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Jurnal Kesehatan
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 20867751     EISSN : 25485695     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Kesehatan published by Politeknik Kesehatan Tanjungkarang with professional organizations (PTGI, PATELKI, PERSAGI, PPNI, IBI, HAKLI, PAFI, PPGI). It contains writings drawn from research and non-research, critical analytical studies in health areas. This journal was first published in April 2010 in print. Since 2015, Jurnal Kesehatan has been published in print and online.
Arjuna Subject : -
Articles 749 Documents
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The Impact of Health Worker Assistance on the Skills of Posyandu Cadres in Measuring the Height of Toddlers Sumardilah, Dewi Sri; Indriyani, Reni
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4718

Abstract

Weight and height measurements are crucial for monitoring toddler growth and enabling early detection of developmental disorders. Cadres at posyandu (integrated health service posts) play an essential role in this monitoring; however, many lack adequate skills. This study employed a pre-experimental design with pre-test and post-test assessments conducted in the Kedondong Health Center area of Pesawaran Regency. The study involved 47 randomly selected active posyandu cadres, focusing on their skills in measuring toddler height. The treatment variable was the support provided by health workers to these cadres. Skill measurements were taken twice: before (pre-test) and after (post-test) assistance. A checklist outlining the steps for measuring children's height was utilized as the assessment tool. Data analysis included the Shapiro-Wilk test for normality and the Wilcoxon test to evaluate differences in skills pre- and post-mentoring. Results demonstrated a significant improvement in average skill scores, with the infant meter increasing from 6.44 to 8.92 and the stadiometer from 6.06 to 9.11. Statistically significant differences were found before and after mentoring for both instruments (p-value=0.012 for the infant meter; p-value=0.000 for the stadiometer). The study recommends that health workers effectively mentor cadres using these measurement tools, aligning with existing standard operating procedures (SOPs).
Definisi Integrasi Layanan Kesehatan Primer: Perspektif dari Pimpinan Puskesmas Amimr, Andy; Sari, Puspita; Herwansyah
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4721

Abstract

Integrating primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. Ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed to obtain in-depth insights. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy to enhance patient care coordination, maximize resource efficiency, and improve community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.
Family and Healthcare Worker Participation in Promoting Exclusive Breastfeeding among Mothers Siregar, Farida Linda Sari; Darti, Nur Afi; Nurbaiti, Nurbaiti
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4723

Abstract

The family greatly influences the mother's desire to practice exclusive breastfeeding to the baby and strongly influences the decision to breastfeed. Support from health worker professionals like nurses, doctors, cadre health professionals, and midwives can also help in the exclusive application of breast milk. This study uses an approach study quantitative. This study aims to identify family and health workers' participation in practice exclusive breastfeeding to mothers breastfeeding at the Medan Sunggal Community Health Center. This study's population is mothers with babies aged 0-24 months: retrieval technique purposive sampling sample, as many as 90 people. Research results show that the majority aged 20-35 years, as many as 71 people (78.9%), have the child more than 1 (multiparous), as many as 69 (76.7%), educated middle school (high school equivalent ), as many as 61 (68.7%), no work as many as 82 people (91.1%) and gave exclusive breast milk as many as 77 (85.6%). Research results show that families participate in practice exclusive breastfeeding to the mother by providing informational support in a way good (56.7 %), instrumental support good (84.4%), support emotional in a way good (61.1%), and support award in a way good (75.6%). The research results also show that significant health workers follow participation with good-to-mother breastfeeding during pregnancy (87.8%), when giving birth (80%), and during the postpartum period (77.8%). So it is concluded that the big family and health workers participate in practice exclusive breastfeeding to the mother.
Nutilor (Moringa Leaf and Chicken Liver Nuggets) as Food for Stunting Prevention Bertalina, Bertalina; Sirajudin, Sirajudin
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4724

Abstract

Providing complementary foods for breast milk (MP-ASI) is very important because the age of >6 months to 2 years, nutrients are needed to support children's growth and development during the golden period. Nuggets are a high-protein food. Modifications were made to increase the nutritional value by adding chicken liver and Moringa leaves and substituting them with Nutilor (Moringa Leaf Liver Nuggets). The research aims to analyze panelists' nutritional value and acceptability regarding the color, aroma, taste, and texture aspects of Nutilor products, as well as knowing market analysis and product prices. The method was an experiment conducted in the Food Laboratory, Nutrition Department, Poltekkes Kemenkes Tanjung Karang. Nutilor with chicken liver substitution, namely: F1 (14%), F2 (16%), F3 (18%), F4 (20%). Organoleptic testing using the hedonic test method (color, aroma, taste, texture, and overall acceptability) was conducted with 75 panelists and one replication. The most preferred Nutilor products are analyzed for their nutritional content, determining food costs and selling prices. Data were analyzed univariately using the Likert scale method. The organoleptic test results showed that the most preferred formula was F3 (90:25), with a nutritional value per serving (60 grams), namely E 171.2 kcal, P 9.1 g, L 8.2 g, KH 16.1, fiber 0.16, iron (Fe) 2.6 mg, the selling price per portion is IDR. 5000. The preferred product is F3, and based on the Likert scale, each formula has different colors and aromas. In further research, you need to pay attention to the time and temperature when frying and measure the amount of lemon used during marination.
Parenting Style and Stimulation of Psychosocial Development on the Psychosocial Development of Pre-School Children with Stunting Nurhayati, Risa; Rukmawati, Sefrina; Utami, Rahayu Budi; Nurmalita, Deppi; Rahma, Paradita Ayu
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4730

Abstract

Stunting is a condition of impaired growth in children under five caused by chronic malnutrition, particularly within the first 1,000 days of life, resulting in children being too short for their age. This issue is crucial because stunting also impacts children's motor skills and psychosocial development. The problem of malnutrition predominantly occurs in developing countries, where approximately 80% of stunted children are found in 24 countries across Asia and Africa. Indonesia has the highest prevalence, followed by India, China, Nigeria, and Pakistan. This study analyzes the influence of parenting styles and psychosocial stimulation on preschool-aged children experiencing stunting development. The research design uses an analytical observational method with a cross-sectional approach. The study sample consists of stunted children aged 3-6 years and their parents in Nganjuk Regency, totaling 150 respondents. Sampling was conducted purposively, and data were collected through the PSDQ questionnaire for parenting style, the EC HOME for psychosocial stimulation, and the KMME for psychosocial development. Multiple linear regression analysis was employed, with a significance level of (α=0.05). The analysis results indicate a significant effect of psychosocial stimulation on the psychosocial development of stunted children, with a p-value of 0.001≤α=0.05. Responsive parenting and active parent-child interaction are crucial in supporting children's development. Therefore, it is essential to improve children's nutritional status through proper caregiving approaches to ensure they grow with normal nutritional status and achieve optimal development in the future.
Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients Tanjung, Muhammad Sukri; Tanjung, Dudut; Sitohang, Nur Asnah; Ardinata, Dedi
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4732

Abstract

Percutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients.
Prioritisation of Problems in Public Health Programme Planning Using The Difficulty Usefulness Method: Scoping Review Sukartini , Binti; Zakaria, Achmad; Sutedja, Ade Armada; Mawarti, Herin
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4738

Abstract

The difficulty-usefulness method is not widely known as a prioritization method. Some researchers have used this method in prioritization, but no researcher has reviewed the difficulty-usefulness method, the elements used, or the development of this method. This scoping review examines the difficulty-usefulness method in priority setting, the elements used, and the development of this method. This scoping review follows the five-stage framework of Arksey and O'Malley. A database search used keywords for literature published between January 2014 and June 2024. Data were organized, summarized, and presented in tables based on various themes. Eight studies were reviewed that utilized the difficulty-usefulness method in improving e-learning activities, preventing pesticide usage risks, selecting contraceptive methods, determining healthy family indicators, and determining community-based disaster preparedness parameters. The elements used in priority setting were aligned with the activities or issues to be improved or enhanced. These elements were determined through focus group discussions (FGD) and previous research results. The development of the difficulty-usefulness method has been carried out by several researchers, including the arrangement of elements in a pyramid structure, weighting attributes, and grouping elements into quadrants. The effectiveness of the difficulty-usefulness method has not yet been assessed, and there is still significant potential for further development.
The Impact of Child Injury Prevention Package (CIPP) on Injury Prevention in Toddler Hastuti, Retno Puji; Musiana, Musiana
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4743

Abstract

Injuries are a cause of morbidity and mortality in children under five. In Indonesia, the prevalence of injuries to children under five in 2013 was 8.5%, and in 2018, it was 8.2%. Injuries to toddlers derive from not-yet-optimal levels of development, high curiosity, lack of gross motor coordination, and the ability to anticipate danger. Nurses can provide anticipatory guidance to parents to increase parental understanding and prevent injuries to toddlers. The research aimed to determine the effect of CIPP on injury prevention in toddlers. The research method used the One group pre and post-test design with the population of all toddlers in the Puskesmas (Community Health Centre) Rajabasa Indah working area. The research sample using Proportional Random Sampling was 120 parents of toddlers. Data collection was done through interviews using screening cards. Data were analyzed using proportions and a T-test. The results of toddler characteristics were male (55.83%), toddler (55.83%), and standard nutritional status (70.8%). The proportion of toddlers who experienced injuries was 41.66%, and the most frequently experienced injuries were falls (37.5%). There was a significant difference in the mean value of knowledge about injury prevention in toddlers (p-value=0.000), environmental modification (p-value=0.000), and injury incidences in toddlers (p-value=0.000) before and after the anticipatory guidance intervention using CIPP. It is recommended to integrate CIPP into toddler health promotion, socialize CIPP with parents, cadres and kindergarten teachers, and develop CIPP-Android based applications.
The Effect of Health Education on Low Fat Diets through Video Media on Knowledge Level in Cholesterol Sufferers Retnosari, Merlina; Yuniartika, Wachidah
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4749

Abstract

Hypercholesterolemia is still a health problem that can lead to complications such as hypertension, coronary heart disease, and stroke, but it can be controlled by modifying lifestyle. Health education in the form of video media counseling can be done to increase knowledge and awareness to change one's behavior. This study aimed to determine the effect of health education on a low-fat diet through video media on the level of knowledge. This study used a quasi-experiment with a one-group pre and post-test design. The sample used was 33 respondents using the purposive sampling technique. The research was conducted from June to July 2024. Using the Dyslipidemia Dietary Knowledge Questionnaire (DDKQ), which was developed, the results of corrected item-total correction >0.632 with Cronbach's alpha >0.60, namely 0.941. Inclusion criteria are the results of checking cholesterol levels before giving intervention (200mg/dl), willingness to be a respondent, the category of knowledge is less and enough, can do activities independently, and has a cellphone. Exclusion criteria have comorbidities and do not follow the flow of research until the end. Data analysis using univariate analysis and the Wilcoxon signed rank test. Based on the Wilcoxon Signed Ranks test results, the p-value is 0.001, which is <0.05. There is an effect of health education on a low-fat diet through videos on the level of knowledge in cholesterol sufferers.
INSENSITIFITAS ASETILKOLINESTERASE (AChE) NYAMUK Aedes aegypti TERHADAP MINYAK SERAI WANGI (Cymbopogon nardus) Khoiriyah, Yustin Nur; Sarlinda, Febrina
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4751

Abstract

Aedes mosquitoes are vectors of viruses, namely the dengue virus. Treatment with insecticides is no longer effective if the target mosquito is resistant. Therefore, efforts are needed to overcome the resistance of these mosquitoes. Inhibition of the enzyme acetylcholinesterase (AChE) is one way the synthetic insecticide Profenofos works; if AChE is inhibited, acetylcholine accumulation will disrupt the nervous system. Insensitivity to AChE is one mechanism of mosquito resistance to insecticides. Based on this, the problem is formulated as follows: is the increase in susceptibility of Aedes aegypti mosquitoes to alphacymethrin, citronella oil, and a combination of both caused by a decrease in the insensitivity of mosquito AChE? This study aims to determine the AChE insensitivity of Aedes aegypti mosquitoes to citronella oil, a combination of citronella oil and alphacymethrin 0.03%), compared to the positive control (insecticide alphacymethrin 0.03%). Percentage of mosquito mortality after being held for 24 hours: The results showed no difference between the two groups of mosquitoes without treatment (A) and 100 µL/L citronella oil (B), F count 0.000, Sig. 1.000, significance value <0.05. Exposure to 100 µL/L citronella oil on instar III-IV mosquito larvae did not make mosquitoes more susceptible or more resistant to 0.03% alphacypermethrin insecticide. Based on the absorption value analysis results using the T-test between group A/ without treatment and group B with 100µL/L citronella oil treatment showed a Sig. (2-tailed) value of 0.547>0.05 means there is no significant difference between the two groups.

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