e-Jurnal Poltekkes Tanjungkarang
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Prediktor Faktor Menstruasi dan Asupan Fe terhadap Peningkatan Kejadian Anemia pada Remaja Putri
Introduction: Anaemia in adolescent girls is a major public health problem. Menstruation is the main cause. Fe tablet programmes have been introduced, but the incidence of anaemia is still high. Purpose: This study was to determine the prevalence of anemia and estimate the relationship between major menstrual factors and other covariate variables: BMI, knowledge, tea drinking patterns and Fe tablet intake with the incidence of anemia in adolescent girls. Methods: A cross sectional study was conducted on 69 adolescent girls from 3 schools in an Islamic boarding school in the Metro city area to analyse menstrual patterns by involving other confounding variables. Questionnaires were used to measure menstrual pattern, knowledge level, iron intake, and drinking the after meal. Anthropometry of respondents was measured to determine their BMI and nutrition and haemoblobin was checked using Hb Digital (easy touch) to determine anaemia status. Data analysis used multivariate analysis with multiple logistic regression test estimation model with a significance level (α) of 0.05. Results: We found the incidence of anaemia in adolescents was 68.1%. The results of bivariate analysis showed there was a significant association of the incidence of anaemia among adolescent girls with menstrual pattern disorder (p-value 0.001; OR 6.250 CI 95% 2.057-18.987), nutritional status (BMI) with p-value 0.032 (OR 3.960; CI 95% 1.163-13.488), knowledge (p-value 0.050; OR 3.083 CI 95%: 1.035-9.188), while the tea drinking factor showed no association. Multivariate analysis obtained a large factor of menstrual pattern disorder with ORadjusted 6.679) and lack of Fe tablet intake with ORadjusted 3.025. Conclusion: The incidence of anaemia in adolescent girls is at risk of increasing six times, when experiencing abnormal menstrual patterns. Fe intake, lack of knowledge and poor nutritional status are other triggering factors for adolescent girls to experience anaemia. It is importance to reduce and prevent anaemia in adolescents by eliminating these factors.
Latar Belakang: Anemia pada remaja putri merupakan masalah kesehatan masyarakat utama. Menstruasi menjadi penyebab utamanya. Program pemberian tablet Fe sudah diberikan, Namun kejadian anemia masih tinggi. Tujuan: Studi ini untuk mengetahui prevalensi anemia dan mengestimasi hubungan faktor utama menstruasi dan variabel kovariat lain: IMT, pengetahuan, pola minum teh dan asupan tablet Fe dengan kejadian anemia pada remaja putri. Metode: Studi cross sectional study dilakukan pada 69 remaja putri dari 3 sekolah di pondok pesantren islam di wilayah kota Metro untuk menganalisis pola menstruasi dengan melibatkan variabel confounding lainnya. Kuesioner digunakan untuk mengukur pola menstruasi, tingkat pengetahuan, asupan zat besi, dan minum the setelah makan. Antropometri responden diukur menentukan dan gizi (IMT) mereka dan haemoblobin diperiksa menggunakan alat Hb Digital (easy touch) untuk menentukan status anemia. Analisis data digunakan analisis multivariat dengan uji multiple regresi logistik model estimasi dengan tingkat kemaknaan (α) 0,05. Hasil: Kami menemukan kejadian anemia pada remaja berjumlah 68,1%. Hasil analisis bivariat menunjukkan ada hubungan signifikan kejadian kejadian anemia remaja putri dengan gangguan pola menstruasi (p-value 0,001; OR 6,250 CI 95% 2,057-18,987), status gizi (IMT) dengan p-value 0,032 (OR 3,960; CI 95% 1,163-13,488), pengetahuan (p-value 0,050; OR 3,083 CI 95%: 1,035-9,188), sedangkan faktor minum teh tidak menunjukkan ada hubungan. Analisis multivariat diperoleh hasil besar faktor gangguan pola menstruasi dengan ORadjusted 6,679) dan kurang asupan tablet Fe dengan ORadjusted 3,025. Simpulan: Kejadian anemia remaja putri berisiko meningkat enam kali, bila mengalami pola menstruasi yang tidak normal. Asupan zat fe, pengetahuan kurang dan status gizi tidak baik menjadi faktor pemicu lain remaja putri mengalami anemia. Pentingnya upaya menurunkan dan encegah anemia pada remaja dengan mengelinasi faktor-faktor tersebut
Controlling Post-Operative Pain with Early Mobilization and Music Therapy
Pain is the main complaint that is commonly experienced by patients undergoing surgery. The pain appears as a normal response after surgery with injury to the incision area. This study aimed to determine the effect of early mobilization and music therapy on pain intensity in postoperative patients. The quasi-experimental research design used a pre-test and post-test with a control design. The sample was 32 people, divided into experimental and control groups, each of which consisted of 16 respondents. The sampling technique uses the Accidental Sampling approach. The variable in the assessment is pain intensity as the dependent variable, while the independent variables are early mobilization and music therapy. Pain measurement was performed using the Numeric Rating Scale (NRS). The analysis used the Wilcoxon test to test pain intensity before and after treatment in the intervention and control groups while testing the difference in pain intensity between the intervention and control groups using the Mann-Whitney test. The Wilcoxon test results obtained a p-value of 0.000 (Î
EFEKTIFITAS ALAT FILTRASI BERBAHAN PELEPAH PISANG DALAM MENURUNKAN DEBU KAYU PM2.5 PADA INDUSTRI MEUBEL DI KOTA TERNATE BAGIAN UTARA
Debu kayu yang berada di udara outdoor maupun indoor dapat masuk dan mengedap didalam saluran pernapasan dan dapat menimbulkan berbagai penyakit, salah satunya adalah PM2.5. Jenis debu PM2.5 yang dihasilkan oleh industri meubel masalah kesehatan di pemukiman warga. Teknologi tepat guna dibutuhkan untuk meminimasi polusi udara akibat debu kayu. Penelitian ini bertujuan untuk menganalisis efektifitas alat filtrasi berbahan pelepah pisang dalam menurunkan debu kayu pada industri meubel Kota Ternate bagian utara. Jenis penelitian yang digunakan adalah pra-eksperimental dengan metode one group pra-post test design. Populasi dalam penelitian ini adalah seluruh industri meubel di Kota Ternate bagian utara. Penentuan besar sampel menggunakan uji korelasi, dan teknik pengambilan sampel menggunakan simple random sampling. Besar sampel adalah 14 meubel. Pengolahan data menggunakan Paired T-Test. Hasil penelitian menunjukan bahwa kosentrasi PM2.5 sebelum (pretest) dan sesudah (posttest) diberikan perlakuan di industri meubel 100% melebihi Nilai Ambang Batas (NAB) yang telah ditetapkan oleh Peraturan Menteri Kesehatan No 1077 tahun 2011 tentang pedoman penyehatan udara dalam ruang rumah (35 µg/m3). Dan uji paired T-test menunjukan nilai p value sebesar 0,000 dimana kurang dari batas kritis penelitian (< 0,05). Sistem filtering berbahan dasar pelepah pisang efektif dalam menurunkan kosentrasi PM2,5 di industri meubel di Kota Ternate bagian utara. Sistem filtering berbahan dasar pelepah pisang efektif dalam menurunkan kosentrasi PM2,5 di industri meubel di Kota Ternate bagian utara
The Effectiveness of The Combination of Ginger (Zingiber Officinale) and Pomegranate (Punica Granatum) Towards Emesis Gravidarum Reduction in First Trimester Pregnant Women
This research aims to know the effectiveness of the combination of ginger and pomegranate towards emesis gravidarum reduction in first trimester pregnant women. This research was conducted pre-experimentally with a one group pretest-posttest design. The sampling technique used purposive sampling based on the exclusion and inclusion parameters. The research instrument used a 24-hour Pregnancy Unique of Emesis (PUQE-24) Scale questionnaire. The results indicated that the combination intervention of ginger and pomegranate obtained the most significant results from the intervention of ginger and pomegranate intervention with a p value of 0.000Emesis gravidarum frequently occurs in pregnant women at a young gestational age. During pregnancy, the efforts made to minimize the occurrence of vomiting and nausea are by using non-pharmacological therapy in the form of pomegranate and ginger. Ginger and pomegranate have pharmacological properties that effectively reduce nausea and vomiting. This research aims to know the effectiveness of the combination of ginger and pomegranate towards emesis gravidarum reduction in first-trimester pregnant women. This research was conducted pre-experimentally with a one-group pretest-posttest design. The sampling technique used purposive sampling based on the exclusion and inclusion parameters. The research instrument used a 24-hour Pregnancy Unique of Emesis (PUQE-24) Scale questionnaire. The results indicated that the combination intervention of ginger and pomegranate obtained the most significant results from the intervention of ginger and pomegranate intervention with a p-value of 0.00
Gambaran Sonopattern Dinding Kandung Empedu pada Pasien dengan Cholelithiasis dan Cholecystitis
Finding cases of cholelithiasis and cholecystitis is not always easy. The sonopattern image from the ultrasound plane (USG) helps doctors diagnose both. Cases characterized by gallbladder abnormalities can be observed through ultrasound examination techniques and the analyze the sonopattern characteristics and thickness of the gallbladder wall. This qualitative research uses secondary data from the National Brain Center Hospital Jakarta. The data from 20 samples were from 10 cholelithiasis patients and ten cholecystitis patients. The results of the sonopattern analysis showed that the group of patients with cholecystitis had an average gallbladder wall thickening. In contrast, the group of patients with cholelithiasis, on average, did not experience thickening of the gallbladder wall
PENGELOLAAN SAMPAH PESISIR: SEBUAH ANALISIS TREN PENELITIAN DAN TINJAUAN LITERATUR
Artikel ini bertujuan untuk mengisi kesenjangan informasi terkait pengelolaan sampah pesisir melalui analisis tren dan tinjauan literatur dari hasil penelitian yang dipublikasikan dengan menggunakan kata kunci pengelolaan sampah pesisir. Metode yang dilakukan dengan cara pengumpulan artikel melalui menu advance search dari Scopus dan analisis bibliometrik menggunakan VOSviewer. Hasil yang diperoleh menunjukkan bahwa hanya ada 8 artikel yang fokus membahas pengelolaan sampah pesisir. Artikel yang membahas topik pengelolaan sampah pesisir pertama kali terindeks di Scopus pada dekade 1970-an dan baru banyak dikaji kembali pada dekade 2010-an. Pada awalnya artikel penelitian lebih membahas upaya memahami alam, memberikan rekomendasi metode yang relevan, serta melaporkan permasalahan lingkungan. Hingga saat ini artikel penelitian lebih banyak membahas kebijakan dan program untuk menanggulangi permasalahan sampah pesisir. Hanya satu artikel yang memberikan rekomendasi teknis terkait pengelolaan sampah pesisir. Rekomendasi teknis yang diberikan hingga saat penelitian ini dilakukan masih sebatas pemanfaatan sisa industri perikanan untuk dijadikan bahan baku pangan bernilai ekonomi tinggi untuk mendukung ekonomi biru. Dapat dikatakan penelitian terkait pengelolaan sampah pesisir masih memiliki sangat berpeluang dan menarik untuk dlakukan
Media Edukasi berbasis Smarphone: Aplikasi AECAS Edukasi Cegah Anak Stunting dalam Meningkatkan Pengetahuan Ibu - Studi Quasi Eksperimen Berbasis Komunitas
Introduction: The problem of stunting, handling and prevention has become a global issue. Health problems against stunting have spread both through online and offline applications. However, the use of applications for stunting prevention efforts by increasing maternal knowledge has yet to be achieved, and some mothers' knowledge levels still need to be improved. Purpose: This study evaluates the use of the Prevention of Child Stunting Education Application (AECAS) to increase maternal knowledge in the Sijunjung Health Center Work Area, West Sumatra Province, Indonesia. Methods: A quasi-experiment with one group pre-test and post-test approach was used as the design of this study to measure participants' knowledge levels. They involved 31 participants, mothers whose children are stunted as an intervention group, who were given education about stunting prevention using the AECAS application available online. The AECAS application has passed the validity test. Data analysis used a paired T-test to test the significance level of pre-and post-test knowledge measurement. Results: 31 participants experienced increased knowledge from the sufficient category (mean score 54) to the good category (mean score 90). The statistical analysis results obtained the influence of participants' knowledge level before and after intervention with education on the use of AECAS applications (p-value = 0.001). They increased their knowledge score by 38. Conclusion: Using the AECAS application can increase mothers' knowledge about stunting and its prevention. Clinical nursing in the community can use the AECES application to increase knowledge, reduce the incidence of stunting and prevent stunting.
Latar Belakang: Masalah stunting, penanganan dan pencegahan telah menjadi issue global. Promosi kesehatan tentang stunting telah menyebar baik melalui aplikasi online maupun offline. Namun, pemanfatan aplikasi untuk upaya pencegahan stunting dengan meningkatkan pengetahuan ibu belum merapa, sebagian tingkat pengetahuan ibu masih kurang. Tujuan: Studi ini berfokus untuk mengevaluasi pemanfaatan media Edukasi berbasis smarphone menggunakan aplikasi AECAS Edukasi Cegah Anak Stunting terhadap peningkatan pengetahun Ibu di Wilayah Kerja Puskesmas Sijunjung, Provinsi Sumatra Barat, Indonesia. Metode: Quasi eksperimen dengan pendekatan one group pre test dan post test digunakan sebagai design penelitian ini untuk mengukur tingkat pengetahuan partisipan. Melibatkan 31 partisipan ibu-ibu yang anaknya stunting sebagai kelompok intervensi diberikan edukasi tentang penceghan stunting menggunakan aplikasi AECAS yang tersedia online. Apliaksi AECES telah lulus uji validitas. Analisis data untuk menguji tingkat kemaknaan pre dan post tets pengukuran pengetahuan digunakan paired T-test. Hasil: Partisipan berjumlah 31 mengalami peningkatan pengetahuan dari kategori cukup (skor mean 54) menjadi kategori baik (skor mean 90). Hasil analisis statistik diperoleh hasil ada pengaruh tingkat pengetahuan partisipan sebelum dan sedudah intervensi dengan edukasi pemanfataan apliaksi AECAS (p-value = 0,001). Peningkatan skor pengetahuan sebesar 38. Simpulan: Penggunaan aplikasi AECAS mampu meningkatkan pengetahuan ibu tentang stunting dan pencegahannya. Keperawatan klinis di komunitas dapat memanfaatkan aplikasi AECAS sebagai upaya peningkatan pengetahuan untuk menurunkan insiden stunting dan mencegah stunting
Affecting Factors Smoking Cessation Intention among Adolescent E-Cigarette Smokers
The prevalence of e-cigarette smoking in Palembang City reached 3.2% in 2018. Adolescent e-cigarette smokers in Palembang City have a reasonably firm intention to quit smoking e-cigarettes. Quitting e-cigarette smoking is a stage that starts with forming self-intention so that one can maintain new habits. This study aims to determine the factors influencing the intention to quit smoking e-cigarettes in Palembang City adolescents. This study used a quantitative approach with a cross-sectional research design. The research sample was calculated using the two proportions difference hypothesis test formula, totaling 134 adolescents aged 10-24 years. The analysis used was univariate, bivariate analysis using a chi-square test, and multivariate analysis with multiple logistic regression test prediction model. The results showed a relationship between the age of first e-cigarette smoking (p=0.002), knowledge (
Dominant Factors in Complementary Food Feeding in Babies and Toddlers
52.8% of all Indonesian children, or those between the ages of 6 and 23 months, do not obtain the nourishment they require throughout the first two years of life in order to grow and develop as they should. One of Lampung province's areas, Tulang Bawang Regency, has the highest rate of children under five who are very thin (BB/TB), at 7.7%. The purpose of the research was to determine the important element in supplemental feeding of babies and toddlers in Tulang Bawang Regency in 2021. Analytic correlation using a cross-sectional design characterized this sort of study. A sample of 132 women who have children between the ages of 6 and 24 months was acquired by sampling utilizing stratified random sampling. Chi Square analysis in bivariate form and Logistics Regression Analysis in multivariate form. According to statistical analyses, complementary feeding behavior is significantly influenced by a number of internal and external factors, including type of food, frequency of feeding, amount of feeding, and community culture, as well as internal factors like age of knowledge of food, child's activities, and child's health history. Babies and toddlers at the Banjar Baru Community Health Center in the Tulang Bawang Regency in 2021 (p = 0.05). Based on the OR values of these factors, Child Health (OR=8,449) is the most important factor in providing complementary feeding to babies and toddlers in the Banjar Baru Health Center region of the Tulang Bawang Regency in 2021. For families with young children, there is a need for socialization over how to feed newborns and toddlers complementary feeding that are healthy and appropriate, as well as to revive the role of the posyandu in neighborhood events.During the first two years of their lives, 52.8% of Indonesian children aged 6–23 months did not receive the nutrition they needed to grow and develop optimally. In 2019, Tulang Bawang Regency was one of the areas in Lampung province with the most significant percentage of very underweight toddlers (BB/TB) at 7.7%. Of the nine health centers, the lowest infant health service coverage was at the Banjar Baru Health Centre, Tulang Bawang Regency. The research aims to determine the dominant factors in giving MP-ASI to babies and toddlers in Tulang Bawang Regency in 2021. This research is correlational-analytic with a cross-sectional approach. Sampling used a stratified random sample of 132 mothers with babies and toddlers aged 6–24 months. Bivariate analysis uses the chi-square test, and multivariate analysis uses the logistic regression test. The results show that internal factors (age familiarity with food, child activity, and child health history) and some external factors (type of food, frequency of feeding, number of feedings, and community culture) have a significant relationship with MP-ASI feeding behavior in babies and toddlers (
Determinants of Low Back Pain (LBP) Complaints among Garbage Truck Drivers
Low back pain (LBP) is one of the musculoskeletal disorders with the highest intensity in truck drivers. LBP is a work-related disorder that is one of the leading causes of activity limitations, disability, inability to work, and absence from work. This research analyzes the determinants of LBP complaints among garbage truck drivers. The method used a cross-sectional approach. The respondents in this study were garbage truck drivers at TPA Sukawinatan in Palembang City, with a sample size of 76 drivers taken by purposive sampling. The research results showed that there was a significant correlation between exercise habits (p-value = 0.024), work period (p-value = 0.041), driving duration (p-value = 0.011), and complaints of LBP among garbage truck drivers. There was no significant correlation between age (p-value = 0.762), smoking status (p-value = 0.915), and job satisfaction (p-value = 0.648) with complaints of LBP among garbage truck drivers. The conclusion showed that LBP complaints among garbage truck drivers were reported by 52 respondents (68.4%). Exercise habits, work period, and driving duration were significant determinants of LBP complaints among garbage truck drivers at the TPA Sukawinatan