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Poltekita : Jurnal Ilmu Kesehatan
Published by Poltekkes Kemenkes Palu
ISSN : 1907459X     EISSN : 25277170     DOI : https://doi.org/10.33860
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health
Poltekita : Jurnal Ilmu Kesehatan (e-ISSN: 2527-7170, p-ISSN: 1907-459X) is a peer-reviewed open access scientific journal published by Poltekkes Kemenkes Palu. The scope for Poltekita: Jurnal Ilmu Kesehatan includes nutrition, midwifery, nursing, public health, environmental health, food, and nutrition.Each volume of Poltekita: Jurnal Ilmu Kesehatan is counted in each calendar year that consists of 4 issues. Poltekita: Jurnal Ilmu Kesehatan is published two times per year every February, May, August, and November. Articles could be written in either Bahasa Indonesia or English
Arjuna Subject : Keperawatan - Nutrition and Dietetics
Articles 516 Documents
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The Effect of Soy Milk Consumption on the Duration of Perineal Wound Healing in Postpartum Mothers Usman, Hastuti; Sulistiowati, Dwi; Pont, Anna Veronica; Longulo, Olkamien Jesdika; Muliani, Muliani; Nurfatimah, Nurfatimah; Silfia, Niluh Nita; Dewie, Artika
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2010

Abstract

Perineal wounds in postpartum mothers that do not heal promptly within several days can lead to infections. Nutritional status is also considered a crucial factor in the wound-healing process. Mothers with good nutritional status tend to experience faster healing of perineal wounds, including those with protein intake from processed soy milk. This research aims to determine the impact of soy milk consumption on the duration of perineal wound healing in postpartum mothers at the Independent Midwife Practice (IMP) Sriwati Palu. The study design employed a pre-experimental design with an Intact Group Comparison approach. The sample consisted of 16 postpartum mothers with second-degree perineal wounds at the IMP Sriwati Palu, selected through quota sampling. Univariate and bivariate analyses using the Mann-Whitney U test were conducted. The research findings indicate that respondents who consumed soy milk were four times more likely to experience faster healing compared to those who did not consume soy milk. The Mann-Whitney U test yielded a ρ-value of 0.000 (<0.05), suggesting a statistically significant influence of soy milk consumption on the duration of perineal wound healing in postpartum mothers at the IMP Sriwati Palu. In conclusion, soy milk consumption has a significant impact on the duration of perineal wound healing in postpartum mothers at the IMP Sriwati Palu.
Legal Protection for Medical Volunteers in the Implementation of Emergency Medical Measures Pont, Anna Veronica
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2033

Abstract

The presence of medical volunteers during a medical emergency is very much needed and expected. Their presence is temporary according to the duration of the crisis. However, the current regulations do not explicitly discuss legal protection for medical volunteers during a health emergency. This type of research is normative juridical research that focuses on examining the application of rules or norms in positive law, especially concerning legal synchronization. Due to the type of normative juridical research, the approach used is the statute approach, which is taken by examining various laws that have to do with the legal issues being handled. The results of the study explain that the form of legal protection for medical volunteers in an emergency period can be understood and developed in the context of health, disaster, and employment regulations, namely Law Number 36 the Year 2009 concerning Health, Law Number 29 the Year 2004 concerning Medical Practice, Law No. 36 of 2014 concerning Health Workers and Law Number 38 of 2014 concerning Nursing, Regulation of the Minister of Health of the Republic of Indonesia Number 75 of 2019 concerning Health Crisis Management, Law Number 11 of 2020 concerning Job Creation. For its implementation, several Decrees of the Minister of Health and Circular Letters of the Ministry of Manpower were issued which regulate and guarantee legal protection for health workers, including medical volunteers, during a health emergency which includes protection of work norms, protection of Occupational Health and Safety norms and protection labor social security norms.
The Overview of Nutritional Status and Blood Glucose Levels of Pregnant Women at the Ubud Health Center, Bali Rinawati, Luh Putu; Sarihati, I Gusti Agung Dewi; Sundari, Cok Dewi Widhya Hana; Dhyanaputri, I Gusti Ayu Sri; Bekti, Heri Setiyo; Dwija, Ida Bagus Nyoman Putra
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2045

Abstract

  The nutritional status of pregnant women can be determined by measuring the size of mid-upper arm circumference (MUAC) and body mass index (BMI). Women with excessive nutritional status have a high risk of various complications. This study aims to describe the nutritional status and blood glucose levels of pregnant women at the Ubud Health Center, Bali. This descriptive study was conducted on 27 pregnant women who had antenatal care at the Ubud Health Center. MUAC size was measured using a measuring tape, while BMI was measured by calculating body weight in kilograms divided by height in meters squared. Blood glucose levels were measured using the point of care testing (POCT) method. From 27 respondents, it was found that 23 respondents had normal MUAC, 3 respondents had less than normal, and 1 respondent was obese. Based on BMI, 14 respondents had normal BMI, 5 respondents were overweight, and 8 respondents were obese. For blood glucose levels, all respondents have normal levels. Respondents who have MUAC less than normal can be at risk of chronic energy deficiency, while respondents with the obese category can be at risk of GDM, hypertension, and cesarean section. Pregnant women with GDM can increase the risk of type 2 DM, cardiovascular disease and have the potential to give birth macrosomic babies. Pregnant women with GDM almost never give complaints, so screening is necessary. Screening can be done by measuring the nutritional status of pregnant women and blood glucose levels during antenatal care at health center.
Efforts of Government Institutions to Support Exclusive Breastfeeding Among Civil Servants Batjo, Siti Hadijah; Hadiha, Hadina; Muliani, Muliani; Radjulaini, Zakiah
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2100

Abstract

Exclusive breastfeeding rate in Palu City has decreased in the last three years from 59.9% (2018) to 57.8% (2019) and 52.42% (2020). Work caused failure to provide exclusive breastfeeding among women. This study aims to explore the efforts of government institutions to support exclusive breastfeeding among civil servants in Palu City, Central Sulawesi. This study applied a qualitative approach, constructivism paradigm, and phenomenological strategy. The study subjects were selected according to the study objectives, which involved the main informants namely the heads of health department; women's empowerment and child protection department, education department, employment department, social affairs department and head of the Religious Office. In addition, there were key informants, namely civil servants with babies aged <12 months who had breastfed or were currently breastfeeding. The number of study subjects was considered sufficient when the coding results and data categories obtained were saturated. Triangulation was carried out towards the Mayor of Palu. Data were collected through in-depth interviews based on interview guides. All interviews were recorded using an audio recorder. The main instrument in this study was the researchers. Ethical Clearance letter Number: 0042/KEPK-KPK/V/2022 dated June 7, 2022 was issued by the Ethics Commission of Palu Health Polytechnic. The results revealed that breastfeeding rooms in the workplace were not yet available for breastfeeding women; there was no reduction in working hours for breastfeeding women, the workload for breastfeeding women was the same, and there was no specific support or motivation from the leaders, and no one had ever provided rewards. Furthermore, the triangulation towards the Mayor of Palu revealed that he promised to make a Regional Regulation (PERDA) that women who exclusively breastfeed will be given leave for 6 months. It can be concluded that the government institutions had not provided support for civil servants to perform exclusive breastfeeding. To achieve the target of exclusive breastfeeding, the government must support exclusive breastfeeding.
Development of Health Education Media About Cultural Practices of The Palu Indigenous Culture Related to Breastfeeding for Postpartum Women Who Have Been Caring at Home Jurana, Jurana; Masulili, Fitria
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2106

Abstract

The practice of providing appropriate breastfeeding for the first 6 months of life is the most important and cost-effective thing to reduce morbidity and mortality rate toward children. However, the obedience of exclusive breastfeeding in some of countries  has not been satisfactory, so need the efforts to be done to increase its coverage. This study aims to develop and produces the health education media for cultural practices of the Palu indigenous culture related to breastfeeding for postpartum women who have been caring at home in Sigi Regency of Palu district in the form both of Kaili and Indonesian languages modules. This research is qualitative research with an ethnographic approach through two stages, namely: Phase I; Identification of cultural that influence the success of exclusive breastfeeding, Phase II; Development of health education media as a solution to the problem of an exclusive breastfeeding culture. The informants were taken by snowball method with a total seventeen of postpartum women, one  informan key was from  the community (Dukun), and one coordinator was the public health care nurse at the Biromaru Public Health Center. Data analysis in this ethnographic research is to find out the cultural themes, namely verbatim, keywords, and categories. The categories are the same and related to the sub-themes and the last step is to determine the theme itself. The research results is Phase I, Identifying both of myths and cultures that influence exclusive breastfeeding that still very well maintained, lack of womens' knowledge and womens' attitudes want to providing the exclusive breastfeeding. Phase II: development of health education media as a solution to the problem of exclusive reastfeeding culture based on the results of the phase I research. The conclusion is This study has developed a health education media related to the cultural practice of the Kaili tribe regarding exclusive breastfeeding to postpartum women  who have been caring  at home in Sigi Regency Palu district in the form both of Kaili and Indonesian language modules. In order to implement exclusive breastfeeding promotion media, by integrating it into the public health care program (Perkesmas), for maternal and child health programs and it need to involve community leaders by a cultural perspective.
The Effect of Childbirth Education in Reducing Anxiety in Facing Childbirth in the Third Trimester Pregnant Women: Scoping Review Juliana Safitri Ritonga; Asri Hidayat
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 1 (2023): May
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i1.2145

Abstract

Mothers unable to fight anxiety and fear, especially third-trimester pregnant women, will experience the release of catecholamine hormones in high concentrations and experience increased labour pain, obstructed labour, and discomfort during labour. The purpose is to analyze the effect of childbirth education in Reducing Anxiety in Facing Labor in Third Trimester Pregnant Women by including relevant sources of evidence from each article. The method in this study uses databases, namely Pubmed, ScienceDirect, and Wiley, published between 2012-2022. The results showed that of the nine articles reviewed, seven reports came from developing countries, namely Indonesia and Iran. Two words came from developed countries, namely Australia and that the existence of childbirth education would significantly reduce the level of maternal anxiety so that the delivery process could run smoothly and childbirth education will reduce the desire of pregnant women to give birth by SC. While previous research stated that the cause of anxiety in facing childbirth is, experience and stress can be influenced by family support, marital status, history of disease, mother's age and level of education.
The Effect of Back Massage on Increasing Breast Milk Production: Scoping Review Sri Putriani Sinaga; Mufdlilah Mufdlilah
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 1 (2023): May
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i1.2152

Abstract

Exclusive breastfeeding begins within one hour after birth until the baby is six months old. Early initiation of breastfeeding and exclusive breastfeeding can help children survive and have antibodies to protect against common diseases, such as diarrhea and pneumonia. Breastfed children perform better on intelligence tests and are less likely to develop obesity and diabetes. This scoping review aims to review the evidence base regarding the effect of back massage on increasing milk production. Inclusion criteria: the criteria included in this review were Indonesian or English articles published within the last five years. These articles focused on the effect of back massage on increasing milk production. The method that will be used in this review is the scoping review technique, which is a systematic exploratory method by mapping the available literature in an article, topics, theories, and sources that have been obtained. The results of the study show that back massage can increase milk production. The most dominant factor in increasing milk production was in the group that did back massage, while the control group did not experience smooth milk production due to a lack of increase in milk production. Increased milk production can also be influenced by nutrition, rest, baby sucking, and breast care performed by the mother.
Food Security and Nutritional Status of Toddlers Post-Disaster in Palu City Hartini, Diah Ayu; Faisal, Elvyrah; Mangun, Mardiani; Bahja, Bahja; Dewi, Nikmah Utami; Aiman, Ummu
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2174

Abstract

  Palu City is the capital of Central Sulawesi Province which is prone to earthquakes because there is a fault in the earth's crust known as the Palu-Koro fault. There were 3 disasters at once in Central Sulawesi, namely the earthquake, tsunami and liquefaction in 2018. Natural disasters can have an impact on various kinds of losses experienced by the community, including nutritional disorders and disrupted components of food security. Toddlers are the group most vulnerable to nutritional problems and food insecurity in disaster situations up to post-disaster. This study aims to determine household food security and nutritional status of children under five after the disaster in Palu City. This research is a descriptive type of research using a cross-sectional by looking at the relationship between household food security and the nutritional status of children under five after the disaster in Palu City. The sampling technique used purposive sampling with a total sample of 101 respondents consisting of mothers and toddlers. The instruments used were the USDA questionnaire to assess food security and measurements of length or height and weight to measure the nutritional status of children under five. Data collection used a USDA questionnaire to assess household food security and the BB/U index was used to assess the nutritional status of children under five. There is no significant relationship between food security and nutritional status of children under five after the disaster in Palu City. This can happen because children under five with nutritional status of normal or abnormal weight 76.24% come from families with high food security scores. In addition, the existence of good food distribution in Palu City after the disaster occurred was also a cause of good food availability.
The Effectiveness of Exclusive Breastfeeding on the Nutritional Status of Infants in Efforts to Prevent Stunting in PMB Bogor Regency Rochmawati, Rochmawati; Kusmintarti, Arini
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2192

Abstract

Breast milk contains all the nutrients needed by the body, evidenced by the results of scientific evidence about the benefits of breast milk for the baby's immune system, growth and development, babies who are not exclusively breastfed have a higher risk of disease. The purpose of the researcher is to discuss further about the effect of exclusive breastfeeding on the nutritional status of infants aged 6 months at PMB Dian Dwi Anggraini, Bogor Regency 2022. The observational research design is analytical, cross-sectional with purposive sample sampling, data analysis comparison of independent variables with dependent variables, with independent T-Test statistical tests. Based on the results of independent T-test analysis in the study, the average body weight of exclusively breastfed infants (6.03 kg) and non-exclusive breastfeeding (5.57 kg) was obtained, while the average body length was obtained from exclusively breastfed infants (59.0 cm) and in non-exclusively breastfed infants (57.92 cm), for nutritional status in exclusively breastfed infants obtained 0.14 (Z score) and Non-exclusive breastfeeding 0.97 (Z score). This shows that exclusive breastfeeding affects the nutritional status of infants who are exclusively breastfed and those who are not exclusively breastfed very significantly with a p-value of > 0.01.
Hemoglobin Levels of Pregnant Women Consuming Multiple Micronutrients VS Fe+Folate in Banggai District Lalusu, Erni Yusnita; Luwiati, Luwiati; Balebu, Dwi Wahyu; Otoluwa, Anang Samudera
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2197

Abstract

Providing Fe+Folate for a long time to pregnant women has not been able to show a significant reduction in the incidence of anemia during pregnancy. This study aims to determine the effect of consuming multiple micronutrient supplements on the Hb levels amonv pregnant women in Banggai District. This was a quasi-experimental study with a non-randomised community trial and pre and post-test control group design, which involved 48 pregnant women assigned in the intervention and control groups. This study was conducted in Banggai District in 2020. The intervention group involved pregnant women who were administered with Multiple Micronutrient (MMN) supplements based on the UNIMMAP formula. The control group involved pregnant women who were administered with Fe+Folate supplements. Supplements were administered during the second trimester of pregnancy. Hemoglobin levels were assessed at the 12th week and 24th week of pregnancy. Various anthropometric characteristics and measures were assessed at study baseline. Hemoglobin levels were assessed using the Hemocue Hb 201 tool. Nutritional intake was assessed using the Semi Quantitative-Food Frequency Questionnaire (SQ-FFQ). Data were analyzed using the chi-square test, independent t-test and dependent t-test. The results of the study showed that during the second trimester of pregnancy, the mean hemoglobin level in the intervention group who were given MMN decreased by 0.3 g/dl (p-Value=0.143) and in the control group who were given Fe+Folate decreased by 0.1 g/dl (p-Value=0.408). The adifference in the decrease was not statistically significant. At the 24th week of pregnancy, the mean hemoglobin level of pregnant women who were given MMN was 0.1 g/dl higher than those who were given Fe+Folate. Such difference was not statistically significant (p-Value=0.415). Further study needs to be conducted to examine the effect of MMN and Fe+Folate on hemoglobin levels based on anemia status, characteristics of pregnant women and health status.

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