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HUBUNGAN ANTARA STATUS GIZI, ANEMIA, STATUS INFEKSI, DAN ASUPAN ZAT GIZI DENGAN FUNGSI KOGNITIF PADA ANAK SEKOLAH DASAR DI DAERAH ENDEMIK GAKI Toto Sudargo; Emy Huriyati; Lastiana Safitri; Winda Irwanti; Sri Ahadi Nugraheni
GIZI INDONESIA Vol 35, No 2 (2012): September 2012
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v35i2.129

Abstract

Anak-anak yang tinggal di daerah  GAKI  mempunyai risiko yang lebih tinggi untuk mengalami kelaparan dan rendahnya skor IQ.  Tujuan penelitian ini menjelaskan  hubungan status gizi, anemia, status infeksi, dan  asupan  zat  gizi  (energi,  protein,  karbohidrat,  lemak,  iodium,  vitamin  C,  vitamin  A,  Fe,  Zn,  dan Selenium), dengan fungsi kognitif    anak sekolah dasar (SD) yang tinggal di daerah GAKI, dan  mengetahui kandungan iodium pada tanah dan air di wilayah tersebut. Jenis studi observasional dengan desain crosssectional.  Subjek  penelitian  anak  SD  berusia  9-12  tahun  kelas  3,  4,  dan  5  dari  3  SD  di  daerah  endemik GAKI  Kecamatan  Kismantoro,  Kabupaten  Wonogiri,  Jawa  Tengah.  Status  GAKI  diukur  menggunakan metode  palpasi  dan  Urinary  Iodine  Excretion  (UIE),  status  gizi  dengan  indikator  TB/U,  status  anemia menggunakan Hemocue, status infeksi dengan wawancara pada orangtua, asupan zat gizi menggunakan multiple  food  recall  24  jam  (3  hari),  kandungan  iodium  dalam  tanah  dan  air  menggunakan  Inductive Coupled  Plasma-Mass  Spectrometry  (ICP-MS)  dan  fungsi  kognitif  menggunakan  Weschler  Intelligence Score for Children-Revised  (WISC-R).  Hasil menunjukkan  20 subjek (28,9%) mengalami  GAKI, 27 subjek (39,1%)  stunting,  17  subjek  (24,6%)  anemia,  11  subjek  (15,9%)  infeksi  (ISPA  dan  diare)  dan  57  subjek (82,6%)  mengalami  gangguan  fungsi  kognitif.  Analisis  bivariat  menunjukkan  tidak  terdapat  hubungan signifikan antara status  GAKI  dan infeksi dengan fungsi kognitif (p0,05). Terdapat hubungan signifikan antara status gizi dan anemia dengan fungsi kognitif (p0,05).  Analisis multivariat asupan zat gizi energi, protein,  karbohidrat,  lemak,  iodium,  vitamin  C,  vitamin  A,  besi,  dan  selenium  memberikan  kontribusi sebesar  20,9%  dari  skor  IQ  total  anak  sekolah.  Hb,  UIE,  dan  asupan  zat  gizi  memberikan  kontribusi sebesar 24,1% dari skor IQ total anak sekolah. Hasil laboratorium menunjukkan  rerata  kandungan  iodiumtanah (2,49 ppm), dan dalam air (2,7ppb) berada di bawah standar. Jadi status gizi dan anemia, asupan zat gizi  berhubungan  dengan  fungsi  kognitif  anak  sekolah.  GAKI  dan  status  infeksi  tidak  berhubungan dengan fungsi kognitif. Secara bersama Hb, UIE dan asupan zat gizi berhubungan dengan fungsi kognitif. Rerata kandungan iodium pada tanah dan air di wilayah penelitian berada di bawah standar.Kata kunci: GAKI, status gizi, anemia, infeksi, fungsi kognitif
Children’s breakfast habit related to their perception towards parent’s breakfast habits (study in Sedayu District, Bantul Regency)* Winda Irwanti; Yhona Paratmanitya
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 4, NOMOR 2, MEI 2016
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (121.647 KB) | DOI: 10.21927/ijnd.2016.4(2).63-70

Abstract

ABSTRACTBackground: Breakfast plays an important role in ensuring the good health and wellbeing of an individual, especially children. Evidence suggests that breakfast consumption may improve cognitive function related to memory, exam test score and the level of school attendance.Objectives: To determine the breakfast habits and its risk factors in elementary school children in Bantul.Methods: This cross-sectional study was conducted in four elementary schools in the District Sedayu, Bantul with 126 children as subjects. Breakfast habits investigated by interviews to the children.Results: This study showed that there were 33% of children had no breakfast daily, or had skipped breakfast at least once in a week. The major reasons of children skipping breakfast were not having enough time (38.1%), not hungry (30.9%) and no food available in the morning at home (16.7%). A total of 15.9% mothers and 23% fathers were not breakfast daily according to their children. Breakfast habits of children significantly associated with the children’s perception towards parent’s breakfast habits.Conclusions: Breakfast habits of children significantly associated with the children’s perception towards parent’s breakfast habits.KEYWORDS: breakfast habit, children perception, parent’s breakfast habitABSTRAKLatar belakang: Sarapan memiliki peran dalam menjaga kesehatan dan kebahagiaan seseorang, termasuk anak. Penelitian terdahulu membuktikan bahwa sarapan mampu meningkatkan fungsi kognitif yang berhubungan dengan kemampuan mengingat, nilai ujian, dan tingkat kehadiran di sekolah.Tujuan: Untuk mengetahui kebiasaan sarapan anak sekolah dasar di Kabupaten Bantul, dan faktor-faktor yang mempengaruhinya.Metode: Studi cross-sectional ini dilaksanakan di 4 sekolah dasar di Wilayah Kecamatan Sedayu, Kabupaten Bantul, dengan jumlah subjek sebanyak 126 anak. Kebiasaan sarapan diketahui dari wawancara dengan anak.Hasil: Hasil menunjukkan bahwa sebesar 33% anak sarapan tidak setiap hari, atau dalam seminggu paling tidak 1x melewatkan sarapan. Alasan utama anak melewatkan sarapan adalah tidak punya cukup waktu (38,1%), tidak lapar (30,9%), dan tidak tersedianya sarapan di rumah pada pagi hari (16,7%). Sebanyak 15,9% ibu, dan 23% ayah juga sarapan tidak setiap hari menurut persepsi anak. Kebiasaan sarapan anak berhubungan secara signifikan dengan persepsi anak terhadap kebiasaan sarapan orang tuanya.Kesimpulan: Kebiasaan sarapan anak berhubungan secara signifikan dengan persepsi anak terhadap kebiasaan sarapan orang tuanya.KATA KUNCI: kebiasaan sarapan, persepsi anak, kebiasaan sarapan orang tua
Riwayat asupan energi dan protein yang kurang bukan faktor risiko stunting pada anak usia 6-23 bulan Rahmaniah Rahmaniah; Emy Huriyati; Winda Irwanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 2, NOMOR 3, SEPTEMBER 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (118.593 KB) | DOI: 10.21927/ijnd.2014.2(3).150-158

Abstract

ABSTRACTBackground: Stunting was a chronic nutrition problem that still be a concern in the developing nations include Indonesia. The direct cause of stunting was infectious disease and inadequate food intake such as energy and protein deficiency. In Indonesia in 2010, the prevalence of stunting was 35.7%, inYogyakarta as much as 22.5%, in Bantul District in 2012 was 18.08% and in Sedayu Subdistrict was 30.51%.Objectives: To know the history of energy and protein intake as the risk factors of stunting in children of 6-23 months.Methods: This was an observational study with case-control design. The population were children aged 6-23 months who lived in Sedayu Subdistrict, Bantul. The measurement energy and protein intake used a semi-quantitative food frequency questionnaire and determination of stunting used the WHO standard anthro 2005. Samples were selected by total sampling approachment. Data was analyzed by chi-square and logistic regression test.Results: The result of bivariate analysis showed that birth weight and maternal height had significant association with stunting (p<0.05). While energy and protein intake did not associated with stunting. However, there was a tendency that children with less energy and protein intake had higher risk of stunting. Multivariate analysis showed that maternal height was the dominant variable effect on the prevalence of stunting (OR=2.06).Conclusions: Low energy and protein intakes were not risk factors of stunting in children 6-23 months. Maternal height was dominant variable that influenced the stunting incidence.KEYWORDS: energy intake, protein intake, stunting, childABSTRAKLatar belakang: Stunting merupakan masalah gizi kronis yang masih menjadi perhatian di negara berkembang termasuk Indonesia. Penyebab langsung stunting adalah penyakit infeksi dan asupan makanan yang tidak memadai seperti kurang energi dan protein. Di Indonesia pada tahun 2010 prevalensi stunting sebanyak 35,7%, di Daerah Istimewa Yogyakarta sebanyak 22,5%, di Kabupaten Bantul tahun 2012 sebesar 18,08% dan Kecamatan Sedayu 30,51%.Tujuan: Untuk mengetahui riwayat asupan energi dan protein sebagai faktor risiko stunting pada anak usia 6-23 bulan.Metode: Jenis penelitian observasional dengan rancangan case-control. Populasinya seluruh anak usia 6-23 bulan yang ada di wilayah Kecamatan Sedayu Kabupaten Bantul. Pengukuran asupan energi dan protein dengan menggunakan semi-quantitative food frequency questionnaire dan penentuan stunting dengan menggunakan baku standar WHO anthro 2005. Cara pengambilan sampel adalah dengan total sampling. Analisis data menggunakan uji chi-square dan regresi logistik. Hasil: Berat bayi lahir dan tinggi badan ibu menunjukkan hubungan signifikan dengan kejadian stunting (p<0,05), sedangkan riwayat asupan energi dan protein tidak berhubungan dengan stunting (p>0,05). Secara multivariat, tinggi badan ibu merupakan variabel yang dominan berpengaruh terhadap stunting(OR=2,06).Kesimpulan: Asupan energi dan protein yang kurang bukan merupakan faktor risiko kejadian stunting pada anak usia 6-23 bulan. Tinggi badan ibu merupakan variabel yang dominan berpengaruh terhadap kejadian stunting.KATA KUNCI: asupan energi, asupan protein, stunting, anak
Korelasi Penambahan Berat Badan Diantara Dua Waktu Dialisis denganKualitas Hidup Pasien Menjalani Hemodialisa Wahyuni Wahyuni; Winda Irwanti; Sofyan Indrayana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 2, No 2 (2014): Juli 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.327 KB) | DOI: 10.21927/jnki.2014.2(2).51-56

Abstract

Hemodialysis is a static treatment to substitute kidney function. Without a substitute therapy for kidney, a death as a results of metabolic abnormality can occur rapidly. Common issues on clients undergoing hemodialysis are gaining body weight in between two times dialysis which can affect the quality of life of patients if it is not get the good treatment. This research aimed to identify corelations weight gain in between the two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul. This was a descriptive correlation study with cross-sectional design, samples were taken with accidental sampling technique consisted of 61 people. Data were analized by Kendal Tau Test(τ). The results of the statistics kendal tau (τ) indicated its value pearson kendal tau (-0,009) with p value 0,938, the fi gures were larger than standard significance α: 0.05, thats mean the hypothesis of this research was rejected. Conclusion, there was no a signifi cant corelation weight gaining in between two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul.
Hubungan Frekuensi Kunjungan Antenatal Care (ANC) dengan Kejadian Prematur Evi Esti Utami; Susi Ernawati; Winda Irwanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 2, No 1 (2014): Maret 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.966 KB) | DOI: 10.21927/jnki.2014.2(1).27-31

Abstract

The cause of infant mortality is mostly due to perinatal matters. Almost 2-27% of all perinatal death is caused by prematurity with low birth weight (BBLR). Reducing mortality rate on perinatal can be achieved by observing all pregnant women and fi nding as well as addressing infl uenced factors of neonatal safety. This research aims to identify correlation between frequencies of Antenatal Care (ANC) with incidence of prematurity. This is an observational study with case-control design using retrospective approach. Total population was 1335 and of 156 was choosen as research respondents deviding into 78 as case respondents and 78 as control groups. The result of statistic analysis showed that p value=0,837 (p>0,05) means frequencies of ANC did not have correlation with prematurity. Conclusion, (1) during the period of 1 January 2011 and 29 February 2012, it found 207 (8,13%) premature baby delivered, (2) at about 80,8% mother who delivered premature baby had normal ANC 4 times or more with the pattern 1-1-2 in every semester, (3) statistically ANC was not having correlation with premature baby.
Kompres Air Hangat pada Daerah Aksila dan Dahi Terhadap Penurunan Suhu Tubuh pada Pasien Demam di PKU Muhammadiyah Kutoarjo Eny Inda Ayu; Winda Irwanti; Mulyanti Mulyanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 3, No 1 (2015): Maret 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.7 KB) | DOI: 10.21927/jnki.2015.3(1).10-14

Abstract

Fever is a condition when body temperature 38°C and more. There are also restrictions that took more than 37.8°C, whereas when the body temperature of over 40°C is called a high fever/hyperpyrexia. Fever may be harmfull if you develop a high temperature. Fever or high body temperature can be derived in various ways. Warm compresses a method to lower the body temperature. Found in the fact that research in KRIPMD PKU Muhammadiyah Kutoarjo implementation compress as one independent action to deal with the fever is still often overlooked by patients and families. The purpose of this research was to know the differences between forehead and armpit compress in lowering body temperature among patients with fever at KRIPMD PKU Muhammadiyah Kutoarjo. The Methode of this study used true experimental designs: a two-group pre-post test design. The total population of patient were 40 respondents. The sampling technique was done by consecutive which consisted of 38 respondents. Temperature was measured by thermometer. Data analysis used the t test. T test analysis showed techniques giving a warm compress on the area of the axilla more effective to reduce body temperature than technique of giving a warm compress on the forehead (t=5.879, p=0.000). In conclusion, The technique giving a warm compress on the area of the axilla is more effective to lowering body temperature.
Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan Pasien Pre-Operasi di Ruang Instalasi Bedah Sentral RSUD Saras Husada Purworejo Warsini Warsini; Winda Irwanti; R. Agus Siswanto
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 3, No 2 (2015): Juli 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.368 KB) | DOI: 10.21927/jnki.2015.3(2).96-102

Abstract

The symptoms of anxiety relate to medical condition are often found, though there are various incidences for each condition. The surgery is a potential threat that may rise stress reaction either physically or psychologically. One factor that may decrease the level of anxiety of patients is nursing therpeutic communication. The purposes of this study were to know the relationship between nursing therapeutic communication and anxiety level of preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. This study was used an observational with a cross sectional design. The population in this study was preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. Samples were obtained by accidental sampling technique, which consisted of 81 respondent. Data analysis was done by Kendal Tau test. The results showed that nursing therapeutic communication was 37.0% in a good category. Anxiety level of preoperative patients was 44.4% in average level. The result of Kendall Tau test showed a p-value=0.000 (p<0.05). There was a relationship between nursing therapeutic communication and anxiety level of preoperative patients. In conclusion, there was a relationship between nursing therapeutic communication and anxiety level of preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo.