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All Journal Medula JURNAL PENELITIAN PERAWAT PROFESIONAL
Listiani, Farida
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Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Penatalaksanaan Holistik Pasien Anak Laki - Laki Usia 3 Tahun Dengan Skabies Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Tanjung Sari Natar Muhammad Gusti Fawwaz; Listiani, Farida
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1595

Abstract

Scabies is a skin disease caused by an infestation that can be transmitted through direct or indirect contact. This condition can become chronic and lead to complications; therefore, appropriate and holistic management is necessary using a family medicine approach to achieve successful therapy. The aim of this study is to identify the internal and external risk factors and clinical problems present in the patient, to apply a holistic and comprehensive family physician approach based on the issues identified, and to carry out management based on Evidence-Based Medicine that is family-approach, patient-centered, and community-oriented. This study is a case report. Primary data were obtained through anamnesis, physical examination, and home visits. Secondary data were obtained from the patient's medical records. The patient, F, a 3-year-old child, presented with the main complaint of itching on the hands, feet, and body for the past two months. Internal risk factors for the patient included poor personal hygiene, a sibling with a history of scabies, a curative treatment pattern, and a lack of knowledge about the causes, risk factors, complications, prevention, transmission, and treatment of scabies. External risk factors included the family's lack of knowledge about the patient’s illness, its risk factors, complications, prevention, transmission, and treatment. Diagnosis and management of the patient were carried out in a holistic, patient-centered, family-focused, and community-oriented manner. Clinical improvements, as well as increased knowledge and behavioral changes in the patient and their family, were observed following the intervention.
Penatalaksanaan Holistik pada Pria Usia 31 Tahun dengan HIV melalui Pendekatan Kedokteran Keluarga Sihombing, Dewi Patresia; Zuraida, Reni; Listiani, Farida
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6685

Abstract

Pria memiliki kecenderungan kurang terlibat dalam layanan pengobatan HIV dan memiliki gambaran kesehatan yang lebih buruk daripada wanita. Maka dari itu, melakukan pendekatan yang berpusat pada pasien, peningkatan akses terhadap pengobatan, perawatan berkelanjutan, dan meningkatkan keterlibatan komunitas yang bebas stigma diharapkan dapat meningkatkan kualitas hidup pengidap HIV. Penulis hendak mengidentifikasi faktor risiko internal dan eksternal, masalah klinis, dan penatalaksanaan holistik dan komprehensif sesuai pendekatan dokter keluarga, yaitu patient centered, family-approach, dan community oriented. Studi ini merupakan sebuah laporan kasus. Data diperoleh dari anamnesis, pemeriksaan fisik, kunjungan rumah, dan rekam medis. Penilaian berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif. Seorang pria, usia 31 tahun, terdiagnosis HIV sejak Mei 2024 dan rutin mengonsumsi ARV setelah mengikuti skrining voluntary conseling and testing (VCT). Pasien tidak memiliki keluhan. Pasien memiliki riwayat berganti pasangan dan hubungan seksual pria dengan pria tanpa pengaman. Didapatkan faktor risiko internal pasien berupa pengetahuan, nutrisi berlebih, dan aktivitas fisik yang kurang. Faktor eksternal berupa ketidaktahuan keluarga dan sanitasi rumah. Setelah dilakukan pendekatan dokter keluarga, didapatkan peningkatan pengetahuan mengenai HIV pada pasien, perbaikan asupan gizi, peningkatan aktivitas fisik, dan usaha memperbaiki sanitasi rumah.
Co-Authors Muhammad Gusti Fawwaz Reni Zuraida Sihombing, Dewi Patresia