Jurnal Poltekkes Kemenkes Aceh
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    Front Matter AcTion Vol 5 No 2 tahun 2020

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    Efektivitas lembar balik dan leaflet terhadap pengetahuan ibu hamil tentang pemberian makanan pendamping ASI (MP-ASI)

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    Background: Breast milk contains all the nutrients a baby needs in the first six months after birth. Provision of MP-ASI before children aged six months is not recommended, because it can increase the likelihood of contamination and increase the risk of disease, especially diarrhea. Many factors are related to early breastfeeding. These factors include knowledge. Based on data obtained from the Baiturrahman Health Center in 2018, the total coverage of k4 was 871 with 909 infants and those who received exclusive breastfeeding were 191 (42.54%) and the rest were given complementary feeding.Objectives: To determine the effectiveness of flipcharts and leaflets on the knowledge of pregnant women about complementary feeding in the work area of the Baiturrahman Health Center in Banda Aceh City in 2019.Methods: : this study uses a quasy-experimental design, the research design used is the pre and post test two gruop design. The population in this study were all pregnant women in the Baiturrahman Community Health Center in Banda Aceh City, with a purposive sampling technique of 15 people. Analysis of the data in this study used the T-Paired test.Results: The results showed that the effect of flipcharts was more effective on increasing maternal knowledge about complementary foods after counseling (p = 0.002), compared to the effect of using leaflets (p = 0.016) on increasing maternal knowledge about complementary foods after counselingConclusions and Recommendations: It is hoped that this research can be a reference for researchers in conducting this research and can provide information about complementary feeding, so as to reduce the number of early supplementary feeding and increase the rate of exclusive breastfeeding

    Larutan ekstrak kulit durian (Durio zibethinus Murr) terhadap kematian larva nyamuk aedes aegypti

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    Background: Durian plant (Durio zibethinus Murr) is one example of a plant that has the potential as a natural insecticide that is safe for the environment. But now the utilization has not been done to the maximum. Durian fruit is one of the typical fruits of Indonesia, durian skin extract (Durio zibethinus Murr) as a control of Aedes aegypti mosquitoes that durian skin extract obtained by distillation and tested with a concentration of 25% is effective to kill mosquitoes.Objective: To determine the comparison of the effectiveness of durian (Durio zibethinus Murr) skin doses against the mortality rate of Aedes aegypti larvae.Method: This research is an experimental design that is to find out the most effective dose of durian skin concentration (Durio zibethinus Murr) as a control material for Aedes aegypti larvae. The number of samples taken from this study were 500 Aedes aegypti larvae for 3 treatments which in one treatment were 150 Aedes aegypti larvae to be included each as many as 25 individuals. The study was conducted in July 2017 at the Health Polytechnic Campus of the Ministry of Health, Aceh, namely at the Laboratory of the Department of Environmental Health of the Polytechnic Ministry of Health, Aceh Lagang Village, Darul Imarah District, Aceh Besar. Data analysis using one-way ANOVA was used to determine differences in the effectiveness of durian skin doses on the mortality rate of Aedes aegypti larvae. By conducting tests using a single ANOVA formula and LSD table.Results: The results showed that the dose of durian extract 5% by150 ml on average 13 larvae died, the dose of 10% by 150 ml on average 16.6 larvae died, and the dose of durian extract 15% by 150 ml on average 19.3 while the control group did not occur. The average value of p-value obtained is 0.000 (p < 0.05), there is a difference in the effectiveness of durian extract which is signi fi cant with a dose of 15% by 150 ml is the most effective dose to kill larvae with a p-value= 0.001 (p < 0.05).Conclusion: There is a difference in the effectiveness of durian extract from the three doses of 5% by 150 ml, 10% by 150 and 15% by 150 ml. Among the doses of durian extract with the most effective dose among the three is the dose of durian extract solution by 150ml durian extract. Keyword

    Pengaruh pemberian jus kurma (Dactilifera phoenix) pada ibu bersalin kala I terhadap durasi persalinan di wilayah kerja Puskesmas Langsa Baro

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    Background: Labor is a physiological process experienced by women through a series of natural processes starting from uterine contractions to be able to give birth to the fetus. Research shows that during normal delivery mothers are still allowed to eat and drink because there is no strong evidence that causes aspiration. Nutrition during labor as an energy source can be obtained from dates (Phoenix Dactilifera). Research shows dates have good nutritional value for carbohydrate-rich bodies and have been shown to influence the progress of labor and increase labor, and reduce postpartum hemorrhage.Objective: to prove whether there is an effect of the administration of date palm juice (Dactilifera Phoenix) to first-time mothers on the duration of labor in the Langsa Baro Health Center.Method: This research is a quasi experiment with a nonequivalent posttest only control group design approach. This research was conducted in the Work Area of the Langsa Baro Health Center from July 11 to September 22 2017 with the place of delivery in the Polindes. The number of samples for each group was 15 people in the intervention group and 15 people in the control group. To avoid drop outs, the number of samples is added by 10% (2 people) so that each group is 17 people. Data analysis Data normality test uses the Shapiro-Wilk test and Parametric Test uses the Independent T-Test for normal distribution data to look for differences in the average of the control group with treatment.Results: The results of the study with the data normality test with the Shapiro-Wilk test showed that the duration of labor in the two groups had a p-value of 0.247 (p> 0.05) meaning that the data were normally distributed. And the Independent T-Test shows the difference in the average duration of labor in the two groups. In the control group the average duration of labor was 12.09 while in the treatment group it was 11.23, showing no significant difference in the mean values in the two groups with p-value = 0.011. This shows that statistically the administration of date palm juice cannot accelerate the duration of labor.Conclusion: There were differences in the average duration of labor in the control and treatment groups. In the control group the average duration of labor was 12.09 hours and the treatment group was 11.23 hours. And the date palm juice did not significantly speed up the duration of labor (p-value = 0.011)

    Potensi antimikroba minyak atsiri daun jeruk (Citrus)

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    Background: Some plants that are included in the genus Citrus are one of the plants producing essential oils which is a natural substance that is known to have an antibacterial effect.Objectives: The study aims to determine the ability of essential oils from the leaves of several types of citrus (Citrus) in inhibiting the growth of Escherichia coli.Methods: An experimental study using a complete randomized design consisting of 4 treatments and four replications each. The treatments consisted of distilled water (control), lime leaf essential oil, kaffir lime essential oil and lime leaf essential oil. Microbiology test uses agar diffusion method.Results: Anova test showed that essential oils from some lime can inhibit the growth of Escherichia coli (p = 0.000). Duncan's further test results showed that the average diameter of the inhibition zone formed showed that the average diameter of the largest inhibition zone was formed in the treatment which was given lime orange essential oil (16.55 mm) and was not significantly different (p <0.05) with orange essential oil kaffir (15.40 mm) and lime essential oil (14.97 mm). Based on the Duncan test results showed that there is no difference in the average diameter of inhibitory zones between essential oils of lime, lime and lime, this can be caused because the three lime are classified in the same genus, namely the genus citrus.Conclusion: Essential oils from some lime can inhibit the growth of Escherichia coli. The average diameter of the inhibition zone that formed showed the greatest inhibition formed in the treatment which was given lime essential oil

    Faktor hubungan dengan kejadian stunting di Puskesmas Tamalate Kota Makassar

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    Stunting is a chronic condition of stunted growth due to long-term malnutrition and manifestations. In Indonesia, since 2017, toddlers stunted by 29,6%, and in 2018 increased to 30,8%. This study aims to determine the relationship of infectious diseases, initiation of early breastfeeding, history of exclusive breastfeeding, LBW, and first marriage with stunting. The method used in this study was observational analytic with a cross-sectional study approach, with a chi-square test and fisher's exact test population of 620 people, with a sample of 124 toddlers with purposive sampling technique. The results showed that there was a relationship between early breastfeeding initiation (p=0,014) exclusive breastfeeding (p=0,001), and was not the relationship between LBW (p=0,172) with the occurrence of stunting in the Tamalate Community Health Center in Makassar. In conclusion, there is no correlation between infectious disease and LBW with the incidence of stunting, and there is a relationship between early breastfeeding, exclusive breastfeeding, with stunting. It is recommended to mothers to maintain the child's lifestyle and diet to avoid infectious diseases, give children early breastfeeding and exclusive breastfeeding, also reject early marriage so as not to give birth to a child with LBW and cause stunting. Stunting merupakan kondisi kronis terhambatnya pertumbuhan karena malnutrisi jangka Panjang dan manifestasi, di indonesia tahun 2017 terdapat 29,6% balita yang mengalami stunting dan tahun 2018 terdapat 30,8% balita yang mengalami stunting. Penelitian ini bertujuan untuk mengetahui hubungan penyakit infeksi,inisiasi menyusui dini, riwayat asi eksklusif, BBLR dan pernikahan dini dengan kejadian stunting. Metode yang digunakan pada penelitian ini adalah observasional analitik dengan pendekatan cross-sectional study, dengan uji chi-square dan uji fisher’s exact test   populasi sebanyak 620, dengan sampel sebanyak 124 balita dengan teknik  purposive sampling. Hasil penelitian menunjukan bahwa ada hubungan antara IMD (p= 0,014) ASI esklusif (p= 0,001), dan tidak terdapat hubungan antara BBLR (p= 0,172) dengan kejadian stunting di Wilayah Kerja Puskesmas Tamalate kota Makassar. Simpulan, tidak terdapat hubungan riwayat penyakit infeksi dan BBLR dengan kejadian stunting, ada hubungan antara IMD, ASI eksklusif, dengan kejadian stunting. Saran, untuk menjaga pola hidup dan pola makan anak agar terhindar dari penyakit infeksi, memberi anak IMD dan ASI eksklusif, juga menolak pernikahan dini agar tidak melahirkan anak yang BBLR dan menyebabkan stunting

    Potensi tempe sebagai pangan fungsional dalam meningkatkan kadar hemoglobin remaja penderita anemia

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    Anaemia occurs due to several factors, such as deficiency of iron, folic acid, vitamin B12 and protein. Anemia is directly caused by the lack of red blood cell production, the body loses blood either acutely or in a chronic manner, and the destruction of red blood cells is too fast. One of the prevention of anaemia by providing functional food that is developed is tempe which has high quality and nutritional value. The purpose of this study was to examine and analyze the potential of tempeh in increasing hemoglobin levels in patients with anaemia. This research is a literature review with a narrative method that studies and analyzes research results related to the potential of tempe to increase hemoglobin levels in patients with anaemia. The results of this study are the results of a literature review review which shows that Tempe contains an average of 2,0 mg of iron, folic acid 0,9-2,0 mg/kg according to the inoculum used and vitamin B12 raw tempe 0,08 μg/100 grams and cooked tempeh 0,14 μg/100 grams. The conclusion of this study states that tempeh has adequate nutritional value of protein, iron, vitamin B12, and folic acid, so that tempeh has the potential to increase hemoglobin levels in patients with anaemia. Expected, to be the basis of further research on genomics and genetic influences on human against tempe bioavailability as a functional food for adolescent anaemia. Anemia merupakan suatu keadaan jumlah sel darah merah atau kadar hemoglobin (Hb) dalam darah lebih rendah daripada nilai normal. Anemia terjadi karena beberapa faktor, diantaranya defisiensi besi, asam folat, vitamin B12 dan protein. Secara langsung anemia disebabkan kurangnya produksi sel darah merah, tubuh kehilangan darah baik secara akut atau menahun, dan hancurnya sel darah merah yang terlalu cepat. Salah satu pencegahan anemia dengan pemberian bahan pangan fungsional yang dikembangkan yaitu tempe yang mempunyai mutu dan nilai gizi tinggi. Tujuan penelitian adalah untuk mengkaji dan menganalisis potensi tempe dalam meningkatkan kadar hemoglobin pada penderita anemia. Penelitian merupakan literature review dengan metode naratif yang mengkaji dan menganalisis hasil penelitian yang terkait dengan potensi tempe untuk meningkatkan kadar hemoglobin pada penderita anemia. Hasil kajian menunjukkan bahwa Tempe mengandung rata-rata zat besi sebanyak 2,0 mg, asam folat 0,9-2,0 mg/kg sesuai dengan inoculum yang digunakan dan vitamin B12 tempe mentah 0,08 μg/100 gram dan tempe matang 0,14 μg/100 gram. Kesimpulan penelitian ini menyatakan tempe mempunyai nilai gizi zat besi, vitamin B12, dan asam folat yang cukup, sehingga tempe berpotensi untuk meningkatkan kadar hemoglobin pada penderita anemia. Penelitian ini diharapkan menjadi dasar penelitian lanjutan mengenai pengaruh genomik dan genetik pada manusia terhadap bioavabilitas tempe sebagai pangan fungsional untuk remaja anemia

    Efektifitas penerapan interprofessional education-collaborative practice (IPE–CP) tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil

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    The behavior of a pregnant mother to consume healthy food, including the quality and quantity of food that is diverse and balanced according to the needs during pregnancy, is very desirable. Effective education to deliver a balanced nutrition message requires an Interprofessional Educative Collaboration Practice (IPE-CP) approach. The involvement of various professions is thought to be effective in increasing mothers' knowledge and attitudes about balanced nutrition. The purpose of this study was to determine the effect of the application of IPE-CP on balanced nutrition on the knowledge and attitude of a pregnant mother. The research is a quasi-experimental one-group pretest-posttest design. Samples were taken as many as 60 pregnant women using the Federer formula. Interventions in the form of education and assistance on balanced nutrition provided by the application of IPE-CP. Data is taken by pre-test and post-test questions about balanced nutrition. Data analyzed using the Dependent T-test and the Cohen Effect test. The results showed that there was a significant influence on the application of IPE-CP to maternal knowledge (p=0,003), maternal attitudes (p=0,000) about balanced nutrition. The most influential effect size is the mother's attitude (0,92), so it has a big effect. In conclusion, IPE-CP is very effective in increasing the knowledge and attitude of pregnant women about balanced nutrition. Suggestions for health workers to be able to implement IPE-CP in solving nutrition problems. Perilaku ibu hamil untuk mengkonsumsi makanan sehat, mencakup kualitas maupun kuantitas makanan yang beragam dan berimbang sesuai dengan kebutuhan di masa kehamilannya sangatlah diharapkan. Edukasi yang efektif untuk menyampaikan pesan gizi seimbang diperlukan strategi pendekatan Interprofessional Educatif Calaboration Practice (IPE-CP). Keterlibatan berbagai profesi diduga efektif untuk meningkatkan pengetahuan dan sikap ibu tentang gizi seimbang. Tujuan penelitian untuk mengetahui pengaruh penerapan IPE-CP tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil. Jenis penelitian kuasi eksperimen rancangan one group pretest–posttest design. Sampel 60 ibu hamil diperoleh berdasarkan perhitungan rumus Federer. Intervensi berupa edukasi dan pendampingan tentang gizi seimbang yang diberikan dengan penerapan IPE-CP. Data diambil dengan pre-test dan post-tes soal tentang gizi seimbang. Data dianalisis menggunakan uji Dependent T-test serta uji cohen effect. Hasil menunjukkan terdapat pengaruh signifikan penerapan IPE-CP terhadap pengetahuan ibu (p= 0,003), sikap ibu (p= 0,000) tentang gizi seimbang. Effect Size yang paling berpengaruh yaitu sikap ibu (0,92) sehingga berpengaruh besar. Kesimpulan, IPE-CP sangat efektif untuk meningkatkan pengetahuan dan sikap ibu hamil tentang gizi seimbang.  Saran, kepada petugas kesehatan  untuk dapat menerapkan IPE-CP dalam memecahkan masalah gizi ibu hamil

    Pendidikan kesehatan dengan teknik bermain kartu edukasi dapat membentuk perilaku jajanan sehat pada anak usia sekolah

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    The behavior of school-age snacks, for the most part, does not meet health requirements, so there is a risk of various health problems or diseases. The need for health education for appropriate school-age children to shape healthy snacks, one of which is by playing. The objective research an after community service, it is expected that school-age children consume healthy snacks while in school. Methods, the research design was quasi-experimental, the treatment group received an intervention in the form of providing health education about healthy snacks through playing techniques using educational cards, using healthy snacks, while the control group was carried out with health education about distributing leaflets. The study sample of 100 people consisted of 50 intervention groups and 50 in the control group—analysis data using Dependent T-Test. Results, there were differences in healthy snack behavior before and after treatment, and there were differences in scores of the value of the knowledge, skills, and attitude variables about healthy snacks before and after treatment (p= 0,001), between the intervention group and the control group. In conclusion, there is an increase in the amount of knowledge, attitudes, and behaviors of healthy snacks for Banda Aceh students after providing health education. Suggestion, there needs to support from all of the institutions had related to form healthy snacks behavior among all students in elementary school

    Peran kader posyandu dalam melakukan pendampingan pemberian makan bayi dan anak usia 6-24 bulan

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    The prevalence of nutritional problems in Banten is very high, namely 27,8% stunting and less than 15% nutrition, one of the causes is improper feeding practices for babies and children. The practice of ICF and the activeness of maternal and child health services of cadres in providing assistance to mothers who have children is expected to be able to reduce nutritional problems. This study aims to identify the role of cadres in assisting mothers to practice Infant and Child Feeding (ICF). the research was conducted a cross-sectional study. The sample is cadres of maternal and child health services, who have received training on ICF as many as 30 cadres with a purposive sampling technique. Collecting data using a questionnaire related to the characteristics of cadres including age, education, occupation, length of time as a cadre, and level of knowledge of cadres. Data were analyzed using the chi-square test. As a result, there were 43,3% of cadres who were active in assisting mothers in feeding practices. There is no relationship between characteristics and the role of cadres in providing assistance to mothers of toddlers in providing food (p> 0,05). In conclusion, the characteristics of cadres have no relationship with their role in providing assistance to infant feeding. Cadres can play a more active role in mentoring mothers related to providing food to children

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    Jurnal Poltekkes Kemenkes Aceh
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