Marselina Palinggi
Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Tadulako

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Assessing Patient Satisfaction in an Internal Medicine Polyclinic Using Cartesian Analysis: A Case Study at Luwuk Regional Hospital Lanyumba, Fitrianty Sutadi; Pongsampe, Gebby; Herawati, Herawati; Kanan, Maria; Sattu, Marselina; Bidullah, Ramli; Dwi Gunawan, Nur Hendra
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.529

Abstract

Good service quality is one of the important factors in trying to create consumer satisfaction. Indicators on the SERVQUAL instrument can be used to measure the level of satisfaction with the quality of health services. This study aims to analyse the satisfaction of internal medicine patients at the polyclinic at the Luwuk Regional General Hospital using a Cartesian diagram. This type of research is an observational analysis where the sample size is 125 internal medicine polyclinic patients, with sampling techniques, namely accidental sampling. The data obtained was processed using SPSS and analysed using a Cartesian diagram. The results of the study showed that the total performance value (xi) was 77.664, the total expectation value (yi) was 85.668, and the total value of the level of suitability (TKI) was 90.65, where the criteria of the assessment were the criteria of being very satisfied. The Cartesian analysis categorized the service attributes in the hospital's internal medicine polyclinic into four quadrants, identifying high-priority areas for improvement, namely problems with registration procedures, service schedules, and attention to patient complaints, while the attributes whose performance needed to be maintained were related to staff responsiveness. Hospital management needs to maintain good attribute values so that it can provide services that are fast, precise, open, simple, easy to implement, and non-discriminatory
Risk Factors of Wasting among Children under 5 Years old Yusnita Lalusu , Erni; Ana Tasya, Putri; Sattu, Marselina
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background: Wasting is defined as low weight-for-height. It usually occurs when a person has not had food of adequate quality and quantity and they have had frequent or prolonged illnesses. Wasting in children is associated with a higher risk of death if not treated properly. In the working area of Toili 1 Community Health Center, the prevalence of wasting has shown an increasing trend in the last 3 years (2021-2023) Objective: This study aimed to analyze the risk factors for wasting in toddlers in the Toili I Community Health Center working area Research Methods/ Implementation Methods: This is an analytical observational study with a case- control design in the Toili I Community Health Center working area in May 202. A total of 135 wasting toddlers and 135 normal toddlers were involved in the research. Sample selection was carried out randomly. Data was collected primarily (using a questionnaire) and then analyzed using the chi- square test and multiple logistic regression Results: Different proportions were obtained between wasting and normal toddlers. In the wasting group of toddlers, the percentage of low maternal education, low family income, non-exclusive breastfeeding, non-varied feeding, low birth weight, and those with a history of infectious diseases, were higher than in the normal toddler group respectively, namely 40.0% Vs 33.3%; 17.8% Vs 1.5%; 28.9% Vs 10.4%; 49.0% Vs 0%; 5.9% Vs 1.5%. This difference shows a significant relationship to the incidence of wasting (p-Value <0.05). Conclusion/Lesson Learned: The mother's education level, family income, breastfeeding, variations in feeding, birth weight, and history of infectious diseases influence the incidence of wasting in the Toili I Community Health Center working area. Future research can analyze predictions of wasting incidents in toddlers by involving these variables in a study perspective.
Hubungan Pola Makan dengan Status Gizi Wanita Prakonsepsi di Kabupaten Banggai : The Relationship of Dietary Patterns and Preconceptional Nutritional Status of Women in Banggai District Ta'ati, Nadia; Lanyumba, Fitrianty Sutadi; Sattu, Marselina
Buletin Kesehatan Mahasiswa Vol. 4 No. 1 (2025): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v4i1.330

Abstract

Wanita prakonsepsi adalah wanita usia subur yang sedang dalam masa yang sudah siap menjadi seorang ibu. Masa prakonsepsi sangat perlu diperhatikan status kesehatan serta status gizinya karena sedang dalam masa mempersiapkan kehamilannya. Status gizi pada masa prakonsepsi merupakan faktor utama yang mempengaruhi kondisi ibu dan bayi dalam kehamilan dengan terpenuhinya gizi seimbang. Penyebab dari timbulnya masalah kesehatan tersebut biasanya disebabkan pula oleh pola hidup yang tidak sehat seperti aktifitas fisik yang kurang, kebiasaan merokok, faktor pola makan yang kurang sehat, kesehatan lingkungan dan lain-lain Tujuan penelitian ini adalah untuk menganalisis hubungan pola makan dengan status gizi pada wanita prakonsepsi di kabupaten banggai. Penelitian ini menggunakan jenis penelitian analitik dengan desain pendekatan cross sectional. Adapun populasi dalam penelitian ini adalah peserta posyandu prakonsepsi. Penentuan sampel dalam penelitian ini menggunakan penentuan besar sampel yaitu sebanyak 165 orang. Pengumpulan data berdasarkan data primer dan dan sekunder. Pengolahan data menggunakan program SPSS. Analisis data menggunakan uji  chi square. Hasil analisis bivariat menunjukan bahwa variabel jenis makanan di kategori status gizi normal paling banyak itu memiliki jenis makanan beragam yaitu sebanyak 68 orang (87,2%) dibandingkan jenis makanan tidak beragam. Sedangkan variabel frekuensi makan di kategori status gizi normal paling banyak yaitu sebanyak 56 orang (19,8%) di bandingkan frekuensi makan kurang dan frekuensi makan lebih. Selanjutnya untuk variabel porsi makan di kategori status gizi paling banyak memilki porsi makan tidak sesuai yaitu sebanyak 156 orang (94,5%) dibandingkan porsi makan yang sesuai. Hasil analisis bivariat chi square menunjukan nilai P value untuk jenis makanan (p=0,001) dan frekuensi makan (p=0,001) Sedangkan porsi makan (p=0,014), artinya nilai P-value < 0,05. Sehingga dapat disimpulkan bahwa terdapat hubungan yang bermakna antara pola makan pada status gizi wanita prakonsepsi di kabupaten banggai. Disarankan kepada masyarakat kabupaten banggai khususnya wanita prakonsepsi untuk lebih memperhatikan pola makan dan meningkatkan konsumsi makan bergizi seimbang dan dapat mengurangi asupan makanan yang berlebihan agar dapat membantu menjaga berat badan ideal.                   Preconception women are women of childbearing age who are in a stage where they are ready to become mothers. The preconception period is critical for monitoring health and nutritional status because it is a time of preparation for pregnancy. Nutritional status during this period is a key factor that affects the condition of both the mother and the baby during pregnancy, provided that balanced nutrition is met. Health issues that arise are often caused by unhealthy lifestyles such as lack of physical activity, smoking habits, poor dietary patterns, environmental health, and more. The aim of this study is to analyze the relationship between dietary patterns and nutritional status in preconception women in Banggai Regency. This study uses an analytic research type with a cross-sectional design approach. The population in this study consists of participants from the preconception posyandu (maternal and child health service). The sample size determination was set at 165 people. Data collection was based on primary and secondary data. Data processing was conducted using the SPSS program. Data analysis utilized the chi-square test. The bivariate analysis results showed that, in the normal nutritional status category, the most common variable was a diverse diet, with 68 people (87.2%) having a varied diet compared to those with a non-varied diet. Meanwhile, for the meal frequency variable, the normal nutritional status category had 56 people (19.8%) with an adequate meal frequency compared to those with less frequent or more frequent meals. For the meal portion variable, the majority in the normal nutritional status category had inappropriate portion sizes, with 156 people (94.5%) compared to those with appropriate portion sizes. The bivariate chi-square analysis showed P-values for diet variety (p = 0.001) and meal frequency (p = 0.001), while the portion size (p = 0.014), meaning the P-value is < 0.05. Therefore, it can be concluded that there is a significant relationship between dietary patterns and the nutritional status of preconception women in Banggai Regency. It is recommended that the community, especially preconception women in Banggai Regency, pay more attention to their dietary patterns, increase the consumption of balanced nutritious food, and reduce excessive food intake to help maintain an ideal body weight.
Gambaran Faktor Risiko Diabetes Melitus Tipe 2 Pada Mahasiswa di Universitas Tompotika Luwuk: Description of Risk Factors for Type 2 Diabetes Mellitus in Students at Tompotika University Luwuk Sattu, Marselina; Balebu, Dwi Wahyu; Dokoleng, Emitisi; Handayani, Lisa
Buletin Kesehatan Mahasiswa Vol. 2 No. 3 (2024): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v2i3.246

Abstract

Prevalensi Diabetes Melitus menurut Laporan Riskesdas 2018 berdasarkan kelompok usia terbesar pada rentang usia 55-64 tahun dan 65-75 tahun, namun pada usia muda pun terdapat angka kejadian diabetes mellitus sebesar 2,0% usia 15-24 tahun. Hal ini menunjukan bahwa ada peningkatan prevalensi DM di Indonesia dibandingkan hasil Riskesdas 2013 yaitu 1,5%. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko Diabetes Melitus Tipe 2 pada mahasiswa di Universitas Tompotika Luwuk. Jenis penelitian ini adalah penelitian Deskriptif dengan pendekatan Cross Sectional. Adapun populasi pada penelitian ini adalah seluruh mahasiswa aktif Universitas Tompotika Luwuk yaitu sebanyak 1.906 dengan jumlah sampel 203 sedangkan teknik pengambilan sampel dalam penelitian ini menggunakan teknik Proportional Random Sampling pada 7 fakultas di Universitas Tompotika Luwuk. Analisis data menggunakan analisis Univariat. Dilihat dari hasil penelitian terdapat Mahasiswa yang memiliki lingkar perut berisiko yaitu sebanyak 112 orang (55,2%) dan yang tidak berisiko yaitu sebanyak 91 orang (44,8%), Mahasiswa yang memiliki riwayat keluarga menderita DM Tipe 2 sebanyak 122 orang (60,1%), Mahasiswa yang merokok sebanyak 35 orang (17,3%), perokok berat 2 orang (1,0%), perokok sedang 6 orang (3,0%) dan perokok ringan 27 orang (14,3%) dan yang tidak merokok yaitu sebanyak 168 orang (82,7%), terdapat mahasiswa yang memiliki aktivitas berat sebanyak 26 orang (12,8%), aktivitas sedang sebanyak 138 orang (68,0%) dan aktivitas ringan sebanyak 39 orang (19,2%), mahasiswa yang mengkonsumsi alkohol sebanyak 20 orang (9,9%), dan mahasiswa yang sering mengkonsumsi makanan siap saji > 2 dalam seminggu sebanyak 170 orang (83,7%). Diharapkan kepada Universitas Tompotika Luwuk agar melakukan kerjasama bersama Instansi Kesehatan agar dilakukan kegiatan preventif seperti pemeriksaan kadar gula darah sejak dini dan penyuluhan terkait faktor risiko Diabetes Melitus Tipe 2. The prevalence of Diabetes Mellitus according to the 2018 Riskesdas Report is based on the largest age group in the age range 55-64 years and 65-75 years, but even at a young age there is an incidence of diabetes mellitus of 2.0% aged 15-24 years. This shows that there is an increase in the prevalence of DM in Indonesia compared to the 2013 Riskesdas results, namely 1.5%. This study aims to determine the risk factors for Type 2 Diabetes Mellitus in students at Tompotika Luwuk University. This type of research is descriptive research with a cross sectional approach. The population in this study were all active students at Tompotika Luwuk University, namely 1,906 with a total sample of 203 while the sampling technique in this study used the Proportional Random Sampling technique at 7 faculties at Tompotika Luwuk University. Data analysis used Univariate analysis. Judging from the results of the study, there were students who had a risky abdominal circumference, namely 112 people (55.2%) and those who were not at risk, namely 91 people (44.8%). Students who had a family history of suffering from Type 2 DM were 122 people (60 .1%), 35 students (17.3%) smoked, 2 heavy smokers (1.0%), 6 moderate smokers (3.0%) and 27 light smokers (14.3%) and those who did not smoke were 168 people (82.7%), there were students who had heavy activities as many as 26 people (12.8%), moderate activities as many as 138 people (68.0%) and light activities as many as 39 people (19 .2%), students who consumed alcohol were 20 people (9.9%), and students who often consumed ready-to-eat food > 2 a week were 170 people (83.7%). It is hoped that Tompotika Luwuk University will collaborate with Health Agencies to carry out preventive activities such as checking blood sugar levels from an early age and counseling related to risk factors for Type 2 Diabetes Mellitus.
Pengetahuan Masyarakat tentang Bahaya Merokok Meningkat Melalui Kegiatan penyuluhan di Desa Doda Bunta Kecamatan Simpang Raya Kabupaten Banggai : Community Knowledge about the Dangers of Smoking Increases Through Extension Activities in Doda Bunta Village, Simpang Raya District, Banggai Regency Lalusu, Erni Yusnita; Balebu, Dwi Wahyu; Thirayo, Yunita Sari; Sattu, Marselina
Jurnal Pengabdian MALEO Vol. 2 No. 2 (2024): Jurnal Pengabdian Maleo
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/maleo.v2i2.291

Abstract

Prevalensi kejadian merokok di Indonesia masih tinggi dan terus meningkat dari tahun ke tahun. Kebiasaan merokok tidak hanya dimiliki oleh kelompok usia dewasa namun juga remaja dan anak-anak. Merokok berisiko terhadap kesehatan khususnya pada kelompok penyakit pembuluh darah seperti Hipertensi, jantung, diabetes mellitu hingga stroke. Penyebab tingginya kejadian merokok dipedesaan terutama dipengaruhi oleh kurangnya pengetahuan tentang dampak negatif rokok. Kegiatan penyuluhan ini dilakukan di Desa Doda Bunta Kecamatan Simpang Raya yang bertujuan untuk meningkatkan pemahaman masyarakat mengenai bahaya merokok bagi kesehatan. Kegiatan ini menggunakan metode kuasi eksperimen dengan desain pre-post test non-control group design. Sampel penelitian ini berjumlah 50 orang yang ditentukan secara accidental sampling. Yaitu masyarakat yang datang saat dilakukan penyuluhan. Tes pengetahuan awal (pre-test) dilakukan sebelum diberikan penyuluhan. Sedangkan post-test diberikan setalah penyuluhan. Kuesioner yang diberikan berisi pertanyaan pengetahuan masyarakat tentang bahaya merokok. Analisis data bersifat deskriptif. Hasil kegiatan penyuluhan ini menunjukan pengetahuan masyarakat dengan kategori baik meningkat dari 2% menjadi 66%. Pengetahuan cukup dan kurang masing-masing menurun dari 58% menjadi 28% dan 40% menjadi 6%. Demikian pula sikap positif tetap 94%, sikap negative 6%. Begitu pula pada tindakan masyarakat dengan kategori baik meningkat dari 82% menjadi 92%. sebaliknya tindakan kurang baik menurun dari 18% menjadi 8.0%. Kesimpulan: pengetahuan., sikap dan tindakan masyarakat menjadi lebih baik setelah dilakukan penyuluhan. Saran bagi pemerintah setempat agar lebih sering melakukan penyuluhan kesehatan kepada masyarakat. The prevalence of smoking in Indonesia is still high and continues to increase from year to year. The smoking habit is not only owned by the adult age group but also teenagers and children. Smoking poses a risk to health, especially in the group of blood vessel diseases such as hypertension, heart disease, diabetes mellitus and even stroke. The cause of the high incidence of smoking in rural areas is mainly influenced by a lack of knowledge about the negative impacts of smoking. This outreach activity was carried out in Doda Bunta Village, Simpang Raya District, with the aim of increasing public understanding about the dangers of smoking for health. This activity uses a quasi-experimental method with a pre-post test non-control group design. The sample for this research consisted of 50 people who were determined by accidental sampling. Namely people who come when counseling is carried out. An initial knowledge test (pre-test) is carried out before counseling is given. Meanwhile, the post-test was given after the counseling. The questionnaire given contained questions about public knowledge about the dangers of smoking. Data analysis is descriptive. The results of this outreach activity show that public knowledge in the good category increased from 2% to 66%. Sufficient and insufficient knowledge decreased from 58% to 28% and 40% to 6% respectively. Likewise, positive attitudes 94% , negative attitudes same 4% . Likewise, community actions in the good category increased from 82% to 92%. on the other hand, unfavorable actions decreased from 18% to 8%. Conclusion: knowledge, attitudes and actions of the community become better after counseling is carried out. Suggestions for local governments to provide health education to the community more often.
Penyuluhan tentang Hipertensi bagi Kesehatan di Desa Doda Bunta Kecamatan Simpang Raya, Sulawesi Tengah: Counseling on Hypertension for Health in Doda Bunta Village, Simpang Raya District, Central Sulawesi Ramli; Sattu, Marselina; caca sudarsa
Jurnal Pengabdian MALEO Vol. 2 No. 2 (2024): Jurnal Pengabdian Maleo
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/maleo.v2i2.293

Abstract

Berdasarkan data World Health Organization (WHO), di seluruh dunia, sekitar 972 juta orang atau 26,4% penghuni bumi mengidap hipertensi. Di Indonesia sendiri, prevalensi hipertensi mencapai 31,7% dan sekitar 60% penderita hipertensi berakhir pada stroke. Faktor-faktor yang menyebabkan hipertensi diantaranya faktor genetik dan faktor lingkungan seperti obesitas, stres, konsumsi garam berlebih, merokok, dan alkohol. Gangguan fisiologis yang terjadi pada pengaturan aliran darah sehingga menyebabkan hipertensi diantaranya gangguan pada kardiak output dan resistensi perifer, gangguan pada sistem renin-angiotensin, dan gangguan pada sistem saraf otonom. Oleh karena prevalensi hipertensi yang masih cukup tinggi di Indonesia, maka pemerintah mencanangkan program deteksi dini penyakit tidak menular (PTM) yakni posbindu guna mengendalikan faktor risiko yang ada untuk meningkatkan derajat kesehatan masyarakat perlu diketahui mengenai faktor-faktor apa saja yang mempengaruhi pengetahuan, sikap, dan tindakan masyarakat setempat mengenai hipertensi. Penyuluhan ini di lakukan pada 50 responden di Desa Doda Bunta pada tanggal 12 Januari 2024. Berdasarkan hasil pengukuran pengetahuan, sikap dan tindakan masyarakat Doda Bunta mengenai Hipertensi ternyata masih tingginya prevalensi yang tidak melakukan pemeriksaan tekanan darah sebanyak 53,4%. Kegiatan penyuluhan tentang Hipertensi bagi kesehatan, tujuannya Untuk meningkatkan pengetahuan masyarakat tentang penyakit Hipertensi, sasaran masyarakat umum, target 50 orang, sumber dana mahasiswa, waktu & tempat pelaksanaan 12 Januari 2024, tempat : Desa Doda Bunta, rencana penilaian : pre-test dan post-test Based on data from the World Health Organization (WHO), around the world, around 972 million people or 26.4% of the world's population suffer from hypertension. In Indonesia alone, the prevalence of hypertension reaches 31.7% and around 60% of hypertension sufferers end up having a stroke. Factors that cause hypertension include genetic factors and environmental factors such as obesity, stress, excessive salt consumption, smoking and alcohol. Physiological disorders that occur in the regulation of blood flow, causing hypertension, include disorders of cardiac output and peripheral resistance, disorders of the renin-angiotensin system, and disorders of the autonomic nervous system. Because the prevalence of hypertension is still quite high in Indonesia, the government has launched an early detection program for non-communicable diseases (PTM), namely posbindu, to control existing risk factors to improve the level of public health. It is necessary to know what factors influence knowledge, attitudes, and local community actions regarding hypertension. This counseling was carried out on 50 respondents in Doda Bunta Village on January 2024. Based on the results of measuring the knowledge, attitudes and actions of the Lokait community regarding hypertension, it turns out that the prevalence of those who do not have blood pressure checks is still high at 53,4%. Outreach activities about Hypertension for health, the aim is to increase public knowledge about Hypertension, target general public, target 50 people, source of student funds, time & place of implementation 12 Januar 2024, place: Doda Bunta Village, assessment plan: pre-test and post test