Jurnal Poltekkes Kemenkes Yogyakarta
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Ekplanation of Multimedia Counseling about Prevention of Anemia on Adolescent Girls Behavior in Prevent Adolescent Anemia
No full textThe way to break the chain of transferring stunting is the planting of healthy living and healthy consumption of balanced nutrition in young women, bearing in mind that the next generation of the nation will be strong and healthy if needed by mothers with health conditions. The development of an effective health promotion program through health education with the Android application is expected to provide information and assist young women to be better in their health, improve the health of young women, learn about nutrition, anemia, and healthy life behavior so that they can anticipate early stunting events. Multimedia counseling is a method of learning that involves audio, visual and discussion to make it more interesting and easy to understand.
This study analyzed the explanation of multimedia counseling about the prevention of anemia on adolescent girls behavior to prevent anemia.
This study used pretest-posttest with control group design, with a quasi-experimental. The study population was 259, the samples were 90 respondents who were assigned to two groups. The samples were selected by simple random sampling. Respondents were given multimedia counseling about anemia prevention, a behavioral questionnaire, and FFQ. A capillary blood test was conducted using Quik-Check, and the respondents were followed up every week and evaluated for 5 weeks. Results were tested using T-Test and linear regression.
Multimedia counseling had an effect on knowledge (t = 3.097; CI = 95%; 2.229-10.215; p value = 0.003), attitude (t = 9.56; CI = 95%; 10.055-15.331; p value = 0.001), behavior (t = -2.22; CI = 95%; -4.628- -0.260; p value = 0.029), FFQ (t = -2.18; CI = 95%; -4.883 - -0.227; p value = 0.032) and BMI (t = -10.40; CI = 95%; - 5.094 - -3.460; p value 0.001) among adolescent girls in preventing anemia with R-Square of 0.952 (95%).
There was an explanation of video counseling on the increase in knowledge, attitudes, behavior in preventing adolescent anemia. Provision of ongoing multimedia counseling and monitoring of female careers in preventing adolescent anemia needs to be improved. Therefore, the role of healthcare providers for monitoring and evaluation is very necessary
Clustering Analysis of Life Expectancy at Birth in Central Sulawesi Province: Trends and Patterns 2022-2024
No full textLife Expectancy at Birth (LEB) is a critical indicator of health and well-being, and understanding its variations across regions is essential for effective health policy development. In Central Sulawesi, Indonesia, LEB has shown improvements over recent years. This study aims to explore life expectancy trends in Central Sulawesi from 2022 to 2024 using K-means clustering analysis. The study uses secondary data from the Central Statistics Agency (BPS), focusing on health indicators, education levels, healthcare access, and socio-economic conditions. The results revealed that most districts in Central Sulawesi fall into the high life expectancy category (C3), including urban areas like Palu and Morowali, reflecting better healthcare infrastructure and socio-economic conditions. However, districts such as Parigi Moutong, Tojo Una-Una, and Banggai Kepulauan remain in the lower life expectancy categories (C1 and C2), highlighting significant disparities. These findings underscore the need for targeted interventions to address the healthcare and socio-economic challenges in lower-performing areas. The study concludes that while Central Sulawesi has made progress in improving life expectancy, regional disparities remain. Policymakers should focus on enhancing healthcare access, infrastructure, and education in underdeveloped areas to reduce these gaps on addressing the challenges faced by districts in the C1 and C2 categories
The risk and obstetric outcomes of preeclampsia in pregnancies with non-ideal maternal age: a systematic review
No full textPreeclampsia remains a leading cause of maternal and neonatal morbidity, with increased risk observed at both extremes of maternal age adolescents (<20 years) and women of advanced maternal age (>35 years). However, the comparative obstetric impacts of preeclampsia across these age groups remain underexplored in a structured synthesis. This study aims to provide an up-to-date, evidence-based understanding to support maternal health policy planning, clinical obstetrics, and reproductive education tailored to high-risk populations. This systematic review was conducted following PRISMA guidelines. Electronic databases including PubMed, Scopus, and Google Scholar were searched for peer-reviewed studies published between 2015 and 2025. Studies were eligible if they reported preeclampsia prevalence and obstetric outcomes among pregnant individuals aged <20 or >35 years. Seven observational and cohort studies met the inclusion criteria. Adolescent pregnancies complicated by preeclampsia showed high cesarean section rates (82.9% in those aged ?16 and 89.3% in ages 17–19), and increased risk of anemia and pregnancy complications despite comparable neonatal outcomes across age subgroups. In contrast, advanced maternal age was associated with a higher prevalence of severe preeclampsia (68.9%), eclampsia (12.3%), HELLP syndrome (8.7%), and emergency cesarean delivery (71.3%). Neonatal complications included low birth weight (34.4%) and lower five-minute Apgar scores. Use of assisted reproductive technologies in women ?40 further amplified the risk of early-onset preeclampsia and prematurity. Pregnancies at non-ideal maternal ages carry distinct pathophysiological risks and result in increased obstetric complexity and need for medical intervention. Age-specific clinical approaches such as early screening, targeted antenatal education, and enhanced maternal-fetal surveillance are essential. These findings support maternal health policies that incorporate maternal age as a key determinant for individualized risk assessment and care planning
Preventing Stunting from the Source: A Study of Premarital Couples on Participation in Preconception Care
Full text linkIndonesia ranks among the highest globally for childhood stunting, largely due to chronic nutritional deficiencies beginning during the first 8000 days of life—starting even before conception. Poor health and nutritional status among women of reproductive age prior to marriage significantly increase the risk of adverse pregnancy outcomes and childhood stunting. This study aimed to identify the determinants of premarital couples’ participation in preconception care as a strategy to reduce stunting. This cross-sectional analytical study involved 61 premarital couples recruited through total sampling at the Office of Religious Affairs (KUA) in Kapanewon Sewon, Bantul Regency, Yogyakarta, Indonesia. Inclusion criteria included couples aged 20–35 years who met the study requirements. Data were analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. Knowledge (p = 0.001), attitude (p = 0.007), and social support (p = 0.015) were significantly associated with participation in preconception care. Multivariate analysis showed that couples with good knowledge were 4.3 times more likely (AOR = 4.30; 95% CI: 1.65–11.22) to participate in preconception care. Improved knowledge, positive attitudes, and strong social support significantly increase premarital couples’ participation in preconception care. Strengthening early health promotion and community-based interventions is essential to optimize reproductive health preparation and prevent stunting from its earliest source
HUBUNGAN TINGKAT PENGETAHUAN DENGAN MANAJEMEN DIRI PASIEN DIABETES MELITUS TIPE 2 DI POLI RAWAT JALAN SATU RS SWASTA PALANGKA RAYA
Full text linkSelf-management in people with diabetes mellitus is an action that aims to protect the patient against the disease and as an effort to prevent complications. Individuals who have good self-management are able to increase their independence in managing their disease independently. In addition to self- management, people with diabetes mellitus also need to have good knowledge. To determine the relationship between knowledge level and self-management of type 2 diabetes mellitus patients in the outpatient polyclinic of a private hospital in Palangka Raya. Using the correlation method using accidental sampling technique. The sample in this study amounted to 50 people. The instruments used in this study were a knowledge level questionnaire about diabetes mellitus (DKQ 24) and a diabetes mellitus self- management questionnaire (DSMQ) which were closed because they already had 40 answer choices and were distributed to respondents in February-March 2023. The results of this study indicate that there is a relationship between the level of knowledge and the self-management of patients with type 2 diabetes mellitus in the single outpatient polyclinic of the Palangka Raya private hospital, with a p value = 0.05 with a sperm rank test correlation of 0.006. There is a relationship between the level of knowledge and self-management of type 2 diabetes mellitus patients in the outpatient polyclinic of a private hospital in Palangka Raya
Pengaruh Stimulus Kutaneus Slow Stroke Back Massage Terhadap Nyeri Sendi Pada Lansia Rheumatoid Arthritis di Wilayah Kerja Puskesmas Mamajang
Full text linkArtritis reumatoid merupakan penyakit inflamasi kronik yang menimbulkan nyeri sendi dan menurunkan kualitas hidup lansia. Salah satu pendekatan nonfarmakologis untuk meredakan nyeri artritis reumatoid adalah slow back massage dengan stimulasi kulit yang diyakini dapat menurunkan nyeri melalui stimulasi kulit. Penelitian ini bertujuan untuk menguji apakah slow back massage dengan stimulasi kulit efektif dalam menurunkan intensitas nyeri sendi pada lansia penderita artritis reumatoid. Metode: Penelitian ini menggunakan desain quasi eksperimen dengan pretest-posttest dan control group, serta teknik purposive sampling. Sebanyak 60 lansia penderita artritis reumatoid di wilayah kerja Puskesmas Mamajang yang dibagi menjadi kelompok kontrol dan kelompok intervensi. Kelompok intervensi mendapatkan slow back massage dengan stimulasi kulit selama seminggu, satu kali sehari, 3-5 menit per sesi. Intensitas nyeri sendi diukur sebelum dan sesudah intervensi menggunakan numeric rating scale (NRS). Data dianalisis menggunakan Wilcoxon Signed Rank Test dan uji statistik Mann-Whitney.Hasil penelitian menunjukkan terdapat perbedaan yang signifikan pada intensitas nyeri sendi sebelum dan sesudah dilakukan slow back massage dengan skin stimulate (p<0,05). Rata-rata nyeri sendi mengalami penurunan setelah dilakukan intervensi dan terdapat perbedaan yang signifikan antara kedua kelompok (p<0,05). Kelompok intervensi slow back massage dengan skin stimulate menunjukkan pengaruh yang lebih besar dalam menurunkan nyeri artritis reumatoid. Slow back massage dengan skin stimulate efektif dalam menurunkan intensitas nyeri sendi pada lansia penderita artritis reumatoid. Terapi ini dapat menjadi pilihan terapi non-obat yang aman dan mudah untuk menurunkan nyeri sendi pada lansia penderita artritis reumatoid
Pengaruh Isometric Handgrip Exercise terhadap Tekanan Darah pada Penderita Hipertensi di Padukuhan Papringan Catur Tunggal Depok Sleman Yogyakarta
Full text linkHypertension is one of the leading causes of death due to non-communicable diseases. Uncontrolled hypertension can lead to various complications, making effective management essential. One effective non-pharmacological intervention is the isometric handgrip exercise, which involves sustained muscle contractions without changing muscle length and has been shown to reduce systolic and diastolic blood pressure. This study aims to determine the effect of isometric handgrip exercise on blood pressure in individuals with hypertension. The study was conducted over five consecutive days from December 27 to 31 in Padukuhan Papringan, Caturtunggal, Depok, Sleman, Yogyakarta. A pre-experimental design with a one-group pretest-posttest method was used. A purposive sampling technique was employed, involving 33 hypertensive individuals aged 44–64 years. Data were collected using observation sheets and a standard operating procedure (SOP) guide for the isometric handgrip exercise, which participants followed independently at home. The data were analyzed using the Wilcoxon test. The results showed a significant difference in systolic blood pressure before and after the intervention (p = 0.000), but no significant difference in diastolic blood pressure (p = 0.580). These findings suggest that isometric handgrip exercise can be an effective method for reducing systolic blood pressure in hypertensive patients. Future research is recommended to ensure consistency in exercise using tools like the Muscle Strength Testing (MMST) and to implement controlled supervision during the intervention for optimal exercise accuracy
Pendidikan Kesehatan Menggunakan Media Pop-Up Book Dapat Meningkatkan Pengetahuan Kesehatan Gigi dan Mulut Pada Anak Usia Sekolah di SD N Demak Ijo 1
Full text linkOral health is important for overall body health, especially in children aged 6-12 years who are prone to caries. This study aims to determine the effect of health education using pop-up book media on oral health knowledge in grade IV students of SD N Demak Ijo 1. Quantitative research with a quasy experiment design involved 56 students and was analyzed using the Wilcoxon and Mann Whitney tests. The results showed a significant increase in knowledge after the intervention (p = 0.000), so it can be concluded that pop-up book media is effective in increasing the oral health knowledge of school-age children
Cookies Camerunis as an Alternative Food for Cancer Prevention: A Systematic Literature Review
No full textCancer is one of the leading causes of death worldwide, and the search for functional foods with cancer-preventive properties is increasing. This study aims to explore the potential of Cookies Camerunis, a variation of cookies made from wheat flour, MOCAF (Modified Cassava Flour), red rice flour, and cinnamon, as a cancer-preventive food. The main ingredients, red rice flour, and cinnamon, are known for their high antioxidant content, which plays a critical role in reducing oxidative stress, a factor in cancer development. This review adopts a systematic literature review (SLR) approach to examine scientific studies from the last 10 years, highlighting the anti-cancer potential of these ingredients. A total of 20 articles were selected following a rigorous screening process using relevant keywords in reputable databases. The findings indicate significant antioxidant properties in both red rice flour and cinnamon, supporting the hypothesis that Cookies Camerunis may serve as a functional food for cancer prevention. Further studies, especially clinical trials, are needed to substantiate these findings.
 
Gambaran Ketepatan Penentuan Penyebab Dasar Kematian Pada Formulir Keterangan Penyebab Kematian di RSPAU dr. Suhardi Hardjolukito
Full text linkFormulir Keterangan Penyebab Kematian (FKPK) merupakan dokumen penting dalam rekam medis yang berfungsi sebagai sumber data utama mortalitas di rumah sakit. Ketepatan penentuan penyebab dasar kematian atau UCoD sangat diperlukan untuk menghasilkan data kesehatan yang akurat dalam perencanaan dan evaluasi program kesehatan masyarakat. Pada FKPK ditemukan ketidaktepatan dalam penentuan UcoD akibat kurangnya pemahaman dan penerapan prinsip-prinsip pengisian FKPK yang sesuai standarnya. Metode deskriptif dengan pendekatan kuantitatif digunakan untuk membandingkan hasil UCoD rumah sakit, peneliti, dan expert judgement dengan pedoman ICD-10 dan tabel MMDS. Sampel penelitian berupa FKPK elektronik periode Januari-Februari 2025 dengan usia pasien >7 hari yang dikumpulkan melalui observasi dan dilakukan wawancara untuk mengidentifikasi faktor penyebab ketidaktepatan. Ketidaktepatan pengambilan keputusan UCoD sebesar 87.50% dari 80 FKPK elektronik. Ketidaktepatan diidentifikasi dengan unsur faktor 5M yang meliputi belum adanya pembagian tugas koder yang secara spesifik bertanggung jawab mengenai reseleksi FKPK elektronik, pengisian FKPK belum sesuai dengan standar pada ICD-10 volume 2, belum terdapat SPO penentuan UCoD pada FKPK elektronik, belum digunakannya ICD-10 volume 2 dan tabel MMDS dan belum adanya alokasi anggaran pelatihan terkait penentuan UCoD pada FKPK elektronik. Hasil analisis ketidaktepatan yang sangat tinggi dalam penentuan penyebab dasar kematian pada FKPK elektronik di RSPAU karena belum dilakukan reseleksi kode oleh koder