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Pengaruh Kepatuhan Diet, Tingkat Stres, dan Aktivitas Fisik Terhadap Kadar Glukosa Darah Puasa Penderita Diabetes Melitus di RSUD Dr.R.Soedjono Selong Septiana, Sintia; Hermawati, Resna; Pramana, Kadek Dwi; Hidayati, Sulatun
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18844

Abstract

ABSTRACT Diabetes Mellitus (DM) remains a public health problem. Blood glucose levels in diabetic patients can be influenced by various factors such as dietary compliance, stress level, physical activity, obesity, carbohydrate intake, and medication compliance. This cross-sectional study collected data at RSUD dr.R.Soedjono Selong using a stratified random sampling technique with as many as 47 samples from September to October 2024. Data were obtained from interviews and the completion of dietary compliance questionnaires using the PDAQ questionnaire, stress levels were assessed using the PSS questionnaire, physical activity was evaluated using the GPAQ questionnaire, and GDP levels were obtained from medical records. The Fisher’s Exact test was used to assess the relationship between the dependent variable and independent variable. Logistic regression was used to assess the effect of the dependent variable on the independent variable. The study sample was predominantly female (70.2%) with an average age ranging from 40 to 55 years (59.6%) and unemployed/housewives (36.2%). The majority of the study sample exhibited low dietary compliance (76.6%), moderate stress levels (51.1%), light physical activity (53.2%), and high GDP levels (78.7%). Dietary adherence was significantly related to the GDP levels of diabetes patients (p-value 0.001), as were stress levels (p-value 0.001) and physical activity (p-value 0.029). Dietary adherence, stress levels, and physical activity had a significant level of 66.7%. There is an influence of diet compliance, stress levels, and physical activity on the GDP levels of DM patients at RSUD dr. R. Soedjono Selong Keywords: Diabetes Mellitus, Fasting Blood Glucose, Dietary Compliance, Stress Levels, Physical Activity  ABSTRAK Diabetes Melitus (DM) masih menjadi masalah kesehatan masyarakat. Kadar glukosa darah pada pasien diabetes dapat dipengaruhi oleh berbagai macam faktor seperti kepatuhan diet, tingkat stres, aktivitas fisik, obesitas, asupan karbohidrat, serta kepatuhan minum obat. Studi cross-sectional ini mengumpulkan data di RSUD dr.R.Soedjono Selong dengan teknik stratified random sampling sebanyak 47 sampel dari September – Oktober 2024. Data diperoleh dari wawancara dan pengisian kuesioner kepatuhan diet dengan kuesioner PDAQ, tingkat stres dinilai dengan kuesioner PSS, aktivitas fisik dinilai dengan kuesioner GPAQ, dan data kadar GDP diperoleh dari rekam medis. Uji Fisher’s Exact digunakan untuk menilai hubungan antara variabel dependen dengan variabel independent. Uji regresi logistik digunakan untuk menilai pengaruh variabel dependen terhadap variabel independen. Sampel penelitian sebagian besar perempuan (70,2%) dengan usia rata-rata berkisar antara 40-55 tahun (59,6%) dan tidak bekerja/IRT (36,2%). Mayoritas kepatuhan diet sampel penelitian rendah (76,6%), tingkat stres sedang (51,1%), aktivitas fisik ringan (53,2%) dan kadar GDP tinggi (78,7%). Kepatuhan diet berhubungan secara signifikan terhadap kadar GDP penderita diababetes (p-value 0,001), demikian pula dengan tingkat stres (p-value 0,001) dan aktivitas fisik (p-value 0,029). Kepatuhan diet, tingkat stres, dan aktivitas fisik memiliki tingkat signifikan sebesar 66,7%. Terdapat pengaruh kepatuhan diet, tingkat stres, dan aktivitas fisik terhadap kadar GDP penderita DM di RSUD dr.R.Soedjono Selong Kata Kunci: Diabetes Melitus, Glukosa Darah Puasa, Kepatuhan Diet, Tingkat Stres, Aktivitas Fisik
The Relationship Between Nutritional Status, Maternal Knowledge, and Family Socio-Economic Status with The Development of Children Aged 3-5 Years at UPTD Puskesmas Brang Rea Pebrian, Legi Silsa; Surasmaji, Lalu Irawan; Nirmala, Suci; Hidayati, Sulatun
Jurnal Biologi Tropis Vol. 25 No. 1 (2025): Januari - Maret
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i1.8331

Abstract

Early childhood development, particularly in the age range of 3-5 years, is a critical period marked by rapid physical growth and psychosocial development. Various factors can influence a child’s development, including nutritional status, maternal knowledge, and family socio-economic conditions. To determine the relationship between nutritional status, maternal knowledge, and family socio-economic status with the development of children aged 3-5 years at UPTD Puskesmas Brang Rea. This research employed a quantitative, observational analytic approach with a cross-sectional design. A purposive sampling technique was used. The study was conducted at UPTD Puskesmas Brang Rea in September 2024, involving 100 respondents. Data were analyzed using the Chi-square test with a significance level of p < 0.05. From a total of 100 respondents, the univariate analysis revealed that 38% of children had good nutritional status, 58% of mothers had high knowledge levels, 53% of children belonged to low socio-economic families, and a majority of children (36%) showed questionable developmental progress. Bivariate analysis indicated a significant relationship between nutritional status and child development (p-value 0.002), maternal knowledge and child development (p-value 0.047), and family socio-economic status and child development (p-value 0.020). There is a significant relationship between nutritional status, maternal knowledge, and family socio-economic status with the development of children aged 3-5 years at UPTD Puskesmas Brang Rea.
Hubungan Pernikahan Dini terhadap Tingkat Depresi, Kecemasan, dan Stres pada Wanita di Dusun Sade, Lombok Tengah Gusti Agung Komang Lintang Calistha, I; Anulus, Ayu; Hidayati, Sulatun; Karmila, Dany
Midwifery Student Journal (MS Jou) Vol. 4 No. 2 (2025): Midwifery Student Journal (MS Jou)
Publisher : Poltekkes Kemenkes Mataram

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Abstract

Latar Belakang: Pernikahan dini masih banyak terjadi di dunia maupun Indonesia. Nusa Tenggara Barat masih menempati posisi tertinggi jika dibandingkan wilayah Jawa, Bali, dan Nusa Tenggara. Banyak kasus pernikahan dini yang dilaporkan di Lombok Tengah sehingga sampai saat ini Lombok Tengah berada di urutan ke-2. Dusun Sade merupakan salah satu Dusun di Lombok Tengah yang dijadikan sebagai tempat wisata. Adanya budaya merariq kodek sebagai salah satu faktor penyumbang banyaknya kejadian pernikahan dini pada wanita. Terjadinya pernikahan dini dapat disebabkan oleh faktor predisposing, enabling dan reinforcing. Pernikahan dini meningkatkan risiko terhadap kejadian fistula obstetrik, anemia dan eklampsia selain itu gangguan psikologi berupa kejadian depersi, kecemasan dan stres. Tujuan penelitian ini yaitu untuk mengidentifikasi gambaran kasus pernikahan dini, tingkat depresi, kecemasan, stres, dan menganalisis hubungan status pernikahan dini terhadap kejadian depresi, kecemasan dan stres pada wanita di Dusun Sade. Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan pendekatan cross sectional. Total sampel adalah 99 wanita Dusun Sade yang dipilih secara simple random sampling. Data diambil dengan kuesioner DASS-42 dan diolah dengan analisis univariat dan bivariat (chi-square). Hasil penelitian melaporkan bahwa sebanyak 59 (59,6%) wanita menikah dini. Hasil statistik menunjukkan bahwa hubungan antara pernikahan dini terhadap kejadian depresi (PR= 1,156; 95% CI = 0,384-3,483; p= 0,796), kecemasan (PR= 0,627; 95% CI = 0,275-1,428; p= 0,265), dan stres (PR= 0,659; 95% CI = 0,264-1,646; p=0,371), secara statistik tidak signifikan. Kesimpulan:  yaitu kejadian depresi, kecemasan, dan stres tidak langsung berhubungan dengan pernikahan dini pada wanita di Dusun Sade, Lombok Tengah. Abstract Early marriage still occurs a lot in the world and in Indonesia. West Nusa Tenggara still occupies the highest position when compared to Java, Bali and Nusa Tenggara. Many cases of early marriage have been reported in Central Lombok so that currently Central Lombok is in 2nd place. Sade Hamlet is one of the hamlets in Central Lombok which is used as a tourist spot. The existence of the merariq codec culture is one of the contributing factors to the many incidents of early marriage among women. The occurrence of early marriage can be caused by predisposing, enabling and reinforcing factors. Early marriage increases the risk of obstetric fistula, anemia and eclampsia as well as psychological disorders in the form of depression, anxiety and stress. The aim of this research is to identify the description of cases of early marriage, levels of depression, anxiety, stress, and analyze the relationship between early marriage status and the incidence of depression, anxiety and stress in women in Sade Hamlet. This research is a quantitative research using a cross sectional approach. The total sample was 99 women from Sade Hamlet who were selected using simple random sampling. Data was taken using the DASS-42 questionnaire and processed using univariate and bivariate analysis (chi-square). The research results reported that as many as 59 (59.6%) women married early. Statistical results show that there is a relationship between early marriage and the incidence of depression (PR= 1.156; 95% CI = 0.384-3.483; p= 0.796), anxiety (PR= 0.627; 95% CI = 0.275-1.428; p= 0.265), and stress (PR= 0.659; 95% CI = 0.264-1.646; p=0.371), not statistically significant. The conclusion is that the incidence of depression, anxiety and stress is not directly related to early marriage in women in Sade Hamlet, Central Lombok.