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Jurnal Kesmas dan Gizi (JKG)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550849     DOI : -
Core Subject : Health,
Public Health
Jurnal Kesmas & Gizi (JKG) terbit dua kali setahun yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat dan gizi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kesehatan masyarakat dan gizi.
Arjuna Subject : -
Articles 379 Documents
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The Influence of Inpatient Service Quality on Patients' Decisions to Go Home at Their Own Request (Paps) at The Mayjen H.A Thalib Regional Hospital, Sungai Penuh City Putri, Puji Audina; Romauli Anna Teresia Marbun; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/3nn67r29

Abstract

"Discharge at Own Request (PAPS)" is one of the indicators used to assess the quality of inpatient care services. Based on direct interviews with several PAPS patients in the inpatient ward of a particular regional public hospital (RSUD), several factors were identified as triggers for their decision to leave, including the waiting time for treatment and the condition of the treatment room and walls, which appeared uncomfortable—especially for patients who did not yet have a BPJS National Health Insurance) card.The high incidence of patients discharging themselves at their own request (PAPS) has an impact on the hospital, including a potential decrease in service efficiency, as indicated by a reduction in the length of stay (LOS). This study aims to identify and analyze the influence of inpatient service quality on the decision of patients to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025.This is a quantitative study using a cross-sectional study design. The research was conducted at RSUD Mayjen H.A. Thalib, Sungai Penuh City, from November 2024 to April 2025. The sample consisted of 125 patients hospitalized in the inpatient ward of RSUD Mayjen H.A. Thalib, Sungai Penuh City. The sampling technique used was accidental sampling.The research findings indicate a correlation between patient satisfaction—based on the aspects of tangibles, reliability, Responsiveness , assurance, and empathy—and the decision to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025. Therefore, it is recommended that regular training be provided to all medical personnel and hospital staff to enhance their competence and ability to deliver optimal healthcare services.
Analysis of Factors Affecting The Implementation Of Health Promotion Programs For Pulmonary Tb Patients At Grandmed  Hospital Lubuk Pakam In 2024 Jansfianti, Mira; Rotua Sumihar Sitorus; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ma0ctf15

Abstract

Tuberculosis (TB) is still a major health problem globally, due to serious health disorders in the community and the incidence of this disease increases every year. Currently, it is estimated that 1 in every 3 TB cases have not been detected by the Case Detection Rate (CDR) program, which is known from national data showing that CDR in Indonesia from 2012-2014 has decreased, namely case discovery in 2012 was 61%, and in 2014 the case discovery rate was 46%. The purpose of this study was to Analyze Factors Influencing the Implementation of the Pulmonary TB Patient Health Promotion Program at the Grandmed  Lubuk Pakam Hospital in 2024. This study is a qualitative descriptive study. The results of this study are that the implementation of the pulmonary TB patient health promotion program in hospitals is influenced by various interrelated factors, namely individual factors, the environment, health systems, policies, and health workers. Individual factors such as knowledge, socio-economic conditions, and treatment compliance determine the extent to which patients can accept and carry out health recommendations. Environmental factors, including social stigma and family or community support, also influence patient motivation and openness to health education. From the health system side, the existence of an effective information system and guaranteed drug availability are crucial technical supports. Meanwhile, the success of the program is highly dependent on management policies and the design of a structured and sustainable promotion program. The conclusion is that the role of health workers through quality communication and education greatly determines the effectiveness of information delivery and changes in patient behavior. Therefore, optimal implementation of health promotion requires a comprehensive and collaborative approach from all of these factors to support sustainable TB control efforts in hospitals.
Implementation of Occupational Health And Safety Management System At Perumda Tirtanadi North Sumatra Province Sinambela, Ika Mariani; Ahmad Hafizullah Ritonga; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/7xeaat44

Abstract

Occupational Safety and Health (K3) is an effort made so that workers always work safely and healthily in the workplace, and resources and production processes can be used safely and efficiently. The number of work accident cases in Indonesia in the period January-August 2024 was 278,564 cases, of which North Sumatra Province had 15,220 cases. Every company is required to implement an Occupational Safety and Health Management System (SMK3) that is integrated with the company's management system. The implementation of the occupational safety and health management system (SMK3) at Perumda Tirtanadi, North Sumatra Province has a good management system, this is proven by the certification audit process by the K3 management system audit institution by PT. Surveyor Indonesia and has received recognition from the Indonesian Ministry of Manpower. This study aims to determine five (5) principles, namely the determination of K3 policies, K3 planning, implementation of K3 plans, monitoring and evaluation of K3 performance, and review and improvement of K3 performance at Perumda Tirtandi. This study uses a descriptive qualitative approach through interviews. The interview results were processed using the NVIVO application. The results of the study are on the first principle of establishing K3 policies by establishing SOPs and annual work programs in accordance with national regulations, which must be informed to all employees. The second principle is K3 planning which emphasizes K3 culture through repeated socialization reflecting an ecological-social approach in health promotion. The third principle, namely the implementation of K3 in Perumda Tirtanadi shows a strong commitment to ensuring the use of PPE and compliance with K3 signs. The fourth principle, sustainability in SMK3 is reflected in the monitoring system of Perumda Tirtanadi, which involves visits from management and the K3 advisory committee. The fifth principle is a critical process that allows management to conduct objective assessments of the entire system. The study on the Implementation of the Occupational Safety and Health Management System (SMK3) requires socialization of SMK3 and considers K3 as something mandatory and a necessity when working.
Factors Associated with Low Back Pain (LBP) Complaints among Computer-Using Office Workers at Sri Pamela Hospital, Tebing Tinggi City, in 2025 Wahyuni, Sri; Achmad Rifai; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ydrrka60

Abstract

Objective: This study aims to analyze the factors associated with low back pain (LBP) complaints among computer-using office workers at Sri Pamela Hospital, Tebing Tinggi City, in 2025.Method: This research employed a quantitative approach with a cross-sectional design. The sample included all computer-using office workers at Sri Pamela Hospital. Data were collected using a questionnaire covering individual characteristics such as age, length of service, body mass index, smoking habits, physical activity, and working duration, as well as complaints of LBP. Data were analyzed using bivariate and multivariate methods. Results: The study found that age, length of service, body mass index, smoking habits, physical activity, and working duration were significantly associated with LBP complaints. Additionally, workplace ergonomics and sitting posture also contributed to the occurrence of LBP.Conclusion: LBP complaints among computer-using office workers are influenced by various individual and workplace factors. Preventive efforts should focus on improving ergonomics, increasing physical activity, and promoting healthy lifestyle management in the workplace.
The Relationship Between Information Access And Traders' Behavior In The Use Of Formalin And Boracx In School Children's Snacks Rizky Amalia Nur’aini; Windi Wulandari
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/w73edb51

Abstract

Food safety is one of the important issues in public health that affects quality of life, especially for children as the main consumers of school snacks. In this study, formalin and borax were still found in elementary school snacks. The purpose of this study was to analyze the relationship between access to information and the behavior of vendors regarding the use of formalin and borax in snacks sold around elementary schools in the Laweyan area, Surakarta. The research method used a quantitative observational analytical approach with a cross-sectional design, This study used a questionnaire and conducted tests in a microbiology laboratory. The sample consisted of 75 snack vendors selected using total sampling. Data were collected through a questionnaire that had been tested for reliability and validity. The findings revealed that a p-value of <0.05 indicated a statistically significant impact of information access on vendors' behavior. Additionally, the Prevalence Odds Ratio (POR) of 7.543 with a 95% confidence interval (CI) of (2.262–25.149) showed that vendors with good access to information contributed to the use of harmful food additives. Adequate knowledge and education are crucial for changing traders' behavior to prioritize food safety. This study is expected to serve as a reference for enhancing awareness and oversight regarding the use of safe food additives.
Preparedness of the Medan Center for Quarantine and Health (BBKK) in Preventing and Controlling New Emerging Diseases and Potential Epidemic Infectious Diseases at Belawan Port Manurung, Paulus; Otniel Ketaren; Jasmen Manurung; Kesaktian Manurung; Mido Ester Sitorus
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/80n17j04

Abstract

In recent decades, the world has witnessed the emergence of various infectious diseases that have had serious impacts on global public health. One institution that plays an important role in preventing the spread of infectious diseases across countries is the Balai Besar Kekarantinaan Kesehatan (BBKK). This research aims to provide an in-depth picture of BBKK Medan's preparedness in preventing new diseases and potential outbreaks of infectious diseases. This research uses a qualitative approach. The research informants were the Head of BBKK Medan, head of team II, functional entomologist, functional epidemiologist of BBKK Medan. The selection of informants was carried out using a purposive sampling technique. The research results show that BBKK Medan implements several strategic steps in preventing and preventing new diseases and potential outbreaks of infectious diseases, namely: carrying out routine evaluation monitoring, increasing human resource capacity, cross-sector coordination, implementing health protocols, carrying out vector prevention, conducting surveillance, and increasing public awareness. The obstacles faced by BBKK Medan in carrying out health quarantine duties are a shortage of experts who have special competence in the field of quarantine, low compliance with procedures, limited equipment and high human mobility. Factors that influence the success or failure of efforts to prevent and control infectious diseases at BBKK Medan include the availability of an adequate budget, clear and consistent regulations, effective cooperation or coordination between government agencies and related institutions. Strategies that can increase the effectiveness and preparedness of BBKK Medan are by carrying out strict supervision at country entry points, increasing human resource capacity, increasing cross-sectoral coordination, using the latest technology, strengthening community-based surveillance. It is recommended that BBKK Medan increase the effectiveness of controlling infectious diseases through implementing an integrated surveillance system at country entry points
Nutrition literacy in sports: exploring sport type-specific effect on ergogenic aids utilization Khairunnisa, Prima Amanda; Isaura, Emyr Reisha; Sari, Diandra Puspita
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/rs7yg079

Abstract

Introduction: The role of nutrition in athletic performance is crucial. However, the nutritional requirements and literacy levels vary among athletes across different sports disciplines and influenced by various factors. Aims: This study investigates how nutrition literacy varies among athletes in different sports, exploring the factors, and examines the correlation between athletes' nutrition literacy levels and their use of ergogenic aids. Methods: This study employed a systematic literature review following the PRISMA method. Conducting searches across databases Scopus and PubMed using keywords including "nutrition literacy", "nutrition knowledge", "athletes", "sports", and "ergogenic." Results: Total of 18 selected articles show that nutrition literacy involves understanding food and nutrition to make informed dietary decisions, crucial for overall health. Enhanced literacy leads to healthier behaviors, particularly important for athletes. Variations in nutrition literacy among athletes across different sports disciplines are crucial for performance and well-being. Coaching emphasis, sport-specific demands, athlete demographics, and supplement use contribute to these variations, highlighting the importance of tailored education programs. Understanding athletes' knowledge and utilization of these aids, as well as their dietary practices, offers valuable insights into optimizing athletes’ performance. Factors such as the type of sport, individual preferences, and the availability of nutritional information play crucial roles in shaping athletes' decisions regarding ergogenic aid use. Conclusion: The connection between athletes' nutrition literacy and their use of ergogenic aids underscores the importance of tailored education and personalized nutrition plans for optimizing performance and well-being in sports.
The Relationship Between Macronutrients Intake And Physical Activity With Nutritional Status Of Nutrition Science Student At Muhammadiyah University of Surakarta Idek Zahra Sabilla; Dyah Intan Puspitasari; Elida Soviana
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/sj9fat46

Abstract

Indonesia currently faces a triple burden of nutritional problems including stunting, wasting and obesity,and deficiency in micronutrients such as anemia. Nutritional problems still commonly found among adolescents and adults include undernutrition, overnutrition, and anemia. These nutritional problems are influenced from several factors including food intake, physical activity, socio-cultural, economic, and nutritional knowledge. The aims of this research was to examine the correlation between carbohydrate, fat, protein intake and physical activity with the nutritional status of nutrition science students at Muhammadiyah University of Surakarta. A cross-sectional method was used in this research involving 85 nutrition student respondents consisting of 20 thin respondents (23.5%), 62 normal respondents (72.9%), and 3 overweight respondents (3.5%). The study was conducted by providing a 24-hour recall form for 3 days, a PAL form for 7 days, and direct anthropometric measurements. The results showed no correlation between carbohydrate intake and nutritional status (p 0.217) indicating that H0 is accepted. The next results on this study found correlation between consumption of fat and nutritional status (p 0.049) which means that excessive fat intake can trigger obesity. Another result found no correlation between protein intake and nutritional status (p 0.470) nor between physical activity and nutritional status (p 0.228). Based on this research, it can be concluded that fat consumption is significantly associated with nutritional status. However, there is no significant associations were found for carbohydrate intake, protein intake, or physical activity with nutritional status of students.
Moisture Content and Protein Content of Apem Cake Based on a Composite of Purple Sweet Potato and Corn Flour Azzahrah, Fatimah; Kurnia, Pramudya; Warajati Kisnawaty, Sudrajah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/07hkzs96

Abstract

Sweet potatoes and corn are local food ingredients with potential as alternative substitutes for rice. Traditionally, apem cakes are made using rice flour as the main ingredient. Partially replacing rice flour with sweet potato flour and corn flour is expected to optimize the utilization of these local ingredients and improve the nutritional value of the resulting apem cake. This study aimed to analyze the effect of using purple sweet potato flour and corn flour on the moisture content and protein content of apem cake. The study employed a completely randomized design (CRD) with four formulations of rice flour, purple sweet potato flour, and corn flour, namely A (100%:0%:0%), B (50%:15%:35%), C (50%:25%:25%), and D (50%:35%:15%). Moisture content was measured using the gravimetric method, while protein content was analyzed using the titrimetric method. Moisture content data were analyzed using Welch’s ANOVA, and protein content was analyzed using One-Way ANOVA followed by Tukey’s HSD test. The results showed that the highest moisture content was 41.42% in the formulation with 15% purple sweet potato flour and 35% corn flour, and the lowest was 40.76% in the 100% rice flour formulation. Welch’s ANOVA indicated no significant difference in moisture content among treatment groups (p = 0.378; p > 0.05). The highest protein content was 4.51% in the 100% rice flour formulation, and the lowest was 4.09% in the formulation with 35% purple sweet potato flour and 15% corn flour. ANOVA results indicated a statistically significant difference in protein content (p = 0.001; p < 0.05). In conclusion, the use of purple sweet potato flour and corn flour in apem cake did not significantly affect moisture content but significantly influenced protein content. Further investigations should focus on optimizing the formulation to evaluate the influence of the treatment on product quality and storage stability.
Relationship Between the Mid-Upper Arm Circumference of Pregnant Women and the Birth Length of Newborn Babies. Yuliyanti, Suryani; Boga Dumasela; Minidian Fasitasari
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/3pgjq989

Abstract

Birth length has been used as an indicator of infants' nutritional status, reflecting the results of linear fetal growth during pregnancy. Meanwhile, the nutritional status of pregnant women can be assessed using the mid-upper arm circumference (MUAC). In Indonesia, MUAC is primarily utilized to classify chronic energy deficiency (CED) and has not been explored as a predictor of infants' nutritional status based on birth length. This study aims to analyze the relationship between MUAC and birth length. A retrospective cohort study was conducted involving 55 pregnant women aged 20-35 years who attended prenatal check-ups and gave birth between January and December 2018. Data were collected from patient records at the Maternal and Child Health Unit of Pulokulon I Community Health Center in Grobogan Regency in July 2019. Pregnant women with incomplete data, those diagnosed with anemia, and babies born prematurely were excluded from the analysis. Data were analyzed using the Rank-Spearman correlation test with SPSS version 16. The analysis of maternal demographic characteristics revealed that only maternal age had a significant impact on the baby's birth length, with a Pearson correlation test showing p = 0.04. The average maternal mid-upper arm circumference was 26.01 ± 3.45 cm, while the average birth length was 48.76 ± 1.49 cm. The study concluded that there was no significant relationship between maternal mid-upper arm circumference and birth length (p-value = 0.931). Further research is needed across various community health centers, involving a larger sample size and additional maternal variables, to determine the effectiveness of mid-upper arm circumference as an indicator for predicting infants' nutritional status. .

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