e-Jurnal Poltekkes Tanjungkarang
Not a member yet
1715 research outputs found
Sort by
Hubungan Kadar Asam Urat dengan Kadar Kolesterol HDL pada Peserta Prolanis di Puskesmas Kedaton Bandar Lampung
Full text linkABSTRACT
Uric acid and High-Density Lipoprotein (HDL) are important biomarkers associated with the risk of metabolic and cardiovascular diseases. Hyperuricemia is known to increase the risk of hypertension, metabolic syndrome, and heart disease, while low HDL levels contribute to atherosclerosis. However, the relationship between uric acid and HDL levels is still not entirely consistent in various studies. This study aims to analyze the relationship between uric acid and HDL levels in Prolanis patients at the Kedaton Community Health Center, Bandar Lampung. The study used a cross-sectional design involving 42 respondents aged 42–76 years. Data were collected through venous blood examination of 8 ml. HDL levels were measured using the Chod-Pap method, while uric acid levels were measured using the Uricase method. Data analysis used the Pearson test with a significance level of p <0.05. Based on the average HDL level of respondents was 49.79 ± 7.67 mg/dl, while uric acid levels were 7.17 ± 8.13 mg/dl. Correlation analysis showed a significant positive relationship between uric acid levels and HDL (r=0.339; p=0.028). There was a positive relationship between uric acid levels and HDL, indicating that uric acid, at certain levels, may act as an antioxidant that supports lipid metabolism. However, high uric acid levels remain a risk factor for metabolic disease. Further research with larger samples is needed to confirm these findings.
ABSTRAK
Asam urat dan High-Density Lipoprotein (HDL) merupakan biomarker penting yang berhubungan dengan risiko penyakit metabolik dan kardiovaskular. hiperurisemia diketahui meningkatkan risiko hipertensi, sindrom metabolik, dan penyakit jantung, sementara kadar hdl rendah berkontribusi pada aterosklerosis. namun, hubungan antara kadar asam urat dan HDL masih belum sepenuhnya konsisten dalam berbagai studi. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar asam urat dan kadar HDL pada pasien prolanis di puskesmas kedaton, bandar lampung. Penelitian menggunakan desain potong lintang dengan melibatkan 42 responden berusia 42–76 tahun. data dikumpulkan melalui pemeriksaan darah vena sebanyak 8 ml. kadar hdl diukur dengan metode chod-pap, sedangkan kadar asam urat dengan metode uricase. analisis data menggunakan uji pearson dengan tingkat signifikansi p<0,05. Berdasarkan rata-rata kadar HDL responden adalah 49,79 ± 7,67 mg/dl, sedangkan kadar asam urat 7,17 ± 8,13 mg/dl. analisis korelasi menunjukkan adanya hubungan positif signifikan antara kadar asam urat dan hdl (r=0,339; p=0,028). Terdapat hubungan positif antara kadar asam urat dan HDL, yang mengindikasikan bahwa asam urat pada kadar tertentu mungkin berperan sebagai antioksidan yang mendukung metabolisme lipid. namun, kadar asam urat yang tinggi tetap berisiko terhadap penyakit metabolik. penelitian lanjutan dengan sampel lebih besar diperlukan untuk mengonfirmasi temuan ini
Analisis Faktor Gizi dan Konsumsi Makanan sebagai Prediktor Prestasi Belajar Anak Sekolah Dasar
Full text linkABSTRACT
Academic achievement among elementary school children is influenced by various factors, including nutritional status, diet quality, and nutrition knowledge. These factors play a crucial role in supporting cognitive development and learning performance. This study aimed to analyze the association between diet quality, nutritional status, and nutrition knowledge as predictors of academic achievement among elementary school children. A cross-sectional design was employed, involving 60 students selected using simple random sampling. Nutritional status was assessed using body mass index-for-age (BMI/A), diet quality was evaluated using a diet quality index score (range 0–100), and nutrition knowledge was measured using a standardized questionnaire. Data were analyzed using SPSS version 26. The Kolmogorov–Smirnov test was performed to confirm normality before conducting Pearson correlation and multiple linear regression analyses. The results showed significant correlations between academic achievement and diet quality (r = 0.42; p = 0.0012), nutritional status (r = 0.36; p = 0.0045), and nutrition knowledge (r = 0.28; p = 0.0321). Multiple regression analysis revealed that all three variables were significant predictors of academic achievement, with R² = 0.42 and adjusted R² = 0.39, indicating that 39% of the variance in academic achievement was explained by these predictors. In conclusion, diet quality, nutritional status, and nutrition knowledge contribute significantly to improving academic achievement among elementary school children.
ABSTRAK
Prestasi belajar anak sekolah dasar dipengaruhi oleh berbagai faktor, di antaranya status gizi, kualitas konsumsi makanan, dan pengetahuan gizi. Ketiga faktor tersebut berperan penting dalam mendukung perkembangan kognitif dan kemampuan akademik anak. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas konsumsi makanan, status gizi, dan pengetahuan gizi dengan prestasi belajar pada anak sekolah dasar. Penelitian ini menggunakan desain potong lintang dengan jumlah sampel sebanyak 60 anak yang dipilih secara acak sederhana. Data dikumpulkan melalui pengukuran berat badan dan tinggi badan untuk menentukan status gizi berdasarkan indeks massa tubuh menurut umur (IMT/U), penilaian kualitas konsumsi makanan menggunakan skor indeks kualitas diet (rentang 0–100), serta kuesioner pengetahuan gizi terstandar. Analisis data dilakukan menggunakan perangkat lunak SPSS versi 26. Uji normalitas Kolmogorov–Smirnov dilakukan sebelum analisis bivariat dengan korelasi Pearson dan regresi linear berganda. Hasil penelitian menunjukkan bahwa kualitas konsumsi makanan (r = 0,42; p = 0,0012), status gizi (r = 0,36; p = 0,0045), dan pengetahuan gizi (r = 0,28; p = 0,0321) berhubungan signifikan dengan prestasi belajar. Hasil analisis multivariat menunjukkan ketiga variabel tersebut merupakan prediktor signifikan terhadap prestasi belajar, dengan nilai R² sebesar 0,42 dan Adjusted R² sebesar 0,39. Dengan demikian, kualitas konsumsi makanan, status gizi, dan pengetahuan gizi terbukti berkontribusi terhadap peningkatan prestasi belajar anak sekolah dasar
Faktor Determinan Kepatuhan Konsumsi Tablet Tambah Darah pada Siswi SMP Berdasarkan Teori Perilaku Terencana
Full text linkABSTRACT
Iron deficiency anemia remains a major nutritional problem among adolescent girls, caused by low dietary iron intake and monthly menstrual blood loss. To prevent anemia, the Indonesian government has implemented a weekly iron supplementation program (Tablet Tambah Darah, TTD) for school-aged girls since 2014. However, adherence to TTD remains low, limiting program effectiveness. Adherence is influenced by students’ attitudes, support from parents or teachers, and perceived behavioral control.
This study aimed to examine the relationship between attitudes, subjective norms, and perceived behavioral control with TTD adherence among adolescent girls. A cross-sectional study was conducted at SMP Kartika II-2 Bandar Lampung, including the total population of seventh- and eighth-grade female students (n = 73). The dependent variable was TTD adherence, measured using the Morisky Medication Adherence Scale-8 (MMAS-8), while independent variables included attitude, subjective norms, and perceived behavioral control. Data were analyzed using the chi-square test.
Results showed that 65.8% of students were non-adherent to TTD. Significant associations were found between attitude (p = 0.044; OR = 1.8), subjective norms (p = 0.010; OR = 2.3), and perceived behavioral control (p = 0.000; OR = 3.6) with adherence.
It is recommended that schools, through teachers and school health staff, implement a structured weekly TTD schedule and enhance supervision to improve adherence among students
ABSTRAK
Anemia defisiensi besi masih menjadi masalah gizi pada remaja putri, disebabkan rendahnya asupan zat besi dari makanan sehari-hari dan kehilangan darah bulanan akibat menstruasi. Untuk mencegah anemia, pemerintah Indonesia telah menjalankan program suplementasi zat besi melalui Tablet Tambah Darah (TTD) mingguan bagi siswi sejak 2014. Namun, kepatuhan minum TTD masih rendah sehingga efektivitas program belum optimal. Kepatuhan dipengaruhi oleh sikap, dukungan orang tua atau guru, dan kontrol perilaku yang dimiliki remaja.
Penelitian ini bertujuan mengetahui hubungan antara sikap, norma subjektif, dan kontrol perilaku dengan kepatuhan minum TTD pada remaja putri. Penelitian ini menggunakan pendekatan cross-sectional di SMP Kartika II-2 Bandar Lampung dengan total populasi siswi kelas VII dan VIII sebanyak 73 orang. Variabel dependen adalah kepatuhan minum TTD, diukur menggunakan Morisky Medication Adherence Scale-8 (MMAS-8), sedangkan variabel independen adalah sikap, norma subjektif, dan kontrol perilaku. Analisis data menggunakan uji chi-square.
Hasil menunjukkan 65,8% siswi tidak patuh minum TTD. Terdapat hubungan bermakna antara sikap (p = 0,044; OR = 1,8), norma subjektif (p = 0,010; OR = 2,3), dan kontrol perilaku (p = 0,000; OR = 3,6) dengan kepatuhan.
Disarankan agar sekolah, melalui guru dan petugas UKS, menyusun jadwal pemberian TTD mingguan dan meningkatkan pengawasan untuk meningkatkan kepatuhan siswi
Gambaran Karakteristik dan Pengetahuan Kader Posyandu dalam Pengukuran Antropometri Di Wilayah Puskesmas Gedung Meneng, Kabupaten Tulang Bawang 2024
Full text linkIntegrated Health Service Posts (Posyandu) are community-based health efforts managed by cadres to provide easy access to basic health services, including anthropometric measurements of toddlers. The characteristics and roles of cadres influence the monitoring of toddler growth and development. This study aims to assess the characteristics, knowledge, and skills of Posyandu cadres in performing anthropometric measurements of toddlers at the Gedung Meneng Community Health Center, Tulang Bawang Regency. This research uses a quantitative descriptive approach with a sample of 46 cadres from the Gedung Meneng Community Health Center area. The results showed that the average age of the cadres is 41 years, with most having completed elementary school (45.7%), junior high school (28.3%), and high school (26.1%). All cadres have more than one year of work experience. The knowledge of cadres regarding anthropometric measurements is predominantly good (80.4%), while 19.6% have moderate knowledge. In terms of skills, 52.1% of cadres are skilled in measuring infant weight, 60.9% in digital weighing, and 63% in height measurement. However, 65.2% were not skilled in measuring body length, 71.8% in measuring arm circumference, and 58.7% in measuring head circumference. Despite good knowledge, skills were not fully optimized. Therefore, it is recommended that the Gedung Meneng Community Health Center involve nutritionists to provide re-training and continuous support to improve the skills of cadres
Hemodialysis (HD) Duration is Associated with The Quality of Life of Patients with Kidney Failure Undergoing Hemodialysis
Full text linkHemodialysis is an early procedure that can quickly save the lives of patients with end-stage renal disease. Various studies show inconsistent results for several factors related to sociodemographics, such as age, gender, education, occupation, and income. Hemoglobin levels and hemodialysis access are rarely discussed, and the length of undergoing hemodialysis is rarely discussed. Therefore, this study investigates the variables related to the quality of life of chronic renal failure patients receiving hemodialysis. This study is a descriptive correlational study using a cross-sectional design. Purposive sampling was conducted with 60 chronic renal failure patients undergoing hemodialysis from July to October 2023 at Abdul Wahab Sjahranie Regional General Hospital, Samarinda. This research instrument uses a questionnaire; the first part is a fill-in sheet that includes (age, gender, education, occupation, income, length of hemodialysis, hemoglobin (HB) level, and hemodialysis access (HD). The second component is an instrument used by researchers to assess the patient's quality of life, the WHOQoL instrument. The logistic regression test was utilized in the statistical analysis. The length of hemodialysis is the most dominant factor in the quality of life of patients with kidney failure undergoing hemodialysis (p-value=0.029, with Odd-Ratio (OR)=10.86, 95%CI=1.282-92.036). The results of this study indicate that the length of hemodialysis is the most dominant factor in the patient's quality of life. Thus, it is important to make educational efforts and provide assistance to family and peer nurses during hemodialysis to prevent the emergence of negative thoughts that worsen the quality of life for patients.Hemodialisis merupakan prosedur awal yang dapat dengan cepat menyelamatkan nyawa pasien penyakit ginjal stadium akhir, berbagai penelitian menunjukkan hasil yang tidak konsisten untuk beberapa faktor yang berhubungan dengan sosiodemografi, seperti usia, jenis kelamin, pendidikan, pekerjaan, dan pendapatan, sedangkan, kadar Hemoglobin (HB), Akses Hemodialisis (HD) masih jarang dibahas, lama menjalani hemodialisis juga masih jarang dibahas. Oleh karena itu, penelitian ini bertujuan untuk mengetahui variabel-variabel yang berhubungan dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis. Penelitian ini merupakan penelitian deskriptif korelasi dengan menggunakan desain cross sectional. Pengambilan sampel dilakukan secara purposive sampling dengan jumlah 60 pasien gagal ginjal kronik yang menjalani hemodialisis. Instrumen penelitian ini menggunakan kuesioner, bagian pertama adalah lembar isian yang meliputi (usia, jenis kelamin, pendidikan, pekerjaan, penghasilan, lama menjalani hemodialisis, kadar hemoglobin (HB), akses hemodialisis (HD). Komponen kedua adalah instrumen yang digunakan oleh peneliti untuk menilai kualitas hidup pasien, yaitu instrumen WHOQoL. Analisis statistik yang digunakan adalah Uji regresi logistik. Durasi hemodialisis merupakan faktor yang paling dominan dengan kualitas hidup pasien gagal ginjal yang menjalani hemodialisis dengan nilai (P=0.029, OR=10.86, 95% CI). Hasil penelitian ini menunjukkan bahwa lama hemodialisis merupakan faktor yang paling dominan dengan kualitas hidup pasien, dengan demikian perlu dilakukan upaya edukasi, pendampingan baik oleh keluarga maupun perawat sebaya selama menjalani hemodialisis untuk mencegah timbulnya pikiran-pikiran negatif yang berakibat memperburuk kualitas hidup pasien
Determining Stunting Risk Areas Using a Combined AHP-GIS approach: A Case Study of Pesawaran Regency, Lampung, Indonesia
Full text linkConsidering the highly detrimental future impacts of stunting, a risk map is needed. It will serve as a basis to design stunting control strategies. This study aims to determine stunting risk areas by combining the Analytical Hierarchy Process (AHP) and Geographic Information System (GIS). This study used ecological design, with a case being studied was Pesawaran Regency, Lampung Province. All secondary data were aggregate, and used sub-districts as spatial boundaries. Study variables comprised access to safe drinking water, healthy sanitation, exclusive breastfeeding, complete immunization, diarrhea, number of health facilities, fourth visit during pregnancy (ANC-K4), and child growth and development monitoring. The map was developed by employing Weighted Sum Overlay (WSO) technique. Determining weights involving multiple criteria was conducted by using AHP. The AHP yielded weighted values for each variable, namely exclusive breastfeeding (22.9%), ANC-K4 (14.4%), monitoring of child growth and development (11.7%), access to safe drinking water (11.0%), diarrhea (10.8%), number of health facilities (10.1%), complete basic immunization (10.1%), and healthy sanitation (9.0%). WSO technique revealed that three out of eleven sub-districts were included in the high-risk category for stunting (Tegineneng, Kedondong, and Padang Cermin). Meanwhile, the remaining areas were included in the medium category (Way Khilau, Marga Punduh, and Punduh Pedada) and low category (Negara Katon, Gedong Tataan, Way Lima, Way Ratai, and Teluk Pandan). GIS and AHP methods were applied to determine stunting risk areas. Areas with a high risk of stunting category are Tegineneng, Kedondong, and Padang Cermin. Suggested fundamental programs to control stunting are improvement in exclusive breastfeeding, ANC-K4 visit, monitoring of children growth and development, access to drinking water, and prevention of diarrhea
Analysis of NLR and MLR Values in Patients with Pulmonary Tuberculosis and Pulmonary Tuberculosis with Diabetes Mellitus
Full text linkTuberculosis (TB) infection can cause changes in hematological parameters such as neutrophils, monocytes, and lymphocytes. The neutrophil-to-lymphocyte ratio (NLR) and monocyte-to-lymphocyte ratio (MLR) are used as indicators of inflammation and immune response in infectious diseases, including TB. Diabetes mellitus (DM) as a comorbidity can exacerbate inflammation, potentially affecting NLR and MLR values in TB patients. This study aimed to determine the NLR and MLR values in patients with pulmonary TB and pulmonary TB with DM. This research used a quantitative observational design with a cross-sectional approach, involving 72 respondents from several primary health centers (Puskesmas) in Semarang City, divided into two groups of 36 individuals each. The sampling technique used was purposive sampling. The results showed that the mean NLR value in pulmonary TB patients was 2.20, and in pulmonary TB with DM patients was 2.89, with a significant difference (p=0.002). Meanwhile, the mean MLR value in pulmonary TB patients was 0.34 and in pulmonary TB with DM patients was 0.33, with no significant difference (p=0.752). These findings indicate that NLR is more sensitive than MLR in reflecting the inflammatory status and DM complications in TB patients. NLR can be used as an additional marker in the clinical monitoring of TB patients, especially those with DM comorbidity
The Impact of the Pandemic on Service Quality and Dental Patient Satisfaction
Full text linkThe quality of health services plays a crucial role in determining patient satisfaction. During the Covid-19 pandemic, dental services faced additional challenges due to limited access and the risk of infection, which could affect patient satisfaction. This study aims to analyze the relationship between dental service quality and patient satisfaction during the Covid-19 pandemic. A correlational analytic design was applied with a purposive sample of 40 patients who visited the dental polyclinic. Data were collected using a service quality questionnaire that covered five dimensions (tangibles, reliability, responsiveness, assurance, and empathy) and the Patient Satisfaction Questionnaire (PSQ-18), which assessed seven aspects of satisfaction. Data analysis used the Pearson correlation test. Results showed that service quality was perceived as low in the tangible dimension (27%), but high in responsiveness (47.5%), assurance (49%), and empathy (48%). Patient satisfaction was mostly reported as being generally satisfied in terms of technical quality (47.5%), interpersonal manner (47.5%), financial aspects (46.2%), communication (40%), and time with the doctor (52.5%), while accessibility was rated as neutral (38.75%). Statistical analysis revealed a strong positive relationship between service quality and patient satisfaction (r=0.772; p<0.05). Dental service quality has a significant impact on patient satisfaction, with the tangible dimension requiring further improvement. It is recommended that healthcare providers enhance facility cleanliness, equipment maintenance, and overall comfort to better meet patient expectations. Future research should include larger samples and different settings to allow broader generalization
Evaluating Dietary Content in TikTok’s “What I Eat in A Day” Videos
Full text linkTikTok is widely used for eating-related content. One type of content uploaded by many content creators or influencers on TikTok is "What I Eat in A Day". There is a complex relationship between social media use and dietary habits, showing that social media can influence food choices and contribute to unhealthy eating patterns. This study aims to analyse the nutritional content of "What I Eat in a Day" videos on TikTok, examining the characteristics of content creators and evaluating their video dietary contents over the past three months from a nutritional perspective. This study uses a content analysis approach involved the collection and analysis of Indonesian TikTok "What I Eat in a Day" videos from February to May 2024. The nutritional variables assessed included fruit and vegetable consumption, calorie counting, weight monitoring, types of diets, and adherence to the "Isi Piringku" guidelines. The analysis revealed that less than 70% of content creators included fruits in their diet, with only half of them consuming vegetables. None of the videos adhered to the "Isi Piringku" dietary guidelines. These findings highlight a significant gap in promoting balanced diets among popular TikTok content. The rising trend of "What I Eat in a Day" videos on TikTok necessitates further research into their potential impact on viewers' dietary habits. Future studies should investigate how exposure to these videos influences audience behaviour and nutritional choices. Understanding this dynamic can inform public health strategies to promote healthier eating habits through digital media platforms
The Relationship between Sodium Intake, Stress Levels, and Physical Activity on Prehypertension among Adolescents
Full text linkPrehypertension is posing a significant health concern as it has the potential to develop into full hypertension if not addressed. The city of Bandung is noted for having one of the highest hypertension prevalence rates in West Java, reaching 23.5%. Among adolescents, prehypertension may arise from poor lifestyle habits, such as imbalance dietary intake, excessive nutritional status, insufficient physical activity, genetic factors, and socioeconomic factors. The study aimed to examine the relationship between sodium intake, physical activity, and stress levels with prehypertension among adolescents at SMAN 17 Bandung. Employing a quantitative cross-sectional design, the research was conducted from October 2024 to April 2025 at SMAN 17 Bandung. A total of 60 respondents were selected using purposive sampling. Sodium intake was assessed through two 24-hour dietary recalls. The PAL (Physical Activity Level) questionnaire was used to evaluate physical activity, while the Depression Anxiety Stress Scales (DASS) questionnaire measured stress levels. The Chi-Square was used for bivariate data analysis. Findings revealed that 53.7% of the adolescent participants experienced prehypertension. Statistical analysis demonstrated significant correlations (p<0.05) between sodium intake (p=0.000), physical activity (p=0.042), and stress levels (p=0.007) with prehypertension among adolescents at SMAN 17 Bandung. There is an effect of sodium intake, physical activity, and stress levels with prehypertension among adolescents at SMAN 17 Bandun