Sulfianti
Department of Midwifery, Faculty of Health, Universitas Sipatokkong Mambo, South Sulawesi, Indonesia

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Socioeconomic and educational determinants of nutritional status among children under five Esmiralda; Nursyahraeni; Hasnidar; Sulfianti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.283

Abstract

Introduction: Nutritional status in children under five remains a critical public health concern, especially in low- and middle-income countries. Socioeconomic and educational factors play a pivotal role in determining nutritional outcomes. This study aimed to investigate the relationship between socioeconomic status, parental education, and the nutritional status of children aged five and under. Methods: A cross-sectional design was employed, involving 150 children aged 6–59 months. Data were collected through structured questionnaires assessing parental education, household income, and other demographic factors. Nutritional status was assessed using anthropometric indicators, including weight-for-age, height-for-age, and weight-for-height, based on the WHO growth standards. Data analysis used chi-square and logistic regression to identify significant associations. Results: The study found that 32% of children were undernourished, with 18% stunted and 14% underweight. Children from low-income families and those whose mothers had only a primary education were more likely to experience malnutrition (p < 0.05). Maternal education emerged as the strongest predictor of a child’s nutritional status after controlling for income and occupation. Conclusion: Socioeconomic and educational factors are significant determinants of nutritional status in children under the age of five. Improving parental education, especially among mothers, and addressing poverty are essential to combating malnutrition. Strengthen community-based nutrition education programs, promote women’s education, and develop poverty reduction strategies to ensure equitable access to nutritious food and healthcare services.
Effectiveness of ginger drink in reducing emesis gravidarum among first-trimester pregnant women Suriyanti; Sulfianti; Mustar
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.289

Abstract

Introduction: Emesis gravidarum is one of the most common discomforts experienced by pregnant women during the first trimester, characterized by nausea and vomiting that may disrupt daily activities and nutritional intake. Hormonal changes, particularly increased levels of estrogen, progesterone, and human chorionic gonadotropin (hCG), play a significant role in the onset of these symptoms. Ginger is widely recognized as a natural remedy with antiemetic properties, thanks to its active compounds, including gingerol, shogaol, and essential oils, which help suppress the vomiting reflex and promote gastrointestinal comfort. This study aims to determine the effectiveness of ginger drink in reducing emesis gravidarum among pregnant women in the first trimester. Methods: This research employed a quantitative approach with a quasi-experimental one-group pretest–posttest design. The study was conducted in the working area of BLUD UPT Puskesmas Cina, involving 25 pregnant women in their first trimester who experienced emesis gravidarum. Respondents received a ginger drink intervention, and measurements of nausea and vomiting frequency and severity were collected before and after the intervention. Data were analyzed using statistical tests to determine significant differences. Results: The findings revealed a significant reduction in nausea and vomiting after regular consumption of a ginger drink. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a statistically significant difference between pre- and post-intervention scores. The results support the alternative hypothesis that ginger drink effectively reduces symptoms of emesis gravidarum. Conclusion: Ginger drink is proven to be an effective, safe, and accessible non-pharmacological intervention for reducing emesis gravidarum in first-trimester pregnant women. Its use can serve as an alternative therapy before pharmacological treatment, supporting maternal comfort and well-being.
Effect of betel leaf decoction on perineal wound healing in postpartum women Juspiana; Sulfianti; Nur Eva Sapartina; Mustar
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.290

Abstract

Introduction: Perineal wounds are among the most common complications experienced by postpartum mothers, contributing to discomfort, delayed recovery, and increased risk of puerperal infection. One non-pharmacological treatment widely used in Indonesian traditional medicine is betel leaf (Piper betle) decoction, which contains antibacterial, antiseptic, and anti-inflammatory compounds that may support tissue healing. Despite its extensive use, scientific evidence regarding its effectiveness in perineal wound recovery remains limited, particularly within primary healthcare settings. This study aimed to analyze the effect of betel leaf decoction on perineal wound healing among postpartum mothers in the working area of BLUD UPT Puskesmas Cina. Methods: This quantitative research applied a pre-experimental posttest-only control group design. The study involved 44 postpartum mothers with first- and second-degree perineal wounds selected through purposive sampling. The intervention group received betel leaf decoction treatment twice daily for four days, while the control group received standard postpartum care. Wound healing was assessed using the REEDA scale (Redness, Edema, Ecchymosis, Discharge, Approximation). Data were analyzed using univariate and bivariate techniques to compare healing outcomes between groups. Results: The findings showed that mothers who received betel leaf decoction demonstrated significantly faster wound healing, as reflected by lower REEDA scores compared to the control group. Improvements were observed in reduced redness, edema, and better wound approximation within the first week postpartum. Conclusion: Betel leaf decoction is effective in accelerating perineal wound healing among postpartum mothers. Its traditional use is supported by empirical evidence, indicating potential as a safe, accessible, and affordable complementary therapy in maternal care.
Effectiveness of phototherapy in reducing pathological jaundice in newborns at Tenriawaru Hospital Marhayana; Hasnidar; Hasliana; Sulfianti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.296

Abstract

Introduction: Pathological jaundice remains a common neonatal condition characterized by an excessive rise in serum bilirubin, which may lead to severe complications such as acute bilirubin encephalopathy and kernicterus if not promptly treated. Phototherapy is the primary non-invasive intervention used to lower bilirubin levels by converting unconjugated bilirubin into water-soluble forms. Increasing cases of neonatal jaundice reported at Tenriawaru Hospital highlight the need to evaluate the clinical effectiveness of phototherapy within this setting. This study aims to determine the efficacy of phototherapy in reducing bilirubin levels among newborns diagnosed with pathological jaundice at Tenriawaru Hospital, Bone. Methods: This quantitative descriptive study used secondary data obtained from neonatal medical records. Variables assessed included gestational age, initial bilirubin levels, duration of phototherapy, and post-therapy bilirubin levels. Data were analyzed using the chi-square test at the 0.05 significance level to identify associations between clinical factors and phototherapy outcomes. Results: A total of 84 newborns with pathological jaundice underwent phototherapy. There was a statistically significant reduction in bilirubin levels after phototherapy (p = 0.000), indicating a strong therapeutic effect. The duration of phototherapy and the initial bilirubin concentration were found to influence treatment effectiveness, with more prolonged therapy associated with greater reductions in bilirubin. Conclusion: Phototherapy is highly effective in reducing serum bilirubin levels among newborns with pathological jaundice at Tenriawaru Hospital. Timely initiation and adequate duration of phototherapy are critical for preventing complications and improving neonatal outcomes.