e-Jurnal Poltekkes Tanjungkarang
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Hubungan Tingkat Stres Dengan Kadar Gula Darah Sewaktu Pada Mahasiswa Kedokteran UPN “Veteran” Jakarta
Full text linkAcademic stress refers to mental and emotional pressure arising from educational demands, commonly experienced by students, especially medical students due to their complex academic workload. Prolonged stress can trigger an increase in cortisol levels, which promotes glucose release into the bloodstream, potentially raising blood sugar levels. This study aimed to examine the relationship between academic stress levels and random blood glucose levels among medical students at Universitas Pembangunan Nasional “Veteran” Jakarta as an early effort to detect the risk of prediabetes. A cross-sectional design was used with 70 respondents. Academic stress levels were measured using a Heart Rate Variability Analyzer, while random blood glucose levels were assessed using a gluco test strip. Results showed that all respondents had normal blood glucose levels, with varying stress levels: 30.0% were categorized as excellent and 12.9% as bad. Spearman correlation test indicated no significant relationship between academic stress and random blood glucose levels (p = 0.134; r = 0.181). These findings suggest that the absence of a significant correlation may be influenced by the respondents' young age and optimal metabolic condition, which could mitigate the physiological impact of stress on blood glucose levels
The Influence of Institutional and Regulatory Aspects and Information on Waste Management on Community Intention to Support Waste Management in the Kahayan River Basin, Central Kalimantan
Full text linkDisposing of domestic waste into the river remains a common practice among the majority of residents along the Kahayan River in Palangka Raya City impacting pollution, flooding, and public health. This study aims to analyze variables influencing people's intention to support domestic waste management activities. The study was conducted in Mendawai and Flamboyan Bawah, densely populated settlements on the banks of the Kahayan River in Palangka Raya City. One hundred respondents were selected with a non-probability technique and interviewed to obtain information on infrastructure (X1), economy (X2), location (X3), institutions and regulations (X4), and waste management information (X5) aspects. Descriptive statistics was utilized to understand respondent characteristics and Structural Equation Model-Partial Least Square (SEM-PLS) was applied to determine the effect of each variable. This study found that the majority of respondents were women (n = 44), housewives (n = 40), and over 35 years old (n = 46). The analysis results show that increasing the information aspect of waste management will increase the community's intention to support domestic waste management activities by 40.1% (P = 0.001). Meanwhile, increasing the institutional and regulatory aspects has an effect of 29.2% (P = 0.002). The other three variables did not show significant results (P > 0.05). The results of this study reveal that the community's intention to support domestic waste management activities is influenced by the informational, institutional and regulatory aspects. Establishing community-based institutions that able to provide ongoing support presents a viable strategy for promoting sustainable behavioral change
Tingkat Pengetahuan, Sikap, Pola Konsumsi Makanan Mengandung Zat Besi Dan Konsumsi Tablet Tambah Darah Pada Remaja
Full text linkAnemia merupakan salah satu masalah gizi yang terjadi pada remaja. Pada tahun 2018, anemia di Provinsi Lampung adalah sebesar 11,67%, sedangkan prevalensi anemia di kota Bandar Lampung sebesar 23,37% (Dinas KesehatanProvinsi Lampung, 2018). Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat pengetahuan, sikap, pola konsumsi makanan yang mengandung zat besi dan kepatuhan konsumsi tablet tambah darah pada remaja putri kelas VII dan VIII di SMP IT Fitrah Insani Bandar Lampung.
Penelitian ini menggunakan metode deskriptif, sampel dalam penelitian ini adalah remaja putri sebanyak 38 responden, pengumpulan data penelitian ini menggunakan kuesioner pengetahuan, sikap, kepatuhan konsumsi tablet tambah darah dan FFQ. Lokasi penelitian dilaksanakan di SMP IT Fitrah Insani Bandar Lampung. Analisis data yang digunakan dalam penelitian ini adalah analisis data univariat.
Hasil penelitian menunjukkan bahwa mayoritas remaja putri memilikipengetahuan anemia yang baik (55,3%), sikap positif terkait penanganan anemia (52,6%), dan pola konsumsi makanan mengandung zat besi yang kurang baik (57,9%). Selain itu diketahui bahwa hanya 2,6% remaja putri yang mengkonsumsiTablet Tambah Darah (TTD).
Program pemberian tablet tambah darah sudah ada dari pemerintah, sehingga diharapkan kepada pihak sekolah agar menyediakan media kesehatan seputar manfaat dan ajakan konsumsi Tablet Tambah Darah (TTD) dilingkungan sekolah, sekolah juga dapat menyelenggarakan minum TTD bersama setiap 1xdalam seminggu serta menyediakan TTD mandiri, dan diharapkan kepada puskesmas setempat agar dapat memberi motivasi dan edukasi seputar anemia dan manfaaat TTD untuk meningkatkan efektivitas konsumsi TTD.
 
Status Gizi, Riwayat Penyakit Tidak Menular Dan Kebiasaan Olahraga Pada Lansia Di Posyandu Lansia Kelurahan Kotabumi Tengah Kabupaten Lampung Utara
Full text link Nutritional problems that are often experienced by the elderly in addition to malnutrition, obesity problems are also often experienced by the elderly, which can arise because activity in this group has decreased while food intake is not reduced or even excessive, The purpose of the study was to determine the description of nutritional status and history of non-communicable diseases and exercise habits in the elderly at the Elderly Posyandu, Kotabumi Tengah Village, North Lampung Regency.
The type of research used was descriptive research with a cross-sectional approach. The location of the study was at the Elderly Posyandu, Kota Bumi Tengah Village with a population of 48 people. The variables used were nutritional status, disease history, exercise habits and characteristics (gender, age, education, work). The data collection method used was Random Sampling (simple random). Data collection in this study used a questionnaire in the form of questions to determine the nutritional status, disease history and exercise habits of elderly participants. Data analysis used univariate analysis.
The results of the study obtained as many as the nutritional status of the elderly according to BMI, namely 5% very thin, 5% thin, 57.5% normal, 15% fat, 17.5% obesity, history of NCDs in the elderly category who have a history of NCDs 85%, those who do not have a history of NCDs 15%, exercise habits in the elderly category rarely / do not exercise 62.5%, often exercise 37.5%. It is hoped that health workers can increase the knowledge of the elderly about non-communicable diseases by providing education and assistance. Counseling is more interactive, creative with lecture methods and two-way discussions with adult learning methods
Family-Related Factors Associated with Stunting
Full text linkStunting remains a significant nutritional concern for the Indonesian government due to its impact on human resource quality. The Puskesmas (Community Health Centre) in Duren Sawit Subdistrict has experienced an increase in the proportion of stunting cases, rising from 9.06% to 10.5% over the last three months. Objective: This study aims to identify family factors associated with stunting in children aged 12-59 months in the Puskesmas of Duren Sawit Subdistrict for 2023. This research adopts a case-control study design with 41 cases and 41 controls. Cases were identified based on a compilation of data on stunted children at the health center, while controls were children without a stunting diagnosis. Sampling was conducted using the simple random sampling method. Data collection involved direct interviews with the mothers of the children and a review of medical documents. Data analysis was performed using the Chi-square test. Family income with less than minimum wage has the highest PR value compared to other variables, namely 9.68 (95% CI 2.48- 37.78), so it can be concluded that family income with less than minimum wage is the variable that most influences stunting. The recommendation in this study is that cooperation between the Duren Sawit Subdistrict Health Center and the local government, involving community leaders and an interactive approach, is necessary to provide education on nutrition and family financial management for the effectiveness of stunting prevention.Stunting remains a significant nutritional concern for the Indonesian government due to its impact on human resource quality. The Puskesmas (Community Health Centre) in Duren Sawit Subdistrict has experienced an increase in the proportion of stunting cases, rising from 9.06% to 10.5% over the last three months. Objective: This study aims to identify family factors associated with stunting in children aged 12-59 months in the Puskesmas of Duren Sawit Subdistrict for 2023. This research adopts a case-control study design with 41 cases and 41 controls. Cases were identified based on a compilation of data on stunted children at the health center, while controls were children without a stunting diagnosis. Sampling was conducted using the simple random sampling method. Data collection involved direct interviews with the mothers of the children and a review of medical documents. Data analysis was performed using the Chi-square test. Family income with less than minimum wage has the highest PR value compared to other variables, namely 9.68 (95% CI 2.48- 37.78), so it can be concluded that family income with less than minimum wage is the variable that most influences stunting. The recommendation in this study is that cooperation between the Duren Sawit Subdistrict Health Center and the local government, involving community leaders and an interactive approach, is necessary to provide education on nutrition and family financial management for the effectiveness of stunting prevention
Path Analysis on Determinants Affecting Adherence to Pharmacological Treatment of Type 2 Diabetes Mellitus in Farmers
Full text linkType 2 diabetes mellitus is a non-communicable disease and is a major chronic and long-term health problem in society. If uncontrolled, it tends to worsen due to complications. Diabetes mellitus requires long-term treatment. This study aims to determine the factors that affect adherence to pharmacological treatment of type 2 diabetes mellitus in farmers. This study used a quantitative method with a cross-sectional approach. The sample size was 165 farmers who were selected by purposive sampling. This study was conducted from May to June 2024 in the working area of Sukadamai Community Health Center, Natar, South Lampung, Indonesia. Data were collected based on questionnaires. The results showed that adherence to pharmacological treatment of type 2 diabetes mellitus is directly related to age (b=-1.601; 95%CI=-3.260-0.583; p=0.059), self-motivation (b=2.500; 95%CI=0.856-4.144; p=0.003), duration of illness (b=1.587; 95%CI=0.209-0.964; p=0.024), and family support (b=2.840; 95%CI=1.311-4.369; p=0.000). There is an indirect relationship between education and adherence through the knowledge variable (b=0.962; 95%CI=0.307-1.617; p=0.004). Indirectly, education is related to adherence through income (b=2.363; 95%CI=1.618-3.107; p=0.000), self-efficacy to adherence through self-motivation (b=0.261; 95%CI=-0.657-1.180; p=0.577), and family support through self-motivation (b=2.287; 95%CI=1.361-3.214; p= 0.000). Healthcare workers should repeatedly provide counseling on primary education materials, such as the importance of continuous control, pharmacological and non-pharmacological interventions, and other secondary prevention measures to prevent complications in patients diagnosed with type 2 diabetes mellitus
Exploration of Contextual Factors Affecting the Effectiveness of E-Kescatin Application Utilization: A Qualitative Study in Pringsewu Regency
Full text linkThe E-Kescatin application was developed as an innovation in premarital health services to support stunting prevention efforts through a digital approach. However, the effectiveness of utilization of this application still shows variations between regions and is not optimal at the implementation level. This study aims to explore the contextual factors that influence the effectiveness of the E-Kescatin application utilization in Pringsewu District, Lampung Province. The research used a qualitative approach with an exploratory study design. Informants were selected purposively, consisting of midwives, brides-to-be, Health Office officers, and MCH program managers. Data collection was conducted through in-depth interviews and focus group discussions. Data analysis was done thematically with an interpretative approach. The results identified five main themes that influence the effectiveness of app utilization, namely: (1) accessibility of technology and digital infrastructure; (2) digital competence of health workers; (3) perceived benefits from the user side; (4) policy and regulatory support at the local level; and (5) cross-sector integration in the implementation of premarital services. It is concluded that the effectiveness of E-Kescatin application utilization is influenced by contextual factors that include technical, social, and institutional aspects. Therefore, improving the success of application implementation requires a collaborative and adaptive approach to local conditions. The findings of this study provide a significant contribution to strengthening digital transformation policies in the field of reproductive health
Cultural Pregnancy in the Prevention of Prenatal Depression Based on Transcultural Nursing Theory in Pregnant Women
Full text linkCultural pregnancy practices in prenatal care encompass prohibitions on specific behaviors and dietary restrictions that reflect community concerns during pregnancy. These practices may also contribute to prenatal depression. This study seeks to analyze factors related to transcultural nursing theory and cultural pregnancy in preventing prenatal depression among pregnant women in Jember Regency, Indonesia. A descriptive analytical cross-sectional design with a non-proportional stratified random sampling technique was employed, involving 420 participants. Data were collected using a questionnaire based on the eight dimensions of Transcultural Nursing and Cultural Pregnancy theory. The data were analyzed using Spearman's rho test. The results revealed significant correlations among pregnancy culture, social support, economic status, educational background, and cultural beliefs. Technological factors, particularly access to health information, were associated with healthier pregnancy behaviors. Religious and spiritual engagement contributed to stronger coping mechanisms and reduced emotional distress. Family kinship and social interaction played a determining role in identifying and reducing harmful cultural practices. In conclusion, multidimensional cultural, social, technological, and spiritual factors significantly influence prenatal mental health. Strengthening family support, enhancing access to accurate information, and addressing restrictive or harmful cultural practices are essential strategies for preventing prenatal depression among pregnant individuals
The Relationship of Experience, Motivation, and Workload to the Performance of Nurses in the Operating Room
Full text linkPerformance is a measurable, both quantitative and qualitative, outcome for nurses who fulfill their responsibilities in providing patient care in accordance with their professional duties. This study aimed to determine the relationships among work experience, motivation, and workload and nurses' performance in the operating room at Urip Sumoharjo Hospital, Lampung Province, in 2024. The research used a quantitative design with a cross-sectional approach, conducted from March to April 2024. The population consisted of 37 nurses, all included as respondents through a total sampling technique. Data were collected using structured questionnaires completed by respondents and analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that 28 nurses (75.7%) demonstrated good performance, supported by adequate work experience in 23 (62.2%), high motivation in 24 (64.9%), and a low workload in 27 (73.0%). Statistical analysis revealed significant relationships between experience (p=0.004), motivation (p=0.002), and workload (p=0.000) with nurse performance (p<0.05). The study concludes that work experience, motivation, and workload significantly influence nurses' performance in the surgical unit at Urip Sumoharjo Hospital. It is recommended that hospital management pay greater attention to enhancing nurse motivation and managing workloads to improve the quality of nursing services provided to patients
Uji Toksisitas dan Gambaran Histologi Pankreas Mencit (Mus musculus) yang Diberikan Ekstrak Etil Asetat Ranting Puspa (Schima wallichii) sebagai Antidiabetes
Full text linkDiabetes melitus adalah penyakit kronis yang ditandai dengan hiperglikemia akibat gangguan sekresi atau kerja insulin. Tanaman puspa (Schima wallichii) berpotensi sebagai antidiabetes alami karena kandungan senyawa bioaktif flavonoid dan tanin. Penelitian ini bertujuan untuk mengevaluasi toksisitas ekstrak etil asetat ranting S. wallichii serta pengaruhnya terhadap perbaikan histopatologi pankreas pada mencit diabetes. Penelitian eksperimental dengan pre-test dan post-test kelompok kontrol ini menggunakan 20 ekor mencit (Mus musculus) yang diinduksi aloksan, dibagi menjadi kelompok kontrol negatif, kontrol positif, dan kelompok perlakuan dengan dosis 98 mg/kgBB dan 196 mg/kgBB. Analisis data berat badan dan kadar gula darah menggunakan uji One-Way ANOVA, sedangkan histologi pankreas diamati dengan pewarnaan Hematoxylin-Eosin (HE). Uji toksisitas menunjukkan bahwa ekstrak ranting S. wallichii memiliki toksisitas rendah; tidak ditemukan kematian hewan uji, namun terlihat respons fisiologis ringan sementara berupa piloereksi (bulu mengembang) dan hiperaktif. Secara histologis, kelompok kontrol positif menunjukkan kerusakan pankreas signifikan berupa nekrosis dan degenerasi sel. Sebaliknya, pemberian ekstrak secara signifikan memperbaiki struktur histologi pankreas dibandingkan kontrol positif (p < 0,05), dengan perbaikan optimal dan pengurangan kerusakan sel terbesar terlihat pada dosis 196 mg/kgBB. Ekstrak etil asetat ranting S. wallichii relatif aman dan memiliki potensi terapeutik sebagai agen antidiabetes melalui mekanisme perbaikan jaringan pankreas pada mencit yang diinduksi aloksan