Jurnal Delima Harapan https://jurnal.akbidharapanmulya.com/index.php/delima <p>Delima Harapan Journal is a scientific periodical that provides information and analysis of problems in the health sector. Delima Harapan journal can be in the form of research articles or community service. This journal is published twice a year every March and September. Delima Harapan Journal covers health sciences such as midwifery, medicine, nursing, public health, nutrition, pharmacy, child health and other sciences, especially those related to Maternal and Child Health (KIA).</p> <p>P-ISSN : <a href="https://issn.lipi.go.id/terbit/detail/1390288660" target="_blank" rel="noopener">2355-1399&nbsp;</a></p> <p>E-ISSN : <a href="https://issn.lipi.go.id/terbit/detail/1519181500" target="_blank" rel="noopener">2620-3871</a></p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<img src="/public/site/images/admin/JURNAL.png" width="344" height="486"></p> en-US <p><a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" rel="license"><img style="border-width: 0;" src="https://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png" alt="Lisensi Creative Commons"></a><br>Ciptaan disebarluaskan di bawah <a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" rel="license">Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional</a>. Jurnal Delima Harapan</p> delimaharapan@gmail.com (Muhammad Anwarul Izzat) jurnaldelimaharapan@gmail.com (Jurnal Delima Harapan) Tue, 06 Sep 2022 06:49:12 +0000 OJS 3.1.0.1 http://blogs.law.harvard.edu/tech/rss 60 PENGARUH KECEMASAN TENTANG PANDEMI COVID-19 TERHADAP PENGELUARAN ASI IBU POST PARTUM https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/154 <p><em>Post partum is the period or time since the baby is born and the placenta comes out of the uterus, until the next six weeks, accompanied by the recovery of organs related to the womb, which undergo changes such as injuries and others related to childbirth. The post partum period is a time when the mother experiences a change in her role. The aims: the effect of the anxiety of the covid-19 pandemic on the production of breast milk for postpartum mothers. The Method: This study uses a cross sectional approach and non-probability sampling is used for sampling. Results: there is an effect of the anxiety of the covid-19 pandemic on the expenditure of breast milk for postpartum mothers (p &lt;0.05). Conclusion: That anxiety facing the covid-19 pandemic can affect breast milk production so that more education and motivation are needed from health workers, husbands and families. </em></p> Inge Anggi Anggarini, Rezah Andriani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/154 Mon, 05 Sep 2022 04:38:39 +0000 ISOLASI dan IDENTIFIKASI SALMONELLA SP PADA DAGING AYAM SEGAR YANG DIJUAL DI PASAR LEGI PONOROGO https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/165 <p><em>Chicken is one of the source of protein that is widely consumed by the public because it contains nutrients at affordable prices and easy to obtain. Various processed foods from chicken are widely developed in the community. Safe food is one that is free from contamination, both physical, chemical, and microbiological. Microbiological food safety is major concern in the world of health because it causes various disease problems. The most frequently reported disease due to this bacterial infection is typhoid. Based on SNI 7388 2009 concerning the maximum limit of microbial contamination in food, it is stated that fresh chicken meat must not contain the pathogenic bacteria Salmonell sp. To protect the public from these danger and increase awareness about food safety, it is necessary to conduct research on the presence of Salmonella sp microbial contamination in fresh chicken meat, especially those sold in the research area, namely Ponorogo. The problem can be formulated to wheter there si the contamination of Salmonella sp bacteria in fresh chicken meat sold at Legi Market Ponorogo. The purpose of this study was to isolate and identify Salmonella sp in fresh chicken meat sold at Legi Market Ponorogo. The long-term goal of this research is to increase public awareness of microbiological hazards in food, especially chicken meat. Sampling was conducted randomly on traders at Legi Market Ponorogo. Of the ten samples analyzed, eight samples were isolated and identified the presence of Salmonella sp. This illustrates that there are still a lot of fresh chicken meat sold in Legi Market Ponorogo that does not meet the quality based on SNI 7388 2009, which is 80 %.</em></p> Susilowati Andari, Devita Yudhayanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/165 Mon, 05 Sep 2022 04:56:13 +0000 HUBUNGAN ANTARA TINGKAT PENGETAHUAN DAN KECEMASAN DENGAN MEKANISME KOPING KELUARGA PADA SAAT PANDEMI COVID-19 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/167 <p>Pengetahuan seseorang sangat mempengaruhi beberapa kondisi salah satunya yaitu kecemasan. Munculnya kecemasan tersebut karena adanya perubahan yang terjadi selama pandemi. Seseorang yang memiliki pengetahuan baik maka akan lebih baik dalam mengendalikan kecemasan. Untuk meminimalkan tingkat kecemasan tersebut setiap individu perlu memiliki respon adaptasi yang baik atau mekanisme koping yang baik dalam menyelesaikan suatu masalah.Penelitian ini dilakukan untuk mengetahui apakah ada hubungan antara tingkat pengetahuan dan kecemasan dengan mekanisme koping keluarga pada saat pandemi covid-19 di dusun babadan wetan desa babadan kecamatan paron kabupaten ngawi. Jenis penelitian kuantitatif dengan metode penelitian korelasi. Sampel dipilih menggunakan total sampel dengan 200 responden. Uji statisti yang digunakan adalah Chi-Square. Hasil penelitian menunjukkan ada hubungan yang signifikan antara tingkap pengetahuan dengan mekanisme koping keluarga pada saat pandemi covid-19 dengan nilai P Value : 0,000, Sedangkan Hubungan Tingkat Kecemasan dengan Mekanisme Koping Keluarga Pada saat Pandemi Covid-19 tidak ada hubungan yang signifikan dengan nilai P Value : 0,113.</p> Marwan Marwan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/167 Mon, 05 Sep 2022 05:03:40 +0000 IMPLEMENTASI PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA (PI-PK) PADA MASA PANDEMI https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/195 <p><em>In achieving the highest degree of public health, the </em><em>Public Health Center </em><em>organizes public health efforts (UKM) and individual health efforts (UKP) by prioritizing promotive and preventive efforts. UKP and UKM are implemented through </em><em>Public Health Center </em><em>program. One of </em><em>Public Health Center</em><em> programs is the Healthy Indonesia Program with a Family Approach (PIS-PK). In its implementation, the function between UKP and UKM must be balanced in order to achieve an increase in the degree of public health. The current Covid-19 pandemic has also affected the implementation of the program at </em><em>the Public Health Center</em><em>.</em> <em>This study aims to determine the implementation of the Healthy Indonesia Program with a Family Approach (PIS-PK) during the Covid-19 pandemic at the Kediri III Health Center.</em> <em>This study uses a qualitative method with a case study approach. The sample selection used purposive sampling, namely an informant. Data collection based on primary and secondary data was carried out by means of interviews and document review. Data analysis using bottleneck analysis from Tanahashi.</em> <em>There are limited facilities and infrastructure due to the absence of internal health center policies related to PIS-PK, equipment and also the budget for PIS-PK implementation. In addition, the achievement of PIS-PK indicators is still low, especially on indicators of TB treatment, hypertension treatment and also family members who do not smoke. Another obstacle is related to the achievement of Healthy Family Inde</em><em>x </em><em>which is still classified as an unhealthy family.</em> <em>There are obstacles in terms of supply and demand. It is hoped that there will be good coordination and communication between the Health Office and the </em><em>Public Health Center</em><em>. </em><em>The Public Health Center</em><em> should develop internal policies related to the implementation of PIS-PK.</em></p> Ni Luh Purnamayanti, Feni Sulistyawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/195 Mon, 05 Sep 2022 00:00:00 +0000 PENGARUH HEALTH EDUCATION TERHADAP PENGETAHUAN IBU TENTANG PIJAT BAYI DI PMB ERNA PENIWATI https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/196 <p><em>Haemorrhoids are common in pregnant women in the second or third trimester of pregnancy. Increased intra-pressure due to fetal growth and changes in the hormone progesterone causes the hemorrhoidal veins to become wide. Pregnancy hemorrhoids are temporary hemorrhoids which means they will disappear some time after delivery, but can cause a very uncomfortable feeling, itching around the anus and even bleeding during bowel movements. Therefore, self care is needed, one of them is the sitz bath method. The design in this study is a pre-experiment with the One Group Pretest-Posttest design approach. The population in this study were all mothers with hemorrhoids who participated in the pregnant class at Balong Health Center for the period of 1-28 February 2020, a total of 37 people. The sampling method used accidental sampling of 31 people. Instrument with quesioner Statistical test using the Wilcoxon Signed-Rank Test through the SPSS program with α = 0.05. The result of knowledge of mothers about Sitz Bath Therapy in the Work Area of ​​Puskesmas Balong, Ponorogo Regency, before health education was carried out, most of them were 16 respondents (51.6%) had sufficient knowledge and after health education was carried out most of them 18 respondents (58.1%) had good knowledge. There is an effect of health education on maternal knowledge about Sitz Bath Therapy in the working area of ​​ Health Center Balong, Ponorogo with a p value of 0.000 ≤ α 0.05. </em><em>The role of health workers as educators is better to carry out routine health education during the provision of care, especially regarding the method of sitz bath therapy so that targets can better understand and be able to overcome hemorrhoid problems that occur in pregnancy</em>.</p> Ambika Kurnia Mustikawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/196 Mon, 05 Sep 2022 00:00:00 +0000 EFEKTIFITAS PEMBERIAN COKLAT KELOR (Kokoa Moringa Oleifera) TERHADAP KADAR HEMOGLOBIN REMAJA PUTRI https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/171 <p><em>Iron deficiency anemia is still a major nutritional problem in adolescents in Indonesia. One of the efforts to handle it is by giving Moringa chocolate. Research objective: analyze</em><em>effectiveness of giving Moringa chocolate on hemoglobin levels of adolescent girls. Research method: Type of research</em><em>quasi experiment with nonrandomized pretest and posttest design with control group. The population of this study was 75, </em><em>purposive sampling </em><em>with a sample of 60 which were divided into a treatment group of 30 people, and a control group of 30 people. The control group consumed 50g of Moringa chocolate for 30 consecutive days, and the control group did not consume Moringa chocolate. Hb levels were measured before and after treatment. Data analysis used paired t-test and independent t-test. Results: Paired t-test in the treatment group p value of 0.009 (p &lt;0.05),</em><em>CI</em><em>95%, which means there is a difference in Hb levels before and after being given Moringa chocolate, while in the control group the p value is 0.255 (p&gt;0.05) 95% CI, which means there is no difference in Hb levels in the control group who are not given Moringa chocolate. . Independent analysis of t-test obtained p value of 0.005 (p &lt;0.05), which means that there is a significant effect on the measurement results of post-test HB levels between the treatment group and the control group. Conclusion: Moringa chocolate affects young women's Hb levels</em><em>.</em></p> Nurul Hidayah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/171 Mon, 05 Sep 2022 00:00:00 +0000 PERAN KADER KAMPUNG KB PADA MASA PANDEMI COVID 19 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/174 <p><em>Kampung KB is an integrated development program population, family planning, as well as related sector development in an effort to improve quality of life for families and communities. Kampung KB’s cadres, are volunteers who are chosen to help organize population and family planning programs. This study&nbsp; knowing aims to role of kb village cadres in socializing preganancy distance arrangements during Pandemic. type of this research is descriptive This research is classified as using a qualitative research design. informants in this research amounted to 4 representative cadres of each RW chosen by Key Person. data collection in this research used a source triangulation technique with in-depth interviews and activity documentation. Results&nbsp; research are characteristics&nbsp; Kampung KB’s cadres in Tegaren Village are quite good, supported by self-motivation, as well support from local community and religious leaders, although in this case there are no binding rules to help performance of cadres. In addition, it is known that even during pandemic, cadres still continue to socialize and education community by door to door to help regulate distance between pregnancies in&nbsp; community. conclusion in this research is cadres continue to carry out their duties to socialize pregnancy distance and use of contraceptives as well as health monitoring community by door to door. In research, it is recommended for cadres to further increase their resource potential.</em></p> Aditya Farit Subekti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/174 Mon, 05 Sep 2022 00:00:00 +0000 PERSEPSI ORANG TUA TENTANG BERMAIN DENGAN TINGKAT KECEMASAN PADA ANAK USIA 2-5 TAHUN https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/188 <p><em>Anxiety is a state of restlessness that is not clear which is often experienced by children undergoing therapy in the hospital. Anxiety in children during hospitalization is at risk of disrupting the child's growth and development and delaying the recovery process. Play is a solution to reduce anxiety and activities that can change behavior, stimulate children's development, and support the healing process, so that children become more cooperative. The purpose of this study was to determine the Correlation between parents' perceptions about playing and anxiety levels in children aged 2-5 years in Soka Room B RSUD dr. Darsono, Pacitan Regency This type of research is quantitative. with a purposive sampling technique A total of 24 respondents. Data analysis using spearman rank test. The results showed that there was a relationship between parents' perceptions about playing with the level of anxiety in children aged 2-5 years in Soka Room B RSUD dr. Darsono Pacitan Regency with p value = 0.000 (p &lt; 0.05). Parents' perceptions about playing are needed to reduce the level of anxiety in children aged 2-5 years in the recovery process.</em></p> Rischa Devi Hayuningtyas, Novia Choirun Nadia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/188 Mon, 05 Sep 2022 00:00:00 +0000 PERAN KADER JUMANTIK DENGAN KEJADIAN PENYAKIT DBD DI WILAYAH KERJA PUSKESMAS BANJAREJO https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/177 <p><em>Mosquito larva monitoring officers are one of the team worksestablished by a community in each neighborhood unit/community unit (RT/RW) to perform a Periodic Larvae Inspectionand Monitoring, as well as Aedes aegypti andAedes albopictus Mosquito Nest Eradication (PSN). Mosquitos aedes aegypti a cause dengue faver.</em> <em>Based on secondary data from the Banajarejo Health Center, there were 2 cases of dengue fever in 2021 and in 2022 there were 11 cases, the increase in cases could be influenced by several factors, such as humans and the environment. This study aims to determine the relationship of larva monitoring interpreters (jumantik) with the incidence of dengue disease in cadres in the working area of the Banjarejo Health Center.</em><em> This study uses a quantitative method with a cross sectional approach. The number of samples in this study were 136 respondents, the sampling technique in this study was proportional random sampling. Collecting data using a questionnaire that was analyzed by chi-square test by looking at the relationship between the independent variable and the dependent variable.</em><em> The results of this study indicate that there is a relationship between the role of larvae monitoring interpreters and the incidence of dengue disease in cadres in the working area of the Banjarejo Health Center, the p-value = 0.032 with value </em><em>RP (95% CI) = 5,817(1,228-28,551).</em><em> The conclusion of this study is that there is a relationship between jumantik cadres and the incidence of dengue disease in cadres in the working area of the Banjarejo Health Center. For further researchers, it is recommended to add other factors to the incidence of DHF, such as human behavior factors and environmental factors as well.</em></p> Novita Duwiyanti, Avicena Sakufa Marsanti, Zaenal Abidin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/177 Mon, 05 Sep 2022 00:00:00 +0000 KAJIAN STRATEGIS PERCEPATAN DAN PENGEMBANGAN FITOFARMAKA UNTUK KESEHATAN MASYARAKAT https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/197 <p><em>Indonesia is a "megabio-diversity" country, the World Conservation Monitoring Center has reported that the territory of Indonesia is an area where many types of medicinal plants are found with the number of plants that have been utilized reaching 2,518 species (EISAI, 1995). Indonesia's wealth of biological resources is a potential resource in the pharmaceutical sector which has not been fully utilized. (Prodisfar, 2021). The purpose of this study is to develop and recommend strategies for accelerating and developing phytopharmaceuticals for public health in Indonesia. The research method is Qualitative Method. The population and sample of the study were conducted by purposive sampling involving informants from across ministries, the pharmaceutical industry, as well as professional organizations in Indonesia, and hospitals. The results of the study show that Indonesia must carry out an acceleration strategy using an intensive strategy (Market Penetration and Product Development and Market Product), while the development strategy is carried out by backward integration, forward integration and horizontal integration as an effort to maintain public health in Indonesia. Suggestions for further researchers, in order to be able to conduct special studies on halal products and pharmacoeconomics for public health.</em></p> Hermawan Saputra, Desrialita Faryanti, Farhan Farhan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/197 Mon, 05 Sep 2022 00:00:00 +0000 HUBUNGAN PENGETAHUAN DENGAN KELENGKAPAN PENGISIAN DOKUMENTASI ASUHAN KEPERAWATAN BERDASARKAN PENDEKATAN PROSES KEPERAWATAN MAHASISWA KEPERAWATAN SEMESTER VI STIKES BUANA HUSADA PONOROGO https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/189 <p><em>Knowledge is the process of finding information obtained by a person through various sensory organs</em><em>. </em><em>Knowledge in this case relates to the completeness of the nursing care documentation. </em><em>The nursing process as a tool for nurses to carry out nursing care carried out on patients has an important meaning for both parties, namely nurses and clients. The purpose of this study is to analyze knowledge with completeness of filling in nursing care documentation based on the approach of the nursing process of nursing students in semester VI of STIKES Buana Husada Ponorogo.</em> <em>This study used a</em> <em>correlational</em><em> design . The population in this study was all nursing students in semester VI of STIKES Buana Husada Ponorogo. The sample in this study was all 15 nursing students in semester VI of STIKES Buana Husada Ponorogo</em><em>. </em><em>The sampling technique is Total sampling. </em><em>This study used </em><em>the Spearman Rank </em><em>statistical test with α = 0.05</em><em>.</em> <em>The results of research from </em><em>15</em><em> respondents showed that student knowledge about nursing care documentation based on the nursing process approach was mostly good as many as 9 respondents (60%)</em><em>, </em><em>students in documenting nursing care with the nursing process approach were mostly complete as many as 8 respondents (53.3%). There is a Relationship between Knowledge and Completeness of Filling in Nursing Care Documentation Based on the Nursing Process Approach of Nursing Students in Semester VI STIKES Buana Husada Ponorogo.with p value = 0.000 with α = 0.05</em> <em>Respondents always update the latest science related to nursing care in order to be able to compile nursing care in a comprehensive and orderly manner in accordance with the development of science</em><em>.</em></p> Ani Rosita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/189 Mon, 05 Sep 2022 06:40:33 +0000 PENGARUH SENAM LANSIA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI DESA JOSARI KECAMATAN JETIS KABUPATEN PONOROGO https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/191 <p><em>Blood Pressure in elderly will change with age, in general after entering the age of 45 years the condition of the arterial wall will be thickened by several factors such as the accumulation of collagen substances in the muscle layer, so that it can cause blood vessels to narrow gradually. Elderly gymnastics is a mild and non-stressful exercise proven to help improve physical and mental health for the elderly. The purpose of this study was to determine the effect of elderly gymnastics on reducing blood pressure in the elderly who experience hypertension in Josari Village, Jetis District, Ponorogo Regency. The design used in this study was to use a "Quasi experimental pre-post test" with the intervention of elderly gymnastics. Univariate data analysis and bivariate analysis, and statistical Paired T test. With a safety level of α=0.05, which means Ha accepted Ho is rejected, it can be conclude that there is an effect of elderly gymnastics on blood pressure reduction in elderly with hypertension.</em></p> Ria Fajar Nurhastuti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/191 Mon, 05 Sep 2022 06:55:00 +0000 PENGARUH PENGETAHUAN DAN PENGGUNAAN OBAT NYAMUK BAKAR DENGAN KEJADIAN ISPA PADA BALITA DI DESA REJUNO https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/184 <p><em>A</em><em>ccording to WHO (World Health Organization), that ± 13 million children under five in the world die every year and these deaths occur in developing countries in Asia and Africa.</em> <em>ARI is a group of diseases that cause the highest absenteeism compared to other diseases. Patients with ARI in Rejuno Village, Karangjati District in 2020 as many as 53 cases and in 2021 as many as 75 cases. This study&nbsp;aims to determine the effect of knowledge, use of mosquito coils, and cooking fuel with the incidence of ARI in Rejuno Village, Karangjati Ngawi.&nbsp;&nbsp;This study uses a quantitative method with a case control. The population in this study were 75 toddlers with a sample of 60 respondents consisting of 30 cases of ARI and 30 controls. The sampling technique in this study was simple random sampling. Data collection using questionnaires and observations were analyzed by chi-square test.&nbsp;The results showed that there was an influence between knowledge and the incidence of ARI, p-value : 0.036, OR: 3.596, 95% CI 1.21-10,63 and there was no effect between the use of mosquito coils with the incidence of ARI, p-value was obtained: 0.291, OR : 0,571 , 95% CI 0,20-1,62. </em></p> Amelia Ni'matul Fajrianti, Retno Widiarini, Pipid Ari Wibowo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 https://jurnal.akbidharapanmulya.com/index.php/delima/article/view/184 Mon, 05 Sep 2022 07:33:52 +0000