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Edukasi dan Pendekatan Komprehensif Kedokteran Keluarga dalam Penanganan Diabetes Melitus Tipe 2 dan Ulkus Diabetikum pada Kelurga Tn. Y di RT 005/RW 005, Kelurahan Ratujaya, Kota Depok Sukmara, Uta Provinsiana; Setyaprawira, Fallery; Hardyanti, Putri; Rahmah, Nida Nabila; Muktamiroh, Hikmah; Susantiningsih, Tiwuk; Rahman, Ihsan Febrianto
Segara : Jurnal Pengabdian Kepada Masyarakat Vol 2 No 2 (2024): Vol. 2 No. 2 (2024): SEGARA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Fakultas Kedokteran UPN "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/segara.v2i2.10056

Abstract

Manajemen diabetes melitus (DM) membutuhkan pendekatan yang komprehensif, melibatkan aspek edukasi promotif, kuratif, preventif, dan rehabilitatif bagi pasien, keluarga, dan komunitas. Kegiatan pengabdian masyarakat ini bertujuan mengevaluasi efektivitas manajemen komprehensif diabetes melitus melalui pendekatan edukasi kepada pasien dan keluarga pada keluarga Tn. Y. Metode Kegiatan pengabdian masyarakat dilakukan melalui beberapa kunjungan edukatif yang dilakukan pada tanggal 28 Oktober, 5 November, dan 13 November 2024. Aktivitas edukatif mencakup edukasi tentang pengertian DM, faktor risiko, pengobatan, serta prinsip diet T-shaped plate, peningkatan aktivitas fisik, penggunaan obat antihiperglikemi, serta pemantauan gula darah mandiri. Hasil menunjukkan adanya peningkatan pengetahuan terkait DM pada pasien dan keluarganya. Skor kuesioner Diabetes Knowledge Questionnaire menunjukkan perbaikan signifikan dari kategori pengetahuan rendah menjadi cukup. Pasien juga mengalami penurunan kadar gula darah, dari awal 256 mg/dL menjadi 184 mg/dL. Faktor pendukung seperti motivasi pasien, dukungan keluarga, serta penerapan edukasi yang konsisten membantu dalam manajemen diabetes. Namun, keterbatasan waktu keluarga dan kebiasaan makan manis menjadi faktor penghambat. Indikator keberhasilan terlihat dari penurunan keluhan pasien seperti sering BAK dan kesemutan, peningkatan kepatuhan konsumsi obat, serta penerapan pola makan dan aktivitas fisik yang dianjurkan. Kegiatan pengabdian masyarakat ini menunjukkan pentingnya pendekatan edukatif keluarga dalam manajemen diabetes melitus untuk meningkatkan kesadaran, pengetahuan, dan perilaku hidup sehat dalam rangka pengendalian penyakit DM secara efektif.
Meningkatkan Kesadaran Pencegahan Penyakit Tidak Menular pada Hipertensi dan Diabetes Melitus melalui Edukasi di Masyarakat Sukmara, Uta Provinsiana
Jurnal Medika: Medika Vol. 4 No. 3 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/p25trd20

Abstract

Hypertension and Diabetes Mellitus (DM) are the most common diseases and have become major public health problems throughout the world, and Indonesia is no exception. Hypertension and diabetes mellitus are two major non-communicable diseases whose prevalence continues to increase globally and nationally. Lack of awareness and low health literacy are one of the main causes of delays in diagnosis and control of this disease, especially in rural areas. This community service was held in Kaliwanglu Kulon Village, Pakem District, Sleman Regency, Special Region of Yogyakarta, on May 1, 2025. This activity involved 45 participants from villagers, with the main focus being on providing health education and checking blood pressure and blood sugar at any time. Educational activities include material on definitions, risk factors, symptoms, complications, and strategies for the prevention and management of hypertension and diabetes. The screening results showed that 40% of participants had high blood pressure and 31% had blood sugar when it was above normal limits. This activity succeeded in increasing citizen knowledge and became an important early intervention in community-based non-communicable disease promotion and prevention.
Therapeutic Pitfalls of Nicardipine (Calcium Channel Blocker) in Hypertensive Emergency with Low Ventricular Ejection Fraction: A Case Of Refractory Cardiogenic Shock Sukmara, Uta Provinsiana; Mulyawan, Nabila
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.7029

Abstract

Nicardipine, a member of the dihydropyridine class of calcium channel blockers, is frequently employed for acute blood pressure control in hypertensive emergencies due to its potent and rapid vasodilatory effects. However, its use in patients with compromised cardiac function particularly those with significantly diminished left ventricular ejection fraction (LVEF) warrants caution, given its potential to depress myocardial contractility. This report presents the clinical course of a 72-year-old female patient with long-standing coronary artery disease and chronically reduced LVEF who was admitted in hypertensive crisis accompanied by respiratory failure. This study seeks to explore and understand the effects of intravenous nicardipine on vulnerable patients whose hearts are already weakend particulary those with severaly reduced left ventricular ejection fraction (LVEF). She was administered intravenous nicardipine at a conservative starting dose of 2 mg/hour. Within six hours, the blood pressure dropped precipitously from 252/138 mmHg to 88/46 mmHg. Despite prompt discontinuation of the drug and initiation of vasopressor support with norepinephrine and dobutamine, the patient’s condition rapidly worsened, progressing to cardiogenic shock and culminating in cardiac arrest on the sixth day in the intensive care unit. This case exemplifies the potential dangers of administering vasodilatory agents like nicardipine to patients with severely limited myocardial reserve. The convergence of systemic vasodilation, reduced inotropic support, and poor compensatory response likely precipitated the hemodynamic collapse.