Jurnal Poltekkes Kemenkes Aceh
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The impact of spirituality on blood glucose control among patients with type 2 diabetes mellitus in Padangsidimpuan
Full text linkDiabetes mellitus (DM) is a chronic degenerative disease that requires lifelong management. Beyond biological, psychological, and social needs, spirituality is an essential dimension for individuals with chronic conditions. The number of individuals with diabetes in Padangsidimpuan has steadily increased, creating a burden on health services. This study aimed to explore the role of spirituality in the lives of patients with type 2 DM. A qualitative design with a phenomenological approach was applied, involving seven Muslim participants who met the inclusion criteria of no cognitive impairment, diagnosis for at least five years, a minimum bachelor’s education, and the ability to communicate effectively. The study was conducted in Padangsidimpuan from January to February 2025. Data were collected through in-depth interviews using a structured guide and analyzed using Colazzi’s method assisted by Open Code software. Three major themes and seven subthemes emerged: (1) Spirituality as motivation to live with diabetes (lifelong journey, spiritual motivation, acceptance of illness); (2) Nature as God’s creation to relieve problems (healing power of water, nature as divine solution); and (3) Harmonious human relationships to stabilize blood glucose (peace through social interaction, charity for better control). In conclusion, spirituality played a positive role in providing motivation, reinforcing life’s meaning, and fostering harmonious relationships with oneself, others, and the environment, thereby supporting better blood glucose control in patients with DM
Effect of SOYDRA pudding (soybean and red dragon fruit) on blood pressure in patients with hypertension
Full text linkHypertension is a major risk factor for cardiovascular diseases and remains the leading cause of mortality globally. Non-pharmacological interventions using local functional foods are promising alternatives for blood pressure management. SOYDRA pudding, a novel combination of soymilk and red dragon fruit, contains bioactive compounds such as flavonoids, isoflavones, and dietary fiber, which are known to have antihypertensive properties. This study aimed to evaluate the effect of SOYDRA pudding as a dietary intervention on blood pressure in patients with grade 1 hypertension. A randomized crossover trial was conducted from September to November 2024 at the outpatient clinic of the Arosuka Hospital, West Sumatra. Thirty-two participants aged 40–60 years with grade 1 hypertension were included in this study. The intervention consisted of consuming SOYDRA puddings twice daily (2 × 150 g/day) along with nutritional education over a 30-day period. Blood pressure measurements were performed before and after the intervention. Data were analyzed using the dependent t-test and Wilcoxon test. Results, there was a statistically significant reduction in systolic blood pressure from 146,3 ± 6,2 mmHg to 132,5 ± 5,9 mmHg (p = 0,000) and in diastolic blood pressure from 92,7 ± 4,8 mmHg to 84,1 ± 4,2 mmHg (p = 0,000) after the 30-day intervention. In conclusion, the administration of the SOYDRA pudding at a dose of 2 × 150 g/day for 30 days significantly reduced both systolic and diastolic blood pressure in patients with hypertension. These findings highlight the potential of functional food-based dietary strategies in non-pharmacological hypertension management
The intervention of banana peel smoothies products to lower blood pressure in prehypertensive patients
Full text linkThe incidence of hypertension in Indonesia is increasing, affecting not only the elderly population but also young adults aged 18–39 years. Prehypertension is an early indicator of hypertension; however, the application of fruit-based interventions remains limited. Bananas, particularly their peels, are abundant in nutrients and bioactive compounds that may mitigate hypertension. This study aimed to assess the impact of banana peel smoothing on blood pressure in individuals with prehypertension. A quasi-experimental pre-post-test design was employed. Thirty-two participants were screened and equally divided into two groups: one receiving banana fruit smoothies, and the other receiving banana peel smoothies. The study was conducted from February to March 2024 at the Faculty of Agriculture, Siliwangi University, Tasikmalaya, West Java. Blood pressure measurements were obtained before and after the intervention, and the data were analyzed using a paired t-test. Both banana fruit and banana peel smoothies significantly reduced blood pressure (p= 0,000) in both interventions. In conclusion, banana peel smoothies exhibited greater efficacy in lowering blood pressure in prehypertensive individuals than banana fruit. Banana peel smoothies represent an effective intervention for reducing blood pressure in prehypertensive individuals, offering a promising and nutrient-rich approach for hypertension management
Analisis ketahanan pangan keluarga dan pendapatan sebagai determinan status gizi balita di Kabupaten Ende
Full text linkBackground: Nutritional problems in children under five, especially malnutrition, are still a challenge in Indonesia, including in East Nusa Tenggara Province. Based on the latest data, the prevalence of underweight toddlers reaches 22%, obesity 2%, and stunting 15,5%. Family food security and income levels are important factors that affect the fulfillment of children's nutritional intake, which ultimately impacts nutritional status.Objectives: This study aims to analyze the relationship between family food security and income level to the nutritional status of toddlers aged 24–59 months in Ende Regency.Methods: This study used an analytical observational design with a cross-sectional approach. The sample consisted of 194 mothers and toddlers aged 24–59 months who were selected in Ende District and Central Ende District, which was carried out from December 2024 to February 2025. Independent variables include family food security and income level, while dependent variables are the nutritional status of toddlers. Data analysis was carried out using the Chi-Square test.Results: The study showed that there was a significant relationship between family food security and the nutritional status of toddlers (p = 0,000), as well as is not between income level and nutritional status of toddlers (p = 0,646) in Ende and Central Ende Districts.Conclusion: Family food security and income level were significantly related to the nutritional status of toddlers aged 24–59 months in Ende Regency
Pengaruh edukasi gizi menggunakan e-diary terhadap pengetahuan, sikap, dan persepsi perilaku pada remaja putri
Full text linkBackground: The higher the level of knowledge, the more likely adolescents are to have better alternatives and behave positively. The results of a preliminary study stated that the knowledge, attitudes, and behavioral perceptions of adolescent girls are still in the poor category on average. The data shows that the proportion of malnutrition in adolescent girls is still in the high prevalence category. Therefore, nutrition education is needed to support and improve the knowledge, attitudes, and behavioral perceptions of adolescent girls.Objectives: To find out the effect of providing education on balanced nutrition guidelines using e-diaries for adolescent girls on the knowledge, attitudes and behavioral perceptions of adolescent girls at Poris Indah High School, Tangerang City.Methods: This study uses the Pre Experiment Design method with the One Group Pre test-Post test Non Control Group Design approach. The number of samples is 33 female adolescents taken using a purposive sampling technique. This study was conducted for 18 days at Poris Indah High School, namely in August - September 2023. Female adolescents will be given a pre-test, then given nutritional education using e-diary media, then a post-test will be carried out, for the behavioral perception variable it will be carried out 18 days after the education. Data analysis using the Wilcoxon test.Results: The results showed an increase in knowledge, attitudes, and behavioral perceptions in adolescent girls after being given nutrition education using the adolescent girl e-diary media (p = 0,0001). The results of the pre-post test of knowledge, attitudes, and behavioral perceptions were 56,67 and 81,21, 62,95 and 95,68, 52,73 and 72,42 respectively.Conclusion: There is an influence of providing balanced nutrition guidelines education using e-diary media for female adolescents on the knowledge, attitudes, and behavioral perceptions of female adolescents at SMA Poris Indah, Tangerang City
TG/HDL-C ratio as a risk marker for metabolic syndrome and atherosclerosis in adolescents aged 15-18 years in Indonesia
Full text linkMetabolic syndrome is characterized by high levels of triglycerides, blood glucose, and blood pressure, along with low high-density lipoprotein cholesterol (HDL-C) and central obesity. The TG/HDL-C ratio is a quick and cost-effective marker of dyslipidemia and insulin resistance, increasing the risk of atherosclerosis. However, most studies on TG/HDL-C ratio in Indonesia have been limited to adolescent populations with distinct metabolic profiles and health risks. This study aimed to assess the correlation between metabolic syndrome risk and TG/HDL-C ratio as a marker of atherosclerosis risk in adolescents. This cross-sectional study was conducted at Batik 1 Senior High School Surakarta from October 2023 to March 2024. A total of 65 adolescents were selected using simple random sampling. The observed data included body mass index (BMI), waist circumference, blood pressure, fasting blood glucose, triglycerides, HDL-C, metabolic syndrome risk, and atherosclerosis risk. Pearson and Spearman correlation tests were used for statistical analysis. The results showed A significant correlation was observed between TG/HDL-C ratio and atherosclerosis risk (p= 0,000), waist circumference (p= 0,009), systolic blood pressure (p= 0,001), and diastolic blood pressure (p= 0,000). However, no significant correlation was found between fasting blood glucose level (p= 0,905) and BAZ (p= 0,405). In conclusion, TG/HDL-C ratio can serve as a valuable indicator for assessing metabolic syndrome risk in adolescents, allowing for early intervention to reduce the risk of atherosclerosis
Formulation and organoleptic test of edamame-mackarel tuna sprinkle powder as a high protein supplementation for stunting
Full text linkStunting can also reduce the quality of human resources. Developing regional foods with high protein content, such as edamame and mackerel tuna, can help reduce the prevalence of stunting. Edamame and mackerel tuna were processed into a sprinkle powder. This study aimed to determine the best formulation of sprinkle powder for use as a high-protein supplement. This research was conducted at the University of Jember from January to April 2024 using a completely randomized design at three levels. The experiments were carried out on 25 semi-trained panelists, and proximate tests were analyzed in the laboratory. The results were analyzed using SPSS v24. The results of the statistical analysis of the hedonic test showed that there were no differences in all parameters (color, aroma, taste, and overall) (p > 0,05). The results of the proximate test showed that F3 had the highest water content (9,79±0,1%), ash (9,21±0,09%), and protein (43,18±0,14%), while the highest fat and carbohydrate contents were possessed by F1, 13,21±0,05% and 31,39±0,1%, respectively). In conclusion, the most preferred formulation was F3, and proximate analysis also showed that the highest protein content was found in F3
Tradition and nutrition: How Aceh’s culture shape child condition
Full text linkThe prevalence of stunting cases in Aceh is still very high at 29,4% (2023). One of the social factors that influence stunting is the local culture in feeding practices. This study aimed to determine the culture that influences feeding practices among children diagnosed with stunting. Qualitative research using ethnographic tools was conducted in Kota Sigli, Aceh in 2022. Data were collected through 112 hours of observation, semi-structured interviews with eight mothers of stunted children, and informal interviews with five community leaders. The data were analyzed using NVivo, and several themes were generated. Results: Child-feeding culture in Aceh plays a role in child growth, both positively and negatively. The tradition of peucicap with dates and breast milk contributes to gut health through the production of bacteriocins that inhibit the growth of pathogenic bacteria. The 'rice and water' belief encourages breastfeeding from both breasts, increasing colostrum production. The consumption of star gooseberry leaves and banana rice mix contributes to increased weight gain in children. However, some practices, such as ie mom adék and poor hygiene habits, can have a negative impact. Meanwhile, other cultures, such as peutrôn tanôh and superstitious beliefs, tend to be neutral towards child growth. In conclusion, the local culture in Aceh influences the feeding of stunted children, with positive, negative, or neutral effects, depending on practices such as peucicap, consumption of star gooseberry leaves, or poor hygiene
Relationship between nutrient intake and iron levels of foremilk and hindmilk in breastfeeding mothers
Full text linkInfants who are not exclusively breastfed are at a risk of iron deficiency. Iron deficiency affects motor development, intelligence, and endurance. Adequate nutrient intake can increase breast milk iron levels, because maternal food intake greatly affects the amount of iron in breast milk. This study aimed to determine the relationship between maternal nutrient intake and iron levels in the breast milk. This study used a cross-sectional approach from October to December 2024. The subjects were 90 mothers who breastfed babies aged 2-24 weeks, with a probability proportional to size. Nutrient intake and breast milk iron stage were the variables that were studied. Data were analyzed using the Pearson’s correlation test and multiple linear regression analysis. Results showed that foremilk iron levels ranged from 60,62 µg/dL to 632,94 µg/dL, while hindmilk iron levels varied from 127,44 µg/dL to 680,38 µg/dL. Iron intake was measured between 13,17 g and 115,6 g, showing a significant correlation between nutrient intake and breast milk (p < 0,05). In addition, it was found that breastfeeding mothers' iron intake was the most influential factor on the breast milk iron stage. In conclusion, maternal iron intake significantly affects breast milk iron levels. Ensuring adequate maternal iron intake, supported by vitamin C consumption, can help increase the availability of iron in breast milk, thereby benefiting infant growth and development
Efektivitas brain qym terhadap penurunan tingkat nyeri pada anak post operasi: Studi kuasi eksperimen di RSUD Meuraxa Banda Aceh
Full text linkBackground: Pain caused by surgical wounds causes discomfort and stress in children, so measures are needed to reduce it. Brain gyms can reduce pain because the movements can increase blood flow and stretch the nerve muscles.Objective: This study aims to determine the effect of brain gym on pain levels during surgical wound care in children.Methods: This study used a quantitative design of the quasi-experimental method with a one-group pre- and post-test without control. This study was conducted in the pediatric room of Meuraxa Hospital Banda Aceh on 22 children undergoing surgical wound care (total sampling) on June 2 – August 30, 2022. The intervention was carried out by playing brain gym videos and asking children to follow the movements in the video when children were treated with surgical wounds. The instrument used the Faces Pain Rating Scale. Data analysis used a paired T test statistical test with a significance level of 0,05 and 95% confidence level.Results: The results of this study showed that the most pain levels before the intervention were at the severe pain level, namely 12 people (54,5%), and the pain level after the intervention was at moderate pain, totaling 16 people (72,8%). The results of the analysis showed a significant difference in pain before and after the brain gym (p<0,05).Conclusion: Brain gym can reduce pain in children who are undergoing surgical wound care