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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Silampari Martabe : Jurnal Pengabdian Kepada Masyarakat JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Pembelajaran dan Biologi Nukleus Journal of Telenursing (JOTING) Dharma Raflesia : Jurnal Ilmiah Pengembangan dan Penerapan IPTEKS Journal of Nursing and Public Health (JNPH) Journal of Midwifery Mitra Raflesia (Journal of Health Science) Jurnal Kesehatan Metro Sai Wawai Prosiding Seminar Nasional Unimus Jurnal Vokasi Keperawatan (JVK)
: Samwilson Slamet, : Samwilson
Prodi D3 Keperawatan FMIPA Universitas Bengkulu
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PENGARUH STRES PSIKOLOGIS TERHADAP KADAR KORTISOL ASI PADA IBU MENYUSUI DI KABUPATEN SELUMA Rosaria, Rini Rosaria; Flora, Rostika; Zulkarnain, Mohammad; Sitorus, Rico Januar; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.301

Abstract

Breast milk is the gold standard in infant nutrition, which is the best food for babies compared to formula milk. Apart from containing the necessary nutrients, breast milk also contains various bioactive compounds that can affect the growth and development of the baby. Among these bioactive compounds there is also a glucocorticoid (GC) content, such as cortisol. It is known that cortisol levels are affected by the level of stress experienced by mothers during pregnancy and after childbirth. Purpose: this study aims to analyze the effect of maternal stress on breast milk cortisol levels in breastfeeding mothers in Seluma District. Method : : This research is an analytic survey, cross sectional study, conducted in Seluma Regency. A total of 77 rbreastfeeding mothers of children aged 0-24 months were taken as respondents by random sampling. Breast milk samples were taken to examine breast milk cortisol levels and were measured using the ELISA method. interviews using a questionnaire were conducted to collect data on maternal characteristics, while the stress level data were obtained by conducting interviews using the DASS 42 questionnaire. The data obtained was then processed and analyzed using univariate and bivariate analysis. Results: The results of measuring psychological stress showed that 35.1% of mothers experienced stress, while the results of measuring breast milk cortisol levels showed that 50% of mothers had high cortisol levels. The results of the Mann Whitney test found that there was a significant difference in the average breast milk cortisol levels in mothers who experienced psychological stress and those who did not (201.65 ± 97.82 μ/mL vs 150.32 ± 81.80 μ/mL, p=0.028) . Conclusion: psychological stress affects breast milk cortisol levels in breastfeeding mothers in Seluma Regency. Education related to handling stress in breastfeeding mothers needs to be done so that it does not hinder the breastfeeding process which can have an impact on the health of mothers and children. Keywords: Breastfeeding mothers, breast milk cortisol level, psychological stress
STUDI CROSS SECTIONAL TERHADAP HUBUNGAN ASUPAN PROTEIN DENGAN KADAR PROTEIN TOTAL ASI PADA IBU MENYUSUI Marissa, Febi Marissa; Flora, Rostika; Zulkarnain, Mohammad; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.283

Abstract

Background: During breastfeeding, mothers need adequate nutritional intake, including protein intake. Essential amino acids play an important role in the process of breast milk protein synthesis and can increase the production and protein of breast milk.  Breast milk protein is needed to support the growth and development of infants in the early stages of life. This study aims to analyze the relationship between protein intake and breast milk protein levels in breastfeeding mothers. Methods: This study was a quantitative study with a cross-sectional approach conducted in Seluma Regency. The sample used was 77 breastfeeding mothers aged 20-35 years who were randomly selected.  Protein intake was obtained using 3x24 hour food recall, then calculated using the Nutri survey application. Breast milk protein levels were measured using the spectrophotometric method. Characteristic data were obtained through interviews. The data obtained were then processed and analyzed using univariate and bivariate analysis using SPSS version 20. Result: The measurement of protein intake showed that 76.6% of breastfeeding mothers had insufficient protein intake. Measurement of breast milk protein levels showed that 67.5% of breastfeeding mothers had insufficient breast milk protein levels. Statistical test results showed that there was a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p=0.007; PR=1.961; CI=1.08-3.56). Mothers who have less protein intake have a 1.96 times greater risk of having low breast milk protein levels. Conclusion: There is a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p<0.005).  Education related to protein intake in breastfeeding mothers needs to be done.  Adequate protein intake can produce the needed quality of breast milk to help the optimal growth and development of the baby.Key words: breast milk, breast milk, protein intake, breastfeeding mothers, milk protein levels
HUBUNGAN KADAR ZAT BESI SERUM DENGAN KONSENTRASI ZAT BESI ASI IBU MENYUSUI DI KABUPATEN SELUMA Ariana, Rika; Flora, Rostika; Sitorus, Rico Januar; Zulkarnain, Mohammad; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.289

Abstract

Background: Maternal iron status affects infant neurocognitive development. When the maternal iron intake and status are disturbed, it can lead to iron deficiency which can lead to anemia if not treated.  Anemia in breastfeeding mothers has a negative impact on the quality and volume of breast milk, including the availability of iron in breast milk. This study aims to analyze the relationship between serum iron levels and breast milk iron concentration in breastfeeding mothers in Seluma Regency. Methods: This study was an analytic survey, cross-sectional design, conducted in Seluma Regency in 4 (four) public health center working areas, namely Rimbo Kedui Public Health Center, Talang Tinggi, Tais, and Masmambang. Respondents were 124 breastfeeding mothers of children aged 0-24 months who were taken by proportional consecutive sampling. Venous blood and breast milk samples were collected for iron level measurement. Iron measurement was done using the spectrophotometric method. Data on characteristics were obtained using a questionnaire. Furthermore, the data were analyzed univariately and bivariately. Results: The results of measuring iron levels showed that 38.7% of mothers had iron deficiency and 15.3% of mothers had low breast milk iron levels. The bivariate test results showed 25% of mothers who experienced iron deficiency had low breast milk iron levels. (p=0.034, OR= 3.28; CI= 1.190-9.071). Conclusion: There is a significant relationship between serum iron levels and breast milk iron levels in breastfeeding mothers. It is necessary to educate mothers regarding the prevention of iron deficiency during pregnancy and breastfeeding so that the quantity of breast milk iron can meet the needs of children during breastfeedingKeyword : Breast milk, Iron Deficiency, Breast milk Iron Level, Iron
Karakteristik, Asupan Protein, Kadar Protein Total dan Kejadian Kekurangan Energi Kronis pada Ibu Hamil: Studi Cross Sectional Dwifitri, Uthu; Zulkarnain, Mohammad; Flora, Rostika; Purnama, Yetti; Slamet, Samwilson
Jurnal Kesehatan Metro Sai Wawai Vol. 15 No. 2 (2022): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v15i2.3497

Abstract

Latar Belakang: Penanggulangan masalah gizi untuk meningkatkan kualitas sumber daya manusia yang paling baik adalah pada periode kehamilan. Ibu hamil merupakan kelompok yang kritis dan rentan terhadap kekurangan gizi, diantaranya kekurangan energi kronik (KEK). KEK mempunyai dampak buruk terhadap janin pada saat hamil dan sebagian besar tidak dapat dikoreksi setelah bayi lahir. Tujuan: Penelitian ini bertujuan untuk mengevaluasi faktor-faktor yang berhubungan dengan KEK pada ibu hamil. Kajian faktor risiko atau penyebab KEK sebagai rekomendasi intervensi menurunkan kejadian KEK. Metode: Penelitian ini dilaksanakan pada bulan Juni 2022 dengan desain cross-sectional. Sampel yang digunakan adalah 107 ibu hamil berusia 20-35 tahun di Kabupaten Seluma yang dipilih secara random sampling. Asupan protein diperoleh dengan food recall 3x24 jam, kemudian dihitung dengan menggunakan nutri survey, kadar protein total diperoleh dengan pemeriksaan serum darah (20 µl) dengan metode biuret, status gizi ibu berdasarkan kategori KEK dan tidak KEK. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil: Hasil uji chi square menunjukkan ada hubungan paritas dengan kejadian KEK. Sedangkan, variabel usia, usia kehamilan, pendapatan keluarga, pendidikan ibu, pekerjaan ibu, dan jumlah keluarga tidak menunjukkan ada hubungan (p > 0,05). Simpulan: Studi ini terbukti paritas sebagai faktor risiko yang dapat meningkatkan kejadian KEK. Perlu edukasi untuk menurunkan dan mencegah KEK pada ibu hamil yang mempunyai anak > 1 orang saat ibu hamil melakukan kunjungan ke pelayanan kesehatan. Abstract: Characteristic, Protein Intake, Total Protein Levels and The Incidence of Chronic Energy Deficiency in Pregnant Women: Cross-sectional Study Background: The best way to deal with nutritional problems to improve the quality of human resources is during pregnancy. Pregnant women are a group that is critical and vulnerable to malnutrition, including chronic energy deficiency (CED). KEK has a negative impact on the fetus during pregnancy and most of it cannot be corrected after the baby is born. Purpose: This study aims to evaluate faktors associated with CED in pregnant women. Study of risk faktors or causes of CED as an intervention recommendation to reduce the incidence of CED. Methods: This study was conducted in June 2022 with a cross-sectional design. The sample used was 107 pregnant women aged 20-35 years in Seluma Regency who were selected by random sampling. Protein intake was obtained by food recall 3x24 hours, then calculated using a nutritional survey. Total protein levels were obtained by examining blood serum (20 µl) using the Biuret method. Maternal nutritional status was based on CED and non-SEZ categories. Data were analyzed using univariate and bivariate analysis. Results: The results of the chi-square test showed that there was a relationship between parity and the incidence of CED. Meanwhile, the variables age, gestational age, family income, mother's education, mother's occupation, and family size did not show any relationship (p> 0.05). Conclusion: This study proved parity is a risk faktor that can increase the incidence of CED. Education is needed to reduce and prevent KEK in pregnant women who have children > 1 person when pregnant women make visits to health services.
KADAR ZINC DAN KADAR IGF-1 SERUM PADA ANAK SEKOLAH DASAR DI KECAMATAN TUAH NEGERI KABUPATEN MUSIRAWAS Flora, Rostika -; Zulkarnain, Mohammad -; Fajar, Nur Alam; Faisa, Achmad Fickry; Nurlaili, Nurlaili -; Ikhsan, Ikhsan -; Slamet4, Samwilson -; Tanjung, Risnawati -; Aguscik, Aguscik -
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 16 No 1 (2021): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v16i1.667

Abstract

Latar belakang: Zinc merupakan salah satu mikronutrien penting yang dibutuhkan oleh tubuh. Rendahnya zinc dalam tubuh akan menghambat efek metabolit hormon pertumbuhan atau GH, sehingga sintesis dan sekresi Insulin Like Growth Factor 1 (IGF-1) berkurang dan berdampak terhadap reterdasi pertumbuhan. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar zinc serum dan kadar IGF-1 serum pada anak Sekolah Dasar di Kecamatan Tuah Negeri Kabupaten Musi Rawas. Metode: Desain penelitian ini adalah cross sectional, dengan sampel anak Sekolah Dasar usia 7-13 tahun. Sampel berjumlah 79 orang yang diambil secara random. Dilakukan pengukuran status gizi berdasarkan TB/U dan pengambilan darah untuk pengukuran kadar Zn dan IGF-1 serum. Adapun data karakteristik sampel diperoleh melalui kuesioner, sedangkan pengukuran kadar Zn dan IGF-1 serum dilakukan dengan metode ELISA. Selanjutnya data dianalisis menggunakan uji chi-square. Hasil: berdasarkan pengukuran status gizi didapatkan 19 (24%) anak mengalami stunting dan 60 (76%) anak memiliki status gizi normal. Pada anak stunting 89.5% mempunyai kadar Zn yang rendah dan 78.9% mempunyai kadar IGF-1 yang rendah. Hasil analisis bivariat didapatkan p=0.017 dan PR=5.667 untuk hubungan antara status gizi dan kadar Zn serum; p=0.000 dan PR=8.983 untuk hubungan antara kadar Zn serum dengan kadar IGF-1 serum. terdapat hubungan yang bermakna antara status gizi dengan kadar Zn serum dan kadar Zn serum dengan IGF-1 serum. Kesimpulan: Anak yang mengalami stunting beresiko 5.667 kali mempunyai kadar Zn yang rendah dan anak dengan kadar Zn serum yang rendah beresiko 8.983 kali mempunyai kadar IGF-1 serum yang rendah juga. Zn dan IGF-1 diperlukan dalam proses pertumbuhan anak. Perlunya edukasi kesehatan tentang pentingnya asupan zinc pada orang tua, agar kebutuhan Zn pada anak dapat terpenuhi.
PENGARUH SLOW DEEP BREATHING DENGAN AROMATERAPI MINYAK ATSIRI JERUK KALAMANSI (CITROFORTUNELLA MICROCARPA) TERHADAP NYERI POST SECTIO CAESAREA DI RUMAH SAKIT BHAYANGKARA KOTA BENGKULU CHOIRUNNI’MAH, ZELLA; PURNAMA, YETTI; SURIYATI, SURIYATI; MARYANI, DENI; SLAMET, SAMWILSON
Journal Of Midwifery Vol 11 No 2 (2023)
Publisher : UNIVED PRESS, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jm.v11i2.5119

Abstract

Pendahuluan: Sectio Caesarea (SC) merupakan suatu pembedahan guna melahirkan janin lewat insisi pada dinding abdomen. Ketidaknyamanan yang dialami ibu setelah post SC adalah nyeri akut yang berhubungan dengan trauma pembedahan. Upaya untuk mengatasi nyeri post SC dengan memberikan teknik slow deep breathing dengan aromaterapi minya atsiri jeruk kalamansi (Citrofortunella microcarpa). Slow deep breathing adalah salah satu teknik relaksasi yang sering digunakan untuk mengurangi nyeri dan menurunkan intensitas nyeri. Aromaterapi merupakan teknik perawatan tubuh dengan menggunakan atau memanfaatkan minyak atsiri (essential oil). Aromaterapi jeruk kalamansi mengandung decanal yang berfungsi dapat menstabilkan sistem saraf sehingga menimbulkan efek tenang bagi siapapun yang menghirupnya. Penelitian ini bertujuan mengetahui pengaruh slow deep breathing dengan aromaterapi minyak atsiri jeruk kalamansi terhadap nyeri post SC di Rumah Sakit Bhayangkara Kota Bengkulu. Metode: Rencana penelitian ini menggunakan kuantitatif survey. Jenis penelitian ini merupakan pre-ekperimental design jenis two- group pretest- posttest design. Sampel penelitian berjumlah 18 responden terdiri dari 9 responden kelompok intervensi dan 9 responden kelompok kontrol. Pengambilan sampel dengan menggunakan teknik accidental sampling. Uji normalitas data menggunakan shapiro-wilk. Analisis data menggunakan uji wilcoxon. Hasil dan Pembahasan: Hasil penelitian ini pada analisis bivariat menunjukkan bahwa nilai pretest dengan rata- rata 5,11 dan posttest rata- rata 2,33 dengan p-value= 0,007 < Asym- sig 0,05. Kesimpulan: ada pengaruh slow deep breathing dengan aromaterapi minyak atsiri jeruk kalamansi terhadap nyeri post SC di Rumah Sakit Bhayangkara Kota Bengkulu. Bagi pasien post SC diharapkan dapat menggunakan terapi non farmakologi namun tetap mendapatkan terapi dari Rumah Sakit.
Peran Tenaga Kesehatan dan Keluarga terhadap Kehamilan Remaja Saleh Saleh; Misnaniarti Misnaniarti; Haerawati Idris; Samwilson Slamet; Indah Yuliana
Jurnal Keperawatan Silampari Vol 5 No 1 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.916 KB) | DOI: 10.31539/jks.v5i1.3066

Abstract

This study aims to identify and analyze the role of health workers and families in teenage pregnancy in the Kepahiang District in 2021. This study is a quantitative descriptive study using a cross-sectional design. The results of the univariate analysis showed that most of the respondents were aged 30-34 years (25.8%), there were 53 people (60.2%) who experienced pregnancy in their teens (<19 years), most of the respondents were 53 people (60.2 %) had sufficient family roles, as many as 66 people (75%) stated that the part of health workers was included in the excellent category. Respondents who indicated that they had a family role in the superb category out of 53 mainly were 39 people or 73.6% who experienced teenage pregnancy, respondents who stated the position of health workers in the excellent category were almost all of the respondents or as many as 15 people (78.9%) who experienced teenage pregnancy. Data analysis with a chi-square statistical test was obtained (p-value) (0.125). The variable of the role of parents and the incidence of pregnancy in adolescents with p-value = 0.000 In conclusion, there is no relationship between the part of health workers and the incidence of teenage pregnancy in Kepahiang Regency in 2021. There is a relationship between the role of the respondent's parents with the incidence of adolescent pregnancy, and there is no relationship between the part of health workers with the incidence of teenage pregnancy. Keywords: Pregnancy, Family, Adolescent Health Workers
Peningkatan Kualitas Hidup Lansia Melalui Otago Exercise Di Puskesmas Kandang Kota Bengkulu Aprilatutini, S.Kep.,M.Pd, Titin; Yustisia, Nova; Slamet, Samwilson; Suryanti, Suryanti
DHARMA RAFLESIA Vol 22 No 2 (2024): DESEMBER (ACCREDITED SINTA 5)
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/dr.v22i2.37136

Abstract

Penurunan fungsi tubuh pada lansia tidak jarang dapat menimbulkan terjadinya risiko seperti terjatuh, terpeleset atau cedera yang tiba-tiba. Dampak jatuh dapat menimbulkan masalah kesehatan seperti adanya luka, patah tulang, gangguan mobilitas fisik dan kematian. Status kesehatan lansia semakin menurun seiring bertambahnya usia, yang akan mempengaruhi kualitas hidup lansia. Penuaan disertai dengan munculnya berbagai penyakit, penurunan fungsi fisik, keseimbangan dan risiko jatuh. Menurunnya status kesehatan lansia berlawanan dengan keinginan lansia untuk tetap sehat, mandiri, dan mampu melakukan aktivitas seperti biasa seperti mandi mandiri, berpakaian mandiri dan beraktivitas. Lansia yang mengalami risiko jatuh menyebabkan mereka mengalami cidera sehingga tidak dapat beraktivitas secara mandiri dan akan mempengaruhi kualitas hidup lansia tersebut. Tujuan pengabdian ini   adalah  untuk  menurunkan risiko jatuh pada lansia dan meningkatkan kemampuan lansia melalui otago exercise sehingga lansia mampu melakukan latihan Metode yang dilakukan dalam pengabdian kepada masyarakat ini adalah latihan otago exercise yang dilakukan sebanyak tiga kali dalam satu minggu selama dua minggu. Hasil pengabdian menunjukkan terdapat rata-rata peningkatan hasil score keseimbangan pada 25 orang lansia yang menjadi peserta yaitu dari 43,68 menjadi 48,92  adanya peningkatan rata-rata hasil risiko jatuh, yang artinya setelah dilakukan latihan otago risiko jatuh menjadi berkurang. Hasil kegiatan ini masih perlu pemantauan dan pendampingan dari Puskesmas khususnya program lansia agar dapat menjadi salah satu kegiatan rutin di Posyandu Lansia.
Co-Authors Achmad Fickry Faisa Aguscik Aguscik Aguscik, Aguscik Aprilatutini, S.Kep.,M.Pd, Titin Ariana, Rika Benny Sihombing Camelia Dwi Putri Masrijal CHOIRUNNI’MAH, ZELLA Delfina, Rina Deni Maryani Dwifitri, Uthu Esti Sorena Esti Sorena Faisa, Achmad Fickry Flora, Rostika - Haerawati Idris Hamzah Hasyim Hamzah Hasyim Ikhsan - Ikhsan Ikhsan Ikhsan Ikhsan Ikhsan Ikhsan, Ikhsan - Inastia Nabella Indah Yuliana Jasmine, Annisah Biancika Maiyulis Maiyulis Marissa, Febi Marissa Mashudi Mashudi Misnaniarti Misnaniarti Misse Margaret Mohammad - Zulkarnain Muhammad Zulkarnain Najmah, Najmah Neshy Sulung Neshy Sulung Nori Wirahmi Nur Alam Fajar Nur Alam Fajar Nurlaili - Nurlaili Nurlaili Nurlaili Nurlaili Nurlaili Nurlaili, Nurlaili - Nurmalia Ermi Oky Hermansyah Purnama, Yetti Rahmad Aswin Juliansyah Rico Januar Sitorus Risky Hadi Wibowo Risnawati Tanjung Rosaria, Rini Rosaria Rose Intan Perma Sari Roslina Wati Rostika - Flora Rostika Flora Rostika Flora Rostika Flora Rostika Flora Sabrina Fitri Saleh Saleh Sri Martini Suci Rahmawati Suci Rahmawati Sulung, Neshy Suriyati, Suriyati Suryanti Syokuma Wena Thoriqul Hidayah Wirahmi, Nori Yetti Purnama Yuliana Ardi Yustisia, Nova Zulkarnain, Mohammad Zulkarnain, Mohammad -