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All Journal Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Gizi dan Pangan Soedirman (JGPS) Nutrisia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Dyah Umiyarni Purnamasari

Fakultas Kedokteran dan Ilmu-ilmu Kesehatan Universitas Jendral Soedirman Purwokerto

Author-ID : 349212

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health Other

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FAKTOR- FAKTOR YANG BERHUBUNGAN DENGAN PENURUNAN NAFSU MAKAN PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISIS (Studi Kasus di RSUD Prof. Dr. Margono Soekarjo) faza, umi; Purnamasari, Dyah Umiyarni; yono, saryono
Jurnal Gizi dan Pangan Soedirman Vol 1 No 01 (2017): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Abstract  The aim of this study was to determine factors associated with diminished appetite in CKD patients undergoing hemodialysis therapy. This study is an observational analytic research with cross sectional design. Population of this study was CKD outpatients undergoing hemodialysis therapy in July- August 2016 in Prof. Dr. Margono Soekarjo Hospitals. Amount of 58 subjects taken by consecutive sampling. Appetite, sex, age, length of hemodialysis, frequency of nausea/vomiting, and depression were measured using questionnaire. Subjects who diminished appetite were 58,6%. More than half subjects were male (56,9%). Amount of 84,5% subjects were adults (19-59 years), 63,8% undergoing hemodialysis >1year, 39,7% experienced nausea/ vomiting and 53,4% were depression. Based on Chi-Square Test/ Fisher Exact Test, diminished appetite significantly associated with length of hemodialysis (p=0,041), frequency of nausea/vomiting (p=0,014), and depression (p=0,002). Dominant factors affected diminished appetite were depression and length of hemodialysis. Diminished appetite in CKD patients undergoing hemodialysis therapy associated with length of hemodialysis, frequency of nausea/vomit, and depression. Keyword : appetite, chronic kidney disease, hemodialysi  Abstrak Penelitian ini bertujuan untuk mengetahui faktor- faktor yang berhubungan dengan penurunan nafsu makan pada pasien Gagal Ginjal Kronik (GGK) yang menjalani terapi hemodialisis. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Populasi dari penelitian ini adalah pasien GGK rawat jalan yang menjalani terapi hemodialisis pada bulan Juli- Agustus 2016 di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Sebanyak 58 subjek diambil dengan cara consecutive sampling. Nafsu makan, jenis kelamin, usia, lama hemodialisis, frekuensi mual/muntah, dan depresi diukur menggunakan kuesioner. Responden yang mengalami penurunan nafsu makan sebanyak 58,6%. Lebih dari separuh responden (56,9%) berjenis kelamin laki- laki dan 84,5% responden berusia dewasa (19-59 tahun). Sebanyak 63,8% responden menjalani hemodialisis >1tahun. Responden yang mengalami mual/muntah berat sebanyak 39,7% dan 53,4% mengalami depresi. Berdasarkan analisis bivariat menggunakan Uji Chi- Square/ Fisher Exact diperoleh hasil bahwa nafsu makan berhubungan secara signifikan dengan lama hemodialisis (p=0,041), frekuensi mual/ muntah (p=0,014), dan depresi (p=0,002). Faktor dominan yang mempengaruhi penurunan nafsu makan adalah depresi dan lama hemodialisis. Penurunan nafsu makan pada pasien GGK yang menjalani terapi hemodialisis berhubungan dengan lama hemodialisis, frekuensi mual/muntah, dan depresi. Kata kunci : gagal ginjal, hemodialisa, nafsu makan  

PEMAHAMAN MENGENAI DIET GLUTEN FREE CASEIN FREE (GFCF) SERTA PENERAPANNYA PADA ANAK AUTIS TINGKAT SEKOLAH DASAR DI SLB C YAKUT PURWOKERTO fatma, yukika; Winarsi, Hery; Purnamasari, Dyah Umiyarni
Jurnal Gizi dan Pangan Soedirman Vol 1 No 01 (2017): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

ABSTRACT The objective of this study was to access an understanding about Gluten-Free Casein-free Diet (GFCF) and its application in autism children in special need school C Yakut Purwokerto. This study uses qualitative research methods, descriptive depth interviews with 6 key informants and 11 informants support. The results showed that the mother initially did not understand and know about the GFCF diet. After got information from therapy, physician, psychologist and school teacher, they understanding of GFCF diet with is proved by mothers already know what foods must be limited. But the mother has not been able to implement a GFCF diet in everyday life as evidenced by the child is still often eat foods made from flour and milk. This is also evidenced in the form Food Frequency Quetionnaire Qulitative. Mothers level of understanding about the GFCF diet has been good, but from the 6 main informant could not do GFCF diet properly and strictly. Keywords: Autism, Diet Gluten Free Casein Free, Flour and milk   ABSTRAK   Sekitar 60% penyandang autis mempunyai gangguan sistem pencernaan akibat alergi makanan. Gangguan sistem pencernaan ini mengakibatkan terjadinya kebocoran usus (Leaky Gut). Dampak leaky gut pada autis menyebabkan produksi hormon sekretin terhambat. Sebagai akibat, protein susu sapi (casein) dan gandum (gluten) tidak dapat dicerna dengan sempurna, karena protein tersebut tidak berubah menjadi asam amino tetapi menjadi peptida yang seharusnya dibuang lewat urin, akan tetapi pada anak autis peptida ini diserap kembali oleh tubuh dan masuk ke otak dan diubah oleh reseptor opioid menjadi morfin. Untuk itu anak autis harus membatasi asupan makanan dari gluten dan kasein, agar tidak membuat anak hiperaktif dan tantrum. Tujuan penelitian ini adalah mengetahui gambaran pemahaman ibu mengenai diet GFCF serta sejauh mana ibu menerapkan diet tersebut pada anaknya. Penelitian ini menggunakan metode penelitian kualitatif, jenis deskriptif dengan wawancara mendalam kepada 6 informan utama dan 11 informan pendukung. Hasil menunjukkan bahwa ibu pada awalnya tidak memahami dan mengetahui mengenai diet GFCF. Setelah mendapatkan informasi dari terapi, dokter, psikolog dan guru sekolah ibu menjadi paham   mengenai diet GFCF dengan dibuktikan ibu sudah mengetahui makanan apa saja yang harus dibatasi. Namun ibu belum bisa menerapkan diet GFCF di kehidupan sehari-hari yang dibuktikan dengan anak masih sering mengonsumsi makanan berbahan dasar tepung dan susu. Hal ini juga dibuktikan dalam form Food Frequency Quetionnaire (FFQ) Qulitative. Tingkat pemahaman ibu mengenai diet GFCF sudah baik, namun dari 6 informan utama belum bisa melakukan diet GFCF dengan baik dan secara ketat.  Kata Kunci : Autis, Diet Gluten Free Casein Free, tepung dan susu

HUBUNGAN KADAR IODIUM GARAM KONSUMSI DAN TINGKAT KONSUMSI IODIUM DENGAN KADAR EKSKRESI IODIUM URIN WANITA USIA SUBUR apika, hepi diah; Dardjito, Endo; Purnamasari, Dyah Umiyarni
Jurnal Gizi dan Pangan Soedirman Vol 1 No 01 (2017): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Abstract The purpose of this study analyze the relationship between the iodine content of salt consumption and the level of consumption of iodine levels in women of childbearing age UIE. The study was observational with cross sectional design. The research location in the village of Kebumen, Baturraden subdistrict, Banyumas. Subjects were 38 selected by simple random sampling technique. The consumption level of iodine was measured by the method of Food Recall 2x24 hours. Salt iodine content was measured by iodometric titration method and UIE levels measured by acid digestion method in the laboratory BP2GAKI Magelang. Data analysis using spearman correlation. A total of 71.1% women of childbearing age using the iodine content of salt consumption of <30 ppm. The consumption level of iodine less subject category (86.8%). UIE levels by an average of 156.50 Î¼g/L category of normal iodine intake. There was no relationship with the iodine content of salt UIE levels (p=0.671). No correlation with levels of iodine consumption levels UIE (p=0.586). Levels of UIE women of childbearing age are not affected by the iodine content of salt and iodine consumption levels.   Keywords: Iodized salt, consumption levels, UIE   Abstrak   Tujuan penelitian ini adalah menganalisis hubungan kadar yodium konsumsi garam dan tingkat konsumsi kadar yodium pada wanita usia subur UIE. Penelitian ini bersifat observasional dengan rancangan cross sectional. Lokasi penelitian di desa Kebumen, Kecamatan Baturraden, Banyumas. Subjek penelitian dipilih dengan teknik simple random sampling. Tingkat konsumsi yodium diukur dengan metode Food Recall 2x24 jam. Kandungan garam yodium diukur dengan metode titrasi iodometrik dan tingkat UIE yang diukur dengan metode pencernaan asam di laboratorium BP2GAKI Magelang. Analisis data menggunakan korelasi spearman. Sebanyak 71,1% wanita usia subur menggunakan kandungan yodium konsumsi garam <30 ppm. Tingkat konsumsi kategori subjek kurang yodium (86,8%). Tingkat UIE rata-rata 156,50 Î¼g / L kategori asupan yodium normal. Tidak ada hubungan dengan kadar yodium kadar garam UIE (p = 0,671). Tidak ada korelasi dengan tingkat kadar konsumsi yodium UIE (p = 0,586). Tingkat wanita UIE pada usia subur tidak terpengaruh oleh kadar yodium tingkat konsumsi garam dan yodium.  Kata kunci: garam beryodium, tingkat konsumsi, UIE

HUBUNGAN PERILAKU PERSONAL HYGIENE DAN STATUS KECACINGAN DENGAN STATUS GIZI ANAK SEKOLAH DASAR DI WILAYAH KERJA PUSKESMAS II SUMBANG Arifin, Lida; Purnamasari, Dyah Umiyarni
Jurnal Gizi dan Pangan Soedirman Vol 2 No 1 (2018): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Background : Nutrition is one kind of important factors that build qualified human resources. A child being underweight due to two important things, they are food intake and illness. One type of infection that is often found in children that worm infection. The infection is often found in developing countries with lack of personal hygiene. The purpose of this research is to determine relation between personal hygiene and status worm infection with nutritional status among primary children.   Methods : This study design was observational analytic study with cross sectional approach. The sample were 51 children fourth grade 01 Banjarsari Kulon and 02 Banjarsari Wetan Primary School.   Results : Respondents with normal nutritional status 72%. Respondents with good behavior personal hygiene 59%. Respondents with positive helminthiasis status 53%. Relation between personal hygiene and nutritional status was examined by chi square (p value 1.000 > 0.05). Relation between helminthiasis status and nutritional status p value 0.425. Relation between personal hygiene and helminthiasis status p value 0.625.   Conclusion : There is no relation between the behavior of personal hygiene and nutritional status of school children in Puskesmas II Sumbang. There is no relation between helminthiasis status and nutritional status of school children in Puskesmas II Sumbang. There is no relation between personal hygiene and helminthiasis status.

PERILAKU GIZI SEIMBANG ANAK SEKOLAH DIPERBAIKI DENGAN EDUKASI GIZI ANAK DAN ORANGTUA Purnamasari, Dyah Umiyarni; Dardjito, Endo; Kusnandar, Kusnandar
Jurnal Gizi dan Pangan Soedirman Vol 1 No 01 (2017): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

The objective of study was to analyze the improving of balanced nutrition behaviour after applying nutritional education through pictorial story media for children and audiovisual media for mothers. The design of this study is a quasi-experimental study. Subjects were 45 students and 45 mothers of Limpakuwus Elementary School, Banyumas Regency. There was increasing of students' knowledge (20.8%) and maternal nutritional knowledge (15.5%) after being educated. Different behavior changes occurred significantly (p: 0,000 <0.05) before and after nutrition education. Tujuan pada penelitian ini adalah untuk menganalisis perbaikan perilaku gizi seimbang setelah penerapan edukasi gizi mellaui media cerita bergambar dan audiovisual pada orangtua. Desain penelitian ini adalah Kuasi Eksperimen. Sampel adalah 45 siswa dan 45 ibu pada SD Limpakuwus, Kabupaten Banyumas. Hasil penelitian menunjukkan terdapat peningkatan pengetahuan anak (20,8%) dan ibu (15,5 %) setelah pemberian edukasi. Terdapat perbedaan yang bermakna pada perilaku (p 0,000< 0,05) sebelum dan sesudah edukasi.

PENGETAHUAN, SIKAP DAN PRAKTIK GIZI GURU PAUD DIPERBAIKI DENGAN INTERVENSI e-HEALTH PEGIA Purnamasari, Dyah Umiyarni; Briawan, Dodik; Kustiyah, Lilik; Tanziha, Ikeu; Hermadi, Irman
Jurnal Gizi dan Pangan Soedirman Vol 8 No 1 (2024): JURNAL GIZI DAN PANGAN SOEDIRMAN
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jgipas.2024.8.1.11811

Preschool teachers play a crucial role in influencing children's eating patterns at school, which is of utmost importance considering the detrimental impact of malnutrition on preschool children's cognitive abilities. In order to improve preschool teachers' nutrition behavior, it is imperative to provide education on nutritional behavior. One effective approach is implementing nutrition education for teachers through e-Health, which offers numerous advantages such as easier access and wider reach. Therefore, this research aimed to analyze the effectiveness of the Pegia eHealth intervention in improving the knowledge, attitudes, and practices of preschool teachers regarding nutrition. The sample consisted of 24 teachers from eight preschool centers in Purwokerto City, Indonesia. The e-Health intervention was conducted for 12 weeks, and the differences before and after the intervention were analyzed using the Wilcoxon test. The results showed a significant increase in the median knowledge by 12.00 with an interquartile range (IR) of 14.00, the median attitudes by 10.50 (IR: 8.75), and the median nutrition practices by 7.00 (IR: 3.00) (p-value < 0.05). The Pegia eHealth intervention showed its effectiveness in improving the nutrition knowledge, attitudes, and practices of preschool teachers.

Co-Authors Anandari, Dian Anindya Yoga H, Anindya apika, hepi diah Arifin, Lida Atikah Proverawati, Atikah Dian Ratna R, Dian Dodik Briawan Dwi Sarwani Sri Rejeki Elviera Gamelia Endo Dardjito Erna Kusuma Wati, Erna fatma, yukika faza, umi Friska Citra Agustia HERY WINARSI Ikeu Tanziha Irman Hermadi kusnandar kusnandar Lilik Kustiyah Nur Ulfah Rendy Manuhutu, Rendy Saryono Saryono Sertiyowati Rahardjo, Sertiyowati Setiyowati Rahardjo Sri Nurlaela

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