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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 125 Documents
UJI ORGANOLEPTIK BISKUIT ULAT SAGU (RHYNCHOPHORUS FERRUGINESUS) KHAS PAPUA: ORGANOLEPTIC EVALUATION OF SAGO GRUB (RHYNCHOPHORUS FERRUGINEUS) BISCUITS FROM PAPUA K Raya, Maxianus; Budhi Astuti, Nia; Sri Rahayu, Endah; Wicaksono, Ferry
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.v17i1.478

Abstract

Ulat sagu (Rhynchophorus ferrugineus) merupakan salah satu sumber protein hewani yang banyak dikonsumsi oleh masyarakat di wilayah Papua dan Maluku. Mengingat kandungan proteinnya yang tinggi, diperlukan upaya untuk mengolah ulat sagu menjadi produk pangan yang lebih diminati secara luas, seperti biskuit. Penelitian ini bertujuan untuk mengevaluasi tingkat kesukaan panelis terhadap biskuit yang diformulasikan dengan ulat sagu melalui berbagai metode pengolahan. Penelitian menggunakan desain kuasi-eksperimen dengan tiga perlakuan, yaitu ulat sagu mentah, dikukus, dan disangrai. Uji hedonik dilakukan untuk menilai atribut warna, aroma, rasa, dan tekstur, dan data dianalisis perbedaannya menggunakan uji Kruskal–Wallis. Analisis statistik menunjukkan adanya perbedaan yang signifikan pada warna, aroma, rasa, dan tekstur antar ketiga formulasi biskuit ulat sagu (p<0,001). Hal ini menunjukkan bahwa perbedaan metode pengolahan berpengaruh signifikan terhadap tingkat kesukaan panelis dalam menilai biskuit ulat sagu. Biskuit yang diformulasikan dengan ulat sagu sangrai (F3) paling disukai panelis pada semua atribut sensori. Oleh sebab itu, metode sangrai direkomendasikan dalam pengembangan produk sejenis. Kata kunci: Biskuit, Organoleptik, Papua, Ulat Sagu     Sago worms (Rhynchophorus ferrugineus) are a highly nutritious source of animal protein traditionally consumed in Indonesia's Papua and Maluku regions. To enhance their appeal to a broader consumer base, processing sago worms into familiar food products such as biscuits is a promising approach. This study evaluated consumer sensory preferences for biscuits formulated with sago worms processed using different methods. A quasi-experimental design was employed with three treatments: raw, steamed, and roasted sago worms. A hedonic test was conducted to assess sensory attributes, including color, aroma, taste, and texture, and data were analyzed using the Kruskal–Wallis test. Statistically significant differences were found across all sensory parameters among the three formulations (p<0.001). The essential differences observed suggest that the processing method is critical in shaping consumer acceptance of sago worm biscuits. Biscuits prepared with roasted sago worms (F3) received the highest overall sensory scores from panelists. These findings highlight the potential of the roasting method as a preferred processing technique in developing culturally rooted, protein-enriched snack products. Keywords: Biscuit, Organoleptic, Papua, Sago Worm
PEMANFAATAN KARBON AKTIF KAYU BESI UNTUK MENGURANGI KADAR TSS, COD DAN FOSFAT LIMBAH LAUNDRY: UTILIZATION OF IRONWOOD-BASED ACTIVATED CARBON TO REDUCE TSS, COD, AND PHOSPHATE LEVELS IN LAUNDRY WASTEWATER Mulyani, Wiwiek; Mulyono, Sri; Ayomi, Andreas C.
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.v17i1.480

Abstract

Kota Jayapura mengalami pertumbuhan penduduk yang pesat dan peningkatan aktivitas jasa laundry yang menghasilkan limbah cair berpotensi mencemari lingkungan. Penelitian ini bertujuan mengevaluasi pemanfaatan karbon aktif dari limbah kayu besi sebagai alternatif ramah lingkungan untuk mengolah limbah laundry. Serbuk kayu besi diaktivasi menggunakan larutan NaOH, NaCl, dan garam krosok, lalu dibandingkan efektivitasnya dalam menurunkan kadar total suspended solids (TSS), chemical oxygen demand (COD), dan fosfat. Hasil menunjukkan bahwa karbon aktif yang diaktivasi dengan NaOH dan NaCl mampu menurunkan kadar TSS, COD, dan fosfat, setara dengan kinerja karbon aktif yang memenuhi Standar Nasional Indonesia. Sementara itu, aktivasi menggunakan garam krosok menunjukkan efektivitas yang lebih rendah. Dengan demikian, karbon aktif kayu besi yang diaktivasi dengan NaOH dan NaCl berpotensi digunakan sebagai solusi pengolahan limbah laundry yang lebih berkelanjutan. Kata kunci: Arang Aktif, COD, Fosfat, Kayu Besi, Laundry, TSS   Jayapura City is experiencing rapid population growth and increased laundry service activities that produce liquid waste that has the potential to pollute the environment. This study aims to utilize activated carbon from ironwood waste as an environmentally friendly alternative to processing laundry waste. Ironwood powder was activated using NaOH, NaCl, and coarse salt solutions, and then its effectiveness was compared in reducing total suspended solids (TSS), chemical oxygen demand (COD), and phosphate levels. The results showed that activated carbon activated with NaOH and NaCl reduced TSS, COD, and phosphate levels, equivalent to the performance of activated carbon that meets the Indonesian National Standard. Meanwhile, activation using coarse salt showed lower effectiveness. Thus, activated carbon from ironwood activated with NaOH and NaCl can be used as a more sustainable laundry waste treatment solution. Keywords: Activated Charcoal, COD, Ironwood, Phosphate, Laundry, TSS  
DETERMINAN KEMATIAN BAYI DI INDONESIA BERDASARKAN ANALISIS DATA SKI 2023: DETERMINANTS OF INFANT MORTALITY IN INDONESIA: AN ANALYSIS OF 2023 SKI DATA Rahmini, Ainna; Fitri, Adelina; Suryani Nasution, Helmi; Muhammad Syukri; Nurwaqiah Ibnu, Ismi
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.v17i1.484

Abstract

Berdasarkan hasil Long Form SP2020 Angka Kematian Bayi (AKB) di Indonesia mencapai 16,85 per 1000 kelahiran hidup dan angka tersebut masih belum mencapai target SDG’s di tahun 2030 yaitu 12 per 1000 kelahiran hidup. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kematian bayi di Indonesia. Penelitian ini menggunakan sekunder berupa data Survei Kesehatan Indonesia (SKI) tahun 2023 yang kemudian dilakukan analisis lanjutan. Analisis data dilakukan secara univariat, bivariat, serta multivariat. Hasil penelitian menujukkan bahwa proporsi kematian bayi mencapai 2,6%. Faktor yang berhubungan dengan kematian bayi di Indonesia yaitu status pekerjaan ibu (p-value = 0,000 POR = 2,64 95%CI : 1,72-4,06), usia ibu (p-value = 0,003 POR = 1,88 95%CI : 1.23 – 2.86), jarak kelahiran (p-value = 0,022 POR = 2,08 95%CI : 1.01 – 3.94), pendidikan ibu (p-value = 0,004 POR = 1,86 95%CI : 1,21-2,84), sosial ekonomi (p-value = 0,000 POR = 5,47 95%CI : 3,47 – 8,63), komplikasi kehamilan (p-value = 0,000 POR = 2,18 95%CI : 1,41-3,39), penolong persalinan (p-value = 0,000 POR = 3,37 95%CI : 1,71-6,62) dan kunjungan ANC (p-value = 0,015 POR = 1,69 95%CI : 1,10 – 2,60). Faktor yang tidak berhubungan dengan kematian bayi meliputi jaminan kesehatan dan tempat tinggal. Faktor dominan dengan kematian bayi yakni sosial ekonomi setelah dikontrol oleh variabel status pekerjaan, usia ibu, jarak kelahiran, pendidikan ibu, komplikasi kehamilan, penolong persalinan dan kunjungan ANC. Kata kunci: Angka Kematian Bayi (AKB), Determinan, Survei Kesehatan Indonesia (SKI)     Based on the results of the 2020 Long Form Population Census (SP2020), the Infant Mortality Rate (IMR) in Indonesia reached 16.85 per 1,000 live births—still above the Sustainable Development Goals (SDGs) target of 12 per 1,000 live births by 2030. This study uses secondary data from the 2023 Indonesian Health Survey (SKI), which was subjected to further analysis. Data analysis was carried out univariately, bivariately, and multivariately. The results showed that the proportion of infant mortality was 2.6%. Factors significantly associated with infant mortality included maternal employment status (p-value = 0.000 POR = 2.64 95%CI: 1.72-4.06), maternal age (p-value = 0.003 POR = 1.88 95%CI: 1.23 – 2.86), birth spacing (p-value = 0.022 POR = 2.08 95%CI: 1.01 - 3.94), maternal education (p-value = 0.004 POR = 1.86 95%CI: 1.21-2.84), socio-economic (p-value = 0.000 POR = 5.47 95%CI: 3.47 – 8.63), pregnancy complications (p-value = 0.000 POR = 2.18 95%CI: 1.41-3.39), birth attendant (p-value = 0.000 POR = 3.37 95%CI: 1.71-6.62) and ANC visits (p-value = 0.015 POR = 1.69 95%CI: 1.10 – 2.60). Factors not related to infant mortality include health insurance and residence. The dominant factor in infant mortality is socio-economic after being controlled by the variables of employment status, maternal age, birth spacing, maternal education, pregnancy complications, birth attendants, and ANC visits. Keywords: Infant Mortality Rate (IMR), Determinants, Indonesian Health Survey (IHS)
UJI SENSITIVITAS ANTIBIOTIK CIPROFLOXACIN DENGAN CEFIXIME PADA Escherichia coli : STUDI KASUS INFEKSI SALURAN KEMIH : ANTIBIOTIC SENSITIVITY TEST OF CIPROFLOXACIN AND CEFIXIME AGAINST Escherichia coli: A CASE STUDY OF URINARY TRACT INFECTION Imasari, Triffit; Ermawati, Nita; Nela, Frieti Vega; Senjani, Salwa Fitri
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.v17i1.486

Abstract

Keberadaan mikroorganisme dalam urin menjadi indikator utama infeksi saluran kemih (ISK). ISK disebabkan oleh berbagai macam bakteri seperti Eschericia coli, Klebsiella sp, Proteus sp, Providensia, Citrobacter, Pseudomonas aeruginosa, Acinetobacter, Enterococcus faecali, dan Staphylococcus saprophyticus. Lonjakan kasus resistensi antibiotik dan kemunculan patogen multidrug-resistant (MDR) pada ISK berkorelasi erat dengan tingginya insiden pemberian terapi antibiotik empiris yang kurang tepat. Praktik peresepan antibiotik tanpa diawali uji mengakibatkan  inefektivitas penanganan ISK. Penelitian ini bertujuan mengidentifikasi bakteri E. coli sebagai penyebab ISK pada urin pasien penderita ISK serta membandingkan tingkat sensitivitas E. coli terhadap dua jenis antibiotik, yaitu Ciprofloxacin dan Cefixime.Metode yang digunakan adalah metode kultur dengan media Eosin Methilen Blue dan disk cakram. Sampel diperoleh sebanyak 13 sampel ISK dengan teknik accidental sampling. Hasil penelitian menunjukkan ada 9 sampel positif E. coli dan dengan tingkat sensitivitas pada antibiotik Ciprofloxacin sebanyak lima sampel (58%) sensitif, Intermediet satu sampel (11%), Resisten tiga sampel (33%) dan uji sensitivitas antibiotik Cefixime resisten sembilan sampel (100%). Penelitian ini disimpulkan pada penderita ISK ditemukan bakteri E. coli dan terdapatnya  perbandingan antara hasil uji sensitivitas antibiotik Ciprofloxacin dan antibiotik Cefixim terhadap bakteri E. coli. Kata kunci: Eschericia coli, Cefixime, Ciprofloxacin, Infeksi Saluran Kemih   The presence of microorganisms in urine is a primary indicator of a Urinary Tract Infection (UTI). UTIs are caused by various bacteria such as Escherichia coli, Klebsiella sp., Proteus sp., Providencia, Citrobacter, Pseudomonas aeruginosa, Acinetobacter, Enterococcus faecalis, and Staphylococcus saprophyticus. The surge in antibiotic resistance cases and the emergence of multidrug-resistant (MDR) pathogens in UTIs are closely correlated with the high incidence of inappropriate empirical antibiotic therapy. The practice of prescribing antibiotics without prior testing leads to the ineffectiveness of UTI management. This research aimed to identify E. coli bacteria as a cause of UTIs in the urine of patients suffering from UTIs and to compare the sensitivity levels of E. coli to two types of antibiotics: Ciprofloxacin and Cefixime. The method was culture with Eosin Methylene Blue media and disk diffusion. A total of 13 UTI samples were obtained using an accidental sampling technique. The research results showed that nine samples were positive for E. coli. For Ciprofloxacin, five samples (58%) were sensitive, 1 sample (11%) was intermediate, and three samples (33%) were resistant. For Cefixime, all nine samples (100%) were resistant. This research concluded that E. coli bacteria were found in UTI patients, and there was a comparison between the sensitivity test results of Ciprofloxacin and Cefixime antibiotics against E. coli bacteria. Keywords : Eschericia coli, Cefixime, Ciprofloxacin, Urinary Tract Infection
PROFIL KANDUNGAN GIZI PADA PRODUK PUKIS DENGAN PENAMBAHAN PUREE WORTEL (Daucus carota L.): NUTRITIONAL PROFILE OF PUKIS WITH THE ADDITION OF CARROT (Daucus carota L.) PUREE Lubis, Anwar; Widodo, Slamet; Ratnawati T; Permata, Inonsensia Injilia Intan
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.v17i1.487

Abstract

Permasalahan konsumsi sayur yang masih rendah di masyarakat menjadi tantangan dalam upaya peningkatan gizi. Wortel (Daucus carota L.) merupakan sayuran kaya vitamin A dan serat yang berpotensi diolah menjadi bahan pangan fungsional. Penelitian ini bertujuan untuk mengetahui pengaruh penambahan puree wortel terhadap komposisi gizi makro produk pukis melalui analisis proksimat. Penelitian ini menggunakan desain eksperimen dengan empat formulasi, yaitu F0 (tanpa puree wortel), F1 (25%), F2 (50%), dan F3 (75%), yang dianalisis menggunakan metode proksimat berdasarkan standar AOAC. Hasil penelitian menunjukkan bahwa penambahan puree wortel memberikan pengaruh signifikan terhadap kandungan zat gizi makro produk pukis. Terdapat tren penurunan kandungan energi (298 –110 kkal), protein (4,49–1,98 g), lemak (12,97–3,68 g), karbohidrat (33,10–17,31 g), dan abu (1,07–0,70 g) dari F0 hingga F3, serta peningkatan kadar air secara konsisten (38,64–75,67 g). Penurunan nilai gizi tersebut disebabkan oleh tingginya kadar air dan rendahnya kandungan makronutrien wortel dibandingkan bahan utama seperti tepung terigu, telur, dan margarin. Sementara itu, peningkatan kadar air dapat memengaruhi daya simpan produk. Penelitian ini menunjukkan bahwa produk pukis dengan penambahan puree wortel memiliki potensi sebagai pangan fungsional rendah energi dan lemak, tetapi memerlukan perhatian terhadap stabilitas dan keseimbangan nilai gizinya. Diperlukan kajian lanjutan terkait pengaruhnya terhadap mutu sensorik dan daya simpan untuk mendukung pengembangan produk secara komprehensif. Kata kunci: Analisis Proksimat,  Kandungan Gizi, Pukis, Puree Wortel   Low vegetable consumption remains a significant challenge in efforts to improve public nutrition. Carrot (Daucus carota L.) is a vegetable rich in vitamin A and dietary fiber, with potential for use as a functional food ingredient. This study aimed to investigate the effect of adding carrot puree on the macronutrient composition of pukis products through proximate analysis. An experimental design with four formulations was employed: F0 (without carrot puree), F1 (25% puree), F2 (50% puree), and F3 (75% puree). Proximate analysis was conducted following AOAC standard methods. Results indicated that the addition of carrot puree significantly affected the macronutrient content of the pukis. There was a decreasing trend in energy content (298.75 to 110.22 kcal), protein (4.49 to 1.98 g), fat (12.97 to 3.68 g), carbohydrate (33.10 to 17.31 g), and ash (1.07 to 0.70 g) from F0 to F3, alongside a consistent increase in moisture content (38.64 to 75.67 g). The reduction in nutritional values was attributed to the high moisture content and lower macronutrient concentration of carrot puree compared to primary ingredients such as wheat flour, eggs, and margarine. Meanwhile, the increased moisture may influence product shelf life. In conclusion, pukis products enriched with carrot puree have potential as low-energy, low-fat functional foods but require careful consideration of nutritional balance and product stability. Further research on sensory quality and shelf life is recommended to support comprehensive product development. Keywords: Carrot Puree, Nutrient Content, Proximate Analysis, Pukis  
KORELASI HIGH SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) DENGAN MONOSIT PADA PASIEN TUBERKULOSIS SETELAH PENGOBATAN: CORRELATION BETWEEN HIGH-SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) AND MONOCYTES IN TUBERCULOSIS PATIENTS AFTER TREATMENT Vega Nela, Frieti; Erawati; Imasari, Triffit; Ningrum, Erlina Setia
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.v17i1.488

Abstract

Tuberkulosis (TBC) merupakan penyakit infeksius yang berlangsung lama dan utamanya mempengaruhi organ paru. Kondisi ini disebabkan oleh bakteri Mycobacterium tuberculosis, yang biasanya menyerang sistem pernapasan manusia. Pemeriksaan High Sensitivity C-Reactive Protein (hs-CRP) dan monosit dapat digunakan sebagai pemeriksaan untuk mengetahui terjadinya inflamasi pasien tuberkulosis. Tujuan penelitian ini untuk mengetahui hubungan hs-CRP dengan monosit pada pasien tuberkulosis setelah pengobatan. Desain penelitian yang digunakan adalah cross sectional dengan teknik pengambilan sampel menggunakan metode accidental sampling dengan jumlah sampel sebanyak 15 sampel. Hasil pemeriksaan hs-CRP didapatkan nilai rata-rata 3,22 mg/L dan rata-rata monosit pada pasien tuberkulosis setelah pengobatan yaitu 540,80 mm3. Analisa data dilakukan dengan menggunakan uji normalitas Shapiro-wilk dan uji korelasi menggunakan uji pearson product moment. Berdasarkan uji pearson product moment didapatkan nilai signifikasi 0,037 dengan nilai koefisien korelasi yang diperoleh yaitu 0,542. Kesimpulan dari penelitian ini menunjukkan adanya korelasi antara hs-CRP dengan monosit pada pasien tuberkulosis setelah pengobatan, dengan korelasi positif yang menandakan korelasi kuat antara hasil hs-CRP dengan monosit pada pasien tuberkulosis setelah pengobatan. Kata kunci: hs-CRP, Monosit, Tuberkulosis   Tuberculosis (TB) is a chronic infectious disease that primarily affects the lungs and is caused by Mycobacterium tuberculosis. This pathogen typically targets the human respiratory system. High-sensitivity C-reactive protein (hs-CRP) and monocyte levels can serve as diagnostic indicators to assess inflammation in TB patients. This study examines the relationship between hs-CRP and monocyte levels in tuberculosis patients following treatment. A cross-sectional study design with accidental sampling was employed, involving 15 participants. The mean hs-CRP level was 3.22 mg/L, while the mean monocyte count was 540.80 cells/mm³. Data were analyzed using the Shapiro-Wilk normality test and Pearson product-moment correlation test. The Pearson test yielded a significance value of 0.037 and a correlation coefficient (r) of 0.542. The results indicate a statistically significant positive correlation between hs-CRP and monocyte levels in tuberculosis patients after treatment. This suggests a moderate to strong association between inflammatory response and monocyte activity post-therapy. Keywords : hs-CRP, Monocytes, Tuberculosis
HOMEOSTASIS STATUS GIZI PASIEN PENYAKIT GINJAL KRONIS YANG MENJALANI HEMODIALISIS : HOMEOSTASIS OF NUTRITIONAL STATUS IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Irene Putri, Yosi; Ainil Adha; Hasneli
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.v17i1.489

Abstract

Dunia kesehatan mulai memandang Penyakit Ginjal Kronik (PGK) sebagai emerging public health problem karena angka kejadiannya meningkat dari tahun ke tahun. Data Riskesdas 2023 menunjukkan prevalensi GGK 2%, meningkat menjadi 3,8% pada 2024. Tujuan dari penelitian ini adalah untuk mengetahui hubungan lama menjalani terapi hemodialisis dengan status gizi pada penderita gagal ginjal kronis dengan hemodialisis. Penelitian ini juga membandingkan penilaian status gizi menggunakan antropometri (IMT) dan menggunakan formulir Subjective Global Assesment (SGA). Desain Penelitian menggunakan desain crossectional study dengan pengambilan sampel menggunakan metode accidental sampling. Penelitian ini dilakukan di Rumah Sakit Omni Cikarang pada bulan Januari - September tahun 2020. Uji statistik yang digunakan dalam penelitian ini adalah uji Kruskal-Wallis untuk menguji hubungan antara dua variabel kategorik dan uji Sperman untuk  menguji hubungan antara dua variabel numerik. Sampel dalam penelitian ini berjumlah 60 responden dengan frekuensi hemodialisis 2x seminggu. Lama menjalani terapi hemodialisis  (>24 bulan) terdapat sebanyak 63,3% responden. Sebagian besar responden memiliki status gizi baik berdasarkan IMT sebanyak 48,3% dan 61,7% dengan pasien status gizi baik berdasarkan SGA. Hasil uji statistik menunjukkan tidak ada hubungan lama menjalani terapi hemodialisis dengan status gizi berdasarkan IMT (p=0,224,CI=95% dan r=-0,159)dan SGA (p=0,543 dan CI=95%). Lama menjalani terapi hemodialisa tidak ada hubungannya dengan status gizi pasien, baik pengukuran status gizi menggunakan  SGA dan IMT. Kata Kunci: Hemodialisis, IMT, Penyakit Ginjal Kronis, Subjective Global Assesment (SGA)     Chronic Kidney Disease (CKD) is increasingly recognized as an emerging public health problem due to its rising incidence rates each year. Riskesdas 2023 showed a CKD prevalence of 2%, which increased to 3.8% in 2024. This study aimed to examine the relationship between the duration of hemodialysis therapy and nutritional status in chronic kidney failure patients undergoing hemodialysis. Additionally, this study compared nutritional status assessment using anthropometry (Body Mass Index, BMI) and the Subjective Global Assessment (SGA) form. A cross-sectional study design was used with accidental sampling. The study was conducted at Omni Cikarang Hospital from January to September 2020. Statistical tests included the Kruskal-Wallis test to assess relationships between two categorical variables and Spearman’s correlation to evaluate relationships between two numerical variables. The sample consisted of 60 respondents undergoing hemodialysis twice weekly. Among them, 63.3% had been on hemodialysis therapy for more than 24 months. Most respondents had a good nutritional status, with 48.3% classified as good based on BMI and 61.7% on SGA. Statistical analysis showed no significant relationship between the duration of hemodialysis therapy and nutritional status based on BMI (p=0.224, 95% CI, r=-0.159) or SGA (p=0.543, 95% CI). The duration of hemodialysis therapy is not associated with patients’ nutritional status, whether assessed by SGA or BMI. Keywords: BMI, Chronic Kidney Disease (CKD), Hemodialysis, Subjective Global Assessment  (SGA)  
STUDI PENDAHULUAN: UJI PROKSIMAT NUGGET IKAN KEMBUNG JAGUNG DAN NUGGET IKAN TUNA JAGUNG SEBAGAI DIVERSIFIKASI OLAHAN PANGAN LOKAL DALAM UPAYA PENCEGAHAN STUNTING: PRELIMINARY STUDY: PROXIMATE ANALYSIS OF MACKEREL–CORN NUGGETS AND TUNA–CORN NUGGETS AS DIVERSIFIED LOCAL FOOD PRODUCTS FOR STUNTING PREVENTION St. Mutiatu Rahmah; Darmayanti Waluyo; Eman Rahim; Lilis Handayani; Maesarah
GEMA KESEHATAN Vol. 17 No. 2 (2025): Desember 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i2.485

Abstract

Stunting masih menjadi permasalahan gizi di Indonesia. Salah satu strategi pencegahan stunting adalah melalui diversifikasi pengembangan produk olahan berbasis pangan lokal berupa nugget ikan kembung jagung dan ikan tuna jagung. Penelitian bertujuan menganalisis kandungan gizi (uji proksimat) nugget ikan kembung jagung dan nugget ikan tuna jagung sebagai diversifikasi olahan pangan lokal dalam upaya pencegahan stunting. Jenis penelitian adalah eksperimen dengan menggunakan desain Rancangan Acak Lengkap (RAL), meliputi tiga formula ikan kembung : jagung dan ikan tuna : jagung dengan rasio F1 (90%:10%), F2 (80%:20%), dan F3 (70%:30%). Penelitian menunjukkan bahwa formula F1 (90%:10%) baik nugget ikan kembung jagung maupun ikan tuna jagung memiliki nilai proksimat, nilai gizi, dan angka kecukupan gizi yang lebih baik dibandingkan dengan formula lain. Formula nugget ikan kembung dan ikan tuna jagung F1(90:10%) dengan komposisi ikan sebesar 36 g/4 g jagung dapat dijadikan sebagai alternatif pemberian Makanan Pendamping ASI (MP-ASI) berbasis pangan lokal bagi balita karena berpotensi dalam mencegah terjadinya stunting ataupun masalah gizi lainnya. Kata kunci: Balita, Nugget, Olahan Pangan Lokal, Stunting Stunting remains a major nutritional problem in Indonesia. One strategy to prevent stunting is the diversification of processed products based on local food sources, such as mackerel–corn nuggets and tuna–corn nuggets. This study aimed to analyze the nutritional content (proximate composition) of mackerel–corn nuggets and tuna–corn nuggets as local food-based product diversification for stunting prevention. This experimental study employed a Completely Randomized Design (CRD) consisting of three formulations of mackerel-to-corn and tuna-to-corn ratios: F1 (90%:10%), F2 (80%:20%), and F3 (70%:30%). Proximate analysis was conducted to evaluate nutritional quality. The results indicated that the F1 formulation (90%:10%) of both mackerel–corn nuggets and tuna–corn nuggets exhibited superior proximate composition, nutritional values, and nutritional adequacy levels compared to the other formulations. The F1 formulation, containing 36 g of fish and 4 g of corn, demonstrates potential as an alternative local food-based complementary feeding (MP-ASI) for toddlers, as it may contribute to the prevention of stunting and other nutritional deficiencies Keywords: Toddlers, Nuggets, Local Food Processing, Stunting
MAKANAN TAMBAHAN BROWNIES TEPUNG KACANG HIJAU DAN UBI UNGU UNTUK PENINGKATAN BERAT BADAN ANAK WASTING : SUPPLEMENTARY BROWNIES MADE FROM MUNG BEAN FLOUR AND PURPLE SWEET POTATO FOR WEIGHT GAIN IN WASTED CHILDREN Anna Giska; Imelda Telisa; Yulianto Yulianto; Eliza Eliza
GEMA KESEHATAN Vol. 17 No. 2 (2025): Desember 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i2.496

Abstract

Wasting merupakan salah satu bentuk malnutrisi akut yang ditandai dengan berat badan anak yang jauh lebih rendah dibandingkan tinggi badannya. Kondisi ini mencerminkan kekurangan asupan energi dan zat gizi dalam jangka waktu relatif singkat serta meningkatkan risiko morbiditas dan mortalitas pada balita. Penelitian ini bertujuan untuk menganalisis perubahan berat badan balita wasting setelah diberikan intervensi berupa brownies berbahan dasar tepung kacang hijau dan ubi ungu. Penelitian dilaksanakan dalam dua tahap. Tahap pertama berupa pengembangan formula brownies menggunakan rancangan acak lengkap (RAL) nonfaktorial. Tahap kedua merupakan penelitian kuantitatif dengan desain quasi experiment menggunakan rancangan one group pretest-postest untuk mengevaluasi efektivitas intervensi terhadap peningkatan berat badan wasting. Populasi penelitian adalah balita wasting berusia 12-49 bulan yang berada di wilayah kerja Puskesmas Merdeka Kota Palembang. Responden dipilih menggunakan teknik simple random sampling dengan jumlah 30 balita, sesuai dengan perhitungan ukuran sampel menurut Lameshow (1997). Intervensi dilakukan dengan pemberian brownies tepung kacang hijau dan ubi ungu sebanyak 100 gram per hari selama 14 hari. Pemberian dilakukan setiap hari dan dikonsumsi di bawah pengawasan hingga habis. Hasil penelitian menunjukkan bahwa rata-rata berat badan balita sebelum intervensi adalah 10,65 kg, sedangkan setelah intervensi meningkat menjadi 10,82 kg, dengan rata-rata kenaikan sebesar 0,22 kg. Hasil analisis statistik menggunakan uji paired t-test menunjukkan nilai signifikansi p < 0,001 (p = 0,000) yang mengindikasikan adanya pengaruh signifikan pemberian brownies tepung kacang hijau dan ubi ungu terhadap peningkatan berat badan balita wasting. Kata kunci: Balita, Pemberian Makanan Tambahan, Tepung Kacang Hijau,  Tepung Ubi Ungu,  Wasting Wasting is a form of acute malnutrition characterized by a child’s body weight being significantly lower than expected for their height. This condition reflects inadequate energy and nutrient intake over a relatively short period and increases the risk of morbidity and mortality among children under five years of age. This study aimed to analyze changes in body weight among wasted toddlers following an intervention using brownies made from mung bean flour and purple sweet potato. The study was conducted in two stages. The first stage involved the development of a brownie formula using a non-factorial Completely Randomized Design (CRD). The second stage employed a quantitative quasi-experimental design with a one-group pretest–posttest approach to evaluate the effectiveness of the intervention in increasing body weight among wasted toddlers. The study subjects were wasted toddlers aged 12–49 months residing in the working area of Merdeka Community Health Center, Palembang City. Samples were selected using simple random sampling, with a total of 30 toddlers, based on the minimum sample size calculation according to Lemeshow (1997). The intervention consisted of administering 100 grams of mung bean flour and purple sweet potato brownies daily for 14 consecutive days. The brownies were provided every day and consumed under supervision to ensure complete intake. The results showed that the mean body weight of toddlers before the intervention was 10.65 kg, which increased to 10.82 kg after the intervention, with an average weight gain of 0.22 kg. Statistical analysis using a paired t-test demonstrated a significant difference before and after the intervention (p < 0.001), indicating that the provision of mung bean flour and purple sweet potato brownies had a significant effect on increasing body weight among wasted toddlers. Keywords: Mung Bean Flour, Purple Sweet Potato Slour, Supplementary Feeding, Toddlers, Wasting
EFEKTIVITAS SAFETY INDUCTION TERHADAP PERILAKU K3 PEKERJA OPERASIONAL DAN PEMELIHARAAN DI SEKTOR ENERGI (STUDI DI PT. X) : THE EFFECTIVENESS OF SAFETY INDUCTION ON OCCUPATIONAL SAFETY AND HEALTH BEHAVIOR AMONG OPERATIONAL AND MAINTENANCE WORKERS IN THE ENERGY SECTOR (A STUDY AT PT X) Dewinta Risna Murti; Zufra Inayah
GEMA KESEHATAN Vol. 17 No. 2 (2025): Desember 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i2.500

Abstract

Perilaku keselamatan kerja berperan penting dalam mencegah kecelakaan, namun di PT. X sektor energi masih ditemukan perilaku tidak aman meskipun tingkat kelulusan safety induction cukup tinggi. Penelitian ini bertujuan menganalisis hubungan antara pelaksanaan safety induction dengan perilaku K3 pada pekerja operasional dan pemeliharaan. Penelitian menggunakan desain cross-sectional pada 148 pekerja yang dipilih melalui simple random sampling. Data dikumpulkan melalui kuesioner dan dokumentasi, serta dianalisis menggunakan uji chi-square. Hasil menunjukkan 38,5% pekerja tidak lulus safety induction dan 35,8% memiliki perilaku tidak aman. Terdapat hubungan signifikan antara safety induction dan perilaku K3 (p = 0,013; OR = 2,549), di mana pekerja yang tidak lulus memiliki risiko 2,5 kali lebih besar untuk berperilaku tidak aman. Temuan ini memperkuat peran safety induction dalam meningkatkan pengetahuan, iklim keselamatan, dan motivasi keselamatan sesuai kerangka Teori L.Green dan pendekatan perubahan perilaku WHO. Disimpulkan bahwa safety induction yang bersifat partisipatif dan didukung penguatan manajemen berpotensi meningkatkan konsistensi perilaku aman. Penelitian ini memberikan kontribusi baru melalui integrasi Teori L.Green dan strategi perubahan perilaku WHO untuk menjelaskan mekanisme hubungan safety induction, serta penggunaan kelulusan safety induction sebagai indikator objektif efektivitas program yang jarang digunakan dalam penelitian K3 di sektor energi berisiko tinggi. Kata kunci: Perilaku K3,  Safety Induction,  Sektor Energi   Safety behavior plays a critical role in preventing workplace accidents; however, unsafe practices persist at PT X in the energy sector despite a relatively high safety induction pass rate. This study aimed to analyze the relationship between safety induction implementation and occupational safety and health (OSH) behavior among operational and maintenance workers. A cross-sectional study design was employed involving 148 workers selected through simple random sampling. Data were collected using structured questionnaires and documentation, and analyzed using the chi-square test. The results indicated that 38.5% of workers did not pass the safety induction, and 35.8% exhibited unsafe behavior. A statistically significant association was observed between safety induction and OSH behavior (p = 0.013; OR = 2.549), indicating that workers who failed the safety induction were 2.5 times more likely to engage in unsafe behavior. These findings underscore the importance of safety induction in enhancing safety knowledge, safety climate, and safety motivation, in accordance with Lawrence Green’s PRECEDE–PROCEED Model and the World Health Organization (WHO) behavior change framework. It can be concluded that participatory safety induction, supported by strong managerial reinforcement, has the potential to improve consistency in safe behavior. This study contributes novel insights by integrating Green’s theoretical model and the WHO behavior change strategy to explain the mechanism underlying the relationship between safety induction and safety behavior, as well as by utilizing safety induction pass status as an objective indicator of program effectiveness—an approach that is rarely applied in occupational safety research within high-risk energy sectors. Keywords: Energy Sector, Occupational Safety and Health (OSH) Behavior, Safety Induction

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