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Jus Buah Delima (Punica Granatum L.) Sebagai Penurunan Tekanan Darah Pada Penderita Hipertensi Sari, Adira Mustika; Eva Yuniritha; Defriani Dwiyanti
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 18 No. 1 (2022): Maret
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v18i1.2126

Hipertensi penyakit tidak menular yang menjadi masalah kesehatan kronik di masyarakat. Prevalensi hipertensi di Indonesia tahun 2018 sebesar 34,1%. Hipertensi dapat mengakibatkan komplikasi seperti stroke, penyakit jantung serta gagal ginjal. Angka kematian pada hipertensi tahun 2016 sebesar 23,7% dan diperkirakan akan meningkat pada setiap tahunnya. Alternatif penatalaksanan hipertensi salah satunya dengan non farmakologi yaitu dengan bahan pangan yang memiliki kandungan tinggi kalium salah satunya buah delima. Penelitian ini bertujuan untuk mengetahui efektifitas pemberian jus buah delima terhadap tekanan darah penderita rawat jalan di Puskesmas Padang Pasir Kota Padang. Penelitian menggunakan desain pre eksperimen. Penelitian dilakukan Puskesmas Padang Pasir Kota Padang pada bulan Januari 2022. Sampel berjumlah 15 orang yang diberikan jus buah delima sebanyak 200 ml selama 7 hari. Data yang dikumpulkan yaitu karakteristik responden, tekanan darah sistolik dan diastolik sebelum dan sesudah diberikan jus buah delima. Analisis data univariat dan analisis bivariat menggunakan Paired Sample T-test. Rata-rata tekanan darah sistolik sebelum pemberian jus buah delima 160 mmHg dan median tekanan darah diastolik 89,33 mmHg. Setelah diberikan jus buah delima selama tujuh hari, rata-rata tekanan darah sistolik 151 mmHg dan median tekanan darah diastolik 74,67 mmHg (p<0,05). Ada perbedaan tekanan darah sistolik dan diastolik sebelum dan setelah pemberian jus buah delima sebesar 9 mmHg dan 14,66 mmHg. Ada efektifitas pemberian jus buah delima terhadap tekanan darah.

Pelatihan Penilaian Mandiri Masyarakat dan Institusi Melalui Aplikasi Android dalam Pengurangan Risiko Bencana Covid-19 Muchsin Riviwanto; Burhan Muslim; Doni, Alsri Windra; Defriani Dwiyanti
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 2 No. 1 (2024): Desember 2024
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v2i1.51

The health center which is the first referral must provide complete health services and quick action for disaster victims. The purpose of the activity is for participants to be able to understand the reduction of the risk of covid 19 disasters based on android. The method of activity is by providing training using the reduction of the risk of covid 19 disasters based on android. The results of community service show that most of the training participants are female (90%). Based on age group, the majority are in the age group over 35 years. As many as 60% are at the PT education level and half are health workers and half are health cadres. The evaluation showed that before being given training on disaster vulnerability management, the level of understanding of participants was high at 40% and the level of ability was high at 20%. However, after being given participatory mapping material, the level of knowledge of participants was high at 90% and the level of ability of participants was high at 95%. Conclusion: by preparing documents, evacuation planning, increasing public awareness, and preparing the health team well, we can improve the response and mitigation of the impact of disasters effectively

Pengaruh Pengaturan Diet Beban Glikemik terhadap Kadar Glukosa Darah Atlet Sepak Bola Remaja Maharani, Citra; Dwiyanti, Defriani; Darningsih, Sri; Hasneli, Hasneli; Yuniritha, Eva
Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya Vol. 8 No. 1 (2024)
Publisher : Universitas Islam Negeri Walisongo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21580/ns.2024.8.1.17117

The purpose of this study was to determine the effect of glycemic load diet on blood glucose levels of adolescent soccer athletes. This study used a type of quasi-experimental research with one group pretest-posttest design. The subjects in this study were 20 soccer athletes aged 15-18 years at PPLP West Sumatra. Subjects were given 4 treatments with a one-week washout period. The diet given is in the form of setting a High IG diet with High BG. High IG with Low BG, Low IG with High BG, and Low IG with Low BG. The data taken were blood glucose levels before the intervention, blood glucose 2 hours postpandrial, and blood glucose shortly after exercise. Blood glucose levels were analyzed using repeated measures ANOVA test and one way ANOVA test (p<0,05). Based on the one way ANOVA test, there was no difference in blood glucose levels in the four groups (p>0,05). Fluctuations in blood glucose levels occurred stably in the treatment of low glycemic load diets. Low glycemic load diets are able to maintain blood glucose levels during exercise. Tujuan penelitian ini adalah untuk mengetahui pengaruh diet beban glikemik terhadap kadar glukosa darah atlet sepak bola remaja. Penelitian ini menggunakan jenis penelitian quasi experimental dengan desain one group pretest-posttest dengan subjek sebanyak 20 orang atlet sepak bola berusia 15-18 tahun di PPLP Sumatera Barat. Subjek diberikan 4 perlakuan dengan waktu satu minggu. Diet yang diberikan berupa pengaturan diet Indeks Glikemik (IG) Tinggi dengan Beban Glikemik (BG) Tinggi (TT), IG Tinggi dengan BG Rendah (TR), IG Rendah dengan BG Tinggi (RT), dan IG Rendah dengan BG Rendah (RR). Data yang diambil yaitu kadar glukosa darah sebelum intervensi (KGD1), glukosa darah 2 jam postpandrial (KGD 2), dan glukosa darah sesaat setelah latihan (KGD 3). Kadar glukosa darah dianalisis menggunakan uji repeated measures ANOVA dan uji one way ANOVA. Berdasarkan uji repeated measures ANOVA, terdapat perbedaan kadar glukosa darah 2 jam postpandrial dengan sesaat setelah latihan lari pada perlakuan TT dan RT (p<0,05). Berdasarkan uji one way ANOVA tidak terdapat perbedaan kadar glukosa darah pada keempat kelompok (p>0,05). Fluktuasi kadar glukosa darah terjadi secara stabil pada perlakuan diet beban glikemik rendah. Diet beban glikemik rendah mampu mempertahankan kadar glukosa darah saat latihan.

PERESEPAN OBAT GENERIK DAN FAKTOR-FAKTOR YANG MEMPENGARUHINYA PADA INSTALASI RAWAT JALAN RUMAH SAKIT PEMERINTAH DI PROPINSi SUMATERA BARAT Sukapti Sukapti; Defriani Dwiyanti
Jurnal Kesehatan Masyarakat Andalas Vol 5 No 1 (2010): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v5i1.142

Pelaksanaan penggunaan obat generik dari waktu ke waktu terus ditingkatkan oleh pemerintah dan dirasa semakin relevan mengingat harga obat generik lebih murah dibandingkan obat paten. Target Sumbar sehat 2010 dalam penggunaan obat generik berlogo dalam persediaan obat adalah 85%. Sedangkan menurut data 2004 jumlah tersebut sudah dapat dipenuhi keseluruhan pelayanan kesehatan yang ada di propinsi Sumatera Barat baik puskesmas maupun Rumah Sakit pemerintah khusus pelayanan rumah sakit 2007 penggunaan obat generik sebesar 82,1% sesuai dengan target yang ditetapkan dalam renstra pembangunan kesehatan Propinsi Sumatera Barat. Tapi kalau dilihat penggunaan obat generik masing-masing Rumah Sakit Pemerintah yang tersebar di Kabupaten / Kota di Propinsi Sumatera Barat menunjukkan tidak ada pemerataan. Penelitian obat generik telah dilakukan dengan tujuan mengetahui peresepan obat generik dan faktor-faktor yang mempengaruhinya di instalasi rawat jalan Rumah Sakit Pemerintah di Propinsi Sumatera Barat. Jenis penelitian adalah deskriptif dengan menggunakan rancangan observational. Pengumpulan dengan melakukan pengamatan resep sebanyak 7314 dan mewawancarai dokter yang bertugas di Instalasi rawat jalan. Data dianalisis secara univariat dengan wawancara dan format isian dan diolah serta dianalisis dengan uji Anova. Penelitian menunjukkan rata-rata jumlah item obat perlembar resep rumah sakit pemerintah propinsi Sumatera Barat adalah 3-4 item obat. Rata-rata jumlah obat generik masing-masing resep pelayanan rawat jalan Rumah Sakit Pemerintah adalah 2-3 item obat generik. Persentase penggunaan obat generik pelayanan rawat jalan rumah sakit pemerintah Propinsi Sumatera Barat adalah 72,4%. Umumnya tinggi pemahaman dan kepercayaan pemberi resep obat generik. Masih rendahnya, pengaruh pasien dan detailer dalam meresepkan obat generik oleh dokter. Perlu adanya insentif dan sanksi yang tegas bagi dokter menuliskan resep generik pada pasien. Perlu sosialisasi dan dipasang poster di tempat strategis. Rumah sakit mengingatkan pasien agar selalu meminta resep obat generik.

The Preparedness Level of Families with Disabilities Children in Facing the Earthquake and Tsunami Disaster in Padang, West Sumatra Riviwanto, Muchsin; Darwel, Darwel; Dwiyanti, Defriani; Juanda, Juanda
International Journal of Disaster Management Vol 4, No 1 (2021)
Publisher : TDMRC, Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/ijdm.v4i1.19323

Disability groups are groups vulnerable to disaster risk. Most families with disabilities feel worried about defending themselves in the event of a disaster. They are less socialized with disaster mitigation efforts. This research has provided an overview of the preparedness of families with disabilities children in increasing disaster resilience. Analytical research was conducted on families with disabilities children in the city of Padang. Data collection tools in this study used a standard questionnaire from LIPI-UNESCO / ISDR. The data were processed by a computer and analyzed using multiple regression statistical tests. The results showed the preparedness of Families With Disabilities Children in the face of disasters; it was seen that the knowledge category was ready (42.2%), the preparedness plan category was not ready (37.8%), the disaster warning category was not ready (46.7%), the resource mobilization category was not ready, ready (82.2%), the tsunami disaster preparedness index value is 57% (ready category). This research recommended local governments must provide special treatment for people with disabilities by increasing training, seminars, and disaster simulations.

Health Adaptation Behavior of Farmers and Fishermen in Areas Exposed to Climate Change Riviwanto, Muchsin; Barlian, Eri; Dwiyanti, Defriani
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.3596

Climate change is a definite, indisputable, clear, firm, and imminent reality, and has the potential to become a serious threat and challenge for the agriculture and fisheries sector. Climate change not only has an impact on the economy but also the health of farmers and fishermen. Farmers and fishermen must have health adaptation behavior to anticipate the adverse effects of climate change. This study aims to look at the individual's adaptive behavior and the factors that influence it. This study uses a cross sectional design on the heads of families of farmers and fishermen affected by climate change in the Province of West Sumatra, Indonesia. The number of samples as many as 150 samples were taken by probability proportional to size (PPS). Collecting data using primary data with interviews method. Data processed by computer and multivariate analysis with logistic regression testThe results of this study found the influence of husband's education, family income, self-efficacy, self-awareness, attitudes, perceptions, life skills, health care support, access to information about climate change together on health adaptation behavior. The most important determinants of health adaptation behavior are husband's education and self-awareness. There is a need for non-formal education in the form of socialization and training on adaptation of public health in the face of climate change. The government must integrate health and climate programs, climate socialization for health workers and provide compensation for people exposed to climate change.

Health Worker's Understanding of Haze Disaster Risk Management Collaboration in West Sumatra Province Riviwanto, Muchsin; Muslim, Burhan; Sugriarta, Evino; Sasmita, Heppi; Defriani Dwiyanti; Febriani, Wiwi
proceedinginternational Vol. 3 (2023): Proceeding International Health Conference, 1th July 2023
Publisher : POLTEKKES KEMENKES PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jd.v3i.33

Forest fires cause a decline in the level of public health, either directly or indirectly. One of the public health services that requires good collaboration is health services at the Puskesmas. health workers on duty at the Puskesmas in dealing with disasters in their respective work areas. The collaboration target is integrated patient care for disaster victims. This study aims to determine the understanding of health workers in collaborative risk management for haze disaster in West Sumatra.The design at this stage is cross sectional to identify the characteristics of the respondents (age, gender, type of profession, education), knowledge, attitudes, and collaborative actions to reduce haze disaster risk at the same time. The target population of this research is all health workers in several districts in West Sumatra Province. The affordable population of the study is health workers in areas categorized as vulnerable to haze in the province of West Sumatra. The sample determined in the survey phase of the research using the Lamesshow formula (Lemeshow et al., 1990). Based on the above formula, the total sample size is 50 samples, with an anticipated sample drop out of 10%, so the total number of samples is 55 samples. Collecting data using primary data by means of interviews with a questionnaire instrument. The statistical test used in this study is the chi square test, which is a statistical test used to test the relationship between the independent variable (independent) and the dependent variable (dependent) on a categorical scale.The results of the quantitative research show that more than half of the knowledge level (60%) and positive attitude (51%) about collaboration in disaster risk management of haze haze are seen. And the actions or practices of more than half of the respondents or health workers have less action (64%) regarding collaboration for disaster risk management of haze. There is a relationship between the knowledge and attitudes of health workers with collaborative actions to mitigate the risk of haze disaster. Government involvement is needed to issue a collaborative policy for managing the risk of haze disaster to change the centralistic/spatial paradigm in disaster management. Health workers can improve their understanding of communication and motivation in collaborative disaster risk management for haze.

Implementation of Handling Covid-19 Through The Sendai Framework Approach (West Sumatra Case Study) Riviwanto, Muchsin; Muslim, Burhan; Wijayantono; Dwiyanti, Defriani
proceedinginternational Vol. 4 (2024): Proceeding International Conference 1th February 2024
Publisher : POLTEKKES KEMENKES PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jd.v4i.34

Indonesia designated the non-natural disaster Covid-19 as a national in in 2020. The Sendai Framework Agreement (SFA 2015) states that risk reduction efforts must be prioritized, by means of prevention, mitigation and preparedness. West Sumatra Province has disaster management referring to Central Government guidelines from both the BNBP and the Ministry of Health. But it has not yet referred to disaster risk reduction management. The research aims to determine Covid 19 risk management based on the Sendai frame work in West Sumatra Province. The data used is secondary data from research studies of journals and news in chronology. SFA blueprint for predicting the risk of Covid-19 based on Android. The evaluation results of the Covid-19 Risk Prediction Application (M-RCov19) are easy to use and satisfying. Local governments can socialize the M-RCov19 application through focus group discussions (FGD) and training. And it is necessary to issue a policy in the form of a contingency plan (rencon) after the Covid-19 pandemic.

Pengaruh Pengaturan Diet Beban Glikemik terhadap Kadar Glukosa Darah Atlet Sepak Bola Remaja Maharani, Citra; Dwiyanti, Defriani; Darningsih, Sri; Hasneli, Hasneli; Yuniritha, Eva
Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya Vol. 8 No. 1 (2024)
Publisher : Universitas Islam Negeri Walisongo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21580/ns.2024.8.1.17117

The purpose of this study was to determine the effect of glycemic load diet on blood glucose levels of adolescent soccer athletes. This study used a type of quasi-experimental research with one group pretest-posttest design. The subjects in this study were 20 soccer athletes aged 15-18 years at PPLP West Sumatra. Subjects were given 4 treatments with a one-week washout period. The diet given is in the form of setting a High IG diet with High BG. High IG with Low BG, Low IG with High BG, and Low IG with Low BG. The data taken were blood glucose levels before the intervention, blood glucose 2 hours postpandrial, and blood glucose shortly after exercise. Blood glucose levels were analyzed using repeated measures ANOVA test and one way ANOVA test (p<0,05). Based on the one way ANOVA test, there was no difference in blood glucose levels in the four groups (p>0,05). Fluctuations in blood glucose levels occurred stably in the treatment of low glycemic load diets. Low glycemic load diets are able to maintain blood glucose levels during exercise. Tujuan penelitian ini adalah untuk mengetahui pengaruh diet beban glikemik terhadap kadar glukosa darah atlet sepak bola remaja. Penelitian ini menggunakan jenis penelitian quasi experimental dengan desain one group pretest-posttest dengan subjek sebanyak 20 orang atlet sepak bola berusia 15-18 tahun di PPLP Sumatera Barat. Subjek diberikan 4 perlakuan dengan waktu satu minggu. Diet yang diberikan berupa pengaturan diet Indeks Glikemik (IG) Tinggi dengan Beban Glikemik (BG) Tinggi (TT), IG Tinggi dengan BG Rendah (TR), IG Rendah dengan BG Tinggi (RT), dan IG Rendah dengan BG Rendah (RR). Data yang diambil yaitu kadar glukosa darah sebelum intervensi (KGD1), glukosa darah 2 jam postpandrial (KGD 2), dan glukosa darah sesaat setelah latihan (KGD 3). Kadar glukosa darah dianalisis menggunakan uji repeated measures ANOVA dan uji one way ANOVA. Berdasarkan uji repeated measures ANOVA, terdapat perbedaan kadar glukosa darah 2 jam postpandrial dengan sesaat setelah latihan lari pada perlakuan TT dan RT (p<0,05). Berdasarkan uji one way ANOVA tidak terdapat perbedaan kadar glukosa darah pada keempat kelompok (p>0,05). Fluktuasi kadar glukosa darah terjadi secara stabil pada perlakuan diet beban glikemik rendah. Diet beban glikemik rendah mampu mempertahankan kadar glukosa darah saat latihan.

Analysis Case Control Under-Sanitation and History of Infection Disease with Stunting in Climate-Vulnerable Areas in Indonesia: A Meta-Analysis Muchsin Riviwanto; Vebby Amellia Edwin; Lindawati; Mahaza; Defriani Dwiyanti; Ricvan Dana Nindrea
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 1 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i1.2026.19-25

Introduction: Stunting impacts global health, particularly in low-resource and uncertain climates. Indonesian child stunting, under-sanitation, and infectious disease meta-analysis. Discussion: Unsanitary environments and infectious disease histories are connected to stunting, we found. Food alone does not stunt. Environmental, infectious, and social factors do. Children with a history of infectious diseases had more than double the risk of stunting (pooled OR = 3.72, 95% CI: 2.05–6.73), while those with inadequate sanitation had over three times the chances. Children with inadequate sanitation and a history of infectious disorders were 3.29 times more likely to stunt than those with good sanitation and no infectious diseases. These findings suggest that poor sanitation and infectious diseases induce stunting, especially in harsh regions. Conclusion: Indonesian stunting is caused by climate change, sanitation, and infectious diseases. Ending stunting requires better sanitation, water, and infection control. Future research should examine how disease, hygiene, and climate impact effect. Public health, environmental, and community groups must collaborate to prevent stunting.

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