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Mukhlidah Hanun Siregar
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Tirtayasa Medical Journal
Published by Universitas Sultan Ageng Tirtayasa
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Nursing Public Health Other
Medical; Biomedical; Nursing; Nutrition and Food; Sport and health; Occupational Health; and Public Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 57 Documents
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PENATALAKSANAAN GIZI PADA PASIEN DIABETES MELLITUS TIPE 2 DENGAN CHF ET CAUSA HHD DI RSUD BANTEN Salsabila, Nur; Nuradhiani, Annisa; Ratnasari, Ratnasari
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31081

Abstract

Diabetes mellitus is a major chronic disease and a serious global health threat, ranking as the 9th leading cause of death worldwide. It results from an imbalance between insulin supply and demand, leading to glucose accumulation in the blood and potential complications. This case study aimed to plan and implement appropriate nutritional care for a patient with diabetes. The study used a descriptive method with a case study approach and was conducted over a period of three days. During the intervention, the patient's food intake gradually increased, although it had not yet reached the targeted level by the third day. A major challenge faced was the patient’s recurring nausea, which often led to incomplete meals. Despite efforts to motivate and encourage the patient to consume the provided meals, this issue persisted until the final day of care. Menu modifications were suggested based on the principles and dietary requirements of diabetes management. However, the patient was reluctant to accept changes in the food format and preferred to stick to familiar food textures and forms.
POTENSI NUTRASETIKAL SEBAGAI TERAPI PENDAMPING KANKER PAYUDARA: TELAAH SISTEMATIS Putri, Sefanadia; Siregar, Mukhlidah Hanun; Suryana, Suryana; Rimbawan, Rimbawan
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.29475

Abstract

Globally, breast cancer stands as the most common cancer and the leading cause of death for women. Currently, breast cancer treatment strategies focus more on the evaluation of clinical and pathological parameters rather than gene expression criteria. With advances in medical science and nutrition, great attention is being paid to foods and natural products that can improve health. Bioactive nutrients that provide protective benefits against breast cancer include polyphenols, retinoids, and polyunsaturated fatty acids (PUFAs). These compounds possess antioxidant, anti-inflammatory, immunomodulatory, and antitumor properties. Specific substances such as resveratrol, epigallocatechin 3-gallate, retinoids, and omega-3 PUFAs influence the characteristics of breast cancer and are involved in various cancer processes, including cell growth inhibition, inflammation, and angiogenesis.
LAPORAN KASUS BERBASIS BUKTI: PERBANDINGAN KEBERHASILAN STAPLER HEMORRHOIDOPEXY DALAM MENCEGAH KEKAMBUHAN PADA PASIEN HEMOROID Hardi, Firly Alfiza; Sasmita, Guruh Nata; Pradyaharini, Zahra Adinda; Syifa, Nazwa; Nafan, Nabila Utiya; Subadiyasa, I Made Arya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31751

Abstract

Latar Belakang: Wasir merupakan penyakit anorektal yang disebabkan oleh pelebaran dan peradangan pada vena anus. WHO melaporkan bahwa 54% dari populasi menderita wasir, dengan angka yang lebih tinggi di negara-negara maju karena pola makan rendah serat dan gaya hidup yang tidak banyak bergerak. Pada wasir derajat III, prolaps tidak kembali secara spontan dan seringkali memerlukan pembedahan. Hemoroidopeksi Stapler (SH) dinilai kurang nyeri dan memiliki pemulihan yang lebih cepat dibandingkan dengan hemoroidektomi konvensional, tetapi tingkat kekambuhannya masih diperdebatkan. Tujuan: EBCR ini membandingkan efikasi SH dan hemoroidektomi konvensional dalam mencegah kekambuhan wasir. Metode: Pencarian literatur dilakukan pada PUBMED, Cochrane, dan ProQuest dengan menggunakan kata kunci dan Operator Boolean. Penelitian yang dijelaskan merupakan RCT yang terkait dengan tingkat kekambuhan antara SH dan hemoroidektomi konvensional. Hasil: Penelitian menunjukkan bahwa SH memiliki tingkat kekambuhan yang lebih tinggi (18-25%) dibandingkan dengan hemoroidektomi konvensional (10-23%) dalam tindak lanjut 2-5 tahun. Namun, SH menyebabkan lebih sedikit nyeri pascaoperasi dan pemulihan yang lebih cepat, dengan pasien kembali beraktivitas dalam waktu 2 minggu. Sebaliknya, hemoroidektomi konvensional lebih menyakitkan tetapi lebih efektif dalam jangka panjang. Kesimpulan: SH lebih unggul dalam pemulihan yang cepat dan nyeri minimal, tetapi memiliki risiko kekambuhan yang lebih tinggi daripada hemoroidektomi konvensional. Pilihan prosedur harus mempertimbangkan efektivitas jangka panjang dan preferensi pasien.
HUBUNGAN PERAN PENDAMPINGAN SUAMI DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI SECTIO CAESAREA DI RSU AMIRA, PURWAKARTA Marlina, Ina; Afrina, Rina; Shifa, Nurul Ainul
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30661

Abstract

Preoperative anxiety is a common problem experienced by patients who will undergo surgical procedures, including Sectio Caesarea. This anxiety can have a negative impact on the physical and psychological condition of the patient. The role of husband's assistance is considered to provide a significant emotional and psychological role for patients. This study aims to determine the relationship between the role of husband's assistance and the level of anxiety of preoperative patients with sectio caesarea in the obstetrics room on the 2nd floor of Amira Hospital, Purwakarta in 2024. This study used a descriptive correlation design with a cross-sectional approach. The sample of this study was 50 patients who were going to undergo section caesarea surgery and met the inclusion criteria. Data were collected through the questionnaire on the role of husband's assistance and STAI. The results showed that there was a significant relationship between the role of husband's assistance and the level of anxiety of preoperative patients with sectio caesarea (r = -0.68, p <0.05. The role of husband's assistance has a significant relationship in reducing the level of anxiety of preoperative patients with sectio caesarea.
EFEKTIVITAS PENGGUNAAN HIGH VOLUME PERITONEAL DIALISIS DIBANDINGKAN DENGAN EXTENDED HEMODIALISIS PADA PASIEN DEWASA DENGAN ACUTE KIDNEY INJURY Nugroho, Muhammad Rachman; Susanto, Najla Syahira Bethari; Ramadhanty, Mutiara Sari Rizky; Izzulhaq, Arief; Fawza, Erinta; Trisnasari, Erni
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31760

Abstract

Acute Kidney Injury (AKI) merupakan kondisi cedera ginjal akut multifaktorial yang dapat menyebabkan penurunan fungsi ginjal secara tiba-tiba dan umumnya bersifat reversibel. AKI dengan kondisi seperti hiperkalemia berat dan tidak responsif, perikarditis uremik, dan edema paru membutuhkan terapi penggantian ginjal. Umumnya terapi penggantian ginjal yang digunakan adalah hemodialysis (HD), namun tidak semua pasien AKI dapat menjalani terapi HD. Gangguan hemodinamik seperti hipotensi berat dan dosis noradrenalin tinggi merupakan kontraindikasi penggunaan HD, sehingga pasien dengan kondisi tersebut memerlukan terapi alternatif berupa peritoneal dialysis (PD). Laporan kasus berbasis bukti ini memiliki tujuan untuk mengetahui efektivitas penggunaan PDdibandingkan dengan HD pada pasien AKI. Terdapat dua penelitian yang menunjukkan bahwa penggunaan High Volume Peritoneal Dialysis (HVPD)memiliki efektivitas yang sama dengan Extended Hemodialysis (EHD) dalam membantu pulihnya fungsi ginjal pasien AKI, sehingga penggunaannya dapat menjadi alternatif bagi pasien yang tidak dapat menjalani EHD. 
PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Abstract

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.
KEHAMILAN HETEROTOPIK DENGAN SYOK HIPOVOLEMIK – SEBUAH LAPORAN KASUS Putra, Novitrian Eka; Damayanti, Marshavina
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.29563

Abstract

Heterotropic pregnancy is refers to the coexistence of multifetus pregnancy in intrauterine and extrauterine simultaneously. It is a rare and life-threatening condition. The risks of heterotropic pregnancy accounts for 1 per 30.000 from natural conception. This case report presents a case of first trimester pregnancy diagnosed by Transabdominal Ultrasound with Culdocentesis technique and underwent salpingectomy procedure successfully. A 33 years old, multigravida with history of abortion lady at 9 weeks period of gestation was presented to the Maternity Emergency Room, at Banten Regional Public Hospital, by increasing abdominal pain for 4 days and nausea episodes with the presence of Chandelier Sign. Transabdominal ultrasound revealed a left adnexal mass at fallopian tube and presence of gestational sac intrauterine. Upon the examination, patient was hemodynamically unstable, tender on palpation and diffusely distended. The patient’s final diagnosis was 9 weeks heterotropic pregnancy with a live intrauterine fetus and rupture left ectopic pregnancy. Patient underwent an emergency laparotomy with salpingectomy procedure for presumed ruptured tubal ectopic pregnancy. Earlier time to diagnose rupture ectopic pregnancy gives a good maternal outcome and hence crucial in the management.
Lentigo Senilis (Solar Lentigo): Tinjauan Naratif tentang Epidemiologi, Patogenesis, Gambaran Klinis, Diagnosis, dan Penatalaksanaan Erika Agustianti; Luluk Hermawati; Nur Bebi Ulfah Irawati; Ratu Nadia; Firda Asma’ul Husna; Hilizza Awalina Zulfa
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.39252

Abstract

Lentigo senilis, also known as solar lentigo, is a common benign hyperpigmented lesion that is closely associated with chronic ultraviolet (UV) exposure and the skin aging process. Although non-malignant, lentigo senilis represents an important manifestation of photoaging and often causes cosmetic concerns, particularly among older individuals. This review aims to summarize current evidence regarding the epidemiology, pathogenesis, clinical characteristics, diagnostic approaches, and management of lentigo senilis using a thematic narrative review approach. A comprehensive literature search of major electronic databases identified relevant studies published between 2015 and 2025. The findings indicate that the prevalence of lentigo senilis increases significantly after the age of 50 years, particularly in individuals with cumulative sun exposure and lighter skin phototypes. The pathogenesis involves UV-induced melanocyte activation, dysregulation of melanogenesis signaling pathways, oxidative stress, and age-related decline in epidermal repair capacity. Clinically, lentigo senilis presents as flat, well-demarcated hyperpigmented macules on sun-exposed areas of the skin. Diagnosis is primarily established through clinical examination and dermoscopy to exclude malignant lesions with similar appearances. Management options include topical depigmenting agents, chemical peels, cryotherapy, laser-based therapies, and intense pulsed light, tailored to lesion characteristics and patient preferences. Preventive strategies emphasizing sun protection remain essential in reducing the incidence and progression of lentigo senilis.
Hubungan Tingkat Pengetahuan Dengan Sikap Lansia Dalam Pencegahan Osteoporosis di Desa Ketanjung Karanganyar Demak Mukhlishoh Mukhlishoh; Akhmad Safi&#039;i; Athi’ Linda Yani; Devin Prihar Ninuk
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.36382

Abstract

Osteoporosis is a common condition among the elderly that can be reduced through improved knowledge and a positive attitude toward prevention. This study used a quantitative cross-sectional design to examine the relationship between knowledge level and attitude toward osteoporosis prevention among elderly residents of Ketanjung Village, Karanganyar, Demak. A total of 64 participants meeting the inclusion criteria—female elderly, willing to participate, not in an emergency condition, registered at the community health center as osteoporosis patients, able to carry out activities independently, and fully conscious—were selected using purposive sampling. Exclusion criteria included absence during the activity or not being registered at the health center. Data were collected using a validated and reliable closed-ended questionnaire, and analyzed with the Chi-Square test. Results showed that 70% of respondents had good knowledge of osteoporosis prevention, and 61% had a positive attitude toward preventive measures. Statistical analysis revealed a significant relationship between knowledge and attitude (p = 0.02), indicating that higher knowledge levels are associated with more positive attitudes. These findings suggest that structured, ongoing health education can enhance awareness and promote positive behavior toward bone health in the elderly. The study’s limitations include its restriction to one village and a small sample size, so further research with larger, more diverse populations is recommended to improve generalizability.
Asuhan Keperawatan Pada Pasien Gout Arthritis Dengan Ketidakpatuhan Diet Rendah Purin Muazam Nurfai Hardiansyah; Agung Eko Hartanto; Heru Wiratmoko; Yustina Purwaningsih; Gandes Widya Hendrawati
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.32372

Abstract

Gout Arthritis is an acid formed due to purine metabolism in the body. Purine comes from foods containing protein. To maintain uric acid levels within the normal range, individuals must improve compliance with a low-purine diet supported by Health Education. The purpose of this study was to determine how nursing care is provided to gout arthritis patients with low-purine diet non-compliance. The research design was descriptive qualitative with a case study approach. Nursing interventions focused on diet education using leaflet media which showed a significant increase in the level of patient diet compliance, namely the compliance score increased from 2 (non-compliant) to 10 (compliant) within 7 days and resulted in a decrease in uric acid levels from 8.9 mg/dl to 5 mg/dl. The provision of this research education confirms that structured health education and appropriate educational media can improve diet compliance and health outcomes in gout arthritis patients.

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