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Pemanfaatan Terapi Aquaponik Sebagai Strategi Peningkatan Kesehatan dan Gizi Lansia Ramdika, Sari Bema; Ningsih, Windi Indah Fajar; Prautami, Erike Septa
JPM: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025): October 2025
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/jpm.v6i2.2674

Abstract

The increase in life expectancy in Indonesia has resulted in a growing elderly population (older adults) who face various health, nutritional, and psychosocial challenges, particularly those living in social care institutions. One alternative approach to address these issues is aquaponic therapy, an integrated system of fish farming and hydroponic cultivation that serves not only as a source of nutritious food but also as an environmental therapy medium. This community service program aimed to improve the knowledge, skills, and quality of life of the elderly through aquaponic training and aquaponic therapy at Boarding Care Noor Fatimah, Palembang. The program consisted of two main stages: (1) aquaponic training, including the delivery of basic concepts and hands-on practice in preparing planting media, cultivating water spinach seedlings, and stocking fish fry; and (2) aquaponic therapy, which involved simple activities such as feeding fish, watering plants, harvesting vegetables, and participating in motivational sessions guided by a psychologist. Evaluation was conducted qualitatively through observation and interviews to assess the participation, enthusiasm, and perceptions of both elderly participants and caregivers. The findings indicate that aquaponics training effectively enhanced older adults’ comprehension of the fundamental principles and benefits of the system. Participants demonstrated greater awareness of the importance of maintaining health through healthier dietary practices derived from aquaponic produce. Moreover, aquaponics therapy promoted engagement in light physical activities and nurtured a sense of responsibility in caring for both plants and fish. From an emotional perspective, participants reported increased levels of happiness, satisfaction, and pride, particularly when sharing and consuming the harvest collectively. The main challenges identified were memory limitations and physical constraints of the elderly, as well as limited caregiver availability, which highlighted the need for capacity-building and simplified maintenance systems. Overall, the program not only provided educational and psychosocial benefits but also demonstrated potential to strengthen food security and institutional independence in a sustainable manner.
Korelasi antara asupan cairan, kalium, natrium dengan interdialytic weight gain pada pasien hemodialisis rutin Nabilah, Defa Nuzul; Ningsih, Windi Indah Fajar; Flora, Rostika; Ramdika, Sari Bema
Jurnal Gizi Klinik Indonesia Vol 21, No 3 (2025): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.93336

Abstract

Correlation between fluid intake, potassium, sodium, and interdialytic weight gain (IDWG) in routine hemodialysis patientsBackground: Chronic kidney failure patients undergo hemodialysis regularly to help kidney function. One of the problems that often occurs in patients with chronic kidney failure when undergoing hemodialysis is an increase in interdialytic weight gain (IDWG).Objective: This study aims to determine the correlation between fluid, potassium, and sodium intake with IDWG in hemodialysis patients at RSUP Dr. Mohammad Husein Palembang.Method: This study employs a quantitative approach with a cross-sectional design. The sampling technique used was purposive sampling, resulting in 62 respondents who met the inclusion and exclusion criteria. The data collected included the characteristics of the respondents, as assessed through a questionnaire. Additionally, data on fluid, potassium, and sodium intake were collected using a 2x24-hour food recall form. Body weight data were measured before and after hemodialysis using digital scales. Bivariate analysis was carried out using the Spearman correlation test.Results: There was a significant correlation between fluid intake (p-value = 0.022) and sodium intake (p-value = 0.049) with IDWG, with a positive correlation direction, indicating a relationship in the same direction. The correlation was sufficient for fluids with IDWG, but weaker for sodium with IDWG. There was no relationship between potassium intake (p-value = 0.062) and IDWG.Conclusions: The unexpected increase in IDWG in hemodialysis patients is related to fluid and sodium intake; therefore, the higher the sodium and fluid intake, the greater the increase in IDWG.
Pelatihan Pembuatan Penyedap Rasa dan Kerupuk melalui Pemanfaatan Limbah Kulit Udang dalam Upaya Peningkatan Ketahanan Pangan Keluarga Flora, Rostika; Ningsih, Windi Indah Fajar; Yuliana, Indah; Ramdika, Sari Bema; Sari, Dwi Inda; Indahsari, Siti Rachmi; Suhendra, Ahmad Adi; Irawan, Purna
Prima Abdika: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2024): Volume 4 Nomor 3 Tahun 2024
Publisher : Program Studi Pendidikan Guru Sekolah Dasar Universitas Flores Ende

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37478/abdika.v4i3.4668

Abstract

Shrimp shells are not just waste but has many health and economic benefits. Shrimp is a marine product that is widely produced in Dusun Sembilang Banyuasin, but the people there do not know yet how to utilize and manage shrimp waste so that shrimp shells only become waste, pollute the environment and can cause disease. Therefore, it is necessary to transfer information regarding the utilization of shrimp shell waste. The method used in this community service is to provide training in the utilization of shrimp shell waste into flavorings and crackers with a target of 25 mothers. The purpose of this activity is so that shrimp shell waste can become a product that can be sold and become income for families so that it can increase family food security. This activity was part of the Kedaireka activity with partner PT Pertamina RU III which was carried out in July 2024 in Dusun Sembilang Banyuasin. The results of this activity were that the mothers were very enthusiastic in practicing making shrimp shells into flavorings and crackers. The flavoring from shrimp shells and shrimp shell crackers have a savory taste. Evaluation of this activity requires applied technology in drying shrimp skin and crackers because conventional drying (with the sun) is very dependent on the weather.
Pelatihan pengolahan PMT Puding Tinggi Protein pada kader Posyandu sebagai upaya pencegahan balita gizi kurang di Kelurahan Plaju Ningsih, Windi Indah Fajar; Ramdika, Sari Bema; Harwanto, Fatria; Kurniati, Ardesy Melizah
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 6 No 3 (2025): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V6I3.189

Abstract

The implementation of posyandu activities cannot be separated from the role of cadres. One of the cadres' tasks is to manage the provision of PMT for toddlers participating in posyandu. Plaju is included in the 10 areas with the highest population density in Palembang City with problems of malnutrition and stunting still being found. Proper provision of PMT can improve the nutritional status of toddlers in order to achieve optimal growth and development in toddlers. The problems in providing PMT are the nutritional content that is not yet dense in nutrition, lack of variety and boredom in the PMT menu. Therefore, it is necessary to provide assistance to cadres to be able to process PMT that is more varied, high in protein and appropriate and tastes that toddlers like, such as pudding. This community service activity was carried out on 25 cadres from 5 posyandus in Plaju involving 4 lecturers and 8 students. the activity was carried out in September 2024. The success of the activity will be evaluated through the results of the pretest and posttest. The level of cadre knowledge regarding high-protein PMT and the cadre's ability to process high-protein PMT through a high-protein pudding creation competition
Hubungan Asupan Energi dengan Status Gizi Pasien Hemodialisis Chronic Kidney Disease di RS Mohammad Hoesin Palembang: The Relationship between Energy Intake and Nutritional Status of Hemodialysis Patients with Chronic Kidney Disease at Mohammad Hoesin Hospital Lestari, Bunga Familya Citra Ayu; Ramadhani, Ira Dewi; Arinda , Ditia Fitri; Ramdika, Sari Bema
Jurnal Ilmu Gizi dan Dietetik Vol 4 No 4 (2025)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jigd.2025.4.4.305-311

Abstract

Chronic Kidney Disease (CKD) merupakan salah satu jenis penyakit degeneratif utama di Indonesia dengan tingkat mortalitas yang cukup tinggi. Faktor penting untuk mencegah keparahan penyakit pasien CKD adalah dengan menjaga status gizi melalui asupan energi yang sesuai. Penelitian ini bertujuan untuk menganalisis hubungan antara asupan energi dengan status gizi pasien CKD yang menjalani terapi hemodialisis di RS Mohammad Hoesin Palembang. Desain yang digunakan yaitu cross-sectional dengan teknik purposive sampling. Responden terdiri dari 66 pasien CKD rawat jalan yang menjalani hemodialisis. Hasil menunjukkan bahwa mayoritas responden memiliki status gizi normal (66,7%), tetapi sebagian besar memiliki asupan energi yang kurang (72,7%) dan asupan protein (63,6%). Analisis bivariat menunjukkan adanya hubungan signifikan antara asupan energi dengan status gizi pasien CKD dengan hemodialisis (p<0,05). Pemantauan status gizi rutin dan pengaturan pola makan yang tepat sangat diperlukan untuk meningkatkan status gizi pasien CKD.
Factors causing increased interdialytic weight gain in chronic kidney disease patients followed by hemodialysis Qurrota A’yun, Ayatussholikhah; Ningsih, Windi Indah Fajar; Utama, Feranita; Ramdika, Sari Bema
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 6, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(6).426-435

Abstract

Latar Belakang: Gagal ginjal kronis bersifat irreversible akibat kerusakan baik strukur maupun fungsinya yang berlangsung tiga bulan atau lebih. Salah satu terapi penunjang pada pasien gagal ginjal kronis adalah hemodialisa. Permasalah yang sering muncul pada pasein hemodialisa adalah kenaikan berat badan di antara dua waktu dialisis atau Interdialytic Weight Gain (IDWG) yang berlebih dan akan memiliki dampak pada kualitas Kesehatan pasien.Tujuan: Mengetahui faktor internal dan eksteral yang dapat menyebabkan IDWG. Faktor internal yaitu meliputi usia, jenis kelamin, tingkat stress, rasa haus, dan riwayat pendidikan. Faktor eksternal yaitu dukungan keluarga, jumlah asupan cairan, lama telah menjalankan hemodialisa, asupan energi, dan asupan protein. Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan desain cross sectional. sebanyak 57 sampel yang dipilih secara purposive sampling menyetujui ikut serta dalam penelitian. Uji statistik dilakukan dengan chi square.Hasil: Hasil menunjukkan mayoritas responden dewasa (75,4%), perempuan (59,6%), stress ringan (61,4%), rasa haus sedang (40,4%), riwayat pendidikan rendah (73,7%), asupan cairan lebih (59,6%), dukungan keluarga yang baik (49,1%), hemodialisa <12 bulan (66,7%), asupan energi tidak sesuai (82,5%), asupan protein tidak sesuai (89,5%). Hasil dari uji statistik didapatkan tidak ada hubungan antara usia (p = 0,827), jenis kelamin (p = 0,925), riwayat pendidikan (p = 1,000), lama telah menjalankan hemodialisa (p = 0,343), asupan energi (p = 1,000), dan asupan protein (p = 1,000) dengan IDWG. Namun, terdapat hubungan signifikan antara tingkat stress (p = 0,027), rasa haus (p = 0,027), asupan cairan (p = 0,014), dukungan keluarga (p = 0,038) dengan IDWG pada pasien gagal ginjal kronis dengan hemodialisa di RSUP. Dr. Mohammad Hoesin Palembang.Kesimpulan: Faktor yang berhubungan dengan IDWG adalah stress, rasa haus, asupan cairan dan dukungan keluarga. Faktor yang tidak berhubungan dengan kejadian IDWG adalah usia, jenis kelamin, riwayat pendidikan, lama telah menjalankan hemodialisa, asupan energi dan asupan protein.  KATA KUNCI: interdialytic weight gain; hemodialisa; faktor penyebab ABSTRACTBackground: Chronic kidney failure is irreversible due to damage to both its structure and function that lasts three months or more. One of the supporting therapies for patients with chronic kidney failure is hemodialysis. A problem that often arises in hemodialysis patients is excessive weight gain between two times of dialysis or Interdialytic Weight Gain (IDWG) which will have an impact on the quality of the patient's health.Objectives: To determine the factors that cause an increase in IDWG consisting of internal and external factors. Internal factors are age, sex, stress, thirst, and education history. External factors are family support, fluid intake, duration of hemodialysis, energy intake, and protein intake.Methods: This research was a descriptive analytical study with a cross sectional design. A total of 57 samples selected by purposive sampling agreed to take part in the research. Statistical tests were carried out using chi square.Results: The results showed that the majority of respondents were adults (75.4%), female (59.6%), mild stress (61.4%), moderate thirst (40.4%), low education (73.7%), higher fluid intake (59.6%), family support (49.1%), hemodialysis <12 months (66.7%), inadequate energy intake (82,5%), inadequate protein intake (89,5%). The results of statistical tests found no relationship between age (p = 0.827), sex (p = 0.925), education history (p = 1,000), time on hemodialysis (p = 0.343), energy intake (p = 1,000), and protein intake (p = 1.000) with IDWG. However, there were a significant relationship between stress level (p = 0.027), thirst (p = 0.027), fluid intake (p = 0.014), family support (p = 0.038) with IDWG in chronic kidney disease patients with hemodialysis at RSUP. Dr. Mohammad Hoesin Palembang.Conclusions: Factors associated with IDWG were level, thirst, fluid intake and family support. Factors that were not associated with the incidence of IDWG were age, gender, education history, length of hemodialysis, energy intake and protein intake. KEYWORDS: interdialytic weight gain; chronic kidney disease; hemodialysis; factors causingReceived: Nov 22, 2024; Revised: Nov 12 2024; Accepted: Nov 20, 2024; Available online: Nov 30, 2024; Published: Nov 30, 2024.
Viscosity and energy density tests on suction pudding formulations as an intervention for hypoalbuminemia Delima, Cyntia; Ningsih, Windi Indah Fajar; Rahmiwati, Anita; Syafutri, Merynda Indriyani; Harwanto, Fatria; Ramdika, Sari Bema
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 4, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(4).260-267

Abstract

ABSTRAKLatar Belakang: Hipoalbuminemia adalah kondisi rendahnya kadar albumin di dalam tubuh (serum< 3,5 g/dL) karena tubuh tidak cukup memproduksi protein albumin atau ketika tubuh kehilangan banyak albumin dalam tinja dan urin. Hipoalbuminemia dapat diintervensi dengan makanan tinggi protein. Putih telur, susu skim dan ikan gabus dapat diolah menjadi makanan selingan berupa pudding sebagai intervensi gizi untuk penderita hipoalbuminemia. Viskositas dan densitas energi menjadi parameter penilaian mutu fisik dan kimia pada produk yang dihasilkan.Tujuan: Untuk mengetahui pengaruh penambahan ikan gabus, susu skim dan putih telur terhadap viskositas dan densitas energi pada puding sedot.Metode: Penelitian eksperimen pembuatan puding sedot dengan empat formula. Perbandingan ikan gabus, putih telur dan susu skim yang berbeda, yaitu formulasi A (6.94%: 6.94%: 6.94%), formulasi B (10.41% : 0%: 10.41%), formulasi C (0%: 10.41%: 10.41%), dan formulasi D (10.41%: 10.41%:0%). Analisis viskositas enggunakan viskometer Brookfield NDJ-8S dan metode yang digunakan untuk pengujian analisis lemak adalah pendekatan gravimetri, metode Kjeldahl untuk penentuan protein, dan metode perbedaan untuk mengevaluasi kandungan karbohidrat. Nilai densitas energi puding sedot didapatkan dari hasil perbandingan antara kandungan energi dan berat pudding sedot. Nilai densitas energi puding sedot didapatkan dari hasil perbandingan antara kandungan energi dan berat pudding sedot. Data yang didapat dianalisis secara bivariat menggunakan uji one way ANOVA dengan uji lanjut DMRT. Hasil: Formulasi A, B, C dan D dibedakan berdasarkan perbandingan kandungan ikan gabus, putih telur dan susu skim. Formulasi A (ikan gabus 6.94%: putih telur 6.94%: susu skim 6.94%), formulasi B (ikan gabus 10.41% : putih telur 0%: susu skim 10.41%), formulasi C (ikan gabus 0%: putih telur 10.41%: susu skim 10.41%), dan formulasi D (ikan gabus 10.41%: putih telur 10.41%: susu skim 0%). Hasil uji viskositas formulasi A, B, C dan D dalam kategori viskositas tinggi. Tidak ada perbedaan nyata nilai viskositas antara formulasi A, B, C dan D (p-value=0.346). Hasil densitas energi formulasi A, B, dan C dalam kategori densitas energi rendah sedangkan formulasi D sangat rendah. Ada perbedaan nyata densitas energi antara formulasi A, B, C dan D (p-value=0.000). Kesimpulan: Perbedaan perbandingan putih telur, susu  skim dan ikan gabus tidak memengaruhi viskositas pudding sedot, namun memiliki pengaruh terhadap densitas energi. Semakin besar kandungan energi pada bahan utama maka akan semakin besar densitas energi puding sedot.  KATA KUNCI:  albumin; ikan gabus; pudding; putih telur; susu skim bubuk ABSTRACTBackground: Hypoalbuminemia is a condition of low albumin levels in the body (serum <3.5 g/dL) because the body does not produce enough of albumin protein or when the body loses a lot of albumin in faeces and urine. Hypoalbuminemia can be treated with high protein foods. Egg whites, skim milk and snakehead can be processed into a snack such as pudding as a nutritional intervention for hypoalbuminemia. Viscosity and energy density are parameters used to assess food’s physical and chemical quality.Objectives: to determine the effect of adding snakehead fish, skim milk, and egg whites on the viscosity and energy density of sucked pudding. Methods: This is experimental research using four formulas. The ratio of snakehead fish, egg whites, and skim milk is different. Formulation A (6.94%: 6.94%: 6.94%), formulation B (10.41%: 0%: 10.41%), formulation C (0%: 10.41%: 10.41%), and formulation D (10.41%: 10.41%:0%). The viscosity analysis used a Brookfield NDJ-8S viscometer and the methods used for fat analysis testing were the gravimetric approach, the Kjeldahl method for protein determination, and the difference method to evaluate carbohydrate content. The energy density value of sucked pudding was obtained from the comparison between energy content and weight of sucked pudding. The data obtained were analyzed bivariately using the one-way ANOVA followed by the DMRT for further testing.Results: Formulations A, B, C and D were differentiated based on the ratio of snakehead fish, egg whites and skim milk. Formulation A (snakehead fish 6.94% : egg white 6.94%: skim milk 6.94%), formulation B (snakehead fish 10.41%: egg white 0%: skim milk 10.41%), formulation C (snakehead fish 0%: egg white 10.41% : 10.41% skim milk), and formulation D (snakehead fish 10.41% : egg white 10.41% : skim milk 0%). The viscosity test results of formulations A, B, C and D are in the high viscosity category. There was no difference in viscosity values between formulations A, B, C, and D (p-value=0.346). The results of energy density of formulations A, B, and C are in the low energy density category while formulation D is very low. There is a significant difference in energy density between formulations A, B, C and D (p-value=0.000). Conclusions: Egg white, skim milk and snakehead fish do not affect the viscosity test but affect the energy density. The greater the energy content of the main ingredients, the greater the energy density of the suction pudding.KEYWORD: albumin; egg whites; pudding; skim milk; snakehead fish 
Edukasi dan Pelatihan Pengolahan Makanan Selingan Tinggi Protein kepada Ibu Balita sebagai Upaya Pencegahan Stunting Ramdika, Sari Bema; Ramadhani, Ira Dewi; Sari, Desri Maulina
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.404

Abstract

Masalah kesehatan yang terjadi pada balita salah satunya adalah stunting. Penyebab kejadian stunting adalah ketidakseimbangan asupan gizi dalam 1000 hari pertama kehidupan. Protein hewani berperan dalam pencegahan stunting, yang merupakan salah satu zat gizi utama yang berperan dalam proses tumbuh kembang anak balita. Pemberian makanan selingan tinggi protein menjadi alternatif yang bertujuan untuk menambah asupan protein untuk balita sehingga dapat mempercepat pertumbuhan balita. Kegiatan ini bertujuan untuk memberdayakan ibu balita dalam pencegahan stunting melalui edukasi dan pelatihan pengolahan makanan selingan tinggi protein. Kegiatan dilakukan di Kelurahan Plaju Ulu, Palembang, pada bulan Agustus dan Oktober. Rangkaian kegiatan yang dilakukan adalah penyuluhan, emo demo dan pelatihan pengolahan makanan selingan tinggi protein. Pengetahuan diukur dengan menggunakan kuesioner dan antusiasme ibu terhadap pelatihan yang diberikan diukur melalui observasi. Hasil dari kegiatan ini adalah adanya peningkatan pengetahuan ibu balita terkait makanan selingan tinggi protein setelah dilakukan emo demo, dengan nilai rata-rata sebelum diberikan edukasi 7,7 menjadi 8,58 setelah diberikan edukasi melalui emo demo. Adanya peningkatan pengetahuan ibu penyuluhan terkait makanan selingan dengan rata-rata skor 7,58 sebelum diberikan penyuluhan menjadi 8,52 setelah diberikan penyuluhan. Ada perbedaan skor rata-rata pengetahuan ibu sebelum diberikan edukasi melalui emo demo dan penyuluhan dengan p-value 0,006 dan 0,020 (p-value < 0,005) serta ibu balita antusias mengikuti pelatihan pengolahan makanan tinggi protein. Kesimpulan dari kegiatan ini adalah pemberian edukasi dan pelatihan terkait makanan selingan tinggi protein dapat meningkatkan pengetahuan dan antusiasme ibu untuk mengolah makanan selingan tinggi protein. Kegiatan ini dapat diintegrasikan ke dalam program Posyandu dan layanan kesehatan di Puskesmas, sehingga menjadi bagian dari intervensi pencegahan stunting yang lebih luas.