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Association Between Immunization Status and Complete Nutrition Provision with Wasting Incidence in Toddlers Liwu, Desilia Sidong; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.475

Abstract

Introduction : Wasting is a condition of acute malnutrition in toddlers, where body weight is below normal standards (z-score -3 SD to < -2 SD). This condition can occur due to lack of nutrition and incomplete immunization. Objective : This study aims to determine the relationship between immunization status and provision of complementary foods to the incidence of wasting in toddlers at the Sidomulyo Health Center, Samarinda. Research Method : This study used a quantitative correlational design with a cross-sectional approach. Result : The sample consisted of 188 toddlers aged 2-5 years who were taken stratified. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results obtained There is a significant relationship between immunization status and provision of complementary foods with the incidence of wasting (p-value < 0.05). Toddlers with incomplete immunization have a higher risk of wasting (OR = 0.3 2 ). Conclusion : Toddlers who are given complementary foods <6 months also show a higher prevalence of wasting (OR = 8.94). Complete immunization status and provision of complementary foods on time are important factors in preventing wasting in toddlers.
Association Between Infection History and Complex Nutrition Intake with Wasting Incidence in Toddlers Utami, Fathia Wianida; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.476

Abstract

Background: Wasting in toddlers is a form of acute malnutrition characterized by rapid weight loss and low weight-for-height z-scores, which can severely impact physical growth and cognitive development. Factors such as a history of infection and inappropriate complementary feeding practices have been identified as potential contributors. Objective: This study aimed to analyze the relationship between infection history and the provision of complementary feeding (MPASI) with the incidence of wasting among toddlers aged 2–5 years in the working area of Sidomulyo Health Center, Samarinda. Method: A cross-sectional study with a quantitative correlational approach was conducted. A total of 168 toddlers were selected using stratified random sampling. Data were collected through structured questionnaires and anthropometric measurements, and analyzed using the Chi-Square test. Results: The results showed that 25.6% of the toddlers experienced wasting. Toddlers with a history of infection were found to be at significantly higher risk, with an odds ratio (OR) of 13.85 (p = 0.000). Additionally, toddlers who received complementary feeding before the age of 6 months were 8.9 times more likely to experience wasting (p = 0.000; OR = 8.9). Both variables showed a statistically significant association with the incidence of wasting. Conclusion: The study found a significant relationship between infection history and complementary feeding practices with the incidence of wasting among toddlers. Strengthening maternal education, timely feeding, and infection prevention is essential to reduce the risk of wasting in early childhood.
Association Between Exclusive Breastfeeding and Maternal Knowledge of Toddler Nutrition with Wasting Incidence in Toddlers Tirta, Insani Tiara; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.477

Abstract

Introduction: Wasting is an acute nutritional disorder in toddlers that can lead to impaired growth and increased morbidity. Exclusive breastfeeding and maternal knowledge about toddler nutrition are key factors influencing nutritional status. This study aims to examine the association between exclusive breastfeeding and maternal knowledge of nutrition with the incidence of wasting among toddlers in the working area of Sidomulyo Health Center, Samarinda City. Methods: This study employed a quantitative analytical method with a cross-sectional design. A total of 188 mothers and toddlers were sampled using stratified random sampling, and 168 toddlers met the inclusion criteria for analysis. Data were collected through structured questionnaires and anthropometric measurements. The Chi-Square test was used to analyze the association between variables, and odds ratios (OR) were calculated to determine risk levels. Results: Among the 168 toddlers, 43 (25.6%) were identified as experiencing wasting. A significant association was found between exclusive breastfeeding and wasting incidence (p = 0.000; OR = 0.111; 95% CI = 0.049–0.255), indicating that children who were not exclusively breastfed had a higher risk of wasting. Maternal knowledge of toddler nutrition also showed a significant relationship with wasting (p = 0.000), where poor maternal knowledge was associated with a higher incidence of wasting. Conclusion: Exclusive breastfeeding and good maternal knowledge about toddler nutrition are protective factors against wasting. Health promotion strategies at the community health center level should prioritize increasing awareness and education regarding exclusive breastfeeding and toddler nutritional needs to reduce the prevalence of wasting.
Association between Parenting Patterns and Exclusive Breastfeeding with Wasting Incidence in Toddlers Malwani, Selma Aqila; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.478

Abstract

Introduction: Wasting is a form of acute malnutrition that significantly affects the physical growth, brain development, and immune function of toddlers. Various factors, including parenting styles and breastfeeding practices, may influence the occurrence of wasting. Objective: This study aims to analyze the relationship between parenting styles and exclusive breastfeeding with the incidence of wasting among toddlers in the Sidomulyo Health Center area, Samarinda City. Methods: A quantitative, correlational study with a cross-sectional design was conducted involving 168 toddlers aged 2–5 years, selected through stratified cluster sampling. Data were collected using structured questionnaires and analyzed using the Chi-Square test and Fisher’s Exact Test to assess the associations between variables. Results: The findings revealed that permissive parenting was associated with the highest proportion of wasting cases (46.2%), whereas democratic parenting showed the lowest proportion (9.9%). A significant relationship was found between parenting style and the incidence of wasting (p = 0.000). Furthermore, toddlers who were not exclusively breastfed had a significantly higher risk of wasting compared to those who received exclusive breastfeeding (p = 0.000). Conclusion: Maternal characteristics, parenting styles, and breastfeeding practices play a significant role in determining the nutritional status of toddlers. Democratic parenting and exclusive breastfeeding were found to contribute positively to the prevention of wasting.
Hubungan Pola Makan dan Indeks Massa Tubuh dengan Derajat Hipertensi pada Lansia Rusmawati, Rusmawati; Milkhatun, Milkhatun; Asthiningsih, Ni Wayan Wiwin
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6751

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Usia lanjut ditandai dengan penurunan kemampuan fisik, kognitif, dan psikologis secara alamiah. Pada fase ini, masalah kesehatan sering muncul, salah satunya adalah hipertensi. Upaya yang dapat dilakukan untuk mencegah hipertensi yakni dengan melakukan pengaturan pola makan seperti diet rendah garam, pengaturan berat badan, faktor risiko yang terjadinya peningkatan tekanan darah, salah satunya adalah kelebihan berat badan. Penelitian ini bertujuan mengetahui adanya hubungan pola makan dan indeks massa tubuh dengan derajat hipertensi pada lansia di Kelurahan Rawa Makmur Wilayah Puskesmas Palaran Samarinda. Penelitian ini dilakukan dengan desain deskriptif korelasional melalui pendekatan cross sectional, yaitu mengkaji hubungan pola makan dan indeks massa tubuh dengan derajat hipertensi. Jumlah populasi ialah 204 orang, sampel dalam penelitian ini yaitu lansia penderita hipertensi sebanyak 135 orang, yang dilaksanakan pada bulan Maret sampai April 2025 dan data ini merupakan kunjungan pasien berulang pada tahun 2024, sebanyak 203 pasien dengan hipertensi berada di kelurahan Rawamakmur dari Juli hingga Desember 2024, terdiri dari 74 laki-laki dan 129 perempuan, penelitian ini menggunakan uji speramen Rho. Berdasarkan hasil penelitian ini terdapat hubungan antara variabel pola makan dengan nilai uji rank spearman p value = 0.006 < 0.05 dan variabel indeks massa tubuh dengan nilai uji rank spearman p value = 0,704> 0,05.
HUBUNGAN RIWAYAT PENYAKIT INFEKSI TERHADAP KEJADIAN STUNTING PADA BALITA WILAYAH KERJA PUSKESMAS MANGKUPALAS KECAMATAN SAMARINDA SEBERANG Lusmiati, Lusmiati; Asthiningsih, Ni Wayan Wiwin; Milkhatun
Health Sciences Journal Vol. 9 No. 1 (2025): Health Science Journal
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v9i1.3442

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Di Indonesia, stunting merupakan masalah Kesehatan yang besar. Dampak jangka Panjang yang di sebabkan stunting, antara lain, gangguan kemampuan kongniti ,terhambatnya pertumbuhan dan perkembangan, kerentanan terhadap penyakit dan produktifias yang rendah merupakan Gambaran stunting Kasus stunting di Kota samarinda 25,3 didapatkan data kasus stunting, di tahun 2023 sebanyak 25.9% anak balitastunting di Puskesmas mangkupalas Samarinda Seberang Penelitian ini bermaksud untuk megdentifikasi hubungan atau korelasi antara riwayat penyakit infeksi pada balita dan tingkat stunting di lingkungan Puskesmas Mangkupalas Kecamatan Samarinda Penelitian kuantitatif dengan survey analitik dengan desain cross sectional, menggunakan tehnik sampling purposive sampling, dengan populasi bayi yang mengalami stunting dengan jumlah sampel 115 balita. Hasil penelitian di dapatkan ada korelasi antara stunting dan penyakit infeksi sebelumnya yang signifikasi p value=0.032 dengan menggunakan Analisa Chi-Square.
Correlation between Spirituality Levels and Stress among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Chairunnisa, Aldilla Asri; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.457

Abstract

Introduction: University students, particularly those in health-related programs, are often subjected to various academic demands that must be completed within strict timeframes. These demands, coupled with a lack of preparedness to cope, can lead to psychological issues such as stress. Globally, stress affects more than 350 million people and ranks as the fourth most common health problem. Objective: This study aimed to determine the relationship between spirituality levels and stress among freshmen in the Health Sciences Program at Universitas Muhammadiyah Kalimantan Timur. Methods: This research employed a quantitative approach with a cross-sectional design. A total of 271 respondents were selected using random sampling. The instruments used were the Daily Spiritual Experience Scale (DSES) to measure spirituality and the Depression Anxiety and Stress Scale (DASS-21) to measure stress levels. Data were analyzed using the Spearman rank correlation test. Results: The majority of respondents had a high level of spirituality (160 respondents or 59%), while most respondents also reported normal levels of stress (159 respondents or 58.7%). Statistical analysis revealed a negative correlation between spirituality and stress levels, with a correlation coefficient of -0.417 and a p-value of 0.000, indicating a significant inverse relationship. Conclusion: The findings indicate that higher levels of spirituality are associated with lower levels of stress among new health students. This suggests that spirituality may serve as a protective factor and should be considered in holistic student support and stress management programs in higher education settings.
Correlation Between Spirituality Levels and Depression among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Asrianti, Ulfa Dwi; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.458

Abstract

Introduction: Depression is a common mental health issue among first-year university students, often resulting from the challenges of adapting to new academic and social environments. Spirituality is considered a protective factor that may help reduce symptoms of depression by promoting emotional resilience and a sense of meaning. Objective: This study aimed to examine the relationship between spirituality levels and depression among first-year students enrolled in health study programs at Muhammadiyah Universitas Muhammadiyah Kalimantan Timur. Additionally, the study analyzed the distribution of spirituality and depression levels and explored demographic characteristics that may influence this relationship. Methods: A descriptive correlational study with a quantitative approach was conducted using stratified random sampling. The sample consisted of 271 freshmen, determined using the Slovin formula. Data collection instruments included the Daily Spiritual Experience Scale (DSES) to assess spirituality levels and the Depression Anxiety Stress Scale (DASS-21) to measure depression. Data were analyzed using the Spearman rank correlation test. Results: The analysis revealed a significant negative correlation between spirituality and depression (p = 0.000; r = -0.406), indicating that higher levels of spirituality were associated with lower levels of depression. The strength of the correlation was moderate. Conclusion: The study found a significant negative correlation between spirituality and depression among freshmen in health-related study programs. Higher levels of spirituality were associated with lower levels of depression, highlighting the potential protective role of spiritual well-being in supporting student mental health.
The Effect of Prophet Storytelling Therapy on Anxiety Levels in Preschool Children Treated at Inche Abdoel Moeis Regional Hospital, Samarinda Richa Cahya Setyowati; Ni Wayan Wiwin Asthiningsih; Fatma Zulaikha
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6811

Abstract

Hospitalization in preschool children often causes anxiety due to unfamiliar environments, separation from parents, and invasive medical procedures. Unmanaged anxiety may interfere with the healing process and prolong hospitalization. Prophet storytelling therapy is a non-pharmacological intervention that combines distraction and spiritual values ​​to promote comfort and emotional security in children. Methods: This study employed a quantitative pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 16 hospitalized preschool children aged 4–6 years at RSUD Inche Abdoel Moeis Samarinda, selected using purposive sampling. Anxiety levels were measured using the Spence Children's Anxiety Scale (SCAS) Parent Report before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Results: The findings revealed a significant reduction in anxiety levels following the implementation of prophet storytelling therapy. Prior to the intervention, most respondents experienced severe anxiety, whereas after the intervention, the majority showed mild anxiety levels. Statistical analysis Wilcoxon Signed Rank Test indicated a p-value of 0.002 (p < 0.05), confirming a significant difference in anxiety levels before and after the intervention. Conclusion: Prophet storytelling therapy is effective in reducing anxiety levels among hospitalized preschool children. This therapy can be applied as a spiritual-based non-pharmacological nursing intervention to support atraumatic care in pediatric nursing practice.
EFEKTIFITAS PENDIDIKAN KESEHATAN PERTOLONGAN PERTAMA KECELAKAAN TERHADAP PENGETAHUAN TENTANG KERACUNAN MAKANAN DAN GAS KARBON MONOKSIDA (CO) SISWA KELAS XI Candra Patniawati Candra Patniawati; Milkhatun; Alfi Ari Fakhrul Rizal; Zulmah Astuti; Ni Wayan Wiwin Asthiningsih
Jurnal Pengabdian Masyarakat Nusantara Vol. 2 No. 2 (2023): jurnalpkm.org
Publisher : Open Edutech Indonesia

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

Abstract

Based on cases that illustrate the lack of information about the incidence of food poisoning and carbon monoxide (CO) gas that afflicts a person. Especially in students who often consume fast food snacks have a great risk of experiencing food poisoning and exposure to air pollution due to land transportation can endanger student health because it can cause carbon monoxide (CO) gas poisoning. The purpose of this activity is to increase students' knowledge through health education regarding accident first aid about food poisoning and carbon monoxide (CO) gas. This activity was carried out on grade XI students of Madrasah Aliyah Private Miftahul Ulum Anggana. As a result of this health education activity, students can understand how accident first aid is about food poisoning and carb-monoxide (CO) gas and students are able to answer questions given about the importance of providing accident first aid in such cases.
Co-Authors aditya aditya Agus Friyayi Agus Sugiarno Aisyah Astuti Alamsyah, Fachmi Alia Wardani Andi Lis Arming Gandini Anisa Duwi Putri Asrianti, Ulfa Dwi Candra Patniawati Candra Patniawati Chairunnisa, Aldilla Asri Chatarina Umbul Wahyuni Devi Ariyana Devi Clarisa Amanda Dwi Rahmah Fitrniani Egy Febiyanti Eka Indah Lestari Enok Sureskiarti Erika Syavira Fathir Bayu Pratama Fathul Khair Fitria, A’isyah Riski Gita Anisa Maulida Hasanah, Rahmatin Herlina, Nunung ida bagus nuraini Ikalia Ulandari Imam Hakam Imellia Harmoni Syahputri Jihan Aqilah Laila Alfida Yahya Latipah, Asslia Johar Liwu, Desilia Sidong Luluk Muflikhatul Maulidiyah Lusmiati, Lusmiati Lutfia Novi Rahmawati M. Alfarizi Palewo Mahmoud Ahmad Al-Khasawneh Malwani, Selma Aqila Masriati Nabila Milkhatun Milkhatun, Milkhatun Mira Wati Moh Afandi Muhammad Amir Nasruddin Muhammad Bachtiar Muhammad Wahyu Ramdani Namira Abiyah Juliyanti Nia Fauziah Nur Fithriyanti Imamah Nur Khaylila Ramadhanti Nurjanah Nurjanah Nurjannah, Misbah Nurkhalisah Nursela, Nursela Pipit Fitriani Pratiwi, Rani Eka Putri, Nahda Tiramika Rahman suhada Resta Revalda Ningsih Reza Pitaloka Richa Cahya Setyowati Richa Cahya Setyowati Ridho , Muhammad Risma Akmalia Risma Amalia Safitri Rizal, Alfi Ari Fakhrur Rizkia Cantika Rakhmawati Rona Mika Rurun Kamila Rusmawati Rusmawati, Rusmawati Rusni Masnina Sanita Putri Ardiyani Sendy Glaudia Dede Tule Septiawan, Taufik Shabrina Safitri Siti Khoiroh Muflihatin Sitti Rahmah Sri Wahyuni Sutriani, Merinda Sutrisno, Sutrisno Tiara Tirta, Insani Tiara Tri Wijayanti Umi Kalsum Utami, Fathia Wianida Wahyuni, Emmy Putri Wati, Putri Sintya Yudhi Fajar Saputra Zulaikha, Fatma