Jurnal Poltekkes Kemenkes Yogyakarta
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Karies Mencapai Pulpa Merupakan Faktor Risiko Stunting Pada Anak Prasekolah di Daerah Lokus
Full text linkPendahuluan: Karies gigi dan stunting merupakan masalah yang umum dijumpai pada anak prasekolah. Di Kabupaten Tulang Bawang Barat diperkirakan 84% anak prasekolah mengalami karies gigi dan 32% diantaranya merupakan karies pulpa. Demikian juga stunting yang masih menjadi masalah kesehatan masyarakat karena prevalensinya masih 16,4%. Tujuan: menilai tingkat keparahan karies gigi dan hubungannya dengan status gizi anak prasekolah di desa lokus. Jenis penelitian ini adalah analitik observasional dengan disain penelitian yang dipilih adalah cross sectional. Populasi adalah semua siswa TK/PAUD usia 3-5 tahun di 3 kecamatan Kabupaten Tulang Bawang Barat. Data dikumpulkan dengan pemeriksaan, pengukuran dan wawancara. Data diolah secara univariat dan bivariat dengan uji statistik Chi square. Hasil: penelitian menunjukkan prevalensi karies sebesar 77,5% dan 25,2% diantaranya adalah karies pulpa. Diketahui juga angka prevalensi stunting sebesar 13,3%. Kesimpulan: ada hubungan yang bermakna secara statistik (p-value = 0,02) antara karies dan stunting. Anak dengan karies mencapai pulpa berisiko 4,7 kali menjadi stunting dibandingkan dengan yang tidak
Anemia prevention attitudes and behaviour as determinants of anemia status in deaf adolescent girls
Full text linkAnemia remains a major nutritional problem among adolescents, especially girls, due to physiological changes and inadequate dietary intake. Deaf adolescents are particularly vulnerable due to limited access to health information, yet few studies have examined the role of attitude and behavior in this population.This study was to determine the relationship between attitudes and behaviors toward anemia prevention and anemia status among deaf adolescent girls. A cross-sectional analytical study was conducted at Public Special Needs School 1 Bantul, Yogyakarta, Indonesia involving 28 deaf adolescent girls aged 10–19 years using total sampling. Data were collected through validated questionnaires assessing attitudes and behaviors toward anemia (Cronbach’s Alpha: 0.746 and 0.827, respectively). Hemoglobin levels were measured using the EasyTouch GCHb device. Data were analyzed using Spearman Rho correlation with a significance level of p < 0.05. A strong positive correlation was found between attitudes and anemia status (r = 0.681, p = 0.000) and between behavior and anemia status (r = 0.708, p = 0.000). Most anemic participants had poor behavioral scores and came from low-income families. Additionally, all anemic participants had begun menstruating, suggesting physiological and socioeconomic risk factors. Attitudes and behaviors are significantly associated with anemia status among deaf adolescent girls. Despite having positive attitudes, environmental and socioeconomic barriers may hinder healthy behavior implementation. Tailored and accessible health education, alongside cross-sectoral interventions, is needed to reduce anemia prevalence in adolescents with disabilities
Analisis spasial faktor-faktor yang mempengaruhi akses sanitasi layak di Indonesia tahun 2023 menggunakan Geographically Weighted Regression
Full text linkSanitasi merupakan komponen penting dalam kesehatan masyarakat yang berpengaruh terhadap kesejahteraan dan pembangunan sosial ekonomi. Indonesia masih menghadapi tantangan dalam pemerataan akses sanitasi layak di berbagai wilayah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi akses sanitasi layak di Indonesia tahun 2023 dengan pendekatan spasial menggunakan metode Geographically Weighted Regression (GWR). Jenis penelitian ini adalah observasional analitik dengan data sekunder dari Badan Pusat Statistik dan Survei Kesehatan Indonesia Tahun 2023 yang dianalisis pada tingkat provinsi. Variabel yang diteliti meliputi pengelolaan sampah rumah tangga, lokasi tempat buang air besar di dalam rumah, jenis kloset leher angsa, tingkat pengangguran terbuka, kepemilikan fasilitas buang air besar sendiri, dan tingkat penyelesaian pendidikan SMA. Hasil penelitian menunjukkan bahwa seluruh variabel berpengaruh signifikan terhadap akses sanitasi layak, di mana pengelolaan sampah, jenis kloset, kepemilikan fasilitas, dan pendidikan berpengaruh positif, sedangkan lokasi tempat BAB di dalam rumah dan tingkat pengangguran berpengaruh negatif. Model GWR dengan kernel Fixed Gaussian memiliki nilai sebesar 91.75%, menunjukkan kinerja yang lebih baik dibandingkan regresi global. Hasil ini menegaskan pentingnya pendekatan spasial dalam perencanaan kebijakan untuk pemerataan akses sanitasi layak di Indonesia.
Abstract: Sanitation is an essential component of public health that influences community well-being and socio-economic development. Indonesia continues to face challenges in achieving equitable access to adequate sanitation across regions. This study aims to analyze the factors affecting access to proper sanitation in Indonesia in 2023 using a spatial approach through the Geographically Weighted Regression (GWR) method. This research is an observational analytic study utilizing secondary data from Statistics Indonesia (BPS) and the 2023 Indonesia Health Survey, analyzed at the provincial level. The variables examined include household waste management, location of defecation facilities inside the house, water-sealed toilet type, open unemployment rate, ownership of private toilet facilities, and completion rate of senior high school education. The results show that all variables significantly influence access to proper sanitation, where waste indoor defecation location and unemployment rate have a negative effect. The GWR model with a Fixed Gaussian kernel produced an value of 91.75%, indicating better performance than the global regression model. These findings highlight the importance of spatial-based approaches in designing sanitation policies to achieve equitable and sustainable sanitation access di Indonesia
Pemahaman orang tua tentang kebutuhan gizi dalam mengurangi risiko balita stunting di Desa Mendalan
No full textPenelitian ini bertujuan untuk mengetahui tingkat pemahaman orang tua terhadap gizi seimbang serta untuk mengulas peran pendidikan sebagai salah satu penyebab tingginya angka stunting di Desa Mendalan. Untuk mencapai tujuan ini, penelitian ini akan mengeksplorasi permasalahan seputar pemahaman orang tua tentang kebutuhan gizi yang tepat dalam mengurangi risiko stunting pada anak serta bagaimanakah peran pendidikan orang tua terhadap pemahaman mereka tentang gizi anak dalam pencegahan stunting di Desa Mendalan. Menggunakan metode pe nelitian kualitatif dengan pendekatan Cross Sectional, data dikumpulkan melalui wawancara dan pe ngisian kuisioner terhadap ibu hamil dan ibu yang memiliki balita stunting sejumlah 55 responden. Berdasarkan data yang diperoleh sebagian besar orang tua di Desa Mendalan memiliki pemahaman minim terhadap pentingnya gizi seimbang yang salah satunya disebabkan karena faktor pe ndidikannya. Hal tersebut dikarenakan responden memiliki pendidikan rendah lulusan SD dan SMP. Dengan demikian, salah satu upaya terpenting dalam mencegah stunting ialah dengan memberikan edukasi terkait kesiapan mental, fisik, finansial, pola pikir sebelum menjadi orang tua.
Abstract: This study aims to determine the level of parents' understanding of balanced nutrition and to review the role of education as one of the causes of high stunting rates in Mendalan Village. To achieve this objective, this study will explore issues surrounding parents' understanding of proper nutritional needs in reducing the risk of stunting in children and how parental education plays a role in their understanding of child nutrition in preventing stunting in Mendalan Village. Using a qualitative research method with a cross-sectional approach, data were collected through interviews and questionnaires with 55 respondents, consisting of pregnant women and mothers with stunted toddlers. Based on the data obtained, most parents in Mendalan Village have minimal understanding of the importance of balanced nutrition, partly due to their educational background. This is because the respondents have a low level of education, having graduated from elementary and junior high school. Thus, one of the most important efforts in preventing stunting is to provide education related to mental, physical, and financial readiness, as well as mindset before becoming a parent
Implementasi pembuatan ecobrick sebagai upaya menjaga kebersihan lingkungan dan pencegahan DBD di Desa Tarokan
No full textPenelitian ini bertujuan untuk mengkaji implementasi pembuatan ecobrick sebagai salah satu metode pengelolaan sampah plastik dan upaya menjaga kebersihan lingkungan di Desa Tarokan. Ecobrick adalah botol plastik yang diisi penuh dengan sampah plastik non-biodegradable, sehingga dapat digunakan sebagai bahan bangunan yang ramah lingkungan. Dengan adanya ecobrick, diharapkan dapat mengurangi jumlah sampah plastik yang mencemari lingkungan serta mencegah genangan air yang menjadi sarang nyamuk penyebab Demam Berdarah Dengue (DBD). Metode yang digunakan dalam penelitian ini adalah Participatory Action Research (PAR), yang melibatkan partisipasi masyarakat dalam setiap tahap kegiatan. Hasil penelitian menunjukkan bahwa pembuatan ecobrick di Desa Tarokan efektif dalam mengurangi jumlah sampah plastik dan mengurangi risiko penyebaran DBD. Partisipasi masyarakat dalam program ini juga sangat tinggi, menunjukkan kesadaran yang meningkat terhadap pentingnya menjaga kebersihan lingkungan.
Abstract: This research aims to examine the implementation of ecobrick production as a method of plastic waste management and an effort to maintain environmental cleanliness in Tarokan Village. An ecobrick is a plastic bottle packed full with non-biodegradable plastic waste, which can then be used as an environmentally friendly building material. The presence of ecobricks is expected to reduce the amount of plastic waste polluting the environment and prevent stagnant water that serves as a breeding ground for mosquitoes causing Dengue Fever (DF). The method used in this research is Participatory Action Research (PAR), involving community participation in every stage of the activity. The research results show that ecobrick production in Tarokan Village is effective in reducing plastic waste and mitigating the risk of DF spread. Community participation in the program is also very high, indicating an increased awareness of the importance of maintaining environmental cleanliness
Ethnomedical use of Dodonaea viscosa for postpartum perineal wound care among Dani tribe women in Puncak Jaya, Indonesia
Full text linkMaternal mortality remains a pressing issue in many developing countries, with postpartum infections being one of the leading causes. In remote regions of Indonesia, such as the highlands of Papua, traditional healing practices are still widely adopted due to limited access to formal health services. Among the Dani tribe in Puncak Jaya District, the use of Dolli or Dolingga (Dodonaea viscosa) leaves for perineal wound care after childbirth is a longstanding cultural tradition. This study aimed to explore the ethnomedical practices, preparation methods, and perceived therapeutic effects of Dolli leaves in managing postpartum perineal wounds among women in the Dani tribe. A qualitative exploratory design was employed. Data were collected through in-depth interviews with 10 postpartum mothers and 2 key informants, including a health official from the Puncak Jaya District Health Office. Thematic content analysis was applied to identify key patterns and cultural meanings associated with the use of Dolli leaves. The use of Dolli leaves is a generational practice, valued for its accessibility and safety. Leaves are wilted over fire to release their oils, then layered (approximately 3 cm thick), and applied externally by having the mother sit or lie on them. Most participants reported improved perineal wound conditions within 1–4 days, characterized by dryness, lack of odor, and absence of infection. Mild abdominal discomfort was noted by some, though no adverse effects were reported. Cultural taboos such as not stepping on the leaves were observed during use. The leaves were also applied for neonatal umbilical cord care. The ethnomedical use of Dolli leaves for postpartum perineal wound healing reflects culturally embedded knowledge with perceived therapeutic benefits. These findings suggest potential for integrating local ethnomedicine into maternal care in resource-limited settings, pending further clinical and pharmacological validation
Dukungan Keluarga terhadap Keyakinan Sembuh Pasien Tuberkulosis Resisten Obat (TB RO)
Full text linkPatients with drug-resistant tuberculosis (DR-TB) must undergo a heavy and prolonged treatment, which increases the chances of them defaulting on their medication. Family support is considered to help patients boost their treatment motivation. This study aims to examine the tendency of family support towards the healing beliefs of patients with drug-resistant tuberculosis (TB RO). This is a cross-sectional study involving 50 patients with TB RO in the Special Region of Yogyakarta from 2016 to 2020, utilizing a research instrument in the form of a questionnaire. Patients with good family support tend to be confident in their recovery (84%), while 44% of patients with less family support are uncertain about their recovery. Family support may influence patients' recovery beliefs, depending on the emotional conditions they experience
Penyuluhan Hipertensi Pada Lansia Peserta Posyandu Lansia
Full text linkHipertensi adalah sebuah penyakit yang disebabkan oleh peningkatan abnormal tekanan darah, baik tekanan darah sistolik maupun tekanan darah diastolik, Secara umum seseorang dapat dikatakan hipertensi jika hasil dari pemeriksaan tekanan darah sistolik/diastolic lebih dari 140/90 mmHg, Sedangkan normal nya adalah 120/80 mmHg. Penyakit Hipertensi di Indonesia terus mengalami kenaikan akibat dari perubahan gaya hidup, mengkonsumsi makanan tinggi lemak, kolesterol, penurunan aktivitas fisik, kenaikan kejadian stress dan lain lain. Tujuan kegiatan ini adalah untuk memberikan edukasi mengenai faktor risiko hipertensi, pengaturan makan dan pentingnya aktivitas fisik pada lansia. Sasaran dalam kegiatan ini adalah lansia peserta Pos lansia di wilayah kerja Puskesmas Ngaglik II. Metode yang digunakan adalah penyuluhan dan diskusi serta tanya jawab. Hasil penyuluhan didapatan bahwa setelah dilakukan kegiatan penyuluhan didapatkan hasil pengetahuan lansia meningkat. Dengan demikian pemberian penyuluhan dapat meningkatkan pengetahuan lansia mengenai hipertensi.
"LOREH" Modifikasi Lotion Minyak Sereh Anti Nyamuk Berbasis Pendekatan Kelompok Berisiko Eliminasi Malaria di Balai Desa Ngemplak, Pagerharjo, Samigaluh, Kulon Progo
Full text linkThe only district in Yogyakarta that experiences fluctuations in malaria cases is Kulon Progo district. Based on the data table on morbidity and mortality due to malaria according to gender, it refers to the Samigaluh II Community Health Center with a positive number of exposure of 8 people in 2021. In June 2015, the Samigaluh II Community Health Center created a policy in the form of a Community Health Center SMS Center. The aim is to improve reactions that are quickly identified, quickly discovered, and quickly treated so that local transmission will not occur. Even though it was successful, this policy did not last long. It can be seen that in 2017 the number of malaria cases in this village increased again. Therefore, the public wants a movement or solution action from the government regarding this problem. In order to support the community's wishes, we held a direct observation movement to Ngemplak Hamlet, Pagerharjo, Samigaluh, Kulon Progo, Special Region of Yogyakarta. This movement is called 3P (Extension, Independent Creation, and Mentoring). The main target is aimed at PKK mothers and Karang Taruna in each hamlet. The 3P movement began with malaria education outreach, independent production of "LOREH" lemongrass oil lotion and systematic assistance. This activity requires collaboration with health workers and local health centers so that they can monitor better. The output of the 3P movement is an increase in understanding, attitudes and environmentally
Inhaled lavender aromatherapy as an effective non-pharmalogical intervention for pain relief in the active phase of labour
Full text linkLabour pain is a physiological process that can cause significant anxiety, tension, and fatigue. Non-pharmacological interventions such as aromatherapy are increasingly considered to manage labour pain with minimal side effects. Lavender essential oil, known for its sedative and anxiolytic properties, has shown promise in reducing pain perception during childbirth. This study aimed to examine the effect of lavender aromatherapy on the level of labour pain among women in the active phase of the first stage of labour. A quasi-experimental study with a pretest-posttest control group design was conducted at Dirgahayu Hospital, Samarinda, Indonesia. A total of 36 women in the active phase of labour were recruited using purposive sampling and assigned to intervention (n = 18) and control (n = 18) groups. The intervention group received lavender aromatherapy via inhalation using a diffuser (4–5 drops of lavender oil in 20 ml of water) for 1 hour, while the control group was instructed in deep breathing relaxation techniques. Labour pain was assessed before and after the intervention using the Numeric Rating Scale (NRS). The intervention group showed a significant reduction in pain scores, from a mean of 6.33 to 5.56 (Mean different = –0.77), while the control group showed a minimal increase from 6.06 to 6.11 (Mean different = +0.05). Statistical analysis using a paired t-test revealed a significant difference in the intervention group (p = 0.001), indicating the effectiveness of lavender aromatherapy in reducing labour pain. Lavender aromatherapy significantly reduced the intensity of labour pain during the active phase of the first stage of labour. This non-invasive and cost-effective intervention can be considered as a complementary method in intrapartum care to enhance maternal comfort and support physiological childbirth