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Ratu Ayu Dewi Sartika

Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Indonesia, Depok 16424, Indonesia

Author-ID : 358694

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Makanan Tabu pada Ibu Hamil Suku Tengger Sholihah, Lini Anisfatus; Sartika, Ratu Ayu Dewi
Kesmas Vol. 8, No. 7
Publisher : UI Scholars Hub

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Ibu hamil merupakan salah satu kelompok berisiko kekurangan gizi karena tabu terhadap makanan masih banyak dijumpai pada masyarakat dengan etnis budaya yang masih kuat. Penelitian ini bertujuan untuk mengetahui makanan tabu dan alasannya pada ibu hamil suku Tengger di Ngadas, Malang. Desain studi yang adalah kualitatif deskriptif dengan menggunakan metode diskusi kelompok terarah pada ibu hamil dan wawancara mendalam dengan tetua masyarakat, keluarga, serta petugas kesehatan. Hasil penelitian menunjukkan bahwa makanan yang ditabukan meliputi kelompok buah-buahan, lauk, sayuran, makanan yang dianggap panas, dan makanan yang dianggap tidak lazim, seperti makanan dempet atau kembar. Alasan tabu makanan di Tengger Ngadas karena adanya pendekatan secara simbolik, fungsional, dan nilai atau keagamaan. Diperlukan penyuluhan oleh bidan desa terkait gizi kehamilan pada ibu hamil, kader posyandu, tetua masyarakat, dan keluarga. Ibu hamil perlu didorong untuk mengonsumsi makanan yang bergizi dan tidak memantang makanan yang dapat mengeksklusikan zat gizi tertentu dari dietnya. Pregnant woman is a risk group of malnutrition because of food. Food taboo is still exist in the community with strong culture. This study aimed to know the food taboo among pregnant woman in Tengger in Ngadas, Malang and its reason. Study design used is descriptive qualitative by focus group disscussion method with pregnant woman and indepth interview with elders, family, and health worker. The result shows that food taboo including fruits, side dish, vegetables, ‘hot foods’ group, and unusual foods such as food that stuck together. The reasons for avoiding food are symbolic approach, functional approach, and value or religion. It’s recommended for midwife in village to give information about maternal nutrition to pregnant women, elders, posyandu kader, and family. Pregnant women needs to be encouraged to consume nutritional food and avoid food taboo that can excluse some nutrients from the diet.

Knowledge and Behavior Change of People Living with HIV through Nutrition Education and Counseling Hudayani, Fitri; Sartika, Ratu Ayu Dewi
Kesmas Vol. 10, No. 3
Publisher : UI Scholars Hub

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HIV, AIDS, dan gizi saling berhubungan. Pada Unit Pelayanan Terpadu HIV Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo, layanan edukasi dan konseling gizi disediakan secara kolaboratif untuk orang yang hidup dengan HIV. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan dan konseling gizi terhadap pengetahuan dan perilaku orang yang hidup dengan HIV. Penelitian ini dilakukan dengan desain kuasi eksperimental menggunakan kelompok perlakuan dan kontrol. Kelompok perlakuan terdiri dari 25 sampel dan 29 sampel untuk kelompok kontrol, dilakukan sebelum dan setelah perlakuan. Sampel berusia dewasa antara 18 – 50 tahun dipilih dengan menerapkan kriteria inklusi dan eksklusi. Sampel uji-t berpasangan digunakan untuk menganalisis data. Penelitian ini dilakukan pada bulan Mei – Juli 2014. Berdasarkan hasil penelitian, diketahui bahwa adanya efek berupa perubahan pengetahuan (nilai p = 0,000) dengan nilai 6,38 poin lebih rendah pada kelompok kontrol dan terdapat perbedaan yang signifikan dalam perubahan perilaku (nilai p = 0,048) untuk kelompok perlakuan setelah menerima edukasi dan konseling gizi. Penelitian ini menunjukkan bahwa edukasi dan konseling gizi menggunakan media edukasi yang lebih lengkap dan diberikan secara berkelanjutan dapat meningkatkan pengetahuan dan mengubah perilaku orang yang hidup dengan HIV. HIV, AIDS and nutrition are interconnected. In the HIV Integrated Care Unit of Dr. Cipto Mangunkusumo Public Hospital, nutrition education and counseling services are provided within a collaborative service for people living with HIV (PLWH). This study aimed to determine influence of nutrition education and counseling to knowledge and behavior of PLWH. This study was conducted with quasi experimental design using treatment and control groups. The treatment group consisted of 25 samples and 29 samples for control group. Samples were adults between 18 – 50 years old selected by applying inclusion and exclusion criteria. A pretested questionnaire was used to assess knowledge. Paired t-test sample was used to analyze data. This study was conducted on May – July 2014. Based on results of this study, there was effect in form of knowledge change (p value = 0.000) with score 6.38 point lower on the control group and any significant differences in behavior change (p value = 0.048) for the treatment group after receiving nutrition education and counseling. This study shows that nutrition and counseling using media of education which is more complete and continuously provided may improve knowledge and change behavior of PLWH.

Household Food Expenditure Typology and Its Association with Child Stunting and Anemia in Indonesia Sartika, Ratu Ayu Dewi; Yusnita, Yusnita; Ningsih, Winda M; Wulandari, Ririn Arminsih; Pujonarti, Siti A; Wirawan, Fadila
Kesmas Vol. 19, No. 4
Publisher : UI Scholars Hub

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Stunting and anemia remain the coexisting nutritional problems among Indonesian children. However, evidence of household-level food expenditure and its association with child stunting and anemia is limited. This study aimed to observe the association between household food expenditure typology and child stunting and anemia in Indonesia. Data was obtained from the 2007 and 2014 Indonesia Family Life Survey (IFLS). The household food expenditure, child nutritional status, and anemia were observed in 2007 and 2014. Latent class analysis was taken to identify the food expenditure pattern. Binary logistic regression was applied to analyze the association between household food expenditure patterns and stunting and anemia status. A total of 2,296 children from 2,158 households were included in the study. Household food expenditure was identified into (1) higher processed food, refined grain, and purchased meals; (2) higher fish, seafood, plant protein, vegetables, and beans; and (3) balanced food purchases. Households with Pattern 2 had lower odds of anemia in 12–59-month-olds than Pattern 3 (AOR 0.78, p-value = 0.03, 95% CI). Households with Pattern 2 were likely to have stunted 8–12-year-olds compared to households with Pattern 3 (AOR 1.37, p-value = 0.09, 95% CI). Household food expenditure types may affect children’s nutritional status.

Dietary Diversity as a Dominant Factor of Energy Intake Among Breastfeeding Mothers in Depok City, Indonesia Santoso, Cornelia Lugita; Sartika, Ratu Ayu Dewi; Fikawati, Sandra; Wirawan, Fadila; Putri, Primasti Nuryandari; Shukri, Nurul Husna Mohd
Kesmas Vol. 19, No. 4
Publisher : UI Scholars Hub

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Maternal nutritional needs increase during lactation. However, the energy intake of breastfeeding mothers usually still falls short of the recommended adequacy levels. This study aimed to identify the dominant factor of energy intake in breastfeeding mothers in Sawangan District, Depok City, Indonesia. This quantitative study used a cross-sectional design from July 2022 to February 2023. Energy intake, dietary diversity, and eating frequency were collected using 24-hour food recall. Other variables were collected through interviews with structured questionnaires. Data were analyzed using the Chi-square test and binary logistic regression. A total of 217 breastfeeding mothers participated in this study. This study found that 78.3% of breastfeeding mothers had inadequate energy intake. Dietary diversity (p-value = 0.032) was the dominant factor associated with the energy intake of breastfeeding mothers. Breastfeeding mothers with non-diverse food consumption were at a 2.507 times higher risk of inadequate energy intake. Energy intake in breastfeeding mothers is related to the sustainability of breastfeeding. However, most breastfeeding mothers in Sawangan District still have insufficient energy intake. Therefore, it is suggested that food supplementation for breastfeeding mothers should be included in promoting exclusive breastfeeding.

Tingkat Kejadian Hipoglikemia pada Pasien Diabetes Melitus Tipe 2 Peserta JKN dan Non-JKN pada Masa Pandemi COVID-19 di Kalimantan Tengah Veryanti, Putu Rika; Sartika, Ratu Ayu Dewi; Sauriasari, Rani; Elya, Berna; Puspitasari, Rara Merinda
JURNAL ILMU KEFARMASIAN INDONESIA Vol 21 No 2 (2023): JIFI
Publisher : Faculty of Pharmacy, Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35814/jifi.v21i2.1477

Community activity restrictions during the COVID-19 pandemic in Indonesia impact the quantity and quality of health services for type 2 diabetes (T2DM). This limitation could increase the risk of hypoglycemia in type 2 diabetes patients. The study aimed to compare the incidence rate of hypoglycemia between national (NHIP) and non-national health insurance participants (N-NHIP) with T2DM during the COVID-19 pandemic in Indonesia. The study used a cross-sectional design and was conducted at a government hospital in Central Borneo. Data was collected by consecutive sampling from September to November 2021. Sixty-two participants were divided into two groups (NHIP and N-NHIP groups). Each group consisted of 31 participants. They were interviewed regarding their experience with hypoglycemia in the last three months. The incidence rate of hypoglycemia in N-NHIP was higher than in NHIP (93.55% vs. 87.10%; p>0.05). Hypoglycemia is mostly presented in patients using a combination of short-acting and long-acting insulin. The incidence rate of hypoglycemia in T2DM during the COVID-19 pandemic in Central Borneo was relatively high. In future studies, it is necessary to analyse the factors that significantly affect the incidence of hypoglycemia in the population of T2DM patients in Indonesia.

Diabetic Foot Ulcers: Impact on Quality of Life and Instruments for Its Measurement Qomariyanti, Khairunisa; Sauriasari, Rani; Sartika, Ratu Ayu Dewi
Borneo Journal of Pharmacy Vol. 7 No. 2 (2024): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v7i2.6554

Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus, significantly impacting patients' quality of life (QoL) due to the heightened risk of infection and amputation. Pharmacists play a crucial role in managing diabetes and its complications, and assessing QoL can be a valuable tool for monitoring treatment success and medication effectiveness. This review explores instruments used to measure QoL in patients with DFUs, encompassing both general and disease-specific tools. We examine the impact of DFUs on QoL and discuss various theoretical frameworks used to understand this complex relationship.

Efficacy and Safety of Glibenclamide Compared with Insulin in Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis Haifa, Alifia Fauziyyah; Qomariyanti, Khairunnisa; Sartika, Ratu Ayu Dewi; Sauriasari, Rani
Pharmaceutical Sciences and Research Vol. 12, No. 2
Publisher : UI Scholars Hub

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Gestational diabetes mellitus (GDM) is a prevalent pregnancy complication associated with an increased risk of maternal and neonatal complications compared with non-diabetic pregnancies. Pharmacological treatments, such as glibenclamide, are expected to provide optimal glycemic control and reduce these risks. However, concerns regarding its safety persist and some regulatory agencies have not approved glibenclamide for GDM treatment. This systematic review and meta-analysis aimed to synthesize the most recent evidence on the efficacy and safety of glibenclamide compared with insulin in the management of GDM, with a focus on maternal and neonatal outcomes based on the most recent RCT. The objective is to provide updated insight and strengthen the evidence based supporting the use of glibenclamide as treatment option for GDM. Relevant studies were identified from Pubmed, Scopus, and CENTRAL databases, resulting in 11 randomized controlled trials (RCTs) involving 2,019 participants. The pooled analysis found that glibenclamide significantly increases the risk of neonatal hypoglycemia [RR 1.65; 95% CI 1.23 to 2.22; p-value 0.0009] and significantly decreases the risk of neonatal respiratory distress syndrome (NRDS) [RR 0.56; 95% CI 0.33 to 0.95; p-value 0.03], compared to insulin. No significant differences were observed in other maternal and neonatal outcomes between the two treatments. In conclusion, glibenclamide demonstrated comparable efficacy and safety to insulin in the management of GDM, making it a viable treatment option alongside insulin.

Cadres’ role in Posyandu revitalization as stunting early detection in Babakan Madang Sub-District, Bogor District Rahmawati, Nurul Dina; Sartika, Ratu Ayu Dewi
ASEAN Journal of Community Engagement Vol. 4, No. 2
Publisher : UI Scholars Hub

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Stunting, the inability to reach one's full potential, still remains common in Indonesia. As a result of stunting’s intergenerational consequences, many strategies have been conducted by both government and non-government organizations to tackle this issue, including nutrition-specific and sensitive interventions, with Integrated Health Service Post (Posyandu) revitalization as one of the key measures to provide valid, reliable, and up-to-date data to establish the early detection and management of stunting. Unfortunately, this role is sub-optimally performed due to the limited competence of the health volunteers (cadres) that correlates with the suppressed parents’ motivation to visit a Posyandu. Moreover, their difficulties are exaggerated by the weak reporting and supervising system. This study aimed to evaluate the cadres’ knowledge and practice change after a sequence of training to revitalize the Posyandu’s role. This quasi-experimental study involved treatment and control villages located in Babakan Madang Sub-District, Bogor District, from which 41 and 37 cadres participated, respectively: between August and November 2019. The treatment group received three consecutive months of structured training, which comprised different learning methods, namely, group discussions, role plays, games, and seminars about Posyandu and stunting management, maternal and child health, and nutritional assessment. The control group was only visited for observational activities. Changes in cadres’ knowledge and practices were collected using structured quantitative questionnaires and analysed using the Wilcoxon test. Both groups shared a considerably similar practice of Posyandu management, but a significant improvement in cadres’ knowledge was found in the intervention group after the training (p < 0.001) compared with the control group. Longer duration is needed to observe any behaviour change, as indicated by their practice of Posyandu management.

Pengaruh Pendidikan Gizi tentang Sarapan pada Siswa SD/MI Terpilih di Kota Depok, Jawa Barat Nur Intania Sofianita; Ratu Ayu Dewi Sartika
Jurnal Ilmu Kesehatan Masyarakat Vol. 5 No. 2 (2014): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health, Universitas Sriwijaya

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Latar Belakang : Sarapan adalah kegiatan makan pada pagi hari yang dilakukan seseorang sebelum melakukan aktifitas harian sebelum pukul 9.00 pagi. Manfaat sarapan bagi siswa yaitu meningkatkan kadar gula darah untuk kerja otak dan menambah konsentrasi belajar.Metode : Penelitian ini menggunakan disain studi kuasi eksperimental (pre-post intervention). Kegiatan intervensi dilakukan dalam bentuk belajar sambil bermain menggunakan media (poster, leaflet, kartu bergambar dan kwartet) dan metode (diskusi kelompok, bermain dan lomba cerdas cermat), yang dilaksanakan tiap minggu selama satu bulan.Hasil Penelitian : Setelah dilakukan pendidikan gizi tentang sarapan pagi pada siswa SD/MI terjadi peningkatan skor pengetahuan gizi siswa sebesar 1,50±1,27 (p<0,05) dan skor sikap sebesar 1,00±0,63 (p<0,05). Peningkatan skor pengetahuan dan sikap tertinggi terjadi pada siswa SD Negeri dibandingkan dengan siswa MI/Madrasah Ibtidaiyah (p<0,05).Kesimpulan : Perlu adanya kerja sama antara dinas pendidikan dasar dengan pihak sekolah dasar (SD) dan dinas pendidikan agama dengan pihak madrasah ibtidaiyah (MI) untuk menambahkan pendidikan gizi pada kurikulum siswa SD/MI serta mengembangkan media KIE gizi (Komunikasi, Informasi dan Edukasi) yang lebih menarik, bervariasi dan tidak membosankan dalam kegiatan promosi gizi tentang makanan seimbang khususnya manfaat sarapan pagi bagi siswa.Kata Kunci : Sarapan, Pengetahuan, Sikap, Pendidikan Gizi, Siswa

Intervensi Pencegahan Jatuh Pada Lansia Berbasis Keperawatan Keluarga: Tinjauan Sistematis Didi Kurniawan; Junaiti Sahar; Etty Rekawati; Ratu Ayu Dewi Sartika
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.40717

Falls in the elderly are a serious problem because they can cause physical injuries, such as fractures, head trauma, and even death. Preventing falls in the elderly requires a multidimensional approach that is not only focused on the individual, but also involves the family as the main support unit. This review aims to identify family nursing-based fall prevention interventions. This systematic review method follows the PRISMA framework with article searches through Cinahl, ProQuest, Pubmed, ScienceDirect, Google scholar, and the Cochrane database of systematic reviews. The findings of this review revealed that of the 541 articles identified in the initial stage, nine articles met the eligibility criteria and were retained for further in-depth analysis. The results of the analysis provide insights into fall prevention interventions including; health education, mindfulness and psychoeducation, Otago exercise program, family involvement, fall risk assessment, and home modification. These findings have important implications for community health nurses in providing family nursing care, through empowering the family as the main caregiver in managing fall risk at home.

Co-Authors Adeline Vashtianada Agnia Nurul Hikmah Ahmad Syafiq Aini, Wita Nurul Akbar, M. Agung Alfiandary, Amalia Ratna Andini Retno Yunitasari Anies Irawati Anies Irawati Anis Kurniawati Annisa Nursita Angesti Aprilianti, Ririn Citra Asih Setiarini Asih Setiarini Asti Shafira Ayu Anisadiyah Bambang Setiaji Berna Elya Bernadette Victoria Damayanthie, Nasriah Diah Mulyawati Utari Diah Utari Dian Ayubi Didi Kurniawan Dilla Christina Dilla Christina Dwiana Ocviyanti Endang L. Achadi Endang Laksminingsih Achadi Endang Laksminingsih Achadi Etty Rekawati Evi Martha Fadila Wirawan Fajarini, Isna Aulia Fatma Syukrina Fatmah Fatmah Fety Fathimah Al Mubarokah Fitri Hudayani Gupta, Prateek Hafshah Farah Fadhilah Haifa, Alifia Fauziyyah Hanita Rizki Tuzahra Hasbullah Thabrany Hermawan Saputra Hikmah, Agnia Nurul Hudayani, Fitri Iche Andriyani Liberty, Iche Andriyani Ilham Ibrahim Ira Primona Simarmata Irgananda, Anisa Ilhami Isna Aulia Fajarini Ivans Panduwiguna Jamilla Upik Noras Jamilla Upik Noras Jufran Juanda Junaiti Sahar Junengsih Junengsih Kalinaki Hanifar Kelvin Halim Kusharisupeni Djokosujono Mizna Sabilla Muhammad Ridho Nugroho Mukhlidah Hanun Siregar Nabbila Dinda Pramesti Nabilla Atelya Nadia Husnul Khotima Neilva Lailatusyifa Nia Apsari Ningsih, Winda M Norma B Toduho Nur Intania Sofianita Nurul Dina Rahmawati Nurul Dina Rahmawati Nuryandari, Primasti Nuryati, Tati Panduwiguna, Ivans Prateek Gupta Prihantinah, Wenty Primasti Nuryandari Putri Primasti Nuryandari Putri Primasti Nuryandari Putri Primasti Nuryandari Putri Primasti Nuryandari Putri Primastri Nuryandari Putri Puspitasari, Rara Merinda Putri, Primasti Nuryandari Putri, Rizti Millva Qomariyanti, Khairunisa Qomariyanti, Khairunnisa Qori Az- Zahra Rahmawati, Nurul Dina Rahmi Safyanty Rani Sauriasari Rani Sauriasari, Rani Ratih Dewanti -Hariyadi Renaldi, Fransiskus Samuel Retnosari Andrajati Retnosari Andrajati Ririn Akmal Sari Ririn Arminsih Wulandari Riris Sakinah Rissa Rizkiia Z Rizti Millva Putri Rizti Millva Putri Rizti Millva Putri Rooslanda, Elfrida Ruth Desinta Purnamasari Sada Rasmada Sada Rasmada Safyanty, Rahmi Salsabila Kurnianingtyas Sandra Fikawati Santoso, Cornelia Lugita Sarah Mardiyah Sarah Mardiyah Sholihah, Lini Anisfatus Shukri, Nurul Husna Mohd Siska Maytasari Siti A Pujonarti Siti Chodijah Siti Hana Suci Hajati Husma Suci Reno Monalisa Sudibyo Supardi Sudibyo Supardi Suryani, Tatiek Tria Astika Endah Permatasari Trini Sudarti Trini Sudiarti Trini Sudiarti Triyanti Triyanti Triyanti Triyanti Triyanti Triyanti Triyanti Triyanti Triyanti Triyanti Urip Purwono Urip Purwono Veryanti, Putu Rika Victoria, Bernadette Wawan Gunawan Wilis, Nabila Sekar Winda Mulia Ningsih Winda Mulia Ningsih Winda Mulianingsih Wirawan, Fadila Wita Nurul Aini Woro Riyadina Woro Riyadina Yessy Nur Handayani Youvita Indamaika Simbolon Yuliyani Yuliyani YUSNITA YUSNITA Yvonne M. Indrawani Yvonne M. Indrawani Yvonne M. Indrawani

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