JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987

Permainan Kartu Sehat sebagai Edukasi Untuk Pencegahan Stunting Fase 10-14 Tahun Program 8000 HPK

Sofiyetti Sofiyetti — 2024-12-02

8000 HPK is a continuation of the 1000 HPK concept which requires full attention to children and adolescents to prevent stunting. Games are one method of nutrition education that is effective in increasing children's knowledge about the importance of balanced nutrition. This research aims to determine the increase in nutritional knowledge using the Healthy Card Game method at SDIT An Nahl, Jambi City as one of the interventions for nutritional problems in school age children in the 10-14 year phase in accordance with the 8000 HPK program to prevent stunting in children, pre-teens and teenagers. The method in this research is Quasi Experimental by comparing the results before and after intervention through pre and post tests. Students are given nutrition education through healthy card games. The respondents in this research were all students at SDIT An Nahl, Jambi City, who were taken as a probability sample. The data obtained will be analyzed statistically using the Wilcoxonn test. The mean value is different between students' knowledge between the pretest and posttest. The research results showed that the average knowledge score before and after the intervention had increased by 1.19 points. With a mean before intervention of 8.03 points and after intervention of 9.22 points. Test analysis using T-Test on Pretest and Posttest respondents. The results of data testing showed a p value = 0.000 <0.05. The research conclusion was that there was a significant difference in knowledge between knowledge before and after the balanced nutrition educational intervention with healthy card games.

Dampak Stunting Terhadap Kesehatan Anak: Narrative Review

La Ode Alifariki — 2024-12-02

Stunting in children is a global public health problem that has a significant impact on physical, cognitive and social development. This research analyzed ten studies that examined the relationship between stunting and various aspects of child development, including cognition, motor skills and behavior. The research methods used varied, including cohort studies, case-control studies, and cross-sectional designs, with populations consisting of children under seven years of age in various countries. The results showed that children who were stunted had lower cognitive and motor scores compared to non-stunting children. Additionally, environmental factors, such as maternal education and perinatal conditions, contribute significantly to developmental outcomes. This research emphasizes the need for integrated early intervention to prevent stunting and support children's optimal development. Although this study provides important insights, limitations in design, sample size, and unmeasured variables must be noted. These findings underscore the importance of policies that support child nutrition and health to improve long-term well-being

PENGETAHUAN REMAJA TERHADAP PERILAKU SEKS PRANIKAH PADA SISWA DI SMAN 6 PUNTEUT KOTA LHOKSEUMAWE

Elvieta Elvieta — 2024-12-02

Premarital sexual behavior is a complex public health problem, influenced by various factors such as knowledge, social norms, and group pressure. It is hoped that sufficient knowledge about sex can influence a person's sexual behavior, but the relationship between the two still needs to be explored further. This study aims to test whether there is a significant relationship between knowledge about sex and pre-marital sexual behavior. This study used a cross-sectional design with a sample consisting of young adult individuals. Data was collected through a questionnaire that measured the respondent's level of sexual knowledge and pre-marital sexual behavior. Statistical analysis was carried out using a correlation test to determine the relationship between knowledge and behavior. The results of statistical tests show that there is no significant relationship between knowledge and pre-marital sexual behavior (p-value > 0.05). Even though respondents have sufficient knowledge about sex, factors other than knowledge, such as social pressure, group norms, and psychological and emotional aspects, influence their sexual behavior more. Sufficient knowledge about sex is not enough to be the main determining factor in changing premarital sexual behavior. These results indicate the need for a more complex approach in addressing the issue of pre-marital sexual behavior, involving social, psychological and emotional factors in addition to increasing knowledge

Hubungan Antara Kejadian Ketuban Pecah Dini (KPD) pada Ibu Bersalin dengan Kejadian Asfiksia di Puskesmas Bantarujeg Kabupaten Majalengka

Iis Iis — 2024-12-05

Premature rupture of membranes (PROM) is the rupture of the membranes before the labor process takes place. PROM is one of the factors causing neonatal asphyxia. Neonatal asphyxia occurs due to disruption of O2 exchange from the mother to the fetus. This study aims to determine the Relationship Between the Incidence of Premature Rupture of Membranes (PROM) in Mothers Giving Birth and the Incidence of Asphyxia in the Bantarujeg Health Center Work Area, Majalengka Regency. The research design used analytical and cross-sectional designs. Data collection in this study used delivery report data using a checklist. Sampling used a random sampling technique using a sample of 78 respondents of fertile women. Data processing in the study used univariate analysis and bivariate analysis with the Pearson Chi-Square Statistical test method. The results of the study showed that out of 78 respondents, 22 people (28.2%) experienced PROM, 24 newborns (30.8%) experienced asphyxia and a p value of 0.001 <0.05 was obtained. It is concluded that there is a relationship between Premature Rupture of Membranes (PROM) in Women Giving Birth and Asphyxia Incidents. It is expected that health workers, especially midwives, will participate more actively in providing holistic care to women about Premature Rupture of Membranes both during primary obstetric services and collaboration.

PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK (PPIA) MELALUI PENINGKATAN PENGETAHUAN DAN SIKAP IBU HAMIL DI PUSKESMAS KUTA II BADUNG

Kadek Primadewi — 2024-12-05

Latar belakang: Rekomendasi dari WHO bahwa pada dasarnya semua ibu hamil sebelum melakukan persalinan harus ditawarkan tes HIV untuk mencegah penularan pada bayi, yang dilakukan oleh tenaga kesehatan pada saat konseling kehamilan. Tujuan: Untuk mengetahui pengaruh promosi kesehatan terhadap pengetahuan dan sikap ibu hamil tentang pencegahan penularan HIV dari Ibu ke Anak di Puskesmas Kuta II Badung. Metode: Penelitian ini menggunakan metode kuantitatif komparatif, dengan total responden 40 ibu hamil yang memeriksakan kehamilan di Puskesmas Kuta II. Pengambilan responden dengan total sampling. Analisis dilakukan dengan Paired Sample T-test. Hasil: Hasil yang didapatkan dari total 40 responden yaitu, pada uji pengetahuan diperoleh korelasi sebesar 0,515 (korelasi kuat) dengan signifikansi 2-tailed 0,000 (sig. ≤ 0,005) dan pada uji sikap diperoleh korelasi sebesar 0,525 (korelasi kuat) dengan signifikansi 2-tailed 0,005 (sig. ≤ 0,005). Kesimpulan: Terdapat perbedaan yang signifikan antara pretest dengan posttest tingkat pengetahuan dan sikap ibu hamil terhadap pencegahan penularan HIV dari Ibu ke Anak (PPIA) di Puskesmas Kuta II.

PERANAN STATUS GIZI SEBAGAI UPAYA PENCEGAHAN RISIKO STUNTING SEJAK MASA REMAJA MELALUI “GERMAS PEDULI STUNTING” DI DESA CADASKERTAJAYA KABUPATEN KARAWANG

Riska Setiawati — 2024-12-05

Background: The direct factors of stunting are lack of nutritional intake and the presence of infectious diseases, while the indirect causes include maternal nutritional factors during adolescence, before, and during pregnancy, which can contribute to fetal growth, potentially resulting in a baby being born with malnutrition.

Objective: Nutritional status is a variable in this research. This study aims to determine the role of nutritional status in stunting prevention by examining the relationship between education, behavior, and knowledge of young women.

Method: This study is an observational analytical research using a cross-sectional design. The sample was selected using simple random sampling from all unmarried female teenagers aged 12-24 years, totaling 45 participants. Data were collected using a questionnaire.

Results: The results showed that most of the BMI of female adolescents was in the normal category. Statistical tests indicated a p-value of 0.004, revealing a significant difference in the proportion of BMI between respondents with poor and good stunting prevention behaviors. A p-value of 0.652 indicated no significant difference in the proportion of BMI between respondents with poor and good knowledge of stunting prevention. Additionally, a p-value of 0.015 showed a significant difference in the proportion of BMI between respondents with primary and secondary education.

Conclusion: Habits acquired during adolescence can have a significant impact on behavior. Increasing the knowledge of female adolescents should be further enhanced through health approaches and education.

HUBUNGAN PEMBERIAN MAKANAN TAMBAHAN DENGAN KENAIKAN BERAT BADAN BALITA GIZI KURANG DI KEC. KEDAMAIAN KOTA BANDAR LAMPUNG TAHUN 2021

Tuti Mariyani — 2024-12-05

Indonesia's most important capital for intelligent human resources, productive, especially healthy to support the country's developmentsuccess. The nutritional disorders case of pregnant women, infants and toddlers is a problem that must be handled seriously. The purpose of study was to find out the relationship between supplementary feeding and weight gain of undernourished toddlers in the District of Peace, Bandar Lampung City in 2021. This study used a quasi-experimental design in a one group before and after design on the target of undernourished toddlers with an intervention in the form of supplementary feeding. In this study, the population was all undernourished children under five in the Peace District, the working area of the Satellite Inpatient Health Center who received additional biscuits in June 2021 as many as 31 children. Data were collected through interviews, observation and weighing. The results of the study after PMT showed that 19 (61.3%) underweight children under five experienced weight gain. 17 toddlers consume PMT well, and 14 toddlers consume PMT not well. The results of the statistical test analysis using the Chi-square method obtained a p value of 0.000 at alpha = 0.05, meaning that the relationship was in the provision of additional food with weight gain for undernourished children under five in the Peace District of Bandar Lampung City in 2021.

Gawat Darurat Medik dan Kesehatan Masyarakat: Literatur Review

Handi Rustandi — 2024-12-06

Public health emergencies, such as pandemics and natural disasters, have become global challenges that impact various aspects of preparedness, mental health, and health system management. Research shows that mental health support for medical personnel is crucial in reducing stress and burnout which can reduce the effectiveness of services during a crisis. Additionally, efficient communication with the public contributes significantly to increased understanding and compliance with emergency policies. Efficient medical logistics management has proven crucial for timely distribution of aid in the field. There is a need for an integrated approach that combines mental support, logistics and public communication to build a more resilient health system. However, limitations in design, variation in sample size, and measurement methods indicate the need for additional, more comprehensive research

PENGETAHUAN, SIKAP DAN PERILAKU MASYARAKAT DALAM PENCEGAHAN DEMAM DENGUE DI DESA KAWASI HALMAHERA SELATAN

Tuthanurani Nachrawy — 2024-12-06

Dengue hemorrhagic fever (DHF) is a viral infectious disease that the Aedes aegypti mosquito spreads. South Halmahera Regency is one of the endemic areas for DHF in North Maluku Province. Data from the South Halmahera Regency Health Office reveals DHF data for January-April 2024. According to the data, the cause of the disease is mosquito bites, and it has reached 26 cases. Children dominate the sufferers. The incidence of DHF can be reduced by breaking the chain of transmission of the DHF virus by improving the quality of environmental sanitation, reducing the population of Aedes Aegypti mosquitoes as vectors of DHF and preventing it. This study aims to investigate the community's knowledge, attitudes, and behaviour regarding DHF prevention, highlighting the need for increased awareness and proactive action. The research method, a descriptive study conducted in Kawasi Village, Central Halmahera Regency, was chosen for its ability to provide a comprehensive understanding of the community's perspectives on DHF prevention. This study involved 35 respondents selected through non-random purposive sampling with a cross-sectional approach

PENGARUH EDUKASI KESEHATAN AUDIO VISUAL BERTUTUR BAHASA MADURA TERHADAP SELF EFFICACY IBU TENTANG PRAKTIK MENYUSUI DAN MAKANAN PENDAMPING ASI

ULVA NOVIANA — 2024-12-07

Kejadian balita pendek atau stunting masih menjadi permasalahan global yang dialami oleh balita di dunia, termasuk Indonesia. Hasil studi pendahuluan 10 ibu yang memiliki bayi 6-12 bulan didapatkan bahwa 7 (70%) memiliki self afficacy rendah dalam pencegahan stunting. Tujuan penelitian adalah menganalisis perbedaan self efficacy ibu tentang praktik menyusui dan PMT antara kelompok perlakuan dan kelompok kontrol.

Metode penelitian ini menggunakan Quasy-experiment pretest-posttest with control group design. Variabel independent promosi kesehatan melalui audiovisual bertutur bahasa Madura sedangkan variabel dependent Self afficacy ibu tentang praktik menyusui dalam pencegahan stunting. Jumlah populasi sebanyak 72 berupa ibu yang memiliki bayi usia 6-12 bulan di Desa Jaddih, dengan sampel 32 responden. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan dalam penelitian adalah kuesioner self efficacy ibu dalam praktik menyusui dan self efficacy ibu dalam pemberian makanan tamabahan pencegahan stunting. Uji statistik menggunakan uji paired t-test dan independent t-test dengan α 0,05.

Hasil penelitian ada perbedaan self efficacy ibu anatara kelompok yang diberikan edukasi kesehatan melalui audio visual bertutur Bahasa Madura tentang praktik menyusui dengan kelompok yang tidak diberikan, ada perbedaan self efficacy ibu anatara kelompok yang diberikan edukasi kesehatan melalui audio visual bertutur Bahasa Madura tentang pemberian makanan tambahan dengan kelompok yang tidak diberikan.

Tenaga kesehatan maupun calon tenaga kesehatan mendalami program mengatasi masalah stunting di Indonesia, dengan memanfaatkan media audiovisual bertutur Bahasa Madura yang mudah dipahami oleh ibu sebagai salah satu media dalam melakukan promosi kesehatan dalam pencegahan stunting

Pengaruh Pemberian Puding Daun Kelor Terhadap Produksi ASI Ibu Nifas 4-10 Hari

Irma Mulyani — 2024-12-07

Latar Belakang. Ketidakcukupan produksi ASI sebagai salah satu faktor yang menyebabkan kegagalan pemberian ASI eksklusif mempengaruhi ibu melakukan pemberhentian dini dalam menyusui. Dalam pemberian ASI ibu nifas sering mengalami kendala. Salah satunya adalah produksi ASI yang tidak lancar. Daun kelor mengandung laktagogum untuk meningkatkan volume produksi ASI pemberian daun kelor dapat meningkatkan prolactin dan volume ASI.

Tujuan Penelitian. Untuk mengetahui Pengaruh pemberian puding daun kelor terhadap produksi ASI ibu nifas 4-10 hari.

Desain Penelitian. Menggunakan desain quasi experiment one group pre test and post test design. Dengan sampel ibu nifas 4-10 hari berjumlah 30 orang menggunakan teknik purposive sampling. Uji yang digunakan uji t berpasangan.

Hasil Penelitian. Produksi ASI sebelum diberikan puding daun kelor rerata sebesar 61,33 cc dan produksi ASI setelah diberikan puding daun kelor rerata sebesar 183,67 cc. Terdapat pengaruh pemberian puding daun kelor terhadap peningkatakan produksi ASI secara signifikan dengan p value 0,000 < 0,05.

Simpulan. Terdapat pengaruh pemberian puding daun kelor terhadap produksi ASI ibu nifas 4-10 hari .

Hubungan Pengetahuan Dan Sikap Dengan Perilaku Higiene Perorangan Penjamah Makanan Pada Penyelenggaraan Makanan Pasien Covid-19 di Instalasi Gizi RSUD. DR. H. Abdul Moeloek Provinsi Lampung

Dwi Novrita Yudiana — 2024-12-07

Mayoritas kasus pencemaran makanan diakibatkan dari kurangnya perhatian pada praktik kebersihan dan sanitasi oleh para penanggung jawab pada proses memproses, memasak, dan menyabilan makanan. Data WHO pada 2019, kisaran 600 juta kasus penyakit diakibatkan dari makanan terjadi setiap tahun di seluruh dunia. Data perilaku higiene di Instalasi gizi RSUD. DR. H. Abdul Moeleok Provinsi Lampung tahun 2019 didapat perilaku higiene perorangan petugas penjamah makanan masih sangat kurang, dimana hanya yakni 16,6% perilaku yang patuh dalam memakai APD lengkap.

Jenis studi iniialah kuantitatif. Populasi di studi iniSeluruh petugas yang berhubungan langsung dalam penyelenggaraan makanan pasien Covid di Instalasi Gizi RSUD. Dr. H. Abdul Moeloek Bandar Lampung yang berjumlah 36 pegawai yang terdiri dari tenaga persiapan, pengolahan dan distribusi makanan berjumlah 29 orang dan 7 orang ahli gizi, memakai teknik total sampling. Analisis memakai uji chi square dengan taraf kesalahan 5%.

Hasil analisis univariat diperoleh pengetahuan tenaga penjamah makanan terkait hygiene perorangan seuntukan besar termasuk dalam kategori baik yakni yakni 31 orang (86,1%), Sikap baik yakni 30 orang (83,3%) dan perilaku positip yakni 30 orang (83,3%). Hasil analisis bivariate diperoleh adanya hubungan pengetahuan (p-value = 0,024) dengan perilaku hygiene perorangan penjamah makanan dan juga ada korelasi sikap (p-value = 0,03) dengan perilaku higiene perorangan penjamah makanan di Instalasi Gizi. Saran untuk manajemen supaya lebih mengintensifkan pembinaan pada tenaga pengolah makanan dengan diberi pelatihan dan pendampingan guna lebih tingkatkan pengetahuan, sikap serta perilaku

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STUNTING PADA BALITA USIA 24-59 BULAN DI WILAYAH KERJA PUSKESMAS RAWAT INAP GEDONG TATAAN KAB. PESAWARAN TAHUN 2021

Yulies Fitriani — 2024-12-07

Stunting is still a nutritional problem during the growth and development of children in Indonesia, which describes chronic undernutrition status during growth and development since early life. The nutritional status prevalence of stunting for under-five-year-old children in Pesawaran district in 2018 was 27.49%. Sixty eight children under five was discovered in Inpatient Health Center of Gedong Tataan subdistrict. This study aims to determine the factors that influence stunting in toddlers aged 24-59 months in the working area of the Gedong Tataan Inpatient Health Center.

This is an observational study with a case control design using secondary data from the mother's KIA (Mother and Child Health) book and primary data through interviews. The observed variables were child’s gender, history of pregnant women with KEK (Chronic Energy Deficiency/SEZ), history of Low Birth Wight (LBW), history of exclusive breastfeeding, mother's education, parents' occupation, immunization status and environmental sanitation. The sampling technique used in this study is simple random sampling. The numbers of samples in this study were 78 samples which included 39 case groups and 39 control groups.

From the bivariate, it is obtained that variables which affect stunting are history of low birth weight p-value 0,012 OR 2,219 (1,716-2,868), history of exclusive breastfeeding p-value 0,001OR 6,2000 (2,258-17,024), environmental sanitation p-value 0,008 OR 8,222 (1,699-39,799). From the results, it is recommended for GedongTataan Inpatient Health Center officers to increase the provision of education to the community, especially to woman of childbearing age (WUS) and pregnant women about nutrition in the First 1000 Days of Life (HPK) and Clean and Healthy Life Behavior (PHBS).

HUBUNGAN LIMA PILAR STBM DENGAN RESIKO STUNTING DI DESA LOKUS STUNTING DESA SIDOREJO WILAYAH KERJA PUSKESMAS SIDOREJO KABUPATEN LAMPUNG TIMUR TAHUN 2024

Suami Indarwati — 2024-12-07

Hasil survei Studi Status Gizi Indonesia (SSGI) mencatat bayi usia 0-59 bulan (balita) di Lampung yang mengalami stunting mencapai 18,5% pada 2021. Kabupaten Tanggamus tercatat sebagai kabupaten/kota dengan prevalensi balita stunting terbesar di Provinsi Lampung, yakni sebesar 25%. Dengan demikian, 1 dari 4 Balita di kabupaten ini tinggi badannya di bawah standar tinggi badan seusianya. Wilayah dengan prevalensi Balita stunting terbesar berikutnya, yaitu Kabupaten Pesisir Barat sebesar 22,8%, Kabupaten Lampung Barat sebesar 22,7%, dan Kabupaten Tulang Bawang Barat sebesar 22,1%, Kabupaten Lampung Selatan sebesar 16,3%. Sedangkan Kabupaten Lampung Timur sebesar 15,3%, dan berdasarkan keputusan bupati lampung Timur Nomor:B/64/21-SK/2023 tentang penetapan lolasi focus ( LOKUS ) intervensi stunting di kabupaten lampung Timur tahun 2024 khususnya Desa Sidorejo Kecamatan Sekampung Udik Kabupaten Lampung Timur. Sedangkan Kabupaten Tulangbawang tercatat sebagai wilayah dengan prevalensi Balita stunting terendah, yaitu hanya 9,5%.

Penelitian ini bertujuan untuk Penelitian ini bertujuan untuk menganalisis hubungan antara lima pilar STBM dengan resiko stunting di Desa Lokus Stunting Sidorejo Wilayah Kerja Puskesmas Sidorejo Kabupaten Lampung Timur Tahun 2024 dengan pendekatan Crossectional. Dengan jumlah sampel sebanyak 208 orang. Penelitian dilaksanakan selama ± 2 bulan yang akan dilaksanakan pada bulan Maret – Mei 2024.

Hasil penelitian diektahui bahwa, tidak ada hubungan lima pilar STBM yang meliputi; Stop Buang air besar sembarangan, cuci tangan pakai sabun, Pengolahan air dan makanan dengan benar, pengelolaan sampah rumah tangga dan pengelolaan limbah cair rumah tangga . dengan resiko Stunting di Desa Lokus Stunting Sidorejo Wilayah Kerja Puskesmas Sidorejo Kabupaten Lampung Timur Tahun 2024 dikarenakan nilai P value>0,05.maka sebaiknya masyarakat lebih bereperan aktif dalam memperhatikan kebersihan linkungan dan menerapkan perilaku hidup bersih dan sehat sebagai suatu upaya pencegahan dan penurunan angka stunting.

PENGARUH KONSUMSI KACANG HIJAU TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU MENYUSUI DI PUSKESMAS KEBUN KOPI

Imelda Imelda — 2024-12-07

According to WHO, the average rate of exclusive breastfeeding in the world is only 38%. Based on data from the Ministry of Health of Indonesia in 2023, the coverage of exclusive breastfeeding nationally is only 63.9% and in Jambi Province it is 66%. According to the Jambi City Health Office, in 2022 exclusive breastfeeding was 29.16% and in 2023 it was 68.5%. Based on data from Kebun Kopi Health Center, it was found that as many as 86.7% of babies received exclusive breastfeeding and 3 out of 5 breastfeeding mothers did not give exclusive breastfeeding because of their poor milk production. This study is a pre-experimental study with a one-group pretest-posttest design which aims to see the effect of mung bean consumption on increasing breast milk production in breastfeeding mothers at Kebun Kopi Health Center in 2024. This research was carried out at Kebun Kopi Health Center in 2024 and has been carried out in January-September 2024. The population in this study is breastfeeding mothers with a sample of 30 people using the total sampling technique. The data were analyzed univariate and bivariate using the wilcoxon test because the data were not normally distributed. The results of this study show that the average breast milk production in breastfeeding mothers at Kebun Kopi Health Center in 2024 before mung bean consumption is 33.50 ml. The average milk production in breastfeeding mothers after consuming mung beans for 7 days was 62.33 ml, and there was an effect of mung bean consumption on the increase in breast milk production in breastfeeding mothers at Kebun Kopi health center with a p-value of 0.000. The conclusion of this study is that there is an effect of mung bean consumption on increasing breast milk production in breastfeeding mothers at Kebun Kopi health center

Inovasi Teknologi Wearable dalam Monitoring Glukosa pada Diabetes Mellitus Tipe 2 : Literatur Review

Franning Deisi Badu — 2024-12-08

Type 2 Diabetes Mellitus (T2DM) is a global health challenge with prevalence continuing to increase. Management of this condition relies heavily on accurate and continuous monitoring of blood glucose levels. Wearable technology has emerged as an innovative solution that offers convenience, comfort, and accuracy in glucose monitoring. This article is a literature review that aims to analyze the role of wearable technology in monitoring glucose in T2DM patients, including its effectiveness, limitations and development prospects.Research shows that wearable devices, such as Continuous Glucose Monitoring (CGM), have the advantage of providing real-time data, increasing patient engagement in self-management, and supporting better clinical decision making. However, several challenges remain, including affordability, accuracy under certain conditions, and user acceptance of this technology. In addition, connectivity with other digital tools, such as smartphone applications and cloud-based platforms, enables more comprehensive data integration to support holistic management. This review concludes that wearable technology has great potential in transforming the management of T2DM, particularly in encouraging data-driven approaches and personalization of care. To maximize its benefits, more research is needed on long-term efficacy, technological improvements, and strategies to increase accessibility.

Pengembangan produk Sauro-C sebagai Galaktagogue untuk Meningkatkan Produksi ASI dalam upaya preventif kejadian stunting di Ponkesdes Mlajah Kabupaten Bangkalan

Alis Nur Diana — 2024-12-12

Stunting merupakan masalah yang dihadapi negara-negara tergolong miskin dan sedang berkembang. Masalah ini penting yang tidak dapat diabaikan begitu saja khususnya di Indonesia. Hasil Riset Kesehatan Dasar Tahun 2018, didapatkan angka kejadian balita stunting di Indonesia mencapai 30.8%. Berbagai faktor yang menjadi penyebab terjadinya stunting pada bayi lahir normal adalah tidak terlaksananya inisiasi menyusui dini (IMD), gagal memberikan ASI eksklusif, dan proses penyapihan yang terlalu dini. Salah satu faktor yang menyebabkan ibu tidak memberikan ASI adalah produksi ASI yang sedikit.

Untuk mengatasi hal tersebut ada beberapa upaya non farmakologis, salah satunya berupa pemberian produk Sauro-C yang berasal dari daun katuk dan temulawak. Tujuan penelitian ini adalah mengetahui efektivitas produk sauro-c sebagai galaktagogue untuk meningkatkan produksi ASI di Ponkesdes Mlajah Kabupaten Bangkalan.

Penelitian ini menggunakan desain penelitian quasi eksperimental pre and post test design untuk menilai pengaruh pemberian Formulasi Sauro-c terhadap produksi ASI. Sampel penelitian ini adalah sebagian ibu menyusui di Ponkesdes Mlajah Bangkalan sebanyak 30 orang. Uji statistik yang digunakan Paired sample T-test.

Berdasarkan hasil penelitian didapatkan bahwa Nilai signifikansi (p-value) sebesar 0.000 (kurang dari 0.05) menunjukkan bahwa perbedaan tersebut secara statistik signifikan. Dengan demikian, dapat disimpulkan bahwa pemberian Sauro-C secara signifikan meningkatkan produksi ASI pada responden.

Pengembangan sediaan pangan fungsional dari ubi jalar kuning (Ipomoea batatas L.) sebagai imunomodulator balita dalam upaya pencegahan stunting di Wilayah Kerja Puskesmas Tlanakan

Sylvina Rahmawati — 2024-12-12

Stunting adalah hambatan pertumbuhan linier pada balita yang terjadi karena kurangnya gizi dan nutrisi selama setidaknya 1000 hari pertama kehidupan. Salah satu kabupaten prioritas stunting yaitu Kabupaten Pamekasan yang menempati urutan ke dua tertinggi prevalensi balita stunting di Jawa Timur yaitu sebesar 38,7%. Ubi jalar merupakan bahan pangan lokal yang berlimpah ketersediannya, selain itu merupakan sumber karbohidrat non beras tertinggi keempat setelah padi, jagung, dan ubi kayu.

Ubi jalar kuning ini mempunyai potensi besar sebagai sumber makanan dan minuman fungsional seiring dengan makin tingginyakesadaran masyarakat khususnya balita stunting. Tujuan pada penelitian ini adalah mengetahui pengaruh pemberian sediaan pangan fungsional dari ubi jalar kuning (Ipomoea batatas L.) sebagai imunomodulator balita dalam upaya pencegahan stunting di Wilayah Kerja Puskesmas Tlanakan. Penelitian ini menggunakan desain penelitian quasi eksperimental pre and post test design untuk menilai pengaruh pemberian Formulasi taro milk terhadap panjang badan dan berat badan balita gizi kurang. Sampel dalam penelitian ini adalah balita dengan gizi kurang yang memenuhi kriteria inklusi di Wilayah Kerja Puskesmas Tlanakan sebanyak 30 orang. Uji Statistik yang digunakan Uji Paired T test.

Hasil penelitian menunjukkan bahwa pemberian Taro Milk memiliki pengaruh signifikan terhadap perubahan panjang badan dan berat badan balita. Uji t untuk perubahan panjang badan (t = -6.952, p = 0.000) dan berat badan (t = -16.401, p = 0.000) menunjukkan bahwa kedua variabel tersebut mengalami perubahan yang signifikan (p < 0,05), yang mengindikasikan bahwa pemberian Taro Milk berkontribusi dalam peningkatan status gizi balita. Kesimpulan dari penelitian ini adalah taro milk efektif dalam meningkatkan BB balita gizi kurang di Puskesmas Tlanakan.

Pengembangan Teh Avocel-C sebagai Antikolesterol berbasis Sumber Daya Lokal di Puskesmas Tlanakan

Lianita Primi Octaviana — 2024-12-12

Penyakit jantung koroner, akibat penyempitan atau penyumbatan pembuluh darah koroner, menjadi salah satu masalah kesehatan utama di Indonesia, dengan prevalensi tertinggi kedua di Jawa Timur pada tahun 2018. Tingginya kadar kolesterol merupakan penyebab utama, berkontribusi hingga 56% terhadap kondisi ini. Penelitian ini bertujuan untuk mengevaluasi efektivitas teh herbal Avocel-C, yang terbuat dari daun alpukat, seledri, dan jeruk nipis, dalam menurunkan kadar kolesterol pada pasien hiperkolesterolemia di Puskesmas Tlanakan. Metode penelitian yang digunakan adalah true experimental dengan purposive sampling, melibatkan 30 responden dengan kadar kolesterol >200 mg/dL. Hasil pengukuran menunjukkan perbedaan signifikan antara kadar kolesterol sebelum dan sesudah pemberian Avocel-C, dengan rata-rata kolesterol sebelum 225.267 mg/dL dan setelah 179.667 mg/dL. Uji statistik Paired Sample T-Test menghasilkan p-value 0.000, menunjukkan bahwa penurunan ini adalah efek nyata dari pemberian the avocel-c. Kesimpulan dari penelitian ini adalah pemberian teh avocel-c efektif menurunkan kadar kolesterol penderita hiperkolesterol.

Gambaran kejadian kurang Energi Kronis (KEK) ibu hamil di wilayah kerja BLUD Puskesmas Kandai Kota Kendari Tahun 2023

Febriana Mochtar — 2024-12-12

Chronic energy deficiency (CED) is a nutritional condition caused by long-term inadequate energy intake. In pregnant women, CED can lead to significant health complications for both the mother and the fetus. CED is assessed by measuring the upper arm circumference, with values less than 23.5 cm indicating deficiency. This research was performed to examine the prevalence of CED among pregnant women in the work area of Kandari Health Center from January to April 2023. This quantitative research was administered using the descriptive survey approach, involving 96 pregnant women who attended antenatal check-ups during the specified period. The findings revealed that 19 pregnant women (19.8%) experienced CED, where 11 women (11.5%) were under the high-risk age category. Significant nutritional status issues among pregnant women were identified, as evidenced by the prevalence of chronic energy deficiency (CED) and the presence of pregnancies in high-risk age groups. Effective strategies are required to enhance maternal nutrition, including increasing awareness among pregnant women about the importance of quality food intake and providing supplementary food to mitigate nutritional deficiencies.

Pemahaman Kader Posyandu tentang Pengolahan Bahan Pangan Pemberian Makanan Tambahan (PMT) Lokal: Studi Kebutuhan Pengetahuan dan Praktik untuk Peningkatan Kapasitas

anggun rusyantia — 2024-12-12

The supplementary feeding program based on local food has been implemented since 2023. Posyandu cadres are responsible for carrying out food processing for direct consumption by the target. This study was part of formative research, aimed to conduct a needs assessment to contribute to enhancing the competence of Posyandu cadres in processing Local Food-Based PMT in South Lampung Regency. This study employed a qualitative descriptive design, utilizing in-depth interviews. A total of five key participants, namely Posyandu cadres, were recruited for the study. Data triangulation was conducted with one program implementer from the Health Office and three Nutrition Officers from the Health Center. Four themes emerged from the results of the in-depth interviews: program knowledge, knowledge and practices of storing raw food, knowledge and practices of food processing, and knowledge and practices of serving processed PMT. The cadres demonstrated a strong understanding of the goals and targets of the Local Food-Based PMT program. However, their knowledge and practices related to the storage, processing, packaging, and serving techniques of local food-based PMT still require improvement. This research serves as a preliminary step for program developers to create educational strategies aimed at enhancing the competence of cadres, particularly in food processing techniques, to ensure the success of the Local Food-Based PMT program.

Pengaruh Pemberian Asupan Sayur Dan Buah Pada Kadar Gula Darah Penderita Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Sukamaju Bandar Lampung

Widia Sobta R.D — 2024-12-12

Diabetes Melitus merupakan penyakit menahun yang disebabkan oleh kurangnya produksi insulin oleh pankreas atau ketidakmampuan tubuh untuk menggunakan insulin secara efektif. Bila tidak ditangani dengan baik dapat menimbulkan berbagai komplikasi seperti penyakit serebrovaskular, penyakit jantung koroner, penyakit pembuluh darah di kaki, serta gangguan pada mata, ginjal, dan saraf. Menurut WHO pada tahun 2014, Diabetes Melitus diprediksi akan menjadi penyebab kematian ketujuh di seluruh dunia pada tahun 2030. Indonesia menempati urutan ke-7 di dunia dengan jumlah penderita diabetes sebanyak 10 juta jiwa. Berdasarkan data Riskesdas 2018, prevalensi Diabetes Melitus di Indonesia yang di diagnosis oleh dokter pada penduduk usia 15 tahun ke atas sebesar 2,0%, meningkat dari 1,5% pada tahun 2013. Penelitian ini bertujuan untuk mengetahui pengaruh asupan sayur dan buah terhadap kadar gula darah pada penderita Diabetes tipe 2 di Puskesmas Sukamaju, Bandar Lampung. Penelitian ini menggunakan desain analitik dengan pendekatan quasi eksperimen. Populasi penelitian adalah 28 orang yang di diagnosis menderita Diabetes tipe 2 di wilayah kerja Puskesmas Sukamaju. Semua orang tersebut dimasukkan sebagai sampel, di pilih secara acak sederhana. Analisis data dilakukan dengan menggunakan uji Anova. Hasil penelitian menunjukkan bahwa asupan sayur (nilai p 0,008) dan asupan sayur dan buah (nilai p 0,016) berpengaruh signifikan terhadap kadar gula darah, sedangkan asupan buah saja tidak berpengaruh signifikan (nilai p 0,117).

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI ANAK BALITA DI WILAYAH KERJA PUSKESMAS BAKTIYA KABUPATEN ACEH UTARA

Eristono Eristono — 2024-12-17

Salah satu masalah kesehatan dan sosial yang dihadapi Indonesia adalah rendahnya status gizi pada balita. Kabupaten Aceh Utara menempati peringkat kedua di Aceh dengan prevalensi balita gizi kurang dan gizi buruk sebesar 4,3%. Di Puskesmas Baktiya pada tahun 2021 terdapat 2,2% kasus balita gizi kurang, 0,1% balita dengan gizi lebih dan sebanyak 2 balita dengan kasus gizi buruk. dan mengalami peningkatan pada tahun 2024 balita dengan gizi kurang menjadi 2,4% (74 balita) dan gizi buruk sebanyak 3 balita. Untuk mengetahui faktor-faktor yang berhubungan dengan status gizi anak balita di Wilayah Kerja Puskesmas Baktiya Kabupaten Aceh Utara Tahun 2024. Jenis Penelitian Analitik dengan pendekatan Cross Sectional Study dilakukan pada tanggal 20 Juli s/d 07 Agustus 2024 di Wilayah Kerja Puskesmas Baktiya Kabupaten Aceh Utara. Populasi adalah ibu yang memiliki balita usia 12-59 bulan yang berkunjung ke Puskesmas Baktiya pada periode Januari-Juni tahun 2024. Pengambilan sampel menggunakan teknik Purposive sampling yang berjumlah 41 orang. Pengumpulan data dengan kuesioner. Analisis data menggunakan uji statistik Chi Square. Pengolahan data dengan aplikasi SPSS. Berdasarkan uji statistik Chi Square dengan taraf signifikasi 0,05 diperoleh hasil Ada hubungan antara pengetahuan ibu dengan status gizi pada anak balita dengan nilai ρ value= 0,007 (α<0,05). Ada hubungan antara pendidikan ibu dengan status gizi pada anak balita dengan nilai ρ value= 0,032 (α<0,05). Ada hubungan antara pendapatan orang tua dengan status gizi pada anak balita dengan nilai ρ value= 0,011 (α<0,05) dan ada hubungan antara pola makan anak dengan status gizi pada anak balita dengan nilai ρ value= 0,030 (α<0,05). Pengetahuan ibu, pendidikan ibu, pendapatan orang tua dan pola makan anak merupakan faktor-faktor yang berhubungan dengan status gizi pada anak balita. Diharapkan kepada Ibu untuk meningkatkan pengetahuan tentang penyusunan menu balita agar asupan gizinya tepat dan status gizinya meningkat dengan cara mengikuti penyuluhan-penyuluhan yang diadakan di posyandu.

Pengembangan Produk Pangan Fungsional Substitusi Hati Ayam dan Penambahan Sayuran pada Pembuatan Kaki Naga Sebagai Makanan Kaya Protein dan Zat Besi Bagi Ibu Hamil

Yulia Novika J. — 2024-12-17

Saat ini ibu hamil di Indonesia mengalami masalah gizi berupa kurang energi kronis (KEK) dan anemia. Ibu hamil yang mengalami KEK di Provinsi Lampung adalah sebesar 17,2% dimana angka ini lebih tinggi dibandingkan Indonesia yaitu 16,9% ibu hamil dan sebesar 27,7% ibu hamil mengalami anemia di Indonesia¹⁰⁾. Anak yang lahir dari ibu hamil KEK lebih berisiko 13,2 kali lipat⁴⁾ dan ibu hamil yan mengalami anemia berisiko 5 kali lipat mengalami stunting²⁰⁾.

Tujuan penelitian ini adalah menghasilkan pangan fungsional substitusi hati ayam dan penambahan sayuran pada pembuatan Kaki Naga sebagai makanan kaya protein dan zat besi bagi ibu hamil yang disukai.

Penelitian eksperimen dengan perlakuan substitusi hati ayam dengan penambahan daun kelor dan wortel pada kaki naga. Pembuatan produk dilakukan dengan tiga kali pengulangan dengan konsentrasi penambahan daun kelor dan wortel dengan persentase 5% (F1), 7,5% (F2), 10% (F3), dan 12,5% (F4). Pengamatan meliputi organoleptik dengan metode uji rating hedonik dan perhitungan nilai gizi..

Hasil penelitian ini menunjukkan bahwa kaki naga hati ayam dengan penambahan sayuran daun kelor dan wortel yang paling disukai panelis secara keseluruhan adalah Formula 3 dengan skor 83,47. Kandungan gizi per porsi (5 buah) Kaki Naga Hati Ayam F3 adalah 229 Kal, 14,6 gram protein, 6,9 gram lemak, 5,1 gram karbohidrat, 27,2 gram serat, dan 11,5 mg zat besi. Konsumsi 1 porsi kaki naga sudah memenuhi penambahan kalori pada ibu hamil trimester 1 yaitu 180 kkal dan 76,3% dari penambahan zat gizi trimester 2 dan 3 sebesar 300 kkal.

Pola Konsumsi Remaja Terhadap Makanan Cepat Saji di SMPN 4 Metro Provinsi Lampung Tahun 2024

Mindo Lupiana — 2024-12-17

Makanan cepat saji (fast food) mengandung kalori kadar lemak, gula dan sodium (Na) yang tinggi tetapi rendah serat, vitamin A, asam akrobat. kalsium dan folat. Faktor penyebab obesitas pada remaja bersifat multifaktorial. Peningkatan konsumsi makanan cepat saji (fast food), rendahnya aktivitas fisik, faktor genetik, pengaruh iklan, faktor psikologis, status sosial ekonomi, program diet, usia, dan jenis kelamin merupakan faktor-faktor yang berkontribusi pada perubahan keseimbangan energi dan berujung pada kejadian obesitas. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pola konsumsi makanan siap saji (fast food) pengetahuan dan status gizi pada remaja

Jenis penelitian ini adalah deskriptif analitik. Jumlah populasi seluruh siswa/i kelas 7 dan 8 di SMPN 4 Metro sebanyak 494 orang dan sampel 85 orang, tehnik pengambilan sampel secara stratified random sampling. Variabel penelitian adalah status gizi, pengetahuan tentang fast food, kebiasaan makan fast food dan preferensi terhadap fast food. Pengumpulan data dilakukan dengan wawancara formulir dan kuesioner.

Hasil penelitian diketahui bahwa status gizi pada siswa SMPN 4 Metro dengan kategori gizi baik terdapat 45,9%, gizi kurang 40,0%, obesitas 8,2% dan gizi lebih 5,9%. Pengetahuan siswa tentang makanan fast food 42,3% memiliki pengetahuan yang baik, 48,2% pengetahuan cukup, 2% pengetahuan kurang. Terdapat 90,5% sering mengkonsumsi fast food dan 9,5% jarang mengkonsumsi fast food. jenis fast food yang dikonsumsi yaitu sebanyak 61,2% mengkonsumsi jenis fast food keduanya, 36,4% mengkonsumsi traditional fast food dan 2,4% mengkonsumsi modern fast food. Disarankan memberikan edukasi kepada siswa tentang makanan fast food dan dampak buruk yang ditimbulkan. Pihak sekolah perlu menyediakan media pendidikan gizi seperti poster yang ditempel di dinding pada tempat-tempat strategis yang mudah dilihat oleh siswa.

PENGARUH MOBILISASI DINI TERHADAP INTENSITAS NYERI PASIEN POST OPERASI BEDAH UMUM DI RUMAH SAKIT BHAYANGKARA TK. III INDRAMAYU

Ira Faridasari — 2024-12-20

Nyeri adalah pengalaman sensorik dan emosional yang tidak menyenangkan, berkaitan dengan kerusakan jaringan aktual maupun potensial. Penelitian ini bertujuan untuk mengevaluasi pengaruh mobilisasi dini terhadap intensitas nyeri pasien pasca operasi di Rumah Sakit Bhayangkara Tk. III Indramayu tahun 2023. Metode penelitian menggunakan data primer melalui observasi Numeric Rating Scale dan data sekunder dari lembar pengisian. Hasil menunjukkan bahwa rata-rata intensitas nyeri sebelum mobilisasi dini adalah 7,01 (kategori nyeri berat terkontrol), dengan mayoritas responden (62,8%) mengalami nyeri berat terkontrol. Setelah dilakukan intervensi mobilisasi dini, rata-rata intensitas nyeri menurun menjadi 4,31 (kategori nyeri sedang), dengan 83,7% responden berada dalam kategori nyeri sedang. Penurunan rata-rata intensitas nyeri sebesar 2,69 poin terbukti signifikan secara statistik (p-value < 0,001). Mobilisasi dini berperan dalam mengurangi nyeri melalui mekanisme penghambatan transmisi nyeri ke sistem saraf pusat dan meningkatkan sirkulasi darah. Faktor dukungan keluarga dan motivasi pasien juga memengaruhi keberhasilan intervensi ini. Kesimpulan dari penelitian ini adalah Ada Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Pasien Post Operasi Bedah Umum di Rumah Sakit Bhayangkara Tk. III Indramayu.

DAMPAK PENYULUHAN KESEHATAN TENTANG PENYALAHGUNAAN NAPZA PADA MAHASISWA UNIMERS

Ratni Palulungan — 2024-12-20

NAPZA (Narkotika, Psikotropika, dan Zat Adiktif) merupakan salah satu masalah sosial yang sangat berbahaya, terutama di kalangan remaja. Penyalahgunaan NAPZA dapat mengancam kesehatan mental dan fisik, serta menimbulkan dampak sosial yang luas. Oleh karena itu, penting untuk melaksanakan program Pencegahan, Pemberantasan Penyalahgunaan, dan Peredaran Gelap Narkoba (P4GN) dengan fokus utama pada kegiatan pencegahan. Program ini bertujuan untuk membentuk pola pikir, sikap, serta keterampilan remaja dalam menanggulangi penyalahgunaan dan peredaran gelap narkoba. Penelitian ini bertujuan untuk menggambarkan efektivitas program penyuluhan dalam pencegahan penyalahgunaan NAPZA pada remaja. Tujuan dari penelitian ini adalah untuk meningkatkan pengetahuan remaja mengenai penyalahgunaan NAPZA melalui penyuluhan yang dilakukan sebelum dan sesudah intervensi di Universitas Megarezky Makassar. Metode yang digunakan adalah Pre-Experiment dengan desain One Group Pretest-Posttest. Populasi penelitian ini adalah 40 mahasiswa Universitas Megarezky Makassar. Instrumen yang digunakan berupa kuesioner pre-post test, dan data dianalisis dengan uji Wilcoxon. Hasil analisis menunjukkan adanya perbedaan pengetahuan yang signifikan antara sebelum dan setelah penyuluhan, dengan rata-rata pengetahuan sebelum penyuluhan sebesar 80,00 dan setelah penyuluhan 80,61, dengan p-value <0.001. Penyuluhan mengenai dampak penyalahgunaan NAPZA terbukti efektif dalam meningkatkan pengetahuan mahasiswa. Penelitian ini diharapkan dapat membantu remaja untuk lebih memahami dampak penyalahgunaan NAPZA dan mencegah terjadinya penyalahgunaan lebih lanjut.

Peran Genetik dan Lingkungan dalam Diabetes Gestasional: Systematic Review

Yusri Dwi Lestari — 2024-12-20

Gestational diabetes mellitus (GDM) is a condition that arises during pregnancy due to impaired glucose metabolism. Its development is influenced by a complex interaction between genetic and environmental factors. Genetic factors, such as insulin resistance and glucose metabolism, alongside environmental influences including diet, physical activity, air pollution, and stress, play significant roles in increasing GDM risk. This analysis is based on a literature review examining the relationship between genetic factors, environmental factors, and their interaction in GDM risk. The review includes data from studies on lifestyle, environmental exposures, and underlying genetic mechanisms contributing to GDM development. Research indicates that unhealthy lifestyles, such as high-fat diets and physical inactivity, significantly exacerbate GDM risk in individuals with a genetic predisposition. Environmental exposures, such as air pollution and stress, further deteriorate glucose metabolism through epigenetic changes. These interactions demonstrate that both genetic and environmental factors simultaneously contribute to the elevated risk of GDM. A deeper understanding of the interplay between genetic and environmental factors offers valuable insights for the prevention and management of GDM. Personalized strategies emphasizing healthy lifestyles and mitigating environmental exposures could be effective approaches, particularly for individuals with high genetic risk.

Pengaruh diabetes gestasional terhadap perkembangan otak janin: systematic review

Yusri Dwi Lestari — 2024-12-20

Gestational diabetes mellitus (GDM) has been identified as having a significant impact on fetal brain development. The underlying mechanisms involve a combination of biological, environmental, and lifestyle factors. This study aims to evaluate findings from ten journal articles related to GDM and its influence on fetal brain development. A systematic review was conducted on ten selected journal articles, focusing on the effects of GDM on cognitive and motor development, structural brain changes, and risk factors exacerbating the condition. The review revealed that GDM can lead to delays in cognitive and motor development in children and structural changes in fetal brain regions associated with executive and motor functions. Factors such as oxidative stress, inflammation, maternal obesity, and high-calorie diets were found to worsen the effects of GDM through insulin resistance and disrupted neurogenesis. Additionally, poor maternal sleep quality, psychological stress, and lack of social support were shown to increase the risk of fetal developmental disorders. Intervention studies highlighted the potential to mitigate these risks through balanced diets and effective glucose management. These findings underscore the importance of a holistic approach to mitigating the adverse effects of GDM on fetal brain development. This approach includes metabolic control, healthy lifestyles, stress management, and early interventions. Further research is necessary to explore preconception prevention strategies, long-term interventions, and multifactorial influences on fetal development risks.

Pengaruh Rendam Kaki Dengan Air Hangat Pada Lansia Untuk Menurunkan Tingkat Insomnia Di Wilayah Kelurahan Balecatur

Riadinata Shinta — 2024-12-21

Aging is a natural process that is accompanied by a decrease in physical condition with a visible decrease in organ function. The aging process makes the elderly more prone to sleep disorders. Handling sleep disorders can be done in two ways, namely pharmacologically and non-pharmacologically. Non- pharmacological management is a safer alternative option, namely by soaking warm water feet. The benefits of warm water are to make the body more relaxed, get rid of muscle aches and stiffness, and lead to better sleep. The purpose of this study was to identify whether there is an effect of warm water foot bath on sleep quality in the elderly in the Balecatur Village Area. The type of research used is quasi experiment which is included in the pre test and post test one group design. Statistical data analysis used is Paired t- test and this research was conducted for 5 consecutive days. The sampling technique in this study was purposive sampling with 30 respondents. This study based on statistical tests obtained P value = 0.001, which means that there is a significant difference before and after warm water foot soak therapy. There is a significant effect of warm water foot soak on sleep quality in the elderly. Researchers hope that the elderly will always do this warm water foot soak as a necessity for themselves to reduce sleep quality problems

Pengaruh Pengetahuan Sikap dan Perilaku Masyarakat Dalam Pencegahan Malaria di Desa Mbatakapidu Kabupaten Sumba Timur

Martha Meti Kody — 2024-12-23

Malaria is a life-threatening disease caused by a parasite that is transmitted to people through the bite of infected Anopheles mosquitoes and has a clinical picture of fever, anemia, with frequent complaints of lethargy, headache, back pain, chills, bone joint pain, mild fever, stomach ache and others. The high number of malaria cases can threaten the survival of the community, so disease prevention and control efforts are needed to reduce malaria transmission. To prevent the spread of malaria, it is necessary to urge people to clean the environment, close water reservoirs, sleep using mosquito nets, and reduce activities at night. The research method used was pre-experiment with a pre-test and post-test control group design. The sample in the study consisted of 40 people who had suffered, divided into intervention and control groups, with the analysis using non-parametric t-tests. The results of the study showed that there was an influence between community knowledge, attitudes and behavior on malaria prevention in both the intervention group and the control group with a value of p=0.000 (p<0.05). Both groups of respondents experienced an increase in their scores after treatment. In conclusion, there is an influence of community knowledge, attitudes and behavior in preventing malaria.

EFEKTIFITAS PEMBERIAN JUS BUAH NAGA TERHADAP KENAIKAN KADAR HB PADA IBU HAMIL DI PUSKESMAS ABEPANTAI

Savira Linggar Riswana — 2024-12-23

Kejadian anemia atau kekurangan darah pada ibu hamil di Indonesia masih tergolong tinggi, yaitu sebanyak 48,9%. Anemia bukan hanya berdampak pada ibu, melainkan juga pada bayi yang dilahirkan. Bayi yang dilahirkan kemungkinan besar mempunyai cadangan zat besi yang sedikit atau bahkan tidak mempunyai persediaan sama sekali, sehingga akan mengakibatkan anemia pada bayi yang dilahirkan. Dampak anemia pada ibu hamil dapat diamati dari besarnya angka kesakitan dan kematian maternal, peningkatan angka kesakitan dan kematian janin, serta meningkatkan resiko terjadinya berat badan lahir rendah. Tujuan penelitian : mengetahui efektifitas pemberian jus buah naga terhadap kenaikan kadar hemoglobin pada ibu hamil di puskesmas Abepantai. Metode Penelitian dilakukan dengan desain penelitian Quasy Eksperimen dengan one group pretest dan posttest design dengan Teknik pengambilan sampel Purposive sampling dengan jumlah sampel adalah 13 responden yang dicek hb pre test dan post test dengan diberikan jus buah naga selama 14 hari. Hasil penelitian didapatkan nilai rata rata Hb pre test sebelum diberikan jus buah naga selama 1 hari adalah 9,49 gr%, dan nilai rata-rata Hb post test adalah 10,17 gr% dengan nilai p value 0,000 (<0,05) artinya jus buah naga terbukti efektif meningkatkan kadar hemoglobin pada ibu hamil.

Hubungan Pengetahuan Ibu Hamil Tentang Buku KIA Dengan Pemanfaatan Buku KIA di Wilayah Kerja Puskesmas Torjun Sampang

Nur Jayanti — 2024-12-23

The Maternal Mortality Rate (MMR) in Indonesia is 235/100,000 live births (Kemenkes RI, 2021). Pregnant women's knowledge about the Maternal and Child Health Book (KIA) plays a very important role in supporting the successful use of the KIA book during pregnancy. The purpose of the study is to analyze the relationship between pregnant women's knowledge about KIA books and the use of KIA books in August 2024. The type of analytical research was conducted with cross-sectional and axial sampling techniques with a total of 60 respondents. The majority of respondents had good knowledge as many as 55 people (91.7%), and lack knowledge as many as 5 people (8.3%), using KIA books 54 people (90%) and 6 people (10%) did not use them. Data collection is carried out by distributing questionnaires that have been tested for validity. analysis of Chi Square test data with a significance level of 0.01. The results of the study showed that there was a relationship between mothers' knowledge about KIA books and the use of KIA books, with a value of P=0.000, which showed a value of P<0.001. So, in conclusion, there is a relationship between mothers' knowledge about the KIA Book and the use of the KIA Book in the 2024 Torjun Sampang Health Center Work Area.

Analisis Sistem Pencatatan dan Pelaporan Kunjungan Pemeriksaan Kehamilan Terhadap Cakupan K6

Firda Kalzum Kiah — 2024-12-22

Antenatal care adalah serangkaian pelayanan selama kehamilan dengan mempromosikan serta meningkatkan kesehatan selama kehamilan hingga awal periode postpartum. Pelayanan kesehatan ibu hamil harus memenuhi frekuensi minimal enam kali pemeriksaan kehamilan kepada tenaga kesehatan yang kompeten dan dua kali pemeriksaan oleh dokter. Penilaian akses ibu hamil terhadap pelayanan masa kehamilan dapat lihat dari cakupan K1 (kunjungan pertama), sedangkan indikator yang menggambarkan kualitas layanan yaitu cakupan K4-K6. Puskesmas Alak memiliki cakupan K6 yang masih rendah. Tujuan dari penelitian ini adalah menganalisa sistem pencatatan dan pelaporan kunjungan pemeriksaan kehamilan terhadap pencapaian cakupan K6 di Puskesmas di wilayah kerja Puskesmas Alak. Jenis penelitian ini adalah kualitatif menggunakan narrative analysis, yang dilakukan pada bulan Juni-Agustus 2024. Sampel adalah 14 orang yaitu bidan pelaksana pelayanan kesehatan ibu dan anak. Pengumpulan data dengan menggunakan pedoman wawancara. Analisa data menggunakan narrative analysis. Hasil penelitian menunjukkan sistem pencatatan dan pelaporan kunjungan pemeriksaan kehamilan di Puskesmas dilakukan secara manual dan komputerisasi. Terdapat kendala yang dihadapi dalam memenuhi cakupan K6 yaitu adanya beberapa data yang tidak lengkap karena ibu hamil yang melakukan pemeriksaan diluar wilayah dan drop out.

PENGARUH PEMAHAMAN DAN PEMBERDAYAAN REMAJA PUTRI DALAM MENGATASI ANEMIA DI SMA NEGERI 3 TAKARI KABUPATEN KUPANG

Hasri Yulianti — 2024-12-22

Remaja putri merupakan salah satu kelompok yang rentan terhadap masalah defisiensi zat gizi. Zat gizi dalam darah dapat diketahui melalui kadar hemoglobin. Menurut laporan Riskesdas, tahun 2018, prevalensi anemia pada kelompok remaja putri di Indonesia mencapai 32% pada usia 15-24 tahun, Sedangkan Hasil survei Kesehatan nasional lebih dari 20% kasus anemia terjadi di Nusa Tenggara Timur (NTT).WHO juga menyebutkan bahwa anemia merupakan salah satu masalah Kesehatan yang signifikan pada remaja putri, terutama tingginya kebutuhan zat besi selama masa pertumbuhan dan menstruasi. Di Indonesia, kekurangan asupan zat besi dan rendahnya konsumsi Tablet Tambah Darah (TTD) adalah faktor utama penyebab tingginya kasus ini. Tujuan penelitian untuk menganalisis pengaruh pemahaman dan pemberdayaan remaja putri dalam mengatasi anemia. .Jenis penelitian bersifat analitik dengan desain cross sectional. jumlah sampel 37. Analisis data menggunakan uji. spearman rank dengan correlation coefficient 0.000. Hasil penelitian menunjukkan terdapat pengaruh pemahaman dan pemberdayaan remaja dalam menangani anemia.

HUBUNGAN POLA MAKAN DAN OBESITAS DENGAN KEJADIAN PENYAKIT KOLELITHIASIS DI RSUD H. DR. CHASAN BOESIRIE TERNATE

Ferdian Hidayat — 2024-12-27

Cholelithiasis is a health problem that is influenced by diet and obesity. This study aims to analyze the relationship between Body Mass Index (BMI) and lifestyle and the incidence of cholelithiasis at RSUD H. Dr. Chasan Boesirie Ternate. This observational analytical research uses a cross-sectional study design which was conducted from July to August 2024. Data was collected through interviews, observations, and filling out questionnaires as primary data, as well as secondary data from medical records. A total of 66 respondents were selected based on inclusion criteria. Data analysis was carried out using the chi-square test to test the relationship between variables. The results of the analysis showed that there was a significant relationship between BMI and lifestyle and the incidence of cholelithiasis (p<0.05). These two factors have an Odds Ratio (OR) value of 14.87 (95% CI: 3.28-67.43), which indicates that individuals with a high BMI and poor lifestyle have a 14.87 times greater risk of experiencing cholelithiasis. compared to individuals who have a normal BMI and a good lifestyle. These findings confirm that BMI and lifestyle are the main risk factors for cholelithiasis. Education regarding the importance of healthy weight management and implementing a healthy lifestyle needs to be increased as a preventive measure. The conclusion of this study shows that promotive and preventive efforts based on healthy eating patterns and weight control must be a priority in reducing the incidence of cholelithiasis in society

Model perawatan untuk penderita penyakit ginjal kronis: Sistematika Review

Heriviyatno Julika Siagian — 2024-12-27

Chronic kidney disease (CKD) is a common disease and places an increasing burden on patients and health services. However, the optimal treatment model for patients with CKD remains unclear. We systematically reviewed the clinical effectiveness of different care models for the management of CKD. A comprehensive search of eight data bases was conducted for articles published from 1992 to 2024. We included randomized controlled trials assessing any model of care in the management of adults with pre-dialysis CKD, reporting renal, cardiovascular, mortality and other results. Data extraction and quality assessment were performed independently by two authors. The results are summarized narratively. Nine articles (seven studies) were included. Four models of care were identified: nurse-led, multidisciplinary specialist team, pharmacist-led, and self-management. Nurse-led and pharmacist-led care reported increased rates of prescribing of medications relevant to CKD. High heterogeneity between studies and across studies carries a high risk of bias. Nurse-led care and multidisciplinary specialist care were associated with small improvements in blood pressure control. Evidence of long-term improvements in renal, cardiovascular or mortality endpoints is limited by short follow-up.

HUBUNGAN AKTIVITAS FISIK DAN STRES YANG DIALAMI IBU DALAM KEHAMILAN DENGAN KEJADIAN PREEKLAMSIA TRIMESTER II DAN III DI RUMAH SAKIT HASTA BRATA BATU

fitria aisyah — 2024-12-27

Preeklampsia merupakan salah satu penyebab angka kematian ibu dan janin, dengan angka kejadian yang cukup tinggi. Resiko preeklampsia diketahui dapat meningkat pada ibu hamil yang mengalami stres dengan pola aktivitas fisik yang kurang atau juga berlebih. Tujuan penelitian adalah untuk mengetahui hubungan aktivitas fisik dan stres yang di alami ibu dalam kehamilan dengan kejadian preeklamsia pada trimester II dan III di RS. Hasta Brata Batu. Desain penelitian menggunakan desain kuntitatif dengan pendekatan cross sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan total sampling sebanyak 30 orang. Teknik pengumpulan data melalui kuisioner. Metode analisis data menggunakan deskriptif dan regresi linear berganda menggunakan SPSS. Hasil analisis, variabel aktivitas fisik diperoleh nilai thitung >ttabel (5,242>2,042), variabel stress di peroleh thitung>ttabel (7,872>2,042), dengan masing-masing nilai signifikan 0,05 dan nilai Fhitung>Ftabel (9,787>4,048) dan nilai signifikan sebesar 0,000 (p value < 0,050). Dengan demikian dapat disimpulkan bahwa ada hubungan aktivitas fisik dan stres yang dialami ibu dalam kehamilan dengan kejadian preeklamsia trmester II dan III di RS. Hasta Brata Batu secara bersamaan (simultan) maupun masing-masing (parsial) variabel.

ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL DI PUSKESMAS BATOH KOTA BANDA ACEH

Afriana Afriana — 2024-12-27

sementara ibu hamil yang mengkonsumsi tablet Fe ≥ 90 butir selama kehamilan hanya sebesar 38,1%, dampak yang terjadi akibat anemia pada kehamilan antara lain abortus, persalinan prematur, perdarahan antepartum, perdarahan post partum, BBLR dan bahkan kematian janin.Untuk mengetahui faktor-faktor yang berhubungan dengan anemia pada ibu hamil di Puskesmas Batoh Kota Banda Aceh tahun 2024. Jenis Penelitian Ini bersifat analitik dengan pendekatan Cross Sectional dengan tehnik pengambilan sampel secara Accidental Sampling.Populasi sebanyak 297 orang ibu hamil trimester III dan jumlah sampel 30 orang ibu hamil di Puskesmas Batoh Kota Banda Aceh. Hasil penelitian univariat dan bivariat dengan uji Chi square menggunakan program SPSS.Menunjukan bahwa dari 30 responden ibu hamil mayoritas mengalami anemia sebanyak 18 responden (52%), berpengetahuan kurang tentang anemia sebanyak 16 responden (53,3%), pendapatan di bawah UMP sebanyak 15 responden (50%), ibu hamil yang tidak mengkonsumsi tablet Fe sebanyak 21 responden (70%), hasil statistik menunjukkan bahwa ada hubungan pengetahuan (ρ value 0,004), pendapatan (ρ value 0,009), konsumsi tablet Fe (ρ value 0,0130 dengan anemia pada ibu hamil.Ada hubungan pengetahuan, pendapatan dan konsumsi tablet Fe dengan anemia pada ibu hamil. Diharapkan bagi petugas kesehatan untuk meningkatkan pelayanan kesehatan dan memberikan informasi kepada masyarakat khususnya ibu hamil tentang anemia dengan memberikan penyuluhan kesehatan terhadap ibu hamil.

INTERVENSI PERILAKU CARING KELUARGA TERHADAP PERUBAHAN DEPRESI DAN TINGKAT KEMANDIRIAN PASIEN POST STROKE ISKEMIK DI WILAYAH KABUPATEN MOJOKERTO

Dony Sulystiono — 2024-12-22

Stroke sering menyebabkan kecacatan jangka panjang yang mempengaruhi kualitas hidup pasien, termasuk munculnya depresi dan berkurangnya kemampuan untuk melakukan Aktivitas Kehidupan Sehari-hari (ADL). Depresi pada pasien stroke dapat memperburuk kondisi fisik dan emosional mereka. Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi medis dan perilaku peduli keluarga terhadap depresi dan ADL pasien pasca-stroke.

Desain penelitian ini adalah kuasi-eksperimental dengan pendekatan Nonrandomized Pretest-Posttest Control Group. Sebanyak 30 pasien pasca-stroke dari Kabupaten Mojokerto dibagi menjadi dua kelompok: kelompok perlakuan (15 pasien) yang menerima intervensi medis dan dukungan keluarga, dan kelompok kontrol (15 pasien) yang hanya menerima perawatan medis konvensional selama dua bulan.

Hasil penelitian menunjukkan bahwa kelompok perlakuan mengalami penurunan depresi yang signifikan (p = 0,000) dan peningkatan ADL yang signifikan (p = 0,000). Sebaliknya, kelompok kontrol tidak menunjukkan perubahan signifikan pada depresi (p = 0,508) dan ADL (p = 0,091).

Kombinasi antara intervensi medis dan perilaku peduli keluarga dapat efektif dalam mengurangi depresi dan meningkatkan ADL pada pasien pasca-stroke di Kabupaten Mojokerto. Temuan ini menunjukkan bahwa dukungan keluarga dan perawatan yang melibatkan keterlibatan keluarga dapat menjadi komponen penting dalam rehabilitasi stroke, selain perawatan medis.

PENGARUH BOOKLET TERHADAP TINGKAT PENGETAHUAN, SIKAP DAN PERILAKU KELUARGA PASIEN DALAM PENCEGAHAN PENULARAN PENYAKIT TBC DI PUSKESMAS BOLANGITANG

Cici Nurmaya Lakoro — 2024-12-22

This study aims to develop and analyze the effectiveness of booklet media as an educational tool for increasing knowledge, attitudes, and behavior of tuberculosis patients' families in preventing transmission at the Bolangitang Health Center. The research uses a development approach, utilizing the ADDIE (Analyze, Design, Develop, Implement, and Evaluate) model. The subject of this research includes tuberculosis patients' families in the working area of the Bolangitang Health Center. The research steps include needs analysis, design, development of a booklet, and a pilot test to evaluate its effectiveness. Data collection techniques are through pretest and posttest questionnaires, and analysis is conducted using descriptive and inferential statistics. The study concludes that the booklet media is effective in improving knowledge, attitudes, and behavior regarding tuberculosis transmission prevention among the families of tuberculosis patients. The booklet can be a valuable tool for health education, particularly in improving community awareness and preventive actions against tuberculosis transmission.

Pengaruh Konsumsi Perasan Kunyit Terhadap Rasa Nyeri Pada Penderita Gastritis Akut Usia 30 – 40 Tahun di Kelurahan BT IX Wilayah Kerja Puskesmas BT X

Aulia Chintara Wanda — 2024-12-22

Gastritis is the most common disease complained of by the public and is a disease that is often found in clinics or internal medicine polyclinics, both in adolescents and adults. Gastritis is a disease that often recurs so that patients need regular treatment. Gastritis can occur suddenly or gradually. Gastritis or pain in the pit of the stomach is caused by inflammation that occurs in the gastric mucosa. Cases of gastritis cannot damage the stomach permanently, but gastritis sufferers often complain of repeated relapses. Based on data on gastritis incidents and research stating the activity of turmeric to overcome heartburn in gastritis patients, this study was conducted to determine the effectiveness of turmeric with different methods and samples. This study also uses variations in dosage which are expected to provide good results and show the effectiveness of turmeric in helping to reduce heartburn so that it can be an adjunct therapy in pain therapy caused by gastritis. Based on this background, a study was conducted to determine whether turmeric (Curcuma longa) has an activity that can help relieve gastritis pain and obtain an effective dose of turmeric juice to help relieve gastritis pain. Data obtained from this study showed that 20 respondents who received turmeric juice before and after the intervention for 1 week showed a significant decrease in pain scale from an average of 7.736842 to 1.263158 (P <0.001) indicating that turmeric juice has been proven to have an effect in reducing the pain scale caused by gastritis. Research shows that turmeric is a non-pharmacological therapy that has great potential to reduce pain scale.

HUBUNGAN PERILAKU PICKY EATER DENGAN PERKEMBANGAN MOTORIK HALUS PADA BALITA USIA 24-60 BULAN DI DESA NGALANG KECAMATAN GEDANGSARI KABUPATEN GUNUNGKIDUL

Alief Nur Insyiroh Abidah — 2024-12-30

Introduction: In the process of life, childhood is a period where the process of growth and development occurs, so development must be optimized. Preschool age is 3 to 6 years old and is the golden age of children's growth and development. Usually, preschoolers can eat.

According to the United Nations Emergency Children's Fund (UNICEF), data shows that the incidence of motor development disorders is still high, namely 27.5% or 3 million children. The rate of developmental delays in preschool children in Indonesia is 5-25% of preschool children suffering from cognitive development disorders, including gross and fine motor development disorders. Indonesia's achievement of child health services reaches 75.82%

Method: The study in this study was cross sectional. The sample used in this study was toddlers aged 24-60 months, with a total sample of 64 toddlers obtained by taking a sample of simple random sampling, bivariate analysis using the Chi square test.

Results: Data analysis shows that toddlers with picky eating have suspect fine motor development of 3.9% and normal 35.9%. The results of the statistical analysis show that there is a relationship between picky eating and fine motor development. This can be seen from the p value, namely 0.001. This statistical relationship exists because the p value is <0.05 and the OR value is 9.225

Conclusion : In this study there was a there is a relationship between picky eating and fine motor development in toddlers aged 24 to 60 months in Ngalang Gedangsari Gunung Kidul village.

Efektivitas Penyuluhan Kesehatan Tentang KB Intra Uterine Device (IUD) Terhadap Pengetahuan Alat Kontrasepsi IUD Pada Wanita Usia Subur Di Posyandu Kunir Putih

Mita Meilani — 2024-12-30

Introduction: Birth control is one of the important efforts in improving reproductive health and reducing population growth rate. Among the various contraceptive methods available, the intra-uterine device (IUD) has the advantage of high effectiveness and a long period of protection. However, the use of IUDs in Indonesia is still relatively low compared to other contraceptive methods, such as injections and pills. Health counseling is one intervention that has proven effective in increasing knowledge and changing community attitudes. Various studies have shown that counseling methods that use educational media, such as leaflets, videos, and group discussions, are able to provide better understanding to women of childbearing age about the importance of IUD use.Method: This research is a quantitative study with pre- experiment design. The research design uses one group pre test and post test. Sampling using total sampling technique. The sample size in this study was 36 respondents of women of childbearing age. The intervention provided in this study was the provision of health counseling on IUD contraception and then given a questionnaire regarding contraceptive knowledge.Results: The results of this study showed that 36 respondents there was an increase in pretest and posttest knowledge scores. The results showed p- value of 0.001 (<0.05) which means Ha is accepted. Health counseling on IUD contraception increases the knowledge of women of childbearing age about IUD birth controll.Conclusion : Health counseling on IUD contraception increases the knowledge of women of childbearing age about IUD contraception.

Analisis Faktor Praktik Hygiene dan Sanitasi Lingkungan Terhadap Kejadian Stunting di Wilayah Kerja Puskesmas Bahodopi Morowali

Sartika Atma Manapa Ambabunga — 2024-12-22

This study aims to analyze the relationship between hygiene practices and environmental sanitation on the incidence of stunting in the working area of Bahadopi Health Center, Kaurea Village, Morowali, Central Sulawesi, conducted in August-September 2022. The research used a quantitative approach with a cross-sectional analytic study design. The study population consisted of 104 stunted children, with a sample size of 50 mothers and children. The results showed that 70% of respondents had good hygiene practices, while 30% had poor hygiene practices. Meanwhile, 70% of respondents lived in environments with poor sanitation, and 30% lived in environments with good sanitation. Fisher's Exact Test indicated a significant relationship between hygiene practices (p = 0.000) and environmental sanitation (p = 0.000) with the incidence of stunting, with p < α (α = 0.05). These findings emphasize the importance of hygiene practices and environmental sanitation in stunting prevention. Therefore, improvements in both aspects could play a crucial role in reducing the incidence of stunting in the community.

Pengaruh Edukasi Video Terhadap Pengetahuan Dan Sikap Remaja Tentang Pernikahan Usia Dini Di SMP Islam Pagimana, Kabupaten Banggai Tahun 2024

Rismawati Rismawati — 2024-12-22

This study aims to analyze the effect of video-based education about early marriage on the knowledge and attitudes of students at SMP Islam Pagimana, Banggai Regency, Central Sulawesi. The design of this study is a pre-experimental study with a one-group Pretest-Posttest design. In this study, the researcher provided a group intervention that was initially measured through a test (Pretest), then after the intervention was given the group would be measured again using a Posttest. This research was conducted at SMP Islam Pagimana, Banggai Regency, Central Sulawesi in December 2024. The population in this study were all students of SMP Islam Pagimana, Banggai Regency in the 2023/2024 academic year with a total of 248 people. The sample used in this study was 71, but to anticipate dropouts, 10% was added to a total of 78 people. The respondents used in this study were classes VII, VIII, and X. Samples from each class were taken using the spin or random method because the number of students in each class was different. Data collection from the research results used a questionnaire. Data analysis used was univariate and bivariate analysis. The results of the study showed that there was an increase in knowledge before and after counseling by 21.7%. There was an increase in attitudes before and after counseling by 56.4%. It is known that there is a significant difference in the average increase in knowledge about early marriage before and after being given educational videos.

Mengurai Masalah Anemia pada Remaja Putri di Indonesia: Studi Kasus di Bangka Belitung

Tesza Rezky Permata — 2024-12-15

Penelitian ini bertujuan untuk menganalisis prevalensi anemia pada remaja putri di Kepulauan Bangka Belitung. Metode penelitian yang digunakan adalah survei dengan pendekatan cross-sectional, melibatkan 113 remaja putri berusia 14-17 tahun. Data dikumpulkan melalui wawancara, pemeriksaan klinis, dan pengukuran kadar hemoglobin. Hasil penelitian menunjukkan prevalensi anemia sebesar 37%, dengan 51% di antaranya mengalami anemia sedang. Faktor-faktor yang dianalisis meliputi usia, pendidikan ibu, kondisi menstruasi, kebiasaan sarapan, dan konsumsi tablet tambah darah. Ditemukan bahwa 68% responden tidak rutin sarapan pagi dan 74% tidak mengonsumsi tablet tambah darah. Penelitian ini menyoroti pentingnya intervensi gizi dan edukasi kesehatan untuk mengurangi prevalensi anemia di kalangan remaja putri di wilayah tersebut.

Analisis Pengaruh Dukungan Keluarga Terhadap Edukasi Kesehatan Di Posyandu Lansia Wilayah Kerja UPTD Puskesmas Nambo Kabupaten Banggai Sulawesi Tengah

Rindy Antika Dj Sanudin — 2024-12-25

Integrated Health Service for Elderly (called Elderly Posyandu) is a form of activity to handle the health of the elderly population. Elderly Posyandu offers activities in the form of health education to the elderly. The active role of the elderly's family is a supporting factor to make the elderly interested in participating in health education activities at the Posyandu. This study aims to analyze the influence of family support factors on the activeness of the elderly in participating in health education at the Elderly Posyandu in the working area of UPTD Puskesmas Nambo, Banggai Regency, Central Sulawesi. The type of research used is observational analytic with a cross-sectional research design. Data collection using a questionnaire. The sample in this study was 95 elderly people in the Working Area of UPTD Puskesmas Nambo, Banggai Regency, Central Sulawesi. Data analysis using the chi-square test. The results of this study indicate that there is an influence of emotional support (p = 0.000), appreciation support (p = 0.000), informational support (p = 0.000) and instrumental support (p = 0.000) on the activeness of the elderly in participating in health education at the UPTD Nambo Health Center, Banggai Regency, Central Sulawesi. Most respondents have high family support and are active in participating in health education at the Elderly Posyandu. The results of this study are expected to be a reference for health workers and families to provide support to the elderly, especially to participate in health education at the Posyandu.

Efek Media Slide dan Media Sosial terhadap Pengetahuan HIV/AIDS dan VCT (Voluntary Counseling and Testing) pada Pekerja PT. X di Kabupaten Tabalong

Henni Widia Astuti — 2024-12-25

This study aims to analyze the effectiveness of health promotion media, namely slide media and social media (animated videos), in improving workers' knowledge and interest in HIV/AIDS and Voluntary Counseling and Testing (VCT) at PT. X, Tabalong Regency, South Kalimantan. The study utilized a quasi-experimental design with a two-group pre-posttest method, involving 360 respondents. Group A received counseling using slide media, while Group B was educated through animated videos shared via WhatsApp. The results showed a significant increase in knowledge in both groups, with the slide media group demonstrating higher effectiveness compared to the social media group (p < 0.001). However, interest in VCT did not show a significant relationship with increased knowledge in either group (p > 0.05). Slide media proved to be more effective than social media in enhancing workers' knowledge of HIV/AIDS. These findings highlight the importance of using appropriate health promotion media to educate workers about health issues.

Analisis Beban Kerja Terhadap Kualitas Layanan dan Kesejahteraan Tenaga Kesehatan Non ASN di Unit Rawat Inap Psikiatri Rsud Batara Guru Kabupaten Luwu

Yuliana Aziz — 2024-12-25

This study aims to analyze the relationship between work burden, service quality, and the well-being of non-ASN healthcare workers in the psychiatric inpatient unit of RSUD Batara Guru. The research used a quantitative correlational design (Kendall's Tau Test) with a cross-sectional approach. The data was collected from 30 non-ASN healthcare workers in the psychiatric inpatient unit using purposive sampling. The results showed that: (1) Work burden significantly affects service quality (ρ = 0.000 < 0.05), with a negative correlation indicating that higher work burden leads to lower service quality; (2) Work burden significantly affects the well-being of non-ASN healthcare workers (ρ = 0.010 < 0.05), with a negative correlation suggesting that higher work burden leads to lower well-being; (3) Service quality significantly affects the well-being of non-ASN healthcare workers (ρ = 0.001 < 0.05), with a positive correlation indicating that better service quality leads to better well-being. This research highlights the importance of managing work burden and improving service quality to enhance the well-being of healthcare workers.

HAMBATAN PEMANFAATAN PELAYANAN NIFAS DI WILAYAH KERJA PUSKESMAS X : STUDI KUALITATIF

Yolanda Montessori — 2024-12-15

Postpartum period is a critical period for a mother and newborn because long-term health risks occur in this period. Maternal and neonatal deaths mostly occur in the first week after delivery. On the other hand, the postpartum period is a time that is often missed when obtaining quality midwifery services, especially in low and middle income countries. The aim of this research is to determine the barriers to utilizing postpartum services in the Puskesmas X Work Area in 2023. This research is a qualitative research using a phenomenological approach. Five informants were interviewed semi-structuredly, consisting of 1 mother postpartum 1 month, 2 mothers postpartum 2 months, and 2 mothers postpartum 3 months who were selected using purposive sampling technique. Based on the results of the thematic analysis, postpartum mothers have low knowledge about postpartum visits, so awareness about making visits is also lacking. Apart from that, the length of time that must be taken to be checked at a health service facility, inadequate means of transportation to access health service facilities, and not having a supply of expressed breast milk when having to leave the baby at a health service facility are also factors preventing postpartum mothers from making postpartum visits. Apart from that, health workers have not been optimal in providing information regarding the national policy of postpartum visits 4 visits and health workers in the local area have not made home visits. So home visits can be a solution so that midwives can continue to provide education and support to postpartum mothers.

GAMBARAN SANITASI LINGKUNGAN DI PONDOK PESANTREN AL-HIDAYAH KENALI ASAM BAWAH KOTA JAMBI

Sondang Siahaan — 2024-12-24

Sanitation in public places, which has the potential for disease transmission, is one of the critical issues in Islamic boarding schools (pondok pesantren). Based on a survey conducted at Pondok Pesantren Al-Hidayah, the environmental sanitation did not meet health standards. Environmental sanitation is a part of environmental health science that includes methods and efforts by individuals or communities to control and manage external environments that are hazardous to health and may threaten human survival. The purpose of this study was to describe the environmental sanitation conditions at Pondok Pesantren Al-Hidayah, Kenali Asam Bawah, Jambi City. This research employed a descriptive method with an observational approach to describe or illustrate phenomena that occurred within the community. The subject of this study was environmental sanitation, which included general conditions, building construction, sanitation facilities, and the requirements for food and beverage management at Pondok Pesantren Al-Hidayah in Kelurahan Kenali Asam Bawah, Jambi City. The results showed that the building construction was categorized as not meeting standards, with a score of 868 or 40%. Sanitation facilities were also categorized as not meeting standards, with a score of 775 or 41.33%. Similarly, the requirements for food and beverage management were categorized as not meeting standards, with a score of 880 or 44.44%.

FAKTOR DETERMINAN YANG MEMPENGARUHI KEJADIAN STUNTING PADA BALITA DI DESA OELNASI KECAMATAN KUPANG TENGAH KABUPATEN KUPANG

Kamilus Mamoh — 2024-12-30

Complementary stunting is a failure to grow that occurs from the beginning of life to the age of 2 years (the first 1000 days of life) caused by a lack of nutritious food intake that is not in accordance with nutritional needs in a long time bracket and the existence of recurrent infections. The impact of stunting is that the child's intelligence level is not optimal, the risk of decreasing productivity and suffering from diseases in adulthood. Research Objectives To analyze the relationship between determinants and stunting incidence in toddlers in Oelnasi Village, Central Kupang District, Kupang Regency. This study uses a type of analytical survey research with a cross-sectional approach. The research was carried out in July 2024 in Oelnasi Village, Central Kupang District, Kupang Regency. The population is mothers of toddlers who came to visit the posyandu as many as 60 respondents. Sampling uses the total population. The independent variable is the determinant factor while the dependent variable is the incidence of stunting in toddlers. Data collection uses questionnaires. The analysis uses descriptive analysis using frequency distribution while inferential analysis uses Chi-Square analysis. The results showed that there was a relationship between perception (p-0.000), behavior (p-0.000) and socio-culture (p-0.001) with stunting incidence. Conclusion: there is a relationship between perception, behavior and socio-culture with the incidence of stunting. Suggestion: It is important to always provide education and counseling to mothers of toddlers about stunting so that it provides a good understanding.

STRATEGI PEMASARAN DAN PENINGKATAN JUMLAH KUNJUNGAN PASIEN DALAM UPAYA MENINGKATKAN PROFIT RUMAH SAKIT

Ririk Fidyaningsih — 2024-12-30

In today's competitive era, hospitals are faced with challenges to not only provide quality health services, but also to increase their profitability. Effective marketing strategies and improving patient services are crucial aspects in achieving this goal. In the context of increasingly competitive health services, hospitals need to implement an integrated marketing strategy utilizing the 7 P marketing mix. This literature review aims to analyze hospital marketing strategies. The method for writing this scoping review uses a systematic data search method. The data was collected using the keyword Hospital Marketing Strategy from online literature such as Google Scholar published in 2022-2024, after which it was reviewed based on the results of the inclusion and exclusion criteria; there were 5 articles used. The results and conclusions of this research are that effective marketing strategy implementation lies in a holistic and integrated approach. By understanding patient needs and preferences, hospitals can design relevant, high-quality services, while digital marketing and engaging promotions help reach a wider audience. A positive patient experience supported by friendly service and efficient processes will drive loyalty and word of mouth recommendations. Additionally, offering competitive service packages can attract new patients. By optimizing all these aspects in their marketing strategy, hospitals can not only increase the number of patient visits but also ensure sustainable revenue growth and long-term success.

Pengaruh Woolwich Massage Terhadap Pengeluaran ASI pada Ibu Post Partum di Desa Sukoreno Prigen Kabupaten Pasuruan

Rahma Fauziyah — 2024-12-30

Breast milk is vital for newborns, yet many postpartum mothers encounter challenges in milk production, sometimes even facing complete milk absence. This can result from various factors, including nutrition, breast care, and psychological issues. Woolwich massage has been proposed as a method to enhance milk production.The study aims to evaluate the effect of Woolwich massage on breast milk production among postpartum mothers in Sukoreno Prigen, Pasuruan. A quantitative pre-experimental design was utilized, specifically a one-group pre-post test approach. The research focused on postpartum mothers who had been breastfeeding for one month, with a sample size of 30 respondents selected through total sampling.Results indicated that prior to the massage, 25 participants (83.3%) experienced relatively smooth milk production. After the intervention, 23 participants (76.7%) reported improved milk flow. Statistical analysis using the Wilcoxon test revealed a significant p-value of 0.000 (p < 0.05), leading to the rejection of the null hypothesis.These findings suggest that Woolwich massage positively influences breast milk production in postpartum mothers. The study emphasizes the importance of community awareness regarding breastfeeding and the benefits of Woolwich massage for facilitating smooth milk production.

FAKTOR–FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS RAWAT INAP WAY HALIM II KOTA BANDAR LAMPUNG

IGA Mirah Widhisastri — 2024-12-23

Anemia in pregnancy is defined as having hemoglobin levels below 11 g/dl. This condition can lead to various complications during pregnancy and childbirth, including an increased risk of fetal death in the womb. In Indonesia, the prevalence of anemia among pregnant women is notably high, with approximately 48.9% affected. These figures indicate that anemia is a significant public health issue in the country, as it exceeds the threshold of 40% prevalence, which is considered severe.

The purpose of this study was to examine the relationship between various factors and the incidence of anemia in pregnant women within the Way Halim II Inpatient Health Center's work area in Bandar Lampung City. This research utilized quantitative methods, specifically an observational analytic design with a case-control approach. The Chi-Square statistical test was employed for analysis. The study included a sample of 80 pregnant women, divided into two groups: 40 women who were diagnosed with anemia and 40 who were not. Data for the study were collected from secondary sources, specifically from Maternal and Child Health (MCH) register records.

The results indicated a significant relationship between maternal age and the incidence of anemia (p value 0.000) as well as nutritional status (p value 0.001). However, there was no significant relationship between parity and the incidence of anemia in pregnant women (p value 1.000). In conclusion, maternal age and nutritional status are associated with the incidence of anemia in pregnant women, while parity does not appear to have an effect. It is recommended that health workers routinely monitor the administration of iron (Fe) tablets and provide counseling on their importance to help prevent anemia in pregnant women

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERAWATAN TALI PUSAT PADA BAYI DI PUSKESMAS DARUL IMARAH KABUPATEN ACEH BESAR

Siti Hasanah — 2024-12-22

Latar Belakang: Masih tingginya angka kematian bayi di Indonesia disebabkan oleh berbagai faktor salah satunya adalah tetanus neonatorum, dimana jumlah tetanus neonatorum sebanyak 33 kasus dimana 9 diantaranya dilakukan perawatan tali pusat dengan diberikan alkohol dan 14 neonatal meninggal akibat tetanus neonatorum. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan perawatan tali pusat pada bayi di Puskesmas Darul Imarah Kabupaten Aceh Besar Tahun 2024.

Metode penelitian ini bersifat analitik dengan pendekatan cross sectional dengan tehnik pengambilan sampel secara Accidental Sampling dengan jumlah sampel 30 orang ibu nifas. Waktu penelitian ini dilakukan pada tanggal 10 Juli s/d 20 Juli 2024 dengan analisa univariat dan bivariat dengan uji chi square.

Hasil penelitian menunjukkan bahwa dari 30 responden sebagian besar memiliki pengetahuan kurang sebanyak 16 responden (53,3%), memiliki sikap negatif sebanyak 17 responden (56,7%) dan tidak mendapat dukungan keluarga sebanyak 19 responden (63,3%), pengetahuan p value (0,011), sikap (0,011) dan dukungan (0,011) dengan perawatan tali pusat.

Kesimpulan dan saran: Ada hubungan pengetahuan, sikap dan dukungan keluarga dengan perawatan tali pusat. Diharapkan bagi petugas kesehatan untuk meningkatkan pelayanan kesehatan khusunya pada ibu nifas dengan memberikan konseling kesehatan tentang perawatan tali pusat.

Strategi Tempat Praktek Mandiri Bidan dalam Mempromosikan IUD Pasca Plasenta bagi ibu hamil

Nurvy Alief Aidillah — 2024-12-26

Metode kontrasepsi IUD pasca plasenta merupakan salah satu jenis kontrasepsi pascasalin jangka panjang yang cukup efektif untuk mengatur jarak kehamilan, akan tetapi jenis kontrasepsi ini masih jarang dijumpai di beberapa tempat praktek bidan mandiri bidan. Metode kontrasepsi ini merupakan salah satu upaya strategis pemerintah dalam penurunan AKI dan AKB. Fenomena tersebut melatarbelakangi peneliti untuk mengetahui strategi yang dilakukan oleh tempat praktek mandiri bidan dalam mempromosikan IUD pasca plasenta pada ibu hamil. Penelitian ini menggunakan metode penelitian kualitatif pendekatan phenomenology. Peneliti melakukan wawancara terhadap 3 bidan sebagai informan inti dan melakukan triagulasi sumber pada akseptor KB di 3 bidan tersebut. Instrumen menggunakan pedoman wawancara dan data dialisa secara tematik. Fokus penelitian adalah strategi, faktor yang mendukung dan menghambat promosi pelayanan IUD pasca plasenta. Hasil penelitian menunjukkan terdapat strategi yang dilakukan bidan sebelum memberikan pelayanan dalam rangka mempromosikan IUD pasca plasenta kepada pasien meliputi konseling sejak dini sejak pemeriksaan kehamilan dengan menggunakan alat bantu promosi, membangun suasana yang mendukung dalam pengambilan keputusan dengan melibatkan pasangan, membangun kerjasama yang mendukung terhadap pelayanan, dan menjalin kemitraan yang bertujuan untuk menciptakan kerjasama yang saling menguntungkan. Strategi yang dilakukan bidan dapat mendukung dan memudahkan promosi bidan dalam memberikan konseling kepada pasien. Diharapkan bidan dapat terus meningkatkan strategi yang telah dilakukan selama ini dalam mempromosikan dan memberikan pelayanan kontrasepsi pascasalin salah satunya IUD pasca plasenta.

Analisis Faktor Yang Berhubungan dengan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Singotrunan Banyuwangi

Hani Narulita Azizah — 2024-12-23

There are still many babies who are given formula milk when they visit the health center, while waiting for action the mothers holding the babies are seen holding pacifiers containing formula milk. Considering the importance of giving exclusive breastfeeding to babies, breast milk should still be given to babies, whether to working mothers or perhaps mothers who are reluctant to give breast milk for certain reasons. The aim of the research is to determine the factors associated with exclusive breastfeeding in the Singotrunan Community Health Center Working Area, Banyuwangi Regency. The research design used was correlational with a cross sectional design. The sample in this study was all mothers who had babies 7-60 months in the working area of the Singotrunan Community Health Center, Banyuwangi Regency, and the sample size was 144 people using consecutive sampling techniques. The research instrument used a questionnaire and then analyzed using the chi square test. The research results showed that there was no relationship between age and exclusive breastfeeding (0.829 > 0.05), there was a relationship between education and exclusive breastfeeding and exclusive breastfeeding (0.473 > 0.05), and there is a relationship between family support and exclusive breastfeeding (0.000 < 0.05). Looking at the results of this research, to increase the success of exclusive breastfeeding, midwives need to open classes for pregnant and breastfeeding mothers so that mothers get used to giving breast milk and the child's growth and development becomes more optimal.

PROGRAM INOVASI “SIMARA” SEBAGAI UPAYA PENCEGAHAN DAN DETEKSI DINI INFEKSI MENULAR SEKSUAL PADA REMAJA

Wida Novianti — 2024-12-19

Sexually Transmitted Infections (STIs) are one of the public health problems that have a significant impact on the quality of life of individuals and communities, especially in adolescent groups. Sintang Regency, especially the working area of Tanjung Puri Health Center, faces serious challenges related to the high incidence of STIs. This situation requires innovative and integrated interventions to increase awareness, encourage prevention, and facilitate early detection of STIs among adolescents. The purpose of this community service is to develop a web/android-based adolescent reproductive health education application. The results of the application trial showed that 85% of adolescents felt helped by the self-assessment feature in recognizing the risk of STIs. As many as 70% of respondents admitted to getting new information about reproductive health and knowledge about STIs through the application. Health workers stated that the application facilitates the process of data monitoring, adolescent screening and networking programs and provides referrals to high-risk users. Conclusion The creation of an innovation program in the form of a screening application for Sexually Transmitted Infections (STIs) in adolescents, named SIMARA (Information and Monitoring System for STIs in Adolescents) is a strategic step to support efforts to prevent and detect early STIs at the Tanjung Puri Sintang Health Center

Analisis Deteksi Dini Tumbuh Kembang Balita dengan Penggunaan Kuesioner Pra Skrining Perkembangan (KPSP) di RT.003 RW.003 Kel. Bukit Baru, Kec. Ilir Barat I, Palembang

Yessy Octa Fristika — 2024-12-22

Early detection of growth and development is very important to determine a child's growth and development if the child experiences delays. To see the growth and development of young children based on their age, they can be stimulated or create educational games or learning media that are adapted to the child's age and characteristics or you can also assess the child's growth and development using the Pre-Developmental Screening Questionnaire (KPSP). KPSP is an early detection instrument in child development which is useful for determining whether a child's development is normal or whether there are deviations. This research aims to look at the Analysis of Early Detection of Toddler Growth and Development using the Pre-Developmental Screening Questionnaire (KPSP) in RT.003 RW.003 Kel. Bukit Baru, Kec. Ilir Barat I, Palembang. This research method uses a quantitative descriptive design using primary data using a cross sectional approach. The analysis used is univariate and bivariate. The research samples taken were toddlers aged 3 months - 60 months by Total Sampling. The number of samples in this study was 27 samples, the degree of confidence was 95% using chi square. The results of the chi square statistical test obtained a value of P-Value = 0.001 (P-Value < α), meaning that at α = 5% it shows that there is a significant relationship between Early Detection of Toddler Growth and Development and the Use of the Pre-Developmental Screening Questionnaire (KPSP) P- Value = 0.001 (P-Value < α), meaning at α = 5% and OR = 0.087 (95% CI: 0.023 – 0.327). This research advises mothers who have toddlers to improve health information, especially about early detection of toddler growth and development and for students to increase knowledge about excellent service in midwifery care for neonates, infants and toddlers, especially in detecting early growth and development of children through the Pre-Developmental Screening Questionnaire. (KPSP).

Pengaruh Kombinasi Antara Senam Aerobic Low Impact Dengan Diaphragma Breathing Exercise Pada Tingkat Keseimbangan Dinamis Lansia Di Komunitas Lansia Malang.

Nabila Sabrina Hadi — 2024-12-08

As individuals age, there is a gradual decline in the neurological, musculoskeletal, and endocrine systems, resulting in body imbalance and increased risk of falls. Elastic tissues, such as the lungs, decline during the aging process. The elderly usually show a decrease in physical activity due to the prevalence of pain and fatigue, leading to the perception of laziness. The approach to motivate the elderly to engage in physical activity is through low impact aerobic exercise and diaphragma breathing exercise. The aim of this research was to investigate how the combination of aerobic low impact and diaphragma breathing exercises influences the dynamic balance of older adults. The method used was one group posttest and pretest desing. The population of this study was the Berlian community, Griya Kasih and LKS - LU Pangesti, as many as 35 elderly participated in this study. Dynamic balance was assessed through the time up and go test (TUG) and evaluated using the Wilcoxon Sign Rank Test. The integration of low impact aerobic exercise with diaphragma breathing exercises notably impacts the dynamic balance of older adults, evidenced by p=0.001 (p<0.05). This research concludes that integrating aerobic low impact with diaphragma breathing exercises influences the dynamic balance levels of older adults.

Pengaruh Kombinasi Antara Senam Aerobic Low Impact dengan Diaphragma Breathing Exercise terhadap Tingkat Kebugaran pada Lansia di Komunitas Lansia Malang

Ajeng Dyah Ayu Pramudya Wardhani — 2024-12-08

Aging is a stage of life that is accompanied by structural and functional decline in the body's organs, which has an impact on fitness levels. Aerobic low impact exercise and diaphragm breathing exercise are designed as exercises that aim to improve fitness. The purpose of this research was to examine the effects of combining aerobic low impact exercise with diaphragm breathing exercises on fitness levels of the elderly at the Malang Elderly Community. The study followed a pre-experimental design, employing a one group pretest-posttest approach without a control group. 38 elderly participants were involved in the exercise program, which consisted of 12 sessions, each lasting 45 minutes and conducted every other day. Elderly fitness was measured using the 2 minute walking test (2MWT). Using a paired t-test, the data anlysis revealed a significant p-value of <.001, which is smaller than 0.05, indicating that the combination of aerobic low impact exercise with diaphragm breathing exercises significantly affects fitness levels in the elderly at the Malang Elderly Community.

DETERMINAN PENCEGAHAN TUBERKULOSIS (TBC) PADA MASYARAKAT

Wagiran Wagiran — 2024-12-23

Tuberkulosis disebabkan oleh basil Mycobacterium tuberculosis, yang menyebar ketika orang yang sakit Tuberkulosis mengeluarkan bakteri ke udara; misalnya dengan batuk. Penyakit ini biasanya menyerang paru-paru (TB paru). Menurut data yang diperoleh dari WHO sekitar satu perempat populasi di dunia telah terinfeksi Mycobacterium tuberculosis (WHO, 2020). Tuberkulosis (TB) merupakan penyebab utama dari gangguan kesehatan dan termasuk salah satu dari 10 penyebab utama kematian di seluruh dunia. Indonesia masuk peringkat ke 2 beban TB tinggi yang menyumbang 86% dari semua perkiraan kasus insiden di seluruh dunia setelah India (26%), Indonesia (8,5%) (WHO, 2023). Keberhasilan program penanggulangan penyakit dan pencegahan penularan TB paru ditentukan oleh beberapa factor, baik itu factor internal dan external. Penelitian ini menggunakan pendekatan studi kuantitatif dengan desain cross sectional dengan sampel sebanyak 73 orang. Tenhik sampling yang digunakan adalah Purposive Sampling. Hasil penelitian menunjukkan Ada hubungan antara Pengetahuan (p-value = 0,019), pendidikan (p-value = 0,021), Pendidikan (p-value = 0,028), Status kontak (p-value = 0,508), dukungan keluarga (p-value = 0,001), jarak ke puskesmas (p-value = 0,759) dan peran tenaga kesehatan (p-value = 0,001) dengan tindakan pencegahan tuberkulosis. Faktor yang berhubungan dengan tindakan pencegahan tuberkulosis yaitu Pengetahuan, pendidikan, dukungan keluarga dan peran tenaga kesehatan. Upaya pencegahan penularan TBC harus dilakukan lebih aktif kepada kontak pasien serta dukungan yang positif dari keluarga dan tenaga kesehatan

Hubungan Obesitas dengan Kadar Kolesterol Total pada Penderita Obesitas di Wilayah Pesisir Kapoiala

I Putu Sudayasa — 2024-12-23

Obesity is a major risk factor associated with metabolic disorders, including dyslipidemia, which can increase total cholesterol levels. This study aims to analyze the relationship between obesity and total cholesterol levels in obese individuals in the coastal area of Kapoiala. This study used an observational design with a cross-sectional approach. The respondents consisted of individuals with obesity, divided into two groups: obesity 1 and obesity 2. Demographic data, obesity levels, and total cholesterol levels were measured and then analyzed using Odds Ratio (OR) to assess the relationship between obesity and cholesterol levels. The majority of respondents were in the age range of 30–49 years, with a high school education as their last level of education, and most worked as housewives. In the obesity 1 group, 71.4% had high cholesterol levels, while in obesity 2, the distribution of normal and high cholesterol levels was relatively balanced. The obtained Odds Ratio was 0.873 (95% CI: 0.314–2.428), indicating no significant relationship between the level of obesity and total cholesterol levels. This study shows that although obesity is a risk factor for increased cholesterol levels, this relationship is not statistically significant. Other factors, such as diet and genetics, may also influence cholesterol levels.

HUBUNGAN FAKTOR SOSIO DEMOGRAFI DENGAN PEMILIHAN METODE KONTRASEPSI PADA WANITA USIA SUBUR (WUS)

Yunita Dwi Wulandari — 2024-12-23

The use of contraception aims to fulfill everyone's reproductive rights, by helping to plan when and how many children they want and prevent unwanted pregnancies. The proper use of contraceptives can also reduce the risk of maternal and infant mortality. This study aims to determine the relationship between socio-demographic factors and contraceptive selection. The design of this study is quantitative with a cross sectional study approach. The sample in this study was all women of childbearing age who were sexually active, sampling using the purposive sampling technique totaled 99 people. Data were obtained by interviews using questionnaires. The results showed that there was a significant relationship between age (p=0.022) and education level (p=0.015) and there was no relationship between occupation (p=0.167) and long-term contraceptive selection. Health service institutions must further improve the quality of counseling and long-term contraceptive services, so that they can attract the interest of the public in particular

PERBEDAAN USIA, PENDIDIKAN DAN PEKERJAAN IBU YANG MEMILIKI ANAK BALITA DENGAN PERILAKU KUNJUNGAN IBU KE POSYANDU DI RW 17 DESA CILEUNGSI KECAMATAN CILEUNGSI KABUPATEN BOGOR

Nita Tri Wahyuni — 2024-12-23

Posyandu is a public health service effort that has the main priority of accelerating the reduction in maternal and child mortality rates. A visit from a toddler's mother is very important for toddlers. There are several impacts experienced by toddlers if they are not active in posyandu activities. The aim of this research is the difference in age, education and occupation of mothers who have children under five with the behavior of mothers visiting posyandu in RW 17 Cileungsi Village, Cileungsi District, Bogor Regency in 2024. This research is a quantitative analytical research using a cross sectional study time approach carried out in RW 17 Cileungsi Village, Cileungsi District, Bogor Regency in December 2024. The sample in this study was 60 respondents. The research instrument uses primary data, namely interviews and questionnaires. The results of the research show that there are differences in education and employment of mothers who have children under five and visits to the posyandu, respectively, the chisquare test value is p value = 0.012, p value = 0.005 (p < 0.05). On the other hand, there was no difference in the age of mothers who had toddlers and visits to posyandu, with a chi-square test value of p value = 0.871 (p > 0.05). This shows that increasing awareness through education and work is very important to encourage mothers to take toddlers to posyandu

ANALISIS KEBUTUHAN USER PADA SISTEM INFORMASI E-REKAM MEDIS PRAKTEK MANDIRI BIDAN (PMB) KABUPATEN BANGKALAN

RIVALDI INDRA NUGRAHA — 2024-12-23

Tingginya angka kematian ibu (AKI) masih menjadi permasalahan utama di Kabupaten Bangkalan bahkan di Indonesia, AKI salah satunya disebabkan karena teknologi sistem informasi tidak menyentuh pelayanan paling dasar. Pelayanan ibu hamil di praktek mandiri bidan sejauh ini masih menggunakan prosedur manual dengan memanfaatkan buku register dan buku KIA. Penelitian ini bertujuan untuk melakukan analisis kebutuhan user pada sistem informasi e-rekam medis di Praktek Mandiri Bidan Kabupaten Bangkalan. Proses analisis dilakukan menggunakan obsrvasi dan wawancara mendalam. Subjek peneltian terdiri dari 10 orang bidan yang melaksanakan praktek mandiri bidan (PMB). Data kualitatif diperoleh dengan menggunakan wawancara dan observasi sebagai bahan analisis kebutuhan user. Hasil penelitian tersebut mendapati kebutuhan pengguna sistem informasi yang akan memiliki beberapa fitur diantaranya; fitur login, fitur pencatatan ibu hamil, fitur admin, fitur home, fitur deteksi dini risiko preeklampsia, fitur catatan hasil pemeriksaan ibu hamil dan fitur laporan, serta fitur e-rekam medis

PENGARUH SENAM NIFAS TERHADAP INVOLUSI UTERI PADA IBU POSTPARTUM PRIMIGRAVIDA TPMB BDN. ESTHER, KAMAL MUARA, PENJARINGAN JAKARTA UTARA TAHUN 2024

Ermeida Nelli — 2024-12-23

Latar Belakang: Involusi uteri merupakan pengecilan normal suatu organ setelah organ tersebut menjalankan fungsinya, salah satu contohnya adalah pengecilan uterus setelah proses melahirkan. Involusi uteri merupakan suatu proses mengecilnya kembali rahim setelah terjadinya proses persalinan dan kembali kebentuk asal. Perdarahan merupakan penyebab utama kesakitan dan kematian Ibu pada Masa Nifas, dimana 50%-60% terjadi karena kegagalan miometrium berkontraksi secara sempurna. Salah satu asuhan untuk memaksimalkan kontraksi uterus pada masa nifas adalah dengan melaksanakan senam nifas, guna mempercepat proses Involusi Uteri.

Tujuan Penelitian: Mengetahui mengetahui pengaruh Senam Nifas dengan involusi uteri pada ibu post partum primigravida

Metodologi: Penelitian ini menggunakan True Ekperimental dengan desain “Pretest-Postest, Control Group Design”. Pada rancangan ini, kelompok eksperimental diberi perlakuan sedangkan kelompok control tidak. Pada kedua kelompok di awali dengan pra-test, dan setelah pemberian perlakuan selesai diadakan pengukuran kembali atau post-test.

Hasil Penelitian: Ada pengaruh senam nifas terhadap Involusi Uteri pada Ibu Postpartum primigravida di TPMB Bdn. Esther, Kamal Muara, Penjaringan Jakarta Utara Tahun 2024 dengan nilai p<0,05 dan Ibu postpartum yang melakukan senam nifas mengalami involusi uteri lebih cepat dibandingkan ibu postpartum yang tidak melakukan senam nifas.

Kesimpulan : Senam Nifas untuk ibu postpartum dapat memberikan pengaruh terhadap penurunan involusi uteri. Pengadaan kelas Senam nifas bagi Ibu postpartum sangat bermanfaat terutama untuk mempercepat proses Involusi Uteri.

KEPUASAN AKSEPTOR PADA PELAYANAN MOPVASEKTOMI DI SATYA GATRA KOTA SURABAYA

LELLY APRILIA VIDAYATI — 2024-12-23

Among the various family planning services available, vasectomy is still rarely popular with the general public. The purpose of the study was to identify the satisfaction of Vasectomy acceptors at Satya Gatra Surabaya City.

The research used a quantitative descriptive design. There are nine variables raised, which are the requirements, mechanism, completion time, cost/tariff, service specifications, competence of implementers, behavior of implementers, handling of service complaints, and facilities and infrastructure. Population, sample and research time, namely all MOP acceptors at Satya Gatra Surabaya City with a total sampling of 35 people in July-August 2024. Data collection methods using a questionnaire and measured by a Likert scale. Data analysis used descriptive analysis with frequency distribution.

The results of the study concluded that in the first variable, the answer was satisfied, the 2nd variable was satisfied, the 3rd variable was satisfied, the 4th variable was very satisfied, the 5th variable was very satisfied, the 6th variable was very satisfied, the 7th variable was very satisfied, the 8th variable was satisfied, the 9th variable was satisfied.

Although the overall value of the indicator is categorized as satisfied, there are those who have less satisfied answers, namely system indicators, mechanisms, procedures and infrastructure indicators.

Pengetahuan, Pemanfaatan Media Sosial dan Resiko Kejahatan Gender Berbasis Online (KGBO) Pada Remaja Putri di Tingkat SMA dan Perguruan Tinggi

Dian Eka Januriwasti — 2024-12-22

Media sosial dan teknologi informasi memberikan peluang bagi remaja dalam kebutuhan konektivitas sosial untuk terhubung dengan teman sebaya, keluarga dan kelompok kegiatan dalam minat yang sama untuk berbagi dan mengekspresikan diri. Pengaruh positif media sosial ini juga membuat remaja rentan mengalami Kejahatan Gender Berbasis Online (KGBO) yang juga semakin marak terjadi seiring perkembangan pemanfaatan media sosial dikalangan generasi muda.

Metode dalam penelitian ini menggunakan metode penelitian deskriptif dengan tujuan menggambarkan karakteristik dan fenomena pengetahuan, pemanfaatan media sosial dan resiko kejahatan Gender Berbasis Online (KGBO) pada 214 remaja putri di tingkat SMA dan Perguruan Tinggi.

Hasil penelitian didapatkan 88,3% remaja putri di Tingkat SMA dan Perguruan Tinggi tidak mengetahui Kekerasan Gender Berbasis Online (KGBO), Pemanfaatan Media Sosial di kalangan remaja putri 50,9% untuk membuka relasi dengan trend penggunaan tertinggi yaitu Instagram 97,7%, Tiktok 94,9%, dan Facebook 53,7%. Pengalaman remaja putri mengalami Kejahatan Gender Berbasis Online (KGBO) berupa Cyberflashing yaitu 18,2%, Doxing yaitu 16,8%, dan Sextortion sejumlah 0,9%.

Edukasi kepada remaja putri di Tingkat SMA dan Perguruan tinggi tentang pencegahan terhadap Kekerasan Gender Berbasis Online (KGBO) diharapkan mampu memberikan proteksi dan kontrol kepada remaja putri dalam membatasi akses identitas dan peluang orang lain untuk melakukan Kekerasan Gender dalam penggunaan media sosial.

Hubungan antara Riwayat status Imunisasi dan ASI Eksklusif terhadap Kejadian Stunting pada Balita

Sofi Yulianto — 2024-12-23

Background: Stunting is a condition of failure to grow in children under five as a result of chronic malnutrition, especially in the first 1000 days of life (HPK), so that the child is too short for his age From the prevalence data of stunting in toddlers collected by WHO, Indonesia is included in the third country with the highest prevalence in the Southeast Asia region / South-East Asia Regional (SEAR). Bangkalan Regency is recorded as the area with the highest prevalence of stunting toddlers in East Java. Namely reaching 26.8%. Objective: To determine the relationship between exclusive breastfeeding history and immunization history and stunting incidence in Tragah District. Methods: A cross-sectional study design with a population of all toddlers aged 12-59 months with a sample of 78 people selected by proportional sampling. The data collection of this study uses a questionnaire. The data were analyzed with univariate analysis to obtain an overview of the frequency distribution, bivariate analysis with chi-squre test to obtain the relationship between two variabes. Results: Based on the results of the incomplete Immunization Status analysis with a very short stunting incidence of 22 (40%). The results of the Chi Square statistical test obtained a P Value (0.000) and almost half of the breast milk was not exclusive with a very short stunting incidence of 22 (40.7%). The results of the Chi Square statistical test obtained a P Value (0.000) with a significance level of α(0.05) risk factors for stunting. Conclusion: There is a relationship between Immunization Status and Stunting Incidence in the Working Area of the Tragah Health Center of BangkalaN Regency. There is a relationship between Exclusive Breastfeeding and Stunting Incidence in the Working Area of the Tragah Health Center, Tragah District, Bangkalan Regency

THE RELATIONSHIP BETWEEN AGE, PARITY, AND PREGNANCY INTERVAL WITH HEMOGLOBIN LEVELS IN THIRD TRIMESTER PREGNANT WOMEN AT PRAKTIK MANDIRI BIDAN OF FAUZIAH HATTA

Era Mardia Sari — 2024-12-23

Hemoglobin levels are one of the hematological parameters that undergo changes during pregnancy. During pregnancy, plasma volume increases by approximately 40-45%, starting progressively in weeks 6-8 of gestation and reaching its peak at weeks 32-34. Concurrently, renal erythropoietin stimulates the increase in red blood cell count by 20-30%. However, the increase in red blood cells is not proportional to the increase in plasma volume, leading to hemodilution and a decrease in hemoglobin levels. This study aims to determine the relationship between age, parity, and pregnancy interval with hemoglobin levels in third-trimester pregnant women. The sample in this study consisted of 40 respondents, all third-trimester pregnant women who attended prenatal visits between September and November 2023. The analysis method used in this study was Pearson correlation. There are three analyses in this study: first, the analysis of the relationship between age and hemoglobin levels showed a p-value of 0.026, which is less than α (0.05), indicating a significant relationship between age and hemoglobin levels in pregnant women. Second, the analysis of the relationship between parity and hemoglobin levels showed a p-value of 0.736, which is greater than α (0.05), meaning there is no relationship between parity and hemoglobin levels in pregnant women. Third, the analysis of the relationship between pregnancy interval and hemoglobin levels showed a p-value of 0.012, which is less than α (0.05), indicating a significant relationship between pregnancy interval and hemoglobin levels in pregnant women.

EFEKTIVITAS PEMBERIAN AROMATERAPI CEDARWOOD TERHADAP PENURUNAN SKALA NYERI HAID PADA REMAJA USIA 18-20 TAHUN DI FIKES UNITOMO

Arkha Rosayaria B. — 2024-12-01

Nyeri haid adalah keluhan ginekologis akibat ketidakseimbangan hormon progesteron dalam darah sehingga mengakibatkan timbul rasa nyeri yang paling sering terjadi pada wanita. Dampak nyeri haid pada remaja meliputi rasa terganggu, aktivitas menurun, kesulitan berkonsentrasi pada pekerjaan. Tujuan dari penelitian ini untuk mengetahui efektivitas aromaterapi cedarwood terhadap penurunan skala nyeri haid pada remaja usia 18-20 tahun di Fikes Unitomo. Intervensi yang dapat dilakukan untuk mengurangi nyeri haid dengan menggunakan teknik farmakologi dan non farmakologi. Teknik non farmakologi yang digunakan melalui pemberian aromaterapi. Cedarwood memiliki berbagai kegunaan dalam aromaterapi. Memiliki berbagai khasiat antara lain anti inflamasi, merangsang sirkulasi darah, melindungi kulit kepala dari bakteri, menghilangkan rasa nyeri. Sampel yang digunakan pada penelitian ini sebanyak 20 responden, dengan rancangan penelitian Quasi Eksperimental dengan desain Two Group Only Post-test. Berdasarkan hasil penelitian diperoleh remaja yang diberikan aromaterapi cedarwood yang merasa nyeri haid ringan 40%, nyeri haid sedang 60 %, nyeri haid berat 0 %, nyeri haid sangat hebat 0 %. Hasil uji efektivitas chi square yang digunakan diperoleh nilai p value 0,00 Jika p value < nilai α 0,05 , maka H0 ditolak dan H1 diterima. Hal ini menunjukan adanya Efektivitas Pemberian Aromaterapi Cedarwood Terhadap Penurunan Skala Nyeri Haid Pada Remaja di Fikes Unitomo

Deteksi Dini Kanker Payudara Menggunakan Metode Gans (Generative Adversarial Network) Dilihat Dari Segi Filosofi: Narrative Review (NR)

Samsinar Samsinar — 2024-12-20

Early detection of cancer using artificial intelligence (AI) from a healthcare perspective is crucial as it significantly increases the chances of successful treatment and reduces the risk of mortality. This aspect is emphasized as a vital factor in enhancing early cancer detection in patients and improving survival rates from a philosophical perspective. This article highlights that early detection can also help reduce the high costs associated with cancer treatment. By identifying the disease at an early stage, patients may require less intensive and less expensive treatment, which can alleviate the burden on both patients and their families. However, there are challenges, as over time, breast cancer becomes more difficult to treat, leading to a decrease in survival rates, necessitating the implementation of effective early detection methods. The development of pattern recognition methods is discussed as a means to improve the accuracy of early cancer detection. The results present a framework for analyzing human-computer interaction that incorporates a philosophical perspective, providing a structured approach to evaluating the implications of technology on human life.

EFEKTIFITAS PENDIDIKAN KESEHATAN TENTANG IMUNISASI TETANUS TOKSOID (TT) TERHADAP PENGETAHUAN IBU DI PMB FAUZIAH HATTA

Siti Amallia — 2024-12-20

TThe infection of Tetanus is one of the causes of maternal and infant mortality. Death due to tetanus infection is the result of an unsterile delivery process or comes from wounds obtained by pregnant women before giving birth. In an effort to control tetanus infection, which is a risk factor for maternal and infant mortality, a Tetanus Toxoid Diphtheria vaccine is being implemented for Women of Childbearing Age and pregnan. The aim of this research was to determine the effectiveness of health education about Tetanus Toxoid (TT) Immunization on mothers' knowledge at PMB Fauziah Hatta. This research was a pre-experimental research with a one group pretest-posttest design. The sampling method used in this research was a purposive sampling technique. The sample in this research were women of childbearing age and pregnant, totaling 35 respondents. The research was carried out in June - October 2023 at PMB Fauziah Hatta, Palembang city. The research results showed that the average mother's knowledge score before being given health education was 55.06, the average mother's knowledge score after being given health education was 76.03. The results of statistical tests using the Paired T Test obtained ρ-value = 0.000, which means there were a difference in mothers' knowledge before and after being given health education about Tetanus Toxoid (TT) Immunization at PMB Fauziah Hatta in Palembang. It was recommended that health workers increase health education about Tetanus Toxoid (TT) Immunization which aims to build the immunity of mothers and babies from the toxin that causes tetanus.