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Siagian, Masryna
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Determinants of stunting in children under five: a scoping review Sihotang, Widya Yanti; Hulu, Victor Trismanjaya; Samosir, Frans Judea; Pane, Putri Yunita; Hartono, Hartono; Manalu, Putranto; Siagian, Masryna; Panjaitan, Hajijah I. L.
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 12, No 1 (2023): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.12.1.9-20

Abstract

Background: Inadequate diet, socioeconomic condition, and maternal and child characteristics can damage stunted children under five's mental and physical development. As a result, they have difficulty developing physically and cognitively, have low intellectual abilities, are more susceptible to disease, and have less creativity and innovation. Objective: This study seeks to investigate and summarize the determinants of stunted children under five.Materials and Methods: The study used a scoping review method. The literature search was carried out on indexed databases of Scopus, PubMed, Google Scholar, Crossref, and Pro-Quest in English and Indonesian. There were 720 research articles, and 18 of them met the inclusion criteria. From the 18 journals, information was collected from the publication year 2015-2021. Relevant study articles related to the topic were analyzed qualitatively using NVIVO-12 Plus.Results: Our findings identify that maternal education, low birth weight (LBW), gender, exclusive breastfeeding, parental income, parental age, and child age are the dominant determinants of stunting among under-five children.Conclusion: Higher risk factors of stunting among children are parents' lack of knowledge, low family income, low nutrition, low level of mother's education, and lack of parents' supervision and parenting skills.
PENCEGAHAN DIABETES MELITUS TIPE II PADA PEKERJA USIA PRODUKTIF DI UNIVERSITAS PRIMA INDONESIA Siahaan, Prestony Petra Habinsaran; Damanik, Anggi Oktavia; Purba, Sarah Putri Uli Endrianda Br; Manihuruk, Gresika Br Saragih; Siregar, Santy Deasy; Hartono, Hartono; Siagian, Masryna; Sihotang, Widya Yanti; Kurniawan, Muhammad Aditya
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.20629

Abstract

Diabetes melitus merupakan penyakit kronis yang disebabkan oleh ketidakmampuan tubuh untuk memproduksi hormon insulin atau produksi insulin yang tidak efektif di dalam tubuh. Gaya hidup sedentary berpotensi menimbulkan gangguan metabolisme yang memicu timbulnya penyakit diabetes melitus. Pekerja kantoran tidak punya waktu untuk melakukan aktivitas fisik yang cukup dikarenakan kesibukan kerja di masa pandemi, sehingga pekerja membakar sedikit kalori. Pegawai yang bekerja secara monoton dengan duduk dalam waktu yang lama beresiko terkana resistensi insulin. Tujuan penelitian ini adalah mengetahui pengaruh pemberian treatment pada kelompok intervensi terhadap penurunan kadar gula darah pada pegawai di UNPRI. Metode dalam penelitian ini metode experimen dengan desain penelitian Two Gruop Design Pretest-Posttest WithControl Group. Sampel penelitian ini berjumlah 52 orang, yang dibagi menjadi kelompok intervensi dan kontrol. Hasil pengukuran KGD kelompok intervensi pretest kategori normal sebanyak 13 responden (50%) kategori tidak normal sebanyak 13 responden (50%); pada saat postest kategori normal meningkat menjadi 20 responden (77%) saat postest kategori tidak normal menurun menjadi 6 responden (23%). Hasil pengukuran KGD kelompok kontrol pada saat pretest kategori normal sebesar 19 responden (73%) kategori tidak normal saat pretest sebanyak 7 responden (27%); saat postest kategori normal meningkat mejadi 21 responden (81%) dan kategori tidak normal menurun menjadi 5 responden (19%). Kesimpulan terdapat perbedaan hasil antara kelompok intervensi dan kelompok kontrol dan menunjukan bahwa pencegahan diabetes melitus tipe II yang dilakukan pada responden dengan penerapan treatment berupa pencegahan diabetes dengan cara (Exercise, Diet, Work) dapat menurunkan kadar gula darah dengan nilai signifikan < = 0,05.
PENGARUH PENYULUHAN DAN PEMBERIAN BUKU SAKU TERHADAP PENINGKATAN PERILAKU GIZI IBU HAMIL BERESIKO KEK DI WILAYAH PUSKESMAS BUHIT Siagian, Masryna; Ginting, Rafael; Silalahi, Marlinang Isabella; Sinurat, Yohana Trisintya; Sinaga, Poppy Shela
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.25525

Abstract

Kekurangan Energi Kronis (KEK) adalah suatu kondisi dimana ibu hamil mengalami kekurangan asupan kalori dan protein atau sering disebut dengan malnutrisi pada masa muda, yang berlangsung selama bertahun-tahun (kronis) dan dapat menyebabkan gangguan kesehatan pada ibu hamil. Penelitian ini merupakan penelitian quasi eksperimen dengan desain kuantitatif, menggunakan pendekatan one group pre-test post-test design. Populasi penelitian ini berjumlah 30 orang. Sampel penelitian berjumlah 30 orang yang diambil secara total sampling, yaitu seluruh populasi dijadikan sampel di Puskesmas Buhit pada tahun 2023. Analisis data menggunakan chi square. Hasil penelitian berdasarkan analisis penelitian yang telah dilakukan dengan menganalisis menggunakan uji wilcoxon, bahwa pada perilaku sebelum dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya 16,3 dan setelah dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya 27,3. Sedangkan pada perilaku sesudah dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya Nilai rata-rata buku saku 27,03 dan nilai P-value (0,000) < 0,05 yang berarti penyuluhan dan pemberian buku saku berpengaruh terhadap perilaku ibu hamil. Penelitian ini menemukan bahwa ada pengaruh penyuluhan dan pemberian buku saku terhadap perilaku ibu hamil.
HUBUNGAN PERILAKU DENGAN KEJADIAN DERMATITIS KONTAK IRITASI PADA KARYAWAN PENCUCIAN MOBIL DI FIT & GO MEDAN Simanullang, Andry; Siagian, Masryna; Sihotang, Widya Yanti; Panjaitan, Andrean Kristianto; Ginting, Anandestra
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.28235

Abstract

Dermatitis sering ditemukan pada pekerjaan industri terutama penyedia jasa cuci mobil, Dermatitis kontak iritasi adalah reaksi inflamasi pada kulit atau imun tubuh yang ditandai dengan eritema (kemerahan), edemis ringan (pembengkakan), dan pecah-pecah setelah kontak langsung pada agent atau kontak eksternal. Kulit adalah bagian terluar oleh tubuh yang berfungsi sebagai pelindung awal tubuh jika terkena sesuatu atau terinfeksi oleh bahan kimia, jika kulit terkena atau terinfeksi bahan kimia sesuatu yang membuat fungsinya tidak akan berjalan dengan baik maka akan memudahkan masuknya virus atau bakteri kedalam tubuh. Penelitian ini dilakukan dengan jenis penelitian kuantitatif dengan desain penelitian menggunakan cross sectional yaitu di mana peneliti mengukur data variabel dependen dan independen hanya sekali pada saat bersamaan. Penelitian ini menggunakan metode analisis univariat dan analisis bivariat. Penelitian ini bertujuan untuk mengetahui ada tidaknya hubungan perilaku dengan kejadian dermatitis kontak iritasi pada karyawan pencucian mobil di Fit & Go Medan. Populasi dan sampel dalam penelitian ini seluruh pekerja yang ada di Fit & Go sebanyak 40 karyawan. Berdasarkan hasil uji statistik yang dilakukan dengan chi-square didapatkan bahwa nilai p-value pengetahuan, sikap, dan tindakan > 0,05 (di atas 0,05) dengan kata lain nilai tersebut tidak diterima. Sehingga kesimpulan yang didapatkan bahwa tidak adanya hubungan yang signifikan antara pengetahuan, sikap, dan tindakan di pencucian mobil Fit & Go Medan.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN BUANG AIR BESAR SEMBARANGAN (BABS) DI DESA KAMPUNG DALAM KABUPATEN LABUHAN BATU TAHUN 2023 Ginting, Johannes Bastira; -, Hariani; Siagian, Masryna; -, Hartono; Suci, Tri
Jurnal Maternitas Kebidanan Vol. 9 No. 1 (2024): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v9i1.5555

Abstract

Environmental sanitation encompasses housing, sewage disposal, and clean water supply, all crucial to health. A healthy environment sustains the ecosystem, while a poor one leads to sanitation issues and disease spread. The STBM program in Indonesia aims to empower communities to reduce open defecation, though challenges in improving sanitation access persist. This study explores the factors influencing open defecation and provides recommendations for enhancing sanitation and environmental health. The research, conducted in Kampung Dalam Village, Bilah Hulu Sub-district, Labuhan Batu Regency, North Sumatra, began in January 2023. An initial survey found that 96 households lacked healthy latrines. The study used a quantitative cross-sectional design with a sample of 50 households, determined using the Lameshow formula and selected through Simple Random Sampling (SRS). Independent variables included knowledge, attitude, economic status, and facilities (healthy restrooms), while the dependent variable was open defecation behavior. Data collection involved questionnaires and direct interviews with respondents, analyzed using univariate and bivariate methods and the Chi-Square test with a 95% confidence level. The Chi-Square test results showed significant relationships between open defecation behavior and knowledge (p=0.019), attitude (p=0.001), economic status (p=0.009), and facilities (p=0.002) with p-values ≤ 0.05. The study concluded that while knowledge and attitude are linked to open defecation behavior, they do not always directly influence it, suggesting other factors like environment and facilities also play a role. Lower economic status was more often associated with open defecation, and better facilities and access contributed to reduced open defecation behavior.
Hubungan pengetahuan dan motivasi terhadap kepatuhan minum obat anti tuberkulosis pada pasien tuberkulosis di wilayah Kabupaten Dairi Manalu, Irma Afnita Rindu; Wahab, Abdul; Siagian, Masryna; Sibagairang, Eva Ellya
Jurnal Kesmas Prima Indonesia Vol. 7 No. 2 (2023): Edisi Juli
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v7i2.4172

Abstract

Tuberkulosis paru adalah penyakit yang disebabkan oleh Mycobacterium tuberculosis, bakteri aerob yang hidup terutama di paru-paru atau area tubuh lainnya dengan tekanan parsial oksigen yang tinggi. Terjadinya ketidakpatuhan minum obat anti tuberculosis disebabkan oleh kurangnya pengetahuan dan motivasi. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan dan motivasi dengan kepatuhan minum obat anti tuberculosis di wilayah kabupaten Dairi. Jenis penelitian ini menggunakan analitik dengan pendekatan potong lintang terhadap 40 pasien di Puskesmas Sigalingging, Sumbul, Km 11 dan Batang Beruh dengan menggunakan kuesioner untuk memenuhi data dari responden. Data yang diperoleh kemudian diuji dengan analisis univariat kemudian dilanjutkan dengan analisis bivariat dengan uji Chi-Square. Dengan hasil penelitian ini data yang diperoleh dari 40 sampel (laki-laki 24 dan Perempuan 16). Mayoritas tidak patuh minum obat anti tuberkulosis yaitu 32 orang atau 80,0% , dan minoritas yang patuh minum obat anti tuberkulosis yaitu 8 orang atau 20,0% . Dari 40 responden diperoleh 32 (80%) responden dengan pengetahuan dan motivasi yang kurang berarti tidak patuh minum obat anti tuberculosis yaitu 100%. Sedangkan 8 (20%) orang responden yang memilih pengetahuan dan motivasi yang baik semuanya patuh minum obat anti tuberculosis. Dengan hasil yang diperoleh menggunakan rumus Chi-Square dengan nilai p = 0,001 (p < 0,05) yaitu ada hubungan yang signifikan antara pengetahuan dan kepatuhan dengan kepatuhan minum obat anti tuberkulosis dan nilai p=0,021(p<0,05) yaitu ada hubungan yang signifikan antara tingkat motivasi dengan kepatuhan dengan kepatuhan minum obat anti tuberculosis di Wilayah Kabupaten Dairi.
Konsumsi makanan dan status gizi anak balita di Kelurahan Pasar Lahewa Kecamatan Lahewa Kabupaten Nias Utara Telaumbanua, Marnilam; Wahab, Abdul; Siagian, Masryna; Simanjuntak, Mafe Robbi; Pakpahan, Eka Lolita Eliyanti; Simanullang, Andry; Gultom, Dameria
Jurnal Kesmas Prima Indonesia Vol. 8 No. 2 (2024): Edisi Juli
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v8i2.5566

Abstract

Food consumption is one of the direct causes of nutritional status. The Ministry of National Development Planning in 2019 reported that almost half of the population or 45.7 percent of the population is very poor in energy allowances and 36.1 percent of the population is low in protein allowances. Meanwhile, the North Sumatra Provincial Health Office in 2019 presented the results of monitoring nutritional status which showed the three districts with the highest stunted of children under five, namely Gunung Sitoli, West Nias, and Samosir. The districts with the most underweight of children under five are West Nias, Central Tapanuli, and North Nias. The purpose of the study was to determine the relationship between food consumption and the nutritional status of children under five at Pasar Lahewa Village, Lahewa Sub-District, in North Nias District, which was selected purposively. This type of research is descriptive analytic, cross sectional design. The food consumption data of sixty children under five were collected using the 24-Hour Food Recall Method for three non-consecutive days, anthropometric nutritional status with Body Weight Index according to Height or Body Length. The results showed that the largest contribution of energy and protein samples came from rice, powdered milk, chicken, fish, eggs, tofu, tempeh, potatoes, noodles, and biscuits. Most of the samples were categorized as well consumption and normal nutritional status. The Chi-Square test produces a p-value of 0.003 (p<α (0.05) which means Ho is rejected so that it can be stated that there is a relationship between food consumption and the nutritional status of children under five at Pasar Lahewa Village, Lahewa District in North Nias District. The results are expected can be used by the leadership and staff of the Lahewa District Health Center to plan nutrition improvement programs. Similar research needs to be carried out in other villages within the working area of the Lahewa District Health Center, to obtain and enrich data in planning program to improve food consumption and nutritional status of children under five.
Evaluation Of Integrated Antenatal Care Implementation With Cipp Model In The Work Area Irania, Feby; Ginting, Chrismis Novalinda; Siagian, Masryna
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 1 (2022): February 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.496 KB) | DOI: 10.51601/ijhp.v3i1.109

Abstract

Antenatal care is health services which is given by professional health workers to increase the health status of pregnant women and their fetus that doing according to the standard of antenatal care which can detect earlier the deviation and the risk whichmight be occured in pregnancy in order that could be overcomed fast and appropriately. Puskesmas Bagan Batu is not appropriate with standard of antenatal care lack of the knowledge and obedience of midwives, instruments and infrastructure. The purpose of the research was to evaluate the implementation of integrated antenatal care by CIPP model in the work area of Puskesmas Bagan Batu. The research used qualitative method, by in-depth interviews, conducting observation, and document study with 8 informan that consisted of Head of Puskesmas, doctor of program holder KIA, coordinator midwive, 3 midwives in poli KIA, 3rd trimester pregnant women with complete inspection in Puskesmas Bagan Batu, and 3rd trimester pregnant woman with incomplete inspection in Puskesmas Bagan Batu. The result of the research showed that only 2 of the midwives got antenatal care training, instrument and infrastructure can improve more better, midwives had not knowledge and obedience to use the new standard of antenatal care services optimally. So, the process which include the implementation of antenatal care was not according by the standard. The coverage of antenatal care has decreased in the last three years. While coverage of tablet Fe has increased significantly, and the coverage of tetanus toxoid imunization has not increased at all and very far below the standard. It was recommended that public regional of Puskesmas Bagan Batu increase some aspects of input iclude of personal quality, midwives obedience, instrument and infrastructure. And then the aspect of process for the implementation of antenatal care according to the standard to achieve the best result for the quality of antenatal care.
Effectiveness of dragon fruit juice for glycemic control in elderly patients with type 2 diabetes mellitus Sitanggang, Lastriana; Siagian, Masryna; Sibagariang, Eva Ellya
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7811

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a global health challenge with a rising prevalence, particularly among the elderly. Its management requires a holistic approach, including medical nutrition therapy. Red dragon fruit (Hylocereus polyrhizus) is rich in fibre and antioxidants, which may help regulate glucose metabolism. This study aimed to evaluate the efficacy of red dragon fruit juice on reducing random blood glucose levels in elderly patients with T2DM. Methods: A quasi-experimental study with a pretest-posttest control group design was employed. Thirty-two elderly T2DM patients within the working area of Karo District General Hospital were selected via purposive sampling and allocated into an intervention group (n=16) and a control group (n=16). The intervention group consumed 250 ml of red dragon fruit juice once daily for seven consecutive days, while the control group received routine care only. Random blood glucose levels were measured using a glucometer before and after the intervention. Data were analysed using descriptive statistics and the Wilcoxon Signed Ranks Test. Results: At baseline, the mean random blood glucose was 231.88 ± 99.37 mg/dL in the intervention group and 250.31 ± 63.32 mg/dL in the control group. Post-intervention, the intervention group exhibited a significant decrease to 226.25 ± 96.99 mg/dL (p=0.017). Conversely, the control group showed a non-significant increase to 252.75 ± 63.66 mg/dL (p=0.027). Rank analysis indicated that 75% of subjects in the intervention group experienced a decrease in blood glucose, whereas 81.25% of subjects in the control group experienced an increase. Conclusion: The administration of 250 ml of red dragon fruit juice daily for seven days was effective as an adjuvant therapy in reducing random blood glucose levels in elderly patients with Type 2 Diabetes Mellitus. Red dragon fruit may be considered a safe and affordable complementary nutritional intervention for T2DM management in the elderly population.
Factors associated with clean and healthy living behavior among elementary school students Santri, Evi; Siagian, Masryna; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i1.8086

Abstract

Background: Clean and Healthy Living Behavior (PHBS) in schools is a government program implemented through community health centers to improve public health status. Elementary school-aged children are a vulnerable group for various diseases associated with PHBS. This study aimed to identify factors associated with PHBS among students at public elementary schools in Banda Aceh City. Methods: A quantitative study with a cross-sectional design was conducted from November 2023 to January 2024. The population comprised 192 students, with a sample of 85 fourth and fifth grade students selected through purposive sampling. Data were collected using questionnaires and checklists and analyzed using the Chi-Square test. Results: Results showed that most respondents were male (51.8%) and aged 5-11 years (61.2%). More than half of respondents (56.5%) demonstrated poor PHBS, 65.9% had low knowledge levels, 45.9% reported unavailable PHBS facilities and infrastructure, and 60.0% perceived teacher roles as poor. Bivariate analysis revealed significant associations between knowledge level (p=0.024) and availability of facilities and infrastructure (p=0.004) with PHBS; however, no significant association was found between teacher role and PHBS (p=0.562). Conclusion: In conclusion, knowledge level and availability of facilities and infrastructure were significantly associated with PHBS among public elementary school students in Banda Aceh City. It is recommended that community health centers conduct regular PHBS education in schools and that schools complete necessary facilities while strengthening supervision of student PHBS implementation.
Co-Authors -, Hariani Abdul Wahab Aminuyati Andy William Artiani, Litri Asmadinah, Nur Bangun, Andreas Xaverio Buenita, Buenita Butar-Butar, Emely Thania Damanik, Anggi Oktavia Deseva, Frisca Gemmi Edlin, Edlin Ferendina, Imelda Fibrini, Dewi Fransisca, Wennie Ginting, Anandestra Ginting, Chrismis Novalinda Ginting, Rafael Ginting, Tarianna Gultom, Dameria Hakim, Mia Amara Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hartono Hasim, Bryan Julio Hutagalung, Cantika Viona Adytia Hutapea, Yovanna Febryanti Irania, Feby Janas, Dhyta Nurhasanah Johannes Bastira Ginting Karen, Yulia Kurniawan, Muhammad Aditya Lefiana, Dilla Lister, Gilbert Lolenstine, Cherin Lumbantobing, Christina JRE. Manalu, Irma Afnita Rindu Manalu, Madeline Elisa Patricia Manihuruk, Gresika Br Saragih Marlinang, Putri Marpaung, Jelentika Martono Martono Milka Rositi Sianipar Nadapdap, Marshall Jeremia Olidya, Desyoma Pakpahan, Eka Lolita Eliyanti Pane, Putri Yunita Panjaitan, Andrean Kristianto Panjaitan, Hajijah I. L. Panjaitan, Nia Adinda Marselina Pasaribu, Tulus Perdani, Mustika Lili Perry Boy Chandra Siahaan Purba, Sarah Putri Uli Endrianda Br Putranto Manalu Putri, Disti Amanda Putri, Eka Nabila Rapael Ginting Riani Riani, Riani Ripta, Fadilla Rizki, Kartika Sari Samosir, Frans Judea Santri, Evi Santy Deasy Siregar Siahaan, Marlina Elpiani Siahaan, Prestony Petra Habinsaran Sibagairang, Eva Ellya Sibagariang, Eva Ellya Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simanjuntak, Mafe Robbi Simanullang, Andry Sinaga, Poppy Shela Sinurat, Yohana Trisintya Siregar, Ryskina Fatimah Sitanggang, Lastriana Suci, Tri Suvina, Vivi Syahputri, Ratu Julia Tambunan, Ester Theresia Tambunan, Sayulita Lestari Br Tampubolon, Jenni Tampubolon, Roy's Grace Tanamal, Claudia Telaumbanua, Marnilam Victor Trismanjaya Hulu Wardani, Diah Sukma Wari, Sindi Laras Waruwu, Fransiska Lalania Wau, Herbert Wicaksana, Praja Dwi Widya Yanti Sihotang Yulizal, Ok Zendrato, Victorwan Novri