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EDUKASI DAN PENDAMPINGAN PERILAKU HIDUP BERSIH DAN SEHAT PADA CLEANING SERVICE KLINIK PRATAMA DI DENPASAR Putu Nita Cahyawati; Ni Kadek Elmy Saniathi
JURNAL SEWAKA BHAKTI Vol 8 No 1 (2022): Sewaka Bhakti
Publisher : UNHI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32795/jsb.v8i1.2155

Abstract

Coronavirus Disease-2019 was first discovered in Indonesia on March 2, 2020. The Government of Indonesia is taking various strategic steps to prevent and handle this case. The government emphasizes preventive measures by implementing health protocols and clean and healthy living behaviors starting from the individual and family levels. This activity aims to provide education and assistance to cleaning services in implementing clean and healthy living behaviors, especially when working. The activities began with discussion sessions, pretest, education process, and posttest. As a result, we found that the percentage of partners' attendance and participation in this activity was very good, namely 100%. This result is following the target set. The educational process can increase the knowledge of partners. This is indicated by an increase in the pretest and posttest scores from 51.5 to 84 points, with an average value of 84 points. Based on the results of monitoring in the form of direct observations, partners have implemented protocols for the use of adequate personal protective equipment while working. Based on this data, it can be concluded that the provision of education and assistance can increase the knowledge and behavior of partners in implementing clean and healthy living behaviors.
The Association between Plasma Soluble ICAM-1 and Adiponectin with Over Nutrition in Pediatric Patients with Dengue Infection Ni Kadek Elmy Saniathi
Journal of Global Pharma Technology Volume 11 Issue 04.
Publisher : Journal of Global Pharma Technology

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

Abstract

Introduction: Dengue Hemorrhagic Fever (DHF) is one of the urgent health problems in tropical countries, including Indonesia. On the other hand, the prevalence of overweight is also increasing among children even in developing countries. Recent studies proved that adiponectin has significant influence toward immune system. Therefore, this study aimed to provide a preliminary data about the relationship between overweight and DHF with sICAM-1 as the biomarker. Method: An analytic observational study with nested case control study design was conducted using 78 subjects. The DHF status was established using 1997 WHO criteria while the sICAM-1 and Adiponectin were assessed using ELISA technique. All of the data were statistically analyzed. Result: The baseline characteristics of the subjects between the groups were considered homogenous. The Odds ratio of overweight toward the risk of dengue shock syndrome (DSS) was found to be quite high at 2.89 (95% CI: 0.81 – 12.25) while the adiponectin level was also significantly different between overweight and normal subjects in DHF group. However, no significant difference was found in sICAM-1 level between the groups. Conclusion: It can be concluded that sICAM-1 and adiponectin level was differ between patient with over-nutrition than normal counterparts with over-nutritional patients tended to have higher sICAM-1 and lower adiponectin level. But the difference was not statistically significant.Keywords: Dengue hemorrhagic fever, Overweight, sICAM-1, Dengue shock syndrome.
Hubungan BBLR dengan Kejadian Stunting pada Anak Usia 24-60 Bulan di Wilayah Kerja Puskesmas Tabanan I Tahun 2018-2019 WIDHIDEWI, NI WAYAN; PRIYANKA HERMAWAN, PUTU; ELMY SANIATHI, NI KADEK
Hang Tuah Medical Journal Vol 22 No 2 (2025): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i2.470

Abstract

Stunting is caused by a lack of nutritional intake for a long time so that it can cause disturbances in physical development and cognitive function that can cause death. One of the factors that influence the occurrence of stunting in toddlers is the history of low birth weight. This study aims to examine the relationship between low birth weight (LBW) and the incidence of stunting in children aged 24-60 months in the Tabanan I Health Center Working Area in 2018-2019 using analytical research methods and case control study designs and using secondary data collection methods derived from the nutrition sections. The study sample was a total of 190 toddlers recorded in the stunting and LBW report at Tabanan I Health Center, during 2018-2019 who met the inclusion and exclusion criteria obtained using consecutive sampling technique. Data analysis was performed univariately and bivariately using SPSS version 25.0 with the Spearman correlation test. The results of the chi square test showed that the p value was less than the significant level (p < 0.05), it can be stated that there is an association between low birth weight and the incidence of stunting in children aged 24-60 months in the Tabanan I Health Center Working Area. The result of Levene's test is 0,184 (>0.05) which means that the variance of data between stunting and normal groups is homogeneous or the same. Conclusion toddlers who suffer from LBW have a 2,17 greater risk of experiencing stunting than toddlers who do not experience LBW.
GAMBARAN PERILAKU HIDUP BERSIH DAN SEHAT PADA PETUGAS KEBERSIHAN DI ERA PANDEMI COVID-19 Putu Nita Cahyawati; Ni Kadek Elmy Saniathi
WICAKSANA: Jurnal Lingkungan dan Pembangunan Vol. 5 No. 2 (2021)
Publisher : Lembaga Penelitian, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wicaksana.5.2.2021.87-91

Abstract

Petugas kebersihan merupakan salah satu tenaga yang sangat penting dalam pelayanan di klinik, puskesmas, maupun di rumah sakit. Hal ini dikarenakan tempat tersebut merupakan lokasi berkumpulnya orang sakit maupun sehat. Kondisi ini menyebabkan tingginya risiko penularan penyakit infeksi di tempat ini, termasuk terjadinya pencemaran lingkungan. Kegiatan ini bertujuan untuk mengetahui gambaran perilaku hidup bersih dan sehat khususnya bagi para petugas kebersihan di tempat pelayanan kesehatan. Instrumen yang digunakan pada kegiatan ini adalah kusioner. Berdasarkan hasil pengisian kuesioner, temukan bahwa seluruh responden telah menggunakan masker saat melakukan aktivitas di luar rumah. Walaupun demikian, belum seluruh responden dapat mempertahankan untuk tidak membukan masker saat bekerja. Perilaku hidup dan sehat di lingkungan keluarga juga belum diterapkan sesuai protokol yang dianjurkan dan belum diterapkan secara konsisten. Dengan demikian, dapat dismpulkan bahwa penerapkan perilaku hidup bersih dan sehat baik di keluarga maupun di tempat kerja belum dilakukan secara konsisten, sehingga, dapat meningkatkan risiko penularan COVID-19.
Hubungan Pemberian ASI dengan Kejadian ISPA pada Bayi Usia 4-6 Bulan di RSUD Sanjiwani Gianyar dan BRSUD Tabanan Tahun 2016-2020 Ni Putu Eka Gloria Puspawan; Ni Kadek Elmy Saniathi; Komang Trisna Sumadewi
Aesculapius Medical Journal Vol 1 No 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.1.1.2021.13-19

Abstract

ABSTRAK Infeksi Saluran Pernapasan Akut (ISPA) termasuk masalah utama bagi kesehatan anak dibawah lima tahun di Negara Indonesia. Persentase balita dengan ISPA menurut Kemenkes RI (2019) didapatkan 56,51%. ISPA dapat dicegah melalui pemberian ASI khususnya bagi anak umur 0-6 bulan karena kandungan zat antibodi yang mampu melindunginya dari beragam penyakit seperti ISPA dan diare. Penelitian bertujuan untuk mengetahui korelasi antara pemberian ASI dan kejadian ISPA yang menyerang anak umur 4-6 bulan di RSUD Sanjiwani Kabupaten Gianyar dan BRSUD Tabanan tahun 2016-2020. Desain penelitian adalah analitik observasional dengan pendekatan cross-sectional. Adapun populasi penelitian yaitu semua bayi usia 4-6 bulan dengan ISPA yang datang atau di rawat di RSUD Sanjiwani Gianyar serta BRSUD Tabanan dari bulan Januari 2016 - Desember 2020 dengan teknik pengambilan sampel Consecutive- sampling yang memenuhi syarat inklusi serta eksklusi. Instrumen yang dipergunakan ialah rekam medis, analisis data menerapkan analisis univariat, bivariat yaitu pengujian Chi- square serta multivariat yaitu pengujian regresi logistik biner. Dari 102 total sampel didapatkan hasil pengujian bivariat p=0,048 yang selanjutnya dilakukan uji statistik multivariat dan diperoleh p=0,035 yang merepresentasikan pemberian ASI mempunyai korelasi signifikan pada kejadian ISPA. Sehingga dari penelitian ini dapat disimpulkan adanya korelasi antara pemberian ASI dan kejadian ISPA bagi bayi umur empat sampai enam bulan yang ada pada RSUD Sanjiwani Kabupaten Gianyar dan BRSUD Tabanan tahun 2016-2020. Kata kunci: Infeksi Saluran Pernapasan Akut (ISPA), Air Susu Ibu (ASI), bayi usia 4-6 bulan ABSTRACT Acute Respiratory Infection (ARI) is a major problem for the health of children under five years old in Indonesia. The percentage of children under five with ARI according to the Indonesian Ministry of Health (2019) was 56.51%. ARI can be prevented through breastfeeding, especially for children aged 0-6 months because it contains antibodies that can protect them from various diseases such as ARI and diarrhea. This study aims to find out the correlation between breastfeeding and the incidence of ARI that attacks children aged 4-6 months in Sanjiwani Hospital, Gianyar Regency and BRSUD Tabanan in 2016-2020. The research design is analytical observational with a cross-sectional approach. The study population was all infants aged 4-6 months with ARI who came or were treated at the Sanjiwani Hospital Gianyar and BRSUD Tabanan from January 2016 - December 2020 with a Consecutive-sampling sampling technique that met the inclusion and exclusion requirements. The instruments used are medical records, data analysis applies univariate analysis, bivariate Chi-square testing and multivariate binary logistic regression testing. Of the 102 total samples, the results of the bivariate test were p = 0.048 which was then carried out by multivariate statistical tests and obtained p = 0.035 which represented that breastfeeding had a significant correlation on the incidence of ARI. So from this study it can be concluded that there is a correlation between breastfeeding and the incidence of ARI for infants aged four to six months in Sanjiwani Hospital, Gianyar Regency and BRSUD Tabanan in 2016-2020. Keywords: Acute Respiratory Infection (ARI), breastfeeding, infants aged 4-6 months
Hubungan Leukopenia dengan Tingkat Keparahan Demam Berdarah Dengue pada Anak di RSUD Wangaya Denpasar pada Januari-Agustus 2021 Anak Agung Ngurah Arya Yugadhyaksa; Ni Kadek Elmy Saniathi; Ni Wayan Widhidewi
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.129-135

Abstract

[The Correlation Between Leukopenia and The Severity of Dengue Hemorrhagic Fever in Paediatric Patients of RSUD Wangaya Denpasar from January 2021-August 2021] Dengue Hemorrhagic Fever (DHF) is one of the most concerning diseases to look out for each year especially on paediatric patients because pediatric patients are more susceptible to severe dengue infection. This is presumably because the microvasculature in children is more prone to plasma leakage. To measure the severity of DHF, a classification by World Health Organization (WHO) in 2011 is used mainly as the standards. This study aims to determine the relationship between leukopenia and the severity of dengue fever in children treated at Wangaya Regional Hospital, Denpasar. The methods this study used is an observational analytic method with cross sectional study by using medical reports as secondary data from January-August 2021 in RSUD Wangaya Denpasar. Subjects are obtained by consecutive sampling with 92 subjects. This study used chi-square analysis (x2) with 95% confidence interval (CI) and P-value of 5%. Data was analyzed using univariate and bivariate model through Statistical Package for the Social Sciences for Windows. The results of this study indicates that the number of subjects with non-shock hemorrhagic dengue fever which is 68.5% appears to be greater than subjects with shock dengue hemorrhagic fever which is 31.5%. The average leukocyte level in the subjects obtained was still in the normal range, namely 4,803 µL. Chi square (x2) distribution table analysis (p=0,092), there is no significant correlation between the leukopenia with the severity of dengue hemorrhagic fever in paediatric patients of RSUD Wangaya Denpasar.
Karakteristik Penderita Diare pada Balita Yang Dirawat Inap di RSUD Tabanan Periode 2020 - 2021 I Nyoman Agung Triana Putra; Ni Kadek Elmy Saniathi; Putu Arya Suryanditha
Aesculapius Medical Journal Vol 3 No 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.2.2023.188-193

Abstract

Tabanan Regency is one of the areas in Bali Province with a high case of diarrhea in children under five years old. The incidence of diarrhea in children is influenced by three risk factors: environmental, sociodemographic, and behavioral. This study aims to determine the characteristics of diarrhea in children under five who are treated at Tabanan Hospital in 2020 – 2021. This study uses a descriptive method with a cross-sectional design that uses secondary data from the hospital’s medical records. The subjects of this study were toddlers with diarrhea who were hospitalized at Tabanan General Hospital from 2020 – 2021. Sampling used a total sampling technique. The number of samples in this study was 55 toddlers. Data analysis in this study is univariate analysis. The results showed that the highest incidence of diarrhea occurred in the age group 1 – 12 months (45.5%), male (56.4%), and had normal nutritional status (96.4%). All toddlers had acute diarrhea (100%), mild-moderate dehydration (81.8%), most of them experienced diarrhea caused by an infectious process (81.8%), and as many as (69.1%) received antibiotics. The incidence of hypernatremia was 5.5%, and the remainder without complications, The length of treatment was primarily 1-3 days (56.4%).
Karakteristik Kejang Demam pada Anak di RSUD Tabanan pada Tahun 2021-2022 Kadek Ayu Alit Sintyawati; Ni Kadek Elmy Saniathi; Luh Gde Evayanti
Aesculapius Medical Journal Vol 3 No 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.3.2023.427-436

Abstract

Febrile seizures are common emergency case of children between 6 months-5 years. During 2021 this cases is the most common pediatric diseases in RSUD Tabanan. Risk factors for febrile seizures in the hospitals have not been studied. This research aims to identify the characteristics of febrile seizures. This descriptive study used cross-sectional design with 145 samples selected by total sampling. Data were obtained from medical records of pediatric hospitalized in 2021-2022. The frequency distribution analysis used SPSS 25. According this study showed that febrile seizures mostly occurred in children aged 6-24 months (75.9%), predominantly in boys (62.8%) with a temperature of 38-40°C (95.2%). The most common diagnosis was simple febrile seizures (95.9%), with duration <15 minutes (95.9%), no family history of seizures (87.6%), and without recurrence (76.6%). The most common comorbid disease was acute respiratory infection (62.8%), while the lowest non-infectious disease was diabetes (0.7%). Hemoglobin and leukocyte levels were within the normal range, namely 54.5% and 75.9%. Most patients had nutritional status except good nutritional status (40.7%), did not get exclusive breastfeeding (26.9%), and had length of stay ≥3 days (82.1%). It can be concluded that febrile seizures mostly occur in boys aged 6-24 months with a temperature of 38-40°C, SFZ <15 minutes in duration is more frequent, without a history of recurrence. This seizure is commonly accompanied by ARI with normal hemoglobin and leukocyte levels. Most patients have nutritional status except good nutritional status, do not get exclusive breastfeeding, and have a length of stay ≥3 days.
Hubungan Aktivitas Fisik dan Pola Makan dengan Status Gizi pada Anak Sekolah Dasar Usia 9-13 Tahun di Sekolah Dasar Negeri 12 Dauh Puri Komang Permata Indah Sari; Ni Kadek Elmy Saniathi; Dewa Ayu Agung Alit Suka Astini
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.69-74

Abstract

Indonesia kini dihadapkan pada dua permasalahan gizi, yaitu gizi kurang serta penyakit menular yang tak mampu teratasi dengan keseluruhan hingga saat ini. Kekurangan gizi akan mempengaruhi aktivitas yang diakibatkan oleh malnutrisi dan pola makan yang buruk. Penelitian bertujuan mencari tau korelasi antara aktivitas fisik serta pola makan pada status gizi anak yang sedang menempuh sekolah dasar umur 9-13 tahun pada SDN 12 Dauh Puri. Penelitian mempergunakan metode analitik kuantitatif , pendekatan cross-sectional dengan pencatatan antropometri dan pengumpulan survei melalui kuesioner. Responden penelitian berjumlah 87 orang memenuhi syarat inklusi penelitian. Data kemudian diuji korelasi dengan Rank spearman (tingkat signifikansi α=0.05). Aktivitas fisik dengan status gizi ditemukan bernilai P=0,520, pola makan dengan status gizi ditemukan bernilai P=0,013. Tak terdapat hubungan yang bermakna diantara aktivitas fisik dan status gizi di Sekolah Dasar Negeri 12 Dauh Puri namun ada korelasi signifikan diantara pola makan dan status gizi pada anak di SDN 12 Dauh Puri.
Hubungan Pemberian ASI terhadap Status Gizi Bayi Usia 4-6 Bulan di UPT Kesmas Sukawati I I Gusti Ayu Avinya Chintya Devi; Ni Kadek Elmy Saniathi; Ni Putu Diah Witari
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.102-108

Abstract

[The Relationship between Breastfeeding and the Nutritional Status of Babies Aged 4-6 Months at UPT Public Health Sukawati I] Nutritional problems in Indonesia are a double burden, both due to deficiency and excess nutrition. Lack of nutrition at an early age can lead to impaired child development. Efforts have been made to overcome nutritional problems, one of which is through exclusive breastfeeding. Data in Gianyar Regency shows that the scope of exclusive breastfeeding has increased but is not accompanied by a significant decrease in cases of malnutrition and malnutrition. This study aims to find out the correlation of breastfeeding on the nutritional status of infants aged 4-6 months at UPT Kesmas Sukawati I. This research is an analytic observational study applying a cross sectional research design carried out in January-June 2021, with a sample of 68 infants. The sample was selected using the consecutive sampling method, which is a sample selection according to inclusion and exclusion requirements. The research data was then analyzed with univariate and bivariate analysis. The bivariate test used was the chi-square test and fisher's exact test aimed at finding the correlation of two categorical-scale variables. p <0.05 indicates a significant correlation between the two variables. The results showed that there was a significant correlation between breastfeeding and poor nutritional status (p=0.000) and good-over-nutrition status (p=0.043), there was no significant correlation between breastfeeding and less-than-good nutritional status (p= 0.137). In conclusion, there is a significant correlation between breastfeeding for undernourished, well-nourished and good-nourished and over-nourished infants aged 4-6 months.