ii
PROCEEDINGS
2
ndInternational Conference Poltekkes Kemenkes Semarang
“On Handling Non Communicable Diseases”
Semarang, 2-3 September 2020
Pusat Unggulan IPTEKS (PUI-P2PTM) Poltekkes Kemenkes Semarang
2020
iii
PROCEEDINGS
2
ndInternational Conference Poltekkes Kemenkes Semarang
“On Handling Non Communicable Diseases”
Semarang, 2-3 September 2020 Ketua Penyunting
Dr. Rr. Sri Endang Pujiastuti, SKM, MNS Reviewer :
Dr.drg. Diyah Fatmasari,MDSc Dr. Sri Sumarni, M.Mid
Dr. Melyana N.W, S.SiT, M.Kes Dr. Bedjo Santoso, S.SiT, M.Kes Novita Kurnia Wulandari,
. Edisi I, Cetakan Pertama 2020
Diterbitkan Oleh :
Politeknik Kesehatan Kemenkes Semarang Telp : (024) 7477208
Jl. Tirto Agung, Pedalangan, Kec. Banyumanik, Kota Semarang, Jawa Tengah, 50268
ISBN : 978-623-6730-03-4
Hak Cipta dilindungi Undang-Undang
Dilarang mengutip, memperbanyak dan menterjemahkan
sebagian atau seluruh isi buku ini tanpa izin tertuis dari
penerbit
iv
Committee
2ndINTERNATIONAL CONFERENCE ON
HANDLING NON-COMMUNICABLE DISEASES (2ndICHNCDs) POLITEKNIK KESEHATAN KEMENKES SEMARANG
Semarang, 2-3 September 2020
Pelindung : Direktur Poltekkes Kemenkes Semarang Penasihat : 1. Wadir I Poltekkes Kemenkes Semarang
2. Wadir II Poltekkes Kemenkes Semarang 3. Wadir III Poltekkes Kemenkes Semarang Steering Committee : 1. Ketua Program Pascasarjana
2. Kepala Pusat Penelitian dan Pengabdian Masyarakat 3. Kepala Pusat Pengembangan
4. Kepala SPI
5. Ketua Jurusan Keperawatan 6. Ketua Jurusan Kebidanan 7. Ketua Jurusan Gizi
8. Ketua Jurusan Teknik Radiodiagnostik dan Radioterapi 9. Ketua Jurusan Keperawatan Gigi
10. Ketua Jurusan Kesehatan Lingkungan 11. Ketua Jurusan Analis Kesehatan 12. Ketua Jurusan RMIK
13. Kabag Adm.Umum dan Akademik Organizing Committee
K e t u a Wakil Ketua
: :
Dr. Rr. Sri Endang Pujiastuti, SKM, MNS Dr. Runjati, M.Mid
Sekretaris : 1. Hermien Nugraheni, SKM, M.Kes 2. Marichatul Jannah, S.ST, M.Kes Bendahara : 1. Endang Krismawati, S.E
2.. Dian Enjas Ramasputri, SKM Seksi-seksi
1. Ilmiah : 1. Dr.drg. Diyah Fatmasari,MDSc 2. Dr. Sri Sumarni, M.Mid
3. Dr. Melyana N.W, S.SiT, M.Kes 4. Dr. Bedjo Santoso, S.SiT, M.Kes 5. Novita Kurnia Wulandari,
2. Acara : 1. Sri Wahyuni Sigit, S.Kep,Ns, M.Kes 2. Sudiarto, MN
3. Sunarto, SKM, M.Kes
4. Novelin S.Maulida, S.Tr.Kes
3. Publikasi Jurnal : 1. Dr. Kun Aristiati S, SKM, M.Kes
v
2. Dr. drg. Lanny Sunarjo, MDSc 3. Mardiyono, Ph.D
4. Chobibah, S.ST.,Mkes 5. Fauzan Ma’ruf, S.ST
4. Humas/Dokumentasi : 1. Dr.Ta’adi, S.Kep,Ns, MHKes 3. Sawab, S.Kep, Ns, M.Kes 4. Bangun T. Nugroho, SKM 6. Sekretariat dan IT : 1. Rizal Ginanjar, S.ST, M.Kes
2. Iqbal Kurniawan 3. Dimas Bagas Prakosa 4. Muhammad Nauval Rizky 7. Dekorasi &
Perlengkapan
: 1. Adhani Windari, SKM, M.Kes 2. Nanang Qosim
3. Wakimin
vi
PREFACE
Praise our gratitude for the presence of God Almighty, for His bless and grace, so that the implementation of this International Conference can be held with the theme “On Handling Non-Communicable Disease During Covid 19 Pandemic”
which aims to share information about current issues regarding Non-Communicable Disease during the Covid- 19 Pandemic, Facilitating a meeting forum for scientists, researchers, academics and students to exchange experiences and research results on all aspects of handling, and controlling Covid-19 transmission to people at risk and people with non-communicable diseases and facilitating forums to share interventions in dealing with the prevention and control of non-communicable disease during the Covid-19.
The International Conference is expected to be a means in efforts to prevent and control public health problems through research based on science and technology that is built from research and publications activities an the applications of research results in solving health problems in the community, in terms of this is a matter of NCDs prevention an control. The industrial era 4.0 also requires academics, students, and health observers to always update their abilities through research and scientific activities, to contribute to the handling of NCDs, especially in the Covid-19 Pandemic. Our gratitude goes to the Director of Ministry of Health Polytechnic in Semarang, resource persons, paper contributors and all related parties so that the international conference can be held well.
Semarang, September 2020 Committee Chief,
Dr. Rr. Sri Endang Pujiastuti, SKM.,MNS
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SPEAKERS
KEY NOTE SPEAKER I : Artificial Intelligence Role in Global Health for Covid-19 Pandemic (Naoyuki Kobuta)
KEY NOTE SPEAKER II : Risk factors and Comorbidity Among Non- Communicable Disease Patient during Covid19 Pandemic. (Prof. Dr. dr. Suharyo Hadisaputro, SpPD, KPTI)
KEY NOTE SPEAKER III : Possibility Aplication of Plasma and Ozone Technology on Handling Non Communicable Disease durung Covid-19 Pandemic (Prof. Dr.
Muhammad Nur, DEA)
KEY NOTE SPEAKER IV : Nutrition for Prevention and Recovery among Non Communicables Diseases Patient in Covid-19 Pandemic. (Prof. Pooh Bee Kon and Dr. Kun Aristiati S, SKM, M.Kes )
KEY NOTE SPEAKER V : Maternal and Child Health in Covid-19 Pandemic (Emily Rose Smith, Sc.D and Dr. Runjati, M.Mid) KEY NOTE SPEAKER VI : Promoting Health Status among Non Communicables Diseases Patient in Covid-19 Pandemic (Prof . Sang Arun, PHD)
KEY NOTE SPEAKER VII : Indonesian Public Health Problem in Covid19
Pandemic (Prof Dr.dr Anies, M.Kes .PKK and
Prof . Dr.drg Diyah fatmasari, MD.Sc)
viii
SPEECH BY CHIEF ORGANIZING COMMITTEE OF 2
ndINTERNATIONAL CONFRENCE
Assalamu'alaikum wr wb
Greeting
First of all, I express my deepest gratitude to God almighty for His blessings as the International conference conducted cooperatively by health polytechnic of Semarang can be done successfully On this very special occasion, I wish particularly to give my best thanks to Mr. Marsum, BE, S.Pd, MHP and her colleagues as representation of POLTEKKES Semarang, for giving me a huge opportunity as a chief commitee. i am most grateful for efforts put forth by all of the International conference committee, who diligently worked throughout the process of inviting both participants and speakers so that the event goes on the right track Finally, I do hope that the event will contribute positively to health professionalism itself as well as to establish a wonderful networking between health organization and significant others May God bless our good relationship and good will so that He will only bring goodness for al
Wassalamu'alaikum wr wb
Semarang, September 2020 Chief Commitee
Rr. Sri Endang Pujiastuti, SKM, MNS
ix
CONTENTS
Contents Page
Cover Page i
Soft Cover ii
Verso Page iii
Committee iv
Preface vi
Speaker vii
Speech By Chief Organizing Committee Of 2nd International Confrence viii
Contents ix
Analysis Of Iron Level And Acceptability Of Chicken Liver Nugget As Alternative Food For Anemic Female Teenagers
Myrna Sally Hardeanna, Sunarto, Mohammad Jaelani
1
Handling Training Of Hypothermia Using Pseudotem Banana Nesting For Pregnant Women And Health Cadres In Cepoko Village In 2019
Melyana Nurul Widyawati, Sri Sumarni, Sri Wahyuni, Sri Endang Pujiastuti
10
Overcoming Dismenore With Sunflower Seeds (Helianthus Annuus L)
Tuti Sukini, Masini, Rosep Lubatin 15
The Effect Of Education About Toddler Nutrition By Using Audio Visual Media On Toddler’s Mother
Munayarokh, Rizki Winarni, Arum Lusiana
23
Description Of Adolescent Knowledge About Non-Communicable Diseases Arising From Smoking Behavior
Titi Mursiti, Sri Setiasih, Titik Sapartinah, Rozikhan
29
Survey Risk Of Abuse Of Drugs In Student Smk In Purwokerto
Aris Fitriyani, Siti Mulidah, Maisje Marlyn Kuhu, Wicky Sri Erland Adityas 31 Prevention Of Cervical Cancer Through Animated Media In Improving
Childbearing Age Women’s Knowledge About Iva Examination Siti Rofi’ah, Imroatul Munawaroh, Ribkha Itha Idhayanti
36
Peer Group Support In Prevention Of Teenage Girl’s Anemia
Siti Rofi’ah, Rini Dwi Mulyani, Sri Widatiningsih 41
The Effect Of Moringa Oleifera Leaf Extract In Reduction Of Blood Glucose Levels In Patients With Type2 Diabetes Mellitus. A Literature Review Novita Kurnia Wulandari, Suharyo Hadisaputro, Mardiyono Mardiyono, Rr. Sri Endang Pujiastuti
46
The Effect Between Exclusive Breastfeeding, Complementary Breastfeeding (Mp-Asi) And Growth Monitoring With Stunting Events In Toddler Age 24-59 Months At Pamengkang Health Center Cirebon Regency In 2019
Ade Iko Roviko, Rani Widiyanti S.A
55
Seft Therapy (Spiritual Emotional Freedom Technique) As An Attempt To Decrease Maternal Ness In The Face Of Childbirth: Systemmatic Literature Review
Aldila Noviyanti, Palupi Bodro Sayekti
61
Anxiety Levels And Coping Mechanism Of Hypertension In Puskesmas Magelang Utara
Yeni Yulistanti
72
Cabbage Leaves Compress To Reduce Breast Engorgement In Postpartum Mothers
Tatsa Putri Kumala Sari
81
The Effect Of Various Types Of Attractants In The Ovitrap On The Number Of Aedes Sp Mosquito Eggs
Arif Widyanto, Agus Subagiyo, Hari Rudijanto Iw
89
Quail Eggs Prevent Anemia In Pregnant Women During The Covid 19 Pandemic
Budi Astyandini, Tri Nurhidayati
95
Tuberculosis Prevention Model Development Family Based In Indonesia 101
x
Jenita Dt Donsu, Harmilah, Rita Benya Adriani
Pufa And Mufa Dietary Intake On Lipids Profile Among Coronary Heart Disease Patients : A Narrative Review
Baarizah Febriana Badri, Mohammad Jaelani, Dian Lutfia Muninggar
110
Health Education Effectivity Using Group Discussion And Education By Bkr Towards Parents' Attitude In Facing Teens Reproductive Health
Arum Lusiana, Christin Hiyana Td, Siti Chunaeni
115
Literature Review : Effectiveness Of Hydrotherapy On Blood Pressure Among Hipertensive Clients
Yasmina Izzat, Muhamad Jauhar, Fajar Surahmi
119
Fighting Against Covid 19: Radiographer At Covid 19 Emergency Hospital Kemayoran Atlhete Village
Fatimah, Siti Masrochah, Muhammad Erfansyah, Salis Nurbaiti
126
Mental Health And Psychosocial Impact Of Adolescent During Covid-19
Erna Erawati, Moh. Ridwan, Tulus Puji Hastuti 133
Algorithm Variation Of Fbp, Idose4 And Iterative Model Reconstruction (Imr) On Image Quality Of Msct Thorax Low Dose For Lung Nodul Detection Siti Anikmah, Yeti Kartikasari, Ary Kurniawati
136
Relationship Between The Consumption Of Fe Tablets And Anemia In Third Trimester Pregnant Women At Talise Health Center Palu City
Gabriella Sakulat, Arie Maineny, Gusman Arsyad
141
Hearing Distraction Technique In Dealing With Insomnia
Herry Prasetyo, Ulfah Agus Sukrillah, Petrus Nugroho Ds
146
Education With Stick Images And Leaflet Towards Knowledge About Maintain Dental Health Nining Mustika, Diyah Fatmasar, Salikun
150
Tomon (Tooth Monster Hunter): Innovation Of Dental Health Promotion Using Smart Toothbrush
Salikun, Hany Windri Astuti, Magfur Ramdhani
154
Breastfeeding Counseling: A Comparative Study Of 10 Hours Modified Modul And Who 40 Hours Modul Toward Breastfeeding Practice Krisdiana Wijayanti, Kuswanto
160
Factors Affecting Chronic Energy Deficiency (CED) Of Pregnant Women
Puji Rahayu, Wahyu Pujiastuti, Tuti Sukini
164
Literature Study: Audiovisual Based Health Education Media Improving Pregnant Women's Knowledge And Attitudes About Signs Of High Risk Pregnancy
Titah Pangesti, Dina Indrati, Iis Sriningsih
168
Application Of Neuro Digital Massage Stimulation (Nedimas) Toward Muscle Strength And Range Of Motion Of The Extremity Joints In Stroke Patient
Sudirman, Ahmad Baequny, Sumarni, Hendra Marwazi
176
A Descriptive Study Of Early Detection Of Mental And Emotional Disorders (Kmme, Chat, Gpph) In Children Aged 36-72 Months
Sri Winarsih, Nuril Nikmawati, Suprihatiningsih
185
Training For Additional Food Making With Balanced Nutrition Based On Local Food For Cadres In Wonosari-Kendal Village
Ana Sundari, Heny Rosiana, Sri Setiasih, Titi Mursiti
189
Exclusive Feeding Relationships With Nutritional Status In 7 Months Age With The History Of Born Stunting
Esti Rettiningsih, Herlina Tri Damailia, Sri Winarsih
192
Effectiveness Of Intermittent Kangaroo Mother Care Method On Weight Increase In Low Birth Weight Babies
Nur Syahria, Olkamien J. Longulo, Putu Candriasih
196
Android-Based Application For Early Detection Of Pregnancy Danger Signs As The Prevention Of Covid-19
Nur Syahria, Olkamien J. Longulo, Putu Candriasih
201
xi
Compliance With The Use Of Amoxicillin Antibiotics During The Covid-19 Pandemic By Patient At Pangkalanbaru Central Bangka Health Center Rachmawati Felani Djuria
206
Economic Potential And Market Solid Waste Management In Bandar Lampung City
Imam Santosa, Enro Sujito
219
Role Of Sequent Diffusion Tensor Imaging (Dti) In Brain Mri Examination In Cases Of Brain Tumors
Hendra Aji Nugroho, Yeti Kartikasari, Sri Mulyati
217
The Differences In Perineum Massage Health Education With Leaflet Media And Demonstration Methods Of Perineum Massage Practice In Trimester Pregnant Mother Iii
Siti Chunaeni, Ningsih Widayati
225
Enhanced Immunity And Mental Health Capacity Cmhn Cader And Society During The Covid 19 Pandemic
Suyanta, Sunarko, Angga Sugiarto
233
MASSAGE THERAPY TO REDUCE BLOOD PRESSURE, STRESS AND ANXIETY: A SYSTEMATIC REVIEW
Tasya Nurlaila Dilla; Yeyen Wulandari Dhanio; Nurazizah Putri Rahayu
236
The Effect Of Reproductive Health Education On Adolescent Knowledge And Attitudes About Sexual Transmitted Infections
Ni Made Julia Wulan Dini, Anna V. Pont, Selvi Alfrida Mangundap
244
Herbal Therapy As An Effort To Reduce Blood Pressure Of Hypertension Patients: A Systematic Literature Review
Nurazizah Putri Rahayu, Tasya Nurlaila Dilla, Nur Syahria
250
Metal Biomonitoring And Comparative Assessment In Blood Of Lead Smelting Workers
Mela Firdaust
257
Prevention And Management Of Hypertension In Pregnancy With Covid-19
Ika Wijayanti, Desi 262
Supplementary Feeding Treatment Toward Tuberculosis Patients In The Community
Walin, Ulfah Agus Sukrillah, Herry Prasetyo
266
Screening Preeclampsia Using Artificial Intelligence-Based Risk Factors: A Systematic Literature Review
Yeyen Wulandari Dhanio, Tasya Nurlaila Dilla, Rili Ronia Nggosual
270
An Analysis Of Course Material Sufficiency For Wishful Brides
Nur Khafidhoh, Rizky Amelia 278
Effect Of Use Of Maintenance Kangaroo Methods Against Weight Increase In Lbw At Rsd Gunung Jati, Cirebon City
Aulia Agyanti Rahmah, Diyah Sri Yuhandini
284
Comparison Of The Effects Of Daily And Weekly Iron Supplementations To Non-Anemic Pregnant Women: A Systematic Literature Review
Desiska Pricilia Tumatar, Krisdiana Wijayanti
289
Factors Related To Female Baby Circumcision In Citangkil Health Center Cilegon Banten City, 2018
Cylia Dzikra Ayu Berlitaa, Triana Indrayanib, Delmaifanisc, Dita Cahya Pratiwid
297
Determinants Of Low Birth Weight In Rsud Wates
Chyntia Punky Permatasari, Suherni, Mina Yumei Santi 304
Differences Of Cognitive Stimulation Therapy: Puzzle And Music For Demensia Elderly
Sunarmi, Dwi Ari Murti, Adi Isworo
310
Effects Of Complementary Medicine On Reducing Anxiety During Labor:
A Systematic Review
Farah Salsabila, Jauza Annisa, Luthfia Rahman
315
Factors Associated With The Incidence Of Stis In Fsw In 323
xii
The Work Area Of The Meninting Health Center Upt Blud In 2018
Gandi Ari Savitri Widayani,Suwanti, Irmayani
The Effect Of Green Grass Jelly On Blood Pressure In Clients With Mild Or Moderate Hypertension
Indriati, Sri Utami Dwiningsih, Sri Endang Pujiastuti, Novita Kurnia Wulandari
329
Empowerment Of Elderly Health Cadres Through Brain Gym To Prevent Dementia In The
Elderly In Rw 3 Kramat Selatan Magelang
Devotee Lulut Handayani, Hermani Triredjeki, Pramono Giri K, Tulus Puji Hastuti
334
Utilization Of Herbs For Perineal Wound Healing In Postpartum Mothers: A Systematic Review
Jauza Annisa, Luthfia Hidayati Rahman, Farah Salsabilla
342
Effectiveness Of Smart Brain Exercise And Loving Touch Therapy On Behavior Among Children With Attention Deficit Hyperactive Disorder (ADHD)
Sutarmi, Siti Kistimbar, Erni Nuryanti
352
Improving Community Awareness Of Covid-19 Through Personal Risk Assessment, Online Education And
Enhancement Of Resistance In Jambewangi Village, Magelang Regency
Dwi Ari Murti Widigdo, Heru Supriyatno, Sunarmi
366
Influence Health Education By The Video On The Level Of Knowledge Mother About Growth Toddlers
Nova Agustin, Siti Chunaeni, Arum Lusiana
377
Factors Associated With The Incidence Of Dysmenorhea In Ma'arif Gamping Junior High School Students In Yogyakarta
Intan Putri Utami, Istri Utami
384
Intravenous Pyelography Examination Technique In Ectopic Ureter Case In Installation Radiology Of Sultan Agung Islamic Hospital Semarang
Siti Masrochah, Yudi Indrajati Nugroho, Darmini, Dartini, Dimas Prakoso
391
Lipid Profile Of The Program For The Management Of Chronic Diseases (Prolanis)
Surati,Ririhjatmi Wikandari, Hening Imawati
399
Use Of Ginger Therapy And Lemon Inhalation Against Pregnancy Vomiting Nausea: A Systematic Review
Juliana Sion Sihombing
403
Factors Related To Adolescent Married Sex Behavior In Sma Negeri 01 Sungai Kakap
Khairulisni Saniati, Eka Santy, Jehani Fajar Pangestu
412
Potential Massage Oketani Alternative Non-Pharmacological Interventions To Improve Breast Milk Production: A Systematic Review
Luthfia Hidayati Rahman, Jauza Annisa, Farah Salsabila
417
Study Of The Effectiveness Of Plasmacluster Ion Tools As A Cattle Odor Reduction In The Limpakuwus Village Of Sub-District Of Sumbang District Of Banyumas
Tri Cahyono, Hari Rudijanto Iw
432
The Effect Of Mung Bean On Increasing Hemoglobin Levels Of Pregnant Women With Anemia
Sofika Larasati, Mugiati, Warjidin Aliyanto
442
The Relation Between Breastfeeding Technique And Cracked Nipple During Puerperium At Sekaran Regional Health Center
Frizka Indarningtyas Nur Pratiwi, Agus Eka Nurma Yuneta
447
The Effect Of Fe Tablet And Ambon Banana Towards Hemoglobin
Levels On Anemia Female Teenagers At Dormitory Of Midwifery Poltekkes Kemenkes Pontianak
Luluk Handayani, Rini Sulistiawati,Vera Renta Siahaan
454
xiii
Nutritional Status For Toddler Age 1 - 5 Years In The Pijorkoling Village Of Southeast Padangsidimpuan
Naimah Nasution
461
The Effectiveness Of Acupressure And Smart Gymnastic On Fasting Blood Sugar Level In Type Ii Diabetes Mellitus Patient Dian Apri Nelyanti, Ta’adi, M. Choiroel Anwar
468
Role Of Women In Maintaining Relationships Dental Health Dental Hygiene Mouth Of Children Tk Bhakti Nurush Sofia Mutih Kulon Area Health District Demak Wedung 2
Dr. Bedjo Santoso, S.SiT,M.Kes ; Indiyah Sulistiyowati ; Yodong, S.ST, MH.Kes
476
Potential Herbal Fenugreek (Trigonella Foenum-Graecum) As A Herbal Diabetes Treatment: A Systematic Review
Nurul Herawati
482
Pregnancy Assistance With O-Mom Approach (One Mother One Midwife) Based On Mother Need"
Listyaning Eko Martanti, Agustin Setianingsih, Rizky Amelia, Triana Sri Hardjanti, Prita Yusita Isdaryani
491
Early Antenatal Care And Detection Complication Of Pregnancy During Pandemic Covid-19: A Systematic Review
Maya Latifatul Masrurroh, Amran Ali Mustofa, Naimah Nasution, Palupi Bodro Sayekti, Frizka Indarningtyas Nur Pratiwi
495
Factors Affecting Mother's Anxiety Pregnant Trimester Iii In Dealing With Labor In The Village Of Muara Ciujung Timur, The Working Area Puskesmas Rangkasbitung Lebak District In 2018
Dita Cahya Pratiwi, Triana Indrayani, Delmaifanis, Cylia Dzikra Ayu Berlita
499
Smartwatch As A Monitoring Tool For Fetal Well-Being Among Women With Induction Of Labor: A Literature Review
Vina Dhian Titisari
510
Betel Leaf ( Piperbetle Linn ) Herbal Therapy As An Alternative For Perineal Wound Healing In Postpartum Mothers : Sistematic Review Palupi Bodro Sayekti, Naimah Nasution, Maya Latifatul Masrurroh, Frizka Indarningtyas, Aldila Noviyanti
514
The Effectiveness Of Nurses In Application Of Informed Consent With Critical Care Assessed From Nurses Education Levels In The City Of Semarang
Yuli Sulistiyo, Bernadetha Tri Handini, Rizal Ginanjar
523
Herbal Zingiber Officinale (Ginger) For Relieve Dysmenorrhea Primary: A Systematic Review
Rohmatun Nazilah, Tiyara Safitri, Ulfatun Khasanah, Ermi Lilianda Alang
525
Prenatal Yoga: Overcoming Lower Back Pain In Pregnancy
Rohmatun Nazilah, Tiyara Safitri, Ulfatun Khasanah, Ermi Lilianda Alang 534 Factors Causing Rupture Perineum In Normal Labor
Rohmatun Nazilah, Tiyara Safitri, Ulfatun Khasanah, Ermi Lilianda Alang 539 Teacher Information And Counseling Center Improving
Students Knowledge Of Reproductive Health
Puji Hastuti, Rusmini, Vina Nurul Utami, Fajaria Nur Aini
546
Relationship Of Knowledge Levels About Pregnant Women Nutrition With Trimester Iii Fetal Weight Estimation In Puskesmas Galur Ii, Kulon Progo In 2019
Siti Syarashinta Cahyaningsih, Margono, Wafi Nur Muslihatun
550
Non-Pharmacological Intervention For The Primary Dismenore : Riview Systematics
Syifa Sofia Wibowo
556
Technique Of Electron Radiation Therapy In Postoperative Case Of Ear Leaves In The Radiotherapy Unit Of Rsup Dr. Kariadi Semarang Siti Masrochah, Fatimah, Defy Indah Permatasari, Sigit Wirawan, Dimas Prakoso
577
A Description Of Occupational Health And Safety In Radiology Department
Asri Indah Aryani, Ardi Soesilo Wibowo, Panji Wibowo Nurcahyo 583
xiv
Effect Of Object Position On Image Quality On The Examination Of Lumbal Vertebra Radiography
Ardi Soesilo Wibowo, Gatot Murti Wibowo, Siti Masrochah, Panji Wibowo Nurcahyo
586
The Effect Of Yoga Therapy On The Reduction Of Primary Dismenore Pain Levels In Class Xi Adolescents At Sma Negeri 1 Cibingbin, Kuningan District, 2019
Efah Nuraropah, Nurasih, Rinela Padmawati
589
The Role Of Telehealth In Health Care During Covid-19 Pandemic Era : Systematic Literature Review
Refa Khairunnisa, Sri Sumarni
594
Optimization Of Image Quality And Anatomy Information Of Mri Prostate Of Axial Slice On Diffusion Weighted Image Sequence With B Value Rini Indrati, Ni Kadek Ayu Tirtasari, Sri Mulyati, Siti Daryati, Agustina Dwi Prastanti
599
Parental Knowledge And Verbal Violence Behavior In Children Alfiah Rahmawati, Kartika Adyani, Apriliana Eka Putri
604 Literatur Review: The Effect Of Giving Honey On The Increased
Hemoglobine Levels In Pregnant Women
Alfiah Rahmawati ; Muliatul Jannah ; Yunita Anggeraeni Putri
611
The Effectiveness Of Giving Sicomal Father's Booklets (Alert For Covid-19 With New Normal Pattern) On Behavior To Prevent The Spread Of Covid-19 Murti Ani ; Krisdiana Wijayanti ; Marlynda Happy Nurmalita Sari ;
Dina Dewi Anggraini
615
Prevention Of Non-Communicable Disease For Reproductive Women In Covid-19 Pandemic: Systematic Review
Bekti Putri Harwijayanti ; Aulia Fatmayanti
621
Authors Index 626
PEER GROUP SUPPORT IN PREVENTION OF TEENAGE GIRL’S ANEMIA
Siti Rofi’ah1), Rini Dwi Mulyani2), Sri Widatiningsih3)
*Coressponding Author Email: [email protected]
1,2,3 Poltekkes Kemenkes Semarang Prodi Kebidanan Magelang
Jl. Perintis Kemerdekaan Kota Magelang, Jawa Tengah, Indonesia
Abstract
Anemia was the most common nutritional problem worldwide which was mainly due to iron deficiency. Teenage girl were proned to suffer from anemia because of a lot of blood lost during menstruation. One of the government's efforts to meet iron intake was the supplementation of blood-supplemented tablets for young women. Health education of Peer group support method will have a more positive effect on compliance with blood-supplemented tablets in preventing anemia. The purpose of this study was to analyze the effectiveness of peer group support in preventing anemia in teenage girl. This type of research was pre-experimental with posttest only with control group design. The study population was 114 students at MTS Maarif 2 Muntilan with a sample of 64 students consisting of 32 students as the intervention sample and 32 students as the control sample. The sampling technique used purposive sampling. Data analysis used the Mann Whitney test. The results showed that most of the students in the intervention group were in the good adherence category, while in the control group there were still 25% of students with low adherence. There was a difference in compliance with the consumption of blood-added tablets in an effort to prevent anemia among adolescent girls in the intervention group and the group without intervention (p value: 0.007). Young women were advised to choose a positive peer group environment by joining peer group education, peer counselors and PIK-R in schools and communities to support the prevention of iron deficiency anemia
Keywords: Peer Group Support; Teenage Girls’s Anemia
1. Introduction
Anemia is the most common nutritional problem around the world, mainly due to iron deficiency (World Health Organization, 2001).
Anemia in girls is higher than boys. Teenage girl are prone to suffer from anemia because of a lot of blood loss during menstruation. Anemia in teenage has a negative impact on decreased immunity, concentration, learning achievement, teenage fitness and productivity. Teenage girl who suffer from anemia are at risk of developing anemia during pregnancy. This will have a negative impact on the growth and development of the fetus in the womb and have the potential to cause complications of pregnancy and childbirth, and even cause the death of mothers and children (Kementerian Kesehatan Republik Indonesia, 2018).
The prevalence of anemia in Indonesia increased by 11.8% from 37.1% in Riskedas 2013 to 48.9% in Riskesdas 2018, with the proportion
of anemia in the 15-24 year age group of 84.6%
and the 25-34 year age group 33.7% (Badan Penelitian dan Pengembangan Kesehatan, 2013), (Badan penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2018). This data clearly confirms that the rate of anemia among teenage is dominant, namely 84.6%. This shows that the condition of anemia in teenage still requires serious attention, given the huge impact of anemia on the health of teenage girl.
One of the government's efforts to meet iron intake is the supplementation of blood-supplemented tablets for teenage girl. The results of the 2018 Riskesdas showed that the percentage of girls who received blood supplemented tablets in Indonesia was 76.2%, while the percentage of teenage girl who received blood added tablets at school was 80.9%. Of the 80.9% who received blood added tablets at school, 98.6% consumed blood added tablets <52 tablets and only 1.4% consumed blood added
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tablets ≥ 52 tablets. This shows that the level of adherence to taking blood-supplemented tablets is still low, because only 1.4% consume blood-added tablets ≥ 52 tablets. The percentage of teenage girl in Central Java Province aged 12-18 years who received blood added tablets was 56.52% lower than the percentage who received blood added tablets for pregnant women, namely 92.29% (Badan penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2018).
Research of (Nuradhiani, Briawan, &
Dwiriani, 2017) states that the average compliance in consuming blood-added tablets is 10.7%. This is also supported by research (Hurfiati, Nat, Kandarina, & Helmyati, 2018) that the coverage of blood-supplemented tablets in 2017 is quite high, namely at 98.8%, but the adherence rate of teenage girl in consuming blood-added tablets is still low at 20 %.
Compliance will increase if supplementation is accompanied by direct observation when taking blood supplemented tablets, counseling for teenage girl, teacher monitoring, parental support and peer group support (Apriani &
Syafiq, 2018). Peer group method health education will have a more positive effect.
Information that is sensitive and uncomfortable when conveyed by adults can be conveyed by peers using age-appropriate language. Thus, information is more complete, easy to understand and ultimately the goal can be achieved. In addition, as peer educators, peers not only provide information but also act as role models in healthy behavior (Rofi’ah, Widatiningsih, & Vitaningrum, 2017).
Based on this, researchers are interested in conducting research on “Peer Group Support in Prevention of Teenage Girl’s Anemia”.
2. Method
This type of research is pre-experimental with posttest only with control group design. The study population was all 114 female students at MTS Maarif 2 Muntilan with a sample of 64 students consisting of 32 students as the intervention sample and 32 female students as the control sample. The sampling technique used purposive sampling based on inclusion and exclusion criteria. The inclusion criteria in this study were female students in good health and not suffering from complications during the study such as thalassemia, malaria, tuberculosis and HIV, willing to become respondents and able
to consume blood supplement tablets and There are no contraindications to blood supplementation such as hypersensitivity, hemochromatosis, hemolytic anemia, hemosiderosis, active peptic ulcer, regional enteritis and ulcerative colitis. The exclusion criteria in this study were students were not at the location when the study took place. The research data analysis was carried out by means of univariate analysis with frequency distribution, bivariate analysis was carried out by using the Mann Whitney test (Dahlan, 2019).
3. Result and Discussion
Table 1. Frequency Distribution of Compliance Value for Blood Added Tablet Consumption in Teenage Girl with Peer Group Support Intervention.
Compliance Frequency Percentage (%)
25 1 3,1
50 3 9,4
75 10 31,3
100 18 56,3
Total 34 100
The results of the analysis in this study showed the frequency distribution of the compliance value of blood-added tablet consumption in teenage girl with the highest peer group support intervention of 100%, namely 18 (56.3%) people and the lowest was 25%
adherence of 1 person (3,1 %). The average value of adherence to the peer group support intervention group was 85.16 and the standard deviation was 19.939. The results showed that the mean value of adherence was higher in the group with peer group support intervention than in the control group without peer group support intervention. These results indicate that adherence to consumption of teenage girl in the peer group support intervention group shows significant results.
This study is in line with research (Kavle &
Landry, 2017) which states that adherence is defined as adhering to a weekly regimen.
Compliance with the consumption of blood-added tablets among women in three regions in Cambodia was 55% for female students, 57% for female factory workers and 71% for women in rural areas with peer education interventions. Based on these results, it was proven that the most effective in increasing adherence to taking blood supplement tablets was in the peer educator group. Peer-group support was also associated with significant
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compliance changes.
Research of (Mesra & Fauziah, 2016) states that the most dominant variable related to teenage sexual behavior is peer. Teenage are very open to peer groups. They hold discussions about romance, philosophy of life, recreation, jewelry, clothing for hours. Peer influence forms a very strong bond. Teenage behavior is much influenced by friends in the group. Peers are friends who are at the same age and between them there is a friendship. The role of friends / peers in teenage is very large in everyday adolescent life.
Peer counselors are very appropriate to support a positive health behavior. This is evidenced by the community service activities carried out by (Riyanti & Legawati, 2018) with the results of peer counselor mentoring activities in the prevention of anemia in teenage girl which can increase knowledge, attitudes and behavior of teenage girl in preventing anemia. This peer counselor is very potential because of the tendency of teenage to choose peers as a place for discussion and information reference. The counseling given by peers is expected to be more trusted, so that teenage are more open to conveying any problems they face. Peers have an important role in the social life and development of teenage. Information on reproductive health obtained through peers can encourage teenage to have better knowledge.
Table 2. Frequency Distribution of Compliance with Blood Added Tablet Consumption among teenage girl without Peer Group Support Intervention.
Compliance Frequency Percentage (%)
25 8 25
50 10 31,3
75 2 6,3
100 12 37,5
Total 32 100
The frequency distribution of adherence to blood-added tablet consumption in teenage girl without peer group support intervention was the highest at 100%, namely 12 people (37.5%) and the lowest was at the 25% adherence level of 8 people (25%). The control group's average compliance value was 64.06 and the standard deviation was 31.068. These results indicate that adherence to blood-supplemented tablet consumption in teenage girl in the group without peer group support intervention is still quite low, because the low level of adherence is still quite
high. The results of the study (Widiastuti &
Rusmini, 2019) state that there are still many cases of anemia in students who are taking the blood supplement tablet consumption program.
This could be related to the lack of awareness in consuming blood supplement tablets.
The behavior of teenage in consuming iron tablets is influenced by several factors. The results of the study (Apriani & Syafiq, 2018) state that teenage adherence to iron tablet consumption is still low due to lack of education, nutrition, low quality tablets, no supply of drinking water for tablet consumption in schools and lack of teacher support in monitoring. In addition, decreased compliance is also caused by side effects that are felt from iron tablet supplements such as nausea, vomiting, stomach pain, black stools and other reasons such as not getting support or permission from parents and forgetting to take iron tablets. Research of (Susanti, Briawan, & Martianto, 2016) states that the reasons for supplementing teenage girl in Tasikmalaya Regency for not consuming Fe tablets are boredom or laziness (29.1%), broken / missing tablets (20.0%) and forgetfulness (19, 4%).
The most common complaints submitted by the subjects after taking supplements were dizziness (38.8%), nausea (34.3%) and easy drowsiness (21.1%).
Table 3. Results of Peer Group Support Different Tests in Prevention of Anemia in Teenage Girl
Indicator Value
P value 0.007
nilai Z -2.706
The results of statistical analysis showed a significance value of 0.007 (<0.05), which means that there was a significant difference in adherence to taking blood-added tablets in an effort to prevent anemia in the peer group support intervention group and the group without peer group support intervention. In other words, peer group support is effective in increasing adherence to blood supplement tablet consumption in teenage girl. Research of (Shah et al., 2016) shows that weekly blood supplementation under the supervision of trained peer educators can reduce the severity of anemia at the youth community level and increase adherence to the consumption of blood-supplemented tablets. In this study, the results obtained after peer educator intervention the prevalence of anemia in tribal areas in India
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decreased by 21.5% in teenage girls and 25% in boys.
The incidence of iron deficiency anemia in teenage girl, especially in urban areas, is related to protein intake and iron intake (Sari, Dardjito,
& Anandari, 2016). Research of (Jaelani, Simanjuntyak, & Yuliantini, 2017) also states that one of the factors associated with anemia is iron intake. Adherence to teenage girl in consuming iron is influenced by environmental support. In this case family and peers. Research of (Risva, Suyatno, & Rahfiludin, 2016) shows a relationship between environmental support and the habit of consuming blood-added tablets with a value of p = 0.003 (p <0.05) and OR = 3.133 which means that respondents with good environmental support have the possibility of consuming tablets. blood added 3.1 times greater than respondents with poor environmental support.
Research of (Amsari & Nurhadianti, 2020) states that there is a significant positive relationship with a positive direction between peer social support and the compliance of students in implementing discipline at the Islamic Modern Boarding School. Peer social support is a factor that plays an important role in increasing compliance, the higher the peer social support obtained by the students, the higher the students' compliance with the rules of using billingual language. According to this study, the social support factor in the form of emotional support from family members or Peer Group Support is an important factor in implementing discipline in Islamic boarding schools. Thus Peer Group Support is very important in forming a positive behavior in teenage, including the consumption of blood-supplemented tablets in an effort to prevent iron deficiency anemia in teenage girl.
4. Conclusion and Sugestion
Adherence to the consumption of blood-added tablets in an effort to prevent anemia in teenage girl in the peer group support intervention group showed that most respondents had good adherence, only 1 respondent with low adherence. In the group without peer group support intervention showed that most of the respondents had good adherence, but respondents with low adherence were still 25%. There are differences in compliance with the consumption of blood-added tablets in an effort to prevent anemia in teenage girl in the group
without peer group support intervention and in the peer group support intervention group.
Teenage girl are advised to comply with the supplementation program for blood supplementation according to the rules, with the hope that no more teenage girl will experience anemia, besides choosing positive peer group support by joining peer educators, peer counselors and the Center for Information and Youth Counseling in schools and communities.
Health Institutions can collaborate with schools to support the supplementation program for blood-supplemented tablets by involving the role of peer group support to educate, monitor and support their peers to increase compliance with the consumption of blood-added tablets in teenage girl
5. Acknowledgements
Thanks to the researchers say to all those who have helped in completing this research.
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Agus Eka Nurma Yuneta 449 Agus Subagiyo 89
Agustin Setianingsih 493 Agustina Dwi Prastanti 601 Ahmad Baequny 178
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Desiska Pricilia Tumatar 291 Devotee Lulut Handayani 336 Dian Apri Nelyanti 470 Dian Lutfia Muninggar 110 Dimas Prakoso 393
Dina Dewi Anggraini 617 Dina Indrati 170
Dita Cahya Pratiwi 299,501 Diyah Fatmasar 152
Diyah Sri Yuhandini 286 Dr. Bedjo Santoso, S.SiT,M.Kes
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Dwi Ari Murti 312
Dwi Ari Murti Widigdo 368 Efah Nuraropah 591
Eka Santy 414 Enro Sujito 211 Ermi Lilianda Alang 527,536,541
Erna Erawati 135 Esti Rettiningsih 194 Fajar Surahmi 119 Fajaria Nur Aini 548 Farah Salsabila 317,419,344 Fatimah 126,579
Frizka Indarningtyas 516 Frizka Indarningtyas
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Gatot Murti Wibowo 588 Gusman Arsyad 143
Hany Windri Astuti 156
Hari Rudijanto Iw 89,434,444 Harmilah 101
Hendra Aji Nugroho 219 Hendra Marwazi 178
Hening Imawati 401 Heny Rosiana 191
Herlina Tri Damailia 194 Hermani Triredjeki 336 Herry Prasetyo 148,268 Heru Supriyatno 368 Iis Sriningsih 170 Ika Wijayanti 264 Imam Santosa 211 Imroatul Munawaroh 36 Indiyah Sulistiyowati 478 Indriati 331
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Juliana Sion Sihombing 405 Kartika Adyani 606
Khairulisni Saniati 414 Krisdiana Wijayanti
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Listyaning Eko Martanti 493 Luluk Handayani 456
Luthfia Hidayati Rahman 344,419
Luthfia Rahman 317
M. Choiroel Anwar 470 Magfur Ramdhani 156 Maisje Marlyn Kuhu 31
627
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Mardiyono Mardiyono 46
Margono 552
Marlynda Happy Nurmalita Sari 617
Masini 15
Maya Latifatul Masrurroh 497,516
Mela Firdaust 259 Melyana Nurul Widyawati 10 Mina Yumei Santi 306 Moh. Ridwan 135 Mohammad Jaelani
1,110 Muhamad Jauhar 119
Muhammad Erfansyah 126 Muliatul Jannah 613
Munayarokh 23 Murti Ani 617 Myrna Sally Hardeanna 1 Naimah Nasution 463,497,516 Ni Kadek Ayu Tirtasari 601 Ni Made Julia Wulan Dini 246 Ningsih Widayati 227
Nining Mustika 152 Nova Agustin 379 Novita Kurnia Wulandari
46,331 Nur Khafidhoh 280 Nur Pratiwi 497 Nur Syahria 198,203,252 Nurasih 591
Nurazizah Putri Rahayu 238,252 Nuril Nikmawati 187 Nurul Herawati 484 Olkamien J. Longulo
198,203
Palupi Bodro Sayekti 61,497,516 Panji Wibowo Nurcahyo
585,588
Petrus Nugroho Ds 148 Pramono Giri K 336
Prita Yusita Isdaryani 493 Puji Hastuti 548
Puji Rahayu 166 Putu Candriasih 198,203 Rachmawati Felani Djuria 208 Rani Widiyanti S.A 55 rdi Soesilo Wibowo 585 Refa Khairunnisa 596
Ribkha Itha Idhayanti 36 Rili Ronia Nggosual 272 Rinela Padmawati 591 Rini Dwi Mulyani 41 Rini Indrati 601 Rini Sulistiawati 456
Ririhjatmi Wikandari 401 Rita Benya Adriani 101 Rizal Ginanjar 525
Rizki Winarni 23 Rizky Amelia 280,493 rmayani 325
Rohmatun Nazilah 527,536,541 Rosep Lubatin 15 Rozikhan 29
Rr. Sri Endang Pujiastuti 46 Rusmini 548
Salikun 152,156 Salis Nurbaiti 126
Selvi Alfrida Mangundap 246
Sigit Wirawan, Dimas Prakoso 579
Siti Anikmah 138 Siti Chunaeni 115,227,379 Siti Daryati 601 Siti Masrochah
126,393,579,588 Siti Mulidah 31 Siti Rofi’ah 36,41 Siti Syarashinta Cahyaningsih
552 Sri Endang Pujiastuti
10,331 Sri Mulyati 601 Sri Mulyati 219 Sri Setiasih 29,191 Sri Sumarni 10,596 Sri Utami Dwiningsih 331 Sri Wahyuni 10
Sri Widatiningsih 41 Sri Winarsih 187,194 Sudirman 178 Suharyo Hadisaputro 46 Suherni 306
Sumarni 178 Sunarko 235 Sunarmi 312,368 Sunarto 1
Suprihatiningsih 187 Surati 401
Suwanti 325 Suyanta 235
Syifa Sofia Wibowo 558 Ta’adi 470
Tasya Nurlaila Dilla 238,252,272
Tatsa Putri Kumala Sari 81
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Titah Pangesti 170 Titi Mursiti 29,191 Titik Sapartinah 29
Tiyara Safitri 527,536,541 Tri Cahyono 434,444 Tri Nurhidayati 95 Triana Indrayani 299,501 Triana Sri Hardjanti 493 Tulus Puji Hastuti
135,336 Tuti Sukini 15,166 Ulfah Agus Sukrillah
148,268 Ulfatun Khasanah
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Vera Renta Siahaan 456 Vina Dhian Titisari 512 Vina Nurul Utami 548 Wafi Nur Muslihatun 552 Wahyu Pujiastuti 166
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Wicky Sri Erland Adityas 31 Yasmina Izzat 119 Yeni Yulistanti 72 Yeti Kartikasari 138,219 Yeyen Wulandari Dhanio
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Yodong, S.ST, MH.Kes 478 Yudi Indrajati Nugroho 393 Yuli Sulistiyo 525
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