International Nutrition and Health Administrations Journal
International Nutrition and Health Administrations Journal (INHAJ) is an official journal of the health faculty Institute of Health Sciences NU Tuban, East Java, Indonesia. The aim of INHAJ is an international journal dedicated to helping researchers, academicians, professionals, health workers, and scientists all over the world to disseminate their research works, innovations, knowledge contributions, reports, and experiences in the field of public health-related nutrition and health administration. It is to be shared with other colleagues or interested parties in the field of public health and public health-related Nutrition and health administration. The INHJ also provides venues to promote and discuss various new issues, advancements, and development of different areas of public health, especially Nutrition and health administration. INHAJ is an English language journal, published 2 (two) times a year: January and July. The first issue of Volume 1 is April 2022 issue. INHAJ policies are fast-tracking review and real-time publication of manuscripts submitted to the journal. We welcome the submission of articles, reports, case studies, etc from colleagues all over the world.
Fakultas Kesehatan, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban
Analysis of Factors Influencing Patients' Revisit Intention at Klotok Plumpang Health Center
The intention of patients to revisit the Klotok Plumpang Health Center is an important indicator for assessing the quality of healthcare services provided. This study aims to analyze the factors influencing patients' revisit intention at the Klotok Plumpang Health Center. The factors examined include service quality, healthcare facilities, healthcare provider-patient interaction, waiting time, and accessibility. The research method employed was a descriptive survey with a quantitative approach. Data were collected through questionnaires distributed to 150 patients who had received services at the Klotok Plumpang Health Center during the 2023 period. Data analysis was conducted using descriptive statistics and logistic regression to determine the relationship between the variables studied and patients' revisit intention. The results of the study indicated that service quality, healthcare provider-patient interaction, and healthcare facilities had a significant influence on patients' revisit intention. In contrast, waiting time and accessibility did not show a significant relationship. This study recommends that the Klotok Plumpang Health Center continue to improve service quality, enhance existing facilities, and train healthcare providers to improve communication and interactions with patients. Thus, it is expected that patients' revisit intention will increase, which in turn will improve the overall healthcare services at the health center.
Copyright (c) 2025 International Nutrition and Health Administrations Journal
COREELATION BETWEEN LEADERSHIP STYLE AND EMPLOYEE PERFORMANCE IN THE MANAGEMENT DEPARTMENT OF RSNU TUBAN BASED ON PATH GOAL THEORY
Leadership is a universal phenomenon in collective life, playing a central role in organizational and group dynamics. To achieve common goals, individuals within an organization need to foster unity by following the guidance of their leader. Leadership style is the way a leader performs their role in directing subordinates. This study aims to analyze the relationship between leadership style and employee performance in the management department of RSNU Tuban. A quantitative, analytical, correlational method was employed through an observational approach with a cross-sectional time frame. The study population comprised 130 employees, with a sample of 97 respondents selected through simple random sampling. The independent variable was leadership style, while the dependent variable was employee performance in the management department of RSNU Tuban. Data analysis used the Spearman test. The data collection results indicate a significant relationship between leadership style and employee performance, as evidenced by an Asymp Sig (2-sided) value of 0.000. A lower p-value signifies a higher level of significance in the study. This means the null hypothesis (H0) is rejected, and the alternative hypothesis (H1) is accepted. The findings underscore a significant relationship between leadership style and employee performance in the management department of RSNU Tuban.
employee performance, leadership style, organizational goals.
CARBOHYDRATE AND FAT CONTENT IN RED BEAN FLOUR AND BLACK RICE FLOUR SUBSTITUTION COOKIES
Blood sugar control in diabetes mellitus patients can be achieved by consuming foods with a low glycemic index. Red peanuts and black rice are included in the category of low glycemic index foods. An alternative snack made from a mixture of red peanut flour and black rice flour can be processed into cookies. This study aims to determine the effect of substituting red peanut flour and black rice flour in cookies on carbohydrate and fat levels. Above" is incorrect. You can use “This study is an experimental research using a Completely Randomized Design (CRD) consisting of 4 treatment levels with 6 replications, Namely, the ratio of wheat flour: black rice flour: red peanut flour at P0 (100:0:0), P1 (0:25:75), P2 (0:50:50), and P3 (0:75:25). The research results indicate an increase in carbohydrate and fat levels according to the cookie formulation. P1 is the most appropriate formulation for individuals with diabetes who suffer with level low carbohydrate and fat levels.
THE RELATIONSHIP BETWEEN WAIST-HIP CIRCUMFERENCE RATIO (WHR) AND HYPERTENSION AMONG ELDERLY IN THE WORKING AREA OF WIRE HEALTH CENTER, TUBAN REGENCY
Hypertension often occurs in individuals over 60 years of age, influenced by the Waist-Hip Ratio (WHR), which reflects the distribution of body fat, especially visceral fat, as well as age-related changes such as increased body fat and decreased muscle mass. This study aims to investigate the relationship between the Waist-Hip Circumference Ratio (WHR) and hypertension among the elderly in the Wire Health Center area, Tuban Regency. This study used an analytical observational method with a cross-sectional approach. The population was 276 elderly people in the working area of Wire Health Center, Tuban, with a sample of 163 elderly people over 60 years old who were randomly selected using a simple random sampling technique. The research instruments included measuring WHR with a measuring tape and blood pressure with an aneroid sphygmomanometer. Data analysis was performed using the Spearman correlation test with SPSS software version 22 for Windows. The results showed that only 1 respondent (1.6%) with a safe Waist-Hip Ratio (WHR) was classified as having prehypertension. In contrast, most respondents with a waist-hip ratio in the risk category, namely 49 people (50.5%), had grade 2 hypertension. The analysis indicated a significant association between Waist-Hip Ratio (WHR) and hypertension, with a p-value of 0.001 and a correlation coefficient (r) of 0.267. The higher the waist-hip ratio (WHR), the greater the risk of hypertension in the elderly.
THE IMPACT OF SERVICE WAITING TIME ON PATIENT SATISFACTION AT RSUD R. ALI MANSUR JATIROGO
Outpatient services involve a process where patients arrive, receive a queue number, and wait in the registration area until called. Subsequently, they wait at the destination polyclinic for their examination. Patient waiting time serves as an indicator of healthcare quality. This study employs a non-experimental, correlational design to investigate the relationship between waiting time and patient satisfaction in the outpatient unit at RSUD R. Ali Manshur Jatirogo. A sample of respondents was selected using cluster random sampling techniques. The independent variable in this study is service waiting time, while the dependent variable is patient satisfaction in the outpatient unit. The data analysis employed the Contingency Coefficient Test, utilizing SPSS for Windows. Findings reveal a statistically significant relationship between service waiting time and patient satisfaction in the outpatient unit, supporting the hypothesis that service waiting time has a significant impact on patient satisfaction. Most respondents perceived the waiting time as not meeting expected standards, and many expressed dissatisfaction with the service provided. The study confirms a relationship between waiting time and patient satisfaction in the outpatient unit at RSUD R. Ali Manshur Jatirogo, emphasizing the importance of reducing waiting times to improve patient experiences.
QUALITY OF HEALTH SERVICES AND PATIENT SATISFACTION OF NATIONAL HEALTH INSURANCE PARTICIPANTS AT WIRE HEALTH CENTER
The community health center (Puskesmas) is one of the many stakeholders involved in the implementation of the national health insurance program, which aims to provide health protection to participants with the goal of maintaining health and safeguarding to meet basic health needs. Patient satisfaction is influenced by the quality of health services. This research aims to explore between the quality of health services and patient satisfaction among National Health Insurance participants at the Wire Community Health Center. This type of research is quantitative with a cross-sectional approach at the Wire Community Health Center. The sample in this study consists of 108 individuals selected using probability sampling techniques with simple random sampling method. Data collection was conducted using a questionnaire that covered aspects of healthcare service quality. The results of the study, after being analyzed using Spearman with a significance level of a = < 0.05, showed a value of r = 0.000 < 0.05, with a correlation coefficient of r = 0.048, which means the strength of the relationship between the two variables is categorized as strong. Based on the analysis of the data, it can be concluded that there is a relationship between the quality of health services and patient satisfaction among national health insurance participants at the Wire Community Health Center. The quality of service at the Wire Community Health Center is good, and the majority of national health insurance patients are satisfied with the services provided.
THE RELATIONSHIP OF PREGNANT WOMEN'S ATTITUDE, BEHAVIOR, AND ANTENATAL CARE (ANC) VISITS AFTER THE COVID-19 PANDEMIC AT THE PLUMPANG HEALTH CENTER, PLUMPANG, TUBAN DISTRICT
Following the COVID-19 pandemic, numerous restrictions have been imposed on almost all routine services, including maternal and neonatal health services. For example, 8 out of 10 pregnant women are reluctant to go to community health centers or other health service facilities because they are afraid of being infected. There are recommendations to postpone pregnancy checks and classes for pregnant women. Lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy, because danger signs are not detected. This study aims to investigate the relationship between the behavior of pregnant women and their attendance at ANC visits following the COVID-19 pandemic at the Plumpang health center. This research was carried out using a correlational analytical research design method, which tests whether there is a relationship between variables with a cross-sectional approach. The sample in this study was obtained by simple random sampling of 55 third-trimester pregnant women who had ANC. The instrument in this research uses a questionnaire. Result. The results of this study used the Spearman rank test with a significance level of ????= 0.01, the result was ???? = 0.000 and where ???? = 0.000 < 0.01, the value of r= 0.505 which shows the strength of the strong relationship that there is a significant relationship between the behavior of pregnant women and ANC visits after during the Covid-19 pandemic. The COVID-19 pandemic does not prevent pregnant women from carrying out routine prenatal checks.
THE EFFECT OF IRON INTAKE ON HEMOGLOBIN LEVELS ON FEMALE ADOLESCENTS IN JATIROGO DISTRICT, TUBAN REGENCY, EAST JAVA
Hemoglobin (Hb) levels will be an indicator in determining cases of anemia. Normal Hb levels in women are 12-16 g/dl. Female adolescents are susceptible to anemia due to physiological or normal menstruation every month and inappropriate eating patterns. Based on the 2018 Riskesdas results, 96.8% of adolescents aged 10-14 years and 96.4% of adolescents aged 15-19 in Indonesia do not consume vegetables and fruit which is rich in micronutrients, one of them is iron. Analytic research method with cross-sectional approach. The population of this study amounted to 763 respondents with 263 adolescents as respondents which were determined by cluster random sampling techniques. Iron intake as an independent variables, and hemoglobin level as a dependent variable. The research analysis used Spearmans correlation statistical test. The test results showed a significant relationship between iron intake and hemoglobin levels in the blood obtained p-value = 0.010 < 0.05. It was concluded that there was an effect of iron intake and Hemoglobin levels. The lower the intake of protein and iron, the lower the hemoglobin level.
CORRELATION BETWEEN FAST FOOD CONSUMPTION AND OBESITY IN WOMEN OF FERTILIZING AGE IN TUBAN, EAST JAVA
Obesity is a condition with excessive fat accumulation due to an imbalance between energy intake and energy used over a long period. This study aimed to determine the relationship between fast food consumption and obesity in women of childbearing age. This study uses an analytical research method with a cross-sectional approach. The population of this study was the population of this study was 234, with a sample of 148 respondents, determined using a simple random sampling technique. The Independent variable is fast food consumption, dependent variable is obesity. The research analysis uses Spearman's correlation statistical test. The research showed that some respondents had a frequency of fast-food consumption in the bad category. The results of statistical tests show that there is no significant relationship between fast food consumption and obesity with p-value = 0.341 > 0.05. Although fast food consumption in the bad category did not show a significant relationship with obesity, other factors such as genetic factors, socioeconomic status, and environmental influences still play a role in obesity risk. Other factors can influence obesity such as genetic factors, socioeconomic status, environmental factors, and also the use of contraception.
GLUCOSE AND PROXIMATE ANALYSIS IN CEREALS SUBSTITUTING CASSAVA FLOUR AND RED BEANS
Diabetes mellitus is a disease or chronic metabolic disorder characterized by high blood sugar levels accompanied by disorders of carbohydrate, lipid and protein metabolism as a result of insulin function insufficiency. Diabetics are advised to pay attention to the food they consume, preferably low in sugar. In general, cereals on the market are made from wheat flour which contains quite a lot of sugar, so it is necessary to modify cereal recipes to increase nutritional value. Cassava flour is a food source of carbohydrates with a lower calorie content than wheat flour. Red bean flour has a fairly high protein content and a low glycemic index, so the substitution of cassava flour and red bean flour is expected to increase the nutritional value. This study aims to determine the effect of substituting cassava flour and red bean flour on the nutritional value of cereals. This research used True Experimental with 4 treatment levels and 6 replications. The treatment applied was the ratio of wheat flour: cassava flour: red bean flour at each P0 (100:0:0), P1 (10:50:40), P2 (10:60:30), P3 (10: 70:20). Based on the research results, it shows that there is an effect of reducing glucose, energy, fat, carbohydrate and water levels compared to those without substitution. There was an increase in protein and ash content in the treatment. The cereal formulation that has the expected nutritional content is the P3 formulation
Copyright (c) 2024 International Nutrition and Health Administrations Journal
THE LEVEL OF SATISFACTION OF PATIENTS PARTICIPATING IN SOCIAL SECURITY ADMINISTRATION AGENCY (BPJS KESEHATAN) WITH THE QUALITY OF SERVICE AT THE CAMPUREJO HEALTH CENTER, KEDIRI CITY
Patient satisfaction is one of the indicators of the success of health services and the most important thing that must be achieved by every health facility. Service quality is a form of patient assessment of the services received. Some studies use satisfaction indicators to assess service quality. This study aims to determine the level of satisfaction of Social Security Administration Agency/Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan participants with the quality of health services at the Campurejo Health Center. This study uses a cross-sectional research design. The population in this study is all BPJS Kesehatan participants who receive outpatient services at the Campurejo Health Center, Kediri City. Sampling using the purposive sampling technique has the characteristics of inclusion and exclusion. The sample size with the Lemeshow formula so that 37 respondents were obtained. Data processing was carried out using the Fisher Exact Test statistical test. Based on the results of the study, most of the respondents and patients participating in BPJS Kesehatan assessed that the quality of the services provided was good and most of the respondents were satisfied with the services received, there were BPJS Kesehatan participating patients who assessed the quality of service in the fairly good category as many as 5 people (13.5%) and in the good category as many as 32 people (86.5%) and at the patient satisfaction level there were 10 people (27%) who stated that they were quite satisfied and 27 people (72.9%) who said they were satisfied with the services received. Based on the results of the study using the Fisher Exact Test, a value of p 0.014 (p>0.05) was obtained. This shows that there is a relationship between the quality of service and the level of patient satisfaction of of Social Security Administration Agency (BPJS Kesehatan) participants at the Campurejo Health Center in Kediri City.
TH CORRELATION BETWEEN HOME ENVIRONMENTAL HEALTH AND THE INCIDENCE OF ACUTE RESPIRATORY TRACT INFECTION (ARI) IN TODDLERS IN KESAMBEN VILLAGE, PLUMPANG
Acute Respiratory Infection (ARI) is one type of environmental-based infectious disease, an acute infection that attacks one or more parts of the respiratory tract from the nose to the alveoli, including the adnexa (sinuses, middle ear cavity, pleura). This study aims to determine the relationship between the health of the home environment and the incidence of acute respiratory infections in Kesamben Village. The research design used was correlational analytic with a cross-sectional technique. The sampling technique was simple random sampling, on 38 respondents at Posyandu Cempaka, Kersamben village. Measuring tools using questionnaires, and data analysis using the chi-square statistical test. From the results of the study, it was found that most of the respondents' home environment was healthy, namely as many as 24 (68.6%) respondents, most of the 28 (36.8%) respondents at the posyandu in Kesamben village did not. suffer from ARI. Based on the chi-square test, there is a significant relationship between the independent variable and the dependent variable, namely the health of the home environment and the incidence of ARI in Kesamben Village (approx. sig = 0.013) with a significant value of = <0.05. From the description above, it can be concluded that the health of the home environment affects the health of the home environment, so it is expected to carry out ARI in toddlers. Therefore, every community needs to maintain and maintain physical sanitation of the house and apply a clean and healthy lifestyle in daily life to reduce the risk of getting infected. diseases related to the environment, especially in toddlers.
THE CORRELATION BETWEEN SERVICE QUALITY AND THE LEVEL OF SATISFACTION OF BPJS PATIENTS IN THE INPATIENT ROOM HOSPITAL KH. ABDURRAHMAN SYAMSURI PACIRAN
Patient satisfaction depends on the quality of service provided. A service is said to be good by patients if the services provided can meet the needs or expectations of patients. This study was to determine the relationship between service quality and the level of satisfaction of BPJS patients in the Inpatient Room of KH Abdurrahman Syamsuri Paciran Hospital. The research used was quantitative research with a cross-sectional study approach. The population was all patients of BPJS participants who underwent treatment in the Inpatient Room of KH Abdurrahman Syamsuri Paciran Hospital—numbered 15 people. Sample withdrawal using accidental sampling with a sample size of 14 respondents. The data analysis performed was univariate and bivariate with the Spearmen rho test. The results showed that there was a relationship between reliability (p=0.001), empathy (p=0.001), responsiveness (p=0.001), and amenity (p=0.001). There was no relationship between assurance (p = 0 . 491), number of personnel (p=0.106), and availability of drugs (p=0.143) with BPJS patient satisfaction in the Inpatient Room of KH. Abdurrahman Syamsuri Paciran Hospital. The study concludes that there is a relationship between service quality and the level of satisfaction of BPJS patients in the Inpatient Room of KH. Abdurrahman Syamsuri Paciran Hospital. The results of this study are input to management to improve service quality based on the level of patient satisfaction of BPJS users. So that it will improve the quality and patient satisfaction.
BPJS Patient Satisfaction; Hospitalization; Service Quality
THE CORRELATION BETWEEN LIFESTYLE HABITS WITH THE INCIDENCE OF DIABETES MELLITUS (Case Study in Work Area of Tahulu Healthcare, Tuban)
Diabetes Mellitus (DM) is one of the biggest health diseases in the world that requires serious treatment. Diabetes mellitus can be caused by a person's lifestyle which includes diet and physical activity. This research aims to determine the relationship between lifestyle and diabetes mellitus at Tahulu Healthcare. The research method used is a cross-sectional approach. The population used was all outpatients who underwent routine check-ups at the Tahulu Village Community Health Center with a total of 50 respondents in the last 3 months (January-March) 2023 and a research sample size of 45 respondents using simple random sampling. The independent variable in this study is lifestyle using a questionnaire instrument, while the dependent variable is the incidence of diabetes mellitus using the Time Blood Sugar instrument. The results of this study indicate that there is a relationship between lifestyle and the incidence of diabetes mellitus in outpatients at the supporting health center in Tahulu Healthcare. This is proven by the contingency coefficient test, the significance of α = 0.05 is obtained by the value of Phi = 0.000 where 0.000 < 0.05, then H1 is accepted, meaning that there is a relationship between lifestyle and the incidence of diabetes mellitus in outpatients at Tahulu Healthcare. This research conclude that there is a significant relationship between lifestyle and the incidence of diabetes mellitus Tahulu Healthcare. It is hoped that respondents can adopt a healthy lifestyle to avoid the incidence of Diabetes Mellitus. Keywords: Lifestyle; Diabetes Mellitus; Blood Sugar
Lifestyle; Diabetes Mellitus; Blood Sugar
THE RELATIONSHIP OF FAT INTAKE AND NUTRITIONAL STATUS IN ADOLESCENT WOMEN OF THE ISLAMIC BOARDING SCHOOL, TUBAN DISTRICT
Teenagers are one of the groups that easily experience nutritional problems such as malnutrition and overnutrition. Nutritional status is a description of the body's condition as a result of the use of nutrients from the food consumed daily. This research aims to determine the relationship between fat intake and nutritional status in adolescents. Analytical research method with a cross-sectional time approach. The population of this study consisted of 402 respondents with a sample of 200 teenagers, determined using a cluster random sampling technique. The Independent variable is a fat intake, dependent variable is nutritional status. The research analysis uses Spearman's correlation statistical test. The results of the study showed that the majority of adolescent girls' fat intake was higher. Based on the results of statistical tests using the Spearman correlation test for fat intake, a value of p = 0.000 was obtained so that ρ < 0.05, there is a significant relationship between fat intake and nutritional status, the Correlation Coefficient value is in the weak category at 0.312. The conclusion from this study is that there is a significant relationship between fat intake and nutritional status. Keywords: Nutritional Status; Fat Intake; Adolescents.
Nutritional Status; Fat Intake; Adolescents.
Analysis Of Nutritional Content And Organoleptic Quality Of Biscuits Substituting Green Bean Flour (Vigna Radiata) And Carrot Flour (Daucus Carota L.) As A High-Protein Snack For Breastfeeding Mothers
Introduction. Exclusive breast milk (ASI) is breast milk given to babies from birth for 6 months without adding or replacing it with other foods and drinks except medicines, vitamins, and minerals. Breastfeeding is crucial because it is related to conditions of undernutrition and overnutrition. However, exclusive breastfeeding is not easy to do because some mothers complain that there is not enough breast milk. The solution to this problem is making high-protein foods or snacks to help increase breast milk production and maintain the quality of the mother's breast milk. One ingredient that is high in protein is green beans and carrots. So, to meet protein needs, you can make biscuits instead of green bean flour and carrot flour as an alternative snack for breastfeeding mothers. Research Objectives: This research aims to find out the effect of the substitution of green bean flour and carrot flour on the protein content and organoleptic quality of high-protein biscuits. Metode. This research used a True Experimental Design with a Completely Randomized Design (CRD), 4 treatment levels and 6 replications. The treatment applied was the ratio of wheat flour, green bean flour, and carrot flour in each treatment, namely P0 (100:0:0), P1 (70:20:10), P2 (60:10:30), P3 ( 50:30:20). Result&Analysis. The results showed that there was an effect of increasing the protein content in biscuits by substituting green bean flour and carrot flour, the highest value was found in the P3 treatment. The presence of a significant influence on the color, flavor, smell, and texture of the biscuits was demonstrated using the Kruskal Wallis Test (p<0.005) and continued with the Mann-Whitney test if it showed differences in all treatments. The best treatment is in the P1 treatment biscuit. Discussion. This research concludes that biscuits substituted for green bean flour and carrot flour influence nutrient levels, protein, and organoleptic quality. This research concludes that substitute biscuits for green bean flour and carrot flour influence protein content and organoleptic quality. Keywords: Biscuits; Green Bean Flour; Carrot Flour; Protein; Organoleptic Quality.
The Organoleptic Acceptance Test Of Flawless Bread With Sorghum Flour Substitution
Introduction. Iron-deficiency anemia is a hematological disease that is often found in pregnant women. This situation can certainly hinder the growth and development of the fetus in pregnant women. It can be said to be anemia if the number of red blood cells or hemoglobin is below the normal limit if the hemoglobin level is <14 g/dL in men and <12 g/dL in women. Therefore, food that contains iron is needed to meet daily iron needs. Sorghum planting is often found in East Java and surrounding areas. This plant contains high levels of iron compared to other cereals, such as rice. This research aims to determine the effect of sorghum flour substitution on the organoleptic acceptability of sorghum white bread. Metode. The analysis used in this research consists of static analysis and organoleptic analysis. Result&Analysis.The results of this study showed that there was a significant effect on the color, smell, flavor, and texture of white bread substituted for sorghum kurskal wallis flour (p > 0.005).Discussion. This research concludes that white bread substituted for sorghum flour influences organoleptic quality.
White Bread; Sorghum Flour; Sorghum; Organoleptic; Substitutes
The Effect of Nutrition Counseling Using Whatsapp and MyfitnessPal Application on Vegetable and Fruit Consumption in Overweight and Obese Students
Overweight and obesity are the fifth-leading causes of death around the globe. One of the causes of these health problems is the need for a diet high in vegetables and fruits. The average intake of vegetables in the Special Region of Yogyakarta, such as Kulon Progo, was 2%, Bantul 1.7%, Sleman 1.8%, and the city of Yogyakarta 1.6%, respectively. Meanwhile, the average fruit consumption in Kulon Progo was 0.8%; in Sleman, it was 0.7%; in Yogyakarta, it was 0.8%; and in Bantul, it had declined. So, interventions are needed, such as nutritional counseling and intake monitoring, to boost the consumption of vegetables and fruits. The aim is to examine the effect of nutritional advice using WhatsApp and MyFitnessPal apps on vegetable and fruit consumption among overweight and obese students. A pretest-post-test study design with a control group design was used. The study population was students of Alma Ata University. The sample size was 78 overweight and obese students, employing a purposeful sampling technique and collecting data using analytical scales for weight factors and food intake using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Data analysis approaches used paired t-tests, Wilcoxon, and Mann-Whitney tests. Two times, dietary advice is given online via WhatsApp phone call. Based on the test results, the difference before and after counseling indicated insignificant results, with P = 0.663 on vegetable intake and P = 0.268 on fruit consumption. There is no effect of nutrition counseling using WhatsApp and MyFitnessPal application on vegetable and fruit consumption in overweight and obese students.
Fruits, Vegetables, Obesity, Treatment, University
THE EFFECT OF GIVING FE TABLET AND AMBON BANANA ON INCREASING HEMOGLOBIN LEVELS OF THIRD TRIMESTER PREGNANCY WOMAN WITH ANEMIA
Introduction : Anemia in pregnancy is the condition of the mother with Hb levels below 11 g% in the first and third trimesters or levels < 10.5 g% in the second trimester. The aim is to give tablets of Fe and Ambon bananas to increase hemoglobin levels in pregnant women with anemia in the third trimester. Metode : Analytical design approach Quasy Experiment, the independent variables are Fe tablets and Ambon banana, dependent on the increase in hemoglobin levels. The population of pregnant women with anemia in the third trimester at Polindes Mondokan was 18 people and a sample of 16 respondents. Simple random sampling technique and collection of pre-post test Hb data, McNemar statistical test. Result&Analysis : The results of the study using SPSS for windows with a significance level of = 0.005 obtained p value = 0.031. Discussion : It was concluded that there was an effect of giving added tablets of Fe and Ambon bananas to the increase in hemoglobin levels in pregnant women with anemia in the third trimester. Giving of Fe tablets together with Ambon Banana was more effective in increasing hemoglobin levels.
Copyright (c) 2023 International Nutrition and Health Administrations Journal
THE CORRELATION STUDY OF PREGNANT WOMEN'S MALNUTRITION WITH ABORTUS INCIDENCE IN THE TAMBAKBOYO HEALTH CENTER AREA, TAMBAKBOYO SUB-DISTRICT, TUBAN DISTRICT
Malnutrition was a medical condition caused by unbalanced nutritional intake in the form of macronutrients and micronutrients. Malnutrition was at risk for abortion. The high number of malnutrition accompanied by abortion, so this study aims to determine whether there is a correlation study of malnutrition in pregnant women with the incidence of abortion at the Tambakboyo Health Center, Tambakboyo District, Tuban Regency. The research design was correlational analytic with the population of all pregnant women who were examined (216) by collecting data through medical records. The sampling technique is simple random sampling (140). The independent variable is malnutrition of pregnant women, the dependent variable is the incidence of abortion. Analysis with contingency coefficient test with️ = 0.05. The results were obtained from data on 140 pregnant women, for malnutrition who experienced abortions based on BMI almost half (46%), based on Chronic energy deficiency almost half (29%) and based on anemia almost half (30%). From the data analysis, the results were obtained in the form of abnormal BMI sig 0.000, in the form of chronic energy deficiency sig 0.004, in the form of anemia sig 0.000. Because sig < 0.05, Hi is accepted, which means that there is a significant relationship between malnutrition in pregnant women and the incidence of abortion in the form of BMI, CED and anemia. The conclusion of this study is that there is a correlation between malnutrition in pregnant women and the incidence of abortion in the Tambakboyo Community Health Center, Tambakboyo District, Tuban Regency. Thus, it is hoped that health workers will provide IEC on balanced nutrition to prospective mothers before preparing for pregnancy, both through formal and informal channels.
THE RELATIONSHIP BETWEEN FOOD PARENTING AND SNACKING HABITS WITH THE NUTRITIONAL STATUS OF SCHOOL-AGE CHILDREN
School-age children are the second fastest growing period after toddlers. Where optimal health will produce optimal growth as well. Nutritional intake is needed to meet the physical and mental health of children. This study aims to determine the relationship between maternal eating patterns and children's snack habits with the nutritional status of school-age children. This type of research is correlational analytic with cross sectional time approach. The population is all mothers of school-age children at SDN Ngrandu 1 Kedungadem Bojonegoro in 2022 a total of 88 people, with a sample selected by proportionate stratified random sampling technique obtained 42 respondents. The independent variables in this study were the food parenting in the child and the child's snack habits. The dependent variable is the nutritional status of children. The results obtained after being analyzed using SPSS version 25 with the results of the Spearman test on the relationship between food parenting and the nutritional status of school-age children obtained significant results = 0.000; r = 0.694. The results of the Spearman test on the relationship between children's snack habits and the nutritional status of school-age children obtained significant results = 0.001; r = 0.493. From the description above, it can be concluded that there is a significant relationship between maternal eating patterns and children's snack habits with the nutritional status of school-age children (6-12 years) at SDN Ngrandu 1 Kedungadem. Keywords: School Age Children, Parenting, Snacking Habits, Nutritional Status
THE EFFECT OF CONSUMPTION OF BLACK CINCAU ICES ON REDUCING BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION
Hypertension is a condition in which systolic blood pressure reaches or exceeds 140 mmHg and diastolic blood pressure reaches or exceeds 90 mmHg. The purpose of this study was to evaluate the effect of giving black grass jelly (Premna oblongifolia Merr) ice to pregnant women with hypertension. The method used in this study was a pre-experimental design with a One Group Pretest Posttest using a cross-sectional time approach. The research population consisted of 20 respondents, with a sample of 10 respondents selected using purposive sampling method. The results of this study concluded that giving black grass jelly ice has a positive effect, especially as an effective non-pharmacological method in reducing blood pressure in pregnant women who experience hypertension. These findings indicate that giving black grass jelly ice can be an effective alternative in managing blood pressure in pregnant women with hypertension. This method holds promise as an adjunctive therapy that can reduce the risk of complications related to hypertension in pregnant women.
Health Problems and Associated influence factors among Health Care workers during COVID-19 Pandemic: A Systematic Review and Meta-analysis
Purpose: This systematic review aims to investigate the health problems and associated influence factors among HCWs during COVID-19. Methods: A systematic search was conducted in the database of Embase, PubMed, Web of Science, and Google Scholar between January and May 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method were used. Review Manager 5 and STATA 15.1 software were used to identify the pooled prevalence, the sensitivity analysis, and the publication bias of the outcomes. NOS was used to assess the quality appraisal of the eligible studies. Results: A total of 6,878 participants were surveyed across the 10 studies. The studies were between March 5, 2020, and June 30, 2021. The ten eligibility studies conducted in 9 countries were included. The pooled prevalence of depression across 10 studies was 30%(95%CI: 19%-40%), the pooled prevalence of anxiety was 35%(95%CI: 21%-48%) across 9 studies, the pooled prevalence of insomnia was 47%(95%CI: 42%, 51%) across 4 studies, the pooled prevalence of PTSD, stress, EE, DP, and a PA, was 9%(95%CI: -5%, 22%), 64%(95%CI: 60%, 67%), 34%(95%CI: -10%,69%), 17%(95%CI: 14%, 21%), 54%(95%CI: 51%, 57%), respectively across 2 studies by a random effects model. The study also identified various influential factors associated with these health problems. Conclusion: The systematic review highlights the including depression significance of mental health, physical health problems, and other problems among HCWs during the pandemic, , anxiety, stress, PTSD, insomnia, burnout (exhaustion, DP, PA), and workload.
PENGARUH KEPUASAN KERJA TERHADAP KINERJA KARYAWAN RSUD dr.R.KOESMA TUBAN
Penelitian ini memiliki tujuan untuk mengetahui pengaruh 1) kepuasan kerja terhadap kinerja karyawan, 2) kinerja karyawan terhadap kepuasan pelanggan, dan 3) kepuasan kerja terhadap kepuasan pelanggan melalui kinerja karyawan. Penelitian ini mengambil lokasi di rumah sakit-rumah sakit daerah kabupaten Tuban dengan menggunakan karyawan dan pasien rumah sakit sebagai responden penelitiannya. Pembuktian hipotesis penelitian ini menggunakan teknik analisis jalur (path analysis). Hasil yang diperoleh dalam penelitian ini 1) kepuasan kerja memiliki pengaruh signifikan yang positif terhadap kinerja karyawan, 2) kinerja karyawan juga berpengaruh positif signifikan terhadap kepuasan pelanggan, dan 3) kepuasan kerja berpengaruh positif secara langsung terhadap dan tidak langsung melalui kinerja karyawan terhadap kepuasan pelanggan
kepuasan kerja, kinerja karyawan, kepuasan pelanggan
Copyright (c) 2022 International Nutrition and Health Administrations Journal
EFFECT OF JOB SATISFACTION ON EMPLOYEE COMMITMENT IN dr. R. KOESMA TUBAN HOSPITAL
Preliminary survey result showed the number of employees knowledge about the event held by dr. R. Koesma Tuban hospital reached 52.8%. It means more than 20% employees are not aware of activity outside the work which that number can affect to decreasing employee commitment to the organization. Job satisfaction factors divided into 5 there are pay satisfaction, promotion, coworker, supervisor and the job characteristic. The aim of this study is to analyze the influence of job satisfaction to employee commitment. Observational analytic was used in this research with the cross sectional design. The data was obtained through questionnaire with simple random sampling involving 62 employees as the sample of this research. The data obtained were analyzed using univariate logistic regression test (α=0, 05) to examine the influence of Job satisfaction to employee commitment. The test result indicates that job satisfaction is significantly influenced by employee commitment at the significance value of 0.02. Job satisfaction factors that there are influences toward employee commitment are employee's pay satisfaction (sig=0.001), promotion (sig=0.005), supervisor (sig=0.004) and job characteristic (sig=0.001). On the other hand, the employee's coworker satisfaction does not influence the employee commitment.
CSIndex, Community Satisfaction Index, Permenpan, Health Center
IDENTIFICATION OF INCOMPLETE FILLMENT OF MEDICAL RECORDS DOCUMENTS BASED ON EXPECTANCE MOTIVATION THEORY IN RSUD dr. R. KOESMA TUBAN
Completeness of medical record documents becomes important because it describes the practice of quality services. RSUD dr. R. Koesma Tuban have problems with completeness of medical record documentation. Incompleteness medical record documentation of outpatient at RSUD dr. R. Koesma Tuban was rated at 87, 67%. The object of this study was to identify the incompleteness of medical record documentation of outpatient based on Victor Vroom expectancy theory motivation at RSUD dr. R. Koesma Tuban. The present study conducts a cross-sectional, descriptive research during May 2021 through to use questionnaires and observation on medical record documentation of outpatient. The respondents of this study were personnel who were filling the outpatient medical record documentation. These people were 5 doctors, 5 refractions, and 6 nurses. The result of the study showed that Filling of the medical record documentation at RSUD dr. R. Koesma Tuban was low. Motivation has driving factor to the incompleteness of outpatient medical record documentation at RSUD dr. R. Koesma Tuban. Suggestions given to monitoring the performance to complete the medical record documentation of outpatient. Keywords : hospital, incompleteness, medical record, motivation, outpatient, victor vroom
THE RELATIONSHIP BETWEEN LONG WAITING TIME ON PATIENT SATISFACTION OUT PAGE IN INSTALLATION POLYCLINIC OUTCOMING AT NADHLATUL ULAMA TUBAN HOSPITAL
Patient satisfaction is the level of one's feelings after comparing the perceived performance with expectations, so the level of satisfaction is a function of the difference between perceived performance and expectations. Patients are people who consult health issues to obtain the necessary health services, both directly and indirectly to the doctor. Satisfaction can be interpreted if it is in line with expectations and reality, service during the process of enjoying services, employee behavior, physical atmosphere and physical conditions, and promotion is not in accordance with reality. This study uses an observational analytic design with a cross sectional approach. The research sample of 60 internal medicine polyclinic patients at Nahdlatul Ulama Hospital Tuban was selected by accidental sampling. research instruments, patient satisfaction questionnaire. The results showed that there was a relationship between Waiting Time and Patient Satisfaction in the Internal Medicine Polyclinic in Outpatient Installation, this was evidenced by the Spearman Rho test obtained p = 0.00 (α <0.05). It is expected that the results of this study can be used as information for the hospital management, that waiting time is also included that affects satisfaction.
Waiting Times, Patient Satisfaction, Service
IMPROVING THE QUALITY OF HEALTH SERVICES WITH THE IMPLEMENTATION OF PATIENT SAFETY EFFORT IN RENGEL PUSKESMAS
Background: Patient safety is one indicator of the quality of health services. Although patient safety incident data in first-level health care facilities are not yet accurate in Indonesia, patient safety is an important issue in improving service quality. Rengel Tuban Health Center is one of the health care facilities that implement patient safety efforts as a form of efforts to improve the quality of health services as referred to in the Law of the Republic of Indonesia Number 36 of 2009. Objective: The purpose of this study is to identify the application of patient safety efforts at the Rengel Tuban Health Center to improve service quality. Methods: The data collection techniques used were observation, interviews, and literature study. Data collection was carried out at the Rengel Tuban Health Center in January-February 2021. Results: The results of data analysis showed that the implementation of patient safety efforts at the Rengel Tuban Public Health Center was adjusted to the standards of the Puskesmas accreditation assessment. However, in its realization there are still obstacles and shortcomings in meeting patient safety standards at the Rengel Tuban Health Center so it is necessary to optimize the application of patient safety efforts from all parties involved. Conclusion: It can be concluded that puskesmas must provide safe and quality services to create a healthy subdistrict. Health centers need to improve patient safety in accordance with the Minister of Health of the Republic of Indonesia Number 36 of 2009
EVALUATION OF PATIENT SAFETY REPORTING SYSTEM AT TUBAN HOSPITAL
Background: The incident reporting system is designed to obtain information about patient safety which is used for organizational and individual learning. Objective: The purpose of the study was to evaluate the implementation of a patient safety incident reporting system in hospitals. The research is in the form of observational descriptive supported by qualitative data. The evaluation in this study used the Health Metrics Network (HMN) model. Results: The results of the evaluation of the patient safety incident reporting system at a hospital in Surabaya indicate that in terms of input there has been a policy that regulates patient safety incident reporting but unfortunately the implementation of this policy is still not appropriate, there is no direct funding but facilities are provided for In making reports, officers have been given socialization but there are differences in understanding and sense of responsibility of officers, the organizational structure of the patient safety team already exists, problem solving methods have not used PDSA (Plan, Do, Study, Action), the technology used is computerized. Conclusion: Evaluation in terms of process, indicators are in accordance with regulations, data sources are in accordance with patient safety incident guidelines and guidelines, and collection, processing, presentation, and analysis are in accordance with theory. Evaluation in terms of output, submission of incident reports has not been on time, reports are complete and in accordance with existing guidelines, and reports have been used for decision making. Hospitals are expected to improve incident reporting guidelines and improve human resource capabilities.
THE INFLUENCE OF NURSE RESPONSIVENESS IN THERAPEUTIC COMMUNICATION PRACTICES ON PATIENT SATISFACTION IN INSTALATION INSTALATIONS RSNU TUBAN
Background: Patient satisfaction is one of the indicators measured in the Hospital Minimum Service Standards. In the Inpatient Installation (IRNA) of the Tuban Hospital there are 17 indicators but only 9 are met (52.94%). One of them is patient satisfaction with an achievement of 74.35% of the standard set by the hospital of 82%. One of the causes of not achieving patient satisfaction is the high number of patient complaints regarding aspects of the competence of nurses in providing services, a total of 61 complaints during 2014-2021. Methods: The research questionnaire instrument used a Likert scale of 1-5 on the independent and dependent variables. The rating scale on the independent variable or nurse's responsiveness ranged from strongly disagree to strongly agree. Meanwhile, the rating scale for the dependent variable ranges from very dissatisfied to very satisfied. Results: Based on the results of the study, it can be concluded that there is a significant effect of responsiveness or responsiveness of 0.003 (<a=0.05). to patient satisfaction. This shows that the better the patient's assessment of the responsiveness of the nurse, the more patient satisfaction will increase at the Inpatient Installation (IRNA) of the Tuban Hospital. Conclusion: More than 20% of respondents' assessments are in the category of being satisfied with the nurse's response. The hospital needs to hold training on human resources, especially training in therapeutic communication between nurses and patients to maintain the quality of service at the hospital.
satisfaction, therapeutic communication, inpatients, responsiveness