Jurnal Kesehatan Komunitas
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Complementary Feeding or Infants Aged 0-6 Months and The Related Factors: Complementary Foods for Breastfeeding
No full textComplementary food for breast milk is food or drink containing nutrition given to infants or children aged 6-24 months to meet their nutritional needs. Giving complementary foods to breast milk too early in infants can cause indigestion, diarrhea, food allergies, disturbances in appetite regulation and changes in appetite. This research was conducted in June 2019 in the Sungai Manau Health Center Work Area, Merangin Regency. This study is a descriptive study with a cross sectional design, with a sample of 96 mothers who have babies aged 0-6 months. The data analysis used was the chi square test with a significant level of = 0.05. Based on the research that has been done, it was found that there is a relationship between family support and the provision of complementary foods (p<0.01), there is a relationship between mother's knowledge and the provision of complementary foods (p<0.00), there is a relationship between family habits and the provision of complementary foods (p<0.00). <0.00). Based on the results of the study, it is hoped that it can provide input in the Sungai Manau Health Center Work Area in order to increase socialization to the community regarding the provision of complementary feeding.
 
Analisis Perilaku Pasien Drop Out Pelayanan Fisioterapi Di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau
Get PDFThe number of drop-out patients of Physiotherapy services at the Arifin Achmad Regional General Hospital in 2019 was 10 percent, while the target is below 5 percent of the 5,079 patients. To achieve the optimal result of physiotherapy, the patient must visit according to schedule. This research aim is to obtain in-depth information about the behavior of drop-out patients of Physiotherapy services at Arifin Achmad regional public hospital. This was a descriptive qualitative study about patients' behavior with a phenomenological design. Research data collection was carried out by in-depth interviews and observations. The number of main informants was 5 people and the supporting informants were 5 people and validated by triangulation. The results showed that the patient’s knowledge about Physiotherapy services was good, the patient’s perception of physiotherapy was good, patient motivation to physiotherapy was good, and the attitude of patients who do not follow a predetermined schedule. The phenomenon that occurs as the patient’s attitudes such as calling a physiotherapist to their home, buying equipment, do-self therapy at home, and move to another hospital nearby that has physiotherapy practice until evening. Advocacy to management was needed setting one man one patient and 2 shift service hours setting, advocacy enabling factors to add Physiotherapy tools, partnerships with first-rate health facilities to improve referral systems. ABSTRAK
Angka pasien drop out pelayanan Fisioterapi Rumah Sakit Umum Daerah Arifin Achmad tahun 2019 sebesar 10 persen, sedang targetnya dibawah 5 persen dari 5.079 pasien. Untuk mencapai hasil fisioterapi yang optimal pasien harus berkunjung sesuai jadwal. Tujuan penelitian ini adalah untuk memperoleh informasi yang mendalam tentang perilaku pasien drop out terhadap pelayanan Fisioterapi di RSUD Arifin Achmad. Penelitian ini bersifat kualitatif tentang pengetahuan, persepsi, motivasi dan sikap pasien dengan desain fenomenologi. Pengumpulan data penelitian dengan melakukan wawancara mendalam dan observasi. Jumlah informan utama 5 orang dan informan kunci 5 orang. Dan dilakukan triangulasi sumber dan metode. Hasil penelitian menunjukkan Hasil penelitian menunjukkan bahwa pengetahuan pasien tentang pelayanan Fisioterapi baik, persepsi pasien terhadap pelayanan Fisioterapi baik, motivasi pasien tinggi ke Fisioterapi, sikap pasien berupa memanggil ahli Fisioterapi ke rumah, pasien membeli alat dan terapi mandiri di rumah, pasien pindah ke Rumah Sakit lain terdekat yang memiliki jam pelayanan Fisioterapi hingga malam. Oleh karena itu perlu upaya meningkatkan efektif dan efisiensi pelayanan, mewujudkan pelayanan yang nyaman, pengaturan one man one patient, memperbaiki sistem rujukan, memberikan penjelasan durasi waktu Fisioterapi dan tetap menjaga privasi pasien.
Kata kunci: Alasan Drop out, Fisioterapi, Perilaku Pasie
Karakteristik Merokok Dan Tekanan Darah Pada Pria Usia 30-65 Tahun: Cross SectionalStudy
Get PDFThe smoking habit is still a health behavior problem that affects various organs in the body, especially the cardiovascular system. The chemical content in one cigarette has an effect on heart health and changes blood pressure. This study aims to determine the relationship between smoking characteristics in men aged 30-65 years in Kolaka Regency. This research was conducted in several Kelurahan in Kolaka Regency using a cross sectional study design involving 112 respondents who were selected by purposive sampling with certain criteria. The collected data were then processed and analyzed using the chi square test at the alpha significance limit of 0.05. The results showed that all the variabels that were part of the smoking characteristics were related to the respondent's blood pressure. The variabel number of cigarettes, duration of smoking, types of smoking and method of smoking cigarettes has a p value of 0.000. It is concluded that smoking can increase blood pressure in men aged 30-65 years.Kebiasaan merokok masih menjadi salah satu masalah perilaku kesehatan yang berdampak pada berbagai organ dalam tubuh, terutama sistem kardiovaskuler. Kandungan zat kimia dalam satu batang rokok berefek pada kesehatan jantung dan merubah tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik merokok pada pria usia 30-65 tahun di Kabupaten Kolaka. Penelitian ini dilaksanakan di 12 Kelurahan di Kabupaten Kolaka menggunakan desain cross sectional study yang melibatkan 112 responden yang dipilih secara purposive sampling dengan kriteria tertentu. Data yang terkumpul kemudian diolah dan dianalisis menggunakan uji chi square pada batas kemaknaan alfa 0,05. Hasil penelitian menunjukkan bahwa semua variabel yang tergabung dalam karakteristik merokok berhubungan dengan tekanan darah responden. Variabel jumlah batang rokok, lama merokok, jenis merokok dan cara isap rokok memiliki p value sebesar 0,000. Disimpulkan bahwa kebiasaan merokok dapat meningkatkan tekanan darah pada pria usia 30-65 tahun
Faktor Prediktor Pertumbuhan Anak Usia 12-23 Bulan di Kecamatan Limo Kota Depok
Get PDFThe growth and development of infancy determine the growth and subsequent development until adulthood. Several studies show that a mother's knowledge is the main predictor of child growth, but there are still few studies that examine other predictor variables of child growth. This study aims to analyze the predictor factors of the growth of children aged 12-23 months in Limo District, Depok City. This type of research is quantitative analytic. The quantitative design used is a case-control study. The research sample was all mothers who had children under the age of 12-23 months, consisting of 53 children in the case group and 53 children as controls. The sampling technique was carried out by purposive sampling. Bivariate analysis using chi-square test, t-independent test, and Mann-Whitney. Multivariate analysis using multiple logistic regression tests. The results of the analysis showed that supplementary feeding and frequency of feeding were predictors of growth in children aged 12-23 months. Suggestions to the Ministry of Health and health workers at Primary Health Care to strengthen educational programs about providing quality complementary food or complementary foods and if necessary, providing additional milk to prevent stunting in children.Pertumbuhan dan perkembangan masa bayi menentukan pertumbuhan dan perkembangan selanjutnya sampai dewasa. Beberapa hasil studi menunjukkan bahwa pengetahuan ibu adalah prediktor utama dari pertumbuhan anak, namun masih sedikit penelitian yang menguji variabel prediktor lainnya dari pertumbuhan anak. Penelitian ini bertujuan untuk menganalisis faktor prediktor dari pertumbuhan anak usia 12-23 bulan di Kecamatan Limo Kota Depok. Jenis penelitian adalah kuantitatif analitik. Desain kuantitatif yang digunakan adalah case control study. Sampel penelitian adalah seluruh ibu yang memiliki baduta berumur 12-23 bulan, Teknik pengambilan sampel dilakukan dengan cara purposive sampling. Analisis bivariat menggunakan uji chi-square, uji t-independen dan uji Mann-Whitney. Analisis multivariat menggunakan uji regresi logistik berganda. Hasil analisis menunjukkan bahwa pemberian susu tambahan dan frekuensi pemberian makan adalah faktor prediktor pertumbuhan anak usia 12-23 bulan. Saran pada Kementerian Kesehatan dan tenaga kesehatan di Puskesmas agar memperkuat program edukasi tentang pemberian makanan tambahan atau makanan pendamping Air Susu Ibu yang berkualitas dan jika perlu memberikan susu tambahan untuk mencegah kejadian stunting pada anak
Healthy Elderly in Pandemic: Physical Activities During The Covid-19 Pandemic
Get PDFThe elderly experience a decline in health due to decreased body functions caused by increasing age. Covid-19 has spread since March 2020 has led to the emergence of restrictions on activities, namely PSBB. These conditions lead to various changes related to efforts to overcome health problems. The purpose of this study is to explore physical activity by paying attention to social and environmental conditions during the Covid-19 pandemic in the elderly in Kebumen Village, Banyubiru District. The research used a descriptive qualitative research method. The data used structured interviews with 4 elderly people in Banyubiru District, Kebumen Village who were disabled at the Banyubiru Health Center. The participants involved elderly with inclusion criteria of women aged 55 - 61 years, physically and mentally healthy, often doing physical activities, domiciled in Kebumen Village, Banyubiru District. The study was conducted in February - July 2020 in Kebumen Village, Kebumen Village, Banyubiru District, Semarang Regency. The results showed that most of the participants experienced changes in physical activity due to the PSBB. The elderly must adapt to conditions during a pandemic that causes a reduction in the quality and quantity of physical, social, and environmental activities. Gathering activities that are not useful are not carried out by the elderly group even though they are useful for maintaining their health
Developing “My Plate†Poster as a Nutrition Education Media of Pregnant Women in Efforts to Prevent Stunting
Get PDFOne of nutritional problems experienced by toddlers is stunting, which is a short or very short body condition in children due to chronic malnutrition that occurs from pregnant women to children aged 2 years. Nutrition education is a method and effort to increase knowledge of nutrition and eating behavior in order to create optimal nutritional status. Education for the “My Plate†poster is important for pregnant women to implement a healthy diet and to meet daily nutritional needs as an effort to prevent stunting. This research was conducted by interview method. From the result of this research, a poster of “My Plate-Pregnant Women†has been designed as a nutrition education media.
Keywords: Nutriotion Education Poster, Pregnant Women, Stuntin
Effects Of The Covid-19 Pandemic On Eating Habits And Exercise Habits Of The Selected High School Adolescents In West Lampung Regency
Get PDFABSTRAK
Coronavirus Disease-19 (COVID-19) merupakan pandemi global yang telah menginfeksi berbagai negara di dunia, termasuk Indonesia. Pembatasan pada kegiatan di luar rumah termasuk penutupan sekolah dalam menekan penularan COVID-19 berdampak pada perubahan aktifitas fisik dan perilaku makan dalam arah yang membahayakan kesehatan dan menimbulkan masalah gizi, serta meningkatkan risiko NCD yang dapat memperparah penyakit COVID-19. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan olahraga dan kebiasaan konsumsi sebelum dan saat pandemi COVID-19 pada siswa SMAN terpilih di Kabupaten Lampung Barat. Desain studi penelitian ini adalah cross-sectional dengan menggunakan data primer yang didapatkan melalui pengisian kuesioner dan FFQ. Penelitian dilakukan pada bulan juli 2020. Sampel penelitian berjumlah 295 siswa yang dipilih dengan metode purposive sampling pada SMA Negeri terpilih di Kabupaten Lampung Barat. Data penelitian ini dianalisis menggunakan SPSS 2.0 menggunakan analisis bivariat uji Mc Nemar. Hasil penelitian menunjukkan ada perbedaan variabel frekuensi olahraga (p-value 0,000), durasi olahraga (p-value 0,000), kebiasaan konsumsi sayur (p-value 0,021) dan buah (p-value 0,000) sebelum dan saat pandemi COVID-19. Tidak terdapat perbedaan variabel kebiasaan konsumsi jajanan (p-value 0,280), fast food (p-value 0,207), gorengan (p-value 0,180) dan soft drink (p-value 0,103). Dapat disimpulkan bahwa, masa pandemi COVID-19 berdampak pada perubahan kebiasaan olahraga baik pada frekuensi dan durasi olahraga serta kebiasaan konsumsi sayur dan buah siswa SMAN terpilih di Kabupaten Lampung Barat.
Kata Kunci : COVID-19, Kebiasaan Konsumsi, Olahraga, Remaja
ABSTRACT
Coronavirus Disease-19 (COVID-19) is a global pandemic that has infected various countries in the world, including Indonesia. Restrictions on activities outside the home including school closures in suppressing the transmission of COVID-19 have an impact on changes in physical activity and eating behavior in a direction that endangers health and causes nutritional problems, as well as increases the risk of NCDs that can exacerbate COVID-19 disease. This study aims to determine differences in exercise habits and consumption habits before and during the COVID-19 pandemic in selected high school students in West Lampung Regency. The study design of this study was cross-sectional using primary data obtained through filling out questionnaires and FFQ. The study was conducted in July 2020. The research sample consisted of 295 students who were selected using the purposive sampling method at selected public high schools in West Lampung Regency. The research data were analyzed using SPSS 2.0 using Mc Nemar test bivariate analysis. The results showed that there were differences in the frequency of exercise (p-value 0.000), exercise duration (p-value 0.000), vegetable consumption habits (p-value 0.021) and fruit (p-value 0.000) before and during the COVID-19 pandemic. There is no difference in the variables of snack consumption habits (p-value 0.280), fast food (p-value 0.207), fried food (p-value 0.180) and soft drinks (p-value 0.103). It can be concluded that, the COVID-19 pandemic has an impact on changes in exercise habits both in the frequency and duration of exercise as well as vegetable and fruit consumption habits of students selected high school in West Lampung Regency.
Keywords: COVID-19, Eating Habits, Sports, Adolescent
Analisis Perilaku Wanita Dengan IVA (Inspeksi Visual Asam Asetat) Positif Dalam Lanjutan Pemeriksaan Deteksi KankerServiks
Get PDFA reproductive health problem faced by women presents an increase in infections of the reproductive organ’s sequel will cause cancer, one of them is cervical cancer. Cervical cancer is a primary tumor strike the organs of the female reproductive, between themselves and the uterus. The purpose of this is to analyze the research behavior of women visual inspection with acetic acid (VIA) positive in advanced examination detection of cervical cancer. Data in this study was obtained through observation and in-depth interviews of as many as 11 informants where there are the main informants, 5 informans advocates, and 1 key informant. The data validity used triangulation method. Data analyzed by content analysis. The results of observation and interview showed that there was low knowledge and attitudes of women with VIA positive because of their education background were elementary and junior high school, while knowledge is a basic of further examination. Information obtained through print media, and electronic media. Health workers were conducted counseling mobile VIA and cilical breast examination. Women with VIA positive is unwilling to conduct the advanced examination, fear, because of stress, shame, and less comfortable and poor awareness of the importance of advanced examination. Family encouragement doesn't obtain because women VIA positive checked, without the knowledge of the family while the family is the part most important give support to conducts the advanced examination.
A reproductive health problem faced by women presents an increase in infections of the reproductive organ’s sequel will cause cancer, one of them is cervical cancer. Cervical cancer is a primary tumor strike the organs of the female reproductive, between themselves and the uterus. The purpose of this is to analyze the research behavior of women visual inspection with acetic acid (VIA) positive in advanced examination detection of cervical cancer. Data in this study was obtained through observation and in-depth interviews of as many as 11 informants where there are the main informants, 5 informans advocates, and 1 key informant. The data validity used triangulation method. Data analyzed by content analysis. The results of observation and interview showed that there was low knowledge and attitudes of women with VIA positive because of their education background were elementary and junior high school, while knowledge is a basic of further examination. Information obtained through print media, and electronic media. Health workers were conducted counseling mobile VIA and cilical breast examination. Women with VIA positive is unwilling to conduct the advanced examination, fear, because of stress, shame, and less comfortable and poor awareness of the importance of advanced examination. Family encouragement doesn't obtain because women VIA positive checked, without the knowledge of the family while the family is the part most important give support to conducts the advanced examination.Masalah kesehatan reproduksi yang banyak dihadapi oleh wanita saat ini yaitu meningkatnya infeksi pada organ reproduksi yang lanjutannya akan menyebabkan kanker, salah satunya yaitu kanker serviks. Kanker serviks merupakan tumor primer yang menyerang organ reproduksi wanita, antara kemaluan dan rahim. Tujuan dari penelitian ini adalah untuk menganalisis perilaku wanita inspeksi vagina dengan asam asetat (IVA) positif dalam lanjutan pemeriksaan deteksi kanker serviks. Data penelitian ini di peroleh melalui observasi dan wawancara mendalam sebanyak 11 orang informan dimana terdapat 5 informan utama, 5 informan pendukung dan 1 informan kunci. Teknik keabsahan data yang digunakan yaitu dengan metode triangulasi. Data analisis melalui pendekatan content analysis. Hasil penelitian dari observasi dan wawancara menunjukkan kecenderungan pengetahuan dan sikap wanita IVA positif masih rendah dikarenakan pendidikan wanita IVA positif hanya tamatan SD dan SMP, sedangkan pengetahuan merupakan landasan terjadinya tindakan lanjutan pemeriksaan. Media informasi didapatkan melalui media cetak, media elektronik dan petugas. Petugas kesehatan melakukan penyuluhan di posyandu, mobile IVA dan pemeriksaan payudara klinis (SADANIS). Wanita IVA positif tidak mau untuk melakukan lanjutan pemeriksaan, dikarenakan takut, stres, malu dan kurang nyaman serta rendahnya kesadaran akan pentingnya lanjutan pemeriksaan. Dukungan keluarga tidak didapatkan karena Wanita IVA positif melakukan pemeriksaan tanpa sepengetahuan keluarga, padahal keluarga merupakan bagian terpenting dalam memberikan dukungan untuk melakukan lanjutan pemeriksaan
Identifikasi Penyebab Anemia pada Ibu Hamil di Puskesmas Sungai Piring
Get PDFAnemia in pregnancy becomes a particular concern because it is associated with mortality and morbidity in mother and baby, risk of miscarriage, stillbirth, prematurity, and low birth weight. Baby in the womb can experience growth and development disorder, children become less intelligent and stunting. This research aims to analyze the causes of anemia in pregnancy at the Public Health Center of Sungai Piring in 2019. This research is qualitative research, through in-depth interviews, observation, and document search. The research informants were the Head of the public health center, the Head of Administration, the Person in Charge of Maternal and Child Health (KIA), pregnant women, husbands, and parents. The observation was by seeing directly the KIA service, at community health sub-center, Integrated Service Post, Mother class, and P4K home visits and searching for related documents. The result showed that the analysis of anemia causes in pregnancy was lack knowledge of mothers and husbands, lack of husband's support, some officers were still did not informing/providing counseling, lack of human resources (midwives), less attractive/innovative media, geographic, socio-cultural and most of the big mothers did not have health insurance. It is recommended to the public health center to optimizing the budget for activities through National Health Operational Assistance and Health Insurance funds through the proposal in charge of KIA, such as outreach and training activity.Anemia pada ibu hamil menjadi perhatian khusus karena terkait dengan mortalitas dan morbiditas pada ibu dan bayi, risiko keguguran, lahir mati, prematuritas dan Berat Bayi Lahir Rendah. Pada bayi dalam kandungan dapat mengalami gangguan pertumbuhan dan perkembangan, anak menjadi kurang cerdas, dan stunting. Tujuan penelitian ini untuk menganalisis penyebab anemia pada ibu hamil di Puskesmas Sungai Piring tahun 2019. Penelitian ini merupakan penelitian kualitatif, melalui wawancara mendalam, observasi dan penelusuran dokumen. Informan penelitian adalah Kepala Puskesmas, Kasubag Tata Usaha, Penanggung Jawab Kesehatan Ibu dan Anak (KIA), ibu hamil, suami dan orang tua. Observasi dilakukan dengan melihat langsung pelayanan di KIA, di puskesmas pembantu, posyandu, kelas ibu dan kunjungan rumah P4K serta penelusuran dokumen terkait. Hasil menunjukkan bahwa identifikasi penyebab anemia pada ibu hamil adalah kurangnya pengetahuan ibu dan suami, kurangnya dukungan suami, sebagian petugas masih kurang menginformasikan/memberi konseling, sumber daya manusia (bidan) kurang, media penyuluhan kurang menarik/inovatif, geografis, sosial budaya dan sebagian besar ibu tidak memiliki jaminan kesehatan. Direkomendasikan kepada Puskesmas dapat mengoptimalkan anggaran untuk kegiatan melalui dana Bantuan Operasional Kesehatan dan Jaminan Kesehatan nasional melalui usulan penanggung jawab KIA, seperti kegiatan penyuluhan dan pelatihan
The Penurunan Tingkat Nyeri Dismenorea dengan Pemberian Jus Wortel Pada Remaja Putri
No full textDysmenorrhoea is menstrual pain that forces women to rest or results in decreased performance and reduced daily activities. On average, more than 50% of women experience dysmenorrhoea in each country. One of the non-for pharmacological treatments dysmenorrhoea is using carrot juice. The purpose of this study was to decrease dysmenorrhoea pain level by giving carrot juice to young women. The research design used a quasy experiment method with one group pretest-posttest design. The sample consisted of 25 people by giving carrot juice with purposive sampling technique. Data collection using primary data, the instrument used was the observation sheet of the pain scale dysmenorrhoea before and after being given carrot juice. Data analysis used the Wilcoxon Signed Rank Test. The results of statistical tests with Wilcoxon before and after being given carrot juice showed that the value of Ï value was 0.001 <0.05, which means that there was a decrease of dysmenorrhoea pain level by giving carrot juice to young women , so it can be said that H0 is rejected. The conclusion is that there is a decrease of dysmenorrhoea pain level by giving carrot juice to young women. It is recommended that respondents consume carrot juice so that it can reduce the pain they feel during dysmenorrhoea.Dismenorea adalah nyeri menstruasi yang memaksa wanita untuk istirahat atau berakibat terhadap menurunnya kinerja dan berkurangnya aktivitas sehari-hari. Rata-rata lebih dari 50% wanita mengalami Dismenorea disetiap negaranya. Salah satu penanggulangan Dismenorea dengan nonfarmakologi yaitu menggunakan jus wortel. Tujuan penelitian ini adalah untuk mengetahui penurunan tingkat nyeri dismenorea dengan pemberian jus wortel pada remaja putri. Desain penelitian menggunakan metode quasy eksperimen dengan one group pre test-post test design. Sampel berjumlah yang terdiri dari 25 orang dengan pemberian jus wortel dengan teknik pengambilan sampel purposive sampling. Pengumpulan data menggunakan data primer, Instrumen yang digunakan adalah lembar observasi skala nyeri dismenorea sebelum dan sesudah diberikan jus wortel. Analisa data menggunakan uji Wilcoxon Signed Rank Test. Hasil uji statistik dengan wilcoxon sebelum dan sesudah diberikan jus wortel bahwa nilai Ï value 0,001 < 0,05 yang berarti ada penurunan tingkat  nyeri dismenorea dengan pemberian jus wortel pada remaja putri, maka dapat dikatakan H0 ditolak. Kesimpulannya ada penurunan tingkat nyeri dismenorea dengan pemberian jus wortel pada remaja putri. Disarankan kepada responden agar mengkonsumsi jus wortel sehingga dapat mengurangi nyeri yang dirasakan selama dismenorea (nyeri haid)