Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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The Effect of Giving Soy Milk (Glycine Max) on Breast Milk Production in Breastfeeding Mothers at the Nurtiana Midwife Clinic
No full textSuboptimall brealst milk production remalins al problem for some brealstfeeding mothers, primalrily due to inaldequalte intalke of nutrients thalt support lalctaltion, such als plalnt protein, fluids, alnd phytoestrogens. Soy milk (Glycine malx) is known to contalin isoflalvones alnd proteins thalt stimulalte the hormones prolalctin alnd oxytocin, thereby helping to increalse brealst milk production. This study alimed to determine the effect of soy milk on brealst milk production in brealstfeeding mothers alt the Nurtialnal Midwife Clinic. This study used al qualsi-experimentall design with al one-group pretest–posttest design. The study populaltion consisted of 10 brealstfeeding mothers, alll of whom were salmpled using al totall salmpling technique. Daltal were collected through observaltions before alnd alfter the intervention of aldministering 250 ml of soy milk three times dalily for seven dalys. Daltal were alnallyzed using univalrialte methods to determine frequency distribution, alnd bivalrialte methods using the Wilcoxon test to determine differences in brealst milk production before alnd alfter the intervention. ALfter the intervention, 80% of respondents experienced improved brealst milk production. The Wilcoxon test showed al p-vallue of 0.005 (<0.05), indicalting al significalnt relaltionship between soy milk consumption alnd increalsed brealst milk production. Therefore, it caln be concluded thalt soy milk consumption hals al positive impalct on increalsing brealst milk production in brealstfeeding mothers. Consuming soy milk caln allso be al nalturall allternaltive to support the success of aln exclusive brealstfeeding progralm
Relationship between Sodium Intake and Nutritional Knowledge with the Incidence of Hypertension in Inpatients of Harapan Indah Sendawar Hospital
No full textHypertension is a major public health problem with a prevalence that continues to increase both globally and nationally. This condition is often referred to as a “silent killer” because it usually presents without symptoms yet may lead to severe complications such as heart disease, stroke, and kidney failure. Data from the 2018 Basic Health Research (Riskesdas) revealed that the prevalence of hypertension in Indonesia reached 34.1% among individuals aged ≥18 years, showing an increase compared to 2013. One contributing risk factor is excessive sodium intake that exceeds daily recommendations, combined with poor nutritional knowledge influencing individual dietary behaviors. This study employed an observational analytic design with a cross-sectional approach to analyze the association between sodium intake and nutritional knowledge with the incidence of hypertension among inpatients at Harapan Insan Sendawar General Hospital. The study population included all elderly patients aged over 60 years (n = 36), selected through total sampling. Primary data were collected via interviews using a semi-FFQ questionnaire and blood pressure measurements, while secondary data were obtained from hospital records. Findings showed that most respondents were over 60 years old (61.1%), had high sodium intake (80.5%), and low nutritional knowledge (72.2%). The prevalence of hypertension among respondents was remarkably high at 94.4%. Statistical analysis demonstrated a significant association between sodium intake and hypertension (p = 0.010), as well as between nutritional knowledge and hypertension (p = 0.032). In conclusion, high sodium consumption and low nutritional knowledge significantly contribute to the incidence of hypertension among elderly patients. These findings highlight the importance of nutrition education and sodium intake control as preventive strategies for hypertension
The Influence of the Health Belief Model on the Risk Factors of Dengue Fever Occurrence in the Working Area of Sei Suka Public Health Center, Batubara Regency 2025
No full textIn the prevention of dengue fever risk, the Health Belief Model can be a useful tool to understand how the public's perceptions and attitudes towards prevention efforts affect the risk of dengue fever occurrence. The objective of this study is to analyze the influence of the Health Belief Model on the risk factors for dengue fever occurrence in the working area of Sei Suka Public Health Center, Batubara Regency, in 2025. This research is descriptive-analytic with a cross-sectional study design. The research period will be from July 2024 to January 2025. The sample consists of 100 heads of households. Bivariate data analysis will use the Chi-square test, and multivariate analysis will employ logistic regression. The results of the bivariate analysis show a relationship between perceived susceptibility (p=0.010), perceived severity (p=0.001), perceived benefits (p=0.000), perceived barriers (p=0.001), and cues to action (p=0.000) with the risk of dengue fever occurrence in the working area of Sei Suka Public Health Center, Batubara Regency. The dominant factor affecting the risk of dengue fever in the working area of Sei Suka Public Health Center, Batubara Regency, is the cues to action factor, with a B value of 1.609 and a p-value of 0.000
Factors Influencing the Quality of Services at the Pharmacy Installation of Pagar Jati Public Health Center
No full textThe quality of pharmaceutical services plays a vital role in supporting effective healthcare delivery at the primary care level. High quality pharmacy services contribute to patient safety, treatment effectiveness, and overall satisfaction with healthcare experiences. This study aims to analyze the factors influencing the quality of pharmacy services at the Pharmacy Installation of Puskesmas Pagar Jati, specifically examining human resources, infrastructure, drug management, and patient satisfaction.This research applied a quantitative approach with a cross-sectional design. A total of 96 respondents were selected using purposive sampling. Data were collected using a closed-ended Likert-scale questionnaire and analyzed through multiple linear regression and logistic regression tests.The results show that drug management has the most dominant influence on service quality (p = 0.002; OR = 15.984), followed by human resources (p = 0.036; OR = 3.767). Patient satisfaction showed a nearly significant influence (p = 0.058), while infrastructure did not show a statistically significant effect (p = 0.728). The study concludes that the improvement of pharmacy service quality is more determined by process-related aspects, particularly drug management systems and the competency of pharmacy personne
Analysis of Factors Affecting The Implementation Of Health Promotion Programs For Pulmonary Tb Patients At Grandmed Hospital Lubuk Pakam In 2024
No full textTuberculosis (TB) is still a major health problem globally, due to serious health disorders in the community and the incidence of this disease increases every year. Currently, it is estimated that 1 in every 3 TB cases have not been detected by the Case Detection Rate (CDR) program, which is known from national data showing that CDR in Indonesia from 2012-2014 has decreased, namely case discovery in 2012 was 61%, and in 2014 the case discovery rate was 46%. The purpose of this study was to Analyze Factors Influencing the Implementation of the Pulmonary TB Patient Health Promotion Program at the Grandmed Lubuk Pakam Hospital in 2024. This study is a qualitative descriptive study. The results of this study are that the implementation of the pulmonary TB patient health promotion program in hospitals is influenced by various interrelated factors, namely individual factors, the environment, health systems, policies, and health workers. Individual factors such as knowledge, socio-economic conditions, and treatment compliance determine the extent to which patients can accept and carry out health recommendations. Environmental factors, including social stigma and family or community support, also influence patient motivation and openness to health education. From the health system side, the existence of an effective information system and guaranteed drug availability are crucial technical supports. Meanwhile, the success of the program is highly dependent on management policies and the design of a structured and sustainable promotion program. The conclusion is that the role of health workers through quality communication and education greatly determines the effectiveness of information delivery and changes in patient behavior. Therefore, optimal implementation of health promotion requires a comprehensive and collaborative approach from all of these factors to support sustainable TB control efforts in hospitals
The Relationship Between Information Access And Traders' Behavior In The Use Of Formalin And Boracx In School Children's Snacks
No full textFood safety is one of the important issues in public health that affects quality of life, especially for children as the main consumers of school snacks. In this study, formalin and borax were still found in elementary school snacks. The purpose of this study was to analyze the relationship between access to information and the behavior of vendors regarding the use of formalin and borax in snacks sold around elementary schools in the Laweyan area, Surakarta. The research method used a quantitative observational analytical approach with a cross-sectional design, This study used a questionnaire and conducted tests in a microbiology laboratory. The sample consisted of 75 snack vendors selected using total sampling. Data were collected through a questionnaire that had been tested for reliability and validity. The findings revealed that a p-value of <0.05 indicated a statistically significant impact of information access on vendors' behavior. Additionally, the Prevalence Odds Ratio (POR) of 7.543 with a 95% confidence interval (CI) of (2.262–25.149) showed that vendors with good access to information contributed to the use of harmful food additives. Adequate knowledge and education are crucial for changing traders' behavior to prioritize food safety. This study is expected to serve as a reference for enhancing awareness and oversight regarding the use of safe food additives
The Relationship Between Local Food Intake and Body Mass Index (BMI) In Women Of Childbearing Age (WCA)
No full textBackground: Women of reproductive age (WUS) are a group of women aged between 15 and 49 years. They are considered a vulnerable group. Women with poor or severe nutritional status can develop chronic energy deficiency syndrome (CED). The direct causes of CED are dietary patterns and infections. Indonesia, which has a diverse range of food sources, can be utilized effectively. Local food is a source of food available in a region. If utilized effectively, it will provide several benefits, including affordability and ease of access. Objective: This study aims to determine the relationship between local food intake and BMI in women of reproductive age (WUS). Method: This study design is analytic cross-sectional with a sample of 162 respondents. The inclusion criteria for this study were women aged 19-39 years, women who are not pregnant, women who are not on a specific diet, and those who are willing to be respondents. The exclusion criteria were women who withdrew before the study was completed. The analysis was conducted using the Spearman rank correlation test. Results: The results show that most respondents are aged 30-39 years (79%), the majority of respondents have a secondary education level (SMA) (52.5%), respondents are in the unemployed category (84.6%), and the highest income of respondents is in the <UMR category (69.8%), normal BMI 46.9%, obesity category BMI 32.7%, overweight category BMI 13.6% and wasting category 6.8%. Conclusion: In conclusion, there is a relationship between energy and carbohydrate intake with WUS BMI. Protein and fat intake with WUS BMI has no relationship. Suggestion: It is recommended that the measurement of nutritional status in WUS can be supplemented using LILA, so that the results are more accurate. Measurement of nutrient intake can use a more detailed method, such as Food Recall.in the wasting category was 6.8%. Conclusion: There is a relationship between energy and carbohydrate intake and BMI in WUS. There is no relationship between protein and fat intake and BMI in WUS
The Influence of Socio-Cultural and Behavioral Factors on the Risk of NAFLD (Non-Alcoholic Fatty Liver Disease) and MAFLD (Metabolic Associated Fatty Liver Disease): Literature Review
No full textNon-Alcoholic Fatty Liver Disease (NAFLD) is the accumulation of liver fat in individuals who are not heavy alcohol users. The term Metabolic Associated Fatty Liver Disease (MAFLD) was introduced to emphasize its association with metabolic syndrome. In addition to classic factors such as obesity, diabetes, and dyslipidemia, socio-cultural factors such as diet, lifestyle, community habits, urbanization, and work culture play an important role in the epidemiology of this disease. This article aims to explore the relationship between socio-cultural factors and the incidence of NAFLD/MAFLD through a review of the latest literature. The literature review was conducted using a narrative approach based on databases. The literature shows that socio-cultural factors influence the risk of NAFLD/MAFLD through various mechanisms, including a shift in diet from traditional patterns to high-calorie and ultra-processed diets, an increase in sedentary lifestyles due to urbanization, and certain cultural perceptions that view obesity as a symbol of prosperity. In addition, social and gender norms also influence physical activity, while family and community support plays an important role in the success of interventions. Socio-cultural factors contribute significantly to the development of NAFLD/MAFLD. Therefore, strategies for the prevention and control of this disease need to integrate the promotion of healthy lifestyles with culturally-based interventions that are sensitive to the local context
Relationship of Stress Factors and Nutritional Status With Random Blood Glucose Levels In Pre-Elderly Type II Diabetes Patients at Grandmed Hospital Lubuk Pakam
No full textType II diabetes mellitus is one of the chronic metabolic diseases that remains a major cause of morbidity and mortality worldwide. Its steadily increasing prevalence each year poses significant challenges to public health systems. This study aims to analyze the relationship between stress levels and nutritional status with random blood glucose levels among pre-elderly patients with type II diabetes mellitus who were hospitalized at Grandmed Hospital, Lubuk Pakam. This quantitative study employed a correlational design. A total of 53 respondents were selected using purposive sampling based on inclusion criteria. Stress levels were measured using the Diabetes Distress Scale (DDS) questionnaire, while nutritional status was determined using the Body Mass Index (BMI). Random blood glucose data were obtained from laboratory test results and analyzed using the Spearman correlation test with a significance level of p<0.05 The analysis revealed a significant relationship between stress factors and random blood glucose levels (p=0.035), as well as between nutritional status and random blood glucose levels (p=0.026). Patients experiencing higher stress levels and excessive nutritional status tended to have higher random blood glucose levels compared to other respondents. Stress levels and nutritional status are significantly associated with random blood glucose levels among pre-elderly patients with type II diabetes mellitus. Therefore, effective stress management and proper nutritional regulation should be integral components of blood glucose control strategies to prevent long-term complications in older individual
The relationship between the timeliness of meal serving and patient food waste in the inpatient ward of Batu Bara regional general hospital
No full textFood service in hospitals is one of the indicators of nutrition service quality, where the timeliness of meal delivery and food waste are key concerns. This study aims to determine the relationship between meal delivery timeliness and food waste among inpatients at RSUD Batu Bara. The study employed a descriptive- analytic design with a cross-sectional approach, involving 36 respondents selected through quota non-random sampling. Timeliness data were collected through observation, while food waste was measured using a weighing method. The results showed that the average food waste was 16.52 %. The timeliness of meal delivery was considered moderate (61.1% on time) but did not meet the hospital standard of ≥90%. Pearson correlation analysis indicated no significant relationship between meal delivery timeliness and patient food waste (p > 0.05). In conclusion, although timely meal delivery is important, other factors appear to play a more dominant role in influencing patient food waste