e-Jurnal Poltekkes Tanjungkarang
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SRIKANDI LANSIA: Skrining dan Edukasi Diabetes Melitus pada Lanjut Usia
Full text linkPersentase kematian akibat diabetes melitus (DM) di Indonesia menempati peringkat kedua dan merupakan salah satu gangguan Kesehatan yang sering diderita pada lanjut usia. Diabetes melitus merupakan penyakit tidak dapat disembuhkan, namun dapat terkendali dengan kadar gula darah yang terkontrol. Kondisi gula darah yang stabil dapat menurunkan risiko terjadinya komplikasi akibat DM. Skrining diabetes melitus merupakan metode untuk mendeteksi DM tipe 2 pada individu yang tidak menunjukkan gejala (asimtomatik). Deteksi dini melalui skrining merupakan upaya pencegahan guna meminimalkan kompilkasi diabetes melitus, hingga menimbulkan kematian maupun kecacatan. Kegiatan pengabdian masyarakat ini bertujuan untuk melakukan deteksi dini diabetes melitus pada lansia. Skrining dilakukan dengan pemeriksaan gula darah sewaktu, diikuti pemberian edukasi kepada lansia mengenai hasil pemeriksaan dan status diabetes mereka. Hasil kegiatan menunjukkan bahwa dari 28 lansia yang diperiksa, 4 orang terdiagnosis menderita DM, 9 orang belum dapat dipastikan status DM-nya, dan 15 orang bukan DM. Hasil skrining ini dapat menjadi rujukan dalam menentukan perawatan yang tepat bagi lansia dengan DM. Bagi lansia dengan status diabetes melitus yang belum dapat dipastikan, diperlukan tindakan preventif berupa penjadwalan pemeriksaan lanjutan untuk memastikan diagnosis. Sementara itu, tindakan promotif diberikan kepada lansia yang tidak menderita diabetes melitus melalui edukasi mengenai penerapan pola hidup sehat
Eksplorasi Manfaat Kesehatan dan Tantangan Formulasi Sirop Daun Kelor (Moringa Oleifera L.) dengan Pendekatan Metoda Dekokta
Full text linkMasih sangat sedikit sediaan cair dari pemanfaatan daun kelor yang beredar di masyarakat. Oleh karena itu, diformulasikan daun kelor dalam bentuk sirop. Sirop merupakan salah satu sediaan farmasi yang mudah dalam proses pembuatannya dan digemari oleh semua kalangan, anak-anak hingga lansia. Tujuan dari penelitian ini adalah untuk mengembangkan inovasi dalam pemanfaatan daun kelor (Moringa oleifera L.) sebagai suplemen kesehatan dengan metode dekokta. Penelitian ini bersifat eksperimental dengan merancang, membuat formulasi, dan mengevaluasi sediaan sirop dekokta daun kelor (Moringa oleifera L.) dengan variasi konsentrasi dekokta daun kelor (Moringa oleifera L.). Hasil penelitian yang diperoleh bahwa sirop daun kelor berwarna hijau tua, beraroma khas melon dengan tingkat rasa manis F1>F2>F3>F4. Seluruh formula memenuhi syarat uji kejernihan, volume terpindahkan dan pH. Keempat Formula sirop daun kelor tidak memenuhi persyaratan viskositas, bobot jenis dan stabilitas. Formula yang paling disukai adalah formula F1
Nurse Communication, Quality of Health Services, and Its Relationship with Patient Satisfaction in Inpatient Ward
Full text linkNurses are among the healthcare workers who play a crucial role in enhancing patient satisfaction. Communication plays an essential role in implementing nursing care to deliver high-quality services that ensure patient satisfaction with the care they receive. Patient satisfaction is a key indicator of the quality of nursing services in hospitals. The study aims to determine the relationship between nurse communication and the quality of health services, with a focus on increasing patient satisfaction, in the inpatient rooms of Muna Barat Hospital. The type of research used is quantitative research with a correlational design; the population in this study was patients in the inpatient room of Muna Barat Hospital. The samples selected for this study employed a random sampling technique. A total of 81 respondents participated in this study. The data analysis method used the Chi-Square test using a significance level of 0.05. The Chi-Square test obtained a p value = 0.001 which indicates that there is a relationship between nurse communication and patient satisfaction at Muna Barat Hospital. Meanwhile, in the Quality of Health Services, a p-value of 0.002 was obtained, indicating that there is a relationship between the Quality of Health Services and patient satisfaction at Muna Barat Regional Hospital. The results of the phi coefficient test also showed a low and positive patterned relationship between nurse communication and patient satisfaction (Ⴔ=0.310), quality of health services and patient satisfaction (Ⴔ=0.336). Nurse communication and Quality of Health Services are related to Increasing Patient Satisfaction. Patient satisfaction as consumers who receive nursing services is an essential component in improving the quality of nursing services. A nurse needs to implement effective communication in providing surgical procedures, as good communication leads to patient satisfaction with the service received
The Role of Exclusive Breastfeeding, Low Birth Weight, and Immunization in Stunting Among Children Under Five
Full text linkReducing stunting in children is the first of six Global Nutrition Targets for 2025 and serves as a key indicator in the Sustainable Development Goals (SDGs). Stunting is associated with increased risks of illness, mortality, and impaired motor and cognitive development in children. According to the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting in Lampung Province decreased to 15.2%, down from 18.5% in 2021. However, in Metro City, the prevalence increased from 7.29% (2021) to 10.4% (2022), with the highest rate recorded in the working area of Yosomulyo Health Center at 11%. This study aims to analyze the relationship between exclusive breastfeeding, history of low birth weight (LBW), and immunization status with the incidence of stunting in toddlers. This research is a quantitative study with a case-control analytic design. The population consisted of children aged 1–5 years who experienced stunting in the Yosomulyo Health Center working area between February and June 2024, totaling 84 children (11%). The sample consisted of 45 children in the case group and 90 children in the control group (a 1:2 ratio), selected using purposive sampling. Data were analyzed using the Chi-Square test with SPSS software after conducting a normality test. The analysis showed a significant relationship between exclusive breastfeeding, history of LBW, and immunization status with the incidence of stunting (p<0.001). Factors such as lack of exclusive breastfeeding, low birth weight, and incomplete immunization are significantly associated with the incidence of stunting. Early prevention of stunting can be achieved through proper pregnancy planning and regular antenatal care
"Kesehatan Reproduksi untuk Semua": Perspektif Mahasiswa Kesehatan Masyarakat tentang Ketimpangan Gender dalam Akses terhadap Informasi dan Layanan Kesehatan Reproduksi Remaja di Indonesia
No full textReproductive health is a critical aspect of adolescent development, yet gender disparities persist in access to information and services, particularly in Indonesia. This study explores how Public Health students at Universitas Jambi perceive gender-based inequalities in adolescent reproductive health, aiming to understand how future health professionals interpret and respond to these challenges. A qualitative descriptive approach was employed, involving three focus group discussions with 24 undergraduate students (14 female, 10 male) who had completed relevant coursework and participated in health promotion activities. Thematic analysis revealed three key themes: gendered access and assumptions, socio-cultural and structural barriers, and institutional roles and responsibilities. Participants described how reproductive health education and services disproportionately focus on girls, with boys often excluded due to cultural norms and institutional biases. Socio-cultural taboos, shame, and fear further limited access for both genders, though in distinct ways: boys faced invisibility and judgment, while girls experienced stigma and moral scrutiny. Institutions such as schools, families, and healthcare providers were seen as both barriers and potential agents of change, often reinforcing gendered norms through selective education and biased service provision. These findings underscore the need for more inclusive and gender-equitable reproductive health education that actively engages all adolescents. Addressing these disparities requires rethinking institutional practices and cultural narratives that marginalize male adolescents while overburdening females with sole responsibility for reproductive health. By incorporating gender equity into academic and community-based health initiatives, Public Health students can be better prepared to advocate for and implement inclusive reproductive health programs.Kesehatan reproduksi merupakan aspek krusial dalam perkembangan remaja, namun kesenjangan gender dalam akses terhadap informasi dan layanan masih terus terjadi, khususnya di Indonesia. Studi ini mengeksplorasi bagaimana mahasiswa Kesehatan Masyarakat di Universitas Jambi memandang ketimpangan gender dalam kesehatan reproduksi remaja, dengan tujuan untuk memahami bagaimana calon tenaga kesehatan masa depan menafsirkan dan merespons tantangan ini. Pendekatan deskriptif kualitatif digunakan dalam penelitian ini, melibatkan tiga diskusi kelompok terarah (FGD) dengan 24 mahasiswa sarjana (14 perempuan, 10 laki-laki) yang telah menyelesaikan mata kuliah terkait dan berpartisipasi dalam kegiatan promosi kesehatan. Analisis tematik mengungkapkan tiga tema utama: akses dan asumsi berbasis gender, hambatan sosial-budaya dan struktural, serta peran dan tanggung jawab institusi. Para peserta menjelaskan bahwa pendidikan dan layanan kesehatan reproduksi cenderung lebih difokuskan pada perempuan, sementara laki-laki seringkali terpinggirkan akibat norma budaya dan bias institusional. Tabu sosial-budaya, rasa malu, dan ketakutan semakin membatasi akses bagi kedua gender, meskipun dalam bentuk yang berbeda: laki-laki menghadapi ketidaknampakan dan penghakiman, sedangkan perempuan mengalami stigma dan pengawasan moral. Institusi seperti sekolah, keluarga, dan penyedia layanan kesehatan dipandang sebagai hambatan sekaligus agen potensial perubahan, namun sering kali memperkuat norma gender melalui pendidikan yang selektif dan layanan yang bias. Temuan ini menekankan perlunya pendidikan kesehatan reproduksi yang lebih inklusif dan berkeadilan gender, yang secara aktif melibatkan semua remaja. Mengatasi ketimpangan ini membutuhkan peninjauan kembali praktik institusional dan narasi budaya yang meminggirkan remaja laki-laki, sambil membebani perempuan dengan tanggung jawab tunggal atas kesehatan reproduksi. Dengan mengintegrasikan prinsip kesetaraan gender ke dalam inisiatif kesehatan akademik dan berbasis komunitas, mahasiswa Kesehatan Masyarakat dapat dipersiapkan dengan lebih baik untuk mengadvokasi dan melaksanakan program kesehatan reproduksi yang inklusif
Association Between Fast and Junk Food Consumption and Hypertension Risk Among Adults in Bengkulu: A Case-Control Study
Full text linkHypertension is caused by a variety of factors, including an unhealthy lifestyle such as a poor diet (high in salt, fat, and sugar), lack of physical activity, obesity, and smoking and drinking habits. Despite extensive global and national research on the link between fast and junk food consumption and hypertension, there is a notable lack of localized studies in regions like Bengkulu. The rising fast food intake and hypertension prevalence in these areas underscore the urgent need for context-specific evidence to support targeted public health interventions. This study aims to determine the relationship between fast food and junk food consumption habits and the incidence of hypertension in adults with a control case design. A total of 30 case groups and 60 control groups. Data collection was carried out using instruments such as respondent identity forms, informed consent sheets, the Food Frequency Questionnaire (FFQ), and blood pressure measuring devices (digital sphygmomanometers, stethoscopes, and observation sheets). Data analysis using the Chi-Square Test and multivariate logistic regression. The results of the bivariate analysis show that the habit of eating fast food often had a risk of 28.5 times, and the habit of eating junk food often had a risk of experiencing hypertension in adults 26.0 times. The results of the multivariate analysis showed a significant correlation between fast food consumption (p-value <0.0001; OR=23,709) and junk food (p-value <0.0001; OR=16,687) with the incidence of hypertension after controlling for the age factor. It is necessary to increase efforts in prevention, early detection, treatment, and education
A Combination of Plastic and Swaddle in Controlling Hypothermia in Infant Transfer at Hospital
Full text linkPremature and low birth weight babies are at risk of hypothermia admission, which is estimated at 39.8% of babies who arrive at the hospital shortly after referral. The handling of referral transfers of premature and low-birth-weight infants applies the principles of thermal care and comfort to maintain normothermia. This study aimed to evaluate the management of hypothermia in premature and low birth weight infants using a combination of plastic bags and swaddles. Controlling hypothermia admissions in infant transfer cases. The study used a nonequivalent control group design. The population in this study is premature and low birth weight infants. A total of 20 respondents were selected using the consecutive sampling technique. The research instrument was a hypothermia management observation sheet. The analysis used the T-test. The results showed a significant difference in body temperature between groups (p=0.000); there was a significant difference in body temperature between before and after (intervention p=0.002; control p=0.568). The combination of a plastic bag and a swaddle is safe to use in maintaining normal baby temperature during referral. This intervention is cost-effective, simple, and highly relevant, especially in facilities with limited resources
Efek Pemberian Infusa Daun Andong Merah (Cordyline fruticosa L. A. Cheval) Terhadap Kadar Glukosa Pada Mencit (Mus musculus) Diabetes
Full text linkDiabetes melitus adalah penyakit gangguan metabolisme akibat kekurangan hormon insulin, ditandai dengan kadar glukosa yang melebihi atau di bawah batas normal sehingga dapat menyebabkan hiperglikemia atau hipoglikemia. Upaya preventif sangat diperlukan untuk mengendalikan DM, salah satunya dengan pemanfaatan tanaman obat tradisional daun andong merah (Cordyline fruticosa L. A. Cheval). Daun andong merah diketahui mengandung senyawa aktif seperti saponin, tanin, dan flavonoid yang berpotensi menurunkan kadar glukosa darah. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian infusa daun andong merah terhadap kadar glukosa pada mencit (Mus musculus) diabetes. Penelitian dilakukan secara kuantitatif dengan metode ekperimental menggunakan 48 mencit jantan diabetes yang dibagi menjadi tiga kelompok: kelompok mencit DM yang tidak diberi infusa, kelompok mencit DM yang diberi infusa, dan kelompok mencit DM yang diberi metformin. Infusa daun andong merah diberikan sebanyak 1 ml setiap pagi dan sore selama 14 hari. Kadar glukosa darah diukur menggunakan alat POCT. Hasil uji statistik menunjukkan terjadi penurunan dari 394,44 mg/dl menjadi 224,78 mg/dl dengan presentase penurunan sebesar 43,02 %. Dengan demikian, disimpulkan bahwa pemberian infusa daun andong merah memiliki pengaruh dalam menurunkan kadar glukosa darah pada mencit DM
Potensi Ekstrak Kulit Buah Balangkasua (Lepisanthes alata) Sebagai Reagen Alternatif Pengganti Eosin 2% Dalam Pemeriksaan Telur Cacing Ascaris lumbricoides
Full text linkEkstrak kulit buah Balangkasua (Lepisanthes alata) berpotensi digunakan sebagai pewarna alami pengganti eosin 2% pada pemeriksaan telur cacing Ascaris lumbricoides. Penelitian ini bertujuan mengevaluasi efektivitas ekstrak etanol kulit buah Balangkasua dalam memberikan kontras warna dan kejelasan struktur mikroskopis telur cacing dibandingkan eosin 2%. Penelitian dilakukan secara eksperimental dengan metode quasi-eksperimental menggunakan sampel feses positif telur Ascaris lumbricoides. Simplisia kering kulit buah Balangkasua dimaserasi dengan etanol 96% dan diuji fitokimia untuk identifikasi antosianin. Preparat feses diwarnai dengan variasi konsentrasi ekstrak (20–100%) dan dibandingkan dengan kontrol eosin 2%. Parameter yang diamati meliputi kontras warna telur, kejelasan cangkang, detail morfologi internal, bentuk dan ukuran, serta kontras latar belakang. Hasil menunjukkan bahwa ekstrak Balangkasua positif mengandung antosianin, namun kualitas pewarnaan pada semua konsentrasi masih lebih rendah dibandingkan eosin 2% (skor 1–3 vs. 4). Uji Kruskal–Wallis menunjukkan perbedaan signifikan pada seluruh parameter (p < 0,05). Kesimpulannya, meskipun ekstrak kulit buah Balangkasua memiliki potensi sebagai pewarna alami ramah lingkungan, efektivitasnya masih belum sebanding dengan eosin 2% sehingga perlu optimasi lebih lanjut
Laboratory Examinations in the Diagnosis of Dengue Hemorrhagic Fever: A Systematic Literature Review
Full text linkDengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and remains a major public health problem in Indonesia. Early and accurate diagnosis is crucial for determining appropriate management and preventing fatal complications. This systematic literature review aimed to evaluate and synthesize evidence on laboratory diagnostic methods for DHF across Southeast Asia. A comprehensive search was conducted across Pubmed, ScienceDirect, Scopus, Google Scholar and DOAJ for studies published between 2015 and 2025, using keywords such as “Dengue Hemorrhagic Fever,” “Laboratory Diagnosis,” and “Southeast Asia.” Inclusion criteria encompassed peer-reviewed studies reporting empirical on hematological, serological, or molecular laboratory test for DHF, while reviews without empirical finding studies unrelated to dengue diagnosis were excluded. Found on database 40 after screening, 22 studies met the inclusion criteria and were analyzed. NS1 antigen testing plays a crucial role in the early phase of infection, while IgM and IgG serological tests are useful in identifying the immunological phase of the disease. Meanwhile, RT-PCR is a highly sensitive method for directly detecting the presence of the virus. Combining several testing methods has been shown to improve diagnostic accuracy, both in terms of sensitivity and specificity. However, optimal implementation of these tests still faces challenges such as limited resources, cost, time, and differences in laboratory capabilities at various levels of health facilities. Therefore, strengthening laboratory capacity, standardizing testing methods, and implementing a combination testing strategy are needed to improve the reliability of dengue diagnosis. This approach is expected to support early detection, accelerate treatment, and strengthen efforts to control dengue outbreaks nationally