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Hubungan Asupan Energi, Protein, dan Adekuasi Hemodialisis dengan Status Gizi Pasien Gagal Ginjal Kronis Hemodialisis Rawat Jalan di RS BaliMéd Denpasar Angelina Putri, Ni Luh Putu Yudhani; Wiardani, Ni Komang; Juniarsana, I Wayan
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 14, No 1 (2025)
Publisher : Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v14i1.3372

Gagal ginjal kronis merupakan gangguan fungsi ginjal yang progresif. Ketikapenyakit ginjal kronis sudah memasuki fase ESRD (End Stage Renal Disease),pasien membutuhkan terapi seumur hidup yaitu terapi hemodialisis. Hemodialisisadalah terapi pengganti fungsi ginjal untuk mengeluarkan sisa metabolisme atauracun dari peredaran darah menggunakan alat dialyzer. Malnutrisi merupakanmasalah gizi utama pada pasien yang menjalani terapi hemodialisis sehingga dapatmenyebabkan status gizi buruk dan prediktor terjadinya kematian pada pasienpenyakit gagal ginjal kronis. Tujuan umum penelitian ini adalah untuk mengetahuihubungan asupan energi, protein, dan adekuasi hemodialisis dengan status gizipasien gagal ginjal kronis hemodialisis rawat jalan di RS BaliMéd Denpasar. Jenispenelitian yang digunakan adalah analitik observasional dengan rancangan crosssectional. Jumlah sampel dalam penelitian sebanyak 30 orang. Pengambilan sampeldilakukan dengan metode consecutive sampling. Pengumpulan data dilakukandengan metode wawancara, pengukuran, serta pencatatan data rekam medis pasien.Status gizi dinilai menggunakan skor SGA (Subjective Global Assessment), asupanenergi dan protein didapatkan dari rata-rata hasil food recall 2x24 jam, sertaadekuasi hemodialisis dinilai berdasarkan persentase URR (Urea Reduction Ratio)yang tercatat pada rekam medis pasien selama 3 bulan terakhir. Data disajikandengan tabel frekuensi dan tabel silang. Hasil uji analisis Rank Spearmanmenunjukkan bahwa terdapat hubungan yang signifikan antara asupan energidengan status gizi (p=0,001; r=0,642). Terdapat hubungan yang signifikan antaraasupan protein dengan status gizi (p=0,001; r=0,624). Namun, tidak terdapathubungan yang signifikan antara adekuasi hemodialisis dengan status gizi(p=0,087; r=0,318).

Peningkatan Kapasitas Kader PKK Dalam Implementasi Program IDEAL Untuk Penanggulangan Obesitas Di Desa Kesiman Kertalangu Denpasar. Wiardani, Ni Komang; Kusumajaya, Anak Agung Ngurah; Ari Widarti, I Gusti Ayu
Jurnal Pengabmas Masyarakat Sehat Vol 6, No 3 (2024): JULI
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v6i3.3768

Backround : Obesity is a problem experienced by people in the city of Denpasar due to unhealthy lifestyles. Obesity can increase non-communicable diseases such as heart disease, DM, and stroke. The Integration of Diet, Nutrition Education, Physical Activity and Training (IDEAL) program as a follow-up to research can be implemented by empowering PKK cadres as program implementers. Community service activities aim to improve the skills of PKK cadres in implementing the IDEAL program to prevent obesity in the community. The target of the activity was 40 PKK cadres in Kesiman Kertalangu Village. Activities are carried out through educational programs, group exercises, and improving skills in preparing a balanced nutritional diet. Activities will be carried out for 3 months (June – September 2022). with education, group exercise every month, and the practice of preparing a balanced menu. A pretest and posttest were conducted on nutritional status, knowledge, and skills in preparing a balanced menu. Results: in PKM activities the results obtained were that the average age of PKK cadres was 45.4 years, BMI 24.9 kg/m2, waist circumference 82.6 cm. The results of the pre-test on target knowledge were with a score of 73.6 (fairly good category). After the post-test, the average target knowledge score increased 10.5% to 81.0. Skill in preparing a balanced menu increased from 78.5 to 89.2. BMI 23.8.5 kg/m2, LP 81.1. Statistical results show significant differences in the level of knowledge and skills in preparing menus before and after the program, but nutritional status is not significant. This shows that PKK cadres can be empowered to implement the IDEA model to prevent obesity in society. Conclusion: there has been an increase in the knowledge and skills of PKK cadres in implementing the IDEAL program.Keywords: obesity, empowerment, cadres, IDEAL program

Pelatihan Dan Pemberdayaan Ibu-Ibu Pkk Untuk Pencegahan Stunting Di Desa Sekardadi Kabupaten Bangli Tahun 2024 Arini, NI Wayan; Gama, I Ketut; Marhaeni, Gusti Ayu; Wiardani, Ni Komang; Rusminingsih, Ni Ketut; Widhya HS, Cokorda Dewi
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 2 (2025): APRIL
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i2.3976

Short toddlers (stunting) is a chronic nutritional problem caused by a lack of nutritional intake over a long period of time which results in factors that provide food that does not meet the nutritional needs of children. The occurrence of stunting in toddlers is caused by various factors. The direct cause is a lack of food intake and the presence of infectious diseases. Other causes are lack of maternal knowledge, wrong parenting patterns and poor hygiene and sanitation. The objectives of the Sustainable Regional Development Program are to: Increase knowledge about nutrition, especially nutrition for pregnant women to prevent stunting and Improve skills in making nutritious food using local ingredients available in the area.The results of this community service were that the percentage of PKK women's knowledge level before education had the most adequate criteria 48 people (90.57%). After education, the most are in good criteria 45 people (84.90%). The average knowledge score of PKK mothers before being given education was 66, including sufficient criteria. After education, the average score increased to 77.3, including good criteria. There was an increase in knowledge and skills after training. So that the knowledge and skills gained during the training can be applied in everyday life. Tempe Labu Siam Nugget and Lato Dimsum, can be made in various ways such as making crispy nuggets so that children don't get bored

Peningkatan Kapasitas Kader PKK Dalam Implementasi Program IDEAL Untuk Penanggulangan Obesitas Di Desa Kesiman Kertalangu Denpasar. Wiardani, Ni Komang; Kusumajaya, Anak Agung Ngurah; Ari Widarti, I Gusti Ayu
Jurnal Pengabmas Masyarakat Sehat Vol 6, No 3 (2024): JULI
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v6i3.3768

Backround : Obesity is a problem experienced by people in the city of Denpasar due to unhealthy lifestyles. Obesity can increase non-communicable diseases such as heart disease, DM, and stroke. The Integration of Diet, Nutrition Education, Physical Activity and Training (IDEAL) program as a follow-up to research can be implemented by empowering PKK cadres as program implementers. Community service activities aim to improve the skills of PKK cadres in implementing the IDEAL program to prevent obesity in the community. The target of the activity was 40 PKK cadres in Kesiman Kertalangu Village. Activities are carried out through educational programs, group exercises, and improving skills in preparing a balanced nutritional diet. Activities will be carried out for 3 months (June – September 2022). with education, group exercise every month, and the practice of preparing a balanced menu. A pretest and posttest were conducted on nutritional status, knowledge, and skills in preparing a balanced menu. Results: in PKM activities the results obtained were that the average age of PKK cadres was 45.4 years, BMI 24.9 kg/m2, waist circumference 82.6 cm. The results of the pre-test on target knowledge were with a score of 73.6 (fairly good category). After the post-test, the average target knowledge score increased 10.5% to 81.0. Skill in preparing a balanced menu increased from 78.5 to 89.2. BMI 23.8.5 kg/m2, LP 81.1. Statistical results show significant differences in the level of knowledge and skills in preparing menus before and after the program, but nutritional status is not significant. This shows that PKK cadres can be empowered to implement the IDEA model to prevent obesity in society. Conclusion: there has been an increase in the knowledge and skills of PKK cadres in implementing the IDEAL program.Keywords: obesity, empowerment, cadres, IDEAL program

Pelatihan Dan Pemberdayaan Ibu-Ibu Pkk Untuk Pencegahan Stunting Di Desa Sekardadi Kabupaten Bangli Tahun 2024 Arini, NI Wayan; Gama, I Ketut; Marhaeni, Gusti Ayu; Wiardani, Ni Komang; Rusminingsih, Ni Ketut; Widhya HS, Cokorda Dewi
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 2 (2025): APRIL
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i2.3976

Short toddlers (stunting) is a chronic nutritional problem caused by a lack of nutritional intake over a long period of time which results in factors that provide food that does not meet the nutritional needs of children. The occurrence of stunting in toddlers is caused by various factors. The direct cause is a lack of food intake and the presence of infectious diseases. Other causes are lack of maternal knowledge, wrong parenting patterns and poor hygiene and sanitation. The objectives of the Sustainable Regional Development Program are to: Increase knowledge about nutrition, especially nutrition for pregnant women to prevent stunting and Improve skills in making nutritious food using local ingredients available in the area.The results of this community service were that the percentage of PKK women's knowledge level before education had the most adequate criteria 48 people (90.57%). After education, the most are in good criteria 45 people (84.90%). The average knowledge score of PKK mothers before being given education was 66, including sufficient criteria. After education, the average score increased to 77.3, including good criteria. There was an increase in knowledge and skills after training. So that the knowledge and skills gained during the training can be applied in everyday life. Tempe Labu Siam Nugget and Lato Dimsum, can be made in various ways such as making crispy nuggets so that children don't get bored

Hubungan Asupan Karbohidrat Dan Status Gizi Dengan Kadar Glukosa Darah Penderita Diabetes Mellitus Tipe II Di Puskesmas Penebel II Kabupaten Tabanan Sari, Candra Kusuma; Wiardani, Ni Komang; Sri Sugiani, Pande Putu
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 13, No 3 (2024)
Publisher : Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v13i3.2794

Diabetes Mellitus is one of the main non-communicable diseases (PTM) in society. The prevalence of DM continues to increase which causes various impacts such as high health costs and a decrease in people's quality of life. This study aims to determine the relationship between carbohydrate intake and nutritional status with blood glucose levels in Type II Diabetes Mellitus Patients at Penebel II Health Center, Tabanan Regency. The type of research used is descriptive research, namely research conducted on a set of objects that aims to see a picture of phenomena (including health) that occur in a certain population. The number of samples studied was 44 samples. Carbohydrate intake in the more category, namely 86.4%, carbohydrate intake in the normal category was 9%, and for carbohydrate intake in the less category, 4.6%. Significant value of 0.697 (value of r = 0) so that there is no significant relationship between carbohydrate intake and blood glucose levels. Significant value of 0.124 (value of r = 0) so that there is no significant relationship between nutritional status and blood glucose levels.

Hubungan Asupan Protein dan Status Gizi Dengan Tekanan Darah Penderita Hipertensi di Puskesmas Mengwi II Dewi Kusumayanti, Gusti Ayu; Wiardani, Ni Komang; Permatasari, Novita
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 13, No 1 (2024)
Publisher : Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v13i1.2747

Hypertension is one of the serious health problems, it has even become a public health problem and will become a bigger problem if it is not addressed early. A person's blood pressure limit is said to be hypertension if the systolic pressure is more than 140 mmHg and the diastolic pressure is 90 mmHg. Patients with high blood pressure / hypertension are a disease that one of them must maintain daily intake, pay attention to nutritional status so as not to be obese and maintain ideal body weight. One of them must maintain protein intake, because it can affect blood flow in the blood vessels. More nutritional status or obesity can also affect the blood pressure of hypertensive patients. The purpose of the study was to determine the relationship between protein intake and nutritional status with blood pressure of hypertensive patients at Mengwi II Health Center. Observational research type with Cross Sectional design and using Consecutive Sampling technique which amounted to 34 people. Data were collected by interview and measurement methods. Data is presented with frequency tables and cross tables then variable data is tested for normality. The results of the Chi Square correlation analysis test showed that there was a relationship between protein intake and blood pressure of hypertensive patients (p = 0.039). While nutritional status with blood pressure of hypertensive patients, based on the results of the chi square test showed there was a relationship (p = 0.029).

Hubungan Pengetahuan Carbohydrate Counting dan Asupan Karbohidrat Dengan Pengendalian Kadar Gula Darah Pada Penderita Diabetes Melitus di Puskesmas II Denpasar Timur Dewi, Ni Luh Putu Candra; Sugiani, Pande Putu Sri; Wiardani, Ni Komang
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 13, No 2 (2024)
Publisher : Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v13i2.2830

Diabetes Mellitus (DM) is a disease characterized by the occurrence of Hyperglycemia and carbohydrate metabolism disorders. According to Riskesdas (2018) the prevalence of diabetes in Bali Province reached 1.33% and in Denpasar City reached 1.39%. The purpose of this study was to determine the relationship between knowledge of carbohydrate counting and carbohydrate intake with the control of blood sugar levels in patients with Diabetes Mellitus in UPTD Puskesmas II East Denpasar. This type of study is observational with a cross sectional design. This research was conducted in December 2022 at UPTD UPTD Puskesmas II East Denpasar totaling 37 samples. The sampling technique is Incidental sampling / Accidental Sampling. The data analysis used is chi-square with p value = 0.05. The results obtained knowledge related to carbohydrate counting good category as many as 5 samples (13.5%), enough 3 samples (8.1) and less 29 samples (78.2). Carbohydrate intake was obtained more than 20 samples (54.1%), both 11 samples (29.7%) and less 6 samples (16.2). Blood sugar levels were obtained under control as many as 9 samples (24.3%) and uncontrolled 29 samples ( 75.7%). Based on statistical tests, a relationship was obtained between knowledge related to carbohydrate counting and controlling blood sugar levels p = 0.006 (p 0.05). While there was no relationship between carbohydrate intake andcontrol of blood sugar levels p = 0.269 (p 0.05).

Hubungan Asupan Lemak Jenuh Dan Status Obesitas Terhadap Derajat Hipertensi Pada Pasien Hipertensi Rawat Jalan Di Puskesmas I Denpasar Timur Lestari, Ni Luh Made Adhi; Wiardani, Ni Komang; Juniarsana, I Wayan
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 13, No 2 (2024)
Publisher : Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v13i2.2768

Hipertensi atau yang dikenal dengan tekanan darah tinggi merupakan suatu gangguan pada pembuluh darah yang mengakibatkan suplai oksigen dan nutrisi yang dibawa oleh darah terhambat sampai ke jaringan tubuh. Faktor terjadinya hipertensi salah satunya konsumsi lemak yang tinggi terutama makanan tinggi lemak jenuh, dan tinggi kolesterol dapat berpengaruh pada tingginya simpanan kolesterol dan peningkatan kadar kolesterol dalam darah. Simpanan ini nantinya akan menumpuk pada pembuluh darah menjadi plaque yang akan menyebabkan penyempitan dan penyumbatan pembuluh darah. Penyumbatan ini menjadikan kelenturan atau elastisitas pembuluh darah berkurang sehingga meningkatkan volume dan tekanan darah. Salah satu faktor risiko hipertensi lainnya yaitu obesitas yang akan meningkatkan beban jantung untuk memompa darah ke seluruh tubuh, akibatnya tekanan darah cenderung lebih tinggi. Tujuan penelitian ini adalah mengetahui hubungan asupan lemak jenuh dan status obesitas terhadap derajat hipertensi pada pasien hipertensi rawat jalan di Puskesmas I Denpasar Timur. Jenis penelitian yang digunakan adalah penelitian observasional dengan desain cross sectional dengan menggunakan teknik Consecutive Sampling, yang berjumlah 45 orang. Data yang dikumpulkan dengan metode wawancara dan pengukuran. Data disajikan dengan tabel frekuensi dan tabel silang. Hasil uji analisis Korelasi Sperman menyatakan ada hubungan yang signifikan antara asupan lemak jenuh dengan derajat hipertensi pada sampel (p=0,021, r=0,342). Kemudian, setelah itu dilakukan uji yang sama memperoleh hasil yaitu tidak ada hubungan yang signifikan antara status obesitas dengan derajat hipertensi pada sampel (p=0,118, r=0.236).

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