Jurnal Poltekkes Kemenkes Aceh
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Intervensi edukasi worksheet-flashcard untuk meningkatkan asupan protein dan perilaku pemberian makan pada balita (3-5 tahun): Studi Quasi-Eksperimental
No full textBackground: Various government programs have been implemented to address stunting, but there is still a lack of interactive educational interventions based on worksheets and flashcards to stimulate protein intake and feeding behavior in toddlers, which is expected to reduce stunting rates.Objectives: To assess the effect of educational media using worksheets and flashcards on protein intake and feeding behavior in toddlers (3-5 years old) in the Simbang Community Health Center (Puskesmas) working area, Maros Regency.Methods: This study used a quasi-experimental design with a two-group pretest-posttest control design. The sample consisted of n = 50 mothers with children aged 3-5 years old, consisting of an intervention group (n = 25) and a control group (n = 25). The study was conducted for one month (July–August 2025). Data were processed using WHO-Antro 2005 and Nutrisurvey 2007. Statistical analysis used paired t-tests and Wilcoxon tests. Meanwhile, the difference or Δ post-pre scores between the two groups was analyzed using the Independent t-test and the Mann-Whitney test. Statistical significance was set at p<0,05.Results: The results of the study showed that the intervention provided was proven effective in improving several indicators of child growth and nutrition, namely ∆ BB/A = 0,06 (Intervention) vs -0,04 (Control) p=0,014, ∆ TB/A = -0,03 (Intervention) vs -0,08 (Control) p=0,031, ∆ Median Knowledge = 4,0 (Intervention) vs 3,0 (Control) p=0,003, ∆ Median Attitude = 10,0 (Intervention) vs 3,0 (Control) p=0,012, ∆ Median Protein = 16,1 gr (Intervention) vs 3,3 gr (Control), p=0,030 (In the Intervention group), p=0,033 (Between groups ∆). However, the intervention did not have a significant effect on increasing energy intake. P=0,062.Conclusion: This intervention is effective in improving child growth and nutrition
Hubungan kebiasaan konsumsi ultra-processed food dan lingkar pinggang terhadap tekanan darah dewasa 26-45 tahun di Puskesmas Kedungmundu
No full textBackground: In Indonesia, hypertension is major concern due to high mortality rate. Changes in lifestyle affect the increase in blood pressure. Blood pressure above normal is caused by several factors, including high consumption of Ultra-Processed Food (UPF) and waist circumference.Objectives: To determine the relationship between UPF consumption habits and waist circumference to blood pressure in adults 26 - 45 years of age at Kedungmundu Health Centre.Methods: Quantitative-correlative analytic observational method with cross-sectional approach in the working area of Kedungmundu Health Center, in November 2024 – February 2025. The variables studied included UPF consumption habits with modified Food Frequency Questionnaire, waist circumference with metlin, and blood pressure with digital tensimeter.The sample was 71 respondents using purposive sampling technique, Data analysis was performed univariate analysis using frequency distribution and bivariate with Chi-Square test (α = 5%).Results: The results showed 49,3% of respondents often consumed UPF, the waist circumference measurement results showed 74,6% of respondents were obese, and 67,6% of respondents had abnormal blood pressure. Statistical tests show there is no relationship between UPF consumption habits and blood pressure (p-value = 0,063. There is a relationship between waist circumference and blood pressure with a risk of 3,8 times greater than respondents who have a normal waist circumference size (p-value = 0,015; OR = 3,846).Conclusion: Waist circumference is related to adult blood pressure while UPF consumption habits are not related to increased adult blood pressure at Kedungmundu Health Centre
Hubungan tingkat asupan sukrosa dalam sugar-sweetened beverage dengan overweight dan hyperglicemia pada mahasiswa Prodi Gizi UNESA
No full textBackground: In the increasingly advanced era, advertisements for high-sugar foods and beverages are prevalent, which can negatively influence a person's behavior. It has been found that individuals may experience an increase in sugar-sweetened beverage consumption of up to 4,8 grams. The consumption of sugar-sweetened beverages has increased among undergraduate student, among nutrition students at UNESA, data show that approximately 48,46% frequently consume sugar-sweetened beverages more than five times per week. Excessive consumption of sugar-sweetened beverages significantly contributes to the incidence of overweight and hyperglycemia. This study is an extension that examines the sucrose content in sugar-sweetened beverages, building upon previous research that investigated the frequency of beverage consumption without considering their sucrose content.Objectives: To determine the relationship between sucrose intake from sugar-sweetened beverages with overweight and hyperglycemia among Nutrition students at UNESA.Methods: A cross-sectional design was conducted on 95 students selected using stratified proportional purposive sampling. Data on sugar-sweetened beverage consumption were obtained through interviews using the SQ-FFQ. Fasting blood glucose (FBG) levels were measured using a glucometer. Nutritional status data were obtained from Body Mass Index (BMI) through measurements of height and weight. Bivariate data analysis was conducted using the Somers'd test.Results: 88,4% of respondents consumed a moderate amount sucrose intake from sugar-sweetened beverages (1–50 g/day), 76,8% had normal IMT non-overweight (18,5-25 kg/m2), and 78,9% had normal fasting blood glucose levels non-hypergycemia (< 90 mg/dL). There was a significant relationship between sucrose intake from sugar-sweetened beverage with overweight (P-value = 0,021; r = 0,407), but no significant relationship with hyperglycemia (P-value = 0,407) which is classified as a moderate correlation.Conclusion: There is a significant relationship between sucrose intake from sugar-sweetened beverage with overweight, but no significant relationship with hyperglycemia
Perbedaan kadar gula darah ibu hamil berdasarkan jenis persalinan di Kecamatan Langsa Baro Kota Langsa
No full textBackground: During pregnancy, uncontrolled blood glucose levels can influence the mode and process of delivery. Gestational diabetes may lead to macrosomia due to excessive placental glucose transfer, which is stored as fetal fat. Macrosomia increases the risk of various delivery complications, including cesarean section, preterm birth, neonatal hypoglycemia, and other neonatal complications.Objective: This study aimed to examine differences in maternal blood glucose levels according to the mode of delivery in the working area of Langsa Baro Subdistrict Health Center, Langsa City.Methods: This was an analytic quantitative study with a retrospective design conducted in February 2025 using data from January to December 2024. A total of 119 postpartum women were included using total sampling. Data were obtained from midwives’ medical records at village health posts based on inclusion criteria, entered into a checklist, and analyzed descriptively for univariate data to assess frequency distribution. Bivariate analysis was performed using the independent t-test.Results: The findings showed that the majority of respondents with normal blood glucose levels (60%) delivered spontaneously, whereas 75% of those with abnormal blood glucose levels underwent operative delivery (cesarean section/laparotomy). Statistical analysis indicated a significant difference in maternal blood glucose levels by mode of delivery (p = 0,006).Conclusion: Maternal blood glucose levels differ according to the mode of delivery. Therefore, monitoring and controlling blood glucose levels during pregnancy are essential to prevent maternal and neonatal complications related to pregnancy and childbirth
Pengembangan aplikasi android ‘EDD-N’ untuk deteksi dini penyakit neonatus: Sebuah Penelitian dan Pengembangan
No full textBackground: Early detection of neonatal diseases can be done at home to prevent disease, reduce the burden of treatment, and reduce the risk of death. Neonates are susceptible to infection, so an application is needed to easily and quickly recognize the early symptoms of disease. This research does not support the local language, making it difficult for some mothers who are accustomed to using the local language.Method: The Research and Development (R&D) study design resulted in the development of an Android-based prototype application titled “Early Detection of Neonatal Diseases” (EDD-N). The steps in creating the application included: Focus Group Discussion (FGD), application concept design, development of the EDD-N application in collaboration with PT Bumantara Transformasi Digital, and feasibility testing. The research was conducted in Langsa City, Aceh Province, from June 3 to August 30, 2023. The number of respondents for each FGD and feasibility testing was 15 and 40 respondents, respectively. Feasibility testing used a Likert scale questionnaire with analysis in two stages.Results: The “Early Detection of Neonatal Diseases” (EDD-N) Android-based application consists of a main page titled “My Baby.” The application includes the health history of the mother and child, disease education comprising definitions, signs, and symptoms, and disease management. The content is presented in the form of images, videos, and narratives. Early detection is conducted via a questionnaire. The app's users include the general public, community health workers, healthcare professionals, and IT personnel. Users are rewarded with certificates, and the app's closing screen displays a logout menu. The usability test results for the EDD-N Android app from stage 1 to stage 2 yielded a value of 1.9. The p-value was 0,0001. The change in the EDD-N app process from stage 1 to stage 2 was 1.7. P-value 0,0001 (<0,05).Conclusion: The EDD-N app can be used for early detection of neonatal diseases
Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit
No full textBackground: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment
Penerapan meditasi dan afirmasi positif untuk menurunkan kecemasan dan keluhan ibu hamil di Kecamatan Meureubo
No full textDuring pregnancy, physical and psychological changes occur, causing discomfort for the mother, which can then impact the well-being of the fetus. Therefore, management efforts are needed to minimize the impacts that occur. Meditation and positive affirmations can be an alternative, one of the non-pharmacological therapies claimed to have a positive effect on the physical and psychological health of the mother and are beneficial for the health of the fetus, such as reducing excessive anxiety and pain. The implementation of meditation and positive affirmations in community service aims to provide information and empower mothers during pregnancy to improve health. This activity is carried out in three stages. The first stage is a pre-test, the second stage is the delivery of material and practice of meditation and positive affirmations, and the third stage is a post-test. The results show a difference in the level of knowledge and complaints with a p-value of 0,000 for each variable. There is a difference in the level of anxiety of the target group compared between the pre-test and post-test. With a p-value of 0,001. It can be concluded that the application of meditation and positive affirmations is effective in increasing knowledge, reducing complaints, and reducing the level of anxiety of pregnant women
Association between serum cholinesterase levels and body composition in vegetable farmers assessed by bioelectrical impedance analysis
Full text linkExposure to all pesticide classes can have a disruptive effect on metabolism and energy storage. The bioindicator that can be used to identify farmers exposed to pesticides is acetylcholinesterase (AChE). AChE can be a good indicator for changes in body composition due to its associations with various metabolic and physiological parameters. Abnormal AChE levels stimulate nicotinic and muscarinic receptors in various organs, causing a wide range of metabolic disorders, including changes in the body composition. This study aimed to examine the correlation between long-term pesticide exposure and potential alterations in body composition. This research was conducted in Sagarahiang village, one of the highest vegetable producers in Kuningan, West Java onJuly-August 2024. And it was a cross-sectional study of 46 farmers who sprayed pesticides in vegetable areas and was determined by purposive sampling. Data collected through interview using questionnaires and some tools, like indicators of pesticide exposure were measured by cholinesterase serum and history of exposure, whereas parameters of body composition were measured by bioelectrical impedance analysis (BIA) using a body fat monitor with eight electrodes. Data analysis using the Pearson correlation test. The percentage of subjects with abnormal AChE activity was four persons (8,9%). AChE levels had no correlation with all components of the exposure history, but had a significant correlation with body composition parameters (p<0,05), body weight (p=0,027), Body Mass Index (BMI) (p=0,020), total fat (p=0,038), visceral fat (p=0,030), and resting metabolism (p=0,037) with a weak correlation (R 0,31-0,34). Based on this study, AChE is not strong enough to assess changes in body composition clinically
Effectiveness of nutrition education podcasts for behavior change among young adults in online food ordering
Full text linkThe rapid development of digital technology has driven an increase in the utilization of online food ordering services in Indonesia, particularly among young adults, who constitute 45% of the users. This trend presents nutritional challenges that necessitate intervention through digital media education. Podcasts are regarded as effective and accessible educational mediums; however, previous studies have primarily focused on their impact on knowledge and attitudes. This quasi-experimental study aimed to analyze the influence of podcast-based nutrition education on improving nutritional knowledge and altering online food ordering intentions, frequency of orders, and food choices. This study employed a pretest-posttest control group design involving 128 non-health students from Muhammadiyah University of Semarang (December 2024 to March 2025), divided equally into experimental and control groups. The experimental group received four podcast episodes, each under 10 minutes, over four weeks, whereas the control group received no intervention. Data were collected through pre- and post-test assessments and engagement evidence, with purposive sampling based on inclusion and exclusion criteria. Data analysis using the Mann-Whitney U test revealed significant improvements in nutritional knowledge (p < 0,001), changes in ordering intentions aligned with the Theory of Planned Behavior constructs (p < 0,001), decreased ordering frequency (p < 0,001), and healthier food choices (p < 0,001). In conclusion, the findings suggest that podcasts have the potential to be an innovative strategy in nutrition education to promote healthy eating habits in the digital era
Hubungan asupan zat gizi makro dan aktivitas fisik terhadap status gizi mahasiswa Universitas Sriwijaya: Studi cross-sectional
Full text linkBackground: One of the fundamental aspects of nutritional problems arises due to the imbalance of food intake and body needs, which can lead to over or undernutrition. Research shows that 20,45% of university students are underweight and 4,54% are obese. College students are prone to disordered eating patterns, fast food consumption, and lack of physical activity, which can affect health and academic performance.Objective: To analyze the relationship between lunch macronutrient intake, physical activity, and nutritional status in Sriwijaya University students.Methods: This cross-sectional study involved 102 active students (2019–2023) who ate lunch at the faculty canteen, selected using purposive sampling considering class proportion. 24-hour food recall (two non-consecutive days) assessed nutrient intake, Body Mass Index (BMI) determined nutritional status, and the IPAQ questionnaire measured physical activity.Results: Significant relationships were found between energy intake (p = 0,000), carbohydrate intake (p = 0,000), protein intake (p = 0,001), fat intake (p = 0,006), and physical activity (p = 0,008) with nutritional status. Students with imbalanced nutrient intake and low physical activity were at higher risk of abnormal nutritional status.Conclusion: The study concludes that there is a significant relationship between lunchtime energy intake, carbohydrate intake, protein intake, fat intake, and physical activity with the nutritional status of Universitas Sriwijaya students. Students should maintain a balanced diet and increase physical activity to achieve optimal nutrition