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Faktor-Faktor Resiko Stunting Anak Usia Pra Sekolah di Wilayah Bencana Erupsi Gunung Berapi Abiddin, Andi Hayyun; Anam, Agus Khoirul
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14475

Abstract

ABSTRACT Natural disasters are events that cause loss of property, environmental damage, damage to infrastructure, and even loss of life. One of the disaster threats in Indonesia is volcanic eruptions which cause poverty, affecting family investments in children's nutrition and health care. To identify risk factors for stunting in pre-school children in volcanic eruption disaster areas. This research design is cross-sectional. The sample in this study was kindergarten school students located in areas prone to volcanic eruptions, a total of 30 respondents taken using purposive sampling with inclusion criteria: (1) Kindergarten students A and B; (2) the school is located in an area prone to volcanic eruptions; (3) willing to be a respondent; and (4) the student is not suffering from a chronic, congenital disease or mental disorder. Respondents were excluded mothers who were unable to carry out interviews. The sample in this study was 30 respondents. Data were collected using a questionnaire prepared based on WHO guidelines and recommendations for feeding children from the Indonesian Pediatrician Association (IDAI). Data analysis used descriptive analysis and Chi Square test (p<0.05). The results showed that 3 subjects (10%) of the 30 total subjects belonged to the stunting group. The factors causing stunting that have a significant relationship with the incidence of stunting in the Argia Candi Sewu Kindergarten are maternal education (p-value 0.04), family income (p-value 0.01), and immunization history (p-value 0.02). The mother's role is very important, as the mother as a caregiver has all decisions regarding healthy feeding practices, including breastfeeding.  Keywords: Stunting, Pre-School Children, Disasters, Volcanoes  ABSTRAK Bencana alam merupakan peristiwa yang menimbulkan hilangnya harta benda, rusaknya lingkungan, rusaknya prasarana, bahkan hilangnya nyawa. Salah satu ancaman bencana di Indonesia adalah erupsi gunung berapi yang menyebabkan kemiskinan, memengaruhi investasi keluarga pada nutrisi dan perawatan kesehatan anak-anak. Mengidentifikasi faktor-faktor resiko stunting anak usia pra sekolah di wilayah bencana erupsi gunung berapi. Design penelitian ini cross-sectional. Sampel dalam penelitian ini adalah siswa sekolah TK yang berada di kawasan rawan bencana erupsi gunung berapi sejumlah 30 responden yang diambil menggunakan purposive sampling dengan kriteria inklusi: (1) siswa TK A dan B; (2) sekolah berada di Kawasan Rawan Bencana erupsi gunung berapi; (3) bersedia menjadi responden; dan (4) siswa tidak sedang menderita penyakit kronis, bawaan maupun gangguan mental. Responden yang dieksklusi ibu yang tidak dapat melakukan wawancara. Sampel dalam penelitian ini sebanyak 30 responden. Pengumpulan data menggunakan kuesioner yang disusun berdasarkan panduan WHO dan rekomendasi pemberian makan pada anak dari Ikatan Dokter Anak Indonesia (IDAI). Analisis data menggunakan deskriptif, dan uji Chi Square (p<0.05). Hasil penelitian menunjukkan bahwa 3 subjek (10%) dari 30 total subjek termasuk kelompok stunting.  Faktor-faktor penyebab stunting yang memiliki hubungan bermakna dengan  kejadian  stunting di TK Argia Candi Sewu adalah pendidikan ibu (p-value 0,04),   penghasilan keluarga (p-value 0,01), dan riwayat imunisasi (p-value 0,02). Peran ibu sangat penting, seperti Ibu sebagai pengasuh mempunyai segala keputusan tentang praktik pemberian makan yang sehat, termasuk menyusui. Kata Kunci: Stunting, Anak Usia Pra Sekolah, Bencana, Gunung Berapi 
Efektifitas Senam Kaki Diabetes Menggunakan Alat Pijat Plantar Manual pada Klien Diabetes Mellitus Abiddin, Andi Hayyun; Anam, Agus Khoirul
Malahayati Nursing Journal Vol 6, No 6 (2024): Volume 6 Nomor 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i6.13450

Abstract

ABSTRACT Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. To analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients using Plantar Manual Massage Device. The study design used quasi-experimental pre-post test with control group. Samples were 20 respondents using purposive sampling and divided into two groups of 10 respondents each. The independent variable is diabetic foot massage using Plantar Manual Massage Device, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument using neuropathy screening score (NSS ) and  Monofilament test. Data analysis using the Wilcoxon-signed rank test with α≤0.05. The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment using Plantar Manual Massage Device (p=0,000) and no difference in the control group (p=0.523). Diabetic foot exercises using Plantar Manual Massage Device can be used as an alternative device to improve sensory peripheral neuropathy. Keywords: Diabetic Foot Exercise, Plantar Manual Massage Device, Peripheral Neuropathy  ABSTRAK Neuropati perifer merupakan komplikasi jangka panjang yang menyerang saraf dan kehilangan sensasi perlindungan yang menyerang sekitar 50% penderita diabetes melitus (DM). Senam kaki diabetes dapat membantu melancarkan peredaran darah, terutama pada tungkai atau anggota tubuh bagian bawah. Menganalisis pengaruh senam kaki diabetik terhadap neuropati perifer sensorik pada klien DM dengan menggunakan Alat Pijat Manual Plantar. Desain penelitian menggunakan quasi eksperimental pre-post test with control group. Sampel berjumlah 20 responden dengan menggunakan purposive sampling dan dibagi menjadi dua kelompok yang masing-masing berjumlah 10 responden. Variabel bebasnya adalah pijat kaki diabetik menggunakan Plantar Manual Massage Device, dan variabel terikatnya adalah neuropati sensorik perifer. Intervensi dilakukan 3 kali seminggu selama 4 minggu. Instrumen penelitian menggunakan skor skrining neuropati (NSS) dan tes Monofilamen. Analisis data menggunakan uji Wilcoxon-signed rank test dengan α≤0,05. Uji Wilcoxon-signed rank test pada kelompok perlakuan menunjukkan adanya perbedaan neuropati perifer sensorik setelah perlakuan menggunakan Plantar Manual Massage Device (p=0,000) dan tidak terdapat perbedaan pada kelompok kontrol (p=0,523). Senam kaki diabetik menggunakan Plantar Manual Massage Device dapat digunakan sebagai salah satu alternatif alat untuk memperbaiki neuropati perifer sensorik. Kata Kunci: Senam Kaki Diabetik, Alat Pijat Plantar Manual, Neuropati Perifer 
Effektivitas Disaster Training terhadap Peningkatan Pengetahuan, Sikap dan Keterampilan Perawat dalam Kesiapsiagaan Penanggulangan Bencana Letusan Gunung Kelud di Kota Blitar Agus Khoirul Anam; Sri Winarni; Budi Susatya
Journal of Ners and Midwifery Vol 2 No 2 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v2i2.ART.p108-114

Abstract

Disaster preparedness is a series of efforts made to anticipate the disaster through organizing as well as the steps effectively and usefull.  Identification of factors influencing nursing preparedness is beneficial in the preparation of government programs related to nursing preparedness in disaster management and nurses understand the factors that need to be considered.This study aimed  to identify the efectiveness  of disaster training to enhance knowledge, attitude and skill nurses in disaster management.Methode :This research is pre experimental  pretest posttest design . The number of samples is s 30  nurses who were in the Disaster-prone Region Kelud in Blitar district and the study was conducted on Oktober 16. Result of analysis used wilcoxon significancy 0,000 ( p< 0,05 )  that shows the dfference influencing knowledge, attitude and skill nurses after Disaster Training . Discussion: Disaster Training is very important to improve nursing preparedness in facing disaster. Nurse assocation and goverment must be able to give good support for disaster nurse.
Post-Traumatic Stress Dissorder pada Penyintas Erupsi Gunung Kelud berdasarkan Impact of Event Scale-Revised (IES-R) di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar Agus Khoirul Anam; Wiwin Martiningsih; Ilus Ilus
Journal of Ners and Midwifery Vol 3 No 1 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i1.ART.p046-052

Abstract

Post-Traumatic Stress Disorder (PTSD) adalah respon individu terhadap suatu peristiwa/suatu kondisi yang dapat menimbulkan gejala-gejala, berupa re-experiencing (teringat kembali), avoidance (penghindaran), hyperarousal (peningkatan kewaspadaan berlebihan). Tujuan penelitian adalah menggambarkan PostTraumatic Stress Disorder Pada Penyintas Erupsi Gunung Kelud Berdasarkan Impact of Event Scale-Revised (IES-R) Di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar. Metode dalam penelitian ini menggunakan rancangan deskriptif. Populasi dalam penelitian adalah semua penyintas erupsi gunung Kelud di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar sebanyak 280 orang, dan besar sampel yang diambil adalah 42 orang menggunakan teknik simple random sampling. Pengumpulan data dilakukan dengan memberikan kuesioner IESR. Waktu pengambilan data dilakukan pada 11 Maret 11 April 2015. Hasil penelitian di Dukuh Kali Bladak menunjukkan bahwa responden yang mengalami PTSD sebanyak 66,6% mulai dari beberapa hingga banyak gejala, dengan sebagian besar masyarakat pernah mengalami peristiwa erupsi Gunung Kelud. Rekomendasi penelitian ini diharapkan dinas kesehatan/ masyarakat dapat menurunkan gejala Post Traumatic Stress Disorders dari seseorang yang menunjukkan banyak gejala menjadi tidak ada gejala pada penyintas erupsi Gunung Kelud melalui terapi debriefing di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar.
Upaya Pengurangan Risiko Bencana (MITIGASI) Letusan Gunung kelud oleh Masyarakat di Wilayah Kawasan Rawan Bencana (KRB) III Kabupaten Blitar Sri Winarni; Agus Khoirul Anam; Rizal An Akhiruna
Journal of Ners and Midwifery Vol 3 No 3 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i3.ART.p272-277

Abstract

Indonesia is a country that has great case of natural disasters. One of disasters that recently occurred are the volcanic eruptions. Based on the interview with volunteer of kelud anchor in December 2015, there were communities that were less understand about disaster risk reduction efforts of the volcano. The purpose of the research was the efforts of disaster risk reduction (Mitigation) eruption of Kelud Mountain by the society in the area of Disaster-prone Areas (KRB) III Blitar Regency. This research used descriptive research design. The population of the research was all members of the community who live in area III KRB Kelud in Modangan. The sample was 60 people taken by quota sampling. The data collection was done by providing a closed-ended questionnaire multiple choice questions. Time data retrieval performed on 15-20 March 2016. The results showed that the public had the ability to either IE of 50% (30 people), enogh ability as 15% (10 people) and had less abilities i.e. as 35% (20 people). It was affected by the dissemination of prevention and disaster risk reduction. Recomendation for stakeholder of Modangan and Karangrejo village was to do socialitation in every or when there was sign of Kelud mountain activity.
Gambaran Kesiapsiagaan Pedagang Pasar dalam Penanggulangan Bencana Kebakaran di Pasar Legi Kota Blitar (Disaster Nursing Research) Agus Khoirul Anam; Sri Winarni
Journal of Ners and Midwifery Vol 3 No 3 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i3.ART.p278-285

Abstract

Indonesia has a lot of potential natural and non-natural disasters. Non-natural disasters which often happened are fire disasters. One of them was market fire. In January 2015 until April 2015, there was an increasing more than 50 on fire in bigger traditional market and 90 smaller traditional market in all over indonesia. The purpose of this research was to describe the marketeer preparedness of fire disaster management of Legi market Blitar city. The research method used descriptive design. The population in this research was a marketeer Legi Kota Blitar about 584 marketeer and the sample was 58 marketeer taken by purposive sampling technique. The data collection was conducted by questionnaire. The results showed that the lack of preparedness of marketeer in the fire disaster still less as much as 60.3% (35 marketeer). It was caused by there was no information of manner about the preparedness of fire disaster, no training, didn’t have the telephone number of fire department, no simple fire extinguishers, could not use a fire APAR or hydrant, and unable to perform first aid to fire victims. Recomendation of BPBD departement necessary gave education and training about fire disaster preparedness, especially in the market so it could decrease the risk of fire disaster in Legi market Blitar city.
Upaya Orang Tua dalam Pencegahan Cedera Anak Balita di Rumah Agus Khoirul Anam; Arif Mulyadi; Devi Widyawati Sagar
Journal of Ners and Midwifery Vol 4 No 1 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i1.ART.p012-016

Abstract

Cedera adalah penyebab kematian yang paling sering pada anak-anak. Banyak anak yang masuk rumah sakit, menderita cacat yang serius, atau meninggal karena cedera. Tujuan dari penelitian ini adalah mengetahui upaya orang tua dalam pencegahan cedera anak balita di rumah. Metode dalam penelitian ini adalah deskriptif. Populasi dalam peneliti adalah orang tua yang memiliki anak usia dibawah 5 tahun yang datang ke Posyandu Asparaga Bendogerit Sananwetan. Jumlah sampel sebanyak 43 orang tua diambil dengan teknik quota sampling. Pengumpulan data dilakukan dengan kuesioner yang dibuat oleh peneliti. Hasil penelitian menunjukkan secara umum upaya orang tua cukup yaitu sebesar 55,8% orang tua. Dalam penelitian ini masih ada pencegahan cedera yang kurang yaitu menyikat lantai kamar mandi agar tidak licin, menghindari penggunaan taplak meja, tidak meninggalkan anak di kamar mandi sendirian dan menjauhkan perabot yang bersudut runcing. Petugas kesehatan perlu memberikan pendidikan kesehatan tentang upaya pencegahan cedera anak balita di rumah.
Sikap Orang Tua dalam Penanganan Anak Retardasi Mental di SDLB Negeri Bendo Kecamatan Kepanjenkidul Kota Blitar Agus Khoirul Anam; Nohan Nohan
Journal of Ners and Midwifery Vol 4 No 3 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i3.ART.p181-185

Abstract

Mental retardation is a condition of mental development that has stopped or is not complete. In most children's mental retardation, many problems can be to concern the parents. The objective of this research is to describe the attitude of parents in handling the mental retardation child in SDLB Negeri Bendo Kecamatan Kepanjenkidul, Blitar City. The design of the research is descriptive research. The population of the research is a whole of the parents of children with mental retardation who attended at SDLB Negeri Bendo Kecamatan Kepanjenkidul, Blitar City in academic year 2015-2016, a large sample of as much as 58 parents using technique of total sampling. The data collection was carried out by giving the questionnaire. The time of data retrieval is performed on 13 June until 13 July 2016. The results showed that of 55.2% or 32 parents who have a positive attitude in handling the child's mental retardation and 44.8% or 26 parents being negative attitude in the handling of child mental retardation. The factors that support it are age, number of children, and responsibility. The recommendations of this research are expected that the results of this research can provide input on the place of the research for involving parents in the treatment of mental retardation in a comprehensive manner.
Faktor Penyebab Anak Stunting Usia 25-60 Bulan di Kecamatan Sukorejo Kota Blitar Sri Mugianti; Arif Mulyadi; Agus Khoirul Anam; Zian Lukluin Najah
Journal of Ners and Midwifery Vol 5 No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p268-278

Abstract

Stunting merupakan isu baru yang menjadi sorotan WHO untuk segera dituntaskan karena mempengaruhi fisik dan fungsional tubuh serta meningkatnya angka kesakitan anak. Stunting dapat dituntaskan bila faktor penyebab stuting disetiap wilayah dapat dikendalikan. Tujuan penelitian menggambarkan faktor penyebab stunting pada anak stunting usia 25-60 bulan. Desain penelitian menggunakan rancangan penelitian deskriptif. Dalam penelitian ini menggunakan teknik quota sampling dengan besar sampel yang diambil 31 anak. Pengumpulan data dilakukan dengan cara wawancara berdasarkan kuesioner dan lembar food recall 24 jam. Waktu pengumpulan data dilakukan pada 17-22 April 2017. Hasil penelitian ini menunjukkan faktor penyebab stunting yaitu asupan energi rendah (93,5%), penyakit infeksi (80,6%), jenis kelamin laki-laki (64,5%), pendidikan ibu rendah (48,4%), asupan protein rendah (45,2%), Tidak Asi Ekslusif (32,3%), pendidikan ayah rendah (32,3%) dan ibu bekerja (29%). Faktor tersebut disebabkan oleh kurangnya pengetahuan keluarga tentang pemenuhan gizi dan terdapat orangtua dengan pendidikan rendah yang diperlukan lintas sektor dalam penanganannya. Rekomendasi untuk petugas kesehatan UPTD Kesehatan Kecamatan Sukorejo yaitu melakukan penyuluhan tentang keluarga sadar gizi dan pemberian makanan tambahan selama 3 bulan pada balita dengan asupan energi dan protein rendah serta bekerjasama dengan dinas pendidikan kota Blitar dalam sosialisasi wajib belajar 12 tahun.