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Interdialytic Weight Gain and Nutritional Status are Associated with Quality of Life Among Hemodialysis Patients in Dr. Mohammad Hoesin General Hospital Palembang Indah Listari Salsabila; Yuliarti Yuliarti; Fatmalina Febry; Ditia Fitri Arinda
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.360-370

Abstract

Hemodialysis patients experience changes in all aspects of their life, particularly due to fluid and dietary restrictions. Excessive interdialytic weight gain and malnutrition are common problems that negatively impact the increase of morbidity and mortality in these patients, as well as a decrease in their quality of life. This research aims to determine the relationship between interdialytic weight gain and nutritional status with the quality of life of chronic kidney disease patients undergoing hemodialysis at Dr. Mohammad Hoesin General Hospital Palembang. 102 patients were involved in this cross-sectional study, and they were taken by purposive sampling. IDWG data was collected using The Interdialytic Weight Gain (IDWG) observation sheet, nutritional status was identified using the Dialysis Malnutrition Score (DMS), and quality of life was assessed using The Kidney Disease Quality of Life Short Form-36 (KDQOL-36TM). The data analysis used in this study is Fisher Exact test. Based on The Fisher Exact test, there is a relationship between IDWG and quality of life (p=0.048). The results of statistical analysis also showed a relationship between nutritional status and quality of life (p=0.047). Most patients had IDWG in the mild category, good nutritional status, and poor quality of life based on KDQOL-36TM. This study concludes a relationship between interdialytic weight gain and nutritional status with the quality of life of patients undergoing hemodialysis. It is recommended that health workers in hemodialysis units monitor interdialysis weight gain regularly and conduct routine nutritional screenings to prevent a decrease in quality of life.
A Qualitative Study of Determinant Stunting Among Children Under Five in Sungai Gerong Village Anita Rahmiwati; Dwi Ananda Putri; Virgina Putri Sabila; Devy Kartika Sari; Devy Yuliantari; Erike Septa Prautami; Ira Dewi Ramadhani; Yuliarti Yuliarti; Fenny Etrawati; Risa Nur Amalia
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 1 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.1.66-79

Abstract

Stunting remains a major public health problem in Indonesia, including in Banyuasin Regency, which is a priority area for stunting prevention. Sungai Gerong Village in Banyuasin I District reports a relatively high prevalence of stunting among children under five. This study aimed to explore the determinants of stunting in this village. A qualitative descriptive design was employed to examine behavioral and environmental factors contributing to stunting. Data were collected through in-depth interviews with 10 key informants, including four health workers and community leaders and six mothers of stunted toddlers. The study explored environmental conditions, child feeding practices, parenting patterns, and household food security. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ), and household food security was measured using the Food Consumption Score (FCS).The findings revealed that most toddlers lived in inadequate environmental conditions and consumed predominantly high-carbohydrate diets with low intake of vegetables and animal protein. Three households were classified as food insecure. Parenting practices were suboptimal, particularly regarding appropriate feeding practices and cognitive stimulation. Poor sanitation, limited dietary diversity, inadequate caregiving practices, and restricted household food access were identified as key contributing factors.These findings suggest that stunting in Sungai Gerong Village is driven by multidimensional factors requiring integrated interventions. Policy and practical efforts should focus on strengthening nutrition education for caregivers, improving sanitation infrastructure, enhancing access to diverse and affordable nutritious foods, and reinforcing community-based nutrition services. Cross-sectoral collaboration is essential to sustainably reduce stunting prevalence in this area.
The Causes of Malnutrition for Pregnant Mothers Analysis and The Impact on the COVID-19 Pandemic Yuliarti Yuliarti; Nurmalia Ermi; Ditia Fitri Arinda
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.210-223

Abstract

Chronic Energy Deficiency (CED), and anemia are malnutrition in pregnant women. The impact is inappropriate maternal weight gain during pregnancy. It causes the babylow birth weight, the risk is greater stunting. Ogan Ilir District designated as a stunting locus by the central Bappenas in 2020. CED and anemia had a significant increase during COVID-19 pandemic in 2019-2020. This research aims to analyze the factors that cause malnutrition in pregnant women and their impact during the COVID-19 pandemic as an effort to prevent stunting.  Quantitative study with a cross sectional design used. 99 pregnant women taken by purposive sampling technique. Questionnaires and nutritional status measurements were carried out by measuring (LiLA), hemoglobin levels, and nutritional intake was assessed from food recall 2x24 hours. Data were analyzed using Chi square test. The results show that 13.1% of pregnant women experienced CED, 61.6% anemia, 62.6%, Emesis gravidarum and 44.4% weight gain was not appropriate. There is a relationship between energy intake (p = 0.004, carbohydrates (p = 0.012), the incidence of CED in pregnant women, there is a relationship between Fe intake (p = 0.0001 ) and consumption of TTD (p = 0.003) having anemia. and the impact of malnutrition, There is a relationship between CED (p=0.018) and emesis gravidarum (p=0.003) by weight gain of pregnant women during the COVID-19 pandemic. It is necessary to improve antenatal care services during the COVID-19 pandemic in providing information about fulfilling the nutritional intake of pregnant women so that mothers do not malnutrition.