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Media Gizi Kesmas
Published by Universitas Airlangga
ISSN : 23017392     EISSN : 27458598     DOI : -
Core Subject : Health, Social,
Environmental Science Health Professions Nursing Public Health Social Sciences
Media Gizi Kesmas (MGK) is a scientific journal under the auspices of Universitas Airlangga that uses a peer review system and is published by the Faculty of Public Health, Universitas Airlangga. It is published twice a year, in June and December. Articles published in MGK include original research articles, literature reviews, and case studies. The scope of MGK includes Nutrition (Public Health Nutrition, Community Nutrition, Clinical Nutrition, Dietetics, Food and Nutrition, Food Service Management), Public Health (Health Policy and Administration, Occupational Health and Safety, Environmental Health, Biostatistics, Epidemiology, Health Promotion and Behavioral Science, Reproductive Health), and current issues in nutrition and public health.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 459 Documents
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Analisis Alternatif Prioritas Pemecahan Masalah Pencegahan dan Pengendalian Infeksi di Hospital Nacional Guido Valadares Dili Timor-Leste Soares, Virgilio; Wahyuni, Chatarina Umbul
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.595-607

Abstract

Introduction: Infection prevention and control in hospitals is a practical approach based on real evidence to prevent patients, families and visitors as well as health workers from the risk of infection. Purpose: Purpose of this study was to determine alternative priorities for solving infection prevention and control problems at Hospital Nacional Guido Valadares Dili, Timor Leste. Methods: The method used in this research is qualitative research using interviews and focus group discussions involving 3 key informants consisting of the Executive Director, Clinical Director and Director of nursing and midwifery and 16 informants consisting 1 head of the Quality Control department, 13 head of rooms and 2 educators. Data analysis through several stages, namely problem identification, problem prioritization with the non-scoring Delphi, root cause of the problem with the Fishbone diagram and determining alternative priority problem-solving using the Capability, Accessibility, readiness and leverage (CARL) method. Results: The results of the analysis show that the prevention and control of infections that are not running optimally have obstacles from the Human Aspects, Methods, Budget, Material and Machine or tools, based on the results of the analysis of alternative problem-solving priorities using the CARL method from the first and second rank are Conducting training for surveillance personnel, monitoring and evaluating infection prevention and control activities regularly. Conclusion: Based on the analysis of alternative priority problem solving using the CARL Method is to organize training for surveillance personnel, conduct regular monitoring and evaluation of prevention activities. Monitoring and evaluation should be carried out regularly to monitor the implementation of intervention activities and evaluate infection prevention and control activities, surveillance activities so as to ensure targeted achievements.
Uji Validitas dan Reliabilitas Instrumen Penelitian Dukungan Suami terhadap Hambatan Penggunaan Metode Kontrasepsi Jangka Panjang pada Multipara Akseptor Aktif di Surabaya Krisnawati, Erina; Artanti, Kurnia Dwi; Umar, Nurul Habibah
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.659-664

Abstract

Background: Various factors motivate couples of childbearing age to use long-term contraceptive methods (MKJP), despite their effectiveness and efficiency being 20 times higher than non-MKJP types. One of them is the husband's support factor. Validity and reliability tests ensure that a research instrument for data collection complies with the rules. In validity testing, the test method often involves comparing the score of each statement item with the total score. Reliability testing often employs the Cronbach's alpha test. Objectives: This research aims to test the validity and reliability of the questionnaire with the variable husband's support on barriers to using MKJP among active multipara acceptors in Surabaya. Methods: This research was carried out with a quantitative analysis research design with the Great Surabaya Cadre analysis unit in Kenjeran District, which has active multipara acceptor status. Data were collected using convenience sampling from 30 Great Surabaya Cadres, Kenjeran District, by administering a questionnaire containing 10 statements about a husband's support with a measurement scale. Results: The results of the study stated that the husband's support questionnaire was valid and reliable, with a calculated Pearson r correlation value (0.469–0.748) > r table (0.361) and a Cronbach's alpha value of 0.809. Conclusion: Based on the results and discussion, a conclusion can be drawn, namely that the husband's support questionnaire regarding barriers to the use of MKJP among active multipara acceptors in Surabaya is declared valid and reliable.
Pengaruh Safety Climate dan Safety Leadership terhadap Safety Performance pada Pekerja Perusahaan Alat Berat Kalimantan Timur Puspitarini, Made Yenny; Martiana, Tri
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.641-651

Abstract

Background: Maintaining and repairing heavy machinery in coal mines included significant danger and may result in mishaps. Even with management's best efforts to provide acceptable employment, policies, practices, infrastructure, and safety gear, property damage and small injury occurrences nevertheless happen. Objective: Examine how safety leadership and the safety environment affect employees of East Kalimantan heavy equipment companies' performance in terms of safety. Method: A questionnaire was utilized in the study to gather data from 65 respondents who were chosen by simple random selection. Results: The safety climate is positively and significantly impacted by safety leadership, according to path analysis (path coef = 0.962). Safety performance is positively and significantly impacted by safety leadership and climate (path coef = 0.562 and 0.415, respectively). With safety climate acting as a mediator, safety leadership may influence safety performance (path coef= 0.3992). Conclusion:  Safety leadership and safety climate can be antecedents for the safety performance of East Kalimantan heavy equipment company employees. Companies need to strengthen safety leadership by ensuring leaders practice safety principles, as well as creating a safety climate that is conducive to increasing employee safety commitment.
Pemberian Diet Tinggi Energi dan Tinggi Protein pada Pasien dengan Penyakit Kolelitiasis Pasca Operasi Kolesistektomi: Sebuah Laporan Kasus Ramadhina, Kayla Lalintang; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.681-690

Abstract

Background: Cholelithiasis is a stone that forms in the gallbladder which is composed of cholesterol, bilirubin, and bile. The presence of risk factors such as obesity, genes, female gender, lifestyle (often eating fatty foods), pregnancy, certain medications (estrogens, fibrates, somatostatin analogues), gallbladder stasis, metabolic syndrome, extreme diets, prolonged fasting, and bariatric surgery may increase the occurrence of cholelithiasis. Cholelithiasis can be treated with laparoscopic cholecystectomy. The standardized Nutrition Care Process (NCP) is carried out by providing a high-energy and high-protein diet. Objective: To determine the management of standardized NCP for patients with a high energy and high protein diet for cholelithiasis post-cholecystectomy surgery. Methods: The case study was carried out directly (using primary data) which was conducted in September 2023 on patient at RS X Surabaya Results: After monitoring and evaluation for three days, the results showed that the patient’s nutritional intake fluctuated and had not yet met the target (90 – 110%) of daily requirements, but had met 50% of daily requirements. This occured because the patient remains in the Ebb Phase and Flow Phase following surgery, accompanied by nausea and stomach discomfort, which has reduced the patient’s appetite. On the contrary, the physical/clinical examination of patient is increasing daily. The anthropometry results also showed that there was no weight loss. The laboratory result was not reexamined as it is categorized as normal. Conclusion: The observed patient’s recovery is not progressing well, as the results of monitoring nutritional intake still show fluctuating changes. However, the physical/clinical results show an improvement. Physical/clinical examination of the pain experienced by the patient gradually improved but had not fully recovered. The anthropometric also met the target; there was no significant weight loss. The laboratory result was not reexamined as it is categorized as normal. Overall, the nutritional intervention provided reached 50% of the recommended daily requirements.
Pemberian Diet Tinggi Protein pada Pasien Diabetes Mellitus Tipe 2 dengan Ulkus Gangren Pedis dan Hipokalemia: Sebuah Laporan Kasus Bahasuan, Yasmin Halim; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.720-728

Abstract

Background: Diabetes mellitus is a serious condition caused by increased blood glucose levels due to insufficiency of the insulin hormone in maintaining blood sugar balance in the body. In certain cases, type 2 diabetes mellitus can result in gangrene, which is a soft tissue infection characterized by muscle tissue death or myonecrosis caused by gram-positive bacteria. The Standardized Nutrition Care Process (PAGT) is carried out by providing a DM diet with high-protein diet principles to accelerate the healing of gangrene wounds in patients. Objectives: This article aims to determine the process of standardized nutritional care for type 2 diabetes mellitus patients with gangrene ulcers and hypokalemia who use a high protein diet. Methods: The case study was conducted in November 2023 on inpatients at X Hospital, Gresik City. Results: After monitoring and evaluation, the results showed that food intake had increased from 40% on the first day to 50.2% of total intake on the third day of intervention. However, it had not reached the target (<80%) due to post-operative weakness. Complaints of abdominal pain were felt on the last day, blood pressure decreased from normal at 120/80 to low on the second and third days due to unstable physiological conditions after surgery. Conclusions: The patient's condition has not fully recovered. The results of biochemical and physical/clinical monitoring still show unstable changes. However, there has been an increase in food intake even though targets for several macronutrients have not been achieved.
Literature Review: Korelasi antara Asupan Serat dan Asupan Cairan dengan Kejadian Konstipasi Fungsional pada Anak Remaja Safraji, Hosniyah Firdausiyah; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.869-877

Abstract

Background: Functional constipation is a functional gastrointestinal disorder (FGID) that represents the most prevalent gastrointestinal disorder in childhood. Its reported prevalence ranges from less than 1% to 32%, varying based on the reference population and definition employed. The prevalence of functional constipation in adolescents can vary significantly in different regions of the world.  cases of functional constipation in Indonesia for ages 4 – 17 years, the prevalence of constipation was 22.6% of 482 children. When compared with other countries, functional constipation in Indonesia is relatively high. Cases of functional constipation can reduce the quality of life in the form of limited mobility, activity and productivity in teenagers. The pain experienced will really disrupt the teaching and learning process of students. Students become unfocused in studying or reduce their attendance in class because their conditions do not allow them to carry out activities as usual. Of the many factors, fiber intake and low fluid intake are the ones that cause functional constipation. Objectives: This article aims to fill the knowledge gap regarding the relationship between fiber intake and fluid intake and the incidence of functional constipation in adolescents. Methods: This study uses a literature review method from a database source, namely Google Scholar, by selecting articles published within the last 10 years, consisting of national and international articles. There were 13 articles regarding the correlation between fiber intake and fluid intake and the incidence of constipation in adolescents Results: Several articles show that low fiber intake is correlated with the occurrence of functional constipation. Adolescents who have insufficient fiber and fluid intake cause a lack of air absorption in the intestines, resulting in hard stools that are difficult to expel. Conclusion: The conclusion of the literature review emphasizes the importance of adequate fiber intake and fluid intake in preventing functional constipation in adolescents.
Pemberian Diet Diabetes Mellitus, Tinggi Protein dan Rendah Garam pada Pasien Diabetes Mellitus dengan Riwayat Stroke dan Kondisi Gangren Pedis Dekstra Disertai Tindakan Pembedahan Amputasi Bawah Lutut Zulkarnain, Zahra Aillsa; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.672-680

Abstract

Background: Diabetes mellitus is a metabolic disease caused by increased blood glucose levels. One type of diabetes mellitus is type 2. Type 2 diabetes mellitus is caused by impaired insulin secretion, insulin resistance, other factors such as obesity, exercise, stress, and aging. One of the effects of diabetes mellitus is gangrene characterized by necrosis and infection of the inner soft tissue. Diabetics are susceptible to infections in foot which then develop into gangrene. Patients who have suffered from diabetes mellitus for years will tend to be at risk of developing ulcers which can result in amputation. Objectives: The purpose of writing this article is to knowing the nutrition care process to type 2 diabetes mellitus patient with a history of stroke, gangrene pedis dextra condition, and below knee amputation surgery Methods: The case study was conducted in November 2023 on inpatients of X Gresik Hospital. Data was obtained through 1x24-hour food recall observation before the patient entered the hospital and 3x24-hour food recall while in the hospital, interviews, direct observation, anthropometric measurements, medical record data, and literature studies. Intake data was processed using the Nutrisurvey application to determine the patient's daily intake. Results: After monitoring and evaluating for 3 days of intervention, the results showed that food intake had decreased on the 2nd day, classified as a severe deficit because after the amputation process and decreased appetite, while on the 3rd day, food intake had increased significantly, classified as a moderate deficit, characterized by reduced nausea and increased appetite. The biochemical data up to day 3 was classified as still abnormal, which was influenced by the amputation. Conclusions: The increase in food intake was seen significantly on the last day of intervention, when the results were quite significantly comparable to those of patients who had undergone amputation and had no complaints of nausea. Overall, the intervention provided was achieved.
Pemberian Diet Diabetes Melitus B1 terhadap Pasien Diabetes Melitus tipe 2, Post Coronary Artery Bypass Graft, Sternal Wound Dehiscence Radius Sternum, Post Wound Debridement Re-debridement, Anemia: Sebuah Laporan Kasus Salsabila, Qizza; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.729-739

Abstract

Background: The Standardized Nutritional Care Process (NCP) in this case provide a B1 diabetes mellitus diet. DM B1 diet (2100 kcal) is a diet given to patients with diabetes mellitus with high protein requirements to meet daily needs and accelerate healing of infections due to chest wounds, in addition to controlling blood sugar to normal, increasing hemoglobin and albumin levels so that patients do not experience anemia and control body woight to be stable. Objectives: To determine the provision of standardized nutritional care including assessment, nutritional diagnosis, nutritional intervention, monitoring and evaluation of nutrition in patients with a medical diagnosis of type 2 diabetes mellitus on insulin, post coronary artery bypass graft, sternal wound dehiscence radius sternum, post wound debridement and re-debridement, with a diet in the form of a 2100 kcal B1 diabetes mellitus diet. Methods: Case studies were taken directly or primary data in October 2023 with inpatients at the Cardiac Medical Inpatient Installation of Surabaya Regional General Hospital. Results: NCP is carried out by providing nutritional interventions for DM B1 diet and monitoring and evaluation for 3 days. The fulfillment of patient intake is on average, 80-110% fulfilled even more, and only protein macronutrients are still in the deficit category. The DM diet is given with the 3J principle (right schedule, amount, type). The results of monitoring and evaluation of patients including overweight, hemoglobin improved on the third day and albumin was still in low levels, physical/clinical patients such as blood pressure, respiratory rate, pulse, SpO2, showed that they were normal, had mild pain and compos mentis consciousness. The patient's complaints of nausea, vomiting, liquid stools, shortness of breath were not found during the nutritional care process so that the patient was in a fairly good condition. Conclusions: The patient is in fairly good condition, appetite is not a problem, hemoglobin is improving, albumin is in the low category, BMI is in the overweight category, and physically / clinically good, so the healing process quickly improves and the target intake is met, only monitoring needs to be done on protein macronutrients.
Literature Review: Hubungan Tingkat Depresi dengan Hipertensi pada Lansia Aulia, Ines; Farapti, Farapti
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.907-913

Abstract

  Background: Depression is one of the most common mental health problems faced by the elderly among many others. Depression, anxiety, and other negative emotions are important factors in the onset, development, and worsening of hypertension, which can make blood pressure fluctuations difficult to control, accelerate the course of the disease, and reduce the quality of life of hypertensive patients. Objectives: To determine the relationship between the level of depression and hypertension in the elderly. Methods: This study applied a literature review approach using various databases such as Pubmed, ScienceDirect, and Google Scholar. After the screening process, six journals relevant to the topic under investigation were found. Results: There were 6 articles that showed a significant association between depression and the incidence of hypertension in the elderly, highlighting the importance of taking psychological factors into account in their health management. Conclusions: It can be concluded that there is a relationship between depression and the incidence of hypertension in elderly.  
Hubungan Frekuensi Konsumsi Junk Food, Status Gizi, dan Massa Lemak Tubuh dengan Usia Menarche pada Anak Sekolah Laili, Putri May Wahyu; Muniroh, Lailatul; Ramadhani, Zulfa Taqiyyah
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.691-697

Abstract

Background: Menarche is the onset of menstruation for the first time in women. Menarche can be a sign of reproductive organ maturity. On average, menarche occurs at the age of 12-13 years, but in recent years the age of menarche has shifted to a younger age. Based on the 2018 Riskesdas, the average age of menarche in Indonesia has decreased by 0.6 years since 2010. Objectives: To analyze the relationship between frequency of junk food consumption, nutritional status, and body fat mass as factors of age at menarche. Methods: A cross-sectional design was used in this study. This study involved students who had experienced menarche in grades IV, V, and VI of SDIT At-Taqwa Surabaya. The study sample was 47 students who were selected using simple random sampling method. Data on the frequency of junk food consumption was obtained using FFQ form, nutritional status using BAZ, and body fat mass using Bioelectrical Impedance Analysis (BIA). Spearman correlation test was used to analyze the data. Results: It was found that the average age of menarche of female students was 10.1 years and as many as 65.9% experienced early menarche. Most of the students consumed junk food frequently sometimes, had more nutritional status, and healthy category fat mass. The results of data analysis show that there is a relationship between the frequency of fast-food consumption (p=0.045, r=-0.249), frequency of snack consumption (p=0.017, r= 0.348), nutritional status (p=0.007, r=-0.389), and body fat mass (p=0.018, r=-0.343) with the age of menarche of school children. Conclusion: The higher the frequency of fast food and snack consumption, nutritional status, and body fat mass, the earlier the age of menarche.

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