Jurnal Delima Harapan

GAMBARAN PENERAPAN HIGIENE SANITASI PADA PEDAGANG KAKI LIMA DI KOTA GRESIK JAWA TIMUR

Desie Rahmawati — 2024-09-27

Latar Belakang: Higiene sanitasi makanan pada Pedagang Kaki Lima (PKL) merupakan aspek penting dalam menjaga kesehatan masyarakat yang mengonsumsi makanan dari pedagang tersebut. Makanan yang terkontaminasi dapat menjadi sumber penyakit salah satunya dapat menyebabkan keracunan. Kasus keracunan makanan yang terjadi di Gresik tahun 2018 sebanyak 6 kasus dan tahun 2019 terjadi peningkatan yaitu sebanyak 23 kasus.

Tujuan: Penelitian ini bertujuan untuk menggambarkan higiene dan sanitasi pada PKL yang berjualan di sekitar kampus Universitas Gresik di Jalan Arif Rahman Hakim Kota Gresik, Jawa Timur.

Metode: Penelitian ini menggunakan metode analisis deskriptif. Sasaran/subyek penelitian adalah PKL yang berjualan di sekitar kampus Universitas Gresik di sepanjang Jalan Arief Rahman Hakim Kota Gresik Jawa Timur yang berjumlah 30 orang. Instrumen pengumpulan data yang digunakan berupa kuesioner pengetahuan tentang hygiene sanitasi dan lembar observasi higiene sanitasi.

Hasil: Hasil penelitian menunjukkan bahwa mayoritas PKL di sekitar Universitas Gresik memiliki pengetahuan tentang higiene sanitasi dalam kategori sedang yaitu sebanyak 70%. Hasil observasi menunjukkan bahwa sebagian besar PKL memiliki personal hygiene dalam kategori kurang yaitu sebanyak 17 orang (56,7%), sebanyak 16 orang (53,3%) telah menggunakan bahan pangan yang bersih dan aman dengan baik dan sebanyak 19 orang (63,4%) telah menggunakan peralatan/tempat yang cukup bersih dan aman bagi kesehatan.

Kesimpulan: Sebagian besar PKL di sekitar kampus Universitas Gresik memiliki pengetahuan dalam kategori sedang sehingga diperlukan adanya sosialisai tentang higiene sanitasi makanan untuk meningkatkan pengetahuan PKL.

HUBUNGAN RIWAYAT PERNIKAHAN USIA DINI DENGAN KEJADIAN STUNTING DI WILAYAH UPT PUSKESMAS SUNGAI TABUK 2 KABUPATEN BANJAR

Aghus Triani Holyza Safitri — 2024-09-27

Background: Stunting is a global nutritional problem in developing countries which is
characterized by chronic shorter body height compared to age. One of the causes of
stunting is early marriage. Early marriage is marriage to teenagers under 20 years of age
which is thought to be one of the causes of stunting in children. Objective: To find out the
relationship between the history of early marriage and the incidence of stunting in the UPT
area of Sungai Tabuk 2 Community Health Center, Banjar Regency. Method: Quantitative
analytical observational research with a cross sectional design. The sample in the research
was 30 toddlers aged 2-5 years. Samples were taken using accidental sampling technique.
Data collection uses questionnaires and anthropometric measurements. Data analysis
used univariate and bivariate Chi Square tests. Results: The majority of mothers under
five's occupation are not working as many as 25 people (83.3%), the education of mothers
under five has completed elementary school as many as 14 people (14.7%), the gender of
toddlers is mostly male as many as 17 people (56.7%) and age toddlers 36-48 years old 13
people (43.3%). There were 18 toddlers who experienced stunting (60%) and 17 people
(56.7%) had a mother's history of early marriage. The results of the correlation analysis
show that there is a relationship between a history of early marriage and the incidence of
stunting in toddlers (p-value = 0.013 < α 0.05) with an OR value of 10.500. There is a
relationship between a history of early marriage and the incidence of stunting in toddlers.
Conclusion: Pregnant women should carry out pregnancy checks at least 6 times to
monitor the baby's development. Community health centers and health institutions can
provide education about safe marriage ages for women and education about reproductive
health for teenagers.

HUBUNGAN HYPEREMESIS GRAVIDARUM DAN KEKURANGAN ENERGI KRONIK DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH PUSKESMAS GADANG HANYAR BANJARMASIN

Junia Fitria Naipon — 2024-09-27

Latar belakang: Anemia merupakan masalah pada kehamilan dampaknya bisa menyebabkan abortus, pertumbuhan janin terhambat, BBLR, mudah terjadi infeksi, ancaman dekompensasi kordis, pendarahan, dan ketuban pecah dini. Anemia bisa disebabkan oleh beberapa faktor seperti seperti hyperemesis gravidarum, kekurangan energi kronik dll. Tujuan: Untuk mengetahui hubungan antara hyperemesis gravidarum dan kekurangan energi kronik dengan kejadian anemia pada ibu hamil. Metode: Menggunakan metode kuantitatif dengan desain penelitian deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 45 ibu hamil menggunakan tekhik total sampling yang memiliki kriteria inklusi seperti ibu bisa baca tulis, bersedia menjadi responden dan memiliki buku KIA. Penelitian ini menggunakan analisis univariat dan bivariat yang selanjutnya dilakukan uji Chi- Square. Hasil: Berdasarkan hasil analisis bivariat hyperemesis gravidarum dengan kejadian anemia pada ibu hamil menunjukan p-value sebesar 0,000 (p < 0,05) yang berarti terdapat hubungan yang signifikan antara hyperemesis gravidarum dengan kejadian anemia pada ibu hamil. Hasil analisis kekurangan energi kronik dengan kejadian anemia pada ibu hamil menunjukan p-value sebesar 0,000 (p < 0,05) yang berarti terdapat hubungan yang signifikan antara dengan kekurangan energi kronik kejadian anemia pada ibu hamil. Simpulan: Ibu hamil dengan hyperemesis gravidarum dan kekurangan energi kronik disarankan untuk meupayakan mengosumsi makanan dalam porsi kecil tapi sering untuk meningkatkan nutrisi ibu selama kehamilan agar tidak terjadi masalah anemia. Serta meningkatkan asupan gizi dengan mengonsumsi tablet Fe, dan memeriksakan kehamilannya kepada petugas kesehatan.

The Physiotherapy Study Program PENATALAKSANAAN FISIOTERAPI PADA KASUS LOW BACK PAIN (LBP) e.c ISCHIALGIA DENGAN TERAPI SHORT WAVE DIATHERMY (SWD) DAN WILLIAM FLEXION EXERCISE DI RS. BHAYANGKARA PUSDIK BRIMOB WATUKOSEK

Muhimmatul Khoiroh — 2024-09-27

Background : Currently, lifestyles are increasingly deviating from healthy lifestyle standards, and as a result many people are suffering from diseases with neurological symptoms such as musculoskeletal problems, one of which is LBP or Low Back Pain which is lower back pain that occurs in the paralumbar area. There are several etiologies of LBP, one of which is Ischialgia or Sciatic Pain. Ischialgia is a feeling of pain and tingling from the lower back to the knee due to pinching of the sciatic nerve. Lower back pain can be reduced in intensity using Short Wave Diathermy (SWD) and William Flexion Exercise. Results of preliminary studies at the hospital's medical rehabilitation clinic. Bhayangkara Pusdik Brimob Watukosek in 2023 found a total of 87 cases of LBP e.c. Ischialgia patients, therefore the author was interested in finding out the effectiveness of these two modalities for one of the respondents to be used as a research subject for scientific writing using the case study method.

Objective: Have experience regarding the physiotherapy management of LBP e.c. Ischialgia with Short Wave Diathermy therapy and William Flexion Exercise at the hospital. Bhayangkara Pusdik Brimob Watukosek.

Method: In the case of Low Back Pain e.c Ischialgia, Short Wave Diathermy therapy and William Flexion Exercise were used.

Results: Physiotherapy treatment during 6 therapy sessions showed a decrease in pain, an increase in joint range of motion, an increase in muscle strength values, and an increase in functional activity.

Conclusion: Using the two modalities of SWD and William Flexion Exercise for 6 therapy sessions, it was found that there was a reduction in pain, an increase in joint range of motion, an increase in muscle strength values, and an increase in functional activity.

PENGARUH METODE KANGAROO MOTHER CARE (KMC) DENGAN PENINGKATAN BERAT BADAN DAN STABILITAS SUHU TUBUH BBLR DI RSUD dr. H. MOCH. ANSARI SALEH BANJARMASIN

Dina Aulia Sari — 2024-09-27

Background: Low birth weight (LBW) babies are babies whose birth weight is less than 2500 grams. Problems that may arise in LBW cases include unstable body temperature, respiratory problems, digestive and nutritional disorders, weak suction reflex, intestinal morbidity which results in decreased body weight, liver immaturity, anemia, seizures, infections, hypoglycemia, hyperglycemia and hypocalcemia. The intervention that can be carried out is the use of the kangaroo mother care (KMC) method. The KMC concept imitates the way kangaroos store their babies in a pouch on their stomachs, allowing heat to flow from the mother's body to the baby kangaroo so that it stays alive and avoids hypothermia. Objective: This study aims to analyze the effect of the KMC method on increasing body weight and stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Method: This quantitative research uses a pre-experimental design with one group pretest-posttest. The sampling technique used purposive sampling and obtained 15 respondents. Data analysis uses 2 types of tests. Paired sample T-Test was used to analyze LBW body weight before and after KMC method treatment because the data was normally distributed. Meanwhile, the Wilcoxon test was used to analyze the effect of LBW body temperature before and after KMC treatment because the data was not normally distributed. Results: Analysis of the effect of LBW body weight before and after KMC method treatment obtained a p-value of 0.000. The p-value in the test for the effect of LBW body temperature before and after KMC treatment was found to be 0.001. Conclusion: Looking at the existing results, it can be seen that there is a p value of less than <0.05, meaning that there is a significant difference in the data in the positive direction or an increase before and after the KMC method treatment for both the weight variable and the stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Based on these results, it was concluded that there was an influence between the KMC method and increasing body weight and stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin

HUBUNGAN MOTIVASI IBU DENGAN KELENGKAPAN IMUNISASI DASAR ANAK DI WILAYAH KERJA UPTD PUSKESMAS TAMIANG LAYANG

Lela Salasikin — 2024-09-27

Background: Immunisation is one of the cheapest health investments, as it can prevent and reduce the incidence of illness, disability, and death due to Immunisation Preventable Diseases (PD3I). One of the factors for low immunisation rates is the lack of motivation of mothers to bring their children to the posyandu for immunisation.

Objectives: Knowing the Relationship between Maternal Motivation and Completeness of Basic Immunisation of Children in the Working Area of UPTD Puskesmas Tamiang Layang. Methods: Analytical Observational Research with cross sectional design. The study population was infants recorded in June - August 2024 in the work area of UPTD Puskesmas Tamiang Layang (posyandu) as many as 54 toddlers. The sample of this study were toddlers aged 9 to 12 months who were taken using accidental sampling technique as many as 48 people. Data collection using a questionnaire. Data were analysed using the chi square test. Results: The majority of respondents with good motivation were 27 people (56.3%) and respondents with complete immunisation status of their toddlers were 29 people (60.4%). Statistical test results using the chi square test showed a p value of 0.000 (<0.05) so it can be concluded that there is a relationship between maternal motivation and child immunisation at UPTD Puskesmas Tamiang Layang. Maternal motivation is causally related to complete basic immunisation because the better the mother's motivation, the mother will provide complete basic immunisation to the baby, but conversely the less the mother's motivation, the mother does not provide complete basic immunisation. Conclusion: There is a relationship between maternal motivation and child immunisation at UPTD Puskesmas Tamiang Layang. Health workers are advised to increase health promotion about immunisation so that mothers have knowledge and increase their motivation to provide basic immunisation to children.

HUBUNGAN BREASTFEEDING DENGAN KEJADIAN STUNTING DI PUSKESMAS ALALAK SELATAN BANJARMASIN

Maulidatun Nisa — 2024-09-27

Background: The incidence of stunting in Indonesia has still not reached the national target of <14%. Exclusive breastfeeding is one strategy to accelerate stunting reduction, but its coverage has still not reached the national target of 80%. One of the reasons why exclusive breastfeeding coverage is not optimal is that working mothers are busy so they do not have time to breastfeed their children. Providing breast milk using the breast pump method is a solution to continue providing exclusive breast milk to prevent stunting in children. Objective: To determine the relationship between breast feeding using the breast pump method and the incidence of stunting at the South Alalak Community Health Center, Banjarmasin. Method: Quantitative research with a correlational analytical design on 30 mothers of babies aged 6-12 months who were selected using a purposive sampling technique. Data were collected using observation sheets and analyzed using the Spearman rank test. Results: Most of the mothers, totaling 21 out of 30 samples (70%) did not breastfeed using the breast pump method and most of the toddlers, totaling 18 out of 30 toddlers (60%) were stunted children. Fisher's exact test results show a value of p = 0.000 < α 0.05, which means there is a relationship between breast feeding using the breast pump method and the incidence of stunting. Conclusion: There is a relationship between breast feeding using the breast pump method and the incidence of having stunted children. Breastfeeding facilities in the office are very necessary to support exclusive breastfeeding and prevent stunting.

EFEKTIFITAS PENINGKATAN PENGETAHUAN REMAJA PUTRI TENTANG PENCEGAHAN KEPUTIHAN DENGAN MEDIA LEAFLET DAN E-BOOK

Novida Nengsih — 2024-09-27

Background : Vaginal discharge is a disorder that often occurs in adolescence, in the form of a vaginal condition where fluid resembles pus. Vaginal discharge tends to have a foul odor, is greenish in color and is sometimes accompanied by itching. If not treated properly, vaginal discharge can disrupt the function of the female reproductive organs which can cause infertility. Healthy behavior must be carried out by teenagers to avoid reproductive health problems. Lack of knowledge is an inhibiting factor for healthy behavior.

Method : This quantitative research uses a quasi experimental pretest posttest group design. The research divided into two treatment groups, namely the vaginal discharge prevention counseling group for adolescent girls who were given leaflets and the vaginal discharge prevention counseling group for adolescent girls who were given an E Book. This research was conducted at SMK N 4 Muaro Jambi Regency. The population of this study were all young women at SMK N 4 Muaro Jambi Regency, totaling 148 respondents. Samples were taken using stratified proportional random sampling. The analysis test uses the paired t test.

Result : The results of the analysis of the influence of leaflet health education on knowledge of vaginal discharge prevention in young women obtained p value = 0.000. The test results of the effect of E-Book health education regarding the prevention of vaginal discharge obtained p value = 0.000. This p value of 0.000 shows that there is an influence of knowledge about preventing vaginal discharge in young women using both leaflets and e-books. The results of the effectiveness test, the average knowledge of young women after being given health education with leaflets was 15.64. The average knowledge value of young women after being given health education using E Book media is 16.23. The results of the analysis test obtained p value = 0.005.

Conclusion : So it was concluded that there was an increase in the knowledge of young women regarding the prevention of vaginal discharge and it was stated that the E-book media was more effective in increasing the knowledge of young women regarding the prevention of vaginal discharge.

HUBUNGAN RIWAYAT KEHAMILAN REMAJA (12-18 TAHUN) DAN JARAK KELAHIRAN DENGAN KEJADIAN STUNTING PADA BALITA DI PUSKESMAS PEKAUMAN BANJARMASIN

Santia Andira Pradini — 2024-09-27

Background: Teenage pregnancy can be a cause of stunting in children. This is because teenagers usually do not receive sufficient education regarding pregnancy and baby nutritional care. Stunting is a condition of failure to thrive in children under five years of age (toddlers) due to chronic malnutrition. Apart from the mother's history of teenage pregnancy, the birth spacing of toddlers is also a cause of stunting in toddlers. Objective: This study aims to analyze the relationship between history of teenage pregnancy and birth interval with the incidence of stunting in toddlers at the Pekauman Community Health Center, Banjarmasin. Method: Quantitative research with a descriptive correlation type with a cohort retrospective approach. The research was carried out in May-June 2023. The sample was 103 people using accidental sampling technique who met the inclusion criteria. Data were collected using anthropometric examination observation sheets and short interviews. Analyzed univariately and bivariately using the chi square test. Results: The number of mothers with completed elementary school/equivalent education was (76.7%), the number of mothers who did not work was (93.2%), the gender of the toddlers was female (55.3%), the number of toddlers aged 24-36 months was (78 .6%), 64 (62.1%) children under five experienced stunting, 84 (81.6%) teenage pregnancies and 55 (53.4%) normal birth spacing (≥2 years). The results of the analysis showed that there was a relationship between teenage pregnancy (p=0.000 < 0.05) with an OR value of 0.238 and birth spacing (p=0.000 < 0.05) with an OR value of 5.2 and the incidence of stunting among toddlers at the Pekauman Community Health Center, Banjarmasin. Conclusion: There is a relationship between a history of teenage pregnancy and birth spacing with the incidence of stunting among toddlers at the Pekauman Community Health Center, Banjarmasin. Therefore, it is important to educate teenagers and mothers about safe pregnancies aged >20 years, maintaining birth spacing >2 years and monitoring children's growth and development every month.

The INFLUENCE OF COUNSELING ON FIBROADENOMA MAMMAE (FAM) ON THE SKILLS OF EARLY DETECTION THROUGH SADARI ACTION IN 4TH SEMESTER STUDENTS OF THE OBSTETRICS STUDY PROGRAM D-III STUDENT HIGH SCHOOL OF HEALTH SCIENCE BHAKTI MULIA PARE KEDIRI

Sulistyo Dewi Wahyurini — 2024-09-27

Background: Fibroadenoma Mammae (FAM) is a type of benign tumor that is often found in the female breast. Early detection with the SADARI (Breast Self Examination) method is an effective preventive measure to identify any abnormalities in the breast early on. The purpose of the study was to determine the effect of counseling about FAM on early detection skills through SADARI actions in STIKes Bhakti Mulia Pare Kediri students in 2023. Method: Pre-experiment research design One Group Pre-Post Test Design approach. The population was all fourth semester students and a sample of 36 respondents using random sampling technique . The independent variable is counseling, and the dependent variable is the skill of early detection of fibroadenoma mammae (FAM) and SADARI action. Counseling was provided in accordance with the SAP. SADARI skills were observed using an observation sheet. Data were analyzed using Wilcoxon Signed Rank test. Results: The results of the study before counseling, 1 respondent (2.77%) had good skills in performing SADARI, while 28 respondents (77.77%) had sufficient skills, and 7 respondents (19.44%) had poor skills. After counseling, there was a significant increase in respondents' skills. A total of 29 respondents (80.54%) showed good skills in performing SADARI, while 4 respondents (11.11%) had sufficient skills, and 3 respondents (8.33%) were still categorized as lacking skills. The results of the Wilcoxon test obtained a p-value = 0.000 < α = 0.05, which means that there is an effect of the effect of counseling on FAM on early detection skills through SADARI actions on STIKes Bhakti Mulia Pare Kediri students in 2023. Conclusion: Interventions in the form of health counseling have a positive impact on increasing the knowledge and practical skills of female students. Education on early detection of FAM needs to be continued to increase awareness and skills of adolescent girls in preventing and identifying breast health risks early on

HUBUNGAN PENDAPATAN DAN POLA ASUH ORANG TUA DENGAN KEJADIAN STUNTING PADA BALITA

Siti Haliza Nurdiyanti — 2024-09-27

Background: Stunting is a condition of toddlers who suffer from chronic malnutrition due to failure to thrive which causes metabolic disorders, decreased IQ, and reduces future productivity. There are many factors that influence nutritional needs, such as income and parenting patterns, which can influence the incidence of stunting. Objective: To determine the relationship between parental income and parenting patterns with the incidence of stunting among toddlers at the Pekauman Community Health Center, Banjarmasin. Method: Quantitative research type, cross sectional design. The total sample was 103 parents and toddlers. Accidental sampling technique. Data collection techniques used questionnaires and anthropometric examinations, and analyzed using the Chi Square test. Results: Most of the toddlers aged 48-60 months were 62 people (60%), 53 people were female (51%). Most of the parents of toddlers were aged ≥20 as many as 103 people (100%). Most parents have low incomes, 75 people (73%), and some of them apply a permissive parenting style, 46 people (45%). Analysis of the incidence of stunting in toddlers is 62%. The results of the analysis of the relationship between income and the incidence of stunting are p-value=0.075 and p-value=0.312 for the relationship between parenting styles and the incidence of stunting. Conclusion: The P value shows a value of more than 0.05, which means there is no relationship between parental income and parenting patterns with the incidence of stunting in toddlers. However, parents of toddlers are expected to always monitor their weight and height every month to reduce the risk of stunting.

HUBUNGAN PARITAS, STATUS PEKERJAAN DAN MOTIVASI IBU DENGAN KEPATUHAN ANC PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS PEKAUMAN BANJARMASIN

Tiaradevi Tiaradevi — 2024-09-27

antenatal care visits carried out 4 times during pregnancy. The impact of non-compliance with ANC will result in maternal mortality (MMR). Factors causing non-compliance with ANC in pregnant women are parity, employment status and mother's motivation. Objective: To determine the relationship between parity, employment status and maternal motivation with ANC compliance among pregnant women in the Pekauman Banjarmasin Community Health Center working area. Methods: This type of quantitative research is an analytical survey with a cross sectional research design. This research was conducted in May-June 2024. The total sample was 30 respondents taken using a purposive sampling technique. Data were collected using questionnaires and observations of KIA books. Univariate and bivariate analysis used the Chi Square test. Results: There were 24 mothers who complied with the ANC examination (80.0%), parity 2-5 (multipara) as many as 18 people (60.0%), unemployed work status as many as 16 people (53.3%), respondents with 23 people (76.7%) had good motivation. The relationship between parity and ANC adherence (p=0.005<α0.05). relationship between employment status and ANC compliance (p=0.019<α0.05). Maternal motivation for ANC compliance (p=0.017<α0.05). Conclusion: There is no relationship between parity and ANC compliance, there is a relationship between employment status and maternal motivation and ANC compliance among pregnant women in the Pekauman Banjarmasin Community Health Center working area. It is recommended to carry out routine antenatal care (ANC) checks at least 4 times or more during pregnancy