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Essentia: Journal of Medical Practice and Research
Published by CV SCRIPTA INTELEKTUAL MANDIRI
ISSN : 31234100     EISSN : 31234097     DOI : 10.65310
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Essentia: Journal of Medical Practice and Research is a peer-reviewed scientific journal that focuses on the dissemination of high-quality research in the fields of medical practice and health sciences. It serves as an open platform for clinicians, researchers, healthcare practitioners, and academics to publish innovative studies, clinical findings, and theoretical contributions that address current challenges in medical practice and healthcare systems. The journal welcomes manuscripts in areas such as internal medicine, surgery, pediatrics, public health, nursing, pharmacy, biomedical sciences, medical education, and other interdisciplinary health fields. All submissions undergo a rigorous double-blind peer-review process to ensure academic integrity and scientific excellence.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 86 Documents
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Penerapan Terapi Ankle Pump Exercise Dengan Elevasi Kaki 30 Derajat terhadap Derajat Edema pada Pasien Gagal Ginjal Kronik di Rs Roemani Muhammadiyah Semarang Siti Kurniatun; Rahayu Winarti
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/ybk1xg52

Abstract

Chronic kidney disease is frequently associated with fluid imbalance leading to peripheral edema, which negatively affects patient comfort and functional capacity. This study aimed to evaluate the effectiveness of ankle pump exercise combined with 30° leg elevation in reducing edema severity among patients undergoing hemodialysis. An empirical case study design with a one group pretest–posttest approach was applied to five patients diagnosed with chronic kidney disease and lower extremity edema at Roemani Muhammadiyah Hospital, Semarang. Data were collected through structured clinical observation using standardized edema grading before and after a three-day intervention protocol consisting of dorsiflexion and plantarflexion movements followed by leg elevation. The findings demonstrated a consistent reduction in edema degree across all participants, with clinical improvement observed both in measurement scale and categorical severity. The results suggest that the intervention facilitates venous return and reduces interstitial fluid accumulation through mechanical and gravitational mechanisms. This study highlights the clinical relevance of simple, non-pharmacological interventions as supportive strategies in managing edema among chronic kidney disease patients.
Cardiovascular Disease Risk Score Correlates with Glomerular Filtration Rate in Hemodialysis Patients: A Cross-Sectional Pilot Study Nabil Hajar; Bintang Adhiyoso Wicaksono; Zulfachmi Wahab; Shofa Chasani; Galih Prakasa Adhyatma; Nabila Nuralya Joveazhari; Zeidan Ahmad Fahdalhaq
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/2v7hr182

Abstract

Chronic kidney disease is closely linked to an elevated risk of cardiovascular morbidity and mortality, particularly among patients undergoing hemodialysis. This study aimed to examine the relationship between cardiovascular disease risk scores and renal function using an empirical cross-sectional design. A total of 72 eligible patients receiving hemodialysis were assessed using the World Health Organization Risk Prediction Chart for Southeast Asia Region B to estimate 10-year cardiovascular risk. Renal function was evaluated using the Cockcroft–Gault equation to determine glomerular filtration rate values. Descriptive analysis demonstrated a predominance of high cardiovascular risk categories alongside severely reduced renal function. Inferential analysis using the Spearman rank correlation test revealed a statistically significant inverse relationship between cardiovascular risk score and glomerular filtration rate (r = -0.637; p = 0.000). These findings indicate that higher cardiovascular risk is associated with more severe renal impairment. The results support the integration of cardiovascular risk assessment into routine clinical evaluation of patients with chronic kidney disease undergoing hemodialysis to improve early risk stratification and management strategies.  
Upaya Penanganan Tinea Corporis dan Obesitas Grade II pada Pasien Perempuan Usia 50 Tahun melalui Pendekatan Kedokteran Keluarga di Puskesmas Nisam Kabupaten Aceh Utara Yolanda Agtari; Noviana Zara
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/3k7dax06

Abstract

Tinea corporis represents a common superficial dermatophyte infection in tropical regions, often exacerbated by behavioral, environmental, and metabolic risk factors. This study aimed to comprehensively analyze the management of tinea corporis with grade II obesity in a 50-year-old female patient using a family medicine approach at a primary healthcare facility. The study employed an empirical descriptive case report design integrating clinical findings, structured anamnesis, physical examination, and home visit assessment to identify multidimensional determinants of disease. Results demonstrated chronic pruritic annular lesions with characteristic scaling and central healing, supported by stable vital signs and absence of systemic involvement. Behavioral factors such as habitual scratching, shared personal items, and limited health literacy were identified alongside environmental contributors including household density. Obesity further influenced disease persistence through increased skin moisture. A comprehensive intervention combining antifungal therapy and family-based education improved disease management outcomes. The findings highlight the importance of integrating clinical, behavioral, and familial dimensions to enhance therapeutic effectiveness. The family medicine approach provides a strategic framework for addressing chronic dermatological conditions through holistic, patient-centered care.
Upaya Penanganan Hipertensi Stage 1 Pada Pasien Perempuan Usia 38 Tahun Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Nisam Kabupaten Aceh Utara Aida Fitri Harahap; Noviana Zara
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/gvd5t305

Abstract

This study aimed to analyze the implementation of a family medicine approach in managing stage 1 hypertension in a 38-year-old female patient at a primary healthcare facility. The research employed an empirical case report design with a qualitative descriptive approach, integrating clinical assessment, behavioral evaluation, and family-based analysis. Data were collected through in-depth anamnesis, physical examination, home visits, and the use of family medicine instruments, including genogram, APGAR, and SCREEM. The findings demonstrated that comprehensive management combining pharmacological therapy, lifestyle modification, and family involvement contributed to improved blood pressure control and enhanced patient adherence. Behavioral changes were observed in dietary patterns, physical activity, and stress management, supported by strengthened family support systems. The integration of patient-centered care and contextual family assessment enabled more sustainable health outcomes compared to conventional approaches. These results highlight the importance of holistic, continuous, and family-oriented care in managing hypertension at the primary care level, particularly among productive-age patients with modifiable risk factors and complex psychosocial backgrounds.
Pemberdayaan Masyarakat dalam Pencegahan Hipertensi dan Peningkatan Sanitasi Lingkungan melalui Pendekatan Community Organizing Fransisca Andina S.W; Nurdiana; Tulasih; Vitanilisia W; Dwi Retnaningsih
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/etxwdd16

Abstract

This study examines the effectiveness of a community organizing approach in strengthening community empowerment for hypertension prevention and environmental sanitation improvement in a rural setting. A quasi-experimental community-based design was applied in Banjarsari Village, involving approximately 80 purposively selected participants from a population of 217 residents. Data were collected through structured questionnaires, observational checklists, and semi-structured interviews, and analyzed using descriptive-comparative and thematic approaches. The findings indicate a substantial increase in health knowledge, with post-intervention scores exceeding the predefined success threshold. Behavioral changes were observed in improved sanitation practices, particularly in waste management and clean living habits at the household level. Moreover, the intervention significantly enhanced community participation and fostered local initiative, as reflected in increased engagement and the emergence of self-managed health activities. The integration of social interaction, collective decision-making, and participatory facilitation contributed to the internalization of health values and sustainability of outcomes. These results suggest that community organizing serves as an effective strategy in addressing public health challenges through a holistic and participatory framework.
Pengaruh Afirmasi Diri terhadap Tingkat Kecemasan pada Pasien Pre Operasi Sri Saptiningsih; Endang Supriyanti
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/t4t3ep78

Abstract

Anxiety is a common psychological response experienced by preoperative patients, arising from concerns about surgical outcomes, pain, potential complications, and fear of death. This condition can affect both physiological and psychological stability and may hinder the recovery process. One simple intervention to reduce anxiety is self-affirmation, a cognitive-behavioral approach that utilizes positive statements. This study aims to analyze the effect of self-affirmation on anxiety levels among preoperative patients in the Mawar ward of RSUD Kajen. The study employed a pre-experimental method with a pretest-posttest design. A total of 60 respondents were selected using purposive sampling. The instruments used included a standard operating procedure (SOP) for self-affirmation and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon test. The results showed that all respondents experienced moderate anxiety before the intervention, which decreased after self-affirmation to mild anxiety (16.7%) and moderate anxiety (83.3%). Statistical analysis indicated that all respondents experienced a reduction in anxiety (negative rank = 60) with a p-value of 0.000 (p < 0.05). It is concluded that self-affirmation is effective in reducing anxiety among preoperative patients.

Page 9 of 9 | Total Record : 86

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