Desak Made Yulianti
Poltekkes Kemenkes Gorontalo

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Hubungan Kepatuhan Konsumsi Tablet Fe dengan Kejadian Anemia pada Remaja Putri di Wilayah Endemis Tilango Ni Made Dewi Anggraeni; Yusni Podungge; Nurhidayah Nurhidayah; Veny Delvia Pombaile; Desak Made Yulianti; Rina Sulisthia Arbie
Health Information : Jurnal Penelitian Vol 18 No 1 (2026): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v18i1.1860

Abstract

Latar belakang: Anemia pada remaja putri di wilayah endemis Tilango masih tinggi (16,4%) akibat rendahnya kepatuhan konsumsi Tablet Tambah Darah (TTD) sebesar 70%, meskipun suplementasi zat besi direkomendasikan WHO dan Kemenkes RI. Tujuan: menganalisis hubungan kepatuhan konsumsi TTD dengan status anemia pada remaja putri di Kecamatan Tilango. Metode: desain cross-sectional analitik pada 427 remaja putri usia 12–18 tahun menggunakan total sampling; kepatuhan TTD diukur self-report (?80% patuh), status anemia berdasarkan Hb <12 g/dL (HemoCue®), dianalisis Chi-Square dan regresi logistik. Hasil: ketidakpatuhan TTD berhubungan signifikan dengan anemia (OR=4,62; 95% CI:2,15–9,92; p=0,002); multivariat menunjukkan OR=3,98 (p=0,001) dan KEK (OR=2,12; p=0,011). Simpulan: ketidakpatuhan konsumsi TTD merupakan faktor dominan anemia pada remaja putri di Tilango. Saran: tingkatkan kepatuhan >70% melalui distribusi mingguan UKS, aktivasi posyandu remaja, skrining Hb triwulanan
PERAN EDUKASI GURU SEKOLAH DALAM PEMBENTUKAN LITERASI KESEHATAN REMAJA PUTRI TENTANG TABLET TAMBAH DARAH Desak Made Yulianti; Veny Delvia Pombaile; Sri Susanti Papuke; Nurhidayah Nurhidayah; Nurfaizah Alza
Jurnal Stunting Pesisir dan Aplikasinya Vol 5 No 1 (2026): Januari - Juni 2026
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/jspa.v5i1.1920

Abstract

ABSTRACT Introduction: Iron deficiency anemia remains a major public health problem among adolescent girls aged 10–19 years, with wide-ranging impacts on physical health, cognitive function, and academic achievement. Iron supplementation through iron tablets is an important strategy for anemia prevention; however, its effectiveness is strongly influenced by adolescents’ levels of knowledge and attitudes. In the school context, teachers play a strategic role as educational agents in shaping students’ health literacy. This study aims to analyze the relationship between teachers’ educational roles and the knowledge and attitudes of adolescent girls regarding iron tablet supplementation at SMP Negeri 12 Gorontalo City. Method: This study employed a quantitative observational design with a cross-sectional approach. The study population consisted of all female students in grades VII and VIII at SMP Negeri 12 Gorontalo City. A total of 80 adolescent girls were included as the sample. Data were collected using a structured questionnaire and analyzed using the Kruskal–Wallis test. Results: Among the 80 respondents, the analysis showed that the relationship between teachers’ roles and adolescent girls’ knowledge and attitudes toward iron tablet supplementation differed by grade level. In grade VII, teachers’ roles were significantly associated with knowledge levels (p = 0.042; p < 0.05), but not with attitudes (p = 0.620; p > 0.05). In contrast, in grade VIII, teachers’ roles were not significantly associated with either knowledge (p = 0.093) or attitudes (p = 0.353). These findings indicate that the influence of teachers’ roles is more evident in the cognitive aspects of students at the lower grade level. Conclusion: There is a significant relationship between teachers’ educational roles and the knowledge of grade VII adolescent girls, but not among grade VIII students, and no significant association was found with attitudes at either grade level
Efektivitas latihan buerger allen exercise dan senam kaki diabetes terhadap sirkulasi perifer dan gejala neuropati pada pasien diabetes melitus I Made Santika; Yuli Peristiowati; Atik Setiawan Wahyuningsih; Joko Prasetyo; Nurdina Nurdina; Desak Made Yulianti
Hik Vol. 19 No. 9 (2025): Volume 19 Nomor 9 (edisi khusus konference)
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1935

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic disease frequently accompanied by complications such as peripheral circulatory disorders and neuropathy, which contribute to decreased lower-extremity function. This condition is still often found in DM patients at Toto Kabila Regional Hospital, highlighting the need for effective non-pharmacological interventions. Purpose: To analyze the effectiveness of buerger allen exercise and diabetic foot exercise in improving peripheral circulation and neuropathic symptoms among patients with diabetes mellitus. Method: A quasi-experimental two-group pretest–posttest design involving 60 patients who were randomly assigned into two intervention groups. Both exercises were administered for four weeks. Data were collected using standardized operational procedures for each exercise along with instruments assessing peripheral circulation and neuropathic symptoms. The Wilcoxon test was used to analyze within-group effects, while the Mann–Whitney test was applied to compare differences between groups. Results: Both interventions significantly improved peripheral circulation and reduced neuropathic symptoms (p = 0.000). Between-group analysis showed that the Buerger Allen Exercise produced greater improvement in peripheral circulation, particularly in the left extremity (p = 0.019), and demonstrated a more substantial reduction in neuropathic symptoms compared to diabetic foot exercise (p = 0.000). Conclusion: Both Buerger Allen Exercise and diabetic foot exercise are effective in enhancing peripheral circulation and reducing neuropathic symptoms in patients with diabetes mellitus. However, Buerger Allen Exercise shows superior effectiveness and may be recommended as a primary non-pharmacological intervention to improve vascular and sensory function in diabetic patients.   Keywords: Buerger Allen Exercise; Diabetes Mellitus; Diabetic Foot Exercise; Diabetic Neuropathy; Peripheral Circulation.   Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis yang sering disertai komplikasi berupa gangguan sirkulasi perifer dan neuropati, yang berdampak pada penurunan fungsi ekstremitas bawah. Kondisi ini masih banyak dijumpai pada pasien DM di RSUD Toto Kabila, sehingga diperlukan intervensi non-farmakologis yang efektif. Tujuan: Untuk menganalisis efektivitas Buerger Allen Exercise dan senam kaki diabetes terhadap sirkulasi perifer dan gejala neuropati pada pasien DM. Metode: Desain quasi-experimental two group pretest–posttest dengan total sampel 60 pasien yang dibagi menjadi dua kelompok intervensi. Latihan diberikan selama empat minggu, dan pengukuran dilakukan menggunakan SOP latihan serta instrumen penilaian sirkulasi perifer dan gejala neuropati. Analisis data menggunakan uji Wilcoxon untuk mengetahui pengaruh intervensi dan uji Mann-Whitney untuk melihat perbedaan antar kelompok. Hasil: Peningkatan signifikan pada sirkulasi perifer dan perbaikan gejala neuropati pada kedua kelompok (p = 0.000). Perbandingan antar kelompok menunjukkan bahwa Buerger Allen Exercise memberikan peningkatan sirkulasi perifer yang lebih tinggi, khususnya pada ekstremitas kiri (p = 0.019), serta perbaikan gejala neuropati yang lebih besar dibandingkan senam kaki diabetes (p = 0.000). Simpulan: Buerger allen exercise dan senam kaki diabetes sama-sama efektif meningkatkan sirkulasi perifer dan memperbaiki gejala neuropati, namun buerger allen exercise menunjukkan efektivitas yang lebih unggul. Latihan ini dapat direkomendasikan sebagai intervensi non-farmakologis dalam upaya meningkatkan fungsi vaskular dan sensorik pada pasien diabetes melitus.   Kata Kunci: Buerger Allen Exercise; Diabetes Melitus; Neuropati Diabetik; Senam Kaki Diabetes; Sirkulasi Perifer.