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Hubungan Konsumsi Makanan Tinggi Purin dengan Penyakit Asam Urat Harto, Toto; Riandika, Wahyu; Septiani, Eichi
Lentera Perawat Vol. 4 No. 1 (2023): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v4i1.206

Secara alamiah, asam urat merupakan senyawa yang diproduksi oleh tubuh untuk mengurai purin. Namun, terkadang tubuh dapat menghasilkan terlalu banyak asam urat atau ginjal mengalami gangguan. Tujuan penelitian adalah diketahuinya hubungan konsumsi mengandung tinggi purin dengan penyakit asam urat di Desa Air Paoh Kabupaten OKU. Penelitian ini termasuk penelitian yang menggunakan metode kuantitatif dengan pendekatan Cross Sectional dan jumlah sampel 50 orang. Hasil analisis di ketahui bahwa dari 50 responden didapatkan bahwa responden yang sering mengkonsumsi tinggi purin dengan kadar asam urat tinggi sebanyak 22 (64,7%) responden dan responden yang jarang konsumsi tinggi purin dengan kadar asam urat terkontrol sebanyak 16 (100,0%) resonden. Hasil uji Chi Square di dapatkan p-Value 0,000 artinya terdapat hubungan yang bermakna antara konsumsi mengandung tinggi purin dengan penyakit asam urat di Desa Air Paoh Kabupaten OKU. Kesimpulan: Pengaturan konsumsi rendah purin dapat dilakukan dengan membatasi makanan tinggi purin, mengurangi makanan tinggi lemak, mempertahankan berat badan ideal, olah raga secara teratur, minum air putih yang cukup setiap hari, dan tidur yang cukup.

Relationship Between Physical Activity and Body Mass Index with Uric Acid Levels in The Community Harto, Toto; Roni Ferdi; Yudi Budianto; Keken Ariyanto; Ruch, Orokwowy; Alre, Lenchi
Lentera Perawat Vol. 5 No. 2 (2024): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v5i2.392

Physical activity is related to uric acid levels in the blood, and an increase in body mass index (BMI) is associated with an increase in uric acid levels due to increased triglyceride synthesis in the liver associated with increased purine synthesis by new routes, thereby accelerating uric acid production. The results of Riskesdas in 2018 showed the number of joint diseases from the weighted average results in Ogan Komering Ulu Regency was 1,040. This study aims to determine whether there is a relationship between BMI, physical activity, and uric acid levels in the community in Sukaraya Village, East Baturaja District, Ogan Komering Ulu Regency in 2023. This study used an accidental sampling method with a cross-sectional approach and involved 67 respondents with criteria aged between 26 and 45 years, living in Sukaraya Village, being able to read and communicate well, and being willing to be respondents, while the exclusion criteria in this study were not willing to be respondents and could not communicate, and willing to be a respondent, while the exclusion criteria in this study are not willing to be a respondent and cannot be communicated with. The instruments used were the International Physical Activity Quitioner (IPAQ) questionnaire to measure physical activity, scales to measure body weight and height, and uric acid sticks and digital devices (easytouch) to measure uric acid levels. Data were processed using SPSS and chi-square analysis to determine the relationship between the independent variable and the dependent variable. The results of chi-square data analysis showed a relationship between physical activity and uric acid levels (p-value 0.005) and a relationship between BMI and uric acid levels (p-value 0.000). Physical activity and BMI index correlate with uric acid levels in residents in Sukaraya Village, East Baturaja District, Ogan Komering Ulu Regency. It is necessary to increase knowledge about joint health for the community by providing counseling on joint health and also holding activities such as gymnastics so that physical activity and body mass index can be controlled so as to reduce the risk of high uric acid levels.

Pengaruh Teknik Afirmasi Terhadap Tingkat Cemas Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Indra Frana Jaya KK; Akbar, M Agung; Harto, Toto
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 8 No. 2 (2023): Cendekia Medika : Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v8i2.255

Penyakit Gagal Ginjal Kronik ini biasanya ditandai dengan adanya penurunan fungsi ginjal bahkan hilangnya fungsi ginjal dalam waktu yang lama. Pasien GGK menjalani terapi Hemodialisis 1-2 kali setiap minggunya dan menghabiskan waktu beberapa jam akan membuat mereka mengalami ketegangan dan Cemas. Afirmasi merupakan salah satu terapi yang bisa digunakan untuk menurunkan tingkat Cemas kerja perawat. Penelitian ini bertujuan untuk mengetahuiPengaruh Teknik Afirmasi Terhadap Tingkat CemasPada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis. Metode penelitian ini menggunakan quasi-eksperimen dengan pre dan post test. Analisa data yang digunakan uji t-Test. Teknik pengambilan sampel pada penelitian ini adalah total sampling, jumlah sampel pada penelitian ini 50 responden, penelitian dilakukan dengan cara memberikan kuisioner HARS dengan menggunakan 14 item pertanyaan sebelum dan sesudah di Intervensi dengan teknik Afirmasi. Hasil uji statistik di dapatkan p-value=0,000 yang berarti terdapat perbedaan tingkat cemas sebelum dan sesudah intervensi teknik Afirmasi.

Student behavior toward the implementation of smoke-free area policy in health higher education institutions: A descriptive study Oktavia, Lina; Harto, Toto
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.523

Background Smoke-Free Area (SFA) policies are an essential public health intervention aimed at reducing tobacco exposure and promoting a healthy environment, particularly in higher education institutions. However, compliance remains a challenge, even in health-focused universities where students are expected to model healthy behavior. Objective This study aims to analyze student behavior toward the implementation of the Smoke-Free Area (SFA) policy in a health higher education institution. Methods A descriptive quantitative study was conducted among 32 male students at STIKes Al-Maarif Baturaja using a total sampling technique. A structured questionnaire was used to assess students’ knowledge, attitude, and practice regarding the SFA policy. Data were analyzed using univariate descriptive statistics. Results The findings revealed that while most students demonstrated a positive attitude toward the SFA policy (62.5%), only 28.1% had good knowledge and 18.8% showed favorable practices. The majority exhibited moderate levels of knowledge (37.5%) and practice (50%), with 34.4% showing poor knowledge and 31.2% demonstrating poor adherence in practice. Students were aware of the health risks of smoking and supported policy enforcement, but lacked sufficient knowledge of policy implementation and institutional mechanisms. Conclusion There is a notable gap between students' positive attitudes and their actual practices and knowledge regarding the SFA policy. This misalignment indicates that students are not yet fully engaged as active change agents in promoting a smoke-free campus. It is crucial for institutions to strengthen educational efforts, provide clear policy communication, and engage students in policy enforcement mechanisms. Integrating SFA values into academic and extracurricular activities may foster better awareness and behavioral alignment among health students.

Prevalence of Low Back Pain and Associated Risk Factors among Nursing and Midwifery Students in Indonesia: A Cross-Sectional Study Harto, Toto; Ferdi, Roni; Akbar, M. Agung
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.454

Low Back Pain (LBP) commonly affects health science students due to academic and clinical demands, yet remains underreported and insufficiently addressed in educational settings. This study aims to analyze the risk factors associated with low back pain complaints among nursing and midwifery students. A cross-sectional study was conducted involving 126 students from the School of Health Science Al-Ma’arif Baturaja. Total sampling was used. Data were collected using validated questionnaires assessing sitting duration, sitting posture, body mass index (BMI), gender, and physical activity. Data analysis included univariate and bivariate tests. The prevalence of LBP complaints among students was 66.7%. Bivariate analysis showed that BMI (p = 0.029), sitting duration (p = 0.008), and sitting posture (p = 0.003) were significantly associated with LBP. In contrast, gender (p = 0.183) and physical activity (p = 0.117) were not significantly related. Modifiable risk factors such as abnormal BMI, prolonged sitting, and non-ergonomic posture contribute significantly to LBP among students. Gender and activity level were not major predictors in this study. Educational institutions should integrate ergonomic education and preventive health programs into nursing and midwifery curricula to mitigate LBP risks. Early intervention strategies focusing on behavior and posture may enhance student well-being and academic performance.

ANALISIS HUBUNGAN SANITASI DASAR DENGAN ANGKA KEPADATAN LALAT PADA WARUNG MAKAN DI PASAR ATAS BATURAJA TAHUN 2021 Novitry, Fera; Lilia, Deli; Harto, Toto
Journal Safety and Healthty Vol 1 No 2 (2024): Journal Of Safety and Health
Publisher : Program Studi Magister Kesehatan Masyarakat, Universitas Kader Bangsa Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.965 KB)

Lalat merupakan salah satu insekta (serangga) yang termasuk ordodipthera yaitu insekta yang mempunyai sepasang sayap yang berbentuk membran, dan termasuk golongan Clyptrata muscodiae bagian dari superfamily muscodiae.Semua bagian tubuh lalat bisa berperan sebagai alat penular penyakit (badan, bulu pada tangan dan kaki, feces, dan muntahannya). Sanitasi lingkungan merupakan langkah awal yang sangat penting dalam usaha menanggulangi berkembangnya populasi lalat baik dalam lingkungan peternakan maupun pemukiman. Pasar Atas Baturaja merupakan Pasar terbesar di Kota Baturaja yang di dalamnya terdapat banyak warung makan. umumnya warung makan di Pasar Atas sebagian besar masih belum mengerti betul prihal hygiene sanitasi yang erat hubunganya dengan kesehatan. Jenis Penelitian ini adalah penelitian Cross Sectional, Populasi meliputi semua warung makan yang ada di Pasar Atas Baturaja yang berjumlah 36 warung makan. Besar sampel yaitu 36 sampel. Uji statistik yang digunakan adalah uji chi square. Hasil penelitian menunjukkan tidak ada hubungan yang bermakna antara air bersih dengan angka kepadatan lalat dengan p value 0,575 , ada hubungan yang bermakna antara tempat sampah dengan angka kepadatan lalat dengan p value 0,03 ,ada hubungan yang bermakna antara tempat mencuci perlatan dengan angka kepadatan lalat dengan p value 0,003, ada hubungan yang bermakna antara tempat penyimpanan makanan dengan angka kepadatan lalat dengan p value 0,008, ada hubungan yang bermakna antara penyajian makanan dengan angka kepadatan lalat dengan p value 0,029, ada hubungan yang bermakna antara lokasi warung makan dengan angka kepadatan lalat dengan p value 0,008. Saran yang dapat diajukan dalam penelitian ini adalah pemilik warung makan, petugas pasar dan petugas kesehatan diharapkan lebih memperhatikan sanitasi warung makan agar terhidar dari vektor penyakit seperti lalat.

The Risk Quotient of Sulfide Hydrogen toward Lung Vital Capacity of People Living Around Landfill Area Zulkarnain, Mohammad; Flora, Rostika; Novrikasari, Novrikasari; Harto, Toto; Apriani, Dwi; Adela, Novita
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Sampah merupakan salah satu penyebab terjadinya polusi udara di Kota Palembang. Setiap hari terjadi peningkatan volume sampah yang harus diolah, sedangkan kondisi pelayanan pengelolaan sampah baru mencapai sekitar 70% dari total sampah secara keseluruhan. Pengolahan sampah yang dilakukan menggunakan sistem open dumping berdampak terhadap peningkatan terjadinya polusi udara. Gas hidrogen sulfida (H2S) yang diperoleh dari proses penguraian senyawa organik oleh bakteri anaerob pada tumpukan sampah dapat mengganggu kesehatan, terutama sistem pernapasan. Penelitian ini bertujuan untuk menganalisis hubungan antara karakteristik (usia, jenis kelamin, status gizi, merokok, dan jarak tempat tinggal) dan besaran risiko konsentrasi H2S udara ambien terhadap kapasitas vital paru penduduk di sekitar tempat pembuangan akhir (TPA) sampah. Penelitian ini menggunakan desain potong lintang dengan sampel 78 orang penduduk yang berada di sekitar TPA. Analisis data menggunakan uji regresi logistik ganda. Hasil menunjukkan nilai status gizi (nilai p = 0,022, OR = 12,085) dan RQ (nilai p = 0,016; OR = 7,547) berhubungan secara signifikan terhadap kapasitas vital paru penduduk yang berada di sekitar TPA. Penduduk yang berada di sekitar TPA dengan nilai status gizi buruk dan nilai RQ lebih rendah dari median berpotensi mengalami gangguan kapasitas vital paru. Variabel dominan yang secara signifikan memengaruhi kapasitas vital paru penduduk yang berada di sekitar TPA sampah Sukawintan adalah status gizi. Waste is one of factors causing air pollution in Palembang City. Volume of waste that should be processed increases every day, while condition of waste management service is still 70% of the total volume. The waste processing is managed by using open dumping system, which affects on the increase of air pollution. One of gases that exist as effect of the process of organic compound decomposition of anaerobic bacteria from garbage is sulfide hydrogen (H2S) pollutant which can promote health disorders, especially respiratory system. This study aimed to analyze correlation between characteristics (age, sex, nutritional status, smoking, and living distance) and the risk quotient of sulfide hydrogen concentration in air ambient to the lung capacity of people around landfill area. This study used cross-sectional design with the sample of 78 people around landfill area. Data analysis used double logistic regression. Results showed that nutritional status (p value = 0.022, OR = 12.085) and RQ (p value = 0.016; OR = 7.547) significantly related to lung vital capacity of people around landfill area. People around landfill area having worse nutrition and lower RQ than the median were potential to have lung vital capacity disorder. The dominant variable significantly influencing to lung vital capacity of people living around Sukawinatan Landfill is nutritional status.

The Risk Quotient of Sulfide Hydrogen toward Lung Vital Capacity of People Living Around Landfill Area Zulkarnain, Mohammad; Flora, Rostika; Novrikasari, Novrikasari; Harto, Toto; Apriani, Dwi; Adela, Novita
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Sampah merupakan salah satu penyebab terjadinya polusi udara di Kota Palembang. Setiap hari terjadi peningkatan volume sampah yang harus diolah, sedangkan kondisi pelayanan pengelolaan sampah baru mencapai sekitar 70% dari total sampah secara keseluruhan. Pengolahan sampah yang dilakukan menggunakan sistem open dumping berdampak terhadap peningkatan terjadinya polusi udara. Gas hidrogen sulfida (H2S) yang diperoleh dari proses penguraian senyawa organik oleh bakteri anaerob pada tumpukan sampah dapat mengganggu kesehatan, terutama sistem pernapasan. Penelitian ini bertujuan untuk menganalisis hubungan antara karakteristik (usia, jenis kelamin, status gizi, merokok, dan jarak tempat tinggal) dan besaran risiko konsentrasi H2S udara ambien terhadap kapasitas vital paru penduduk di sekitar tempat pembuangan akhir (TPA) sampah. Penelitian ini menggunakan desain potong lintang dengan sampel 78 orang penduduk yang berada di sekitar TPA. Analisis data menggunakan uji regresi logistik ganda. Hasil menunjukkan nilai status gizi (nilai p = 0,022, OR = 12,085) dan RQ (nilai p = 0,016; OR = 7,547) berhubungan secara signifikan terhadap kapasitas vital paru penduduk yang berada di sekitar TPA. Penduduk yang berada di sekitar TPA dengan nilai status gizi buruk dan nilai RQ lebih rendah dari median berpotensi mengalami gangguan kapasitas vital paru. Variabel dominan yang secara signifikan memengaruhi kapasitas vital paru penduduk yang berada di sekitar TPA sampah Sukawintan adalah status gizi. Waste is one of factors causing air pollution in Palembang City. Volume of waste that should be processed increases every day, while condition of waste management service is still 70% of the total volume. The waste processing is managed by using open dumping system, which affects on the increase of air pollution. One of gases that exist as effect of the process of organic compound decomposition of anaerobic bacteria from garbage is sulfide hydrogen (H2S) pollutant which can promote health disorders, especially respiratory system. This study aimed to analyze correlation between characteristics (age, sex, nutritional status, smoking, and living distance) and the risk quotient of sulfide hydrogen concentration in air ambient to the lung capacity of people around landfill area. This study used cross-sectional design with the sample of 78 people around landfill area. Data analysis used double logistic regression. Results showed that nutritional status (p value = 0.022, OR = 12.085) and RQ (p value = 0.016; OR = 7.547) significantly related to lung vital capacity of people around landfill area. People around landfill area having worse nutrition and lower RQ than the median were potential to have lung vital capacity disorder. The dominant variable significantly influencing to lung vital capacity of people living around Sukawinatan Landfill is nutritional status.

Hubungan Tingkat Pengetahuan Terhadap Kecemasan Masyarakat Dalam Pemberian Vaksin COVID-19 Liana, Yunita; Rahayu, Dwi; Harto, Toto
Jurnal Keperawatan 'Aisyiyah Vol. 10 No. 1 (2023): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/jka.v10i1.362

Angka kematian akibat Covid-19 di Indonesia mencapai 8,9%. Vaksinasi Covid-19adalah program pemerintah dalam membangun kekebalan terhadap Covid-19. Berbagaidampak terkait vaksin Covid-19 salah satunya memunculkan rasa khawatir dan cemaspada masyarakat. Tujuan dari penelitian adalah untuk mengetahui hubungan tingkatpengetahuan dengan kecemasan masyarakat dalam pemberian vaksin Covid-19. Lokasipenelitian dilaksanakan di Desa Kartamulya Kecamatan Madang Suku I Kabupaten OKUTimur pada tanggal 15 Juni s.d 28 Juni tahun 2022. Rancangan penelitian ini adalahcross-sectional. Alat ukur untuk yang digunakan untuk mengukur variabel kecemasanmenggunakan kuesioner HARS (Halminton Anxiety Rating Scale) dan variabel pengetahuanmenggunakan kuesioner yang sudah di uji validitas 12 pertanyaan dinyatakan valid,karena nilai r-hitung > r-tabel sebesar 0,361 dan uji reabilitas hasil koefisien reliabilitassebesar 0,783. Jumlah sampel sebanyak 94 responden. Tehnik sampling yang digunakanpurposive sampling. Uji statistik yang digunakan adalah uji Chi-square. Hasil penelitiandidapatkan mayoritas responden berpengetahuan baik sebanyak 50 responden (53,2%)dan mayoritas responden dengan kecemasan ringan sebanyak 55 responden (58,5%).Hasil uji statistik didapatkan ada hubungan tingkat pengetahuan dengan kecemasanmasyarakat dalam pemberian vaksin Covid-19 dengan nilai p-value 0,001. Diharapkanpetugas kesehatan, perangkat desa dan para kader untuk dapat meningkatkan motivasidan pengetahuan masyarakat mengenai vaksinasi Covid-19

The correlation of knowledge and attitude on clean and healthy living practices in junior high school adolescents: A cross-sectional study Wiwiet Susan Amelia; Harto, Toto
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.626

Background: Clean and Healthy Living Practices (PHBS) are essential for preventing communicable diseases among adolescents, yet many junior high school students continue to demonstrate inconsistent hygiene behaviors despite exposure to school-based health programs. Objective: This study aimed to examine the correlation between knowledge and attitude with PHBS behaviors among adolescents in a junior high school setting. Methods: A cross-sectional design was employed, involving 39 students selected through total sampling. Data were collected using structured questionnaires measuring knowledge, attitude, and PHBS behaviors. Descriptive statistics were used to present frequency distributions, while Chi-Square tests examined the relationship between variables. Results: Most adolescents demonstrated poor knowledge (48.7%) and moderate attitudes toward PHBS. PHBS behaviors were mostly in the fair (46.2%) and poor (48.7%) categories. Cross-tabulation showed that adolescents with good or very good knowledge did not necessarily demonstrate better PHBS behaviors. Statistical analysis indicated no significant correlation between knowledge and PHBS (p = 0.74). Attitude also showed no significant association with PHBS. Conclusion: Knowledge and attitude were not significantly related to PHBS behavior among adolescents, suggesting that cognitive and affective factors alone are insufficient to shape consistent hygiene practices. Multi-level interventions involving schools, families, and communities are needed to strengthen adolescent PHBS behaviors.

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