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Balance Nutrition Education Through Recipe Books in an Effort to Prevent Wasting in the Work Area of Pardasuka Health Center Erika Damayanti; Harris Rambey; Rismawati Hutapea; Annisa Kusumawardani; Iis Sulastri
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/x2d2yg14

Wasting is an acute nutritional problem among children under five that remains a public health challenge in Pringsewu Regency, with a prevalence reaching 11.1%. One of the primary risk factors for this condition is the low knowledge of mothers regarding the principles of balanced nutrition and variations in processing local food. This community service activity (PkM) aims to improve the knowledge of mothers with children under five regarding balanced nutrition through education based on the "PARDASUKA" local recipe book. The method used was direct nutritional education with a pre-test and post-test design involving 32 mothers, accompanied by interactive discussions and the distribution of posters and recipe books. The results showed a significant increase in the participants' knowledge. Before the education, the majority of mothers had poor knowledge at 62.5% (20 people), the good category was 25.0% (8 people), and the excellent category was only 12.5% (4 people). After the intervention, the proportion of poor knowledge decreased drastically to 12.5% (4 people), the good category became 9.37% (3 people), while the excellent category surged sharply to 78.12% (25 people). Overall, there was a recorded increase in knowledge of 65.62%. In conclusion, nutritional education intervention using practical media such as local food-based recipe books is proven effective in significantly increasing mothers' understanding, thereby holding great potential to support sustainable efforts in preventing and reducing wasting rates.

The Differences in Food Waste Between Soft Diets and Regular Diets Among Class III Inpatients at Pidie Jaya Regional General Hospital Viona Rezky Rahmadani Sihaloho; Asmaul Husna; Marta Aditya Pratiwi; Annisa Kusumawardani; Rismawati Hutapea
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3134

Patient food waste is one of the indicators used to assess the success of hospital nutrition services. High levels of food waste indicate low food consumption, which may negatively affect nutritional intake, delay the healing process, and increase hospital operational costs. The type of diet provided to patients is assumed to influence the amount of food waste. Soft diets and regular diets have different characteristics in terms of texture, form, and patient acceptance, which may result in differences in food waste.This study aimed to determine the differences in food waste between soft diets and regular diets among Class III inpatients at Pidie Jaya Regional General Hospital. This research employed a comparative analytical design with a cross-sectional approach. The population consisted of all Class III inpatients who received either a soft diet or a regular diet during the study period. The sample consisted of 46 respondents selected using a purposive sampling technique. Food waste was measured using the Comstock visual estimation method. Data were analyzed using univariate analysis to describe respondent characteristics and bivariate analysis using the Independent Sample t-Test for normally distributed data or the Mann-Whitney test for non-normally distributed data, with a confidence level of 95% (α = 0.05). The results showed that the average percentage of food waste among patients receiving a soft diet was 64,27%, while among those receiving a regular diet it was 54,42%. Statistical analysis indicated that there was/was not a significant difference in food waste between patients receiving soft diets and those receiving regular diets among Class III inpatients at Pidie Jaya Regional General Hospital, with a p-value of 0,002 (p<0.05). In conclusion, there was a significant difference in food waste between soft diets and regular diets among Class III inpatients at Pidie Jaya Regional General Hospital. It is recommended that the hospital improve the quality of its food service, particularly regarding taste, menu variation, and food presentation, in order to reduce patient food waste.

The Relationship Between Mothers' Participation Levels in Posyandu and the Nutritional Status of Children Under Five Marta Aditya Pratiwi; Afriana Siska; Viona Rezky; Rismawati Hutapea
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3965

Nutritional issues among toddlers remain a public health concern, and the monitoring of growth and early detection of nutritional problems at Posyandu (integrated healthcare posts) are influenced by the level of maternal participation. This study aimed to examine the relationship between the level of maternal participation in Posyandu activities and the nutritional status of toddlers in Tanjung Botung Village, Padang Lawas Regency. A quantitative approach was employed using an analytical observational, cross-sectional study design. The study population consisted of 185 mothers with toddlers aged 0–59 months, from which a sample of 125 participants was selected using purposive sampling. Data were collected through questionnaires and anthropometric measurements, then analyzed using the Chi-Square test with a significance level of 0.05. The findings indicate that 77 mothers (61.6%) demonstrated an active level of participation, while 48 mothers (38.4%) were less active. The majority of the toddlers (64, or 51.2%) were classified k as having poor nutritional status, whereas 36 toddlers (28.8%) had a normal nutritional status. The study revealed a significant relationship between the level of maternal participation in Posyandu and the nutritional status of toddlers, with a p-value of 0.002 (p < 0.05). Increasing maternal participation, providing nutrition education, and strengthening growth monitoring through Posyandu are essential to support the prevention and management of nutritional issues among children under five.

The Relationship Between Knowledge Of Therapeutic Diets And Dietary Adherence Among Cardiac Patients In The Inpatient Ward Of Sibuhuan Regional General Hospital Annisa Kusuma; Yenni Lestari; Rismawati Hutapea; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3973

Heart disease requires therapeutic dietary management to control risk factors and prevent complications. Dietary compliance is greatly influenced by the patient’s level of knowledge regarding the importance of dietary management. This study aimed to determine the relationship between the level of knowledge about therapeutic diets and dietary compliance among heart patients in the inpatient ward of Sibuhuan Regional General Hospital. The study employed a cross-sectional design with a sample of 30 heart patients selected via purposive sampling. Data were collected using a questionnaire to measure the level of knowledge and dietary compliance. Data analysis was performed using the Chi-Square test. The results showed that the majority of respondents were female (70%), aged 41–60 years and over 60 years (43.3% each), had a secondary school education (36.7%), and had been on the diet for less than one year (53.3%). The majority had a good level of knowledge (63.3%), whilst the majority were compliant (76.7%). Bivariate analysis using the Chi-Square test yielded a p-value of 0.000 (p < 0.05), indicating a significant association between the level of knowledge regarding therapeutic diets and dietary compliance. Respondents with good knowledge were all compliant with the diet (63.3%), whilst respondents with poor knowledge were more likely to be non-compliant (13.4%). The conclusion of this study is that there is a significant association between the level of knowledge regarding therapeutic diets and dietary compliance in heart patients. Patients with good knowledge

The Relationship Between Dietary Adherence and Nutritional Status with Blood Glucose Levels Among Hospitalized Patients with Type 2 Diabetes Mellitus at Sibuhuan Regional General Hospital Rismawati Hutapea; Fitri Usda; Annisa Kusumawardani
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3978

Background: Diabetes mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion, insulin action, or both. Blood glucose control is essential to prevent complications in patients with DM. Dietary adherence and nutritional status are factors that may be associated with blood glucose levels. Objective: This study aimed to analyze the association between dietary adherence and nutritional status and blood glucose levels among patients with diabetes mellitus at Sibuhuan Regional General Hospital in 2026. Methodology: This study used an analytical observational design with a cross-sectional approach. The study population consisted of 84 patients, with 46 respondents selected using Slovin’s formula with a 10% margin of error. Dietary adherence data were collected through interviews using a questionnaire, while nutritional status and blood glucose level data were obtained from anthropometric measurements and patients’ medical records. Data were analyzed using univariate and bivariate analyses with Fisher’s exact test at a 95% significance level. Results and Discussion: The results showed that most respondents did not adhere to the diabetes diet (34; 73.9%), and 34 respondents (73.9%) had abnormal blood glucose levels. Bivariate analysis revealed a significant association between dietary adherence and blood glucose levels (p = 0.001). However, no significant association was found between nutritional status and blood glucose levels (p = 0.722). Conclusion: Dietary adherence was associated with blood glucose levels, whereas nutritional status was not significantly associated with blood glucose levels among patients with diabetes mellitus at Sibuhuan Regional General Hospital. Nutrition education and continuous dietary counseling should be strengthened to support blood glucose control and prevent complications in patients with diabetes mellitus

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