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[RETRACTION] Peningkatkan Berat Badan, Kualitas Tidur yang Baik dan Kelancaran Buang Air Besar Dengan Pijat Bayi Yetti Anggraini; Sadiman Sadiman; Firda Fibrila; Islamiyati Islamiyati
Jurnal Pengabdian Kesehatan Beguai Jejama Vol 1, No 1 (2020): Jurnal Pengabdian Kesehatan Beguai Jejama Volume 1 Nomor 1 April 2020
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jpk.v1i1.26

Abstract

Pijat bayi sebagai salah satu bentuk bahasa sentuhan ternyata memiliki efek yang positif untuk pertumbuhan dan perkembangan bayi. Berdasarkan informasi pendahuluan yang didapatkan penulis bahwa budaya pijat bayi di wilayah Kota Metro masih cukup dilestarikan dan hal ini dilakukan oleh dukun bayi. Pelaksanaan pijat bayi oleh dukun pijat bayi banyak yang tidak sesuai dengan teknik yang terdapat dalam pedoman pemijatan menurut kesehatan. Pijat bayi sebaiknya dilakukan oleh orang yang terdekat dengan bayi dalam hal ini ibu bayi dalam rangka meningkatkan sentuhan fisik seperti belaian, pelukan dan pijatan lembut yang akan meningkatkan  ikatan kasih sayang antara ibu dan bayi. Bayi yang dipijat akan mengalami peningkatan tonus nervus vagus (saraf otak ke 10) yang membuat kadar enzim penyerapan gastrin dan insulin meningkat  sehingga penyerapan sari makanan menjadi lebih baik, penyerapan makanan yang lebih baik akan menyebabkan bayi cepat lapar dan karena itu bayi akan lebih sering menyusu. Pemijatan juga mengoptimalkan tumbuh kembang bayi dengan resiko tinggi, yakni bayi-bayi yang dalam proses kehamilan dan kelahirannya mempunyai faktor-faktor resiko yang dapat mengganggu tumbuh kembangnya. Misalnya, berat lahir kurang dari 2000 gram. Pijat bayi dapat digolongkan sebagai aplikasi stimulasi sentuhan karena dalam pijat bayi terdapat unsur sentuhan berupa kasih sayang, perhatian, suara, pandangan mata, gerakan dan pijatan. Stimulasi ini akan merangsang perkembangan struktur dan fungsi sel- sel otak. Kegiatan ini bertujuan untuk memberikan informasi dan penyuluhan tentang pijat bayi dapat meningkatkan berat badan, meningkatkan kualitas tidur, dan melancarkan buang ai besar pada bayi, serta melatih kader dan  ibu bayi usia 3-6 bualn dalam menerapkan teknik komplementer pijat bayi secara mandiri. Metode pemecahan masalah yang dilakukan berupa penyuluhan tentang pentingnya pijat bayi, demonstrasi pijat dengan phantom bayi, serta langusng mempraktikkan langkah-langkah pijat bayi sesuai dengan langkah-langkah dan prosedural yang benar. Hasil kegiatan pengabdian masyarakat menunjukkan bahwa efektifitas pijat bayi terhadap peningkatan berat badan bayi baik pada kelompok perlakuan dan kelompok kontrol ada perbedaan yang bermakna dengan p value 0,000, terhadap peningkatan waktu tidur baik kelompok perlakuan dan juga kelompok kontrol ada pebedaan yang bermakna dengan p value kelompok perlakuan 0,000 dan kelompok kontrol 0,003, dan terhadap peningkatan frekuensi BAB kelompok perlakuan ada perbedaan yang bermakna dengan p value 0,025 dan pada  kelompok kontrol tidak ada pebedaan yang bermakna dengan p value 0,655. Diharapkan bidan sebagai pemberi pelayanan dapat mensosialisasikan dan atau pelatihan pijat bayi kepada para bidan desa maupun kader-kader yang ada disetiap posyandu di wilayah kerjanya, dan para ibu-ibu menyusui dapat melakukannya sendiri dirumah.
FAKTOR RISIKO KERACUNAN PESTISIDA PADA PETANI HORTIKULTURA DI KABUPATEN LAMPUNG BARAT Yushananta, Prayudhy; Melinda, Nia; Mahendra, Arif; Ahyanti, Mei; Anggraini, Yetti
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol. 14 No. 1 (2020)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v14i1.2138

Abstract

Pesticide poisoning is still an important health problem in agricultural areas, especially horticultural agriculture. Various chronic health effects can be caused by long-term exposure to pesticides. This study aims to determine the risk factor of pesticide poisoning in horticultural farmers in West Lampung Regency.The study used a cross sectional design which was conducted in four different areas as the center of horticulture agriculture, West Lampung Regency, Lampung Province. The study involved 289 participants by interviewing, observing and examining blood samples to measure cholinesterase levels as an indicator of pesticide poisoning. In this section, we have applied research ethical procedures. The obtained data were analyzed using Chi squre test, Odds Ratio test and Logistic Regression.The results showed that the risk factors for pesticide poisoning were incomplete use of personal protected equipment (PPE), spraying with the wrong dose and spraying frequency. Unwearing a complete PPE had a 4.54 times (OR = 4.54; 95% CI 2.09-9.83) higher risk of experiencing pesticide poisoning, and statistically suggested, a very significant relationship (p = 0.0001). While the use of excessive dosage has a risk of 4.39 times (OR = 4.39; 95% CI 1.87-10.33; p = 0.001); and the frequency of spraying more than twice a week had a 2.33 times higher risk of experiencing pesticide poisoning (OR = 2.33; 95% CI 1.24-4.40; p = 0.009).Excessive use of pesticide dosage and the frequency of spraying with the cover blanked method are the main factors of pesticide exposure to farmers. On the other hand, the use of PPE is a method of protection from exposure. It needs joint efforts through increasing knowledge about the dangers of pesticides, pesticide management, how to work safely, and the use of PPE.
Efektivitas Kompres Aloe Vera dan Daun Kubis terhadap Breast Engorgement pada Ibu Nifas Martini, Martini; Anggraini, Yetti; Septiani, Ranny
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3556

Abstract

The problem that often occurs in post-partum mothers after giving birth is the occurrence of breast swelling where there is a narrowing of the lactiferous ducts or the glands are not completely emptied or due to abnormalities in the nipples such as blisters or sinking nipples. Aloe vera gel compresses and cabbage leaves are useful to help reduce pain, swelling, and tenderness in wounds. This study aims to analyze aloe vera compresses and breast care compared to cabbage leaf compresses and breast care on breast swelling in postpartum mothers. This study used a quasi-experimental design with a pre-test post-test non-randomized control group design. The non-probability sampling technique is a consecutive sampling type. The research sample for each group was 15 respondents at one of the Central Lampung Health Centers in June-October 2020. The type of data analysis was the Mann-Whitney test. The results showed that the average swelling of the breasts before being given an aloe vera compress was 4.53 and the average after being given an aloe vera compress was 2.47. The mean breast swelling before compressing cabbage leaves was 5.00 and after compressing cabbage leaves was 3.60. Giving aloe vera compresses is effective in preventing breast swelling in postpartum mothers with a p-value
Kajian Penyelenggaraan Pelayanan Kesehatan Remaja pada Masa Covid-19 Setyawati, Ernani; Septiani, Ranny; Anggraini, Yetti; Rosmadewi, Rosmadewi
Jurnal Kesehatan Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i3.4258

Abstract

Banyak Puskesmas yang gagal menyelenggarakan Program Pelayanan Kesehatan Remaja (PKPR) sesuai dengan pedoman nasional meskipun telah dilakukan upaya yang ekstensif. Banyak puskesmas yang mengalami penurunan pelayanan kesehatan akibat pandemi Covid-19, yang juga menghambat efektivitas program kesehatan saat ini seperti PKPR. Dengan diberlakukannya PSBB oleh pemerintah, terdapat kebutuhan nyata terhadap layanan berbasis masyarakat, khususnya PKPR. Penelitian ini akan mengkaji penyelenggaraan PKPR di Puskesmas untuk mengetahui bagaimana PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dijalankan. Penelitian ini menggunakan desain cross-sectional untuk memberikan gambaran penyelenggaraan PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dengan menggabungkan metode deskriptif analitik dengan pendekatan kuantitatif. Penelitian ini mengkaji staf pemimpin PKPR, staf pelaksana PKPR, dan staf pendukung serta pengelola Puskesmas dan remaja di 12 Puskesmas yang berada di wilayah kerja Kota Balikpapan Provinsi Kalimantan Timur, yang berjumlah 48 orang. Kuesioner Standar Pelayanan Kesehatan Nasional digunakan sebagai instrumen penelitian. Hasilnya menunjukkan bahwa penerapan PKPR sejalan dengan standar nasional PKPR dan tingkat kepatuhan terhadap standar tersebut masih rendah di manajemen, remaja, dan jejaring. Di masa wabah Covid-19, pemberian layanan bagi remaja yang mengalami gangguan reproduksi merupakan hal yang penting sebagai upaya preventif dan promotif.
Analisis pelaksanaan program Pelayanan Kesehatan Peduli Remaja (PKPR) pada masa pandemi COVID-19 di Puskesmas Kota Metro Septiani, Ranny; Anggraini, Yetti; Martini, Martini; Putriana, Yeyen
MEDIA ILMU KESEHATAN Vol 12 No 2 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i2.1065

Abstract

Background: Adolescent Care Health Service (PKPR) is a health service program aimed at adolescents at the Health Center, to create "healthy youth". committed to running the program, lack of fund allocation, lack of infrastructure that can support the implementation of PKPR according to national standards, and has not been recorded and evaluated according to standards so that the most prominent problems are not found to be followed up.Objective: This study aims to analyze the implementation of the program at the Metro City Health CenterMethod: Descriptive research with a quantitative approach with a cross-sectional design to find out the description of the implementation of the program at the Health Center. The population of this study was the head of the Health Center as the person in charge of the program, implementing officers, support officers, and assisted youth in the working area of Metro City, totaling 40 people. The instrument used is the published National Adolescent Health Service Standards questionnaire.Results: The level of compliance is still low, namely youth standards, networking and health management.Conclusion: Screening youth problems as a promotive and preventive effort needs to be underlined, there must be an increase in services that reach all youth.
The Role of Exclusive Breastfeeding, Low Birth Weight, and Immunization in Stunting Among Children Under Five Yuliawati, Yuliawati; Anggraini, Yetti; Lestariningsih, Sri; Aghniya, Rofana; Yustiza, Non Rachmani
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.5004

Abstract

Reducing stunting in children is the first of six Global Nutrition Targets for 2025 and serves as a key indicator in the Sustainable Development Goals (SDGs). Stunting is associated with increased risks of illness, mortality, and impaired motor and cognitive development in children. According to the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting in Lampung Province decreased to 15.2%, down from 18.5% in 2021. However, in Metro City, the prevalence increased from 7.29% (2021) to 10.4% (2022), with the highest rate recorded in the working area of Yosomulyo Health Center at 11%. This study aims to analyze the relationship between exclusive breastfeeding, history of low birth weight (LBW), and immunization status with the incidence of stunting in toddlers. This research is a quantitative study with a case-control analytic design. The population consisted of children aged 1–5 years who experienced stunting in the Yosomulyo Health Center working area between February and June 2024, totaling 84 children (11%). The sample consisted of 45 children in the case group and 90 children in the control group (a 1:2 ratio), selected using purposive sampling. Data were analyzed using the Chi-Square test with SPSS software after conducting a normality test. The analysis showed a significant relationship between exclusive breastfeeding, history of LBW, and immunization status with the incidence of stunting (p<0.001). Factors such as lack of exclusive breastfeeding, low birth weight, and incomplete immunization are significantly associated with the incidence of stunting. Early prevention of stunting can be achieved through proper pregnancy planning and regular antenatal care.
Impact of Pregnancy Anemia and Low Birth Weight on Toddler Stunting Nanda Febyani; Yetti Anggraini; Yuliawati Yuliawati
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5231

Abstract

Stunting is a long-term nutritional disorder among children under five that negatively affects physical growth, cognitive performance, and overall human resource quality in later life. Maternal health during pregnancy plays a critical role in the occurrence of stunting, with maternal anemia and low birth weight (LBW) identified as major contributing factors. This study aimed to examine the association between maternal anemia during pregnancy and LBW with stunting among children aged under five in the working area of Metro City. This study employed an observational-analytical design with a cross-sectional approach. The subjects consisted of mothers and children aged 24–59 months who met the specified inclusion criteria. A total of 60 respondents were selected using total sampling and purposive sampling techniques. Data were analysed using univariate and bivariate analyses, with the chi-square test to assess the relationships between variables. The findings demonstrated a statistically significant association between a history of maternal anemia during pregnancy and stunting (p = 0.012). Likewise, LBW was significantly associated with stunting (p = 0.004). Children born with LBW and those whose mothers experienced anemia during pregnancy were found to have a higher likelihood of developing stunting compared to children without such risk factors. In summary, maternal anemia during pregnancy and LBW are significantly associated with stunting among children under five. Therefore, stunting prevention strategies should prioritize strengthening antenatal care services, enhancing early detection and management of maternal anemia, and implementing adequate nutritional interventions for pregnant women to reduce the risk of LBW and subsequent stunting.
Molecular Docking Study of Phenolic Compounds from the Ethanolic Extract of Olive Leaves (Olea europaea L.) as Potential Treatment for Preeclampsia Yetti Anggraini; Yuliawati Yuliawati
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 2 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i2.5519

Abstract

Preeclampsia is a pregnancy-related disorder characterized by hypertension and proteinuria and is closely associated with oxidative stress, inflammation, endothelial dysfunction, and apoptosis. Olive leaves (Olea europaea L.) are rich in phenolic compounds with well-documented antioxidant and anti-inflammatory properties, making them a promising source of natural therapeutic agents. This study aimed to evaluate the potential of phenolic compounds from the ethanolic extract of olive leaves as candidates for treating preeclampsia using a molecular docking approach. The two-dimensional structures of selected phenolic compounds, including kaempferol, luteolin, and oleuropein, were obtained from the PubChem database and prepared as ligands. Target proteins associated with the pathophysiology of preeclampsia were prepared using AutoDock Tools by removing water molecules and separating native ligands. Molecular docking simulations were conducted to analyze binding affinities and interaction patterns between the phenolic compounds and the target proteins. The results demonstrated that all tested compounds exhibited favorable binding energies and formed stable interactions with key amino acid residues at the active sites of the target proteins. Among the compounds evaluated, oleuropein showed the strongest binding affinity, followed by luteolin and kaempferol. These findings suggest that phenolic compounds from the ethanolic extract of olive leaves have potential as therapeutic agents for preeclampsia, possibly through antioxidant and anti-inflammatory mechanisms. However, further in vitro and in vivo studies are required to validate these computational findings and confirm their biological efficacy.
Early Nutrition and Stunting: Why are Exclusive Breastfeeding and Complementary Feeding Essential for Optimal Growth? Yuliawati Yuliawati; Sri Lestariningsih; Yetti Anggraini; Rofana Aghniya; Non Rachmani Yustiza
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4951

Abstract

This study investigates the relationship between exclusive breastfeeding, appropriate complementary feeding, and the incidence of stunting in toddlers. The objective is to identify how these nutritional practices impact child growth and development. A cross-sectional analysis was conducted involving 135 toddlers at Puskesmas Yosomulyo, utilizing a combination of interviews and questionnaires to gather data on feeding practices and health outcomes. The findings reveal that toddlers who received exclusive breastfeeding and appropriate complementary foods exhibited significantly lower rates of stunting compared to those who did not. Specifically, 33% of toddlers who were not exclusively breastfed experienced stunting, while only 19 toddlers who received appropriate complementary food were stunted. The results underscore the critical role of proper nutrition in early childhood development and highlight the need for enhanced educational programs for parents regarding feeding practices. In conclusion, promoting exclusive breastfeeding and appropriate complementary feeding is essential for reducing stunting rates and improving overall child health
REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities Arum Lusiana; Arfiana Arfiana; Mundarti Mundarti; Ranny Septiani; Martini Martini; Yetti Anggraini
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5307

Abstract

Adolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools.