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Gema Kesehatan
ISSN : 20885083     EISSN : 26548100     DOI : https://doi.org/10.47539/gk.v15i1
Core Subject : Health,
Gema kesehatan is published by Poltekkes Kemenkes Jayapura twice a year. p-ISSN 2088-5083/e-ISSN 2654-8100. Kemdikbudristek has accredited the Gema Kesehatan journal to rank four from 2019 to 2023 based on the decree:164/E/KPT/2021. We believe that open-source knowledge is able to produce something more treasured, giving an advantage to researchers, policy-makers and society in general. By collaborating committedly with authors, reviewers and editors we guarantee that the academic community will be given free access to explore into a wealth of highest quality research. All articles are published under a Creative Commons license: Attribution 4.0 International (CC-BY-SA) http://creativecommons.org/licenses/by-sa/4.0/, indicative of the fact that authors retain the copyrights of their work and hence, can freely use, reuse and share their articles. Prademic also allows authors to post their work online to any academic repository any time they wish. Gema Kesehatan (GK) implements the PKP Preservation Network (PKP PN), as can be seen in the records of The Keepers Registry and Garuda
Articles 117 Documents
EFEK SERBUK CACING TANAH Lumbricus rubellus PADA HISTOPATOLOGI USUS TIKUS PUTIH (Rattus norvegicus) PASCA INFEKSI Salmonella typhi: THE EFFECT OF LUMBRICUS RUBELLUS EARTHWORM POWDER ON THE INTESTINAL HISTOPATHOLOGY OF WHITE RATS (RATTUS NORVEGICUS) POST SALMONELLA TYPHI INFECTION Sulistyawati, Dewi; Herawati , Ratna
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.447

Abstract

Cacing tanah Lumbricus rubellus mengandung lumbricin yang berfungsi sebagai zat antimikroba dan imunomodulator serta diyakini mampu menyembuhkan penyakit demam tifoid. Serbuk cacing tanah diduga bersifat enteroprotektif dengan memperbaiki mukosa usus yang rusak. Penelitian ini bertujuan mengetahui efek serbuk cacing tanah (Lumbricus rubellus) terhadap gambaran histopatologi usus tikus putih (Rattus novergicus) pasca infeksi bakteri Salmonella thypi. Merupakan penelitian eksperimen laboratorium menggunakan 20 ekor tikus putih (Rattus norvegicus) jantan yang dibagi menjadi 4 kelompok yaitu kontrol positif, kontrol negative, perlakuan 1 (diberi serbuk cacing Lumbricus rubellus dosis 1,6 g/0,2 KgBB) dan perlakuan 2 (diberi serbuk cacing Lumbricus rubellus dosis 1,6 g/0,2 KgBB dan khloramfenikol). Pada hari ke-20 dibuat preparat histologi usus halus dan dianalisa secara descriptive untuk mengetahui ada tidaknya kerusakan atau kelainan jaringan. Data yang diperoleh menunjukkan bahwa pada tikus kontrol positif mengalami kerusakan usus halus berupa kerusakan lamina propria, desquamasi sel epithel dan pendarahan. Pada tikus perlakuan 1 maupun perlakuan 2 sudah terjadi perbaikan jaringan usus. Ephitel usus halus tikus perlakuan 1 maupun 2 sudah rapat kembali dan tidak ada perdarahan. Hasil penelitian menunjukkan serbuk cacing tanah mempunyai efek meningkatkan regenerasi sel usus dan sekaligus sebagai antibakteri. Serbuk cacing tanah Lumbricus rubellus mempunyai efek memperbaiki kerusakan usus halus tikus putih (Rattus norvegicus) pasca infeksi Salmonella typhi. Kata kunci: Lumbricus rubellus, Rattus norvegicus, Salmonella thypi   The earthworm Lumbricus rubellus contains lumbricin, which functions as an antimicrobial and immunomodulator and is believed to cure typhoid fever. Earthworm powder is thought to be enteroprotective by repairing damaged intestinal mucosa. This study aims to determine the effect of earthworm powder (Lumbricus rubellus) on the histopathological appearance of the intestines of white rats (Rattus novergicus) after infection with Salmonella-type bacteria. This is a laboratory experimental study using 20 male white rats (Rattus norvegicus), which were divided into four groups, namely positive control, negative control, treatment 1 (given Lumbricus rubellus worm powder at a dose of 1.6 g/0.2 KgBW) and treatment 2 (given Lumbricus rubellus worm powder dose 1.6 g/0.2 KgBW and chloramphenicol). On the 20th day, a histology preparation of the small intestine was made and analyzed descriptively to determine whether there was tissue damage or abnormalities. The data showed that positive control mice experienced damage to the small intestine through damage to the lamina propria, desquamation of epithelial cells, and bleeding. In mice in treatment one and treatment 2, intestinal tissue repair occurred. The small intestinal epithelium of mice treated 1 and 2 was dense again, and there was no bleeding. The results of the research show that earthworm powder has the effect of increasing intestinal cell regeneration and is also antibacterial. Lumbricus rubellus earthworm powder repairs damage to the small intestine of white rats (Rattus norvegicus) after Salmonella typhi infection.  Keywords: Lumbricus rubellus, Rattus norvegicus, Salmonella type
EFEK PERMEN KARET, MADU, DAN MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN WAKTU FLATUS PADA PASIEN POST SEKSIO SESAREA: EFFECTS OF GUM, HONEY, AND EARLY MOBILIZATION ON RECOVERY OF INTESTINE PERISTALTIC AND FLATUS TIME IN PATIENTS POST CAESAREAN SECTION Hasrianti, Hasrianti; Aryadi Arsyad; Usman, Andi Nilawati; Ramadany, Sri; Nontji, Werna; Hafsa, Mahmud
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.459

Abstract

Seksio sesarea menjadi salah satu operasi besar pada abdomen yang berhubungan langsung dengan perubahan post operatif dalam sistem saraf otonom yang menyebabkan penurunan pergerakan usus pada sistem pencernaan. Penelitian ini bertujuan untuk membandingkan efek mengunyah permen karet, mengonsumsi madu dan mobilisasi dini terhadap laju pemulihan fungsi peristaltik usus dan waktu kentut pada pasien post seksio sesarea. Penelitian ini menggunakan desain Quasi Experimental dengan pendekatan post-test only group design. Sebanyak 78 wanita post seksio sesarea dipilih melalui teknik purposive sampling, memenuhi kriteria inklusi serta bersedia berpartisipasi, dibagi menjadi tiga kelompok: Permen Karet (PK) + Mobilisasi Dini (MD), Madu (M) + MD, dan MD saja. Intervensi diberikan 3 jam post seksio sesarea, sedangkan pengukuran peristaltik usus dan waktu flatus dilakukan setiap 2 jam. Peristatik usus berbeda signifikan (P=0,00) di antara ketiga kelompok pada jam ke I, II dan III. Kelompok PK + MD mencatatkan rata-rata peristaltik tertinggi 28 kali, diikuti oleh kelompok M + MD 25 kali, dan MD 21 kali. Waktu flatus juga menunjukkan perbedaan signifikan antar kelompok (P= 0,041) dengan kelompok PK + MD mencatatkan rata-rata waktu flatus lebih cepat 500 menit dibandingkan kelompok M + MD 611 menit dan MD 754 menit. Mengunyah permen karet dengan mobilisasi dini terbukti lebih efektif dalam mempercepat pemulihan peristaltik usus dan waktu pertama flatus pada pasien pasca-seksio sesarea dibandingkan dengan kombinasi pemberian madu dan mobilisasi dini, maupun mobilisasi dini saja. Kata kunci: Flatus, Madu, Mobilisasi Dini, Peristaltik Usus, Permen Karet     A cesarean section is considered a major abdominal surgery that directly relates to post-operative changes in the autonomic nervous system, causing a reduction in intestinal movement within the digestive system. This study compares the effects of chewing gum, honey administration, and early mobilization on the speed of intestinal peristalsis recovery and the time to first flatus in post-cesarean section patients. This research uses a Quasi-Experimental design with a post-test-only group design approach. Seventy-eight women in the post-cesarean section were selected through purposive sampling, met the inclusion criteria, and agreed to participate. They were divided into three groups: Chewing Gum (CG) + Early Mobilization (EM), Honey (H) + EM, and EM alone. The interventions were administered 3 hours post-cesarean section, while intestinal peristalsis and flatus time were measured every 2 hours. Intestinal peristalsis showed a significant difference (P=0.00) between the three groups during the first, second, and third hours. The CG + EM groups recorded the highest average peristalsis at 28 times, followed by the H + EM groups at 25 times and the EM group at 21 times. Flatus time also showed a significant difference between groups (P=0.041), with the CG + EM groups recording a faster average flatus time of 500 minutes compared to the H + EM groups at 611 minutes and the EM group at 754 minutes. Chewing gum combined with early mobilization accelerates the recovery of intestinal peristalsis and the time to first flatus in post-cesarean section patients compared to honey administration with early mobilization or early mobilization alone. Keywords: Chewing Gum, Early Mobilization, Flatus, Honey, Intestinal Peristalsis
KAJIAN PENGETAHUAN DAN PERILAKU MINUM OBAT MALARIA MASSAL DI KABUPATEN KEEROM: STUDY OF KNOWLEDGE AND BEHAVIOR IN MASS MALARIA MEDICATION ADMINISTRATION IN KEEROM DISTRICT Sasarari , Zusana A; Kristina, Yunita; Mambrasar, Gloria A; Suweni, Korinus
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.460

Abstract

Minum obat malaria massal adalah program pemberian obat antimalaria secara massal menurunkan penyakit malaria dan menurunkan kematian akibat malaria. Target cakupan program minum obat massal di kampung Puskesmas Arso VIII Desa Dukwia yaitu >80%. Tahun 2022 terjadi peningkatan malaria  637 kasus. Puskesmas Dukwia telah melakukan inum obat malaria massal, masyarakat mengatakan kurang mengetahui program minum obat massal dan hanya ikut saja. Dampak yang terjadi bila minum obat malaria massal tidak dilakukan adalah dapat menimbulkan plasmodium kebal terhadap obat anti malaria, sehingga jika sakit malaria lagi pengobatannya lebih susah disembuhkan. Penelitian ini bertujuan mengkaji pengetahuan dan perilaku minum obat malaria massal. Rancangan penelitian ini adalah cross sectional pada 270 responden. Teknik pengambilan sampel dalam penelitian ini mengunakan Simple Random Sampling. Uji Spearman digunakan untuk mengetahui korelasi antara pengetahuan dan perilaku minum obat malaria massal. Hasil penelitian menunjukkan mayoritas responden berumur 20-59 tahun, berjenis kelamin laki-laki, memiliki pendidikan SMA, bekerja, dan memiliki penghasilan kurang (<3.000.000). Sebagian besar memiliki pengetahuan baik (53,7%) dan perilaku kurang baik (53,7%). Uji Spearman rank didapatkan nilai p=0,314 artinya tidak terdapat hubungan yang sigifikan antara pengetahuan dengan perilaku minum obat malaria massal dan nilai r sebesar -0,602 artinya semakin tinggi pengetahuan responden maka cenderung memiliki perilaku minum obat malaria massal yang kurang baik. Oleh karena itu,  perlu dilakukan Upaya peningkatkan pengetahuan dengan membaca dan mengikuti promosi kesehatan yang dilakukan petugas kesehatan, memodifikasi perilaku pasien agar mereka lebih patuh dalam menjalani pengobatan, dan memotivasi pasien untuk menyelesaikan pengobatan sesuai dosis dan waktu yang telah ditetapkan. Kata kunci: Minum Obat Malaria Massal, Pengetahuan, Perilaku     Mass drug administration for malaria is a program of mass administration of antimalarial drugs to reduce malaria disease and reduce deaths from malaria. The target coverage of the mass drug administration for malaria program in the Arso VIII Puskesmas village of Dukwia Village is >80%. In 2022, there was an increase in cases of malaria, 637. Puskesmas Dukwia has conducted mass drug administration for malaria; the community said they did not know about the mass drug consumption program and only participated. The impact that occurs when taking mass malaria medication is not carried out is that it can cause Plasmodium to be immune to antimalarial drugs so that if you get malaria again, the treatment is more difficult to cure. This study assesses the knowledge and behavior of taking mass malaria medication. This research design is cross-sectional on 270 respondents. The sampling technique used in this study was simple random sampling. Spearman test was used to determine the correlation between knowledge and behavior of mass drug administration for malaria. The results showed that most respondents were male, 20-59 years old, had a high school education, were employed, and had less income (<3.000,000). Most had good knowledge (53,7%) and poor behavior (53,7%). Spearman rank test obtained p-value=0.314, meaning that there is no significant relationship between knowledge and the behavior of taking mass malaria drugs, and an r-value of -0,602, meaning that the higher the knowledge of respondents, the less likely they have the behavior of taking mass malaria drugs. Therefore, it is necessary to increase understanding by reading and following health promotions conducted by health workers, modifying patient behavior to be more compliant in undergoing treatment and motivating patients to complete treatment according to the dose and time set. Keywords: Behavior, Knowledge, Mass Drug Administration for Malaria
PERILAKU PEMANFAATAN JAMBAN SEHAT PADA MASYARAKAT DESA ROKAN KOTO RUANG KABUPATEN ROKAN HULU : HEALTHY LATRINE USE BEHAVIOR IN THE COMMUNITY OF ROKAN KOTO VILLAGE, ROKAN HULU DISTRICT Syukaisih; Alhidayati; Amalia, Risa; Maharani, Riri; Turindi , Aveza
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.461

Abstract

Jamban sehat adalah jamban yang tidak mengotori permukaan tanah, air, tidak terjangkau oleh serangga, tidak menimbulkan bau, mudah digunakan dan dipelihara. Penelitian ini bertujuan untuk memahami perilaku masyarakat Desa Rokan Koto Ruang dalam menggunakan jamban sehat. Berdasarkan survei, akses jamban sehat mencapai 60% di desa tersebut. Metode yang digunakan adalah penelitian kuantitatif dengan desain cross-sectional, melibatkan 101 kepala keluarga yang dipilih secara acak. Hasil menunjukkan bahwa pengetahuan, sikap, pendapatan, dan kepemilikan jamban sehat berpengaruh signifikan terhadap perilaku penggunaan jamban sehat, namun dukungan petugas kesehatan tidak memiliki pengaruh signifikan. Rekomendasi penelitian menyarankan kerja sama lintas sektor untuk meningkatkan fasilitas sanitasi dan edukasi masyarakat mengenai pentingnya pemanfaatan jamban sehat. Kata kunci: Jamban Sehat, Pemanfaatan, Pengetahuan, Perilaku, Sikap     A healthy latrine is a latrine that does not pollute the surface of the soil or water, is not accessible to insects, does not cause odors, and is easy to use and maintain. This research aims to understand the behavior of the people of Rokan Koto Ruang Village in using healthy latrines. Based on the survey, access to healthy toilets reached 60% in the village. The method used was quantitative research with a cross-sectional design involving 101 randomly selected heads of families. The results show that knowledge, attitudes, income, and ownership of healthy toilets significantly affect healthy toilet use behavior. Still, support from health workers does not have a significant effect. Research recommendations suggest cross-sector collaboration to improve sanitation facilities and educate the public about the importance of using healthy latrines. Keywords: Attitude, Behavior, Healthy Latrines, Knowledge, Utilization
PENGEMBANGAN MODEL POLA ASUH ORANG TUA TERHADAP KEJADIAN STUNTING PADA BALITA: DEVELOPMENT OF A PARENTING MODEL TO ADDRESS STUNTING INCIDENTS IN TODDLERS Arwati, Niluh; Blongkod , Fitriani Rahmatismi
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.463

Abstract

Stunting merupakan masalah gizi kronis yang mempengaruhi pertumbuhan anak, terutama di wilayah Kecamatan Tilango, Kabupaten Gorontalo. Pola asuh orang tua berperan penting dalam mencegah stunting. Penelitian ini bertujuan untuk memahami model pola asuh orang tua (parental control, parental maturity demands, (parent-child communication, parental nutrition) dalam mempercepat pencegahan stunting. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional, melibatkan 75 responden ibu yang memiliki balita yang diperoleh dari 85 orang populasi, menggunakan teknik Nonprobability (Purposive sampling). Data dikumpulkan melalui kuesioner dan dianalisis menggunakan Principal Component Analysis (PCA) 95% dengan SPSS. Hasil analisis menunjukkan bahwa aspek pola asuh orang tua (Parental Control, Parent-Child Communication, Parental Nurturance, Parental Maturity Demands) mudah diterima untuk dilaksanakan dan Parental Maturity Demands adalah yang paling dominan diantara ketiga model lainnya. Pola asuh orang tua dapat mempercepat pencegahan stunting pada balita, dan aspek Parental Maturity Demands memiliki pengaruh terbesar. Kata kunci: Asupan Gizi, Parental Maturity Demands, Pola Asuh, Stunting     Stunting is a chronic nutritional problem that affects children's growth, especially in the Tilango District, Gorontalo Regency. Parental parenting styles play an essential role in preventing stunting. This research aims to understand the model of parenting patterns (parental control, parental maturity demands, (parent-child communication, and parental nutrition) in accelerating the prevention of stunting. This research uses quantitative methods with a cross-sectional design, involving 75 respondents from mothers who have toddlers obtained from a population of 85 people, using Nonprobability techniques (Purposive sampling). Data was collected through questionnaires and analyzed using Principal Component Analysis (PCA) 95% with SPSS. Parent-child communication, Parental Nurturance, and Parental Maturity Demands) are readily accepted to be implemented. Parental Maturity Demands are the most dominant among the three parenting models that can accelerate the prevention of stunting in toddlers, and the Parental Maturity Demands aspect has the most significant influence. Keywords: Nutritional Intake, Parental Maturity Demands, Parenting Patterns, Stunting
PERAN PEMBERIAN ASI EKSKLUSIF DAN POLA ASUH DALAM MENGATASI STUNTING PADA BALITA DI PUSKESMAS BAHOMOTEFE: THE ROLE OF EXCLUSIVE BREASTFEEDING AND PARENTING PATTERNS IN ADDRESSING STUNTING IN TODDLERS AT BAHOMOTEFE HEALTH CENTER Kolupe, Veni Mornalita; Purnama Sari , Niluh Desy; Armini , Ni Kadek; Parmi; Susianawati , Desak Eka
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.464

Abstract

Stunting pada anak menjadi problem dalam kesehatan masyarakat dengan cukup serius yang berpengaruh terhadap tingkat kognitif anak. Indonesia masih menghadapi tantangan tinggi dalam menurunkan prevalensi stunting, termasuk pada area kerja Puskesmas Bahomotefe. Tujuan penelitian ini menganalisis pemberian ASI secara eksklusif dan pelaksanaan pola asuh terhadap prevalensi stunting. Deskriptif kuantitatif adalah metode yang digunakan, secara analitik, dengan rancang bangun cross-sectional. Data dikumpulkan melalui observasi dan wawancara terhadap 93 responden ibu balita yang dipilih menggunakan rumus Slovin. Variabel independent terdiri dari ASI eksklusif dan pola asuh, dan prevalensi stunting sebagai variabel dependent. Analisis menggunakan uji chi-square. Balita dengan ASI eksklusif yang tidak baik memiliki risiko stunting >6 kali besar (OR=5,633; p<0,05) daripada anak dengan ASI eksklusif yang baik. Pola asuh yang tidak baik meningkatkan kemungkinan terjadinya stunting hingga 3 kali lipat dibandingkan pola asuh yang baik (OR=3,033; p<0,05). Hasil ini menekankan pentingnya pemberian ASI eksklusif serta pola asuh yang baik untuk mencegah stunting. Pemberian ASI eksklusif dan pola asuh memiliki hubungan yang kuat dan risiko yang besar untuk meningkatkan prevalensi stunting. Intervensi yang berfokus pada peningkatan cakupan ASI eksklusif dan kualitas pola asuh dapat menjadi strategi efektif dalam upaya penurunan angka stunting. Kata kunci: ASI Eksklusif, MP- ASI, Nutrisi Balita, Pola Asuh, Stunting     Stunting in children is a serious public health problem that affects children's cognitive levels. Indonesia still faces high challenges in reducing the prevalence of stunting, including in the Bahomotefe Community Health Center work area. This research aims to analyze exclusive breastfeeding and the implementation of parenting patterns on the prevalence of stunting. Quantitative descriptive is a method used analytically with cross-sectional design. Data was collected through observation and interviews with 93 respondents from mothers of toddlers who were selected using the Slovin formula. The independent variables consist of exclusive breastfeeding and parenting patterns, and the prevalence of stunting as the dependent variable. The analysis uses the chi-square test. Toddlers with poor exclusive breastfeeding have a risk of stunting >6 times greater (OR=5.633; p<0.05) than children with good exclusive breastfeeding. Destructive parenting patterns increase the likelihood of stunting up to 3 times compared to good parenting patterns (OR=3.033; p<0.05). These results emphasize the importance of exclusive breastfeeding and good parenting patterns to prevent stunting. Exclusive breastfeeding and parenting patterns have a strong relationship and a significant risk of increasing the prevalence of stunting. Interventions that focus on expanding exclusive breastfeeding coverage and the quality of parenting can be an effective strategy in reducing stunting rates. Keywords: Exclusive Breastfeeding, MP-ASI, Parenting Patterns, Stunting, Toddler Nutrition
DEPRESI, KECEMASAN, DAN STRES PASCA PERSALINAN PADA AYAH DARI BAYI DENGAN BERAT LAHIR SANGAT RENDAH: DEPRESSION, ANXIETY, AND POSTPARTUM STRESS IN FATHERS OF VERY LOW BIRTH WEIGHT BABIES Fitri, Adelina; Putra, Ashar Nuzulul; Rahim, Beny
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.466

Abstract

Kehamilan prematur (<37 minggu) dan bayi dengan berat badan lahir sangat rendah (<1500 gram) merupakan pengalaman penuh tekanan yang dapat menyebabkan risiko depresi dan kecemasan yang tinggi. Meskipun banyak penelitian yang berfokus pada kesehatan mental ibu pascapersalinan, bukti juga menunjukkan bahwa ayah dari bayi prematur dan bayi dengan berat badan lahir sangat rendah juga berisiko mengalami depresi dan kecemasan dibandingkan dengan ayah dari bayi yang lahir cukup bulan dan bayi dengan berat badan lahir normal. Oleh karena itu, para ayah memiliki tantangan tersendiri dalam masa perawatan bayi, terutama dengan bayi prematur dan bayi dengan berat badan lahir sangat rendah. Penelitian ini merupakan penelitian kuantitatif. Ada tiga kuesioner yang akan digunakan dalam penelitian ini. Center for Epidemiological Studies-Depression Scale terdiri dari 20 item untuk mengukur gejala depresi. Spielberger State-Trait Anxiety Inventory terdiri dari 2 item untuk mengukur tingkat kecemasan. Modified Perinatal Posttraumatic Stress Disorder Questionnaires yang terdiri dari 14 item untuk mengukur stres pascapersalinan. Analisis data yang digunakan berupa analisis univariat dan bivariat. Hasil penelitian menunjukkan bahwa 74,4% ayah dari bayi dengan berat badan lahir sangat rendah mengalami depresi, 15,4% ayah mengalami kecemasan sedang dan 30,8% ayah merasa stres setelah istrinya melahirkan. Terdapat perbedaan peluang pada depresi, kecemasan dan stres pascapersalinan pada ayah (p < 0,05). Depresi, kecemasan, dan stres pascapersalinan yang dialami istri juga dirasakan oleh ayah selama masa perawatan bayi baru lahir, terutama pada ayah dengan bayi berat lahir sangat rendah. Kata kunci: Berat Lahir Sangat Rendah, Depresi, Kecemasan, Persalinan, Stress     Premature pregnancy (<37 weeks) and very low birth weight babies (<1500 grams) are stressful experiences that can lead to a high risk of depression and anxiety. Although much research has focused on maternal postpartum mental health, evidence also suggests that fathers of premature babies and very low birth weight babies are also at risk for depression and anxiety compared with fathers of term babies and normal birth weight babies. Therefore, fathers have their challenges when caring for babies, especially with premature babies and babies with very low birth weight. This research is quantitative. Three questionnaires will be used in this research. The Center for Epidemiological Studies-Depression Scale consists of 20 items to measure depressive symptoms. Spielberger State-Trait Anxiety Inventory consists of 2 items to measure anxiety levels—modified Perinatal Posttraumatic Stress Disorder Questionnaires composed of 14 items to measure postpartum stress. The data analysis used is univariate and bivariate. The results showed that 74.4% of fathers of babies with very low birth weight experienced depression, 15.4% of fathers experienced moderate anxiety, and 30.8% of fathers felt stressed after their wives gave birth. There were differences in the odds of depression, anxiety, and postpartum stress in fathers (p < 0.05). Fathers also feel the depression, anxiety, and postpartum stress experienced by wives during the period of caring for newborns, especially in fathers with very low birth weight babies. Keywords: Anxiety, Childbirth, Depression, Stress, Very Low Birth Weight
NILAI RENDEMEN DAN ANALISIS FITOKIMIA EKSTRAK DAUN PECUT KUDA (Stachytarpheta jamaicensis) BERDASARKAN LAMA EKSTRAKSI DENGAN METODE ULTRASONIC ASISSTED EXTRACTION: YIELD AND PHYTOCHEMICAL ANALYSIS OF "BLUE PORTERWEED” (STACHYTARPHETA JAMAICENSIS) LEAF EXTRACT BASED ON EXTRACTION LENGTH USING ULTRASONIC ASSISTED EXTRACTION Amin, Asni; Waris, Risda; Sari, Rafika
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.469

Abstract

Pecut kuda adalah tanaman liar yang banyak tumbuh di Indonesia dan masih belum banyak dibudidayakan, meskipun aktivitas antioksidannya sangat tinggi, serta berpeluang sebagai antiinflamasi dan antikanker, namun variasi kondisi lingkungan tumbuh pada  tumbuhan liar, memungkinkan terjadinya perbedaan kandungan kimia. Adapun tujuan penelitian ini untuk mengetahui nilai rendemen dan komposisi golongan kimia ekstrak daun pecut kuda (EPK) berdasarkan lama ekstraksi hasil ultrasonic assisted extraction (UAE). Daun pecut kuda diekstraksi menggunakan etanol 70% dengan metode UAE pada dua waktu ekstraksi berbeda, yaitu  ekstraksi dengan lama UAE selama 2 jam (EPK-A), dan ekstraksi dengan lama UAE tiap 15 menit selama 2 jam (EPK-B), hasil ekstrak kental yang diperoleh dianalisis fitokimia secara kolorimetri dengan reagen spesifik. Perbedaan nilai rendemen ekstrak dianalisis secara kualitatif.  Hasil penelitian menunjukkan nilai  rendemen EPK-A =34,18 % dan EPK-B = 31,56 % sedangkan analisis fitokimia  EPK-A dan EPK-B diperoleh golongan senyawa yang sama, yaitu : alkaloid, fenol, tannin, flavonoid, dan saponin. Perbedaan lama waktu ekstraksi dengan metode UAE dari daun pecut kuda mempengaruhi nilai rendemen EPK, namun tidak berpengaruh pada kandungan kimianya. Kata kunci: Analisa Fitokimia, Ekstraksi Ultrasonik, Lama Ekstraksi, Rendemen, Stachytarpeta jamaicensis     Horsewhip is a wild plant that grows widely in Indonesia and is still not widely cultivated, even though its antioxidant activity is very high, and has the potential to act as an anti-inflammatory and anti-cancer agent. Still, variations in the environmental conditions in which wild plants grow allow for differences in chemical content. This research aims to determine the yield value and chemical composition of horsewhip leaf extract (EPK) based on ultrasonic-assisted extraction (UAE) time. Horsewhip leaves were extracted using 70% ethanol using the UAE method at two different extraction times, namely extraction with a UAE duration of 2 hours (EPK-A) and extraction with a UAE duration of every 15 minutes for 2 hours (EPK-B), the extract results The viscosity obtained was analyzed phytochemically colorimetrically with specific reagents. Differences in extract yield values ​​were analyzed qualitatively. The results showed that the yield value of EPK-A = 34.18% and EPK-B = 31.56%. At the same time, phytochemical analysis of EPK-A and EPK-B obtained the same group of compounds, namely alkaloids, phenols, tannins, flavonoids, and saponins. The difference in extraction time using the UAE method from horsewhip leaves affects the EPK yield value but does not affect the chemical content. Keywords: Extraction Time, Phytochemical Analysis, Ultrasonic Extraction, Stachytarpeta jamaicensis, Yield
EFEKTIVITAS BABY MASSAGE DENGAN PERKEMBANGAN MOTORIK BAYI USIA 1-12 BULAN : EFFECTIVENESS OF BABY MASSAGE ON MOTOR DEVELOPMENT OF BABIES AGED 1-12 MONTHS Simanjuntak, Roganda; Wahyuning Tyas, Wulan
GEMA KESEHATAN Vol. 17 No. 1 (2025): Juni 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i1.467

Abstract

Pijat adalah bentuk terapi yang bertujuan sebagai stimulasi. Dibandingkan dengan bayi tanpa stimulasi, bayi yang memperoleh stimulasi teratur dapat memiliki perkembangan yang sesuai dengan umur. Tujuan penelitian ini mengetahui hubungan pemberian baby massage  pada bayi 1-12 bulan di PMB Nurul Khasanah Desa Ngemplak Kecamatan Kalikotes, Klaten. Penelitian ini adalah quasi eksperimen. Total sampel 40 responden usia 1-12 bulan di PMB Nurul Khasanah dibagi menjadi 20 responden sebagai kelompok kontrol (tanpa pijat) dan 20 responden (dengan pijat bayi) sebagai kelompok intervensi. Kedua kelompok dilakukan penilaian KPSP dan kuesioner. Penelitian mendapat izin etik dengan nomor 1.776 / IX / HREC / 2023. Analisa data dengan uji chi square. Hasil penelitian didapatkan sebagian besar responden berusia 3 bulan (17,5%) dan 5 bulan (17,5%). Sebagian besar bayi adalah perempuan (52,5%). Sebelum penelitian ditemukan sejumlah bayi dengan perkembangan kategori meragukan (15%) dan kategori normal (85%). Hasil analisis diperoleh hubungan yang signifikan (p value = 0,002) antara pemberian massage dengan perkembangan bayi 1-12 bulan. Pijat bayi dapat digunakan sebagai terapi komplementer untuk menstimulasi perkembangan bayi agar tepat sesuai usia. Bayi tanpa stimulasi massage beresiko mengalami keterlambatan perkembangan atau perkembangannya tidak sesuai dengan usianya karena kurangnya stimulus atau rangsangan kepada bayi. Kata kunci: Baby Massage, Bayi Usia 1-2 Bulan, Perkembangan Bayi   One type of therapy that tries to stimulate is massage. Babies who receive frequent stimulation can develop in a way that is acceptable for their age compared to those who do not. This essay aims to ascertain the connection between massaging infants aged 1 to 12 months at PMB Nurul Khasanah in Ngemplak Village, Kalikotes District, Klaten. This study is a sort of quasi-experiment. The 40 respondents in the sample, who were all between the ages of 1 and 12 months, were split into two groups: 20 in the control group, which did not receive a massage, and 20 in the intervention group, which did receive a baby massage. Both groups underwent KPSP and questionnaire assessment. As data analyst tools, the study received ethical permission with number 1.776 / IX / HREC / 2023—Chi-square. According to the survey, most participants were between three and five months old (17.5% and 17.5%, respectively). The majority of the infants (52.5%) were female. Before the research, several babies developed in the doubtful category (15%) and normal category (85%). According to the analysis, massage therapy and infants' growth between one and twelve months are significantly correlated (p-value 0.002). Infant massage can promote the baby's growth as an age-appropriate supplemental therapy. Babies without massage stimulation are at risk of experiencing developmental delays or development that is not by their age due to a lack of stimulation or encouragement for the baby. Keywords: Babies Aged 1-12 Months, Baby Development, Baby Massage
STUDI KORELASI KREATININ SERUM DENGAN KEBIASAAN KONSUMSI MINUMAN BERENERGI, MASA KERJA, DAN UMUR PADA PEKERJA BANGUNAN DI KEC. SELEBAR KOTA BENGKULU: CORRELATION STUDY OF SERUM CREATININE WITH ENERGY DRINK CONSUMPTION HABITS, WORKING PERIOD, AND AGE OF CONSTRUCTION WORKERS IN SELEBAR DISTRICT, BENGKULU CITY Safitri Bevi, Rahayu; Irawan, Putra Adi; Farizal, Jon; Farizal, Dahrizal; Sahidan; Asa Dudin, Gani; Vivi Nursalam, Wa Ode
GEMA KESEHATAN Vol. 17 No. 1 (2025): Juni 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i1.472

Abstract

Pekerja bangunan merupakan salah satu kelompok tenaga kerja yang memiliki beban fisik tinggi dan rentan terhadap gangguan kesehatan. Dalam menjalani aktivitas kerjanya, sebagian besar pekerja bangunan mengandalkan minuman berenergi sebagai penambah stamina dan daya tahan tubuh. Konsumsi minuman berenergi yang mengandung kafein, gula tinggi, dan berbagai zat aditif lainnya, dalam jangka panjang dapat memberikan dampak terhadap ginjal. Kreatinin serum merupakan salah satu indikator penting dalam menilai fungsi ginjal. Selain konsumsi minuman berenergi, faktor-faktor lain seperti masa kerja yang panjang serta pertambahan usia. Kecamatan Selebar Kota Bengkulu salah satu wilayah dengan pekerja bangunan dengan latar belakang usia dan masa kerja beragam yang bekerja rutin di lapangan. Namun, hingga saat ini belum banyak dilakukan kajian ilmiah secara spesifik. Penelitian ini bertujuan untuk melihat korelasi kadar kreatinin serum dengan kebiasaan konsumsi minuman berenergi, masa kerja, dan umur pada pekerja bangunan. Penelitian ini merupakan survei analitik pada pekerja bangunan di Kec. Selebar Kota Bengkulu menggunakan teknik sampling accidental sampling sebanyak sampel 34 responden. Pemeriksaaan kreatinin menggunakan metode Jaffe Reaction. Data selanjutnya dilakukan analisis univariat dan korelasi. Kadar rerata±SD kreatinin responden sebesar 0,84±0,56 mg/dL. Rerata±SD frekuensi konsumsi minuman energi sebesar 5±1,35 kali/ minggu. Rerata ± SD umur responden sebesar 40 ± 10 tahun, dan rerata ±SD Masa Kerja responden sebesar 4,18±0,9 tahun. Hasil analisis korelasi antara kreatini serum dan setiap variabel menunjukkan nilai koefiensi yang variatif. Kadar kreatinin responden memiliki korelasi yang cukup signifikan dengan kebiasaan masa kerja responden (α<0,05). Sedangkan frekuensi konsumsi minuman energi dan usia responden tergolong lemah (α>0,05). Kata Kunci: Kreatinin, Masa Kerja, Minuman Energi, Umur, Pekerja Bangunan   Construction workers are one of the groups with high physical burdens and are susceptible to health problems. In carrying out their work activities, most construction workers rely on energy drinks to increase stamina and endurance. In the long term, consuming energy drinks containing caffeine, high sugar, and various other additives can impact the kidneys. Serum creatinine is one of the critical indicators in assessing kidney function. In addition to energy drink consumption, other factors include long working periods and increasing age. Selebar District, Bengkulu City, is one of the areas with construction workers of various ages and working periods who work routinely in the field. However, until now, there have not been many specific scientific studies. This study aims to see the correlation between serum creatinine levels and energy drink consumption habits, working period, and age in construction workers. This study is an analytical survey of construction workers in Selebar District, Bengkulu City, using an accidental sampling technique with a sample of 34 respondents. Creatinine examination used the Jaffe Reaction method. The data was then analyzed univariately and correlationally. Respondents' mean ± SD creatinine level was 0.84 ± 0.56 mg / dL. The mean ± SD energy drink consumption frequency was 5 ± 1.35 times/week. The mean ± SD age of respondents was 40 ± 10 years, and the mean ± SD length of service of respondents was 4.18 ± 0.9 years. The results of the correlation analysis between serum creatinine and each variable showed varying coefficient values. The creatinine level of respondents had a fairly significant correlation with the habits of the respondent's work period (α <0.05). At the same time, the frequency of energy drink consumption and the age of respondents were classified as weak (α> 0.05). Keywords: Age, Creatinine, Construction Workers, Energy Drinks, Working Period

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