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Penatalaksanaan Erisipelas pada Pasien Dewasa Usia 42 Tahun Melalui Pendekatan Dokter Keluarga Vermitia; Reni Zuraida
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.119

Abstract

Erysipelas is a relatively common infectious disease of the skin form of erythema which is clearly demarcated with elevated margins with signs of acute inflammation. The incidence of erysipelas in 2012 in Surabaya was 14 cases with the most cases in women and in the age group 45-64 years. Erysipelas is a disease that can be treated in primary health care facilities or general practice. But there are risk factors for this disease that cause frequent cases of recurrent erysipelas so that proper management is needed. This study is a case report which aims to identify internal and external risk factors and clinical problems in patients, as well as holistically manage patients by applying family doctors according to evidence based medicine through a patient centered approach and family approach. Primary data were obtained through history taking (autoanamnesis from patient and alloanamnesis from patient's family) physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Patient Mr. W age 42 years old has been diagnosed with erysipelas having concerns about health conditions that are considered to interfere with his work and daily activities. Limitations on the patient's knowledge of the disease (cause, mode of transmission, risk factors, treatment, and complications). In addition, patients pay little attention to personal hygiene, especially related to the risk of hygiene in their work. Holistic and comprehensive management of patients' problems Mr. W has been done by providing counseling to improve patient and family knowledge of erysipelas.
Pengaruh Pemberian Kalsium Terhadap Panjang Kranium Fetus Tikus Putih (Rattus Norvegicus) Setelah Pemberian Etanol Reni Zuraida; Nurlis Mahmud; Efrida Warganegara; Radinal Mauludi
JUKE Unila Vol 2, No 1 (2012)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.501 KB)

Abstract

Calcium is an essential element in the human body primarily on bone metabolism processes. Calcium is needed to activate the osteoblast in producing bone matrix. Calcium metabolism in human body could be inhibited by ethanol. Someone who consumes ethanol will suffer hypocalcemia. Consequently activating process of the osteoblast producing of bone matrix will be imbalanced and bone structure will be abnormal. The purpose of this study was to determine the effect of calcium supplementation on the length of white rat fetus cranium in organogenesis phase of Sprague Dawley strain that had been treated by ethanol. This study uses an experimental research design using 20 rats (Rattus norvegicus) of Sprague Dawley strain pregnant females aged 10-16 weeks which randomly selected were divided into five groups. The results showed that the average cranium length from analysis of one way ANOVA p value = 0.000. Post Hoc LSD cranium length with five groups compared with each other p = 0.000. Can be concluded that the existence of the effect of calcium supplementation on the length of white rat (Rattus norvegicus) fetus cranium that had been treated by ethanol
Penatalaksanaan Holistik pada Remaja Laki-Laki dengan Urtikaria Kronik Tanpa Angioedema et causa Rangsangan Fisik Veronica Debora; Reni Zuraida
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.241

Abstract

Urticaria is skin disease characterized by the sudden appearance of wheals and/or angioedema. Chronic urticarial is characterised by the recurrence of hives/angioedema for >6 weeks. The disease is a common and important clinical problem in care and treatment so that it becomes a diagnostic and therapeutic challenge. This study is a case report. Primary data obtained through history taking, physical examination, and home visits. Secondary data were obtained from the patient's medical record. At the first visit, the patient’s complaints were obtained which appeared reddish bumps on the neck, chest, back, both arms and thighs. Internal risk factors in patients are the lack of patient knowledge about the disease they are experiencing, as well as the causes/factorsat influence it and how to prevent the disease, curative treatment patterns, lifestyle: frequent swimming in the river during the day, bathing habits that are less clean and irregular . External risk factors for patients are families seeking medical treatment if complaints are already disturbing (hygiene around the outside of the house is lacking), neighborhoods and playgrounds in dense residential areas surrounded by rice fields. The second visit was an intervention with a family conference method using pictorial leaflet media. The third visit showed complaints of redness and red itching due to the patient taking loratadine 10 mg and dexamethasone 0.5 mg. Patients already have better lifestyle patterns such as maintaining personal hygiene and the environment. There is an increase in patient knowledge about the disease experienced, as well as the causes / factors that influence it and how to prevent the disease experienced, characterized by an increase in post-test scores by 6 points.
Penatalaksanaan Hiperkolesterolemia Dan Obesitas Grade II Pada Pasien Wanita Usia 47 Tahun Melalui Pendekatan Kedokteran Keluarga Ebti Rizki Utami; Reni Zuraida
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.75

Abstract

The prevalence of hypercholesterolemia in Indonesia at the age of 25-34 years is 9.3% and increases with age up to 15.5% at the age of 55-64 years. Hypercholesterolemia is generally found in women (14.5%) than men (8.6%). This case report aims to identify risk factors and patient clinical problems to improve the patient's quality of life and carry out holistic and comprehensive management based on Evident Based Medicine which is family-approach and patient-centered. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data were obtained from patient medical records. The assessment was carried out based on a qualitative and quantitative initial to final holistic diagnosis so that data were obtained in the form of a female patient aged 47 years, diagnosed with hypercholesterolemia and grade II obesity. Limited knowledge regarding the prevention of hypercholesterolemia and grade II obesity, foods that need to be avoided and the lack of motivation and family encouragement to bring patients to control their health regularly are factors that cause problems that occur in patients. Management in the form of simvastatin 1x10 mg and counseling about the patient's health condition. Then the evaluation was carried out by checking total cholesterol, the results of the pre-test 40 and the post-t test 80. There was an increase in the knowledge score including how to calculate ideal body weight, normal total cholesterol value in the body, normal value of BMI, and factors that cause increased cholesterol in the body. Management with a family medicine approach is proven to increase patient knowledge about their health condition and change their life behavior.
Pengaruh Status Gizi Terhadap Kejadian Anemia Pada Ibu Hamil Di Daerah Endemis Malaria Kabupaten Pesawaran Dian Isti Angraini; Efriyan Imantika; Reni Zuraida; Sofyan Musyabiq Wijaya
Jurnal Kedokteran Universitas Lampung Vol 4, No 2 (2020): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v4i2.2871

Abstract

Malnutrisi dan anemia pada ibu hamil merupakan masalah gizi yang masih sulit diatasi di seluruh dunia. Malnutrisi dan anemia bukan hanya berdampak pada ibu, tetapi juga pada bayi yang dilahirkan. Tujuan penelitian ini adalah mengetahui pengaruh status gizi terhadap kejadian anemia pada ibu hamil di daerah endemis malaria kabupaten Pesawaran. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain cross sectional. Penelitian dilakukan di kabupaten Pesawaran pada  bulan Mei sampai November 2019.  Sampel adalah 70 orang ibu hamil yang bersedia untuk berpartisipasi dalam proses penelitian dan tidak menderita penyakit keganasan, diabetes melitus dan TBC, yang diambil dengan teknik purposive sampling. Data anemia ibu hamil diukur dengan pemeriksaan kadar haemoglobin darah ibu dandata status gizi diperoleh dari pengukuran lingkar lengan atas. Data dianalisis secara univariat dan bivariat menggunakan Uji Chi Square. Hasil penelitian menunjukkan bahwa 32,9% responden menderita anemia dalam kehamilan, dan 22,9% memiliki status gizi malnutrisi. Hasil penelitian menunjukkan bahwa status gizi berpengaruh terhadap kejadian anemia ketika ibu hamil (p=0,02).Kata Kunci: anemia, ibu hamil, status gizi
Penatalaksanaan Anemia Defisiensi Besi Pada Laki - laki Usia 46 Tahun Melalui Pendekatan Kedokteran Keluarga Tasya Putri Atma Utami Raka; Reni Zuraida
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.40

Abstract

Anemia is one of the health problems in the whole world, especially in developing countries where an estimated 30% of the world's population suffer from anemia. The application of Evidence Base Medicine based services on adult male patients by identifying risk factors and clinical problems and management of patients based on the framework of problem solving and the patient centered approach and family approach. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Men aged 46 years, who had been diagnosed with Iron deficiency Anemia had a fear that their complaints would get worse and not improve because after a laboratory examination of Hb patients was 9.8 gr / dl. Limited knowledge about the patient's health conditions in the form of factors that cause anemia, complications from anemia, prevention of anemia, foods that need to be avoided as well as lack of motivation and family encouragement to bring control patients to the nearest health care facility.After a family physician approach is made to anemic patients, there is a change in knowledge about anemia.
Penatalaksanaan Rheumatoid Arthritis Pada Petani Wanita Usia Lanjut Melalui Pendekatan Kedokteran Keluarga Nailul Azizah; Reni Zuraida
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.228

Abstract

Rheumatoid Arthritis (RA) is an autoimmune disease characterized by erosive, symmetrical synovitis and requires long-term treatment so family support is needed in its management. This study is a case report. Primary data obtained through history taking, physical examination, and home visits. Secondary data were obtained from the patient's medical record. At the first visit, the patient's complaint was pain in the proximal interphalangeal joint (PIP) digital I-V dextra et sinistiti. Internal risk factors namely lack of knowledge about the causes of RA, precipitating factors, how to deal with acute symptoms, diet and exercise are recommended. External risk factors in patients are families who pay less attention to diet and exercise recommended to patients and do not use shoes and waterproof gloves and do repetitive movements without resting when farming. The second visit was to be intervened with the family conference method using poster media. The third visit found complaints of reduced joint pain because the patient took piroxicam 10 mg and applied liniment to the painful location. Patients have been consuming fruit and milk regularly and exercising muscle stretches three times a week for 30 minutes. Families remind diet and exercise accordingly. When farming use shoes and waterproof gloves and rest between repetitive movements. There is an increase in patient knowledge about the causes, precipitating factors, how to deal with acute symptoms, diet, and exercise that is appropriate for RA, characterized by an increase in post-test scores of 40.
Penatalaksanaan Diabetes Mellitus Tipe 2 Dengan Hipertensi Grade 1 Pada Perempuan Usia 50 Tahun dengan Pendekatan Kedokteran Keluarga Nisa Arifah; Reni Zuraida
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.37

Abstract

Indonesia is the 7th country with the highest prevalence of diabetes,90% of patients who suffer from diabetes mellitus (DM) throughout the world are DM type 2. Preparation of Medical Base Evidence-based tasks in male patients with risks and problems as well as patient management based on patient responsibility and centralized and family patient approach. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination, and home visits. Secondary data obtained from the patient's medical records. Assessment is based on diagnosis from the beginning, process, and end of qualitative and quantitative studies. Mrs. W 50 years old patient was diagnosed with Diabetes Mellitus Type 2 accompanied by hypertension. Patients have aspects of internal risk in the form of patients having a poor diet, patients having poor lifestyle, lack of knowledge of patients about controlling and monitoring DM, family history factors of hypertension, and patients' curative treatment. External aspects of the family psychosocial risk in the form of a lack of understanding of the patient's disease, as well as patient family members less motivating patients to maintain a regular diet according to the DM diet, controlling blood sugar and blood pressure, and regular treatment. Holistic management with a family doctor approach can improve knowledge, attitudes, and behavior in patients. Also, the role of the family is very important in the care and treatment of sick family members.
Perbedaan Kepuasan Pasien Peserta Askes Di Puskesmas & Praktek Dokter Keluarga Sebuah Balai Pengobatan Swasta Di Bandar Lampung - Sulyaprilawati; Reni Zuraida
JUKE Unila Vol 2, No 1 (2012)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.602 KB)

Abstract

Patient's satisfaction or consumer's satisfaction is one of the few indicators to measure the quality of health's services by using satisfaction measurement's survey. The aim of this research are to know the difference health satisfaction's level and the difference of health service's satisfaction of insurance participant patients (askes) at The Executive Health Service 1st Stage Puskesmas and family's doctor practice Clinical Centre in Bandar Lampung. This research is using escriptive-comparative method with cross sectional approach and accidental sampling. The sample consisted of 100 health insurance patients at public health centre and 99 patients at family's doctor practice. The analysis of this research is looking for the difference of mean's value statistically. To find out the difference meaning of value mean, this research is using Mann-Whitney U test as hypothesis's test. The result of the research showed that the difference health satisfaction's  level of insurance patients between The Executive Health Service 1st Stage public health centre and family's doctor practice is in the range enough until good (mean for the answer = 3,35 dan 3,46), there are differences satisfaction to the doctor's service factor and to the access of health's service factor (p = 0,002 dan p = 0,000), then there are no differences satisfaction to the physical movement factor and administration's service factor (p = 0,126 dan p = 0,112)
Penatalaksanaan Holistik Ulkus Kaki Diabetik Melalui Pendekatan Kedokteran Keluarga Ananda Christie Angelin; Reni Zuraida
Medula Vol 12 No 1 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i1.449

Abstract

Diabetes mellitus (DM) has reached epidemic proportions worldwide, Indonesia is the sixth ranked country in the world. Diabetes with complications is the third highest cause of death in Indonesia. This study applies a holistic and comprehensive family doctor service by identifying risk factors, clinical problems and patient management based on Evidence Based Medicine with a patient centered approach and a family approach in cases of diabetes with complications of diabetic foot ulcers. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family), physical examination and home visits. Patient Mrs. K, 56 years old, was diagnosed with Diabetic Foot Ulcers and Type 2 Diabetes Mellitus. The patient has limited support and knowledge of the family about the patient's disease and its complications as well as the pattern of curative treatment. Holistic and comprehensive management of Mrs. K has been carried out to increase the knowledge of patients and families about DM with complications.