Ria Ambarwati
Dinas Kesehatan Kota Semarang

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Konseling Laktasi Intensif dan Pemberian Air Susu Ibu (ASI) Eksklusif Sampai 3 Bulan

MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

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Abstract

Intensive lactation counseling and exclusive breastfeeding up to 3 monthsBackground: In 2010 within the area of Semarang Municipality, exclusive breastfeeding by mothers to their babies reaches up to only 20,06%. One of the problems is the lack of lactation counseling especially by the health service institutions.Objectives: To reveal the effect of intensive lactation counseling on exclusive breastfeeding up to 3 months.Method: This research study is designed as a quasi-experiment of non-equivalent control group. The population of this study is a group of mothers who were in the 7th to 8th months of pregnancy bearing the second child or more. The number of the subjects is 25 mothers who were grouped into 2, that is the experimental groups of 12(n=12) and control group of 13 (n=13). The group underwent a treatment of intensive lactation counseling of 9 times on 2 stages, the first was four-time treatments during the medical examination on their pregnancy of 7th-8th months. The second stage of treatments was done by home visit for 5 times during week 1, 2, 4, 8, and 12 after giving birth by sertified lactation counselors for 40 workhours. These counselors had the experience of at least 5 clients counseling. The control group got the usual counseling that they normally received from the midwives at the Health Primary Center and private midwives nearby.Results: The group without intensive lactation counseling shows no gain of knowledge, attitude towards early initiation of breastfeeding, exclusive breastfeeding, breastmilk and no increase of the number of exclusive breastfeeding on their babies prior to and during the study. The group with intensive lactation breastfeeding shows a significant gain in every aspects being studied and significant increase (five fold) of the number of exclusive breastfeeding on their babies that born prior to and during the study from2(16.7%) to 10(83.3%).Conclusion: Intensive lactation counseling increases the practice of exclusive breastfeeding up to 3 months and should be performed by health care delivery system.Keywords: Intensive lactation counseling, exclusive breastfeeding, 3 months ABSTRAKLatar belakang: Ibu yang memberikan ASI eksklusif di Kota Semarang Tahun 2010 hanya mencapai 20,06%. Salah satu penyebabnya adalah kurangnya konseling laktasi di sarana pelayanan kesehatan.Tujuan: Mengetahui pengaruh konseling laktasi intensif terhadap pemberian ASI eksklusif sampai 3 bulan.Metode: Penelitian dengan rancangan quasi experiment non equivalent control group. Populasi adalah ibu hamil trimester 3 dengan usia kehamilan 7-8 bulan pada anak kedua atau lebih. Jumlah sampel 25 ibu hamil yang dikelompokkan menjadi 2 yaitu kelompok perlakuan (n=12) dan kelompok kontrol (n=13). Kelompok perlakuan mendapat konseling laktasi intensif sebanyak 9 kali yaitu 4 kali pada saat pemeriksaan kehamilan umur 7-8 bulan dan kunjungan rumah sebanyak 5 kali pada minggu ke-1, 2, 4, 8, 12 setelah kelahiran oleh konselor laktasi yang memiliki sertifikat pelatihan konselor laktasi. Kelompok kontrol mendapat konseling pada pemeriksaan kehamilan yang selama ini dilakukan oleh bidan di Puskesmas dan Bidan Praktik Swasta.Hasil: Pada kelompok yang tidak mendapat konseling laktasi intensif tidak ada perubahan skor pengetahuan, sikap terhadap inisiasi menyusu dini, ASI eksklusif, ASI, menyusui dan tidak ada peningkatan jumlah ibu yang memberikan ASI eksklusif sampai 3 bulan pada anak yang dilahirkan sebelum dan selama penelitian. Kelompok yang mendapat konseling laktasi yang intensif menunjukkan ada perubahan skor pada semua anak dan peningkatan jumlah ibu yang memberikan ASI eksklusif sampai 3 bulan pada anak yang dilahirkan selama penelitian menjadi 5 kali lipat.Simpulan: Konseling laktasi intensif dapat meningkatkan jumlah ibu yang melaksanakan ASI eksklusif sampai 3 bulan dan perlu dilaksanakan oleh semua sarana pelayanan persalinan.

Pengaruh konseling laktasi intensif terhadap pemberian air susu ibu (ASI) eksklusif sampai 3 bulan

JURNAL GIZI INDONESIA Vol 2, No 1 (2013)
Publisher : JURNAL GIZI INDONESIA

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Abstract

Background : In 2010 within the area of Semarang Municipality, exclusive breastfeeding by mothers to their babies reaches  up to only 20,06%. One of the problems was the lack of lactation counseling especially by the health service institutions. Objectives: To reveal the effect of intensive lactation counseling on exclusive breastfeeding up to 3 months. Method: This research study was designed as a quasi-experiment of non-equivalent control group. The population of this study was a group of mothers who were in the 7th to 8th months of pregnancy bearing the second child or more. The number of the subjects was 25 mothers who were grouped into 2: the experimental groups of 12(n=12) and 27 control group of 13 (n=13). The group underwent a treatment of intensive lactation counseling of 9 times on 2 stages, the first was four-time treatments during the medical examination on their pregnancy of 7th – 8th months. The second stage of treatments was done by home visit for 5 times during week 1, 2, 4, 8, and 12 after giving birth by certified lactation counselors for 40 work hours. These counselors had the experience of at least 5 clients counseling. The control group had the usual counseling that they normally received from the midwives at the Health Primary Center and  private midwives nearby. Results: The group without intensive lactation counseling showed no gain of knowledge, attitude towards early initiation of breastfeeding, exclusive breastfeeding, breastmilk and no increase of the number of exclusive breastfeeding on their babies prior to and during the study. The group with intensive lactation breastfeeding shows a significant gain of knowledge, positive attitude towards early initiation of breastfeeding, exclusive breastfeeding, breastmilk and significant increase of the number of exclusive breastfeeding for 3 months on their babies that born prior to and during the study from 2(16,7%) to 10(83,3%). Conclusion: Intensive lactation counseling increases the practice of exclusive breastfeeding up to 3 months. Keywords : intensive lactation counseling, exclusive lactation breastfeeding, 3 months

AKTIVITAS ANTIBAKTERI EKSTRAK ETANOL DAN FRAKSI KULIT BATANG BELIMBING WULUH (Averrhoa bilimbi Linn.) TERHADAP BAKTERI Klebsiella pneumoniae DAN Staphylococcus epidermidis BESERTA BIOAUTOGRAFINYA

Biomedika Vol 4, No 2 (2012): Biomedika Agustus 2012
Publisher : Universitas Muhamadiyah Surakarta

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Abstract

Belimbing wuluh (Averrhoa bilimbi Linn.) is a tropical plant that has antibacterial properties. The purpose of this study was to test the antibacterial activity of bark Belimbing wuluh against Klebsiella pneumoniae and Staphylococcus epidermidis and their bioautography. Extraction methods used to research is method maceration with a solvent ethanol 96 %. Fractinations done by method partition liquid-liquid with a separating funnel. Test performed in this research covering identi� cation bacteria, the sensitivity bacteria, antibacterial activity, thin layer chromatography, bioautography. The result of antibacterial activity ethanol extract of disk diffusion method with concentrations 400 μg/disk, 800 μg/disk, 1600 μg/disk is 8±0,5; 10,34±0,58; 12,17±0,76 on Klebsiella pneumoniae, 10,17±0,29; 11±0; 11.5±0 on Staphylococcus epidermidis, n-hexane fraction with concentration 400 μg/disk, 800 μg/disk, 1600 μg/disk is 8,34±0,29; 9,34±0,29; 10,84±0,76 on Klebsialla pneumoniae, 8,5±0,5; 9,34±0,29; 10,67±0,29 on Staphylococcus epidermidis, ethyl acetate fraction with concentration 400 μg/disk, 800 μg/disk, 1600 μg/disk is 9,17±0,29; 10,34±0,29; 11,17±0,29 on Klebsiella pneumoniae and 9,5±0,5; 10,67±0,29; 12,67±1,26 on Staphylococcus epidermidis, ethanol-water fractions with concentration 400 μg/disk, 800 μg/ disk, 1600 μg/disk is 8,17±0,29; 9,17±0,29; 10±0 on Klebsiella pneumoniae, 9±0; 9,67±0,29; 10,34±0,29 on Staphylococcus epidermidis. The TLC show chemical compounds contained in the ethanol extract, n-heksan fraction, ethyl acetate fraction, and ethanol-water fraction is a compound of the saponins, alkaloids, � avonoids and phenolic. Bioautography showed that ethanol extracts, n-heksan faction, ethyl acetate fraction, and etanol-airfaction Belimbing wuluh (Averrhoa bilimbi Linn.) bark have not antibacterial activity because there is no clear area around on plate TLC.Keywords: Belimbing wuluh (Averrhoa bilimbi Linn.), ethanol extract, fractination, antibacterial, bioautogra� .

CRACKERS MODIFIKASI F100 DENGAN SUBSTITUSI TEPUNG LABU KUNING SEBAGAI ALTERNATIF PEMBERIAN MAKANAN TAMBAHAN BAGI BALITA GIZI BURUK

Jurnal Riset Kesehatan Vol 6, No 1 (2017): MEI 2017
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Pemberian F100 kepada balita gizi buruk di masyarakat masih mengalami kendala, terutamadalam pembuatan, higien sanitasi orang yang membuat dan peralatan, sehingga perludipertimbangkan bentuk alternatif formula makanan untuk balita gizi buruk dalam bentukcrackers modifikasi F100 dengan substitusi tepung labu kuning sebagai pangan lokal yangmengandung tinggi beta karoten. Penelitian ini adalah eksperimen murni dengan Rancangan AcakLengkap 1 faktor, yaitu konsentrasi substitusi serta 5 taraf perlakuan, yaitu 0%, 10%, 20%, 30%,40% dengan jumlah ulangan 3 kali. Tahapan penelitian yang dilakukan terdiri dari pembuatantepung labu kuning, pembuatan crackers modifikasi F100, pengujian nilai gizi serta daya terimanya.Jumlah ulangan 3 kali. Semakin besar konsentrasi substitusi tepung labu kuning menurunkankadar lemak, protein crackers modifikasi F100. Crackers modifikasi F100 yang paling disukai balitaadalah crackers dengan substitusi tepung labu kuning 10%. Ada perbedaan nilai gizi (lemak,protein dan beta karoten), tekstur dengan substitusi tepung labu kuning berbagai konsentrasi.

Pengaruh Konseling Gizi terhadap Pengetahuan dan Kepatuhan Diet DM pada Pasien DM Tipe-2 di Puskesmas Kapuan Kecamatan Cepu Kabupaten Blora

JURNAL RISET GIZI Vol 4, No 2 (2016): November 2016
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Latar belakang : Angka kejadian Diabetes Melitus  meningkat dari tahun ke tahun, edukasi gizi adalah salah satu pilar utama pengelolaan  Diabetes Melitus. Konseling gizi bertujuan membuat perubahan pengetahuan, sikap dan perilaku makan sesuai dengan kebutuhan pasien.Tujuan penelitian: Penelitian ini bertujuan mengetahui pengaruh konseling gizi terhadap pengetahuan dan kepatuhan diet DM pada pasien Diabetes Melitus Tipe 2 di puskesmas Kapuan Kecamatan Cepu Kabupaten Blora.Metoda: Jenis penelitian quasi experimentdengan non-equivalent control group. Pengambilan sampel dengan metode non probability samplingsebanyak 30 orang. Pengumpulan data dilakukan dengan pengambilan data sekunder dan data primer. Analisa data menggunakan uji statistik independent t-testuntuk mengetahui perbedaan pengetahuan dan kepatuhan diet DM sebelum dan sesudah konseling gizi antara kelompok perlakuan dan kelompok kontrol.Hasil:Hasil penelitian menunjukkan bahwa ada pengaruh konseling gizi terhadap pengetahuan dan kepatuhan diet DM pada pasien DM tipe-2.Kesimpulan: Disimpulkan konseling gizi dapat mempengaruhi pengetahuan dan kepatuhan diet DM.

Efektifitas Aktivitas Peer Group terhadap Penurunan Berat Badan dan Persen Lemak Tubuh pada Remaja Overweight

Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Diet rendah energi dan peningkatan aktivitas secara individual belum efektif dalam penurunan berat badan. Oleh karena itu, perlu dicari metode lain atau memodifikasi metode dengan membentuk kelompok peer group aktivitas. Tujuan penelitian ini menganalisis efektifitas aktivitas peer group terhadap kepatuhan aktivitas fisik, kepatuhan diet, penurunan berat badan dan persen lemak tubuh pada remaja overweight. Desain penelitian menggunakan Randomized Controlled Trial dengan rancangan eksperimental ulang pre-posttest control group design. Subjek penelitian adalah remaja putri overweight sebanyak 13 orang kelompok kontrol dan 13 orang kelompok perlakuan. Subjek dilakukan intervensi berupa jogging minimal 30 menit dan naik turun tangga sebanyak 10 kali per hari selama empat minggu. Ukuran kepatuhan diet diambil setiap minggu berdasarkan hasil recall 2x24 jam selama 4 minggu. Perbedaan kepatuhan aktivitas fisik dan kepatuhan diet diuji menggunakan Chi Square Test sedangkan perubahan berat badan dan persen lemak tubuh menggunakan ANOVA Repeated Measure Test. Ada perbedaan yang signifikan antara kepatuhan aktivitas fisik (p=0,000) dan penurunan berat badan (p=0,004) antara kelompok perlakuan dan kontrol namun tidak ada perbedaan yang signifikan antara kepatuhan diet (p>0,05) dan penurunan persen lemak tubuh (p=0,382) antara kelompok perlakuan dan kontrol. Peer group efektif dalam meningkatkan aktivitas fisik dan menurunkan berat badan pada remaja overweight.

EFEKTIFITAS PEMBERIAN JUS TOMAT DITAMBAH JERUK NIPIS TERHADAP TEKANAN DARAH PADA WANITA DEWASA

JURNAL RISET GIZI Vol 5, No 1 (2017): Mei (2017)
Publisher : Poltekkes Kemenkes Semarang

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Background : Treatment of hypertension in the long term can affect adherence and cause toxic effects, therefore it takes alternative treatment by utilizing nutrients in food, one of which is the antioxidant like as lycopene and flavonoid in tomato-lime juice.Objective : The aim of this study was to analyze the effect of tomato juicewith extra lime on blood pressure in women adults.Methods : This study was clinical nutrition research with True Experiment randomized repeated measure control group design. The subject were 39 women adult 40-60 years, 19 control groups and 20 in treatment. Intervention was performed for 21 days with the measurement of systolic and diastolic blood pressure every 1 week 1 time. The statistical analysis was done by Anova Repeated Measure test with 95% confidence degree.Results : Anova Repeated Measure show that tomato juice with extra limecan lowered systolic and diastolic blood pressure (α = 0.005, p = 0.002 and p = 0.038), while the level of energy, protein, fat, carbohydrate, fiber, sodium, and potassium did not affect in systolic and diastolic blood pressure.Conclusion : tomato-lime juice effectively lowered systolic and diastolic blood pressure.

PEMBERIAN SARI BENGKUANG TERHADAP KADAR GLUKOSA DARAH PUASA PADA PENDERITA DIABETES MELLITUS TIPE 2

JURNAL RISET GIZI Vol 7, No 1 (2019): Mei (2019)
Publisher : Poltekkes Kemenkes Semarang

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Background : Diabetes mellitus is a condition in which blood levels in the body is high due to a disruption in the pancreas gland so the body can not produce or can not use insulin. Diabetes mellitus type 2 is a type of diabetes mellitus that does not depend on insulin or better known as non-insulin-dependent. Prevalence of Diabetes Mellitus in Central Java was ranked 2nd out of 8 new cases of PTM (Non Communicable Disease), with a percentage of 18.44%. Control efforts can be done by eating high-fiber foods, one of the foods that contain fiber is high enough and potentially lower blood glucose levels, namely bengkuang. Objective: To determine the effect of bengkuang juice on fasting blood glucose level in type 2 diabetes mellitus. Research Methods : Type of quasy experiment study with pretest-posttest control group design. The population is patients of type 2 diabetes mellitus aged 40-60 years in the work area of Kedungmundu Public Health Center in April as many as 60 people. Sampling using non randomized sampling technique. The sample size is 36 people divided into 18 treatment groups and 18 control groups. Intervention given in the form ofbengkuang juice for 14 days. Multivariate test using anova repeated measured.Results : The giving of bengkuang juice controlled by nutrient intake (energy, protein, fat, carbohydrate and fiber) showed no significant effect on decreasing fasting blood glucose level (p = 0.344). Conclusion: Bengkuang juice has no significant effect on decreasing fasting blood glucose level in type 2 diabetes mellitus.

PENGARUH PEMBERIAN TABLET TAMBAH DARAH (TTD) DAN JUS JAMBU BIJI MERAH TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA REMAJA PUTRI

JURNAL RISET GIZI Vol 6, No 1 (2018): Mei (2018)
Publisher : Poltekkes Kemenkes Semarang

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Background  : Anemia experienced  by most young women in Indonesia. Supplementation of Fe tablet is given to young women in junior high and high school. The absorption of Fe tablet will be maximal if consumed along with vitain C. Guava juice is one of the fruit that contains vitamin C and become an alternative in increasing hemoglobin levels.Objective  : To know the effect of supplementation of Fe tablet and red guava juice to increase hemoglobin level in female adolescent at SMP PGRI 01 Semarang. Method  : This study uses Experimental Quasy with pre and post test design group control design. The number of research samples are 28 people consist of 14 treatment samples and 14 control samples. Data collected were general characteristics data of sample, anthropometric data, nutrient intake data (energy, protein, iron and vitamin C) and measurement data of Hb level. Statistical Analysis using Anova Repeated Measur with 95% confidence degree.Results  : The mean hemoglobin level in the treatment group was 10.7 g / dL, in the control group of 10.2 g / dL. While the mean hemoglobin level after giving intervention in the form of supplementation of Fe tablet and guava juice in the treatment group had 11,4 gr / dL average, in control group 10,6 gr / dL which was only given Fe tablet supplementation.Conclusion  : There were no significant differences but there was an increase between hemoglobin levels before and after supplementation of Fe tablets and guava juice in the treatment group and control group p = 0.728 (p <0.005), although it was controlled with adequate intake of energy, protein, vitamin C, iron and long menstruation.

PENGARUH PEMBERIAN BUAH MELON TERHADAP PENURUNAN TEKANAN DARAH SISTOLIK DAN DIASTOLIK PADA PENDERITA HIPERTENSI USIA 41-64 TAHUN

JURNAL RISET GIZI Vol 7, No 1 (2019): Mei (2019)
Publisher : Poltekkes Kemenkes Semarang

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Background : Hypertension is a health issues that needs attention. Based on Riskesdas Data, prevalence of hypertension increased from 7,6% in 2007 to 9,5% in 2013. One of the treatments which can be done is by giving fruits that contain potassium and fiber.Objective : To determine the effect of melon fruit on the decrease systolic and diastolic blood pressure in patients with hypertension age 41-64 years.Method : This study used Quasi Experiment method with Pretest Posttest Control Group Design. The samples of study was determined by non randomized sampling technique consists of 11 treatments and 11 controls sampels.Results : there was significant difference in systolic and diastolic blood pressure between the treatment and control group (p<0,05). There was no effect of giving melon fruit to decrease systolic (p=0,071) and diastolic (p=0,042) blood pressure in patient hypertension with control variable of sodium, potassium, magnesium, calcium and fiber intake.Conclusion : Consumption of melon fruit for 9 days can reduce systolic blood pressure 14.82±5.759 mmHg and diastolic of 7.64±2.292 mmHg, although statistically  insignificant