dose predict the short-term analgesic response to targeted intramuscular lidocaine injection at the patient’s site of maximal pain in patients with diabetic neuropathic pain. Methods: Thirty-one adults with DNP treated at Bhayangkara Hospital were enrolled. They received 1% plain lidocaine at doses of 3, 4, or 5 mg/kg, administered intramuscularly at the site of maximal pain. Pain intensity was assessed at baseline and at 30 minutes, 1, 2, 4, and 6 hours after injection using the Visual Analog Scale (VAS) and the Neuropathic Pain Symptom Inventory (NPSI). Result: The results showed a dose-dependent decrease in mean VAS scores, and this dose-response trend was statistically significant (ANOVA, p = 0.018). The composite NPSI score decreased by an average of 34.2%. Furthermore, patients with dorsal foot pain and those experiencing electric shock/paresthesia sensory phenotypes showed the greatest reductions in pain scores. Conclusion: These findings indicate that targeted IM lidocaine produced rapid short-term analgesia within 30 minutes, lasting approximately 4 to 6 hours. Anatomical targeting and dose selection may influence analgesic outcomes and may support individualized, symptom-directed strategies for managing diabetic neuropathic pain.