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Gema Kesehatan
Published by Poltekkes Kemenkes Jayapura
ISSN : 20885083     EISSN : 26548100     DOI : https://doi.org/10.47539/gk.v15i1
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public 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
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 93 Documents
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UTILIZATION OF SWEET POTATO DODOL AS ADDITIONAL FOOD FOR ELEMENTARY SCHOOL WITH MALNUTRITION CHILDREN'S Mustamir Kamaruddin; Yulia Rachmawati
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

The successful development of a nation is influenced by quality human resources, namely human resources, which are physically demanding, mentally strong, in excellent health, and have a good level of achievement. The development and training of exceptional quality human resources start early when they are school-age. Based on the 2018 Riskesdas, the prevalence of wasting in Sorong City is 10.7%, which means it is above the national average majority. School-age children are in a period of transition from children to adults. There is mental, physical, and emotional growth that is quite fast at this time. Providing Supplemental Food for School Children is a program to restore the nutritional intake of students in elementary schools. Apart from improving nutrition, this program is also helpful for introducing children to healthy and nutritious food. The research was conducted in 2 elementary schools in Sorong City from July to November 2021. The study aimed to analyze the effect of giving purple sweet potato dodol on weight gain in malnourished children. Malnourished children were obtained through screening in 2 schools. The study used a quasi-experimental design using the Pretest-Posttest Control Group Design. The sample was 30 malnourished children who were divided into an experimental group and a control group. The sampling technique is accidental sampling. Data collection was carried out by measuring body weight using digital scales. The statistical test uses the independent sample t-test. The results showed that giving purple sweet potato dodol as much as 100 grams/day/child increased the weight of malnourished children. Purple sweet potato dodol of 100 gr/day/child is recommended as a supplementary food for malnourished children with consideration of its acceptability and good nutritional value. Socialization of functional food as a basic ingredient in increasing the weight of children with undernourished status must be encouraged.  Keywords: Dodol, Malnutrition, Purple Sweet Potato, Supplementary Food Weight
MOTHER'S ATTITUDE AND HUSBAND SUPPORT TOWARD NEWBORN BABY VISIT AT RAWASARI COMMUNITY HEALTH CENTER, JAMBI Adelina Fitri; Delta Intan Putri; Andy Amir; Hubaybah Hubaybah; Fitria Eka Putri; Ashar Nuzulul Putra
GEMA KESEHATAN Vol. 14 No. 1 (2022): Juni 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v14i1.296

Abstract

One of the efforts that can be made to prevent abnormalities in newborns that can affect life-long disability and even death was to increase neonatal visits. This study aimed to determine the factors associated with neonatal visits on the factors of age, education, occupation, attitudes, knowledge, distance to health care, and husband's support in the work area of Rawasari Primary Health Care, Jambi City in 2020. The study design was cross-sectional, the population in this study were mothers who had babies aged 1-3 months at the Rawasari Primary Health Care. The sample amounted to 91 people. The sampling technique used simple random sampling. Data collection was done from March-June 2020. Data analysis used univariate and bivariate chi-square. The results of this study showed that 63% of respondents did not make regular neonatal visits. Age (PR = 0.91; 95% CI = 0.66-1.24) education (PR = 1.30; 95% CI = 0.94-1.75) occupation (PR = 1.11; 95% CI = 0.82-1.51) attitude (PR = 1.43; 95% CI = 1.05-1.93) knowledge (PR = 1.41 95% CI = 0.90-2.20 ) husband's support (PR = 1.95; 95% CI = (1.14-3.33) and distance to health care (PR = 0.92: 95% CI = 0.62-1.37). husband's support had the highest risk of not having regular neonatal visits. There was a significant relationship between a neonatal visit with attitude and the husband's support in Rawasari Primary Health Care Jambi city. The husband's support in accompanying mothers to health services should be improved because the highest risk in irregular neonatal visits. Keywords: Maternal attitudes, Neonatal assessment, Spouse support
FORMULATION AND ACCEPTABILITY OF SIOMAY WITH SUBSTITUTION EUCHEUMA COTTONI SEAWEED PUREE AS A HIGH-FIBER SNACK Nathasa Weisdania Sihite; Manuntun Rotua
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

Research by the Institute for Health Measurement and Evaluation (IHME) in 2014 stated that obese people worldwide increased to 2.1 billion in 2013. Factors determining weight gain problems include high energy intake that exceeds needs, such as fast food consumption, ice cream, fries, and burgers. Seaweed is known to be high in fiber and is very well used as a food raw material to overcome the problem of weight gain. Siomay is a food favored by all people in Indonesia. The research aimed to analyze the acceptability of seaweed puree formulation into dumpling products. This study is experimental with a completely randomized design (CRD) with four treatments, namely F0 (0%), F1 (25%), F2 (45%), and F3 (55%), with two replications. The panelists in this study consisted of 30 people. The results showed that the acceptability of siomay products with the addition of seaweed puree, which on the attributes of color (p = 0.948), aroma (p = 0.401), texture (p = 0.074), and aftertaste (p = 0.561) did not have a significant effect on product quality. Meanwhile, based on the results of the acceptance test on taste, it was found that there was a significantly different effect (p = 0.044) on dumpling products with the addition of seaweed puree formulations with various concentrations. Results of the product acceptability analysis show that seaweed dumplings with the addition of 45% seaweed puree (F2) are the most preferred and selected formula in this study. Keywords: Acceptability, Formulation, Puree, Seaweed, Siomay
CHLORINE CONTENTS AND BACTERIOLOGICAL QUALITY OF SWIMMING POOLS WATER IN JAYAPURA Fajar Bakti Kurniawan; Yulianus Wima Krisna Alfreda; Asrianto Asrianto; Indra Taufik Sahli; Meidy J Imbiri; Risda Hartati; Rina Purwati; Afika H Wardhani; Loly Sabrina Sitompul
GEMA KESEHATAN Vol. 14 No. 1 (2022): Juni 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v14i1.301

Abstract

Chlorine is a chemical that functions as water disinfection, often used in swimming pools to kill microorganisms such as pathogenic bacteria in the water. The general objective of this study was to determine the relationship between chlorine levels, and microbiological quality in swimming pool water in Jayapura City. This type of research is descriptive research with a cross-sectional design. Determination of residual chlorine content, and microbiological quality in this study was carried out using Spectrophotometry, and MPN Test methods. The results showed that the chlorine content of the swimming pool Wa 5.00 mg/l, Fu 0.23 mg/l, and Aj 0.13 mg/l. The examination of the coliform bacteria population showed that the MPN value in Wa coliform swimming pool water was 0/100 ml, and coliform stools were 0/100 ml. Swimming pool Fu coliform as much as 91/100 ml, and fecal coliform as much as  23 /100 ml. Swimming pool Aj coliform as much as >1100/100 ml, and fecal coliform as 20/100 ml. This study concludes that the chlorine levels in the Wa swimming pools, and the MPN swimming pools of Fu, and Aj are not under the Minister of Health Regulation No. 32 years 2017. Keywords : Coliform, Swimming pool, MPN
THE INFLUENCE OF ROM AND MCIM ON THE ABILITY OF JOINT MOVEMENT IN TRADITIONAL FISHERMAN-DIVERS Reni Devianti Usman; Dwi Purnama Putri; Dian Yuniar Syanti Rahayu
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

Decompression diseases can provide manifestations that vary from mild to those that can cause disability and even life-threatening. This condition significantly affects the quality of life of sufferers and impacts meeting their personal care needs and productivity as the head of the family. This condition also impacts the family economy, affecting the lives of other family members. The purpose of the study was to see the effect of a range of motion exercise (ROM)  therapy and modified constraint-induced movement (MCIM) on the ability of a joint range of motion in traditional fishermen who experience paralysis due to decompression disease. This exercise aims to improve the power of the limb that has paralysis. The combination of these two therapies can aid in preventing contractures, enhance the ability of a joint range of motion and increase muscle strength. The type of research in this study is a quasi-experiment with design, or the research design carried out in this study is the pretest-posttest one-group design. The population in this study was all Traditional Divers in Soropia District. Sampling in this study with purposive sampling technique is a traditional diver who experiences paralysis. Data analysis management uses coding, scoring, and tabulating by looking at the frequency distribution of all variables. The analysis is a univariate and bivariate analysis with a dependent T-test. The study results were average range motion of the pre-test joints of 15.53 with a standard deviation of 2,232, and the middle range of motion of the joints in the post-test was 14.67 with a standard deviation of 1,915. The difference between the average pre-test and post-test is 0.86. With the P-Value value obtained a value of 0.001, more minor than the alpha of 0.05, it can be concluded that there is a significant influence of the combination of therapies on the range of joint motion in traditional divers who experience paralysis. The results can figure that there are substantial differences before and after training for alternative nursing intervention. Keywords: MCIM, Paralysis, ROM, Traditional diver fisherman
USE OF PERSONAL PROTECTIVE EQUIPMENT AGAINST BURNOUT AMONG NURSES Ni Made Nopita Wati; R. Tri Rahyuning Lestari; Ria Anggraini; M. Adharudin; Dhia Diana Fitriani
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

Positive cases of Covid-19 continue to increase in almost every country. Globally, there are approximately 113 million positive cases with 2.5 million deaths. The country with the highest number of positive patient cases is the United States, with 28 million cases. Indonesia is ranked 18th with a total of 1.3 million positive points and 35 thousand cases of death. Nurses are frontline health workers who care for Covid-19 patients. Nurses must use personal protective equipment (PPE) to carry out their duties. The use of this PPE can protect its users. The use of PPE at level 3 during the Covid-19 pandemic, as it is now for a long time, is one factor that can trigger burnout. Data states that  2,707 people from 60 countries say that health workers are experiencing burnout due to the Covid-19 pandemic, which has not gone away and has even increased. The impact of this burnout causes nurses to feel a loss of energy, a loss of enthusiasm at work, and a loss of confidence. This study aimed to determine the relationship between the use of PPE and burnout in nurses. This type of research is descriptive quantitative with a cross-sectional approach. The study used a purposive sampling technique with as many as 213 people. Data were analyzed using the Spearman rank test. The results showed that most respondents used PPE in the excellent category, namely 167 people (78.4%); most of the respondents experienced low burnout, namely 204 people (95.8%) with a p-value of 0.001 and a correlation strength of -0.228 with negative correlation direction. There is a relationship between the use of PPE and burnout, where the better PPE, the lower the burnout felt by nurses. Proper PPE can reduce nurses' burnout by making them feel safe and protected. Nurses are expected to use PPE according to standards continually; the hospital is also likely to regularly evaluate the mental health of nurses to reduce the risk of burnout. Keywords: Burnout, Nurses, Personal protective equipment
The VEGETABLE INTAKE, PHYSICAL ACTIVITIES AND OBESITY STATUS OF SEKA TERUNI EKA MANGGALA DANENDRA MEMBERS Kadek Paramahita Dwitami; I Putu Suiraoka; I Wayan Ambartana
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

The prevalence of obesity in Indonesia for adults >18 years old increased from 10,5% in 2013 to 21.8% in 2018. This study aimed to determine the correlation between vegetable intake and physical activities with the obesity of Seka Teruna Teruni (STT) Eka Manggala Danendra Banjar Tengah. The type of research used was analytic observational with a cross-sectional design. The statistical test used the Spearman Rank correlation test. The research sample amounted to 64 people, with the sampling method being a non-probability random sample. The results showed that most of the respondents had a low level of vegetable intake (96.9%), the level of physical activities of the respondents was mostly moderate (54.7%), and there were 12 (18.8%) respondents with obesity. The physical activity conditioning with obesity status was significantly related with the p-value = 0.004 < (0.05) and the value of coefficient correlation = -0.356, which means that there was a significant and not unidirectional relationship between the level of physical activities and obesity status in members of STT Eka Manggala Danendra in 2022. The story of physical activities is a variable that affects a person's obesity status. Therefore, education about increasing physical activity and vegetable intake is needed to maintain the ideal body weight. Keywords: Obesity, Physical activities, Vegetable intake
TOTAL FLAVONOID AND ANTIOXIDANT ACTIVITY OF ETHANOL EXTRACT FROM JAVA PLUM (Syzygium cumini L.) LEAF Muthmainah Tuldjanah; Ayu Wulandari
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
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Abstract

Juwet leaf is a plant with antioxidant properties that protect against free radicals. The simplicia ethanol extract of juwet leaves used came from the city of Palu, Central Sulawesi. Extraction of chemical content from juwet leaves (Syzygium cumini L.) was carried out by maceration method. In this study, to determine the levels of flavonoid compounds and antioxidant power in the sample extract, a compound analysis was carried out using a UV_Vis spectrophotometer. Total flavonoid content was determined from the absorbance value obtained from a wavelength of 510 nm by using Visible spectrophotometry. Antioxidant activity was obtained by measuring the reducing activity of the ethanol extract of juwet leaves on the free radical DPPH (1,1-Diphenyl-1-picrylhydrazil) by Visible spectrophotometry with a wavelength of 517 nm. An antioxidant activity test was carried out using quercetin as a comparison. The results showed that the ethanol extract of juwet leaves had low total flavonoid content with weak antioxidant activity compared to quercetin. Keywords: Antioxidants, Flavonoids, Juwet leaves
FACTORS AFFECTING NEWBORN WEIGHT Eka Rati Astuti; Harlen Yunita
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
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Abstract

The nutritional status and health of the baby can be described, one of which is the weight at birth. In addition, the incidence that occurs in infants during gestation and its association with various factors, including parity, maternal age, hemoglobin level, gestational interval, pregnancy examination, upper arm circumference, socioeconomic environment, and disease during pregnancy. This study aims to analyze the factors that affect newborn weight in Kedurang District, South Bengkulu Regency, in 2020. This study used an analytical observational method with a retrospective cohort study design. The population used is 57 people, namely pregnant women with data on hemoglobin levels in the third trimester and delivery data in Kedurang District. All population members are used as research subjects (total sampling). Data analysis used chi-square and linear regression. There were 57 respondents; 80.7% were of no-risk age, 45.6% had low education, 56.2% were multigravida, and 54.8% had anemia. As many as 28.1% of infants born with low birth weight have the most significant risk factors anemia (54.8%), primigravida (40.5%), primary education (28.6%), and age at risk (19.1% ). The results showed an influence between the mother's age and the newborn's weight (p=0.001) with an OR value of 1.1. In addition, there is an effect between education and newborn weight (p = 0.009) with an OR value of 13. There is also an effect between parity and newborn weight (p = 0.003) with an OR value of 11.4. In addition, there was an effect between the mother's Hb value and the newborn's weight (p=0.004), with an OR value of 10.6. Based on the OR value, sequentially, the factors that affect the newborn's weight are education, parity, Hb value, and maternal age. Keywords: Anemia, Low birth weight babies, Hb level, Parity, Mother's age
MINIMUM DIETARY DIVERSITY WOMEN (MDDW) PADA WANITA USIA SUBUR KURANG ENERGI KRONIK: MINIMUM DIETARY DIVERSITY AMONG WOMEN OF REPRODUCTIVE AGE WITH CHRONIC ENERGY DEFICIENCY widya ayu kurnia putri; Ibnu Zaki; Katri Andini Surijadti
GEMA KESEHATAN Vol. 15 No. 1 (2023): Juni 2023
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v15i1.324

Abstract

Rendahnya kualitas dan kuantitas makanan merupakan penyebab utama terjadinya kurang energi kronik (KEK) pada wanita usaia subur (WUS). Prevalensi KEK pada WUS cukup tinggi. Kajian Kualitas pangan pada WUS masih terbatas. Oleh karena itu studi ini bertujuan untuk mengkaji kualitas pangan pada WUS yang beresiko KEK. Desain studi yang digunakan obeservasional. Responden merupakan wanita usia subur derusia 19-23 tahun yang memiliki LILA < 23,5 cm. Data MDDW diambil menggunakan recall 24-hour. Semua makanan yang dilaporkan dikonsumsi selama recall 24-hour diklasifikasikan ke dalam sepuluh kelompok pangan. Data yang terkumpul dianalisis menggunakan program SPSS 20.0, data MDDW di sajikan dalam data frekuensi dan persentase. Hasil Penelitian ini menunjukan bahwa skor mddw 6 merupakan skor yang paling tinggi dengan presentase 31,4%. dari 35 wanita usia subur sebesar 100% wanita usia subur mengkonsumsi kelompok makanan pokok yaitu serealia dan umbi umbian, sebesar 88,6% mengkonsumsi kelompok sayuran lainnya dan 85,7 % mengkonsumsi daging. Sedangkan konsumsi terendah berada pada kelompok kacang kacangan dan kacang polong yaitu sebesar 15,3%. Skor Minimum Dietary Diversity Women (MDDW) pada Wanita Usia Subur 30% berada pada kategori Tinggi. Kesimpulan dalam penelitian ini menunjukkan bahwa berdasarkan Minimum Dietary Diversity Women (MDDW) pada wanita usia subur yang beresiko KEK menunjukkan kelompok pangan makanan pokok merupakan kelompok pangan yang dikonsumsi paling banyak oleh wus dan kemudian kelompok pangan sayur lainnya. Berdasarkan MDDW pada wanita usai subur skor 6 merupakan skor dengan persentase terbanyak. Sebagian besar subjek memiliki keragaman pangan yang tinggi. Kata Kunci: Keragaman pangan, MDDW, Wanita Usia Subur   The prevalence of chronic energy deficiency among women of reproductive age in Indonesia is high. Low dietary diversity is one of the main risk factors for chronic energy deficiency in women of childbearing age. Several different tools are used to assess the variety of food consumption. One is the Minimum Dietary Diversity Women (MDDW) score. The MDDW score is an indicator recommended by FAO to provide comprehensive data on community dietary diversity as reflected in dietary diversity. The limited number of reports on dietary diversity in specific groups, particularly women of childbearing age at risk of chronic energy deficiency, and the inconsistent results of studies on dietary diversity prompted this study as an effort to provide evidence-based information. It will evaluate dietary diversity in women of reproductive age at risk of chronic energy intake. Type of study used: observational, cross-sectional. Respondents were women of childbearing age aged 19-23 years with upper arm circumference < 23.5 cm. MDDW scores were collected using 24-hour recall and analyzed. Descriptive analysis was used in this study, with MDDW score data presented as frequencies and percentages. SPSS 20.0 was used for data analysis. The results showed that the MDDW score of women of childbearing age was highest at a score of 6, with a rate of 31.4%. All respondents (100%) consumed staple food groups such as cereals and tubers, 88.6% consumed other vegetable groups, and 85.7% consumed meat. The beans and peas group had the lowest consumption, at 15.3%. In total, 30% of the respondents had a high MDDW score. The conclusion of this study shows that MDDW in women of childbearing age at risk of chronic energy deficiency consume staple foods and other vegetable food groups. Most of the subjects have a high dietary diversity. Keywords: Dietary diversity, MDDW, Women of reproductive age

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