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Supplementary Feeding Program Evaluation Restoration Malnourished In Children Under Five In The District Wonogiri Seen From Input and Process Aspects Ratna Indriati; Sri Achadi Nugraheni; Apoina Kartini
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 1 (2015): April 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Salah satu upaya untuk mengatasi masalah kurang gizi di Kabupaten Wonogiri adalah dengan program PMT-P. Program ini sudah dilakukan sejak tahun 2007 namun belum menunjukkan hasil yang bermakna. Hasil studi pendahuluan menunjukkan masih ada kendala dalam aspek input dan proses dalam pelaksanaan program ini. Tujuan penelitian untuk mengevaluasi pelaksanaan program PMT-P balita kurang gizi. Jenis penelitian observasional analitik dengan metode kualitatif untuk mengevaluasi pelaksanaan program PMT-P oleh TPG dan kuantitatif untuk membandingkan pelaksanaan program PMT-P oleh bidan desa antara puskesmas yang mengalami peningkatan dan penurunan kasus balita kurang gizi. Informan utama 4 TPG dari 4 puskesmas yang mengalami peningkatan dan penurunan kasus balita kurang gizi. Informan triangulasi yaitu 4 kepala puskesmas, Kasi Kesga dan Gizi DKK, 4 bidan desa, 4 kader posyandu, dan ibu balita penerima PMT-P. Subjek penelitian kuantitatif adalah 60 bidan desa yang dipilih secara purposif dari puskesmas tersebut. Pengumpulan data kualitatif melalui wawancara mendalam dan kuantitatif dengan angket. Analisis data kualitatif dengan contentanalysis dan kuantitatif dengan uji statistik Mann Whitney. Pelaksanaan PMT-P di puskesmas yang mengalami penurunan kasus kurang gizi lebih banyak yang optimal (83,3%) dibandingkan puskesmas yang mengalami peningkatan kasus (56,7%). Perbedaan mencolok pada pelaksanaan meliputi sosialisasi ke masyarakat, registrasi sasaran, pemantauan daya terima makanan tambahan, penggunaan kartu pemantauan serta pendampingan bidan terhadap kader lebih banyak dilakukan oleh puskesmas yang mengalami penurunan kasus balita kurang gizi. Pemberian paket PMT-P di puskesmas yang mengalami peningkatan kasus dilakukan pada semua balita dengan rata-rata pemberian selama satu bulan. Selain itu puskesmas kurang melibatkan perangkat desa dan kecamatan dalam PMT-P. Penentuan sasaran dengan tepat dan peningkatan peran serta masyarakat dapat menurunkan kasus kurang gizi. One of efforts to solve undernourishment problems in Wonogiri district was a recovery food supplement distribution (PMT-P) program. This program has been implemented since 2007. However, it had not shown significant results. Preliminary studies showed that there were problems in input and process aspects in the implementation of this program. Objective of the study was to evaluate the implementation of PMT-P program for undernourished under-five children (balita). This was an observational-analytical study. A qualitative method was applied to evaluate the implementation of PMT-P program by TPG. A quantitative method was used to compare the implementation of PMT-P program by midwives in the primary healthcare centers (puskesmas) with increasing and decreasing numbers of undernourished under-five children cases. The main informants were four TPG from four puskesmas that experienced the increase and decrease numbers of undernourished under-five children cases. Triangulation informants were four heads of puskesmas, a head of Kesga and nutrition section of the district health office, four village midwives, four posyandu cadres, and mothers of under-five children who received PMT-P. Subject of the quantitative study were 60 midwives selected purposively from each puskesmas. Qualitative data were collected through in-depth interview; quantitative data were collected using questionnaire. Content analysis was applied for qualitative data analysis, and Mann-Whitney statistic test was applied for quantitative data analysis. Implementation of PMT- P in puskesmas that experienced the decrease of the number of undernourished cases was more optimal (83.3%) than in puskesmas that experienced the increase of the cases (56.7%). Distinct difference that was shown in the implementation included socialization to the community, target registration, monitoring of PMT absorption ability, monitoring card usage. Midwives accompaniment to cadres was conducted more frequent by puskesmas that experienced the decrease of the number of undernourished under-five children cases. PMT-P packages were distributed continually to all under-five children in the puskesmas that experienced the increase of the cases for a month in average. Additionally, puskesmas did not optimally involve village staffs and sub district office staffs in the PMT-P program activities. The implementation of PMT- P in puskesmas that experienced the decrease of undernourished cases is better. Accurate determination of the target and improvement of community involvement should be able to decrease undernourished cases.

HUBUNGAN ANTARA BODY IMAGE DENGAN PERILAKU DIET PADA REMAJA KELAS XI IPA 3 DAN 4 SMA N 1 POLANHARJO KLATEN Tunjung Sri Yulianti; Ratna Indriati
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 1 No. 1 (2015): Vol. 1. No. 1 Januari 2015
Publisher : Politeknik Insan Husada Surakarta

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Introduction: body image (body image) to form one's perception of the body, both internally and externally, this perception includes feelings and attitudes aimed at the body that are affected by personal views about the characteristics and the physical ability and the perception of other people's views. Many teens consider themselves overweight or obese easily become so frequent diet in a way that is less true as to limit or reduce the frequency of meals and the number of meals, vomit frequently eaten, so long there is no appetite is very dangerous for teens.Purpose of the study: was to analyze the relationship between body image and dieting behaviors in adolescents Subjects: Population and samples of this study were 60 male and female students in class XI IPA 3 and 4 in SMA Negeri 1 Polanharjo using saturation sampling technique in order to obtain 60 to be the respondent. Method : This research method using cross sectional approach, using a questionnaire with a scale measuring interval. Data were analyzed with Chi-Square. Results: as many as 43 respondents (71.67%) have a positive body image and as many as 59 respondents (98.33%) do a good dietary behavior. There is a significant relationship between body image and dieting behaviors (p = 0.016). Conclusion : There is a relationship between body image and dieting behaviour in adolescents.Keywords: Body image, dieting behaviors, teen

EFEKTIVITAS SENAM KAKI DIABETUS MELITUS TERHADAP STATUS SIRKULASI PERIFER PADA PASIEN DIABETUS MELITUS Diyono, S.Kep., Ns., M.Kes; Ratna Indriati , A.,M.Kes
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 2 No. 1 (2015): Vol. 2. No. 1 Juli 2015
Publisher : Politeknik Insan Husada Surakarta

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Background. The main factors that prompted researchers doing this study is because more and more patients diabetus mellitus (DM) with complications of leg ulcers and even some who have to be amputated fingers or toes. DM patients in Indonesia is predicted to rise further, so that the risk of foot ulcers will also be greater. Is a complication of diabetes foot ulcers due to neuropathy and angiopathy, which basically can be prevented with good foot care. This study sought to find or prove the effectiveness of DM leg exercises to improve peripheral circulation in patients diabetus mellitus.Objective: the purpose of this study was to assess the effectiveness of DM leg exercises to increase the status of the peripheral circulation in patients diabetus mellitus Method. This research is a Quasi Experiment with the design of one group pre test post test. The study population was patients with Diabetes Mellitus there Joho, Pracimantoro Wonogiri by 30 respondents. The sampling technique used is total sampling (sampling saturated). Data were analyzed using paired t test with SPSS for windows 16 series. Result. Women respondents were 19 (63.33%) and male respondents as many as 11 respondents (36.67%). Before the DM leg exercises, all respondents were 30 or 100% indicates the status of the peripheral circulation in grades 0-4 or bad category. Status peripheral circulation in diabetic patients after DM foot gymnastics in grades 0-4 (bad) as much as 4 respondents or 13.3%, while for grades 5-6 (good) by 26 or 86.7% .Value average peripheral circulatory status after DM foot gymnastics is 5.17 better than before performing leg exercises with value is 2,53Conclusion: Gymnastics feet DM is effective to improve the status of the peripheral circulation in diabetic patients with statistical test results Dependent paired t test (t test) obtained p value: 0.00 (p <0.05)Keywords: Gymnastics feet DM, peripheral circulation, Diabetus Mellitus

PENGARUH PENDIDIKAN KESEHATAN MASALAH KESEHATAN REPRODUKSI TERHADAP SIKAP MENJAGA KESEHATAN REPRODUKSI PADA SISWI KELAS II MULTIMEDIA DI SMK KRIYA SAHID SUKOHARJO Endang Dwi Ningsih -; Ratna Indriati -
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 2 No. 1 (2015): Vol. 2. No. 1 Juli 2015
Publisher : Politeknik Insan Husada Surakarta

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Background: One of the factors that influence the of reproduction health issues is the lack of knowledge about reproductive health knowledge. Related to this the researchers interested in studying about the influence of educating reproduction health to the the reproductive health maintain attitude toward the female students in class II Multimedia of SMK Kriya Sahid Sukoharjo.Objective: This study was to determine the influence of educating reproduction health to the reproductive health maintain attitude toward the female students in class II Multimedia of SMK Kriya Sahid Sukoharjo.Method: Used the study design with pre experimental design with the approaching method is one group pretest postest design. The subjects were 30 class II Multimedia students of SMK Kriya Sahid Sukoharjo. The datas collected and analyzed by Paired t test with α 0,05.Results: The datas analyzed by Paired t test, SPSS version 18 with α = 5% ( 0,05). The cunted t = - 9,560, p value is 0,000< 0,05. It mean Ha accepted and Ho rejected. Conclusion is the educating reproduction health has significant influence to the reproduction health maintain attitude of the female students class II Multimedia of SMK Kriya Sahid SukoharjoKeywords: Health Educating, Reproduction Health, Attitude in keeping Reproduction Health.

Pengaruh Permainan Edukatif Terhadap Perkembangan Pada Anak Di PAUD Cinta Bunda Desa Baran Sukoharjo (The Influence of The Game Edukatif Against The Development of The Children In Early Childhood Education Cinta Bunda Village Baran Sukoharjo) Ratna Indriati; Warsini .
Indonesian Journal on Medical Science Vol 3 No 1 (2016): IJMS - 2016
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

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Abstract : Child under five years of age is the age where children are experiencing rapid growth and development. Child growth and development can be stimulated by giving educational games that can help children creative inÂ corporate capabilities that is inside the child so as to optimize the development of the child according to age and level of development and useful for physical aspects, language, cognitive, and social. The aim of this study was Â to know the influence of educational games on the development of the child in the early childhood education â€œCinta Bundaâ€ of Baran Sukoharjo Regency. The research Method with Â quasi experiment with pre test post test by giving educational games. The subject are 30 children at PAUD Cinta Bunda Baran Village Sukoharjo. Test results with Paired T-test the program SPSS version 18.0 obtained p value 0.000 of p < 0.05 means Â Ha accepted and Ho Â rejected. The conclusion that there is an influence on the development of educational games children early childhood education â€œCinta Bundaâ€ village of Baran Sukoharjo.Keywords: Educational Games, The Development of The ChildÂ Abstrak : Usia balita merupakan usia dimana anak mengalami pertumbuhan dan perkembangan yang pesat. Pertumbuhan dan perkembangan anak bisa distimulasi salah satunya dengan memberikan permainan edukatif yang bisa membantu anak berkreativitas dalam mengeksplor kemampuan yang ada dalam diri anak tersebut sehingga dapat mengoptimalkan perkembangan anak sesuai usia dan tingkat perkembangannya dan berguna untuk aspek fisik, bahasa, kognitif, dan sosial anak. Tujuan penelitian ini adalah untuk mengetahui pengaruh permainan edukatif terhadap perkembangan pada anak di PAUD Cinta Bunda Desa Baran Kabupaten Sukoharjo. Metode penelitian ini menggunakan eksperimen semu atau quasi experiment dengan rancangan pre test post test dengan cara memberikan permainan edukatif. Subjek dalam penelitian ini adalah 30 anak PAUD Cinta Bunda Desa Baran Sukoharjo. Hasil uji dengan Paired T-test program SPSS versi 18.0 diperoleh p sebesar 0,000 sehingga nilai p < 0,05 yang berarti Ha diterima dan Ho ditolak yang menunjukkan ada pengaruh permainan edukatif terhadap perkembangan anak di PAUD Cinta Bunda Desa Baran Kabupaten Sukoharjo.Kata kunci : Permainan edukatif, perkembangan anak

PENGARUH SENAM NIFAS TERHADAP KECEPATAN INVOLUSI UTERI IBU POST PARTUM DI DESA GEDANGAN GROGOL SUKOHARJO Ratna Indriati; Tunjung Sri Yulianti; Ika Fitriani Mulyanto
KOSALA : Jurnal Ilmu Kesehatan Vol. 2 No. 1 (2014): Jurnal Ilmu Kesehatan Kosala
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Abstract The Background of One of a physiological changes during the puerperium is involution uteri begin immediately after birth.Involution uteri is the clinical very important, because it ' s a possibility that the process could be disrupted bleeding parturition.Involution uteri to speed up the process, one who advocated is gymnastic exercise performed after parturition the body feel better again.However, not all the mother after partus performing gymnastic parturition with regularly every day.Based on the observation of the post partum in the village of Gedangan Sukoharjo, the mother don ' t do gymnastics parturition TFU the 3rd is two cm below the umbilicalâ€™s mother. Where as she who do gymnastics parturition, the 3rd TFU 2,5 cm below the umbilical and stomach looked strong and lax. The aim of this research is to find influence of gymnastic parturition to speed the post partum involution uteri in the village of Gedangan, grogol, Sukoharjo. This is a research Methods. The respondent are the post partum in the village of Gedangan Sukoharjo by design the experimental quasy with randomized posttest only control to comparing the puerperium gymnastic exercise between groups given treatment and the puerperium not given treatment gymnastics parturition.Which have collected data and analysis by the independent t-test with p = 0.05. Research results in respondents who do gymnastics parturition obtained 60% of respondents experienced a decline with TFU range 6.1 - 8.0 cm and 40% in the range of 4.0 - 6.0. While the respondents are not done gymnastics parturition decreased TFU all respondents (100%) are in the range of 4.0 - 6.0 cm. from the independent t-test obtained p of 0,000 so p < 0.05, which means Ho is rejected and accepted Ha. The Conclusion of the research was there is influence of gymnastics parturition against the speed of the involution of uteri maternal post partum, in the village of Gedangan Grogol Sukoharjo Keywords: gymnastics parturition, involution uteri, the post partum

HUBUNGAN TINGKAT PENGETAHUAN TENTANG KEBERSIHAN GENETALIA DENGAN KEJADIAN KEPUTIHAN PADA SISWI SMA KELAS XI IPA DI SMA NEGERI 1 TAWANGSARI Ratna Indriati; Endang Dwi Ningsih; Eni Novita Sari
KOSALA : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2014): Jurnal Ilmu Kesehatan Kosala
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

AbstractThe background One problem adolescent reproductive health, especially of ladies often complained is whitish.One factor affecting the whiteness is the lack of knowledge about clean genetalia who holds an important role in preventing infection can cause a whitish.At the beginning the research gained 10 students performed interview seven students know about cleaning genetalia and three other students lack knowledge about clean genetalia.Of 10 students are known 4 students ever had that experience whitish and most of them are students who lack knowledge about clean genetalia. The aim of this research is to find the knowledge about clean genetalia relations with whitish in the students of class XI IPA at SMA 1 Tawangsari. The design of the correlation with a method of cross sectional. Responden is 92 students of class XIIPA in SMA 1 tawangsari with a random sample taking a simple sampling.Data obtained by this method a questionnaire to know the level of knowledge about clean genetalia and the whiteness of the respondents.Which have collected data and analysis by the chi square with p =0.05 The results show the high level of as many as 81 people ( 88,04 % ) and medium category 11 people ( 11,96 % ), whiteness category is 38 people ( 41,3 % ), and not to whiteness 54 people ( 58,7 % ).Analysis of the results obtained using chi square p = 0.004 so p < 0.05, and value which means Ho rejected and Ha accepted. The Conclusion of the research was there is relationship of the knowledge about clean genetalia with whitish in the students of class XI IPA at SMA 1 Tawangsari.Keywords: Level of Knowledge, Health genetalia, whitish

HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG STIMULASI PERKEMBANGAN DENGAN PERKEMBANGAN MOTORIK KASAR PADA ANAK USIA 1 â€“ 5 TAHUN DI POSYANDU MEKARSARI NAYU TIMUR BANJARSARI Ratna Indriati; Wiga Ami Widyanto; Anindya Dwi Pratiw
KOSALA : Jurnal Ilmu Kesehatan Vol. 3 No. 1 (2015): Jurnal Ilmu Kesehatan Kosala
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

AbstrakIntroduction: Under five years of age is an important period of growth and development. One aspect is the development of gross motor skills in children. Gross motor development are not optimal can lead to decreased creativity in adapting. One of the factors that influence the development of children is the stimulation of the parents. From the initial survey in posyandu Mekarsari obtained two (2 ) children aged 19 months and 26 months have not been able to walk on his own and from the interview, mothers do not understand about the stimulation of growth in children.The purpose: Of this study was to determine the relationship of the level of knowledge about stimulation of development with the development of gross motor in children aged 1-5 years in Posyandu Mekarsari Banjarsari.Method: Correlation research design with cross sectional approach. Subjects were 66 mother and their children aged 1 - 5 years in Posyandu Mekarsari with sampling technique by simple random sampling. Data were obtained by questionnaire to determine the level of knowledge about stimulation of development and DDST tests to determine the gross motor development in children. The data obtained were analyzed with chi-square test with p = 0.05 Results: Indicate the level of knowledge Capital on high category by 55 people (83.33%) and moderate categories 11 (16.67%), while children with gross motor development either as many as 47 children (71.21%) and unfavorable developments 19 children (28.79%). The results of the analysis using the chisquare test p = 0.005 obtained so that the value of p < 0.05, which means thatHo is rejected and Ha accepted.The Conclusion: Of the research was there is relationship of the knowledge about stimulation of development with the development of gross motor in children aged 1-5 years in posyandu Mekarsari.Keywords: Knowledge Level, stimulation of development, gross motor development

HUBUNGAN ANTARA FREKUENSI MENGGOSOK GIGI DENGAN KEJADIAN CARIES DENTIS PADA SISWA KELAS II SD NEGERI SUMBER AGUNG II KLEGO Ratna Indriati; Rahayu Setyaningsih; Tri Susilowati
KOSALA : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2013): Jurnal Ilmu Kesehatan Kosala
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Background. Incidence of dental caries in primary school children is stillrelatively high. This corresponds to a pattern of wrong eating habits, asupportive environment such bad habits like sweet snacks, less fibrous andeasily sticky. In addition the frequency of irregular brushing teeth also contributeto the occurrence of dental caries.The purpose this study was to determine the relationship between thefrequency of brushing teeth with dental caries incidence of grade 2 studentsSDN Sumberagung II Klego. The hypothesis taken by the researchers issuspected there is a relationship between the frequency of brushing teeth withdental caries incidence in Class 2 SDN Sumberagung II Klego. This study wasconducted in SDN II Suberagung Klego.Methods used is the correlation method with cross sectional approach, thenumber of samples of 50 people the sampling technique used is total samplingThe conclusion From the results of data processing, the chi squere obtained x2count equal to 9.314 and 3.841 on the table at the 0.05 significance level anddegrees of freedom equal to 1 so that the count is greater than x2 table whichmeans there is a relationship between the frequency of brushing teeth withdental caries incidence in 2nd grade students of SDN Sumberagung II Klego.This shows that with regular brushing can minimize the occurrence of dentalcariesKeywords : Dentis caries, Dental Care and Teeth Brushing

HUBUNGAN ANTARA MINAT MENGIKUTI PEMBELAJARAN PBL (PROBLEM BASED LEARNING) DENGAN MOTIVASI MENINGKATKAN PRESTASI PADA MAHASISWA TINGKAT I AKADEMI KEPERAWATAN PANTI KOSALA SURAKARTA Endang Dwi Ningsih; Ratna Indriati; Magdalena Putri S.
KOSALA : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2013): Jurnal Ilmu Kesehatan Kosala
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Background. Problem Based Learning (PBL) is an instructional model that thestudents involved in problem solving by scientific methods, so the students learnthe knowledge related to the issued also the problem solving skill as well.The purpose of the study was to determine the relation between interest inlearning the PBL with motivation in increasing the learning achievement on thefirst year students of the Nursing Academy Panti Kosala Surakata.Subjects of the study by correlation method was held on April-Mei 2013, thesubject were 140 first year student of the Nursing Academy Panti KosalaSurakarta.The results shows:1.There was any relation between interes in learning the PBLwith motivation in increasing the learning achievement on the first year studentsof the Nursing Academy panti Kosala Surakarta, analized by X2 count > X2 table(188,321 > 13,277) with a significant level 0,01 (1%). 2. The determinationcoefficient value is 0,796 indicate that interested in learning the PBL influence tothe motivation in increasing learning achievement as 79,6% and the rest as20,4% influenced by the other else variables non model.Keyword : Interested in learning and the motivation in increasing learning.

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