Media Penelitian dan Pengembangan Kesehatan

EFEKTIVITAS PEMBALUT EKSTRAK DAUN MIANA (COLEUS SCUTELLARIOIDES) TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU POSTPARTUM

Fetty Satu Ryan Utami, Sri Rahayu, Supriyadi Supriyadi — Fri, 29 Nov 2024 00:00:00 +0800

Poor perineal wound care can cause infection and impact the wound-healing process. Miana leaves contain flavonoids that are antibacterial and anti-inflammatory and prevent infection. For this reason, researchers developed a sanitary napkin product with Miana leaf extract to accelerate the healing of perineal wounds in postpartum mothers. The study aimed to determine the effectiveness of Miana leaf extract dressings in accelerating the healing of perineal wounds in postpartum mothers. The research type was true experimental with a pretest post-test design and a control group design using a simple random sampling technique. The respondents were postpartum mothers with grade II perineal wounds divided into two groups of 20 samples. Provide miana leaf extract dressings and dry clean treatment 3 times a day for 7 days. Wound measurements using REEDA and Staphylococcus aureus bacteria in the laboratory. Bivariate analysis using Friedman and Wilcoxon. The average REEDA score pre-day 3, 5, and 7 in the intervention group was 12.10, 3.65, 0.95, and 0.15; in the control group, it was 13.20, 12.65, 10.95, and 9.35. The average pre and post-Staphylococcus aureus bacteria in the intervention group was 4.15, and 0.35 in the control group was 5.10 and 3.15. Miana leaf extract effectively reduced wound healing time (p=0.038) and the number of Staphylococcus aureus bacteria (p=0.006). Using Miana leaf extra dressing for 3 days effectively reduces the length of wound healing and the number of Staphylococcus aureus bacteria in postpartum mothers with grade II perinatal wounds.

MENTORING REPRODUCTIVE HEALTH LITERACY AMONG INDIGENOUS ADOLESCENTS IN INDONESIA

Titi Nurhayati, Uyu Wahyudin, Iip Saripah, Joni Rahmat Pramudia — Fri, 29 Nov 2024 00:00:00 +0800

Pemerataan kesehatan tidak hanya pada masyarakat umum, tetapi pada masyarakat adat karena mereka seringkali menghadapi tantangan unik yang berkaitan dengan akses terhadap layanan kesehatan, sehingga diperlukan adanya pendampingan. Penelitian ini bertujuan untuk mengembangkan model bantuan literasi kesehatan reproduksi bagi remaja di Kesepuhan Sinar Resmi, Cisolok. Model ini dirancang untuk meningkatkan pengetahuan, sikap dan keterampilan remaja dalam menjaga kesehatan reproduksinya melalui pendekatan berbasis budaya dan partisipatif. Metode penelitian menggunakan pendekatan kualitatif dengan metode Grounded Theory yang memungkinkan teori muncul dari data lapangan. Peserta terdiri atas tokoh adat, anggota adat, remaja, orang tua, perwakilan desa dan tenaga kesehatan, yang dipilih menggunakan purposive sampling. Teknik pengumpulan data meliputi observasi peserta, wawancara mendalam, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa pengetahuan remaja mengenai kesehatan reproduksi masih terbatas dan terdapat hambatan budaya dalam berkomunikasi tentang kesehatan reproduksi. Model pendampingan yang dikembangkan berdasarkan teori pembelajaran partisipatif dan kontekstual, serta integrasi nilai-nilai tradisional dan kearifan lokal, diharapkan dapat meningkatkan literasi kesehatan reproduksi remaja dan memperkuat peran keluarga dan masyarakat adat dalam mendukung kesehatan reproduksi remaja secara berkelanjutan. Model ini mencakup tahapan pendahuluan, hubungan, aplikasi, refleksi, dan perluas, yang disesuaikan dengan prinsip-prinsip model keyakinan kesehatan. Temuan menunjukkan bahwa penerapan model ini dapat meningkatkan pengetahuan, sikap dan keterampilan remaja secara signifikan dalam menjaga kesehatan reproduksinya, serta memperkuat peran keluarga dan masyarakat adat.

MENGUNGKAP FAKTA FAKTOR RISIKO DIABETES MELITUS DI INDONESIA

Azriful Azriful, Yudi Adnan, Emmi Bujawati, Syamsul Alam, Nildawati Nildawati — Fri, 29 Nov 2024 00:00:00 +0800

The increase in the prevalence of diabetes mellitus in Indonesia is influenced by the interaction of internal and external multifactors. The incidence of DM is predicted to continue to increase to reach 578 million in 2030 and 700 million in 2045. This study aimed to analyze factors related to the incidence of diabetes in Indonesia. This research used quantitative methods with a cross sectional approach and uses secondary data taken from the source "Riskesdas 2018". The unit of analysis in this research is 34 provinces in Indonesia. Data was analyzed using scatter plot diagrams. The results of the study showed that smoking habits, lack of physical activity, obesity, and difficulty in accessing primary health care have been shown to contribute to an increased risk of diabetes mellitus. Meanwhile, consumption of sweet foods is not directly related to an increase in diabetes mellitus. Health campaigns targeting smoking behavior, promotion of active lifestyles, education about the dangers of obesity, and improving the accessibility of health services can help reduce the risk of diabetes. Further research is needed to understand more deeply the factors that may contribute to the relationship between consumption of sweet foods that are not directly related to increased diabetes mellitus, as well as to design more effective intervention strategies.

EFEKTIVITAS SPRAY GEL EKSTRAK CALENDULA OFFICINALIS (TAGETAS ERECTA L) TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU NIFAS

Novita Novita, Sri Rahayu, Supriyadi Supriyadi — Mon, 02 Dec 2024 00:00:00 +0800

Perineal wounds in postpartum mothers will become moist because they are passed through by lochia and their presence close to the anus will be a fertile place for the growth of bacteria that can cause infection. Efforts to prevent infection and accelerate healing require treatment, one of the treatments that can be done is by administering Calendula officinalis extract gel spray. The purpose of this study was to prove that administering Calendula officinalis extract gel spray is effective in healing perineal wounds in postpartum mothers. This study is a true experimental study with a pre-test post-test with control group design. The technique used was random sampling, with 34 respondents divided into 2 groups, the intervention group was given Calendula officinalis extract gel spray and the control group was given Calendula officinalis extract gel measured using the REEDA scale. The test used was the Mann Whitney test. The intervention group of Calendula officinalis extract spray gel was effective for healing perineal wounds in postpartum mothers with an average value of 7.44 in the pre-test and 0.03 in post-test III, while in the control group, with p-value pre test and post test III intervention and control groups is 0.000. Calendula officinalis extract gel had an average value of 7.47 in the pre-test and 0.09 in post-test III. Administration of Calendula officinalis extract spray gel had an effect on healing perineal wounds in postpartum mothers based on the REEDA score.

DETERMINANTS OF SHORT BIRTHS IN BLORA CITY, CENTRAL JAVA: A MULTILEVEL ANALYSIS

Maniek Indah Kurniatri, Vitri Widyaningsih, Ika Sumiyarsi Sukamto — Mon, 02 Dec 2024 00:00:00 +0800

Kabupaten Blora termasuk daerah yang menjadi fokus perhatian pemerintah pusat dalam program penanganan stunting dengan jumlah kasus lahir pendek sebesar 311 anak pada tahun 2022. Penelitian bertujuan untuk menganalisis faktor biologis, social ekonomi, dan geografi terhadap bayi lahir pendek. Penelitian ini dapat digunakan sebagai pengambilan kebijakan untuk mencegah stunting. Penelitian ini dilakukan di Kabupaten Blora pada bulan Maret hingga Mei 2024 dengan bayi yang lahir pada tahun 2023. Penelitian ini merupakan penelitian analitik kuantitatif menggunakan desain studi case control. Sampel diambil menggunakan rumus cluster sampling dan didapatkan sebanyak 100 kelompok kasus dan 200 kelompok kontrol yang dibedakan berdasarkan jumlah populasi kasus dan sampel pada tempat penelitian. Pengumpulan data menggunakan kuesioner. variabel bebas yaitu usia, tinggi badan, kekurangan energi kronik, anemia, kunjungan antenatal, paritas, usia kehamilan, pendapatan, anggota keluarga, paparan rokok, tempat tinggal, serta pengaruh kontekstual desa dan capaian kunjungan posyandu dan variabel terikat adalah bayi lahir pendek. Analisis menggunakan regresi logistik ganda multilevel. Terdapat pengaruh dari usia ibu hamil dibawah 19 tahun (aOR=6.89; p=0.002), tinggi badan (aOR=4.63; p=0.009), kekurangan energi kronik (aOR= 6.61; p=0.001), anemia (aOR=3.28; p=0.018), kunjungan antenatal (aOR=6.38; p=0.003), paritas (aOR=3.39; p=0.008), usia kehamilan (aOR=4.58; p=0.042), pendapatan (aOR=2.40; p=0.067), jumlah anggota keluarga (aOR=4.39; p=0.003), paparan asap rokok (aOR=2.88; p=0.017) dan tempat tinggal (aOR=3.45; p=0.012), serta terdapat pengaruh kontekstual posyandu dan desa terhadap kejadian stunting di Kabupaten Blora sebesar 12%.Terdapat pengaruh dari faktor biologis, sosial ekonomi, dan geofrafis terhadap bayi lahir pendek di Kabupaten Blora. Diharapkan pemerintah membuat kebijakan untuk menurunkan kekurangan energi kronik pada ibu hamil

PERAN BIDAN DALAM MENGHADAPI KEKERASAN TERHADAP PEREMPUAN: LITERATURE REVIEW

Tue, 03 Dec 2024 00:00:00 +0800

Violence against women is a complex health problem that can affect their lives and even those around them. Cases of violence against women have an impact on physical, psychological/mental, reproductive, and economic health and even have an effect on the health of children who are cared for by the mothers of victims of violence. The prevalence of violence against women in Indonesia in the Simfoni PPA data reported and recorded during 2020-2023 increased by 2,774 cases. Violence against women requires the active role of professional health workers, especially midwives, in conducting screening, approach and support, following up on collaborations/referrals, In addition, midwives must also develop themselves through special learning or training so that they are able to provide education to increase awareness. This study aimed to explore the management of midwifery implementation regarding violence against women. The method used in this literature review study is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Searches were conducted from PubMed, Science Direct, and Sage Journals to identify articles published between January 1, 2020, and May 1, 2024 with the keywords “violence against women, intimate partner violence, midwifery care of violence, health care of violence”. The results of the review from 703 journals obtained 9 relevant journals regarding the management of midwifery implementation including early detection through routine screening, training and education for midwives, collaboration/referral with various other sectors, empowering women, documentation, and evaluation.

ANALISIS SENYAWA FITOKIMIA DAUN Moringa oleifera DARI KAWASAN GEOTERMAL ACEH BESAR SEBAGAI KANDIDAT ANTIINFLAMASI

Tahara Dilla Santi, Aditya Candra — Thu, 05 Dec 2024 00:00:00 +0800

Indonesia is home to a diversity of herbal plants, particularly in Aceh. Moringa oleifera is traditional medicinal plant utilized by locals in the geothermal area Aceh Besar, recognized for its anti-inflammatory properties. However, the bioactive compounds in M. oleifera leaves sourced from Ie Seum have not been documented, making it challenging to explain the roles of the compounds scientifically to anti-inflammatory factors. This research aimed to identify the phytochemical compounds in the ethanol extract of M. oleifera leaves (referred to as EDM) and analyze the physicochemical characteristics of the soil in the geothermal area. This study used a qualitative design to identify EDM compounds with GC-MS and soil physicochemistry. The identification of EDM compounds is conducted through gas chromatography with mass spectrometry (GC-MS). The physicochemical properties of the soil are assessed by examining its texture, pH, organic carbon content, total nitrogen, exchangeable cations, and phosphorus. Sample collection on topsoil (0-20 cm) with an area of 100cmx100cm on one land where M. oleifera plants grow in Ie Seum area in September 2024. A soil sample of 500g was using several methods, namely the hydrometermethod, pH meter, Walkey and Black, ammonium acetate 1M pH 7, Kjeldahl, KCl 1N, Bray 1, HCl 25%, and DTPA extraction. The soil test result showed classified as silty clay. The results GC-MS indicated the presence 11 metabolites, including linolenic acid, phytol, 9,12,15-octadecatrienoic acid ethyl ester, hexadecanoic acid, neophytadiene, gamma-tocopherol, vitamin E, squalene, icosane, and beta-pinene. EDM from the Ie Seum contains compounds that are beneficial in anti-inflammatory.

NUTRITION EDUCATION MEDIA FOR DIABETES MELLITUS PATIENTS: VIDEO OF DAFTAR BAHAN MAKANAN PENUKAR (DBMP)

Atika Nuswantari, Yulia Lanti Retno Dewi, Setyo Sri Rahardjo — Thu, 05 Dec 2024 00:00:00 +0800

Prevalensi penderita diabetes melitus (DM) di Jawa Timur menurut Survei Kesehatan Indonesia tahun 2023 meningkat (0,1%) dari sebelumnya tahun 2018, yakni 2,7%. Penelitian ini bertujuan untuk mengembangkan media daftar bahan makanan penukar sebagai media edukasi diet DM pada penderita DM. Penelitian ini menggunakan metode Research and Development (R&D) dengan model Analyze, Design, Development, Implementation, Evaluation (ADDIE) untuk mengembangkan media edukasi dan pada tahap implementation dilakukan dengan metode quasy experimental dengan rancangan pre post-test with a control group. Penelitian ini melibatkan partisipasi tiga validator ahli dan 10 penderita DM sebagai calon pengguna. Pengumpulan data melalui wawancara dan kuesioner penilaian media. Jumlah subjek pada tahap implementation terdiri atas 40 penderita DM. Analisis data menggunakan teknik deskriptif. Hasil penilaian kelayakan media oleh ahli diperoleh skor rata-rata 91.03% dengan kategori sangat layak dan uji coba media pada kelompok calon pengguna diperoleh skor rata-rata 92.5% dengan kategori sangat layak. Video DBMP dapat digunakan sebagai media edukasi gizi diet DM pada penderita DM. Uji beda skor pengetahuan diet DM menggunakan analisis statistik Paired Sample T-Test. Dari hasil penelitian diperoleh nilai p=0.031 pada kelompok intervensi di tahap evaluation dan nilai p=0,648 pada kelompok kontrol. Hal ini menunjukkan bahwa terdapat perbedaan skor pengetahuan yang signifikan pada kelompok intervensi setelah 3 kali pemberian konseling gizi diet DM. Tahap akhir evaluasi dianalisis menggunakan post hoc Mann Whitney u test, menunjukkan bahwa ada perbedaan yang signifikan (p=<0.001) antara kelompok kontrol dan kelompok intervensi (video DBMP).

ANALISIS PROFIL SENYAWA KIMIA MINYAK ALPUKAT DARI DUA VARIETAS BUAH ALPUKAT (Persea americana) DAN POTENSINYA UNTUK KESEHATAN

Sri Winarni, Annasari Mustafa, Atik Kurniawati — Thu, 05 Dec 2024 00:00:00 +0800

Avocado (Persea americana) is a popular tropical fruit due to its health benefits and its diverse applications in culinary and cosmetic industries. The avocado fruit is not only consumed for its flesh, but its utilization has now expanded with the production of avocado oil. As interest in avocado oil increases, different extraction methods have been developed to obtain oil of the highest quality. This study aimed to analyze the chemical profile of avocado oil from two varieties, as well as evaluate its health potential. The research method used is descriptive, focusing on the composition of fatty acids analyzed using Gas Chromatography-Mass Spectrometry (GC-MS). The results of the study showed that the butter variety avocado oil contains fatty acids such as tetracosanoic acid, octadecenoic acid, undecylenic acid, palmitic acid, nonanoic acid, and heptacosanoic acid. Meanwhile, the alligator variety avocado oil contains fatty acids such as oleic acid and linoleic acid. The study concluded that variations in avocado fruit influence the fatty acid composition of avocado oil extracted by the autoclave method, where alligator variety avocado oil provides health benefits as a source of vegetable oil rich in oleic and linoleic acids, while the butter variety avocado oil offers benefits for nerve health. Recommendations for further research include clinical studies evaluating the health benefits of avocado oil, with a focus on the effects of fatty acids such as tetracosanoic acid, oleic acid, and linoleic acid, to provide stronger scientific evidence regarding their effects on nerve, heart, and skin health.

VALIDITY OF SPARKOL VIDEOSCRIBE BASED ANIMATED VIDEO FOR HANDLING UNDERNUTRITION IN TODDLERS

Wiwien Ellora Ester Riang Harefa, Sri Mulyani, Tri Rejeki Andayani — Thu, 05 Dec 2024 00:00:00 +0800

Gizi kurang merupakan suatu kondisi balita tidak mencapai berat badan ideal, yang bisa memengaruhi pertumbuhan tinggi badan, Berbagai upaya dapat dilakukan untuk menangani antara lain dengan memberikan edukasi gizi melalui media video animasi. Penelitian ini bertujuan untuk mengembangkan materi edukasi berupa video animasi berbasis Sparkol Videoscribe untuk membantu menangani masalah gizi kurang pada balita. Penelitian ini menggunakan metode Reasearch and Development yang mengacu pada kerangka kerja ADDIE meliputi (Analyze, Design, Development, Implementation, dan Evaluation). Validasi video animasi berbasis Sparkol videoscribe melibatkan 3 ahli yaitu ahli materi, ahli bahasa, dan ahli media. Selanjutnya dilakukan uji coba (sampel terbatas n = 10) pada ibu balita gizi kurang. Pemilihan sampel menggunakan teknik purposive sampling. Metode rancangan quasi expeimental dengan desain nonequivalent control group dan dampak penggunaan video diukur dengan tiga alat ukur, yaitu: kuesioner pengetahuan gizi (reliabilitasnya 0,71), kuesioner efikasi diri (reliabilitasnya=0,95), kuesioner pola asuh makan (reliabilitasnya=0,95). Hasil penelitian menunjukkan media video animasi berbasis Sparkol Videoscribe untuk menangani masalah balita gizi kurang dinilai layak dengan skor rata–rata dari ahli materi 84%, ahli bahasa 86,6% dan ahli media 86%, hasil uji coba video animasi dengan small group dihasilkan 85,5% dengan kategori sangat layak dan hasil uji coba kuesioner menunjukkan ada peningkatan pengetahuan gizi, efikasi diri dan pola asuh makan dengan kategori sedang. Kesimpulannya media video animasi berbasis Sparkol Videoscribe yang dikembangkan dalam penelitian dapat diterapkan untuk membantu menangani masalah gizi kurang pada balita.

DEVELOPMENT OF ANAEMIA TREATMENT USING ETHANOL EXTRACT OF MIRABILIS JALAPA YELLOW FLOWERS

Fera Widyanti, Dono Indarto, Yuliana Heri Suselo — Fri, 06 Dec 2024 00:00:00 +0800

Mirabilis jalapa merupakan tumbuhan tropis dengan berbagai warna yang banyak ditemukan di Indonesia namun saat ini pemanfaatannya hanya sebatas tanaman hias dan pagar. Kombinasi M. jalapa warna kuning dan pink memiliki fitokimia yang berperan dalam metabolisme zat besi tetapi belum ada penelitian terkait dengan kandungan zat gizi. Penelitian ini bertujuan untuk mengidentifikasi kandungan zat gizi dan fitokimia ekstrak M. jalapa warna kuning dengan jenis penelitian deskriptif eksploratif. M. jalapa warna kuning terlebih dahulu digiling menjadi serbuk kemudian dilakukan maserasi dengan menggunakan larutan heksana dan etanol selama 24 jam di Laboratorium Fitokimia Fakultas Farmasi Universitas Setia Budi Surakarta pada bulan Januari 2024. Besi dan seng dianalisis dengan metode Atomic Absorption Spectrum (AAS) di Fakultas MIPA Universitas Gadjah Mada Yogyakarta. Kandungan zat gizi dianalisis dengan menggunakan uji proximate dan kandungan fitokimia dengan Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) pada mode ionisasi positif dan negatif di LPPT Universitas Gadjah Mada Yogyakarta. Penelitian dilaksanakan pada bulan Februari-April 2024. Ekstrak etanol M. jalapa kuning mengandung kadar air 18.71%, abu 12.08%, protein 25%, lemak 4.74%, karbohidrat 39.47%, besi 0.11%, seng 8.95% dan vitamin C 5.51%. Fitokimia family Betaxanthin terdeteksi pada mode ionisasi positif sedangkan Betacyanin ditemukan pada mode ionisasi negatif. Ekstrak etanol M. jalapa kuning mengandung besi dan Betaxanthin yang berpotensi untuk terapi alternatif anemia.