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Determinan Kejadian Gizi Lebih Pada Remaja di Sma Kesatrian 1 Kota Semarang Kartika Ivane Aulia; Irwan Budiono
Jurnal Kesehatan Vol 16, No 3 (2023): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v16i3.2528

Abstract

Pendahuluan: Gizi lebih merupakan suatu permasalahan gizi di dunia yang masih menjadi fokus perhatian dan belum terselesaikan hingga saat ini. Secara umum, seseorang dengan status gizi lebih dapat disebabkan karena multifaktoral meliputi faktor genetik dan lingkungan. Berdasarkan hasil studi pendahuluan yang telah dilakukan pada 65 remaja usia 16 – 18 tahun di SMA Kesatrian 1 Semarang pada bulan Maret tahun 2023 didapatkan 30 remaja memiliki status gizi lebih dengan persentase 47%. Penelitian ini bertujuan untuk menganalisis determinan kejadian gizi lebih pada remaja di SMA Kesatrian 1 Kota Semarang. Metode: Jenis penelitian ini merupakan observasional analitik dengan rancangan cross sectional. Sampel yang ditetapkan yaitu 146 orang dengan teknik simple random sampling. Analisis data dilakukan menggunakan uji chi-square dan regresi logistik untuk uji multivariat. Penelitian di lakukan di SMA Kesatrian 1 Semarang pada bulan Mei – Juni 2023. Hasil: Penelitian ini menunjukkan bahwa terdapat tiga variabel yang berhubungan dengan kejadian gizi lebih yaitu tingkat kecukupan energi (p-value=0.002), tingkat kecukupan protein (p-value=0.005), tingkat kecukupan lemak (p-value=0.003), tingkat kecukupan karbohidrat (p-value=0.002), frekuensi konsumsi junk food (p-value 0.001) dan aktivitas fisik (p-value=0.005). Terdapat satu variabel yang tidak berhubungan dalam penelitian ini yaitu kebiasaan sarapan (p-value=0.623). Simpulan: Variabel yang paling dominan untuk menduga kejadian gizi lebih pada remaja adalah frekuensi konsumsi junk food. Hal tersebut dikarenakan variabel frekuensi konsumsi junk food memiliki nilai OR=3.028 yang berarti berpotensi 3.028 kali lipat mengalami kejadian gizi lebih.
Development of Diabetes Mellitus Medication Compliance Instrument Faza Khilwan Amna; Irwan Budiono; Eko Farida
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6438

Abstract

Medication adherence is an important factor in the management of type 2 DM. Non-adherence in taking medication can worsen the patient's health condition, increase glycated hemoglobin (HbA1c) levels , and increase the risk of complications such as neuropathy, nephropathy, and cardiovascular disease. Research shows that only about 50-60% of patients comply with prescribed medication.The aim of this research is to develop a research instrument on medication adherence in Diabetes Mellitus patients. The type of research used is Research and Development . To produce a research instrument product on compliance with taking diabetes mellitus medication and to test its effectiveness, the research process is carried out through two main stages, namely the content validity stage and the validity and reliability test stage. Content validity is evaluated by 10 expect panels. While the validity and reliability tests were carried out on 30 respondents, namely Type 2 Diabetes Mellitus patients aged 19-40 years who are outpatients in Mardhatillah Hospital Pemalang, Central Java. Validity test analysis using Pearson Product Moment correlation (r) by looking at the output results of Corrected Item Total Correlation , while the Reliability Test is measured by the Cronbach Alpha statistical test. The results of this study indicate that all items in the diabetes mellitus medication adherence instrument meet the content validity criteria based on the assessment. for expert (I-CVI ≥ 0.75). Furthermore, based on the validity test of 15 question items, it is known that for statements 1 to 15, the lowest calculated r is 0.436 and the highest calculated r is 0.779, so that the 15 statements of the DM medication adherence questionnaire are valid. Meanwhile, the results of the reliability test on the 15 items of this research questionnaire have a total Cronbach's Alpha value per variable > 0.60, so that the research questionnaire is reliable (consistent). The research instrument in the form of a questionnaire on adherence to taking DM medication consisting of 15 questions was declared to meet the criteria of content validity , validity and reliability , so it can be used as a research instrument. With valid and reliable instruments, health workers can monitor patient compliance more effectively, support the success of therapy and improve the quality of life of patients with diabetes mellitus.
Validation of Observation Sheets to Measure the Accuracy of Partograph Documentation Erna Kusumawati; Intan Zainafree; Irwan Budiono
Jurnal Kebidanan Vol 14, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.14.2.2025.119-129

Abstract

Background: Partographs are essential for monitoring labor progress, yet documentation is often incomplete or inaccurate, leading to delayed interventions and increased risks for mothers and newborns. However, there is currently no valid and reliable audit tool to evaluate the accuracy of partograph documentation. Objective: To develop and validate an audit tool for assessing the completeness and accuracy of partograph documentation. Methods: This study employed a Research and Development (R&D) design in four stages: (1) instrument development based on the 1994 WHO partograph template; (2) content validation by a panel of experts (obstetricians, senior midwives, and midwifery lecturers); (3) validity testing with 30 practicing midwives; and (4) reliability testing using Cronbach’s alpha. The instrument consisted of a 20-item checklist assessing documentation quality. Results: Expert review confirmed all items as valid. The validity test showed r-count values greater than the r-table (>0.361), and the reliability test yielded a high Cronbach’s alpha of 0.976, indicating excellent internal consistency. Conclusion: The developed audit tool is valid and reliable for evaluating the accuracy of partograph documentation. It can be applied in routine audits, quality control, and as an educational resource to strengthen healthcare workers’ competence in standardized, timely labor documentation.
Community Service in an Effort to Increase Parental Knowledge and Awareness in Efforts to Prevent Cervical Cancer with HPV Immunization in 2025 Rina Kartikasari; Irwan Budiono; Innama Sakinah; Etty Nurkhayati; Fera Riswidautami Herwandar; Yunia Khomsati; Lilis Banowati
Abdimas Indonesian Journal Vol. 5 No. 2 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/aij.v5i2.1277

Abstract

 (1) Background: Cancer is one of the number two deadly diseases in the world after coronary heart. Although it is deadly, the initial symptoms of this disease are never felt by the sufferer, so the patient only comes for treatment when the disease has entered an advanced stage. (2) Purpose of the Study: to increase parental knowledge and awareness about cervical cancer and cervical cancer prevention efforts with HPV immunization (3) Methods: direct observation to measure parents' knowledge and perception of cervical cancer and its prevention efforts with HPV vaccination. The final stage of the activity was a re-evaluation of parents' knowledge and perception of cervical cancer and efforts to prevent it by HPV vaccination using a post test questionnaire (5) Conclusions: increasing knowledge so that awareness arises from parents in efforts to prevent cervical cancer in girls. This activity is expected to increase the number of HPV immunization targets in accordance with the target set by the government.
Faktor yang Berhubungan dengan Cakupan ASI Eksklusif di Wilayah Kerja Puskesmas Karangdoro Erika Febriara; Irwan Budiono
Indonesian Journal of Public Health and Nutrition Vol. 5 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ijphn.v5i2.32671

Abstract

Latar Belakang: ASI eksklusif merupakan salah satu upaya penting dalam menurunkan angka kematian bayi dan meningkatkan kualitas kesehatan anak. Namun, cakupan pemberian ASI eksklusif masih belum optimal di beberapa wilayah, termasuk di wilayah kerja Puskesmas Karangdoro Kota Semarang. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi analitik observasional dan pendekatan case-control. Sampel berjumlah 55 responden ibu yang memiliki bayi berusia 0-24 bulan di Kelurahan Kemijen, Kota Semarang, yang dibagi menjadi kelompok kasus dan kontrol. Analisis data dilakukan secara univariat dan bivariat dengan uji chi-square. Hasil: Hasil penelitian ini menunjukkan bahwa terdapat hubungan signifikan antara usia ibu (p=0,055), perilaku ibu (p=0,001), pengetahuan ibu (p=0,001), dan dukungan suami serta keluarga (p=0,001) dengan pemberian ASI eksklusif. Sebaliknya, tidak terdapat hubungan signifikan antara pendidikan ibu (p=0,339), pekerjaan ibu (p=0,354) dan jumlah anak (p=0,343) dengan pemberian ASI eksklusif. Kesimpulan: Faktor usia, perilaku, pengetahuan, serta dukungan keluarga berperan penting dalam keberhasilan pemberian ASI eksklusif. Intervensi edukatif dan dukungan tenaga kesehatan perlu ditingkatkan untuk mendorong praktik ASI eksklusif di masyarakat. 
Evaluasi Program Promosi Kesehatan untuk Menurunkan Angka Stunting di Puskesmas Bandarharjo Kurnia Lintang Larasati; Irwan Budiono; Oktia Woro Kasmini Handayani
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.7548

Abstract

Stunting remains a major public health concern in Indonesia, including in densely populated urban areas such as Bandarharjo, Semarang. Stunting is caused by chronic malnutrition and recurrent infections during the first 1,000 days of life (WHO, 2015). This study aims to evaluate the implementation of health promotion programs in reducing stunting rates in the Bandarharjo Community Health Center (Puskesmas) service area. This study employs a qualitative approach using the CIPP evaluation model (Context, Input, Process, Product) to assess the extent to which the program is implemented and effective in practice. Data were collected through in-depth interviews with key informants and triangulation, including health promotion officers, nutritionists, midwives, environmental health workers, Posyandu cadres, and mothers of infants. The results indicate that the program is functioning reasonably well in terms of education and cross-sectoral collaboration; however, challenges remain, including low community awareness, physical environmental barriers, and limitations in personnel and facilities. Innovations such as “Srigunting” add value to program implementation. The CIPP evaluation revealed that interventions are occurring at all stages; however, strengthening is needed in the process and monitoring aspects to ensure more optimal and sustainable outcomes.