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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Pontianak Nutrition Journal (PNJ)
Nila Reswari Haryana
Program studi Gizi, Universitas Negeri Medan
Education Health Professions Public Health Other

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Proses Asuhan Gizi Terstandar pada Chronic Kidney Disease Stage V, Diabetes Melitus II, Anemia dan Pseudoaneurisma Nila Reswari Haryana; Triola Chairunnisa
Pontianak Nutrition Journal (PNJ) Vol 5, No 1 (2022): Maret 2022
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.762 KB) | DOI: 10.30602/pnj.v5i1.913

Abstract

Pasien MRS dengan keluhan perdarahan (pseudoaneurisma) pada bekas operasi AV Shunt (perlakuan pra-hemodialisis) dan didiagnosis CKD stage V dengan hemodialisis, DM tipe II, anemia. Studi kasus dilaksanakan pada pasien rawat inap di RS USU pada bulan November 2021 selama 3 hari intervensi dan monitoring evaluasi. Pengumpulan data menggunakan metode food recall 24 jamx3 hari, wawancara, dan data sekunder. Hasil pengkajian gizi menunjukkan perubahan nilai laboratorium terkait fungsi ginjal dan endokrin serta anemia. Selain itu asupan energi dan zat gizi makro masih rendah (<70%). Prinsip diet yang diterapkan selama intervensi adalah diet gagal ginjal kronik dengan hemodialisis, yaitu energi (2310 kkal), lemak (64 g) dan karbohidrat (375 g) diberikan cukup, sedangkan protein diberikan tinggi (1.2 g/kgBB). Pasien diberikan nasi merah selama di rumah sakit untuk membantu menurunkan gula darah. Hasil monitoring dan evaluasi menunjukkan pada hari ke-1 dan ke-2 konsumsi pangan pasien telah memenuhi target (>70%). Namun, hari ketiga konsumsi makan pasien menurun hingga <70%. Hal ini dikarenakan pasien menggigil akibat penurunan gula darah sewaktu (GDS) yang drastis dari 161 mg/dL ke 90 mg/dL, sehingga ntuk mengatasi hal ini, kolaborasi dengan tenaga kesehatan diperlukan. Akhir intervensi terdapat perbaikan pada gula darah, kreatinin, Hb, Ht dan kondisi pucat pada pasien
Maternal Knowledge of Balanced Nutrition and Maternal Feeding Practices Associated with Stunting in Children Aged 24-60 Months in the Puskesmas Siempat Rube Working Area Rina Elvrida Berutu; Risti Rosmiati; Esi Emilia; Nila Reswari Haryana; Fatma Tresno Ingtyas
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 7: JULY 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i7.5288

Abstract

Introduction: The prevalence of stunting among children aged 24-60 months is a critical public health concern including in the Puskesmas Siempat Rube working area. Inadequate maternal knowledge about balanced nutrition and inappropriate feeding practices can contribute to the incidence of stunting. Objective: To analyze the relationship between maternal knowledge of balanced nutrition and maternal feeding practice on the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area. Method: This cross-sectional study was conducted in December 2023. The research sample consisted of 43 participants selected using purposive sampling. Balanced nutrition knowledge scores were categorized into poor, sufficient, and good; meanwhile, the higher the score for feeding practice, the better the mother's feeding practice was assumed. Height was assessed based on the TB/U indicator and categorized into stunting and not stunting. Hypotheses were analyzed using logistic regression tests, with statistical significance set at p < 0.05. Result: The prevalence of stunting in this study was 69.8%. Most mothers had insufficient knowledge of balanced nutrition (90.7%), and the average feeding practice score was 58.4. Maternal knowledge of balanced nutrition and maternal feeding practice are significantly related to the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area (p < 0.05). Maternal knowledge of balanced nutrition and maternal feeding practice act as protective factors against the incidence of stunting. The odds of children aged 24-60 months experiencing stunting were 0.056 times lower if their mothers had sufficient knowledge of balanced nutrition compared to mothers with poor knowledge. Similarly, each 1-point increase in a mother's feeding practice score could reduce the incidence of stunting by 0.910 times compared to mothers with a feeding practice score one point lower. Conclusion: Maternal knowledge of balanced nutrition and maternal feeding practice are significantly associated with the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area.
Co-Authors Emilia, Esi Fatma Tresno Ingtyas Rina Elvrida Berutu Risti Rosmiati Triola Chairunnisa