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Implementation of Nutritional Management in Diabetes Mellitus Type II Nursing Care with Nutrition Deficit Nursing Problems Rahmawati Shoufiah; Grace Carol Sipasulta
Miracle Journal Get Press Vol 2 No 1 (2025): February, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i1.114

Abstract

Type II Diabetes Mellitus is a chronic condition caused by impaired carbohydrate metabolism, which leads to insufficient insulin production. This study aims to assess the effectiveness of tailored nutritional interventions in improving the nutritional status and blood glucose control of patients. Using a descriptive design case study approach to explore the implementation of nutrition management in nursing care in type II diabetes mellitus patients with nutritional deficit problems. The study shows that that most respondents were between the ages of 51-60 years who were predominantly female indicating that lifestyle and hormonal factors may contribute to a higher risk of diabetes complications in women. Therefore, the importance of a comprehensive approach to nutrition management, tailored to the specific metabolic needs of patients, and underscores the important role of nurses in promoting integrated nutrition care.
The Role of Nurses in Improving Adherence to Taking Medication in Tuberculosis Patients Grace Carol Sipasulta; Rus Andraini
Miracle Journal Get Press Vol 2 No 1 (2025): February, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i1.115

Abstract

Tuberculosis (TB) remains a significant global health threat, especially in Indonesia, which has one of the highest incidence rates. Effective treatment adherence is essential for controlling the disease. This study aimed to explore the relationship between the role of nurses and patient adherence in TB treatment, taking into account various social and economic factors. Methods Using a quantitative cross-sectional design, data were collected from 41 TB patients and nurses at Pondok Meja Health Center through the Morisky Medication Adherence Scale (MMAS-8) and semi-structured interviews. Data were analyzed using univariate statistical test, and bivariate with chi-square test. The results showed a strong correlation between patient adherence and the role of nurses as educators and motivators. Providing active education had a p-value of 0.002, while regular reminders had a p-value of 0.001. It can be concluded that the role of nurses in education, routine reminders, communication with families, and home visits have a significant relationship with the level of adherence of TB patients. Socioeconomic factors such as family support, access to health services, and economic conditions also play an important role in improving patient compliance.
The Impact of Health Education Programs for Pregnant Women on the Reduction of Maternal and Infant Mortality Nurhidayati; Yayuk Sri Rahayu; Dewi Rubi Fitriani; Ni Nyoman Murti; Grace Carol Sipasulta
Miracle Journal Get Press Vol 2 No 2 (2025): May, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i2.116

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain major health challenges in developing countries, driven by socioeconomic disparities, limited education, and poor healthcare access. Lack of knowledge about prenatal care is a key factor. This review examines the impact of health education on reducing maternal and infant mortality and provides evidence to support stronger health programs and policies.Findings show that health education enhances pregnant women’s knowledge, attitudes, and practices related to pregnancy and infant care. Prenatal checkups help detect anemia, malnutrition, hypertension, and infections, allowing early intervention. Education also reduces anxiety, supports mental health, and improves birth outcomes.Despite its benefits, implementation faces barriers such as limited resources, insufficient healthcare personnel, poor access in remote areas, and cultural or socioeconomic constraints.In conclusion, health education is an effective strategy to reduce maternal and infant mortality. Developing culturally appropriate, sustainable, and accessible programs is essential to strengthen maternal services and improve outcomes for mothers and infants.
Postpartum Maternal Mental Health: Identification of Risk Factors and Holistic Intervention Approaches Zakiyah; Irma Fitria; Sri Wahyuni; Grace Carol Sipasulta; Sirajul Muna
Miracle Journal Get Press Vol 2 No 2 (2025): May, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i2.122

Abstract

Postpartum maternal mental health is a critical issue that directly affects maternal well-being and child development. Postpartum Depression (PPD) is the most common disorder, often accompanied by anxiety, stress, and other psychological problems that can hinder recovery, bonding, and parenting.Risk factors for postpartum mental health disorders include role adjustment stress, previous mental health history, childbirth complications, unplanned pregnancy, hormonal imbalance, limited social support, fatigue, and sleep disturbances. Identifying these factors is essential to guide prevention and intervention strategies.This study applies a qualitative review with thematic analysis of existing findings. Results highlight the effectiveness of holistic interventions, such as psychosocial support, cognitive behavioral therapy (CBT), mindfulness, prenatal and postnatal education, balanced nutrition for hormonal stability, and pharmacological treatment when necessary. Partner and family involvement also play a crucial role in maternal recovery.In conclusion, comprehensive and holistic approaches are needed to address postpartum maternal mental health, ensuring optimal physical and emotional outcomes for mothers and children.
The Role of Posyandu Cadres in Improving the Nutritional Knowledge of Under-Five Mothers at Ambacang Padang Health Center Zaida Maulidiyah; Grace Carol Sipasulta; Urhuhe Dena Siburian
Miracle Journal Get Press Vol 2 No 4 (2025): November, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i4.253

Abstract

To determine the effectiveness of nutrition education provided by Posyandu cadres in improving the nutritional knowledge of mothers of young children. Methods. The study was conducted in the working area of the Ambacang Community Health Centre, Padang City, West Sumatra, from March to May 2025. A structured questionnaire consisting of demographic data and 20 questions regarding basic knowledge of toddler nutrition (complementary feeding, balanced diet, and toddler feeding frequency) was used to collect data. The results of the paired t-test statistical test showed a significant difference in the average knowledge scores of mothers before and after education (p = 0.000). The univariate analysis in this study showed that most mothers under five had a low level of nutritional knowledge, which was 56%. Conclusions. This study confirms that nutrition education from Posyndu cadre plays a strategic role in improving nutritional literacy of mother of toddlers through a systematic and interactive educational approach. The practical implication of this study is that the results can be used as a basis for community health centres, health offices, and policy makers to strengthen cadre empowerment programmes as the spearhead of community nutrition education.
The Relationship Between Food Insecurity and the Nutritional Status and Mental Health of University Students Grace Carol Sipasulta; Kalasta Ayunda Putri
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i2.286

Abstract

This study aims to examine the relationship between food insecurity, nutritional status, and mental health among university students. A cross-sectional study was conducted at a state university in West Sumatra, Indonesia. Data were collected using descriptive statistics, Chi-Square tests, and logistic regression analysis. The independent variable in this study was food insecure, which was measured using the Food Insecurity Experience Scale (FIES) instrument. A total of 372 students from different faculties at the university participated in the study. Logistic regression analysis was used to determine the predictors of both conditions. The results of this study show that students with food security were nearly twice as likely to be undernourished compared to their food-secure peers (OR = 1.89; 95% CI: 1.10-3.24; p = 0.021), and those with more severe food security faced an even higher risk (OR=2.14, 95% confidence interval (CI): 1.20-3.83). Students with food-security had more than double the odds of experiencing mild to severe depression (P=0.005), while those with severe food-insecurity had an even greater risk (P0.001), highlighting the substantial impact of inadequate food access on student well-being. These findings are expected to serve as a basis for universities in formulating intervention policies, ranging from the provision of healthy food to psychological support services, as well as enriching the national literature on this issue.
The Effectiveness of Baby Massage on the Quality of Sleep of Babies Aged 0-6 Months Grace Carol Sipasulta; Lamria Situmeang; Ayunin syahida
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.420

Abstract

Poor sleep quality in infants can affect their physical and emotional growth and development. One intervention that is believed to improve the quality of baby sleep is baby massage. However, the effectiveness of infant massage in improving the quality of sleep of infants aged 0-6 months still needs to be studied more deeply, given the limitations of research in Indonesia related to this. Purpose: this study aims to test the effectiveness of infant massage on the quality of sleep of infants aged 0-6 months in the working area of Ambacang Health Center, Padang.  Method: the design of this study is a quasi-experimental pretest-posttest approach. The sample consisted of 15 infants who met the inclusion criteria, who were given an infant massage intervention for 7 consecutive days. Sleep quality measurements were performed before and after the intervention using the infant sleep quality questionnaire. The Data were analyzed by univariate and bivariate analysis, as well as paired T-tests to see significant differences. Result: the results of the univariate analysis showed an increase in sleep quality score from an average of 12.4 (before) to 19.3 (after). The paired T-test showed a significant difference between the quality of the baby's sleep before and after the baby massage (p = 0.002), which indicates the effectiveness of the baby massage in improving the quality of the baby's sleep. Implications: infant massage can be used as a non-pharmacological method to improve infant sleep and can be applied in health centers. Conclusion: baby massage effectively improves sleep quality of babies aged 0-6 months, supporting optimal baby development.
The Relationship Between Low Birth Weight (LBW) and Basic Immunization Status with the Incidence of Stunting in Toddlers Grace Carol Sipasulta; Dahniar Dahlan; Sirajul Muna; Resty Noflidaputri
Bulletin of Inspiring Developments and Achievements in Midwifery Vol. 2 No. 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/bidan.v2i2.329

Abstract

Stunting is a chronic nutritional problem that has a serious impact on children's growth and development. This study aims to determine the relationship between low birth weight (LBW) and basic immunization status with the incidence of stunting in toddlers in the Selayo Public Health, Solok Regency in 2019. The study used a case-control design with 58 respondents (29 stunted, 29 not stunted) selected by purposive sampling. Data were obtained through interviews and observations of KIA books, analyzed using the Chi-Square test at a 95% confidence level. The results showed a significant relationship between LBW and the incidence of stunting (p = 0.047; OR = 3.9) and between incomplete basic immunization status and stunting (p = 0.029; OR = 4.1). It was concluded that LBW and basic immunization status play an important role in increasing the risk of stunting. The implications of this study encourage increased nutrition education for pregnant women and the implementation of complete basic immunization to reduce the prevalence of stunting.