Media Penelitian dan Pengembangan Kesehatan

PEMBERIAN KOMBINASI COKELAT KAYU MANIS EFEKTIF UNTUK MENURUNKAN NYERI DISMENOREA PRIMER

Filza Yudrika — 2025-02-12

Menstruation is a monthly occurrence during the reproductive period which sometimes causes discomfort called dysmenorrhea. Dark chocolate and cinnamon are known to have good analgesic properties. Many efforts have been made to provide dark chocolate and extra cinnamon to reduce dysmenorrhea. However, the combination of the two has never been done, researchers have developed an innovative cinnamon chocolate product to reduce dysmenorrhea in adolescent girls. Objective to determine the effect of cinnamon chocolate, prostaglandin levels and the degree of menstrual pain in adolescent girls. True-experiment research with pretest posttest control group design. Study population of adolescent girls at SMPN 3 Kota Sungai Penuh. The total population is all female adolescent students with a total sample of 40 respondents divided into 2 groups. Intervention group was consuming cinnamon chocolate 40 g/day with 5 mg cinnamon content for 3 days. Bivariate analysis using Wilcoxon and Man Whitney. Dysmenorrhea pain scores before and after in the intervention group were 7.25 and 2.30, in the control group were 6.85 and 4.90, and there was a significant effect of giving cinnamon chocolate on reducing dysmenorrhea pain (p=0.000). The prostaglandin level scores before and after in the intervention group were 1.377.05 and 499.39, in the control group were 1,260.71 and 909.42, and there was a significant decrease in prostaglandin hormones (p=0.000). Consuming 40 grams of cinnamon chocolate/day for 3 days has a significant effect on reducing dysmenorrhea pain and prostaglandin hormone levels in adolescent girls.

VIDEO ANIMASI SEBAGAI MEDIA PENYULUHAN DAPAT MENINGKATKAN PENGETAHUAN DAN SIKAP REMAJA TENTANG BAHAYA FAST FOOD

Agus Hendra Al Rahmad — 2025-02-12

Nutritional problems in adolescents are due to poor nutritional intake, which results in an imbalance between intake and needs. The Western diet in adolescents is increasing, one of which is the frequent consumption of fast food. Counseling about the dangers of fast food using print media is less effective, so the use of animated videos is more likely to be utilized as a medium for counseling. The study aimed to measure the benefits of nutrition counseling using animated video media on knowledge and attitudes in adolescents about the dangers of fast food. The research used a quasi-experimental design, which was conducted on adolescents of SMA Negeri 3 Banda Aceh (Senior High School) from January to March 2023. The sample consisted of 40 adolescents in class XI, selected by purposive sampling. Data were collected through an interview using questionnaire, both before and after the intervention. The intervention was conducted through counseling using animated video media on the dangers of fast food. Data analysis was performed using Paired T-test at 95% CI. The result showed there was an increase in knowledge from (59.00) to (87.00) and an increase in attitude from (64.74) to (80.01) about the dangers of fast food. There is an effect of counseling using animated video media on increasing knowledge (p=0.001) and attitude (p=0.019) of adolescents about the dangers of fast food. In conclusion, the use of animated videos as medium for counseling has significant benefits in increasing adolescents' knowledge and attitudes about the dangers of fast food consumption.

IMPACT OF BREAKFAST HABITS, DIETARY DIVERSITY, AND FAMILY SUPPORT ON ADOLESCENT OVERWEIGHT: A CROSS-SECTIONAL STUDY

Dani Zulfa Kotrunnada — 2025-02-12

Data Riskesdas 2018 Provinsi Daerah Istimewa Yogyakarta (DIY) menunjukkan bahwa 14,63% remaja usia 16-18 tahun mengalami kelebihan berat badan, dengan 10,89% diklasifikasikan sebagai obesitas. Kegemukan pada masa remaja dapat meningkatkan risiko kematian dan menjadi faktor risiko penyakit degeneratif. Melewatkan sarapan adalah kebiasaan yang berkontribusi terhadap masalah gizi pada usia remaja. Selain itu, keragaman makanan yang dikonsumsi memainkan peran penting dalam menentukan status gizi remaja. Dukungan keluarga juga mempengaruhi sikap individu dalam mengelola berat badan; dukungan positif dari keluarga cenderung menumbuhkan sikap positif. Penelitian ini bertujuan untuk menguji hubungan antara kebiasaan sarapan, keragaman makanan, dan dukungan keluarga dengan kejadian kegemukan pada remaja. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional dan dilakukan pada bulan April hingga Mei 2024. Sampel penelitian terdiri dari 110 remaja berusia 16-18 tahun di Kota Yogyakarta. Pengukuran antropometri dilakukan dengan menggunakan timbangan digital dan stadiometer. Dukungan keluarga dinilai melalui kuesioner yang telah divalidasi, dan asupan makanan dikumpulkan dengan menggunakan formulir recall 24 jam. Hasil uji chi-square menunjukkan adanya hubungan yang signifikan antara kebiasaan sarapan (p<0,05) dan keragaman makanan (p<0,05) dengan kejadian kegemukan. Namun, tidak ada hubungan yang signifikan yang ditemukan antara dukungan keluarga dengan kejadian kelebihan berat badan (p>0,05). Temuan ini menunjukkan bahwa kebiasaan sarapan dan keragaman makanan secara signifikan mempengaruhi kejadian kelebihan berat badan di kalangan remaja, sedangkan dukungan keluarga tidak. Penelitian di masa depan harus mempertimbangkan pengaruh kelompok teman sebaya dan media sosial untuk memberikan pemahaman yang lebih komprehensif tentang faktor-faktor yang berkontribusi.

PENGARUH MEDIA CERAMAH POWERPOINT PRESENTATION, BOOKLET DAN AUDIOVISUAL ANIMASI INSTAGRAM TERHADAP PENGETAHUAN DAN SIKAP PENCEGAHAN STUNTING PADA CALON PENGANTIN PEREMPUAN

Cut Cahaya Rani Saifa Alhajd Quraisy — 2025-02-25

Stunting remains a significant issue within society, often worsen by public lack of awareness and misconceptions about children’s growth norms. Many people mistakenly view shorter body proportions as normal, not recognizing the symptoms or impact of stunting preventation, so that overcomes this problem, it is crucial educated to improve knowladge and attitudes of prospective women about stunting prevention through effective educational media. This study employed a quantitative with quasi experimental approachto assess impact of educational media on knowladge and attitudes of prospetive women. This study conducted at Religious Affairs Office of West Aceh Regency. The study included 108 respondents, divided equally into a control group and experimental group. Data were analyzed using the Diffirence in Diffirences (DID) test. Result indicated that experimental group which received stunting preventation education through PPT, booklets, and instagram animated audiovisual media showed a significant in average knowladge (8,46) compared to control group (6,09). Additionaly, experimental group exhibited higher average increase attitudes (20,84) compared to control group (16,85). The DID analysis revealed that while educational media significantly improved knowladge (p=0,018), it did not significantly affect attitudes (p=0,121). This suggest while educational media effectively enhances knowladge,further efforts are needed to foster postive attitudes towards stunting preventation.Therefore, it is recommended that authorities organize targeted educational activities to more effectively shape attitudes and improve stunting preventation among prospective women.

ANALYSIS BIOACTIVE COMPOUNDS AND ANTIOXIDANT ACTIVITY OF EXTRACT BEKUL FRUIT (Ziziphus jujuba Mill.) AS A POTENTIAL NUTRACEUTICAL

Komang Windayani — 2025-02-25

Pemanfaatan bahan alami sebagai terapi diet atau nutrisi dalam mengobati atau mencegah suatu penyakit berkembang sangat pesat. Salah satu bahan alami yang memiliki potensi sebagai agen nutraceutical adalah buah bekul Bali (Ziziphus jujuba Mill.). Saat ini belum banyak bukti empiris terkait potensi nutraceutical yang terdapat pada buah bekul (Ziziphus jujuba Mill.) varietas Bali. Penelitian ini bertujuan untuk mengetahui kandungan senyawa bioaktif dan aktivitas antioksidan yang terdapat dalam ekstrak etanol buah bekul (Ziziphus jujuba Mill.) varietas Bali. Metode yang digunakan pada penelitian ini yaitu eksploratorik desain dengan sampel menggunakan buah bekul Bali (Ziziphus jujuba Mill.). Penelitian ini dilaksanakan di Laboratorium Penelitian dan Pengujian Terpadu (LPPT) Universitas Gajah Mada pada bulan April 2024. Proses ekstrasi menggunakan metode maserasi dan uji aktivitas antioksidan dilakukan dengan metode DPPH. Penentuan kadar total flavonoid, fenolik dan saponin menggunakan metode spektrofotometer UV-Vis, sedangkan penentuan kadar quercetin menggunakan metode HPLC. Hasil uji aktivitas antioksidan berdasarkan nilai IC₅₀tergolong kuat yaitu sebesar 78,57%, kandungan senyawa total flavonoid (114,85 mg QE/g), quercetin (60,00 µg/g), fenolik (109,34 mg GAE/g) dan saponin (9,90 mg/g). Dapat disimpulkan bahwa ekstrak etanol buah bekul (Ziziphus jujuba Mill.) varietas Bali diketahui memiliki kandungan senyawa bioaktif yaitu fenolik, flavonoid dan turunannya seperti quercetin, dan saponin serta memiliki aktivitas antioksidan tergolong kuat yang dapat dimanfaatkan sebagai agen nutraceutical.

EFEKTIVITAS COOKIES UBI JALAR UNGU DALAM MENINGKATKAN KADAR HEMOGLOBIN DAN HEMATOKRIT PADA REMAJA PUTRI ANEMIA

ST Austa Nusra — 2025-02-25

Adolescent girls are susceptible to anemia due to menstruation, less diverse food intake, causing hemoglobin and hematocrit levels below normal. The global prevalence of anemia in women aged 15-49 years is 29.9%, especially in Indonesia aged 15-24 years is 48.9%. Therefore, it is necessary to overcome anemia with functional purple sweet potato (UJU) food produced into cookies to increase Fe intake and can extend shelf life. This study aimed to assess the effectiveness of UJU cookies in increasing Hb and Hct levels in adolescent girls. This experiment used a pre-post test design with a control group. The sampling technique used the stratified random sampling method. The research respondents were 38 adolescent girls from 3 high schools in Surakarta City with three treatment groups. The volumetric impedance method for measuring Hb and Hct. The research intervention in the form of UJU cookies and regular cookies was given for 60 days. The Kruskal-Wallis test and one way Anova were used to compare Hb and Hct levels between the three groups. The results showed that the provision of UJU cookies 100 g/week (P2) experienced an increase in Hb of 0.52 g/dL (p = 0.001) and Hct levels increased by 4.04% (p = 0.001). From this study it can be concluded that the provision of UJU cookies can improve Hb and Hct levels in anemic adolescent girls and as an alternative based on functional food to increase Hb, Hct levels and nutrient intake so that it can overcome the problem of anemia in the community, especially adolescent girls.

THE EFFECT OF PEER GRUP EDUCATION AND E-BOOKLET ON PROTEIN AND IRON INTAKE OF ADOLESCENT GIRLS

Hilda Diniyati — 2025-02-25

Anemia remaja putri menjadi salah satu masalah kesehatan global yang krusial, termasuk di Indonesia, karena berdampak pada jangka panjang kehidupan remaja tersebut. kurangnya pengetahuan remaja putri mengenai anemia merupakan salah satu penyebab tidak langsung anemia. Meningkatkan pengetahuan dapat dilakukan dengan memberikan edukasi gizi melalui peer group education dengan media e-booklet. Tujuan penelitian ini untuk menganalisis pengaruh edukasi gizi melalui peer group education dengan media e booklet terhadap asupan protein dan zat besi remaja putri. Penelitian menggunakan metode pre eksperimen dengan desain nonequivalent control group. Teknik pengambilan sampling menggunakan purposive sampling. Subjek penelitian sebanyak 48 orang, terdiri atas 24 orang kelompok kontrol dan 24 kelompok intervensi. Kelompok kontrol diberikan peer group education, sedangkan kelompok intervesni diberikan peer group education dan media e-booklet. Dilakukan pretest dan posttest pada masing-masing kelompok. Instrumen yang digunakan untuk melihat asupan protein dan zat besi berupa form food record 4x24 jam Hasil penelitian menunjukan pemberian edukasi gizi berpengaruh terhadap peningkatan asupan protein dan zat besi remaja putri (p=0,000). Analisis data menggunakan uji paired t test. Kesimpulan penelitian ini adalah edukasi gizi dengan e-booklet merupakan salah satu media edukasi yang dapat digunakan untuk meningkatkan asupan protein dan zat besi pada remaja putri.

DURIAN SEED EXTRACT AMELIORATES LIPID PROFILES IN METABOLIC SYNDROME MODEL RATS

Eka Rusliana — 2025-02-27

Sindrom metabolik merupakan sekumpulan kelainan metabolik yang kompleks dan berkaitan dengan terjadinya dislipidemia yang ditandai dengan adanya perubahan profil lipid yang abnormal meliputi peningkatan kadar trigliserida, kadar low-density lipoprotein (LDL) dan rendahnya kadar high-density lipoprotein (HDL). Ekstrak biji durian mengandung senyawa flavonoid, alkaloid, fenolik dan triterpenoid yang berpotensi dalam memperbaiki profil lipid. Penelitian ini bertujuan untuk mengamati ekstrak biji durian dalam perbaikan profil lipid. Penelitian ini merupakan eksperimental laboratorium desain pretest-posttest dengan kelompok kontrol. Sebanyak 30 ekor tikus jantan galur Wistar usia 8 minggu, berat 150-200 g dibagi menjadi 6 kelompok. Kelompok kontrol normal (NG) yaitu tikus yang diberi pakan standar, sedangkan 5 kelompok ainnya dibuat model sindrom metabolik dengan diberi diet High Fat High Fructose (HFHFr) 14 hari dan induksi Streptozotocin (STZ)-Nicotinamide (NA), meliputi kelompok kontrol negatif (NC), yang diberi aquades, dan kelompok kontrol positif (PC), yang diberi simvastatin 0,9 mg/kgBB. Kelompok perlakuan yaitu kelompok perlakuan 1 (TG1), kelompok perlakuan 2 (TG2), dan kelompo perlakuan 3 (TG3), diberikan ekstrak biji durian dosis 100, 200, dan 300 mg/kgBB selama 21 hari. Data dianalisis menggunakan Paired T-test dan One-way ANOVA, dengan signifikansi p<0,05. Hasil menunjukkan setelah 21 hari pemberian ekstrak biji durian terjadi penurunan kadar trigliserida dan LDL serta peningkatan kadar HDL yang signifikan (p<0,05), yang mana perubahan terbesar terjadi pada kelompok dosis 300 mg/kgBB dengan trigliserida sebesar -38,24 ± 6,45 mg/dl, LDL -45,67 ± 2,71 mg/dl dan HDL 54,22 ± 2,72 mg/dl. Pemberian ekstrak biji durian dapat memperbaiki profil lipid pada sindrom metabolik dengan dosis terbaik yaitu 300 mg/kgBB.

EFFECTIVITY OF STENOCHLAENA PALUSTRIS (BURM.) BEDD EXTRACT AS ANTIOXIDANT FROM CENTRAL KALIMANTAN: SCOPING REVIEW

Helmi Susanti Simamora — 2025-02-28

Tumbuhan kelakai banyak ditemukan di Kalimantan dan biasanya dikonsumsi dengan cara di tumis dan direbus. Kelakai mengandung bioaktif yang bermanfaat bagi kesehatan dan dapat meningkatkan sistem imun tubuh Secara teoritis, artikel ini memberikan informasi bahwa kelakai memiliki manfaat kesehatan seperti antihiperlipidemia, penurunan kadar glukosa darah, dan pencegahan kanker payudara. Secara praktis, artikel ini membuka peluang penggunaan kelakai dalam penatalaksanaan diabetes, antihiperlipidemia, dan pencegahan kanker payudara pada manusia. Penelitian ini bertujuan memberikan informasi komprehensif tentang kelakai yang memiliki aktivitas antioksidan dan mengeksplorasi zat bioaktif yang terkandung dalam kelakai yang dapat dimanfaatkan untuk penelitian lebih lanjut secara in vivo seperti diabetes, bisa digunakan untuk mengeksplorasi aplikasi klinis seperti senyawa atau zat bioaktif yang terkandung dalam kelakai dapat dimanfaatkan untuk penelitian lebih lanjut secara in vivo seperti diabetes, antikanker. Scoping review yang dimulai dengan Pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Informasi diperoleh melalui basis data elektronik PubMed, Google Scholar, dan Science Direct dari tahun 2019 - 2024. Hasil penelitian ini adalah sintesis unsur deskriptif dan naratif dari 13 artikel didapatkan tujuh artikel yang memenuhi kriteria inklusi. Informasi dari berbagai artikel menunjukkan bahwa perlunya antioksidan eksternal untuk tubuh, yang dapat berasal dari tanaman atau vitamin. Salah satu tanaman yang memiliki aktivitas antioksidan adalah kelakai (Stenochlaena palustris (Burm.) Bedd). Kelakai mengandung flavonoid, alkaloid, dan tanin yang memiliki aktivitas antioksidan dalam menghambat radikal bebas. Kajian scoping ini mengonfirmasi adanya aktivitas antioksidan pada tanaman kelakai.

INTERPROFESSIONAL COLLABORATION PRACTICES IN THE MANAGEMENT OF PRE-ECLAMPSIA AND ECLAMPSIA: SCOPING REVIEW

Muslimah Sigalingging — 2025-02-28

Preeklamsia dan eklampsia menyebabkan tingginya angka kematian dan kesakitan neonatal serta ibu. Secara global, kondisi ini diperkirakan menyumbang 14% kematian ibu. Penelitian ini bertujuan untuk menganalisis praktik kolaborasi antarprofesional dalam penanganan Preeklampsia dan eklampsia. Scooping review disusun menggunakan framework PRISMA-ScR dengan pencarian artikel menggunakan database PubMed, Ebsco, dan Science Direct, dan tahap selanjutnya adalah Critical Appraisal menggunakan The Joanna Brings Institute (JBI). berdasarkan pencarian artikel dari tiga database yaitu PubMed, ScienceDirect, dan EBSCO, dalam konteks ini, kriteria inklusi meliputi artikel akses terbuka, artikel berbahasa Inggris, dan artikel teks lengkap, sedangkan kriteria eksklusi meliputi buku dan makalah review serta penelitian dalam bentuk tesis. Hasil penelitian scoping review ini menunjukkan bahwa penatalaksanaan dalam penanganan preeklamsia dan eklampsia, serta hambatan dalam penerapan praktik kolaboratif interprofesional memerlukan peningkatan kompetensi tenaga kesehatan seperti bidan dan perawat serta membangun model kolaborasi untuk meningkatkan kerjasama tim yang baik dengan dokter spesialis kandungan sesuai peran dan tanggung jawabnya. Pelayanan kebidanan diberikan kepada pasien preeklampsia untuk menjamin kesinambungan pelayanan antenatal, persalinan, dan nifas. penatalaksanaan preeklampsia yang efisien memerlukan pendekatan kolaboratif dan multidisiplin.

MAPPING OBESITY RESEARCH TRENDS AMONG HEALTHCARE WORKERS: BIBLIOMETRIC ANALYSIS AND FUTURE RESEARCH DIRECTIONS

Mecca Lestina Arsy — 2025-02-28

Obesitas merupakan masalah kesehatan global, dan prevalensinya meningkat di dunia. Tujuan penelitian ini untuk menganalisis perkembangan penelitian obesitas pada tenaga kesehatan. Desain penelitian menggunakan metode kualitatif dengan pendekatan studi literatur yang menitikberatkan studi bibliometrik. Data sampel diperoleh 242 dokumen dari Scopus. Variabel penelitian berfokus pada obesitas dan tenaga kesehatan. Instrumen penelitian menggunakan reduksi data keterbatasan, jenis dokumen, tahap publikasi, jenis sumber, bahasa. Ditambah keterbatasan data dengan kajian bidang studi; kedokteran, ilmu sosial, profesi kesehatan. Analisis penelitian menggunakan software VOSViewer untuk memvisualisasikan temuan. Berikut temuan penelitian ini menunjukkan bahwa analisis bibliometrik memberikan informasi berguna tentang studi obesitas di tenaga kesehatan. Publikasi meningkat secara signifikan pada tahun 2022 dengan 19%. United State of America memimpin bidang penelitian ini. Topik seperti obesity, promotion obesitas, tenaga kesehatan, psikologi, perilaku hidup sehat, diabetes melitus, kesehatan masyarakat dan promosi kesehatan menjadi fokus penelitian obesitas di kalangan tenaga kesehatan. Namun, masih ada beberapa topik seperti kesadaran, persepsi, penyakit penyerta, media sosial, lansia, obesitas pada masa kanak-kanak, program penurunan berat badan dan pandemi yang terbuka untuk penelitian lebih lanjut. Peningkatan kesadaran di kalangan peneliti dan praktisi kesehatan mengenai dampak obesitas pada profesionalisme dan kesehatan tenaga kesehatan. Implikasi penelitian ini hanya berfokus pada kajian obesitas kepada tenaga kesehatan, diperlukan penelitian lebih lanjut dapat mengkolaborasikan antar disiplin untuk mencapai solusi yang lebih komprehensif terkait obesitas di masyarakat.

FAKTOR-FAKTOR YANG MENENTUKAN PERILAKU PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA REMAJA PEREMPUAN

Herawati Jaya — 2025-03-04

In 2022, 2.3 million women were diagnosed with breast cancer worldwide. In 2022, 670,000 women died of breast cancer worldwide. This study aimed to analyze the factors that determine breast self-examination behavior (sadar) in adolescent girls. This study was conducted in the city of Palembang from April to June 2024. The design of this study was cross-sectional. The research team consisted of 18 teams spread to the smallest areas. Data collection used questionnaires and direct observation, with some ratio data categorized to facilitate statistical testing. The population of this study were adolescent girls aged 15-24 years who had both parents, lived with their parents, and were enrolled in high school at the time of data collection (inclusion criteria). The Chi-Square test was used for analysis, with data processing using computerized statistics at a 95% confidence level (α = 0.05). The results of this study indicate that behavior related to breast self-examination (BSE) is influenced by age (p = 0.010), ethnicity p = 0.000), social environment (p = 0.002), internet access (p = 0.011), information media (p = 0.000), family (p = 0.000), and peer influence (p = 0.000). In conclusion, there is a relationship between breast self-examination behavior and age, ethnicity, social environment conditions, internet access, information media, family influence, and peer influence. The implications of the findings of this study are the need to increase information and education regarding the importance of BSE in the early detection of breast cancer, especially for groups that are vulnerable to the disease.

PENGARUH EKSTRAK ETANOL DAUN RAMANIA TERHADAP INSULIN DAN GDP PADA TIKUS OBESITAS DM TIPE 2

Aulia Ramadhani — 2025-03-04

Obesity is a major nutritional issue that can trigger insulin resistance, hyperlipidemia, and contribute to Type 2 Diabetes Mellitus (T2DM). Ramania leaves, rich in antioxidants such as flavonoids, have potential as antidiabetic and anti-obesity agents. This study aimed to evaluate the effects of ethanol extract of Ramania leaves on insulin levels and fasting blood glucose (FBG) in obese rats with T2DM. The research employed a true experimental laboratory method with a Randomized Pre-Posttest Control Group design to examine the effects of Ramania leaf ethanol extract on insulin levels and FBG in male Wistar rats (Rattus norvegicus) with obesity-induced T2DM. The study was conducted over six weeks at the PSPG Laboratory of Gadjah Mada University. Subjects were divided into six groups: KNo (normal control, non-obese model group), KN (negative control, obese T2DM rats), KP (positive control, obese T2DM rats treated with metformin), and P1, P2, and P3 (obese T2DM rats treated with Ramania leaf extract at doses of 150,300, and 600 mg/kg BW for 14 days). Obesity and T2DM induction were conducted using a high-fat diet for 14 days, followed by streptozotocin administration at 45 mg/kg BW/day for three days. ANOVA testing revealed significant differences between groups (P<0.000), demonstrating the effectiveness of Ramania leaf ethanol extract (EEDR). Treatment with EEDR significantly increased insulin levels across all treatment groups (KP,P1,P2,P3) compared to the negative control (KN), highlighting the potential of EEDR in insulin regulation for obese T2DM rats. Ramania leaf extract showed significant potential in enhancing insulin levels and reducing FBG levels.

PERANCANGAN EMERGENCY RESPONSE PLAN PADA MULTI-APPROVAL CONCEPT OF SAFETY MANAGEMENT SYSTEM MANUAL TINGKAT INSTITUSI

Rany Adiliawijaya Putriekapuja — 2025-03-04

Concern for occupational health and safety is important in the activity of an institution, including education, which has potential dangers and risks related to health and safety of all individuals in institutional environment. Indonesian Aviation Polytechnic Curug is an educational institution with various health and safety risks but currently does not have an integrated emergency response plan document at the institutional level. This research aims to prepare an emergency response plan document as a reference for handling emergencies, including emergency response procedures and all possible emergencies. The method used is Research and Development. This research began with the stages of identifying potential incidents, drafting an emergency response plan, carrying out validation, product trials through tabletop exercises, usage trials through full simulation, and mass production. The research results show that emergency response plan document can improve emergency teams' readiness and coordination. Evaluation of product trials resulted in average score above 80%, indicating high effectiveness in aspects of command, communication, and coordination between teams. The full simulation results that emergency response plan clarifies the roles and responsibilities of the emergency response team, even though there are challenges in the internal communication system that require the provision of communication facilities for each team. This institutional level emergency response plan product can be a comprehensive, easy to understand, and structured guide because it provides instructions on how to act in various emergency scenarios. Future research can analyze other aspects of occupational safety and health, such as psychological and social of emergency response teams.

METHODS OF EARLY DETECTION FOR LOW BIRTH WEIGHT (LBW) BABIES: A SCOPING REVIEW

Yuriska Verina — 2025-03-05

Berat Badan Lahir Rendah (BBLR) merupakan penyebab kematian neonatal terbanyak di Indonesia pada tahun 2022 dengan proporsi 28,2%. Salah satu upaya pencegahan yaitu dengan melakukan upaya deteksi dini. Tujuan review untuk mengidentifikasi keragaman dan keefektifan metode deteksi dini BBLR, yang dapat membantu penyedia layanan kesehatan, termasuk bidan, dalam membuat keputusan klinis yang tepat untuk mencegah komplikasi seperti kematian neonatal dan infeksi. Scoping review menggunakan framework Prisma Sc-R. Pencarian dari beberapa database seperti PubMed, Sience Direct, Wiley Online Library, EBSCO dan Google Scholar dilakukan pada tahun 2018-2023, free full text, dengan kata pencarian ((((Method*) OR (Techniques)) AND ("Early Detection")) OR (Predict*)) AND ("Low Birth Weight") dan artikel yang dipilih dilakukan Critical Appraisal menggunakan ceklist Joanna Briggs Institute dan Mixed Methods Appraisal Tool (MMAT). Didapatkan 7 artikel yang telah diseleksi dari 1114 artikel berdasarkan kriteria inklusi dan eksklusi. Artikel berasal dari 4 negara berbeda. 7 artikel yang relevan menggunakan desain penelitian cross-sectional, cohort dan mix methods study. Terdapat dua tema yaitu metode deteksi dini BBLR periode pra-konsepsi dan periode antenatal. Metode deteksi dini BBLR periode pra-konsepsi menggunakan risk score berdasarkan karakteristik ibu sedangkan metode deteksi dini BBLR periode antenatal dapat menggunakan berat badan kehamilan trimester III, nomogram untuk BBLR dan antenatal risk scoring scale. Metode deteksi dini BBLR ini dapat membantu dalam mengidentifikasi wanita hamil yang memiliki resiko lebih tinggi dalam melahirkan bayi BBLR sehingga dapat diberikan intervensi yang tepat.

EFEKTIVITAS METODE SHOT BLOCKER DAN HELFER SKIN TAP KOMBINASI ASI TERHADAP RESPON NYERI BAYI PADA IMUNISASI PENTAVALEN

Atikah Atikah — 2025-03-05

Immunization injections are often the main cause of pain in babies, which can cause anxiety and discomfort for both the baby and the family. Pain due to vaccination can affect the baby's heart rate, oxygen saturation, breathing, pain sensitivity, and neurological development. Therefore, efforts to reduce pain in infants have the potential to prevent fear of needles and increase satisfaction and trust in health services. Non-pharmacological methods, such as the use of Shot Blocker and Helfer Skin Tap combined with ASI, are methods that help reduce pain during immunization injections. The study aimed to test the effectiveness of the combination of Shot Blocker and Helfer Skin Tap methods combined with ASI in reducing the pain response in babies during Pentavalent immunization and analyzing the founding variables in influencing the baby's pain response. This study was a true experiment study with posttest-only control group design. The sampling technique was simple random sampling by using RAND in Microsoft Excel, so the sample size was 78 divided into 3 groups namely the Shot Blocker group with a combination of breast milk, the Helfer Skin Tap group with a combination of breast milk, and the breastfeeding group. The analysis test used Wilcoxon test and Ancova test. The result showed there was a significant difference in pain response between the intervention group and the control group with a p-value=0.000. The study concluded Shot Blocker method combined with ASI was more effective in reducing pain than the Helfer Skin Tap method combined with ASI, with p-value=0.001.

ACTION RESEARCH: INFLUENCE NEURO-LINGUISTIC PROGRAMMING (NLP) ON RESILIENCE AND STRESS OF CENTRAL SURGERY INSTALLATION NURSES

Anggraini Respati Sekarsiwi — 2025-03-07

Perawat yang bekerja di instalasi bedah sentral kerap mengalami beban kerja yang tinggi termasuk fisik dan emosional serta paparan radiasi berbahaya yang dapat menyebabkan stress kerja dan kejenuhan. Neuro-Linguistic Programming (NLP) adalah pendekatan yang berfokus pada mengubah pola pikir dan perilaku untuk meningkatkan kemampuan coping stress dengan memodifikasi respons individu ketika stress. Penelitian ini bertujuan untuk menganalisis pengaruh Neuro-Linguistic Programming (NLP) terhadap resiliensi dan stres perawat instalasi bedah sentral di Rumah Sakit Umum Diponegoro Dua Satu Klaten. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian tindakan partisipan (action research). Penelitian ini melibatkan kolaborasi antara peneliti, instruktur NLP, dan 32 perawat yang dilaksanakan dalam dua siklus, dengan setiap siklus mencakup perencanaan, tindakan, observasi, dan refleksi. 6 perawat melalui kuesioner, wawancara, dan observasi, kemudian dianalisis untuk mengevaluasi efektivitas pelatihan NLP. Hasil penelitian ini bahwa NLP dapat meningkatkan resiliensi perawat dengan mengembangkan strategi coping yang efektif, keterampilan komunikasi, dan manajemen stress. Teknik reframing dan visualisasi positif membantu perawat melihat tantangan sebagai peluang, sementara teknik pacing dan leading meningkatkan hubungan dengan rekan kerja dan pasien. Implikasi dari penelitian ini menunjukkan bahwa penerapan NLP dapat meningkatkan kepuasan kerja dan kualitas pelayanan sekaligus menurunkan tingkat turn-over perawat. Dengan demikian, pelatihan NLP diharapkan menjadi investasi strategis untuk kesejahteraan mental perawat dan meningkatkan efisiensi layanan kesehatan di lingkungan yang penuh tekanan seperti Instalasi Bedah Pusat

EFFECTIVENESS OF STRESS MANAGEMENT IN NURSES WITH NEURO-LINGUISTIC PROGRAMMING (NLP) AND ITS INFLUENCE ON IMPROVING NURSES PERFORMANCE

Danar Widyatmoko — 2025-03-07

Perawat merupakan pekerjaan dengan tingkat stres tinggi, apabila beban tidak secara proporsional sesuai dengan kemampuan fisik, keahlian dan ketersediaan waktu maka dapat menjadi sumber stress yang dapat menyebabkan penurunan yang signifikan pada Kesehatan fisik dan mental perawat hingga berdampak negatif kepada kesejahteraan perawat. Penelitian ini bertujuan untuk menganalisis efektivitas Neuro-Linguistic Programming (NLP) terhadap pengelolaan stres dan pengaruhnya pada peningkatan kinerja perawat. Metode penelitian yang digunakan adalah quasi eksperimen dengan one pretest-postest group design untuk penilaian stress (skor ENSS) pada kedua kelompok dan one pretest -postest group design untuk penilaian kinerja perawat pada kelompok intervensi. Sampel dipilih dengan teknik purposive sampling, didapatkan tiga puluh perawat bangsal RSU Diponegoro Dua Satu Klaten yang kemudian dibagi menjadi kelompok perlakuan dan kontrol. Variabel independent penelitian berupa pelatihan NLP. Variabel dependen berupa stress dan kinerja perawat. Instrumen penelitian menggunakan formulir penelitian kinerja pegawai dan Expanded Nursing Stress Scale (ENSS). Intervensi pelatihan NLP selama 1 minggu. Analisis data skor kinerja perawat dengan Paired T-test sedangkan skor ENSS dengan dependent t test yang dilanjutkan dengan independent t-test. Hasil penelitian menunjukkan terdapat perbedaan peningkatan yang signifikan rerata skor kinerja perawat pada kelompok perlakuan sebesar 3.8 (p<0.05). Terdapat perbedaan penurunan rerata yang signifikan skor ENSS pada kelompok perlakuan sebesar -20.66 (p<0.05). Tidak ada perbedaan yang signifikan skor ENSS pada kedua kelompok setelah diberikan intervensi NLP (p>0.05). Implikasi penelitian bahwa pelatihan Neuro-Linguistic Programming (NLP) dapat menurunkan stress (penurunan skor ENSS) pada perawat bangsal dengan kelompok perlakuan secara signifikan dan meningkatkan kinerja perawat bangsal pada kelompok kontrol secara signifikan.

EKSPLORASI PENGARUH CITRA RUMAH SAKIT TERHADAP KEPUASAN PASIEN: TINJAUAN SISTEMATIS LITERATUR

Budi Prasetiyo — 2025-03-07

The primary challenge in measuring patient satisfaction lies in its conceptual and operational complexity. Patient satisfaction is often regarded as a subjective concept, influenced by individual expectations, experiences, and perceptions of the healthcare services received. This literature review aims to examine and summarize the impact of hospital image on patient satisfaction based on studies conducted in various countries across multiple continents. The PRISMA approach was employed in this systematic literature review, with articles collected from Google Scholar, Crossref, and PubMed databases. The articles selected were published between 2010-2024. An in-depth analysis was conducted on 11 selected articles. The results of the review indicate that studies on hospital image and patient satisfaction often incorporate other variables such as service quality, loyalty, and trust. Research from diverse regions, including Southeast Asia, the Middle East, Europe, and the Americas, demonstrates that hospital image significantly influences patient satisfaction. However, findings in Indonesia reveal a contrasting result, where hospital image does not affect patient satisfaction. These differences reflect unique cultural contexts, such as the importance of interpersonal relationships in Iran, ethnic diversity in Malaysia, or the high value placed on healthcare quality in Taiwan. This review further underscores the importance of collaborative efforts among governments, hospital administrators, healthcare professionals, and marketers to enhance sustainable service quality and meet patients' evolving needs.

EFEKTIVITAS DEMONSTRASI EDUKASI PENGURANGAN PLAK GIGI DENGAN DAN TANPA LARUTAN PEWARNA PADA SISWA

Nike Haryani — 2025-03-17

Education is a deliberate effort to influence individuals or groups to achieve optimal learning objectives. In dental health, the demonstration method is used to teach proper toothbrushing techniques for removing plaque. However, the effectiveness of this method can be influenced by the patient's awareness of plaque presence, which can be enhanced through disclosing solutions as educational tools. This study aims to evaluate the effectiveness of plaque reduction using the demonstration method with and without disclosing solutions. The study employed a pre-experimental design with a pre-post observational approach and statistical analysis using paired t-tests and independent t-tests. The research subjects consisted of 60 elementary school students from SDN 37, selected through purposive sampling. The paired t-test results indicated a significant difference in plaque index before and after education (p<0.05). However, the independent t-test showed no significant difference between the groups using disclosing solutions and those without (p>0.05). In conclusion, the demonstration method is effective in reducing plaque among students, both with and without disclosing solutions, although there is no significant difference in effectiveness between the two methods

THE DYNAMICS OF FAMILY SUPPORT AND SOCIAL CHALLENGES IN THE MANAGEMENT OF PULMONARY TUBERCULOSIS PATIENTS: A CASE STUDY IN BANDUNG CITY

Iip Saripah — 2025-03-18

Tuberkulosis (TB) adalah infeksi paru yang membutuhkan pengobatan jangka panjang, dan ketidakpatuhan terhadap pengobatan dapat menyebabkan komplikasi dan kematian. Saat ini, banyak keluarga yang tidak memiliki pengetahuan dan keterampilan yang memadai untuk merawat pasien tuberkulosis di rumah, sehingga tidak memadai dukungan, penghentian pengobatan, komplikasi, kematian, dan penularan ke anggota keluarga. Penelitian ini bertujuan untuk mengkaji dinamika dukungan keluarga dan tantangan sosial yang dihadapi keluarga dalam merawat pasien TBC untuk meningkatkan kepatuhan pengobatan pasien. Studi ini menggunakan pendekatan penelitian lapangan untuk mengamati fenomena secara luas dan mendalam, seperti yang terjadi dalam pengaturan sosial. Responden untuk penelitian ini terdiri dari 37 kasus (33%). Wawancara yang digunakan dalam penelitian ini adalah wawancara mendalam. Narasumber adalah 30 keluarga pasien tuberkulosis paru di wilayah Desa Dunguscariang dan observasi terstruktur berdasarkan pedoman wawancara yang telah disusun, sebagaimana terjadi dan berkembang dalam konteks sosial Hasil penelitian menunjukkan peningkatan kepatuhan pasien terhadap pengobatan tuberkulosis, menunjukkan bahwa dukungan keluarga efektif dalam meningkatkan kepatuhan pengobatan. Beberapa tantangan yang dihadapi oleh keluarga dan tenaga kesehatan dalam memberikan dukungan keluarga bagi pasien tuberkulosis berhasil diatasi.

KETIDAKNYAMANAN PASCA PERSALINAN: ANALISIS KONSEPTUAL DAMPAK DIASTASIS RECTUS ABDOMINIS (DRA) TERHADAP IBU POSTPARTUM

Hemi Fitriani — 2025-03-18

Diastasis rectus abdominis (DRA) in postpartum mothers has a high prevalence, with 85% experiencing this condition, leading to various complaints. However, clinical management remains limited due to the lack of consensus on symptom boundaries and clinical impacts. This study aims to analyze the concept of discomfort due to DRA in postpartum mothers using Walker and Avant’s approach. A descriptive method with concept analysis was applied. Literature search using international electronic databases with a global scope including Scopus, ScienceDirect, MEDLINE, EBSCO, ProQuest, and SAGE, using keywords such as "diastasis rectus abdominis," "interrectus abdominis," "postpartum," and "impact." Inclusion criteria were open-access, including literature review, and full-text articles published from 2018 to 2024. Articles that did not address antecedents, attributes, or consequences of discomfort were excluded. A total of 28 out of 88 identified articles were analyzed, covering various fields such as obstetrics, gynecology, surgery, physiotherapy, radiology, nursing, and public health. The study concludes that discomfort due to DRA consists of primary and secondary symptoms. Primary symptoms include a distended abdomen, abdominal pain, kinesiophobia, impaired self-concept, disturbed social interaction, and reduced quality of life. Secondary discomfort includes hunched posture, back and pelvic pain, spinal and pelvic instability, pelvic floor disorders, and gastrointestinal issues. This categorization of discomfort is expected to establish clearer symptom boundaries. Defining these symptoms can help develop standardized clinical practice guidelines, ensuring more effective diagnosis and treatment for postpartum mothers with DRA.

PENGARUH KEPEMIMPINAN, KOMPETENSI, DAN PELATIHAN, PEMBERDAYAAN TERHADAP KEPUASAN KERJA SERTA IMPLIKASI PADA KINERJA TTLM PUSKESMAS DI WILAYAH BANDUNG

Nany Djuhriah — 2025-03-28

Indonesia's national health system aims to improve public health through integrated and mutually supportive management. Puskesmas play an important role in this health system, especially in providing first-level health services, which include promotive and preventive aspects. Medical Laboratory Technologists (TTLM) support diagnosis and treatment at Puskesmas through medical laboratory analysis. This study aims to examine the influence of leadership functions, competence, training, and empowerment on job satisfaction and performance of TTLMs at puskesmas across the Bandung Metropolitan area. The method used in this research is a quantitative approach with SEM (Structural Equation Modeling) analysis. The sampling technique in this study is proportional stratified random sampling with 225 TTLMs with the inclusion criteria of TTLMs who have sufficient work experience in their fields and the exclusion criteria of TTLMs who are on sabbatical, have retired, or are not actively working during the study period are excluded; TTLMs with less than one year of service are also excluded; TTLMs who are not willing to fill out questionnaires or provide data; and TTLMs who work in the Bandung Metropolitan Health Center area. The results showed that leadership function, competence, training, and empowerment simultaneously significantly affected TTLM job satisfaction by 77.17%, with a significant effect on TTLM job satisfaction

FAKTOR RISIKO DOMINAN TERJADINYA STUNTING PADA ANAK USIA 6-23 BULAN DI PERDESAAN DAN PERKOTAAN DI PROVINSI SUMATERA BARAT (ANALISIS DATA SSGI 2022)

Marlina Rully Wahyuningrum — 2025-03-28

Stunting is low in length or height for age due to chronic malnutrition. Stunting disrupts growth and development. West Sumatera is the only province in Sumatera that has increased stunting in 2022. The high stunting in rural compared to urban is related to the determinants of stunting in that region. This study aims to analyze the dominant risk factor of stunting in children aged 6-23 months based on rural-urban in West Sumatera according to the Indonesian Nutrition Status Survey 2022. This research design is cross-sectional with a sample size of 2,011 children in West Sumatera. This research was analyzed univariate, bivariate (chi-square), and multivariate (multiple logistic regression). The results show that stunting in West Sumatera is 18.4%, with stunting in rural (22.1%) higher than urban (16.8%). There are differences in stunting proportion based on gender, child's age, birth length, mother's height (rural, urban, West Sumatera); ANC visit (rural, West Sumatera); pneumonia, birth weight, maternal education, household food security, sanitation (urban, West Sumatera); classification of residence (West Sumatera). The dominant risk factor of stunting is the mother's height <150 cm in rural, urban, and West Sumatera (OR=3.024; 3.068; 2.941). Mothers with short height have bad eating habits until when feeding their children, resulting in children's nutritional needs not being met, so the risk of stunting increases. These results can be used as evaluation and recommendations for all parties that prevent stunting, starting from the upstream with more attention to nutritional intake and the health of children and pregnant women.