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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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EFEKTIVITAS KULIT SINGKONG, AMPAS TEBU DAN KULIT PISANG KEPOK SEBAGAI KARBON AKTIF: THE EFFICACY OF CASSAVA PEEL, SUGARCANE BAGASSE, AND KAPOK BANANA PEEL AS ACTIVATED CARBON Fara Chitra; Nuri Andriani; Hendra Budi Sungkawa
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.v15i1.325

Abstract

Limbah cair percetakan merupakan hasil dari kegiatan industri percetakan yang dapat mencemari lingkungan air dan tanah dengan cara melepaskan nitrat dan logam-logam berat yang terkandung didalamnya salah satunya yaitu timbal. Upaya yang dapat dilakukan untuk menurunkan kadar timbal (Pb) adalah dengan menggunakan adsorben. Adsorben yang paling banyak digunakan adalah karbon aktif. Ada beberapa bahan yang dapat digunakan sebagai bahan karbon aktif seperti kulit singkong, amapas tebu dan kulit pisang kepok yang mengandung selulosa. Tujuan penelitian ini adalah untuk membandingkan efektivitas karbon aktif terhadap penurunan kadar timbal limbah cair percetakan yang dibuat dengan variasi bahan yaitu kulit singkong, ampas tebu dan kulit pisang kepok. Desain penelitian ini berbentuk Pre-Experimental Design dengan metode Spektrofotometri Serapan Atom untuk menentukan kadar timbal (Pb) pada limbah cair percetakan. Populasi pada penelitian ini adalah limbah cair percetakan yang dihasilkan dari sembilan percetakan yang berada di Kabupaten Sintang. Jumlah sampel yang digunakan adalah sebanyak 27 sampel yang terdiri dari limbah cair percetakan yang belum ditambahkan karbon aktif dan limbah cair percetakan yang sudah ditambahkan dengan karbon aktif yang dibuat dari kulit singkong, kulit pisang kepok dan ampas tebu. Hasil penelitian didapatkan bahwa dengan penambahan karbon kulit singkong, karbon ampas tebu dan karbon kulit pisang kepok didapatkan presentase penurunan sebesar  82,35%, 64,70% dan 52,94% dari kadar timbal (Pb) sebelum perlakuan. Penurunan kadar timbal (Pb) yang paling baik adalah dengan penambahan karbon aktif kulit singkong dengan presentase penurunan sebesar 82,35% dari rata-rata kadar timbal (Pb) 0,17 mg/L menjadi 0,03 mg/L. Berdasarkan uji Anova diperoleh nilai signifikasi dengan p-value = 0,000.  Disimpulkan bahwa terdapat perbedaan efektivitas kulit singkong, kulit pisang kepok dan ampas tebu sebagai karbon aktif dalam menurunkan kadar timbal limbah cair percetakan. Kata kunci: Pencemaran lingkungan,  Kadar timbal, Kulit singkong, Ampas tebu, Karbon aktif   Printing liquid waste is the result of printing industry activities which can pollute the water and soil environment by releasing nitrates and heavy metals contained therein, one of which is lead. Efforts that can be made to reduce levels of information (Pb) are to use adsorbents. The most widely used adsorbent is activated carbon. Several materials can be used as active carbon materials, such as cassava peels, sugarcane pulp, and kapok banana peels containing cellulose. This study aimed to compare the effectiveness of activated carbon in reducing lead levels in printing liquid waste made with various materials, namely: cassava peel, sugarcane bagasse, and kapok banana peel. The research design is a Pre-Experimental Design with the Atomic Absorption Spectrophotometry method to determine the levels of lead (Pb) in printing wastewater. The population in this study was printing liquid waste generated from nine printing houses in Sintang District. The number of samples used was 27 consisting of printing liquid waste that had not been added activated carbon and printing liquid waste that had been added with activated carbon made from cassava peels, kapok banana peels, and sugarcane bagasse. The results showed that with cassava peel carbon, bagasse carbon, and kapok banana peel carbon, the percentage of lead (Pb) before treatment decreased by 82.35%, 64.70%, and 52.94%. The best reduction in lead (Pb) levels was the addition of activated carbon from cassava peels, with a reduction percentage of 82.35% from an average lead (Pb) content of 0.17 mg/L to 0.03 mg/L. Based on the ANOVA test, a significance value was obtained with p-value = 0.000. It was concluded that there were differences in the effectiveness of cassava peels, kapok banana peels, and bagasse as activated carbon in reducing lead levels in printing wastewater. Keywords: Environmental pollution, Lead content, Cassava peel, Sugarcane bagasse, Activated carbon
DETERMINANT FACTORS OF STUNTING AMONG CHILDREN AGED 6-24 MONTHS IN THE WORKING AREA OF SUMPIUH I COMMUNITY HEALTH CENTER Ibnu Zaki; Nadhifia Rahardiani Puspita; Afina Rachma Sulistyaning
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

Stunting is a linear growth disorder due to chronic malnutrition. Various factors influence the incidence of stunting, such as birth weight, birth length, history of maternal weight gain during pregnancy, and history of exclusive breastfeeding. However, study reports show inconsistent results. Therefore this study aims to determine the factors associated with stunting in children aged 6-24 months in the Work Area of the Sumpiuh I Health Center. Factors influencing the incidence of stunting are the history of birth weight, birth length, history of an increase in maternal weight during pregnancy, and history of exclusive breastfeeding. The study used a case-control design with a purposive sampling method. Using a sample of children aged 6-24 months, as many as 64 children. Data collection was obtained from KIA books, interviews, and anthropometric measurements. Data were analyzed using the chi-square test with a significance level (p=0.1). The results showed that there was a significant relationship between birth weight (p=0.083; 90%), birth length (p=0.046; 90%), history of maternal weight during pregnancy (p=0.024; 90%), and history of exclusive breastfeeding ( p = 0.035; 90%) with stunting. Keywords: Birth length, Birth weight, Exclusive breastfeeding, Maternal weight, Stunting
PELAYANAN KEPERAWATAN SECARA HOLISTIK BERHUBUNGAN DENGAN KEPUASAN PASIEN RAWAT INAP: HOLISTIC NURSING CARE ASSOCIATED WITH INPATIENT SATISFACTION Nur Yeti Syarifah; Patria Asda
GEMA KESEHATAN Vol. 15 No. 1 (2023): Juni 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v15i1.330

Abstract

Pasien yang dirawat inap terutama di ruang penyakit dalam memiliki permasalahan yang lengkap tidak hanya dalam aspek biologis namun juga aspek psikologis, sosiologis dan spiritual. Dengan demikian perawat mempunyai peran yang sangat penting dalam memberikan pelayanan secara holistik. Dalam  kenyataannya, pelayanaan keperawatan di rumah sakit secara menyeluruh belum terlaksana secara optimal terutama pada pasien dengan penyakit kronis atau pasien yang berresiko mengalami masalah psikologis. Pemberian pelayanan keperawatan secara holistik dipercaya dapat meningkatkan kenyamanan pasien dalam menjalankan pengobatan, yang pada akhirnya meningkatkan kepuasan pasien. Pelayanan keperawatan secara holistik perlu dilakukan untuk meningkatkan kualitas pelayanan di rumah sakit.  Tujuan dari penelitian ini adalah mengetahui hubungan pelayanan keperawatan holistik dengan kepuasan pasien di ruang rawat inap.  Rancangan penelitian menggunakan cross sectional survey dan sampel di pilih dengan purposive sampling sejumlah 32 orang. Analisa data menggunakan analisa univariate dan  bivariate menggunakan uji statistik somers’d. Hasil penelitian menunjukkan pelayanan keperawatan holistik dalam kategori baik (62,5%) dan kepuasan pasien kategori puas (65,6%). Hasil uji korelasi menemukan hubungan antara pelayanan keperawatan holistik dengan kepuasan pasien  (sig 0,000<0,05). Kesimpulan penelitian menyatakan bahwa pemberian pelayanan keperawatan secara holistik berhubungan dengan kepuasan pasien rawat inap. Kata kunci : Kepuasan pasien, Pelayanan keperawatan holistik, Rawat inap   Hospitalized patients, especially in the internal medicine room, have complete biological, psychological, sociological, and spiritual problems. Nurses have a vital role in providing holistic nursing services. In reality, sometimes, nursing services in hospitals have not been carried out optimally, especially in patients with chronic diseases or patients who are at risk of experiencing psychological problems. Implementing holistic nursing services could increase patient comfort in treatment, increasing patient satisfaction. Holistic nursing services need to be done to improve the quality of services in hospitals. This study aims to determine the correlation between holistic nursing services and patient satisfaction. This research design was cross-sectional, and the purposive method took 32 respondents as the sample. Data were analyzed using univariate and Somers's statistical tests. The results of this study showed that holistic nursing services were in the excellent category (62.5%), and patient satisfaction was in the satisfied class (65.6%). The results of the correlation variable found a relationship between holistic nursing services and patient satisfaction (sig 0.000<0.05). This study's conclusion showed that implementing holistic nursing services is associated with patient satisfaction. Keywords: Inpatient, Nursing holistic services, Patient satisfaction    
PARENTS ROLE IN PROVIDING INFORMATION ABOUT ADOLESCENT REPRODUCTIVE HEALTH IN MALANG REGENCY Lisa Purbawaning Wulandari; Tarsikah
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
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Abstract

Adolescence is the right time to prepare for a healthy reproductive process. Aspects that are very important for adolescents are the physical, mental, and social aspects. The role of parents is crucial in imparting knowledge to adolescents. Many teenagers are ashamed and afraid of being scolded or punished when discussing reproductive health with their parents. This research aims to examine parents' role in providing education and the reasons for not providing education about adolescent reproductive health in Malang Regency. This research method is descriptive with a cross-sectional approach. The research sample was taken through purposive sampling, obtaining 100 respondents who met the inclusion and exclusion criteria. Data was collected through a questionnaire and processed with a frequency distribution. Research findings show that less than half of the respondents have a suitable category (35.2%) in providing information about adolescent reproductive health. This offers parents a subordinate role in educating their children about adolescent reproductive health. The subordinate role is due to the lack of parental knowledge about adolescent reproductive health (68%). Education about adolescent reproductive health needs to be given to parents so that parents have the ability and can carry out their role as providers of information about adolescent reproductive health. Keywords: Adolescent reproductive health, Information provider, The role of parents
PRESCRIPTION COMPLETNESS FOR MALARIA PATIENTS AT ABEPURA COMMUNITY HEALTH CENTER, JAYAPURA CITY Dzukharian Munandar; Brechkerts Lieske Angruni Tukayo; Rahayu Samalo; Mersi Naomi Rumayomi
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
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Abstract

A prescription, according to the definition based on the Minister of  Health, is a request written by a doctor or dentist to a pharmacist to prepare and deliver drugs to patients according to applicable regulations. Before submitting a prescription, it is necessary to examine administrative, pharmaceutical, and clinical aspects to reduce medication errors and increase patient safety rates. This study aims to describe the completeness of prescriptions for malaria patients at the Abepura Health Center. This type of research was descriptive, with secondary data collection from malaria patient prescriptions for one month. The study's results obtained 169 pills and grouped by age; the highest was in the 17-25 year age group with 50 patients (29.6%). Malaria sufferers were dominated by men, namely 110 patients (65%). According to the completeness of prescriptions, regarding patient data, 157 pills (93%) were complete; regarding doctor data, 169 medicines were incomplete (100%); regarding drug data, 112 prescriptions (66.3%) were done; and other administrative related data were 169 prescriptions. Complete (100%). Medicines for patients with malaria at the Abepura Health Center are not exclusive. Keywords: Complete prescriptions, Community health center, Malaria prescriptions
EFFECT OF CALCIUM AND VITAMIN D SUPPLEMENTATION IN PREGNANT WOMAN WITH HYPERTENSION AT SENTANI COMMUNITY HEALTH CENTER Martina Mogan; Endang Trisnawati
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.vi.341

Abstract

Low calcium intake causes an increase in high blood pressure by stimulating the release of parathyroid hormone and renin, which causes an increase in intracellular calcium concentration in the smooth muscle cells of blood vessels and results in vasoconstriction. This study aims to determine the effect of giving calcium and vitamin D supplements to pregnant hypertension women on the anthropometric outcomes of newborns. The research design was quasi-experimental with two groups of post-test-only design. A respondent of 30 hypertension pregnant women at 28-32 weeks of gestation was selected by purposive sampling—data analysis using Mann Whitney. Calcium supplements (2 x 500 mg/day) and vitamin D3 (400 IU/day) were administered and monitored for eight weeks to 15 pregnant women as the intervention group and 15 pregnant women as the control group who were assumed to receive calcium supplements from the Health Service Program. Data on blood pressure and calcium levels were taken before and after eight weeks of intervention. The results showed that there was a significant difference in mean blood pressure between the control and intervention groups, with a p-value of systolic blood pressure (0.002) and a p-value of diastolic blood pressure (0.014), and the average decrease in blood pressure was more significant in the intervention group. There were differences in anthropometric results between the intervention group and the control group, with p-value s ​​for body weight (0.000), body length (0.000), and head circumference (0.000). The intervention group's average weight, length, and head girth were higher than the control group's. Thus, for eight weeks, calcium and vitamin D supplementation in hypertensive pregnant women can reduce blood pressure and result in better baby weight, body length, and head circumference. Keywords: Anthropometry, Calcium, Hypertension, Vitamin D
PENGARUH KONSTRUKSI TERHADAP KUALITAS BAKTERIOLOGIS COLI TINJA DAN STRATEGI PENGENDALIAN PADA AIR SUMUR GALI DI KOYA BARAT MUARA TAMI KOTA JAYAPURA: THE EFFECT OF CONSTRUCTION ON THE BACTERIOLOGICAL QUALITY OF FECAL COLIFORM AND STRATEGIES IN CONTROLLING DUG WELL WATER AT KOYA BARAT MUARA TAMI, JAYAPURA CITY Amiruddin; Novita Medyati; Auldry F Walukow
GEMA KESEHATAN Vol. 15 No. 1 (2023): Juni 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v15i1.395

Abstract

Konstruksi sumur gali yang  tidak memenuhi syarat sesuai dengan persyaratan yang dikeluarkan oleh Kepmen PUPR tahun 2016 tentang pembuatan sumur gali dapat menyebabkan air sumur gali mudah terkontaminasi melalui rembesan yang berasal dari kotoran manusia ataupun hewan, dikarenakan sumur gali menyediakan air yang berasal dari lapisan tanah yang dekat dengan permukaan. Penelitian ini bertujuan menganalisis pengaruh konstruksi sumur gali terhadap bakteriologis coli tinja dan  menganalisis strategi pengendalian bakteriologis coli tinja air sumur gali. Jenis penelitian deskriptif analitik yang mana dilakukan penilaian kondisi fisik, menganalisis kandungan bakteriologis coli tinja menggunakan metode Most Probable Number, menganalisis pengaruh  konstruksi sumur gali terhadap bakteriologis coli tinja menggunakan uji Chi-Square dengan aplikasi SPSS versi 19, serta menganalisis strategi pengendalian kualitas bakteriologis coli tinja menggunakan analisis SWOT. Populasi berjumlah 170 sumur gali. Sampel diambil 20% berdasarkan Arikunto 170 x 0,20 = 34 sumur gali. Hasil penelitian menunjukkan terdapat pengaruh dinding dan bibir sumur gali terhadap kualitas bakteriologis coli tinja dengan nilai sig. (0,000), terdapat pengaruh lantai sumur gali terhadap kualitas bakteriologis coli tinja dengan nilai sig. (0,005), strategi yang digunakan dalam pengendalian kualitas bakteriologis coli tinja di Koya barat adalah strategi memanfaatkan kekuatan (strengths) untuk menghindari ancaman (threats) yaitu meningkatkan kualitas air sumur gali seiring bertambahnya jumlah penduduk, meningkatkan  pengelolaan limbah peternakan dengan baik, meningkatkan cara pembuatan septictank yang memenuhi syarat, meningkatkan informasi kepada masyarakat cara pembuatan sumur gali yang baik, meningkatkan informasi dan pengawasan kepada masyarakat tentang pentingnya menjaga kualitas air agar terhindar dari berbagai penyakit. Kata Kunci: Air sumur, Bakteriologis coli tinja, Konstruksi   The construction of dug wells that do not meet the requirements by the requirements issued by the Minister of PUPR in 2016 can cause explored well water to be easily contaminated through seepage originating from human or animal feces because dug wells provide water that comes from layers of soil close to the surface. This study aimed to analyze the effect of the construction of drilled wells on the bacteriology of fecal coli and the bacteriological control strategies of fecal coli in searched well water. This type of research is Analytical Descriptive where the physical condition is assessed, analyzing the bacteriological content of fecal coli using the Most Probable Number method, analyzing the effect of dug well construction on the bacteriological fecal coli using the Chi-Square test with the SPSS application version 19 and exploring the bacteriological quality control strategy of fecal coli using analyzing SWOT. The population is 170 dug wells. Samples were taken 20% based on Arikunto 170 x 0.20 = 34 drilled wells. The results showed that there was an effect of the walls and lip of the dug well on the bacteriological quality of fecal coli with a sig value (0.000), there was an effect of the floor of the searched well on the bacteriological quality of fecal coli with a sig value (0.005), the strategy used in controlling the bacteriological quality of fecal coli in Koya west is a strategy of utilizing strengths to avoid threats, namely improving the quality of dug well water as the population increases, improving livestock waste management properly, improving how to make septic tanks that meet the requirements, increasing information to the public on how to make good dug wells, increasing knowledge and supervision to the public about the importance of maintaining water quality to avoid various diseases. Keywords: Bacteriology of fecal coli, Construction, Well water  
PENGARUH PEMBERIAN SUPLEMEN VITAMIN C TERHADAP KADAR GLUKOSA DARAH PUASA PADA PASIEN PENDERITA DIABETES MELITUS TIPE 2: THE EFFECT OF VITAMIN C ADMINISTRATION ON FASTING BLOOD GLUCOSE LEVELS IN PATIENTS WITH DIABETES MELITUS TYPE 2 Heny Yulia Rahmawati; Mustaming; Sresta Azahra
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.v15i1.402

Abstract

Pemberian antioksidan dapat menjadi salah satu upaya mengatasi stress oksidatif. Salah satu antioksidan yaitu vitamin . Vitamin C adalah salah satu antioksidan yang bermanfaat dalam menghambat aktivitas radikal bebas dan berperan dalam meningkatkan jumlah insulin, berkontribusi mencegah penurunan massa sel beta dan mengurangi toksisitas glukosa,  memodulasi aksi insulin pada penderita DM, terutama dalam metabolisme glukosa non oksidatif. Tujuan penelitian ini untuk mengetahui pengaruh pemberian suplemen vitamin C terhadap kadar glukosa darah puasa pada pasien diabetes melitus tipe 2. Vitamin C mempunyai struktur yang mirip dengan glukosa sehingga vitamin C dapat menggantikannya dalam proses glikolisis non enzimatik. Vitamin C sebagai antioksidan dapat meningkatkan insulin sehingga mampu menurunkan kadar glukosa darah dan mengurangi toksisitas dari glukosa.  Metode penelitian bersifat quasi eksperimen dengan pre and post test without control. Teknik sampel consecutive sampling. Sampel penelitian sebanyak 32 sampel dengan responden diberikan suplemen vitamin C dosis 250mg/hari selama 5 hari. Analisa data menggunakan uji Wilcoxon. Hasil penelitian didapatkan rata-rata kadar glukosa darah puasa sebelum konsumsi suplemen vitamin C sebesar 255mg/dL sedangkan rata-rata kadar glukosa darah puasa setelah konsumsi suplemen vitamin C sebesar 252,47 mg/dL. Hasil uji Wilcoxon didapatkan p <  (0,05), yaitu p value = 0,032 yang berarti ada pengaruh konsumsi suplemen vitamin C terhadap kadar glukosa darah puasa pada pasien penderita diabetes melitus tipe 2. Kesimpulan penelitian yaitu ada pengaruh konsumsi suplemen vitamin C terhadap kadar glukosa darah puasa pada pasien penderita diabetes melitus tipe 2. Kata kunci: Glukosa Darah, Pasien diabetes mellitus Tipe 2, Vitamin C   Giving antioxidants can be an effort to overcome oxidative stress. One of the antioxidants is vitamins. Vitamin C is a good antioxidant and helps inhibit free radical activity and contributes to increasing the amount of insulin, preventing a decrease in beta cell mass and reducing glucose toxicity, modulating insulin action in DM patients, especially in non-oxidative glucose metabolism. This study aimed to determine the effect of vitamin C supplements on fasting blood glucose levels in patients with type 2 diabetes mellitus. The research method is quasi-experimental with pre and post-test without control—consecutive sampling technique. The research sample consisted of 32 samples with respondents being given vitamin C supplements at a dose of 250 mg/day for five days—data analysis using the Wilcoxon test. The results showed that the average fasting blood glucose level before taking vitamin C supplements was 255mg/dL. In comparison, the intermediate fasting blood glucose level after taking vitamin C supplements was 252.47 mg/dL. Wilcoxon test results obtained p < (0.05), i.e., p-value = 0.032, meaning that vitamin C supplement consumption affects fasting blood glucose levels in patients with type 2 diabetes mellitus. Fasting blood in patients with type 2 diabetes mellitus. Equations. Keywords: Blood glucose, Type 2 diabetes mellitus patients, Vitamin C
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA KEHAMILAN TRIMESTER III: FACTORS ASSOCIATED WITH ANEMIA IN THE 3rd TRIMESTER OF PREGNANCY Fitra Arsy Nur Cory'ah; Suwanti Suwanti; Ni Nengah Arini Murni
GEMA KESEHATAN Vol. 15 No. 1 (2023): Juni 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v15i1.406

Abstract

Prevalensi anemia secara global pada kehamilan masih cukup tinggi, salah satunya di Indonesia yang merupakan negara yang sedang berkembang Anemia dalam kehamilan berkaitan erat dengan morbiditas bahkan mortalitas pada ibu serta bayi, serta meningkatkan kasus keguguran, kelahiran prematur, infeksi, bahkan anemia zat besi yang dapat mempengaruhi pertumbuhan dan perkembangan janin hingga dewasa jika tidak tertangani dengan baik. Faktor eksternal lainnya yang dapat biasa berkontribusi terhadap terjadinya anemia pada kehamilan, meliputi usia, pekerjaan, pendidikan, pendapatan keluarga, tingkat pengetahuan, jumlah anak, jarak kehamilan, dan komitmen ibu hamil untuk minum tablet tambah darah dan lain sebagainya. Tujuan penelitian ini untuk menganalisis hubungan faktor penyebab dengan kejadian anemia pada kehamilan trimester III di Puskesmas wilayah kota Mataram dan Lombok Barat. Rancangan dari penelitian ini yaitu korelasional melalui pendekatan crossectional. Populasi penelitian yaitu ibu hamil dan dengan jumlah sampel 188 orang. Data di analisis  secara bivariat dan multivariat. Hasil penelitian didapatkan bahwa terdapat hubungan antara usia p-value 0,036, pendapatan p-value 0,037 dan kepatuhan mengkonsumsi Fe p-value 0,031 dengan kejadian anemia pada ibu hamil. Diharapkan pihak puskesmas secara berkesinambungan dapat meningkatkan upaya promotif dan preventif dalam mengatasi anemia pada kehamilan. Kata Kunci: Anemia, Kehamilan, Trimester III   Globally, anemia in pregnancy is still very high, mostly in developing countries, including Indonesia. Decreasing hemoglobin in our blood, primarily during pregnancy, is closely related to morbidity and mortality. It increases the risk of miscarriage, premature birth, infection, and even iron deficiency anemia which often occurs in pregnancy and can hurt the growth and development of a fetus or baby to adulthood if not appropriately handled. Other external factors contributing to anemia in pregnancy include age, profession, education, family income, level of knowledge, parity, the distance between pregnancies, and the commitment of pregnant women to take vitamins during pregnancy, etc. This study aims to analyze the relationship between the causal factors and the case of anemia in the third trimester of pregnancy at Primary Health Care in Mataram and West Lombok—the research designed by correlational study with a cross-sectional. The population of this research is pregnancies, with a total sample are 188 peoples: Bivariate and multivariate analysis. The research results were obtained. There is a correlation between age p-value of 0.036, income p-value of 0.037, and adherence to consuming Fe p-value of 0.031 with the incidence of anemia in pregnancies. It is hoped that the puskesmas can continuously improve promotive and preventive efforts in overcoming anemia in pregnancy. Keywords: Anemia, Pregnancy, 3rd Trimester
STRATEGI SEFT (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) DALAM MENANGGULANGI PEROKOK AKTIF PADA REMAJA: THE SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE ON DECREASING ACTIVE SMOKER AMONG ADOLESCENT Azmy Ali Muchtar; H.M.Ali Muchtar
GEMA KESEHATAN Vol. 15 No. 1 (2023): Juni 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v15i1.411

Abstract

Seluruh pihak sependapat bahwa rokok dapat merugikan banyak hal dan banyak orang, bungkus rokok sudah memasang berbagai himbauan agar orang tidak merokok atau sekedar berpikir efek dari rokok yang terparah yaitu dapat menyebabkan kematian, akan tetapi masih banyak orang yang menentukan untuk membeli rokok dan merokok. Fenomena remaja yang merokok merupakan bukan suatu hal baru akan tetapi semakin tahun perokok remaja jumlahnya semakin meningkat dan mengkhawatirkan. Maka dari itu sangat diperlukan sebuah metode therapy untuk menghilangkan kecanduan rokok para remaja. Spiritual Emotional Freedom Technique (SEFT) diyakini merupakan sebuah solusi metode yang tepat untuk menghilangkan kecanduan merokok pada remaja khususnya. Tujuan dari penelitian ini ialah untuk memberitahukan hasil penerapan Strategi Seft (Spiritual Emosional Freedom Technique) dalam menanggulangi perokok aktif dikalangan remaja. Metode penelitian dalam penelitian ini ialah quasi experimental dengan model pretest dan posttest dengan sampel sebanyak 13 remaja yang masih berstatus pelajar yang berada dalam rentang usia 13 – 16 tahun dan merupakan remaja yang merokok. Hasil penelitian ini menyatakan bahwa terdapat 12 data negatif (N) yang artinya ke 12 peserta penelitian “siswa” perilaku merokoknya menurun dari nilai pre test ke nilai post test. Besaran nilai rata-rata dari penurunan itu adalah 6.50. Adapun nilai 78.00 merupakan rengking negatif/Sum of Ranks. Berdasarkan output “Test Statitics” nilai Asymp Sig (2-tailed) sebesar 0,002. Nilai 0,002 lebih kecil daripada < 0,05 sehingga disimpulkan bahwa perilaku merokok pada remaja mengalami perbedaan dan ditarik sebuah kesimpulan bahwa “terapi seft dapat menurunkan kecanduan merokok pada remaja”. Kata Kunci: Perokok aktif,  Remaja, Terapi spiritual emotional freedom technique   All parties agree that smoking can harm many things. Many people, cigarette packs have posted various appeals so that people don't smoke or think the worst effect of smoking is that it can cause death. However, many people still decide to buy cigarettes and smoke. The phenomenon of teenagers smoking is not new. Still, the number of teenage smokers is increasing and worrying every year. Therefore, a therapeutic method is needed to eliminate smoking addiction among teenagers. The Spiritual Emotional Freedom Technique (SEFT) is believed to be an appropriate solution for eliminating adolescent smoking addiction. This study aims to inform the results of implementing the Seft Strategy (Spiritual Emotional Freedom Technique) in tackling active smoking among adolescents. The research method in this study was quasi-experimental with pretest and posttest models with a sample of 13 adolescents who were still students in the age range of 13-16 years and were teenagers who smoked. The results of this study stated that there were 12 harmful data (N), which means that the 12 study participants "students" smoking behavior decreased from the pre-test scores to the post-test values. The average value of the decrease is 6.50. The value of 78.00 is a ranking..negative/Sum..of.Ranks. Based on the output of "Test Statistics," the importance of Asymp Sig (2-tailed) is 0.002. The value of 0.002 is more minor than <0.05, so it is concluded that smoking behavior in adolescents is different, and a conclusion is drawn that "soft therapy can reduce smoking addiction in adolescents. "      Keywords: Active smokers, Adolescents, Spiritual emotional freedom technique therapy  

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