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Farida Rusnianah
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Faculty of Medicine, Brawijaya University. Second floor of the Education Center Building (Gedung Pusat Pendidikan), Faculty of Medicine, Brawijaya University, Veteran street, postal code 65145, Malang city, East Java, Indonesia.
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INDONESIA
Jurnal Ilmu Kedokteran Keluarga
Published by Universitas Brawijaya
ISSN : -     EISSN : 29646413     DOI : https://doi.org/10.56674/xxxx
Core Subject : Health, Science, Social,
Computer Science & IT Health Professions Physics Public Health Social Sciences
Jurnal Ilmu Kedokteran Keluarga is a journal managed by the Department of Family Medicine, Faculty of Medicine, Brawijaya University who has a mission to improves the health and well-being of individuals, families, and communities through leadership in education and clinical care. Jurnal Ilmu Kedokteran Keluarga is published regularly twice a year. Jurnal Ilmu Kedokteran Keluarga contains research articles on basic medical, clinical medicine, epidemiology, prevention, technology, social medicine, medicine in primary health settings related to family medicine. We accept all types of research articles, case reports, systematic reviews, meta-analyses, literature reviews, and letters to editors. The article review process will involve two reviewers in a double blind manner. Jurnal Ilmu Kedokteran Keluarga provides open access articles that can be accessed publicly and freely.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 47 Documents
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An Older Men with Chronic Kidney Disease : A Family Medicine Approach Aprilia, Nisa; Andarini, Sri; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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Abstract

Chronic Kidney Disease (CKD) is a significant global health issue, with hypertension being one of its major risk factors. This article explores a comprehensive Family Medicine-based approach to managing a 54-year-old male patient with CKD accompanied by hypertension. Through a holistic strategy, emphasis is placed on blood pressure control, lifestyle modifications, and strengthening the family's role in supporting the patient’s adherence to therapy. This approach aims to enhance the patient's quality of life, prevent further complications, and optimize remaining kidney function. The study underscores the importance of interprofessional collaboration and effective communication between the patient, family, and healthcare providers for successful CKD management within a primary care context.
Comprehensive Management of Atopic Dermatitis in Adult Patients Using a Family Medicine Approach Pratama, Radya Putra; Wibowo, Yudhi
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.25

Abstract

Background: Atopic dermatitis is a chronic inflammatory skin disease that is multifactorial. Its management requires a comprehensive approach involving the family. Objective: To discuss the comprehensive management of atopic dermatitis in an adult using a family medicine approach. Case: A 48-year-old man presented with itchiness and dry skin on the neck and arms since 1 month ago. He was diagnosed with atopic dermatitis based on William's criteria. Topical and systemic therapies, education, and trigger modification were carried out. Conclusion: A comprehensive approach with family medicine is important to ensure optimal diagnosis and therapy in cases of atopic dermatitis, one of which is through patient family education.
Stages of a Comprehensive Approach to Case Management for Patients with Hypertension and Cervical Root Syndrome with Risk Factors of Sedentary Lifestyle and Ergonomically Unfavorable Work Patterns Rusnianah, Farida; RM, Fauziyyah
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.26

Abstract

Family physicians as gatekeepers in primary healthcare facilities must manage patients in a holistic and comprehensive manner, with a patient-centered approach. This case study focuses on a 61-year-old male patient with hypertension and cervical root syndrome, with risk factors including a sedentary lifestyle and ergonomically unfavorable work patterns. This report aims to provide an overview of patient management that considers not only the biological aspects but also the psychological and social dimensions. Patient-centered management is expected to reconcile the patient's perspective and spirit regarding the illness. This approach is crucial for family physicians to not only consider the disease diagnosis but also collaboratively work with the patient towards achieving management goals in line with their expectations.
Sprain with Foot Ulcer, Hypertension, and Obesity with Risk Factors of Eldery, Genetic Predisposition, Psychosocial Stress, and Low to Middle Economic Status Kuntadi Syamsul Hidayat, Muhammad; Kristi, Brenda
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.27

Abstract

Sprain, or 'keseleo' in Indonesian, is a type of joint injury caused by tears or excessive stretching of ligaments and the joint capsule. This condition can be triggered by various risk factors. In this case, the condition was identified at a primary health care facility in Malang City. A thorough medical history was collected to identify risk factors, followed by a home visit to further detect these risk factors. This case highlights the role and application of family medicine, given the complex interplay of biopsychosocial variables that necessitates comprehensive and holistic treatment.
Trigger Finger Resulting from Excessive Hand Use Accompanied by Dyslipidemia, Hypertension, and Obesity with Risk Factors of Genetic and Dietary Pattern Dasa Novita, Khuznita; Santika Oktaviana, Dea
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.28

Abstract

Trigger finger is an inflammation of the tendon or connective tissue between bones and muscles, which results in a painful sensation when the affected individual bends or extends the finger. In this case, the condition was identified at a primary health care facility in Malang City. A thorough medical history was collected to identify risk factors, followed by a home visit to further detect these risk factors. This case highlights the role and application of family medicine, given the complex interplay of biopsychosocial variables that necessitates comprehensive and holistic treatment.
Paranoid Schizophrenia with Risk Factors of Disharmonious Family Relationships Dasa Novita, Khuznita; Alhabsy, Muzna
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.30

Abstract

Schizophrenia is a chronic mental disorder characterized by episodes of psychosis, including hallucinations, delusions, and disorganized thinking with longterm of antipsychotic medications that can significant effect complication such as the development of extrapyramidal syndrome (EPS). This case aims to explore the interplay between the neurological side effects of antipsychotic medications, specifically EPS, and the impact of family dynamics on the course of schizophrenia. Understanding this relationship is essential for developing comprehensive treatment plans that address both the medical and psychosocial needs of patients with schizophrenia, thereby improving their quality of life.
An 80-Year-Old Female with Benign Paroxysmal Positional Vertigo and Isolated Systolic Hypertension with a Risk Factor of Eldery Siswati, Bella; Dwi Rahayu, Indriati; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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Abstract

Benign Paroxysmal Positional Vertigo (BPPV) and isolated systolic hypertension are common conditions in the elderly population. This article discusses the case of an 80-year-old female with a combination of these conditions, where advanced age serves as a significant risk factor. A multidisciplinary approach was employed, involving therapy for BPPV management and tailored lifestyle modifications and pharmacological therapy for systolic hypertension. The study highlights the importance of comprehensive assessment of age-related risk factors, integrated symptom management, and the family’s role in supporting patient care. The findings suggest that individualized and collaborative care strategies can improve the quality of life in elderly patients.
A 69-Year-Old Male with Right Hemiparesis, Type II Diabetes Mellitus, Uncontrolled Stage I Hypertension with Psychosocial, Cultural, Lifestyle, Low Education Level, and Low Economic Status Risk Factors Hafidah, Qonitatun; Nurrakhma Arum Kurnia, Siti; Nur Rakhmani, Alidha
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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Abstract

This article discusses the case of a 69-year-old male with right hemiparesis, Type II Diabetes Mellitus, and uncontrolled Stage I hypertension, accompanied by multiple risk factors including psychosocial, cultural, lifestyle, low education level, and low economic status. A multidisciplinary approach was implemented to manage the patient holistically, focusing on blood sugar and blood pressure control, physical therapy for hemiparesis recovery, and family empowerment to support treatment adherence. This study highlights the importance of comprehensive interventions that address social determinants of health to improve the patient’s quality of life and reduce the risk of further complications.
Cold Air and Occupational Stress as Exacerbating Factors in a 46-Year-Old Male with Chronic Bronchial Asthma : A Family-Centered Approach Rusnianah, Farida; Setijowati, Nanik; Deuina Grishelda, Irma
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.40

Abstract

Bronchial asthma is a long-term lung disease that makes the airways swell up and changes how air flows. To manage effectively, it is essential to understand the host and environmental factors that aggravate diseases. This case study analyzes the interaction of genetic factors, environmental influences, and psychosocial stressors in a 46-year-old male with a ten-year history of asthma. Mr. I, who is 46 years old, is having a really serious asthma attack that is making him cough and making it hard for him to breathe. The cold air and stress at work often made matters worse for him. His mother and daughter both have asthma, therefore it runs in the family. Recent flare-ups show how hard it is for people with certain environmental and job-related risk factors to keep their asthma under control for a long time, even after being diagnosed and treated. The patient's symptoms show how hard it may be to deal with asthma. Cold air and stress at work are two key things that make it worse. He smokes at work, which makes it more probable that objects in the surroundings may hurt him. Functional Degree 1 means that the patient can take care of himself, but he needs to see a doctor since he is worried about his health and can't sleep well. To enhance his quality of life and avert subsequent flare-ups, it is crucial to implement a family-centered strategy that encompasses educating him on avoiding triggers and complying with both pharmaceutical and non-pharmacological treatments. This instance exemplifies the necessity of identifying and mitigating specific environmental and behavioral triggers in the management of chronic asthma. A personalized treatment strategy and thorough education for patients and their families can considerably improve asthma control and maintain functional independence, especially in cases of chronic illness and severe risk factors.
Lifestyle-Associated Acute Gastritis in a Young Adult : A Family Medicine Perspective on Holistic Management Nur Rakhmani, Alidha; Dasa Novita, Khuznita; Fairuz Adani, Safira
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.41

Abstract

Acute gastritis, a prevalent gastrointestinal condition, is often affected by lifestyle and psychosocial factors, requiring a comprehensive approach in primary care. This case report highlights the presentation, contributing factors, and comprehensive management of acute gastritis in a young adult, underscoring the essential role of family medicine principles in this context. We present the case of a 30-year-old female translator suffering from acute epigastric pain, clinically diagnosed as acute gastritis. Her condition worsened due to irregular eating habits, excessive intake of spicy foods and coffee, late sleeping hours, and work-related stress. The patient's symptoms are consistent with known risk factors for gastritis, such as eating habits, caffeine consumption, and mental stress. Although pharmacological intervention alleviated symptoms, the reemergence of symptoms following dietary indiscretion highlighted the significance of non-pharmacological approaches. The Family APGAR score indicated that the family was functioning at a moderate level, suggesting areas where communication and support could be improved. Our intervention focused on patient-centered education, emphasizing lifestyle modification, stress management, and promoting family support. This case demonstrates that acute gastritis in young adults frequently arises from alterable lifestyle factors. Effective management extends beyond simply prescribing medicine. It also includes teaching them about their condition, encouraging them to adopt healthy habits, helping them manage stress, and providing support from family and friends, all of which are important aspects of family medicine.

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