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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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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 63 Documents
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A Family Medicine Perspective on Knee Osteoarthritis, Diabetic Neuropathy, and Metabolic Syndrome in A 73-Year-Old Male Dwi Rahayu, Indriati; Norma Aini, Ilmania
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/aaa0v933

Abstract

This case report explores the complex interplay of knee osteoarthritis (OA), diabetic neuropathy, andmetabolic syndrome in a 73-year-old male, highlighting the challenges in diagnosis and management from a family medicine perspective. The coexistence of these conditions requires a holistic, patient-centered approach focusing on pain management, lifestyle modification, and family involvement to improve adherence and outcomes. This study highlights the importance of early detection andcomprehensive care to prevent severe complications, improve quality of life, and address the limitationsposed by OA on physical activity necessary for metabolic control.
52-Year-Old Male with Mature Cataract, Class II Obesity, and Grade II Hypertension with Genetic and Personal Behavior Risk Factors Dwi Rahayu, Indriati; Atha Erhansyah, Sadam
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/rgh28e29

Abstract

Background: The co-occurrence of cataract, obesity, and hypertension represents a complex challengein primary care, requiring a holistic management approach. This case examines a patient with theseinterrelated conditions and significant behavioral risk factors. Objective: To describe thecomprehensive management of a patient with mature cataract, Class II Obesity, and Grade 2Hypertension using a family medicine approach. Case: A 52-year-old male presented with progressivevision loss in his right eye over two years. Examination revealed mature cataract (OD vision 3/60),obesity (BMI 33.46 kg/m2), and hypertension (BP 164/94 mmHg). Risk factors included smoking,unhealthy diet, physical inactivity, and family history of hypertension. Management: Interventionsincluded surgical referral for cataract, dual antihypertensive therapy (amlodipine and lisinopril), andlifestyle modification for obesity. Family assessment revealed high functionality (APGAR score 10).Results: Cataract surgery improved visual acuity to 6/24. However, hypertension remaineduncontrolled (176/116 mmHg) at follow-up, while obesity management showed limited progress. Thefamily provided strong support throughout care. Conclusion: While targeted specialist interventionsuccessfully addressed the cataract, the persistence of uncontrolled hypertension and obesityunderscores the need for sustained, integrated management of multiple chronic conditions in primarycare, emphasizing continuous lifestyle modification and medication adherence.
Hypertension and Dysentery in Family Medicine : A Case Report Setijowati, Nanik; Cendhani, Cinantya
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/mw370k43

Abstract

Hypertension and dysentery are two common health problems encountered in primary care, especiallyin elderly patients. This case report presents a 68-year-old patient with a history of hypertension anddysentery, managed within the framework of family medicine. The management approach includedpharmacological, non-pharmacological, family, and environmental interventions. This case highlightsthe crucial role of family physicians in addressing biological, psychological, social, andenvironmental aspects of patient care.
A 61-year-old man with Lichen Simplex Chronicus, Rosacea, CVA Sequelae, Stage II Hypertension, Class II Obesity, and Psychological Stress with risk factors of Unhealthy Diet and Damp Environment Maharani, Aliyya; Kuntadi Syamsul Hidayat, Mohammad; Andarini, Sri
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/1gcf2e31

Abstract

Introduction: Neurodermatitis and rosacea are chronic dermatological conditions often triggered bypsychological and environmental factors. In patients with comorbid hypertension, obesity, and historyof stroke, management requires a holistic approach. Methods: A case report of a 61-year-old malewith complaints of itching on the left ankle and facial erythematous patches. Data were obtainedthrough history taking, physical and supporting examinations, as well as psychosocial and familyassessments. Results: The diagnoses established were neurodermatitis, rosacea, stage II hypertension,and CVA sequelae. The patient also presented with moderate anxiety based on the GAD-7 score.Comprehensive management included pharmacological therapy (topical hydrocortisone,antihypertensives, antiplatelet), non-pharmacological interventions (DASH diet, stress management,range-of-motion exercises), and family involvement to support adherence. After initial interventions,skin lesions improved and the patient reported better emotional control. Discussion: Family medicineprovides comprehensive care by integrating biomedical, psychological, social, and environmentalaspects. Family support plays a key role in improving treatment adherence and patient quality of life.Conclusion: This case emphasizes the importance of a multidimensional approach in family medicinefor patients with multiple chronic conditions.
Stress-Linked Tension Type Headache and Uncontrolled Diabetes: A Family Medicine Approach Firmaniyah, Ulfa; Dasa Novita, Khuznita; Hevy Purwaningtyas, Nuretha
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/qcxgcr98

Abstract

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Holistic Family Medicine Approach in Managing Bartholin’s Gland Abscess with Comorbid Type 2 Diabetes Mellitus, Hypertension, and Obesity Nur Rakhmani, Alidha; Fitri Adinda , Nadiva
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/v7e7kc30

Abstract

Background: Bartholin’s gland abscess is a localized vulvovaginal infection that may be complicated by systemic diseases such as diabetes mellitus, hypertension, and obesity. In family medicine, management requires a holistic and family-oriented approach. Objective: To describe a holistic family medicine approach in managing a patient with Bartholin’s gland abscess and chronic comorbidities. Methods: The family medicine framework was applied, analyzing biological, psychological, social, spiritual, and cultural aspects. Family-focused and community-focused interventions were designed to support comprehensive care. Results: Family involvement, especially from the spouse and children, was crucial to support adherence to therapy, diet, and lifestyle modification. Community interventions, including health promotion at Posbindu PTM and local health campaigns, reinforced prevention strategies. Conclusion: Holistic family medicine care is essential for patients with chronic comorbidities and recurrent infections. This approach integrates medical therapy, family support, and community engagement to improve outcomes.
A 50-year-old man with low back pain, type 2 diabetes mellitus, grade I hypertension, and dyslipidemia with occupational risk factors (private sector worker), unhealthy lifestyle, and genetics Izzatil Muslimah, Tsania; Setijowati, Nanik
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/tw7nvw64

Abstract

Background: Multiple chronic diseases such as diabetes, hypertension, dyslipidemia, and low backpain significantly affect quality of life. Family medicine provides a holistic management approach.Objective: To evaluate the implementation of a Family Health Care Project in a patient with multiplechronic conditions.Method: A case study was conducted on a 50-year-old male with low back pain, type 2 diabetesmellitus, grade I hypertension, and dyslipidemia. Data were collected through anamnesis, physicalexamination, laboratory tests, family assessment, and home visits. Interventions included education,pharmacological therapy, lifestyle modification, and a family conference.Results: The patient presented risk factors such as heavy physical work, unhealthy lifestyle, andfamily history. Findings included fasting blood glucose 192 mg/dL, random blood glucose 275mg/dL, total cholesterol 249 mg/dL, triglycerides 185 mg/dL, and blood pressure 149/95 mmHg. AFamily APGAR score of 8 indicated good family functioning. Interventions improved patient'sunderstanding but medication adherence remained low.Conclusion: The Family Health Care Project improved family support and patient understanding,although treatment adherence requires further strengthening.
Managing Coexisting Pulmonary Tuberculosis and Type 2 Diabetes Mellitus in a 52-Year-Old Woman: A Family Medicine Approach Jamilah, Faizatul; Rusnianah, Farida; Noor Pratami, Gia
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/gwgvmx90

Abstract

Tuberculosis (TB) and Type 2 Diabetes Mellitus (T2DM) are chronic conditions that often coexist and mutually worsen clinicaloutcomes. We report a 52-year-old widowed female, a beverage vendor, with a three-month history of productive cough, weightloss, and night sweats, and a 25-year history of poorly controlled T2DM. Random blood glucose ranged from 200–539 mg/dL, andGeneXpert MTB/RIF confirmed pulmonary TB. Psychosocial assessment revealed strong family support, though SCREEMidentified limitations in social, economic, and educational domains. Environmental risks included overcrowded housing, poorventilation, and daily smoke exposure. Management consisted of first-line anti-tuberculosis therapy (RHZE), oral hypoglycemicagents (metformin, glibenclamide), lifestyle counseling, sleep hygiene, and environmental modification, with her son serving as atreatment supporter. Two home visits reinforced adherence and lifestyle changes, though glycemic control remained suboptimal.This case demonstrates that a comprehensive family medicine approach integrating biomedical treatment, family engagement, andcontextual lifestyle interventions is essential for effective management of TB-DM comorbidity.
Comprehensive Family Medicine Approach in a 38-Year-Old Woman with Low Back Pain, Osteoarthritis, and Stage 1 Hypertension : A Case Report Mutiara, Ellya; Andarini, Sri
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/xnttej53

Abstract

Low back pain, osteoarthritis, and hypertension are common chronic conditions that frequentlycoexist and significantly reduce patients’ quality of life, particularly among women whose dailyactivities involve repetitive, ergonomically unfavorable tasks and poor lifestyle habits, compoundedby genetic predisposition. We report the case of a 38-year-old woman who presented with persistentlow back pain and knee joint pain for two weeks, which worsened in the last five days, in addition tohaving been diagnosed with hypertension two months earlier; physical examination revealed lumbarparaspinal tenderness, bilateral knee crepitus, and blood pressure of 144/90 mmHg, while laboratoryevaluation showed normal uric acid levels, and further assessment identified multiple risk factorsincluding overweight status, poor ergonomic posture during household chores, high sodium andcarbohydrate intake, and maternal history of hypertension. A holistic diagnosis was establishedconsisting of low back pain (M54.4), osteoarthritis of the knee (M17), and essential hypertensionstage 1 (I10), and management combined pharmacological therapy with diclofenac,glucosamine-chondroitin, and amlodipine alongside non-pharmacological interventions such asergonomic correction, structured exercise, dietary modification with the DASH diet, and familyinvolvement in reducing workload and supporting lifestyle changes. This case illustrates theimportance of comprehensive family medicine approaches that integrate biomedical, behavioral,social, and genetic aspects to improve patient outcomes and prevent complications.
Adhesive Capsulitis in the Elderly with Diabetes Mellitus and Hypertension: A Reflection of Multimorbidity and the Importance of Family-Centered Care Dasa Novita, Khuznita; Nur Cahyani, Aulia; Rico Abdul Karim, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/35dzm382

Abstract

Adhesive capsulitis is a common musculoskeletal disorder in older adults and is often associated withchronic diseases such as diabetes mellitus (DM) and hypertension (HT). A 76-year-old womanpresented with shoulder pain and restricted motion. She had type 2 DM with neuropathy and long-standing HT, with a family history of cardiovascular disease. Examination showed marked limitationof active and passive shoulder movement, consistent with the frozen stage of adhesive capsulitis. Thepatient received NSAIDs and physiotherapy, along with caregiver education on exercises, routinefamily screening for DM and HT, and reinforcement of self-care. Community interventions includedgroup exercise promotion, free health screenings, and counseling on chronic disease management.This case highlights the value of comprehensive management for adhesive capsulitis in elderlypatients, emphasizing family- and community-based interventions to improve adherence, preventcomplications, and maintain quality of life.

Page 6 of 7 | Total Record : 63

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