Jurnal Surya Medika (JSM)

Hubungan Pengetahuan Ibu Terhadap Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Menteng Kota Palangka Raya

Jemmy Jemmy — 2023-08-27

Breastfeeding is the first, main and best food at the beginning of the baby's natural life. In the working area of the Menteng Health Center, Palangka Raya City, it shows that there is still a low coverage of exclusive breastfeeding in the working area of the Menteng Health Center in Palangka Raya City. There are various factors that influence exclusive breastfeeding including maternal knowledge of exclusive breastfeeding. The purpose of this study was to determine the relationship between maternal knowledge and exclusive breastfeeding in the work area of the Menteng Health Center in Palangka Raya City. This type of research is an analytical survey using a cross sectional design. The population of this study was mothers who had children aged 0-12 and the number of samplpes is 62 people. The sampling technique uses purposive sampling. Data analysis using Chi-Square. The results of this study showed there is a relationship between maternal knowledge and exclusive breastfeeding in the working area of the Menteng Health Center in Palangka Raya City (p value of: 0.000 < α: 0.05. There needs to be counseling on the importance of exclusive breastfeeding and how to properly store breast milk to the community in the working area of the Menteng Health Center, Palangka Raya City.

Hubungan Antara Hasil Pemeriksaan Sputum BTA dengan Hasil Resistensi Rifampisin Genexpert MTB/RIF di RSUD Doris Sylvanus Tahun 2018-2019

Silvani Permatasari — 2023-08-27

Background: Tuberculosis (TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. The sputum Acid-Fast Bacillus (AFB) examination is a widely used diagnostic test, but it is difficult to control a minimum of 5,000 germs / ml of sputum to get a positive result. The GeneXpert MTB / RIF examination is an automatic machine with easy and fast use that uses the principle of real-time nested PCR and molecular technology for the examination of Mycobacterium tuberculosis (MTB) and rifampicin resistance (RR). Purpose: To determine the relationship between the results of sputum AFB examination and the results of rifampicin resistance GeneXpert MTB / RIF in pulmonary TB patients at Doris Sylvanus Hospital, Palangka Raya for the period 2018-2019. Methods: This study used an analytic observational method with a cohort study design. The subjects of this study were all pulmonary TB patients who had been examined for sputum AFB and GeneXpert MTB / RIF at Doris Sylvanus Regional Hospital for the period 2018-2019. Data analysis used SPSS program with Chi Square test (p <0.05). Results: The results of statistical tests showed that the Sputum BTA result variable had a significant relationship with the GeneXpert MTB / RIF outcome variable. So the result is p = 0.009. Conclusion: There is a significant relationship between the results of sputum AFB examination and the results of rifampicin resistance of GeneXpert MTB / RIF in pulmonary TB patients at Doris Sylvanus Hospital, Palangka Raya for the period 2018-2019.

Cost Minimization Analysis (CMA) Penggunaan Obat Captopril dan Lisinopril pada Pasien Hipertensi di RSUD Sultan Suriansyah Banjarmasin

Nailul Muna — 2023-08-27

Hypertension is a world health problem leading to increased morbidity and mortality, as well as burdening the cost of health services, including in Indonesia. Cost Minimal hypertension treatment can reduce the high incidence of hypertension. The purpose of this study was to determine the cost that is more cost-minimize among the use of captopril and lisinopril in outpatient hypertension patients at Sultan Suriansyah Hospital Banjarmasin. This study is an analytic with a design cross sectional. Data collection is done by looking at the medical records of hypertensive patients outpatient hospital Sultan Suriansyah Banjarmasin who received antihypertensive therapy captopril and lisinopril. The sampling method used is non-probability sampling by using the technique purposive non-random sampling. Samples that 35 patients were used. The cost component measured is direct medical costs outpatient hypertensive patients which includes the cost of antihypertensive drugs, the cost of disease drugs participants, laboratory fees, and consulting fees. The results showed that the average total direct medical cost in the captopril group was Rp127.886 and the group lisinopril Rp.274.971. In the captopril group it has a more minimal cost compared with the lisinopril group.

Determinan Kejadian Stunting pada Balita Usia 24-59 Bulan di Wilayah Kerja Puskesmas Pahandut Kota Palangka Raya

Erina Eka Hatini — 2023-08-27

Stunting is a condition of growth failure in children (body and brain) due to lack of nutritional intake so that it can cause growth disorders in children who have less height compared to age. Maternal health and nutrition conditions during pregnancy and during pregnancy and after delivery can affect fetal growth and can lead to the risk of stunting. Based on WHO, the Z-score for height for age less than -2 standard deviations (<-2 SD) is categorized as stunting. Stunting is a linear growth disorder that can affect the increased risk of illness, death, delayed motor development disorders, and stunted mental growth. This study aims to determine the factors associated with the incidence of stunting at the Pahandut Public Health Center, Palangka Raya. This study used an observational method with a cross sectional research design. The sample in this study were 96 toddlers who were in the work area of the Pahandut Health Center. Data were analyzed by univariate and bivariate by using chi-square test. The results showed that the factors associated with stunting were a history of exclusive breastfeeding with a p-value of 0.031, a history of infectious diseases with a p-value of 0.041. Based on the results obtained, it can be concluded that the factors that have a significant relationship with the incidence of stunting in the work area of the Pahandut Health Center, Palangka Raya City are the history of exclusive breastfeeding and a history of infectious diseases.

Research Article: Efektivitas Pengobatan Herbal pada Pasien Hipertensi

Audi Ichsani Ariwibowo — 2023-08-27

Hypertension is a condition in which blood pressure increases above normal limits. Treatment of hypertension can be done pharmacologically and non-pharmacologically. Non- pharmacological treatment through exercise, maintenance of diet and use of herbal ingredients. The purpose of this study was to determine the use of medicinal plants in hypertension sufferers. The research method used is literature study obtained from scientific articles searched through Google Scholar, PubMed, and Research Gate using the keywords Effectiveness, Herbal Medicine, Complementary Therapy and Hypertension. The criteria for the articles used have been published for 8 years, between 2014-2022, the title and contents of the journal are in accordance with the research objectives. The use of herbal medicine as an alternative medicine has become an everyday part of society. There are several herbal plants that are considered effective in lowering blood pressure in people with hypertension

Antibacterial Activity of Ulin Fruit Extract (Eusideroxylon zwageri) Against Bacteria Causes in Human Infections

Wina Annisa — 2023-08-27

Infectious diseases one of the main health problem, especially in developing countries and have been recorded to cause more than 3 million people to die every year. Therapy used is antibacterial, but currently there are many occurrences of resistance to antibacterials, for example by the bacteria Salmonella typhi, Escherichia coli, and Staphylococcus aureus so it’s necessary to find antibacterial alternatives to treat infectious diseases. Non-pharmacological therapy used is the Ulin plant (Eusideroxylon zwageri), such as it’s fruit which contains secondary metabolites that function as antibacterial. This research aimed to identify the antibacterial activity of the Ulin fruit extract against Salmonella typhi, Escherichia coli, and Staphylococcus aureus bacteria. The type of research used is True Experimental with a Posttest-Only Control Group design. Screening antibacterial activity of Ulin fruit extract against Salmonella typhi, Escherichia coli, and Staphylococcus aureus bacteria using the well diffusion method and determining antibacterial activity test using the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) methods, then the data were analyzed using One Way Anova Test. The results show Ulin fruit extract has antibacterial activity with highest inhibition zone at concentration of 10 mg/ml against Salmonella typhi 19,07 mm, Escherichia coli 12,57 mm, and Staphylococcus aureus 12,31 mm and each has strong antibacterial activity. MIC at concentration of 5mg/ml. The results of statistical analysis showed significance value of 1,000 (p>0.05), meaning that there was no significant difference. So, Ulin fruit extract (Eusideroxylon zwageri) has antibacterial activity with a Minimum Inhibitory Concentration (MIC) value of 5mg/ml.

Hubungan Tingkat Pengetahuan Orang Tua Terhadap Perilaku Penggunaan Antibiotik pada Balita ISPA di Wilayah Kerja Puskesmas Buntok

Shopa Handayani — 2023-08-27

Background: The problem of ARI has tended to increase in recent decades, both globally and nationally. The high prevalence of ARI and its impact has resulted in the high consumption of antibiotics. The lack of knowledge on antibiotics tends to lead to inappropriate use of antibiotics. Objective: to analyze the correlation between the level of parental knowledge and the use of antibiotics in children with ARI in the Buntok Health Center area. Methods: Research in the Buntok Community Health Center in August 2020. The type of research was analytic survey with cross sectional approach. Population and sample were parents of children under five diagnosed with ARI and receiving antibiotic therapy at Buntok Health Center. The sample part of the population was 30 people with accidental sampling technique. The instrument was a questionnaire using the google form method. Data analysis using spearman rank. Results: Most of the parents of children under five with ARI had less knowledge about antibiotics as many as 17 people (56.6%) and most of the use of antibiotics was in the moderate category, namely 23 people (76.7%). There is a relationship between parental knowledge and the use of antibiotics in children with ARI in the working area of Buntok Health Center (p value = 0.000). Conclusion: Puskesmas Buntok can improve health education, for example by distributing leaflets about ARIs and the use of ARI antibiotics.

Pengaruh Thought Stopping Terhadap Penurunan Tingkat Kecemasan Masyarakat Penerima Vaksinasi Covid-19 di Wilayah Kerja Puskesmas Terminal Banjarmasin

Tya Ayu Widyasari — 2023-08-27

The COVID-19 pandemic has caused various impacts that have been experienced by Indonesian people. The government has provided a breakthrough to reduce the number of Covid-19 in Indonesia, namely the Covid-19 vaccination. The hope of the Covid-19 vaccination is to create herd immunity for the people of Indonesia, but there are still many people who experience anxiety during the process of receiving the Covid-19 vaccination. A preliminary study conducted in the working area of the Banjarmasin Terminal Health Center showed that 5 out of 10 people experienced anxiety. The anxiety experienced by the community can be reduced in various ways, one of which is the provision of thought stopping therapy interventions. This study aims to determine whether there is an effect of thought stopping on reducing the anxiety level of the people who receive the COVID-19 vaccination in the working area of the Banjarmasin Terminal Health Center.This research uses quantitative methods. The population taken is the community receiving the covid-19 vaccination in the working area of the Banjarmasin Terminal Health Center. The number of samples is 30 people with purposive sampling technique. The results of the Paired T-Test statistic test showed that the significance value (2-tailed) was 0.000 <0.05, indicating a difference between anxiety before and after the intervention. There is an effect of thought stopping on reducing the level of anxiety of the people receiving the covid-19 vaccination in the working area of the Banjarmasin Terminal Health Center

Memahami Perilaku Kurangnya Aktivitas Olahraga pada Wanita Pekerja Kantoran dengan Pendekatan Teori Health Belief Model

Luh Anggi Distya Pratiwi — 2023-08-27

Lack of exercise caused less physial activities and influenced the lifestyle. In female office workers who do not exercise regularly, most of them have low perceived susceptibility, but they have faith and are aware of the impact of the disease or condition (perceived severity) and have low perceived benefits. The purpose of this research was to determine factors affecting the behavior of lack of sports in female office workers by using Health Belief Model theory approach. This research used qualitative approach with descriptive research design and cross sectional approach. The populations in this research were female office workers in Yogyakarta City. Samples in this research were based on suitability and adequacy. The samples needed in this research were limited to 28 people consist of female office workers aged 25-50 years. The research instrument used interview guide. Data collection in this research used one-on-one interview/personal interview method. Data analysis used content analysis method. The research results show that lack of sports activities are based on the perceived obstacles and self-confidence. Several obstacles that cause female office workers to do less exercise are obstacle from within (busy with work in the office), obstacle due to body laziness as well as uncertainty in allocating time.

Pengaruh Rebusan Akar Saluang Belum (Lavanga sarmentosa) Terhadap Jumlah Spermatid pada Gambaran Histologis Tubulus Seminiferus Mencit

Silvani Permatasari — 2023-08-27

The Dayak tribe of Kalimantan is known as the root of Saluang Belum (Lavanga sarmentosa) a traditional medicinal plant that has properties to increase stamina, and sexual arousal and is used as an alternative medicine to increase male fertility. L.sarmentosa is consumed by drinking the boiled water of the plant's roots. The aim of this study is to determine the effect infusion roots of Saluang Belum (L.sarmentosa) in increasing the spermatids as seen in the tubulus seminiferus histological of mice (Mus musculus). The root will be extracted by the infusion method with different doses for each group, namely 200 mg/KgBB, 400 mg/KgBB, and 600 mg/KgBB, and negative controls (aquades) which was carried out for 15 days to mice. On the day 16, the right testis was taken and histological preparations were made with hematoxylin-eosin staining and observed under a microscope at 400x magnification in five fields of view. Compounds contained in the infusion of L.sarmentosa are alkaloids, saponins, triterpenoids, flavonoids, phenolics, and steroids. The number of spermatids in the tubulus seminiferus histological of mice increased statistically significantly from the doses of 200 mg/KgBB, 400 mg/KgBB, and 600 mg/KBBg. Conclusion: Infusion of the roots L.sarmentosa can increase the number of spermatids seen in the tubulus seminiferus histological of mice.

Studi Literatur: Telefarmasi oleh Farmasi Komunitas

Tanti Andriana — 2023-08-27

Telepharmacy ia an increasingly popular healthcare service, involving pharmacists in multidisciplinary healthcare teams. Undoubtedly, telepharmacy is a great opportunity to improve health management in the community. Despite its popularity in some countries, the overall clinical impact of telepharmacyl services is currently unable to be fully documented due to a lack of available studies. This literature review aims to provide an overview of telepharmacy studies by community pharmacies. This literature review was written using a scoping review approach. The literature search used the Google Scholar and PudMed databases for the 2018-2022 time period. Based on the results of a study on 12 articles that met the requirement, it can be concluded that telepharmacyl services have proven to have a positive impact in the form of reducing errors, side effects, length of stay, and costs. Regulations issued support pharmacists in providing telepharmacy sevices. However, telepharmacy also faces several obstacles such as infrastructure and technology barriers, organizational and financial barriers, policy and regulatory barriers and cultural barriers

Sindroma Steven-Johnson pada Anak Akibat Penggunaan Carbamazepin: Sebuah Laporan Kasus

Ika Lusiana — 2023-08-27

Steven-Johnson syndrome is rare occurance. In children, the incidence of Steven Johnson Syndrome (SJS) is lower than adults. Steven Johnson Syndrome is often caused by a hypersensitivity reaction to drugs, including carbamazepine. Correct and appropriate therapy management will support the improvement of conditions and reduce mortality

Analisis Hasil Deteksi SARS-COV2 Menggunakan Rapid Tes Antigen di Laboratorium Mikrobiologi Klinik RSUD dr. Doris Sylvanus Palangkaraya

Silvani Permatasari — 2023-08-27

The antigen rapid diagnostic test is used for screening COVID-19 patients and is easy to do anywhere and saves time. The sensitivity of various brands of rapid antigen test kits can vary, so medical personnel need to pay close attention to them. Testing for the SARS-CoV2 antigen kit needs to be done diagnostically. This study aims to determine the specificity, sensitivity, and accuracy of the Haelgen antigen rapid test through diagnostic tests. The study design was cross-sectional, with a total sample of 60 people who took swabs from the nasopharynx and oropharynx. The sample is placed in the viral transport medium (VTM). Samples were examined by RT-PCR and, at the same time, examined using an antigen rapid test. The results of the analysis were carried out by calculating the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the SARS-Cov2 antigen test compared to standard RT-PCR using a diagnostic test formula. The most common characteristics of COVID-19 patients were female and 20–29 years old (28.3%). The results of the Haelgen rapid antigen diagnostic test showed a sensitivity of 92.31%, a specificity of 100%, a positive predictive value of 100%, a negative predictive value of 87.5%, and an accuracy of 95%. The sensitivity, specificity, and accuracy of the Haelgen rapid antigen are suitable for testing for COVID-19.

Literatur Review: Efektivitas Pemberian Aromaterapi Peppermint Terhadap Pengurangan Mual dan Muntah pada Ibu Hamil Trimester I

Maria Oktavia — 2023-08-27

Background: Nausea and vomiting of pregnancy or often referred to as "morning sickness" is a symptom of nausea which is usually accompanied by vomiting and is physiological due to pregnancy, which generally occurs in the first trimester. If nausea and vomiting occurs and it is not treated immediately, it can cause more severe symptoms of nausea and vomiting that will occur early in pregnancy so that it can cause dehydration, electrolyte disturbances or nutritional deficits or what is known as hyperemesis gravidarum. Purpose: This study aims to determine the effectiveness of Peppermint Aromatherapy for Reducing Nausea and Vomiting in Trimester I Pregnant Women. Methods: This study uses a literature review study approach using several journal sources or articles that are selected based on predetermined criteria. The results of 11 types of literature review, there are 9 journals saying peppermint aromatherapy can reduce nausea and vomiting, 2 journals say that peppermint aromatherapy provides less effectiveness in reducing nausea and vomiting. Conclusion: The effectiveness of peppermint aromatherapy in dealing with cases of nausea and vomiting in pregnant women so that there is a reduction in nausea and vomiting in trimester I pregnant women.

Efektivitas Media Visual dalm Meningkatkan Pengetahuan tentang Seribu Hari Pertama Kehidupan Remaja Putri

Sunaeni Sunaeni — 2023-08-27

Background: Understanding nutrition in the first thousand days of human life needs to be promoted in preventing stunting. Adolescent girls have a key role in maintaining health during pregnancy, of which 28.72% of women in West Papua aged 15-19 years (SMP-SMA) are pregnant for the first time. Audio-visual media can be used as an alternative in disseminating information on stunting prevention during the "golden period". Methods: The research methodaapproach usesquasi-experimental pre- and post-test design. The population is 468 female students. The sampling technique used simple random sampling to get 46 respondents. The data collection instrument used a questionnaire with 34 questions. Data collection was carried out directly on young women before and after being given treatment in the form of counseling using audiovisual. Data analysis used paired T Test with the help of software at a significance level of 0.05 and presented in the table Results: The results showed p value 0.001, there was a significant difference in knowledge about the first thousand days of life for young women at MAN Model Sorong before and after being given treatment. Conclusion: Counseling about the first thousand days of life is very important for all young women, cross-sectoral collaboration is needed to produce the next generation that is free from stunting.

Identifikasi Bakteri pada Alat-Alat Medis Bedah Minor di Ruang UGD Puskesmas Pahandut Kota Palangka Raya

Sherly Marselina — 2023-08-27

Background: HAIs are infections that are obtained from hospitals or other health care facilities, such as health centers. According to the Ministry of Health, in Indonesia it reaches 15.74%, much higher than in developed countries, which ranges from 4.8 to 15.5%. According to the Indonesian Ministry of Health, the average is 8.1%. At the Puskesmas, the Emergency Unit (ER) is the place most at risk for HAIs, for patients undergoing treatment using less sterile equipment, such as minor surgical equipment. Object: To determine the presence or absence of bacteria and to identify the types of bacteria in minor surgical medical devices in the ER Pahandut Public Health Center, Palangka Raya City. Methods: This study used a descriptive quantitative design method, to determine the presence or absence of bacteria in sterilized minor surgical medical devices. Results: The identification results found gram-positive bacteria in 3 samples of minor surgical instruments, namely 2 samples identified as Staphylococcus aureus and 1 sample identified as Streptococcus sp. Conclusion : There are bacterial contaminants in minor surgical medical devices used in the ER Pahandut Public Health Center, Palangka Raya City.

Literature Review: Hubungan Sarana Sanitasi Lingkungan dan Personal Hygiene Ibu dengan Kejadian Diare pada Balita

Made Ayu Suryati — 2023-08-27

Background: Diarrhea is still a major health problem in developing countries and one of them is Indonesia. Having weak antibodies causes toddlers to be susceptible to viral diarrhea. Diarrhea is a contagious disease characterized by symptoms such as: increased frequency of defecation that can occur more than 3 times a day, then there is also a change in the shape or consistency of the stool which turns soft or even liquid, and this can cause vomiting that can make the sufferer have lack of body fluids (dehydration) and if it is not immediately to get help it can cause the sufferer to death. Objective: To determine the relationship between environmental sanitation facilities and mothers’ personal hygiene with cases of diarrhea in toddlers. Methods: The research design used in this study is in the form of a systematic review using secondary data. The data was searched using the PRISMA method, while the data synthesis is using the SPIDER approach. Results: There were 23 journals, the 23 journals consisted of 15 national journals and 8 international journals that were reviewed. Conclusion: There is a relationship between environmental sanitation facilities and mothers' personal hygiene with diarrhea incidence in toddlers. The importance of having sanitation facilities that meet the health requirements and the importance of conducting CTPS to reduce the risk of diarrhea in toddlers.

Sosialisasi Pentingnya Penggunaan Masker pada Pembelajaran Tatap Muka pada Masa Pandemi Covid-19 di Sekolah Menegah Atas (SMA) Kota Padang

Dewi Mardiawati — 2023-08-27

Coronaviruses (CoV) are a large family of viruses that cause illness ranging from mild to severe. Based on the mayor's circular, all schools in the city of Padang are activated while still observing health protocols. The purpose of this service is to provide understanding to school children about the importance of using masks in the community according to the recommendations for implementing health protocols as an effort to increase awareness about the importance of early prevention of the COVID-19 virus. The method of activity used in this community service activity is the dissemination of the importance of using masks during the COVID-19 pandemic as an effort to implement health protocols in order to create prevention of the Covid-19 virus in the community in dealing with the current pandemic situation. The implementation is to do presentations at school by providing socialization to students/school children and also providing brochures so that students understand the importance of using masks while carrying out learning at school. Basically, students really understand the importance of wearing masks during the COVID-19 pandemic, especially in the school environment. But sometimes there are still many students who don't want to wear masks on the grounds that it's hard to breathe, it's hot and they are in the room for a long time. Of the 10 high schools that will be socialized, only 5 high schools are willing to do the socialization, namely: SMA SIMA, PGRI 3, SMAN 6, PGAI, and Development. This service activity can increase the knowledge and understanding of high school students/children about the importance of using masks during the COVID-19 pandemic. So that in the future the quality of people's lives will improve and the spread of COVID-19 can be reduced.

Korelasi Ukuran Batu Ginjal dengan Jumlah Dilakukan ESWL di Rumah Sakit Islam Sultan Agung pada Tahun 2019

Alisha Rahma Bilqisthi — 2023-08-27

Stone size affects the stone free after (Extracorporeal Shock Wave Lithotripsy) ESWL. The larger the stone size is negatively correlated with the stone free. One of the efforts that can be done is to do ESWL again. The purpose of this study was to determine the correlation between kidney stone size and the frequency of ESWL performed in patients with kidney stones. This study used an observational analytic design with a cross sectional retrospective approach with a sample of 68 people obtained by consecutive sampling. Data were collected using secondary data (medical records) and analyzed using the pearson product moment correlation. The results of the pearson product moment correlation test with = 0.05 showed a significant correlation between the size of kidney stones and the number of ESWL performed with value = 0.000 with a value of r = 0,657. The Conclusion of this study is there is a significant correlation between kidney stone size and the frequency of ESWL performed. The larger the size of the kidney stones, the greater the number of ESWL therapy performed.

Konseling Alat Kontrasepsi Terhadap Tingkat Pengetahuan dan Sikap Ibu Hamil Trimester III di UPT Puskesmas Kalampangan Kota Palangka Raya

Herlinadiyaningsih Herlinadiyaningsih — 2023-08-27

Family planning is an effort to regulate the desired number and spacing of children. Based on the proportion of postpartum family planning services in Indonesia, 67.5% of new postpartum women use contraception more than 42 days after delivery, 20% after returning from health facilities up to 42 days after delivery, 7.3% concurrent with the delivery process and as many as 5.2 % after delivery is complete but have not returned from the health facility. This study used a pre-experimental. The research sample for third trimester pregnant women (gestational age 28-42 weeks) in the Work Area of the Puskesmas Kalampangan Kota Palangka Raya who met the inclusion criteria was 33 respondents. Characteristics of the majority of respondents lack of knowledge (57,5%), good attitude (54,5%), aged 20-35 years (78,8%), middle education (42,4%) and high school (42,4%), not working (72,7%), multigravida (66,7%) and giving birth in a health facility (78,8%). The average level of effectiveness before counseling was 56,3 and after counseling was 79,7 then the mean attitude before counseling was 21.3 and after counseling was 24.0. The results of the analysis concluded that there was effectiveness of family planning counseling on the level of knowledge (p-value 0.000) and attitude (p-value 0.000) of third trimester pregnant women at UPT Puskesmas Kalampangan, Palangka Raya City. There needs to be readiness of health workers, especially midwives in providing family planning counseling to pregnant women and an increase in the ability/competence of officers in conducting counseling.

Research Article: Isolasi dan Identifikasi Senyawa Terpenoid

Vriezka Mierza — 2023-08-27

Terpenoids are a group of hydrocarbons that are produced in large quantities by plants and are mainly contained in the sap and cell vacuoles. In plants, terpene compounds and their modifications, terpenoids, are secondary metabolites. Terpenoids make up many of the essential oils produced by plants. The content of essential oils influences the use of spice products, both as seasonings, as fragrances, as well as ingredients for medicine, health, etc. The terpenoid-steroid test was carried out using the Lieberman-Buchard reagent which yielded positive results for terpenoids for all fractions. The results obtained for the n-hexane and ethyl acetate fractions on the addition of lieberman-buchard yielded positive results for steroids as indicated by the formation of a green color in the fractions. The purpose of this research article is to provide information to find out what methods are used in isolation in identifying terpenoid compounds and knowing the types of terpenoid compounds obtained from the results of previous research journals.

Tinjauan Sistematis Pengelolaan Obat dan Vaksin di Dinas Kesehatan Kabupaten/Kota

Tashya Dhela Maylinda — 2023-08-27

The availability of drugs in healthcare facilities will ensure that people get the medicines they need. To ensure the availability of drugs in healthcare facilities, good drug management must be carried out. The drug management cycle includes the stages of selection, planning, procurement, storage, and distribution. This systematic review aims to identify and characterize research methods, guidelines, indicators, and delivery of results in the evaluation of drug and vaccine management in District/City Health Offices. This systematic review uses the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Search for articles using Google Scholar, limiting the management of drugs and vaccines carried out at District/City Health Offices which are published from 2017 to 2022. Articles that meet the criteria are evaluated for methods, guidelines, and data processing, and the management stages are evaluated. Article quality was assessed using a modified Downs and Black checklist. Search results using the Google Scholar database obtained 1435 articles. After checking the research location and the year the article was published, 1426 articles did not meet the inclusion criteria. Of the nine articles than one article entered the exclusion criteria because it was a literature review. The results of a systematic review show that qualitative methods are the most frequently used in evaluating drug management, but qualitative methods also have many weaknesses to cover these weaknesses, mixed method research can be carried out. Quantitative research obtained the results of the percentage of drug management accuracy against indicators and qualitative research was carried out to find problems through content analysis. It is hoped that combining these methods will result in more precise drug management evaluation results so that suggestions for improvement will be more targeted.

Artikel Review: Tingkat Kepatuhan dan hal - hal yang yang Mempengaruhi Kepatuhan dalam Penggunaan Obat Antibiotik

Indah Laily Hilmi — 2023-08-27

Infectious diseases are still an important health problem in Indonesia, especially in developing countries. Antibiotics are drugs that are often used as a treatment for infectious diseases caused by bacteria with a mechanism of action by killing or inhibiting the growth of bacteria and with relatively little toxicity to humans. The use of antibiotics must be used rationally if used correctly it will reduce the level of antibiotic resistance. Antibiotic resistance is a condition where the inability of antibiotics to fight bacteria due to bacterial mutations. Cases of resistance reported by the Deputy Minister of Health of the Republic of Indonesia, the prevalence of antibiotic resistance continues to increase. Compliance with the use of antibiotic drugs is an effort to overcome the prevention of resistance in patients receiving antibiotic therapy, by knowing several factors related to patient adherence including demographic factors, belief behavior factors, drug information giving factors and counseling factors.

Pengetahuan Orang Tua dengan Anak Tuberkulosis di RSUD dr. Soeselo Tegal

Farah Nibras Almira — 2023-08-27

Parents' knowledge about pediatric tuberculosis which still has high insidence is needed because it will affect the attitudes and health-seeking behavior of parents. If parents’ knowledge is poor, it can inhibit pediatric tuberculosis control program. This study aimed to describe the parents’ knowledge about pediatric tuberculosis in dr. Soeselo Tegal. Research design, namely descriptive quantitative with cross-sectional approach through total sampling with a sample of 35 people. The instrument used to collect data was the result of developing instrument points in the KAP (Knowledge, Attitude, and Practice Survey) issued by WHO in 2008. The results of this study obtained that 22 respondents (62.9%) had good knowledge and 13 respondents (37, 1%) with poor knowledge. Parents' knowledge is not good regarding TB signs and symptoms in children has the highest frequency because it is often difficult to distinguish between TB sign and symptoms in children and other diseases, so many parents are late to bring their children to the hospital for examination and treatment. Therefore, nurses are suggested to educate parents regarding tuberculosis in children.

Optimasi Purifikasi Darbepoetin Alfa Berdasarkan Metode Kromatografi Penukaran ION dengan Dua Variasi Resin

Indah Shaliha — 2023-08-27

Kidney failure cases are cases that increase every year. This case cannot be considered trivial because it can threaten someone's life. Indeed, kidney failure is not contagious like other diseases and is caused by a bad lifestyle. The number of cases in Indonesia itself has increased quite sharply. For example, in the Riau Islands the number of dialysis patients experienced a sharp jump from 85 people to 700 people and the increase reached 10 times. Darbepoetin (which is EPO which has more sugar) which is also known as hematopoietic, is a glycoprotein compound that controls the process of erythropoiesis (red blood cell production). This hormone is produced in the kidneys, and some is also produced in the liver. The aim of this research is to purify darbepoetin itself and remove several other proteins or interfering impurities so that darbepoetin itself is ready to be produced and help many people who experience kidney failure. The method used was ion exchange chromatography with Toyopearl DEAE 650 M resin. Optimization was then carried out with various variations, especially the resin variations used were Toyopearl DEAE 650 M and GE-DEAE resins. Based on the results, DPO can be purified with Toyopearl resin. After that, purification optimization was carried out and it was found that TOSOH-DEAE resin was indeed a better resin than GE-DEAE.

Uji Aktivitas Antioksidan dan Profil Fitokimia Biji Kopi Robusta (Coffea canephora), Biji Vanili (Vanila planifolia), dan Kombinasi Keduanya dengan Bermacam Pelarut

Muhammad Andre Niljon — 2023-08-27

Robusta coffee (Coffea canephora) and vanilla fruit (Vanila planifolia) are plants that contain antioxidants. The aim of the study was to determine the antioxidant activity of these plants and their combination. Activity was measured using the DPPH (1,1-diphenyl-2-picrylhydrazyl) method on ethanol, ethyl acetate, and water extracts. The results of the research on vanilla fruit had an IC₅₀ value of 153.09 ppm in ethanol extract, IC₅₀ 176.69 ppm in ethyl acetate extract, and IC₅₀ 245.28 ppm in aqueous extract. Robusta coffee beans have an IC₅₀ value of 18.96 ppm in the ethanol extract, an IC₅₀ of 27.03 ppm in the ethyl acetate extract, and an IC₅₀ of 20.13 ppm in the aqueous extract. The combination of vanilla and coffee had an IC₅₀ value of 39.40 ppm for the ethanol extract, an IC₅₀ of 41.25 ppm for the ethyl acetate extract, and an IC₅₀ of 38.60 ppm for the aqueous extract. Vitamin C as a standard for comparison has an IC₅₀ value of 2.99 ppm. The ANOVA test results showed a value of p <0.05 which indicated that there were significant differences between samples with various solvents. Phytochemical tests showed that vanilla contain flavonoids and phenolics.

Pengaruh Edukasi Akhir dengan Video Diet Terhadap Pengetahuan dan Keterampilan Pasien DM Tipe II di RSUD Sultan Imanuddin Pangkalan Bun

Fretika Utami Dewi — 2023-08-27

Knowledge in managing diabetes mellitus is very important because it can affect the way of life of patients in managing their disease. One of the means to improve patient knowledge and skills is to use video as a source of information about the diabetes mellitus diet (3 J). This study aims to determine the effect of final education with diet videos on knowledge and skills before and after education in type II DM patients. The research design uses a Quasy Experimental Design with a Pre Post Test Only One Group Design research design. The sampling technique was purposive sampling with a total of 18 samples. Inclusion criteria: aged 30-59 years, owning a smartphone, with or without complications of obesity, hypertension, dyslipidemia and complications of kidney, cancer, liver as exclusion criteria. Data was collected using a knowledge and skills questionnaire that has been tested for validity and reliability. Data analysis was carried out using univariate and bivariate (paired t test and Wilcoxon test). The results showed that the age of the sample was between 31-59 years and the most sex was female 66.67%, with the highest education level being high school/equivalent, namely 55.56%, long suffering from DM > 5 years was 61.11%, had a history of DM disease was 66.67%, the frequency of watching educational video diet ≥3 times was 61.11%, blood sugar levels after education decreased by 100%, knowledge increased by 77.78% and skills increased by 94.44%. The results of the analysis show the effect of final education with diet videos on the knowledge and skills of Type II DM patients before and after hospitalization at RSUD Sultan Imanuddin Pangkalan Bun.

Pengendalian Persediaan Obat Generik Bermerek Menggunakan Metode Analisis ABC, Economic Order Quantity (EOQ), dan Reorder Point (ROP) di Instalasi Farmasi RS “X” Tahun 2022

Ditha Anastasia — 2023-08-27

Inventory control is a very important element in the management of pharmaceutical supplies. Inventory control at Hospital “X” in Palopo City is currently using the consumption method, which has the risk of running out of medicine (stock out). Methods that can minimize this risk are the ABC, EOQ, and ROP analysis methods. The research aims to group drug items into 3 ABC groups based on investment value, find out the optimal order quantity using the economic order quantity (EOQ) calculation, and determine the time to reorder drugs using the reorder point (ROP) calculation. This type of research is non-experimental and uses mixed methods; data collection is done retrospectively for quantitative data and directly for qualitative data. The results of the analysis of the ABC method of branded generic drug included in group A were 18 types (12%) with an investment value of 70.17% of the total investment value, group B, namely 22 types (14.67%) with an investment value of 20.38 % of the total investment value, and group C drugs, namely 110 types (73.33%) with an investment value of 9.46% of the total investment value. Based on the EOQ calculation analysis, the optimal number of orders for group A branded generic drugs varied between 683 and 34 units. The results of the calculation and analysis using the ROP method show that the reorder point for group A branded generic drugs varies between 234 and 7 for each drug unit.

Pengaruh Modifikasi Lauk Nabati pada Makan Siang Terhadap Daya Terima Pasien Non Diet di RSUD Tamiang Layang

Munifa Munifa — 2023-08-27

Non-diet patients at Tamiang Layang Hospital often don't finish eating vegetable side dishes, so it is necessary to make changes to vegetable side dishes, namely by modifying the menu or recipe regarding ingredients, sizes, seasonings, and how to process them. The modifications made aim to improve the appearance and taste of vegetable side dishes, namely tofu and tempeh which are expected to increase the acceptance of non-diet patients. This study aims to determine the effect of modification of vegetable side dish recipes at lunch on the acceptance of non-diet patients at Tamiang Layang Hospital.This research is a quasy experimental study with a One Group Pretest-Posttest Design. The study was conducted in 2 stages, namely panelists and non-diet patients who were hospitalized at Tamiang Layang Hospital, East Barito Regency. Respondents in this study were 30 non-diet patients with certain criteria. Data analysis used the Mc Nemar and Wilcoxon tests. Result: Making a modified recipe for vegetable side dishes, namely tempeh nuggets and tofu cakes. It was found that 30 patients (100%) liked tempeh nuggets and 28 tofu cakes (93.4%) while non-diet patients liked tempeh nuggets and 16% for tofu cakes. The results of the McNemar test showed that there was an effect of modification of vegetable side dishes at lunch on acceptance, seen from the level of preference of non-diet patients at Tamiang Layang Hospital with p <0.05 and the results of the Wilcoxon test, there was an effect of modification of vegetable side dishes at lunch on acceptance, seen from leftovers. non-diet patients at Tamiang Layang General Hospital with p <0.05. Conclusion: There is an effect of modifying vegetable side dish recipes at lunch on the acceptability of non-diet patients at Tamiang Layang Hospital.

Pengaruh Kualitas Sistem, Kualitas Informasi dan Kualitas Layanan Terhadap Kepuasan Pengguna Sistem Informasi Manajemen RS “X” Kota Palopo

Novita Sari — 2023-08-27

The development of information systems and technology, which is currently increasing rapidly, is urgently needed by an organization, company or individual to process and obtain data or information more easily, quickly and accurately. "X" Hospital has many problems related to patient data and information, staff, schedules, medical records, queues, medicines, treatments, finances, number and effectiveness of employees and rooms, and so on. These problems include the process of entering data and searching, especially if the system does not use a computer, it will be difficult and take a long time. This type of research is quantitative where there are 3 independent variables and 1 dependent variable. The researcher conducted multiple linear regression tests to determine the effect of the independent variables on the dependent variable and found that system quality had a positive and significant effect on user satisfaction of the "X" Hospital Management Information System. This is evidenced by T count > T table. Information quality has a positive and significant effect on user satisfaction of hospital management information systems. This is evidenced by T count > T table. Service quality has a positive and significant effect on user satisfaction of the "X" Hospital management information system. This is evidenced by T count > T table. Based on the results of the above research, it can be concluded that system quality, information quality, and service quality greatly influence the satisfaction of users of the hospital management information system (SIMRS).

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan anak Usia Sekolah dasar Tentang Pentingnya Hidrasi

Putria Carolina — 2023-08-27

Hydration is a state of the body with sufficient fluids to ensure the function of cell metabolism to run optimally in both adults and even children. Children need more water per kilogram of body weight than adults. This is because children have a relatively larger body surface area, the immature function of urine concentration by the kidneys, and a faster respiratory rate. The phenomenon that often occurs in children is lack of fluids which can have an impact on decreasing concentration while studying and even being sick. Lack of knowledge and awareness is one of the predisposing factors for children to experience problems meeting fluid needs. Through health education it is hoped that it can increase children's knowledge of the importance of hydration to meet fluid needs, with good knowledge. The research design uses quantitative methods with the type of Pre-Experimental research using the One group pre-post test design approach. Data collection measuring instrument questionnaire, data were analyzed using the Wilcoxon statistical test. The research results show a significant p value Asmp. Sig. (2 tailed) of 0.034. It was found that there was an effect of health education on elementary school-age children's knowledge about the importance of hydration. The results of this study can be used as an intervention in child nursing care to improve the quality of nursing services in clinical and community settings. Along with increased knowledge, it will change behavior for the better to achieve optimal child health status.

Hubungan Perilaku Merokok dengan Tekanan Darah Sistolik dan Tekanan Darah Diastolik pada Masyarakat di Kecamatan Kamanre Kabupaten Luwu Sulawesi Selatan

Arni Arni — 2023-08-27

Smoking behavior is a lifestyle that affects blood pressure in a person suffering from hypertension. Cigarettes contain nicotine which can make a person dependent by stimulating dopamine in the brain and increasing the hormone adrenaline which triggers the heart to work harder so that it has an impact on high blood pressure or hypertension in the sufferer. This study aims to identify the relationship between smoking behavior and systolic blood pressure and diastolic blood pressure in communities in Kamanre District, Luwu Regency, South Sulawesi. This research is a quantitative study that uses a correlation analytical research design with a cross-sectional approach. The sample in this study was 96 respondents. The sampling technique used is purposive sampling. The results of the study were analyzed using the chi-square test. Based on the chi-square test, there is a meaningful relationship between the number of cigarettes and blood pressure where (p value < 0.05) p = 0.016 for systolic blood pressure and p = 0.014 for diastolic blood pressure. The results of the chi-square test between cigarette type and blood pressure did not have a meaningful relationship p = 1,000 for systolic blood pressure and p = 0.294 for diastolic blood pressure. And the chi-square test results between smoking duration and systolic blood pressure there is a meaningful relationship p = 0.027 and diastolic blood pressure p = 1,000 there is no meaningful relationship.

Restorasi Estetik dengan Strip Crown pada Gigi Anterior Desidui (Laporan Kasus)

Nendika Dyah Ayu Murika Sari — 2023-08-27

Background: Anterior dental caries affect masticatory function and aesthetics. The most popular type of aesthetic crown for the restoration of deciduous incisors is the strip crown. Purpose: to report the case of restoration of an aesthetic restoration with a strip crown on anterior primary teeth. Case: A 5.5-year-old boy comes with his mother with complaints of tooth decay. He never hurts and has never been traumatized. A clinical examination revealed that the teeth 52, 51, 61, and 62 had extensive dentinal caries in all parts. Diagnosis based on ICDAS is caries class 5. Case Management: The teeth were subjected to crown-strip restoration in two visits. The first visit was for teeth 51 and 61, and the second visit was for teeth 52 and 62. The teeth were cleaned with carious tissue, lining, and application of flowable composite resin with strip crown, polishing, and finishing. Conclusion: Strip crown restoration can be an alternative choice for primary anterior teeth where caries extends throughout the crown and improves aesthetic results.

Studi Literatur: Potensi Daya Bunuh Tanaman Keluarga Asteraceae Terhadap Larva Aedes Aegypti

Muhammad Noer Perdana Sakti Widodo — 2023-08-27

Aedes aegypti is the main transmitter of dengue hemorrhagic fever which is an important health problem in Indonesia and the world. The main vector of dengue hemorrhagic fever (DHF) is the Aedes aegypti mosquito which originated from Africa and discovered in Indonesia in 1968 in Surabaya. DHF continues to spread to all 472 districts or cities in 34 provinces in Indonesia. Data on dengue cases recorded until the 49th week of 2020 were 95,893 cases and 661 cases of death. Biological control using natural ingredients which is Asteraceae family plants that have larvicidal activity is one of the methode to prevent transmission and reproduction of the main vector. The object of this study is to know the potential of Asteraceae family plants as larvicides against Aedes aegypti. The method of this study is systematic review. The data sources used are secondary data obtained from Google Scholar. The keywords are Asteraceae, Aedes aegypti and larvicide. There are 17 literatures which fulfill the criteria. Synthesis of data is using SPIDER. The result of this study is, from 17 international and national journals reviewed, there were 9 (52,95%) journals shows that Asteraceae family plants have low potential to become Aedes aegypti larvicides and 8 (47,05%) journals shows that Asteraceae family plant have the potential to become Aedes aegypti larvicides, this is based on the LC₅₀ value >1000ppm which indicates that the larvicidal activity is low. Asteraceae family plants have low potential to become Aedes aegypti larvicides.

Pengaruh Pemberian Air Rebusan Seledri Terhadap Kadar Asam Urat pada Lansia di Wilayah Puskesmas Menteng Kota Palangka Raya

Syam'ani Syam'ani — 2023-08-27

Gout is a metabolic disease (metabolic syndrome) associated with high-purine diets and alcoholic beverages. This is because in the elderly there has been a decrease in the function of various organs of the body due to damage of cells due to the aging process. Celery which contains flavonoids, apigenin, apiin, alkaloids, tannins, and saponins has a significant effect on reducing uric acid levels in gout sufferers. This study aims to determine the effect of giving celery boiled water on reducing uric acid levels of the elderly in the Menteng Health Center, Palangka Raya City. This research method uses the Quantitative Quasi Experiment method with the design used is the One Group Pretest - Posttest Design without a control group but the first observation (pretest) has been carried out which allows researchers to examine the changes that occur after the Posttest experiment. The statistical test used the Wilcoxon test with a p value of 0.000 < 0.005. The results showed that there was an effect of giving celery boiled water on decreasing uric acid levels in the elderly in the Menteng Community Health Center, Palangka Raya City. Giving celery boiled water can be used to reduce uric acid levels in the elderly by giving 200 cc of celery boiled water regularly every morning and evening after meals.

Gambaran Pengetahuan dan Perilaku Pasien dan Keluarga Tentang Manajemen DM Tipe 2

Berthiana T — 2023-08-27

Diabetes mellitus is a chronic disease caused by heredity and/or lack of insulin production by the pancreas, or due to ineffective insulin function thereby increasing the concentration of glucose in the blood, which ultimately damages various body systems, especially blood vessels and nerves. Worldwide there are approximately 224 million cases of diabetes with 1.5 million mortality rates and an estimated one in eleven people in the world has diabetes. The four pillars of DM management which discuss DM education, DM diet, DM physical exercise and DM treatment. To find out the knowledge and behavior of patients and families about type 2 DM management. In this study, secondary data was used by analyzing previous journals and journal searches using the Google search engine. Scholar It is known based on three journals the results of patient and family knowledge levels about DM management, regarding DM education in the good category with results (73.3%) patient knowledge about diet is in the good category with results (83.8%), while knowledge about physical exercise get good category results (77.5%) and less knowledge (60.0%) and less knowledge about drugs. (61.3%) and good knowledge (90.0%). Behavioral adherence to education, diet, physical activity, adherence to taking medication in type 2 DM patients is still a lot of disobedience. Knowledge and behavior of patients and families have in common in discussing the four pillars of DM management which discuss DM education, DM diet, DM physical exercise and DM treatment.

Literature Review: Hubungan Kadar D-Dimer dengan Tingkat Keparahan Pasien Covid-19

Ismi Andina Pertiwi — 2023-08-27

Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) causes Corona Virus Disease-19 (COVID-19). D-dimer is one of the hemostasis tests performed on patients infected with the disease, it is a product of fibrin degradation and a biomarker of platelet disorders. With the development of COVID-19 as a pandemic, D-dimer has become an indicator for prognosis in COVID-19 patients. Based on symptoms, the severity of COVID-19 patients consists of mild, moderate, and severe symptoms. The author conducted a literature review regarding the correlation between D-dimer levels and the severity of COVID-19 patients. Data and theory were taken from ten references from several databases: Google Scholar, PubMed, Semantic Scholar, Science Direct, Garuda, and Neliti. The references taken were from the 2020-2022 range. In all of these references, statistical test results were obtained with a significant value below 0.05, so it can be concluded that there is a correlation between D-dimer levels and the severity of COVID-19. In COVID-19 infections with severe symptoms, immunothrombosis can occur due to hyperinflammatory conditions and cytokine storms. Immunothrombosis occurs as a result of the body's defense against viral infections. Damage to lung tissue in COVID-19 patients triggers a procoagulant response associated with inflammatory cytokines in blood vessel tissue.

Pengaruh Pemberian Obat Anti Tuberkulosisi (OAT) Terhadap Jumlah Trombosit pada Pasien TB Paru di BKPM Purwokerto

Ika Wulan Nuri Anggreani — 2023-08-27

Pulmonary tuberculosis (TB) is an infection of the lungs characterized by pulmonary infiltrates and the formation of caseous granulomas, fibrosis, and cavities. It can be caused by the risk of transmission of the acid-fast bacillus Mycobacterium tuberculosis. One supportive treatment for pulmonary TB is the administration of anti-tuberculosis drugs (OAT). The content of rifampicin in the anti-tuberculosis drug can cause side effects of hemorrhagic disorders, namely thrombocytopenia. This study aims to determine the effect of giving OAT on platelet counts in TB patients in treatment phases of 0, 2, and 6 months at BKPM Purwokerto (Balai Kesehatan Paru Masyarakat). This was a type of analytic observational study with a cross-sectional design. Patients with pulmonary TB in treatment phase 0 were 15 at two months and 15 at six months in this study. Sampling was carried out by purposive sampling with inclusion and exclusion criteria. From this analysis, it is known that the data used the one-way ANOVA test. The results obtained have a p-value of 0.101 (p 0.05), so it can be concluded that there is no effect of the administration of OAT on platelet counts in TB patients in the treatment phases of 0, 2, and 6 months.

Gambaran Karakteristik Penderita Kolelitiasis di Rumah Sakit Umum Daerah Moh. Ansari Saleh Kalimantan Selatan

Theresia Jamini — 2023-08-27

Cholelithiasis is a component of bile that accumulates, hardens and forms gallstones. The incidence of cholelithiasis is increasing every year. The incidence of cholelithiasis can be caused by various factors such as age, gender, education, weight and clinical manifestations experienced by sufferers. The purpose of this study was to describe the characteristics of cholelithiasis sufferers at Moh. Ansari Saleh, South Kalimantan. This research method uses a observational descriptive research design. The sampling technique used purposive sampling and used secondary data with a total sample of 32. Research show that the characteristics of respondents based on age were mostly 20-50 years old as many as 26 respondents (81.25%), the majority gender was female as many as 18 respondents (56.25%), the majority of respondents were overweight as many as 15 respondents (46 .87%) generally experienced upper right abdominal pain as many as 25 respondents (78.13%). It can be concluded that cholelithiasis occurs in the majority aged 20-50 years, female and overweight. In general, experience pain in the upper right abdomen, heartburn, nausea, vomiting and lack of appetite. The results of this study are expected to be a reference for underdeveloped professions to carry out health programs that refer to promotive and preventive efforts in carrying out nursing care processes in clinical settings.

Hubungan Kunjungan Posyandu, ASI Eksklusif dan MP ASI dengan Kejadian Stunting di Wilayah Kerja UPTD Puskesmas Kereng Pangi

Yun Welly — 2023-08-27

Cases of nutritional problems or disorders in toddlers are currently increasing in developing countries, including Indonesia. The Height-for-Age Index (TB/U) provides an indication of chronic nutritional problems as a result of long-lasting conditions, for example due to poverty, unhealthy lifestyle, and insufficient food intake for a long time resulting in stunting in children. Currently, the Province of Central Kalimantan has the 14th highest prevalence of stunting in Indonesia and the prevalence of stunting in Katingan Regency is ranked 6th highest in Central Kalimantan. Purpose This study was to determine the relationship between Posyandu visits, exclusive breastfeeding and MP-ASI with stunting in children under five in the UPTD Work Area of the Kereng Pangi Health Center in 2023. Methods the research design used in this study was an analytic survey with a cross sectional approach. The study population was all mothers and children aged 24-59 months in the working area of the UPTD Puskesmas Kereng Pangi for the period February-May 2023. The sampling technique was Stratified Random Sampling and the sample was taken by Simple Random Sampling. The sample size in this study was 133 toddlers. Primary data types using a questionnaire. Univariate data analysis using presentation and bivariate analysis. The statistical test used was the Chi-Square test with an alpha of 0.05. Results based on the results of statistical tests, it was found that there was a relationship between posyandu visits and stunting (p-value 0.002), exclusive breastfeeding with stunting (p-value 0.004) and MP ASI with stunting (p-value 0.001) in the working area of the UPTD Puskesmas Kereng Pangi. Conclusion there is a relationship between Posyandu visits, exclusive breastfeeding and MP ASI with stunting.