Jurnal Poltekkes Kemenkes Aceh
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The impact of structured clinical supervision on nurses’ adherence to nutritional education protocols for cardiac inpatients: A quasi-experimental study
Get PDFNutritional education is crucial for managing cardiovascular diseases; however, nurses’ adherence to established protocols remains suboptimal. This study aimed to evaluate the effectiveness of clinical supervision in improving nurses’ compliance with providing nutritional education to hospitalized cardiac patients. A quasi-experimental pre–post design was applied, involving 38 nurses working in the cardiac ward of a Type B General Hospital in Riau Province, from March to May 2024. The intervention group received structured clinical supervision for four weeks, while the control group continued with the standard procedures. Compliance was measured using validated observation and self-report instruments. Data were analyzed using paired t-tests and ANCOVA. Results showed that. The mean compliance score in the intervention group increased from 68,4 (SD = 8,7) to 88,2 (SD = 6,3) (p < 0,001), whereas no significant change was observed in the control group. ANCOVA confirmed that clinical supervision had a significant effect on compliance (F = 11,23, p = 0,002), with a large effect size (η² = 0,24). In conclusion, clinical supervision effectively improved nurses’ compliance in providing nutritional education. Integrating structured supervision into nursing management may enhance the quality of patient education and support better clinical outcomes in the future
Impact of chronic monosodium glutamate exposure on female reproductive health in an animal model
Get PDFMonosodium glutamate (MSG) is a widely used food additive; however, its chronic effects on female reproductive health remain unclear. Previous studies have mainly focused on neurotoxic and metabolic outcomes, leaving a gap in understanding its impact on ovarian function. This study investigated the effects of chronic MSG exposure on ovarian structure and follicular development in female mice. An experimental post-test-only control group design was used at the Biomedical Laboratory, Poltekkes Kemenkes Riau, Indonesia, from August to October 2024. Twenty-four female Swiss mice (Mus musculus), aged 8–10 weeks and weighing 25–30 g, were randomly divided into four groups (n = 6 per group). The control group received standard feed, while the treatment groups were administered MSG orally at low (0,25 g/kg body weight/day), medium (1 g/kg body weight/day), and high (4 g/kg body weight/day) doses for eight weeks. Ovarian tissues were examined using histopathology and flow cytometry. Data were analyzed using one-way analysis of variance (ANOVA), post-hoc tests, and correlation analysis. The medium- and high-dose groups showed significant reductions in primary (12,3 ± 2,1; 8,7 ± 1,9) and secondary follicles (7,8 ± 1,5; 4,9 ± 1,2), accompanied by tissue degeneration and germ cell apoptosis. A strong negative correlation was observed between MSG dose and mature follicle count (r = –0,72; p < 0,01). In conclusion, these findings demonstrate dose-dependent ovarian impairment, underscoring the need for dietary risk evaluation and increased public awareness regarding excessive MSG consumption.ChE is not strong enough to assess changes in body composition clinically
The relationship between pain intensity and sleep quality in various type of elective postoperative patients at Prof. Dr. Chairuddin P. Lubis USU Medan Hospital
Get PDFBackground: Postoperative pain arises after surgery and includes acute pain that needs to be treated immediately. The postoperative phase must always be observed because it relates to the patient's recovery process. The prevalence of postoperative pain varies widely around the world, with the United States at 86%, Europe at 70%, and China at 48.7%. The prevalence of postoperative pain in Indonesia has not been studied as a whole.Objectives: The research aims to analysed the relationship between pain intensity and sleep quality in elective postoperative patients at Prof. dr. Chairuddin P. Lubis USU Medan Hospital.Methods: The research used an analytical observation using a cross-sectional approach with a consecutive sampling design. Respondents' data was collected only once and simultaneously using the Numeric Pain Rating Scale (NRS) and Pittsburgh Sleep Quality Index (PSQI) questionnaires. The data will be analysed using the Statistical Package for the Social Sciences (SPSS), including Somers'd test.Results: Based on the analysis of 125 respondents' data, the highest experienced pain intensity by patients was moderate pain intensity with 49,6%, mild pain intensity with 38,4%, and severe pain intensity 12%. In the sleep quality, the poor sleep quality group was the highest, with 54,4% and the good sleep quality group 45,6%. Respondents in this research were majority aged 26–35 years with 37 respondents. This analysis shows a significant relationship and very strong correlation between pain intensity and sleep quality (p-value <0,001 and r = 0,789).Conclusion: There is a relationship between pain intensity and sleep quality in elective postoperative patients at Prof. dr. Chairuddin P. Lubis USU Medan Hospital
Comparative effect of tomato juice, walking, and their combination on blood pressure in prehypertension
Get PDFThis study examined the individual and combined effects of tomato juice and increased daily walking on blood pressure in prehypertensive adults. A total of 34 sedentary participants aged 19–36 years were randomly assigned to four groups: control, tomato juice, walking, and a combination of both. The intervention lasted for 14 days, during which participants consumed 200 ml of unsalted tomato juice and/or increased their steps by a minimum of 5,000 steps per day (on average), tracked using health (iOS) or Google Fit (Android). Blood pressure was measured before and after the intervention and analyzed using paired t-tests (p<0,05). All intervention groups showed a reduction in systolic blood pressure, with the combination group showing the most significant decrease—from 128,75±4,20 to 110,50±6,05 mmHg (p=0,000) for systolic and from 82,50±8,40 to 74,74±3,92 mmHg (p=0,033) for diastolic pressure. A significant correlation between body mass index and blood pressure reduction was also observed, suggesting that body weight may influence the effectiveness of these lifestyle interventions
Determinants of stunting in urban and rural areas of Indonesia: A systematic review
Get PDFStunting, a chronic form of undernutrition, is linked to impaired growth, delayed cognitive development, and adverse health and economic outcomes across the life course. Environmental, socioeconomic, and behavioral variations between urban and rural settings contribute differently to stunting risk, although the evidence remains fragmented. This study systematically reviewed the determinants of stunting in urban and rural Indonesia to provide a comprehensive and contextual understanding. The review followed the PRISMA guidelines, with searches conducted in PubMed, Scopus, and Web of Science restricted to the past ten years. The methodological quality of the eligible studies was appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. From 659 initial records, 11 studies met the inclusion criteria: 4 focused on urban settings, 4 on rural settings, and 3 covered both. The prevalence of stunting in rural areas of Indonesia reached 53,3%, compared to 34,9% in urban areas. Rural stunting is primarily associated with structural and service-related limitations, including inadequate health services, sanitation, and maternal education. In contrast, urban stunting was more strongly associated with behavioral factors, particularly unhealthy dietary practices such as excessive snack consumption. These findings highlight the need for context-specific interventions, prioritizing structural improvements in rural areas and promoting healthier dietary behaviors in urban areas
Risks factor of Stunting: A Case-Control Study
Get PDFBased on the Indonesian Nutritional Status Survey and Indonesian Health Survey data, the prevalence of stunting in Indonesia since 2021 has decreased to 2023 24,4%, 21,6%, and 21,5% by 2023. However, research on the influence of supplementary feeding (SF) on stunting is limited. Thus, this study described the determinants of stunting, including SF consumption in the 6-23 months participant group, as this age group is considered part of The First 1000 days. This case-control study was conducted in the Tlogosari Wetan Community Health Center area, Semarang City, between July and August 2024, with 120 study participants aged 6-23 months (60 stunting cases and 60 controls). The prevalence of stunting at the Tlogosari Wetan Community Health Center was 14,1%. SF had a significant effect on stunting (p<0,023), and early breastfeeding initiation (p=0,053) and breastfeeding (p = 0,073) were weakly associated with stunting. However, per capita income (p=0,116), birth length (0,120), fathers’ education (0,328), and fathers’ body height (p=0,141) had no significant effects on stunting. In conclusion, SF was significantly associated with stunting and accelerated the decline in stunting rate. It is necessary to pay attention to SF consumption to prevent stunting and to increase the knowledge of early initiation breastfeeding (EIB), as it affects the practice of breastfeeding
Pengaruh konsentrasi ekstrak daun pare (momordica charantia l.) terhadap kematian larva aedes aegypti
Get PDFBackground: Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia, transmitted by the Aedes aegypti mosquito. Bitter melon leaves contain active compounds such as saponins, alkaloids, and flavonoids belived to be effective as larvacides and are expected to serve as a more environmentally friendly alternative for mosquito control in preventing the spread of DHF.Objective: To determine the potential of natural biolarvacide from bitter melon leaf extract (Momordica charantia L.) against Aedes aegypti larvae.Methods: An experimental study was conducted at the Public Health Laboratory of Tanah Bumbu in July 2024. This experimental research used 375 Aedes aegypti larvae with five treatments and three repetitions, observing the number of larvae that died after 24 hours. The data were analyzed using the Shapiro-Wilk test, Levene's test, Kruskal-Wallis test, Mann-Whitney test, and probit analysis.Results: Bitter melon leaf extract at concentrations of 0,3% and 0,6% did not cause larval death, so it was not effective in inhibiting the growth of Aedes aegypti. While at concentrations of 0,9% showed a significant effect in inhibiting larval growth. The results of the Kruskal-Wallis test on the death of larvae treated with bitter melon leaf extract obtained a significance value of 0,008 (p <0,05). The results of the Mann-Whitney test showed that there was a significant difference between the concentration of 0,9% bitter melon leaf extract and the positive control abate, as well as between the negative control aquadest and the concentration of 0,9% bitter melon leaf extract. The results of the probit analysis test obtained an LC50 value of 1,202%.Conclusion: The 0.9% concentration of bitter melon leaf extract can inhibit the growth of Aedes aegypti larvae. However, it is not yet suitable as an alternative bio-larvicide
Kadar glukosa darah pada wanita menopause: Studi di Puskesmas Muara Dua Kota Lhokseumawe
Get PDFBackground: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease with increasing prevalence among middle-aged and older women, particularly during menopause, when estrogen decline can trigger insulin resistance and visceral fat accumulation. Local data on blood glucose profiles in postmenopausal women at the primary care level remain limited.Objectives: To describe blood glucose levels among menopausal women attending Puskesmas Muara Dua, Lhokseumawe.Methods: This descriptive quantitative study involved all menopausal women visiting Puskesmas Muara Dua Laboratory between February 6–17, 2023 (n=27, total sampling). Capillary blood glucose was measured using the EasyTouch GCU device via POCT method. Blood glucose levels were classified as normal (<140 mg/dL, postprandial) or abnormal (≥140 mg/dL) following WHO/ADA standards. Data were analyzed descriptively as frequencies and percentages.Results: Of the 27 participants, 59,3% had abnormal blood glucose (≥140 mg/dL). The highest proportion of abnormal values occurred in the 50–59 age group (71,4%; mean 228,0 mg/dL), followed by 60–69 years (55,6%; mean 179,,7 mg/dL), and 70–79 years (25,0%; mean 142,5 mg/dL). Moderate to severe hyperglycemia (201–300+ mg/dL) was observed in 13 respondents (48,1%), indicating substantial risk for diabetic complications.Conclusion: A majority of menopausal women in this study exhibited abnormal blood glucose, with the highest prevalence in the early postmenopausal age group. Regular screening, lifestyle modification counseling, and prompt medical follow-up are crucial to prevent T2DM-related complications in this population
Persepsi kepercayaan dalam pemberian Makanan Pendamping ASI dan pencegahan stunting di Kabupaten Banyuasin
Get PDFBackground: Stunting is a significant health issue in children that impedes their growth and development due to prolonged nutritional deficiencies. Banyuasin Regency in South Sumatra, Indonesia, has a notably high prevalence of Stunting, reaching 24.8%. This problem is influenced by socio-cultural factors, including maternal perceptions and beliefs regarding the provision of complementary foods for breast milk.Objectives: The objective of this study is to examine the association between maternal perceptions and beliefs about Complementary Feeding Practices and Stunting prevention in Banyuasin Regency.Methods: The sampling procedure employed a purposive sampling approach, yielding a sample size of 106 respondents. The inclusion criteria consisted of mothers with children between the ages of 6 and 24 months residing in Banyuasin Regency. Data collection was facilitated through the use of a questionnaire. The analytical approach involved univariate analysis to provide a general description of each variable, and bivariate analysis was conducted using the Chi-Square test to examine the relationships between variables.Results: The results of the study show whether maternal perceptions are significantly related to maternal actions in providing Complementary Feeding for Stunting prevention.Conclusion: The findings of this study indicate that maternal perceptions of vulnerability, severity, and benefits are significantly associated with their actions in providing Complementary Feeding and the occurrence of Stunting. Conversely, perceptions of barriers do not demonstrate a statistically significant relationship.
Pelayanan kesehatan di wilayah terpencil Buru Selatan, Maluku
Get PDFThe prevalence of non-communicable diseases in South Buru Regency is in the high category in the Maluku Province. Based on the 2018 Riskesdas data, the prevalence of non-communicable diseases in South Buru that have been diagnosed by doctors are diabetes mellitus (0.09%), heart disease (2.07%), hypertension (24.46%), stroke (9.2%) and joint disease (7.15%). The prevalence data for DM is 0.09% of the 382 residents examined, higher than Ambon City 1.93% of the 3,329 residents. Another thing that was found was that only 0.95% had ever been diagnosed with hypertension by a doctor in South Buru Regency. This community service activity aims to conduct screening as an initial step in early case detection and patient education. This activity was carried out in Waesama District, South Buru Regency. The activities in the form of health checks include anthropometric measurements, blood pressure, blood sugar levels and cholesterol. The results of the examination activities obtained that most participants had hypertension, almost half of the participants had high cholesterol. The conclusion was that many new cases of hypertension and cholesterol were found. Participants of the activity were given education during consultations with doctors and they were recommended to health facilities to check their health regularly.Keywords: Hypertension, disease, health chec