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All Journal Jurnal Kesehatan Masyarakat Indonesia Amerta Nutrition Narra J
Denny, Hanifa M.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Implementasi dan Tantangan Puskesmas X dalam Upaya Pencegahan dan Pengendalian COVID-19 bagi Tenaga Puskesmas di Lampung Lestari, Delvi Indah Ayu; Denny, Hanifa M.; Jayanti, Siswi
Jurnal Kesehatan Masyarakat Indonesia Vol 19, No 2 (2024): JKMI Volume 19 Nomor 2
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkmi.19.2.2024.27-35

Abstract

Latar Belakang: Dampak negatif akibat pandemi COVID-19 menyebabkan banyaknya jumlah kasus positif pada tenaga kesehatan maupun tenaga non kesehatan. Puskesmas sebagai garda terdepan memiliki risiko tinggi dalam penanganan COVID-19. Tujuan: Penelitian ini bertujuan menggali implementasi dan tantangan dalam upaya pencegahan dan pengendalian COVID-19 di Puskesmas X Kabupaten Tanggamus Lampung. Metode: Metode kualitatif dipilih sedangkan pengambilan data dilaksanakan dengan wawancara mendalam kepada pimpinan puskesmas, tenaga kesehatan yang mewakili setiap unit pelayanan maupun tenaga non kesehatan. Standar KMK No. HK.01.07/ Menkes/413/2020 Tentang Pedoman Pencegahan dan Pengendalian Coronavirus disease 2019 (COVID-19), hasil observasi dan dokumentasi terhadap fasilitas pencegahan penularan COVID-10 digunakan untuk mengelaborasi implementasi dan tantangan dalam upaya pencegahan dan pengendalian COVID-19 di tempat riset. Penelitian ini dilakukan pada bulan Januari – Maret 2022. Hasil: Dalam upaya pencegahan dan pengendalian COVID-19 di Puskesmas dilakukan melalui penerapan kewaspadaan isolasi, pengendalian administratif, pendidikan dan pelatihan. Tetapi dalam implementasinya terdapat tantangan baik dari pihak internal maupun eksternal puskesmas. Kesimpulan: Dalam upaya pencegahan dan pengendalian COVID-19, Puskesmas telah menetapkan dan mengimplementasikan kebijakan sesuai dengan pedoman untuk melindungi staf puskesmas. Tetapi dalam implementasinya terdapat tantangan ketidakpatuhan dari dalam dan luar sehingga transmisi COVID-19 di Puskesmas tersebut masih terjadi.
Enhancing oxytocin and prolactin levels to address oligogalactia through emotional management and massage in working mothers Astuti, Dwi; Rahfiludin, Mohammad Z.; Dwidiyanti, Meidiana; Denny, Hanifa M.
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.963

Abstract

Emotional management, combined with oxytocin massage and breast care, offers a comprehensive approach to boost prolactin release, enhance milk production, and improve breastfeeding outcomes. The aim of this study was to evaluate the effectiveness of combining emotional management with oxytocin massage and breast care in increasing oxytocin and prolactin hormone levels to address oligogalactia in working postpartum mothers. A quasi-experimental study was conducted at Kudus Community Health Center, Kudus Regency, Central Java, Indonesia, from January to March 2024. A total of 93 postpartum mothers were randomly assigned to three groups: (1) emotional management with oxytocin massage; (2) emotional management with breast care; and (3) lactation education only. Blood samples were collected before and after the interventions to measure oxytocin and prolactin levels. The present study found that emotional management combined with oxytocin massage significantly increased oxytocin levels from 505.0±264.0 pg/mL to 600.0±231.3 pg/mL (mean difference: 103 pg/mL; p=0.002) and prolactin levels from 191.0±67.3 ng/mL to 233.0±86.8 ng/mL (mean difference: 27 ng/mL; p=0.001). The emotional management and breast care group showed a smaller increase in oxytocin (362.0±175.1 pg/mL to 418.0±185.1 pg/mL; mean difference: 23 pg/mL; p=0.048) and a significant increase in prolactin (195.0±48.8 ng/mL to 255.0±82.3 ng/mL; mean difference: 38 ng/mL; p=0.049). In contrast, the lactation education group showed no significant changes in oxytocin (p=0.756) or prolactin levels (p=0.341). In conclusion, emotional management combined with oxytocin massage significantly increased both oxytocin and prolactin levels, suggesting that integrating emotional management and oxytocin massage may be an effective strategy for postpartum lactation support.
Pengaruh Konsumsi Vitamin C dan Konsumsi Air terhadap Kelelahan Subjektif pada Pekerja Perempuan Pembuatan Genting: The Impact of Vitamin C Intake and Water Consumption on Perceived Fatigue among Female Tile Workers Sahiroh, Eli; Denny, Hanifa M.; Setyaningsih, Yuliani; Lestantyo, Daru; Suroto, Suroto
Amerta Nutrition Vol. 9 No. 2 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i2.2025.355-361

Abstract

Background: The tile industry is known for its demanding nature, primarily due to the high energy requirements involved. The manual production methods necessitate significant physical exertion, including the lifting and transportation of heavy, large tiles. This can lead to fatigue as a result of lactic acid buildup in the muscles. Research indicates that burnout rates among workers in the tile industry can reach as high as 82%. Objectives: To analyze the effect of vitamin C consumption and drinking water consumption on perceived fatigue levels among female workers in the tile manufacturing sector. Methods: This research employed a quasi-experimental design, involving a sample of 52 female workers engaged in tile production for each group. Each group participated in an experimental procedure lasting 6 days, after which they were assessed for levels of fatigue. The independent variables examined were the intake of Vitamin C and water, while the dependent variable was the participants' subjective experience of fatigue. Subjective fatigue was quantified using the Work Fatigue Feelings Measurement Questionnaire (KAUPK2). The statistical methods applied included the Wilcoxon Test and the Kruskal-Wallis test. Results: The findings indicated that both Vitamin C intake and water consumption significantly influenced subjective fatigue levels before and after the intervention (p-value=0.000). Based on the results of the analysis before being given vitamin C, the subjective fatigue score was 51 after being given vitamin C, it dropped to 25. In contrast, before the introduction of drinking water, the subjective fatigue score was 48.23, which subsequently fell to 31.52 after water consumption. The analysis revealed a notable difference in the average subjective work fatigue scores post-intervention. Conclusions: The intake of Vitamin C and adequate water consumption effectively reduces subjective work fatigue among female tile-making workers. Consequently, it is recommended that industry owners ensure the provision of sufficient drinking water and Vitamin C for their employees.
Co-Authors Daru Lestantyo Dwi Astuti Lestari, Delvi Indah Ayu Meidiana Dwidiyanti Mohammad Z. Rahfiludin Sahiroh, Eli Siswi Jayanti Suroto Suroto Yuliani Setyaningsih