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Uji Aktivitas Antioksidan dan Daya Terima Es Krim Ekstrak Daun Sambiloto (Andrographis paniculata (Burm. f) Nees) 测试桑宝莲叶提取物的抗氧化剂活性和吸收力。f)在家里
Pub Date : 2023-03-01 DOI: 10.33657/jurkessia.v13i2.816
Nita Maylina, Afrinia Eka Sari
One of the antioxidants that can increase the body's immunity is bitter leaf (Andrographis paniculata (Burm. f) Nees). This leaf is rarely used. Therefore, it is used with more interesting processing such as ice cream. This study was to determine antioxidant activity, overrun, melting speed, organoleptic characteristics and preference level of the ice cream of bitter leaf extract. Method is Completely Randomized Design (CRD). There were 3 treatments, namely 8%, 16% and 24% of bitter leaf extract. The results of the antioxidant activity test on the ice cream of bitter leaft extract, the three formulas have a very weak antioxidant content. The highest overrun ice cream test results, namely formula 3 50%. The results of the ice cream melting speed test on the three formulas still do not meet the standards for a good ice cream melting speed. The results of statistical test analysis on indicators of color, aroma, taste and texture showed there was a significant difference from the statistical test results obtained p-value <0.05. The most preferred level of preference for bitter leaf extract ice cream was formula 1. It could be concluded that the bitter leaf extract ice cream was acceptable to the public.
苦叶(穿心莲)是一种可以提高人体免疫力的抗氧化剂。f)需要雇)。这种叶子很少被使用。因此,它被用于更有趣的加工,如冰淇淋。本研究旨在测定苦叶提取物的抗氧化活性、溢出量、融化速度、感官特性和偏好水平。方法为完全随机设计(CRD)。苦叶提取物含量分别为8%、16%和24%。对苦叶提取物冰淇淋的抗氧化活性试验结果表明,三种配方的抗氧化含量都很弱。冰淇淋测试结果最高溢出,即配方3 50%。三种配方的冰淇淋融化速度测试结果仍不符合良好冰淇淋融化速度的标准。色、香、味、质等指标的统计检验分析结果与p值<0.05的统计检验结果有显著性差异。对苦叶提取物冰淇淋的偏好程度最高的是配方1。由此可见,苦叶提取物冰淇淋是公众可以接受的。
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引用次数: 0
Pengaruh Edukasi mengenai Makanan Pendamping Air Susu Ibu dengan Buku Kesehatan Ibu dan Anak Revisi 2015 terhadap Pengetahuan dan Sikap Ibu dalam Pemberian Makanan Pendamping Air Susu Ibu di Kecamatan Pontianak Barat 对母乳喂养食品的教育影响,并附有《母亲与孩子健康手册》2015年修订,对母亲在西方庞蒂亚克地区提供母乳饮品的知识和态度
Pub Date : 2023-03-01 DOI: 10.33657/jurkessia.v13i2.557
Ridha Hasanah, M. I. Ilmiawan, Rini Andriani
Complementary food is nutritious food and drink as a transition from breast milk to family food. The positive and negative aspects are contained in one's knowledge and will determine one's attitude. The 2015 revised Maternal and Child Health handbook contains records of maternal and child health to maintain and care for maternal and child health. The objective of this research is determine the effect of education on complementary feeding with the 2015 revised Maternal and Child Health handbook on mothers’ knowledge and attitude of complementary feeding in West Pontianak District. This is a quasi experimental research with a one group pretest-posttest design. Taking 66 samples with consecutive sampling. Knowledge and attitude questionnaires and material evaluation sheets are used as measuring tools. Data analysis use paired sample t-test with the wilcoxon signed-rank test as an alternative test. There were 12 mothers who had a moderate level of knowledge before education, then increased to 21 mothers after education. The results of the wilcoxon signed-rank test obtained the sig. value < 0.05. The mothers’ attitude in terms of complementary feeding and feeding rules are changed between before and after education. Education with the 2015 revised Maternal and Child Health handbook had a significant effect on increasing the category of mothers' knowledge of complementary food and changing mothers' attitude in feeding rules. However, it is still necessary to add material based on the latest scientific evidence in the 2015 revised Maternal and Child Health handbook.
辅食是一种营养丰富的食物和饮料,从母乳过渡到家庭食品。积极和消极的方面都包含在一个人的知识中,并将决定一个人的态度。2015年修订的《孕产妇和儿童健康手册》载有孕产妇和儿童健康记录,以维护和照顾孕产妇和儿童健康。本研究的目的是利用2015年修订的妇幼保健手册确定补充喂养教育对西Pontianak地区母亲补充喂养知识和态度的影响。这是一项准实验研究,采用一组前测后测设计。连续采样66个样本。知识态度问卷和材料评价表作为测量工具。数据分析采用配对样本t检验和wilcoxon符号秩检验作为替代检验。教育前知识水平中等的母亲有12名,教育后增加到21名。经wilcoxon符号秩检验,其结果为符号值< 0.05。在教育前后,母亲对补充喂养和喂养规则的态度发生了变化。利用2015年修订的《妇幼保健手册》进行教育,对增加母亲对辅食的知识种类和改变母亲对喂养规则的态度有显著效果。但是,在2015年修订的《妇幼保健手册》中,仍有必要增加基于最新科学证据的材料。
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引用次数: 0
Hubungan Pelayanan Gizi, Kualitas Makanan, dan Konseling Terhadap Kepuasan Pasien di RSUD Balaraja 营养服务关系、食品质量和患者满意度咨询
Pub Date : 2023-02-20 DOI: 10.33657/jurkessia.v13i2.779
Fatkul Aliyah, Tri Ardianti Khasanah
Nutrition services as part of hospital services have a very important role that affecting patient confidence. The purpose of this research was to identify the association between the quality of nutrition service, food quality, and nutritional counseling toward patient satisfaction at Balaraja Hospital. This was analytical research with a cross-sectional design. The number of research samples was 122 subjects. Data were collected through questionnaires which included questions such as patient’s identity, quality of nutrition service, food quality, nutritional counseling, and patient satisfaction. The questionnaire was given in the form of questions and answers in the form of a Likert scale. Data analysis was done by using a statistical test using Chi-Square with the level of significance of ? = 0,05. The results of a statistical test to determine the relationship between the quality of service provided by officers (reliability) with patient satisfaction obtained a value of p = 0,001. The relationship between the service quality of officers (responsiveness) with patient satisfaction showed a value of p = 0,04. The relationship between the quality of service provided by officers (assurance) and patient satisfaction obtained a value of p = 0,001. Statistical test results to determine the relationship between food quality with patient satisfaction received a value of p = 0,004. The results of statistical tests were carried out to determine the relationship between nutritional consultation with patient satisfaction, obtaining a value of p = 0,007. There is a relationship between nutrition services, food quality, and nutritional counseling on patient satisfaction.
营养服务作为医院服务的一部分,对病人的信心有着非常重要的影响。本研究旨在探讨Balaraja医院营养服务质量、食物质量和营养咨询对患者满意度的影响。这是一项采用横截面设计的分析研究。研究样本数量为122人。通过问卷调查收集数据,包括患者身份、营养服务质量、食品质量、营养咨询和患者满意度等问题。问卷以李克特量表的形式给出问题和答案。数据分析采用卡方统计检验,显著性水平为?= 0, 05。统计检验的结果,以确定服务质量之间的关系,由官员提供的(可靠性)与患者满意度获得的值p = 0.001。医务人员服务质量(反应性)与患者满意度之间的关系为p = 0,04。工作人员提供的服务质量(保证)与患者满意度之间的关系获得了p = 0.001的值。用于确定食品质量与患者满意度之间关系的统计检验结果p = 0.004。对营养咨询与患者满意度之间的关系进行统计检验,得到p = 0,007的值。营养服务、食品质量和营养咨询对患者满意度有一定的影响。
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引用次数: 0
FROM HOSPITAL READINESS TO PATIENT SAFETY: BUILDING LEADERSHIP CAPACITY FOR PATIENT SAFETY IN INDONESIA 从医院准备到患者安全:印尼患者安全领导能力建设
Pub Date : 2022-12-10 DOI: 10.20473/jaki.v10i2.2022.280-285
Cyrus Engineer, Inge Dhamanti
The COVID-19 pandemic has had an influence on patient safety and quality of care. A research undertaken in numerous countries found a deterioration in the quality of care during the pandemic. Leaders can improve patient safety in any circumstances, pandemic or not, by building a safety culture, reacting to patient and staff concerns, supporting safety activities, and tracking progress. Good leadership is essential to the success of patient safety programs and improving patient safety. Leaders must first establish strategic priorities and plans for culture and infrastructure that will aid in increasing patient safety. They must also actively inquire about patient safety situations and regularly examine patient safety data. Leaders must also collect data in order to foster a culture of patient safety. It is also critical to ensure that adequate infrastructure is available to support safety activities. Leaders have an important role in establishing the optimal methods for enhancing patient safety. Measures and improvement actions are rarely carried out in many nations; thus, leaders must ensure and encourage quality and safety development. Leadership commitment is the foundation for both pandemic and non-pandemic safety and quality improvement. Patient safety recommendations frameworks can help leaders improve patient safety in their organizations.
新冠肺炎大流行对患者安全和护理质量产生了影响。在许多国家进行的一项研究发现,在疫情期间,护理质量有所下降。领导者可以通过建立安全文化、对患者和员工的担忧做出反应、支持安全活动和跟踪进展,在任何情况下提高患者的安全,无论是否是疫情。良好的领导力对于患者安全计划的成功和提高患者安全至关重要。领导人必须首先为文化和基础设施制定战略优先事项和计划,以帮助提高患者安全。他们还必须积极询问患者安全情况,并定期检查患者安全数据。领导者还必须收集数据,以培养患者安全文化。确保有足够的基础设施来支持安全活动也是至关重要的。领导者在制定提高患者安全的最佳方法方面发挥着重要作用。许多国家很少采取措施和改进行动;因此,领导者必须确保并鼓励质量和安全发展。领导承诺是疫情和非疫情安全和质量改进的基础。患者安全建议框架可以帮助领导者提高组织中的患者安全。
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引用次数: 0
A LITERATURE REVIEW OF TELEMEDICINE IN INDONESIA: PAST, PRESENT, AND FUTURE PROSPECTIVE 印尼远程医疗的文献综述:过去、现在和未来展望
Pub Date : 2022-12-10 DOI: 10.20473/jaki.v10i2.2022.261-272
J. H. Wijaya, G. Octavius, Lie Rebecca Yen Hwei
Background: Indonesia has a great potential in the development of digital health technologies. However, several challenges might also arise in hand with the development of telemedicine.Aims: We aimed to conduct a literature review of the use of telemedicine in Indonesia in order to know how the start is, the development, and future considerations of its usage.Methods: From the digital databases of PubMed, Google Scholar, and Neliti (Indonesia's Research Repository), each author completed literature searches of telemedicine in Indonesia from 1985 to 2021.Results: A total of 8 studies were included in current literature review. In 1985-1987, Indonesia undertook the first satellite-based telemedicine. During the early twenty-first century, rapid improvements in information technology have expanded to other industries, including health care through telemedicine. Covid-19 dilemma compels physicians to adopt. Through telemedicine, many is experienced the benefit during the pandemic. However, in developing telemedicine system for the future, the use of telemedicine has several challenges, namely related to human resources, infrastructure and ethical regulations.Conclusion: When telehealth is successfully implemented in Indonesia, it will benefit both the developer and the consumer. Despite the benefits, the challenge of implementing and developing a comprehensive eHealth environment in Indonesia might be seen as tremendous, given that the country is currently developing its infrastructure.
背景:印度尼西亚在发展数字卫生技术方面具有巨大潜力。然而,随着远程医疗的发展,也可能出现一些挑战。目的:我们旨在对印度尼西亚远程医疗的使用进行文献综述,以了解其使用的开始、发展和未来考虑。方法:从PubMed、谷歌Scholar和Neliti (Indonesia's Research Repository)的数字数据库中检索1985 - 2021年印度尼西亚远程医疗的文献。结果:本次文献综述共纳入8项研究。1985-1987年,印度尼西亚进行了第一次基于卫星的远程医疗。21世纪初,信息技术的迅速改进已扩展到其他行业,包括通过远程医疗实现的保健。Covid-19困境迫使医生采取。通过远程医疗,许多人在大流行期间受益。然而,在开发面向未来的远程医疗系统的过程中,远程医疗的使用面临着人力资源、基础设施和伦理法规等方面的挑战。结论:当远程医疗在印度尼西亚成功实施时,它将使开发人员和消费者都受益。尽管有这些好处,但鉴于该国目前正在发展其基础设施,在印度尼西亚实施和发展全面的电子卫生环境可能被视为巨大的挑战。
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引用次数: 2
ONLINE TEACHING AND LEARNING DURING THE CORONAVIRUS PANDEMIC: ADVANTAGES AND DISADVANTAGES IN HIGHER EDUCATION 新冠疫情期间的在线教学:高等教育的优势和劣势
Pub Date : 2022-12-10 DOI: 10.20473/jaki.v10i2.2022.273-279
Chayaporn Saranpuetti, Piyatida Khajornchaikul, V. Pobkeeree
Everything is changing rapidly and the development of technology and information has changed significantly in the last few decades. Education, like other aspects of society, needs to change and adapt appropriately. Online teaching and learning is a new approach for the authors to use information technology via distance learning programs, especially the way relationships and interactions altered between students and teachers or instructors when the Coronavirus disease (COVID-19) pandemic occurred last year. Mahidol University responded to the situation rapidly and announced that academics can use online teaching of students free of charge. The authors of this paper have identified the advantages and disadvantages  we have encountered while applying this method of instruction. The online program has made teaching possible but it has disadvantages which may decrease the quality of education. Nevertheless, it was used to replace traditional teaching methods by utilizing the web–based program, Webex Meetings, across the whole university. This new approach has changed and opened horizons earlier than the authors thought and far beyond our beliefs concerning traditional education methods for future generations.
在过去的几十年里,一切都在迅速变化,技术和信息的发展也发生了重大变化。教育和社会的其他方面一样,需要适当地改变和适应。在线教学是作者通过远程学习项目使用信息技术的一种新方法,尤其是去年冠状病毒病(新冠肺炎)大流行时,学生与教师或讲师之间的关系和互动发生了变化。Mahidol大学迅速回应了这一情况,并宣布学术界可以免费使用学生的在线教学。本文的作者已经确定了我们在应用这种教学方法时遇到的优点和缺点。在线课程使教学成为可能,但也有可能降低教育质量的缺点。尽管如此,它还是被用来取代传统的教学方法,在整个大学中利用基于网络的项目Webex Meetings。这种新方法比作者想象的更早地改变和开辟了视野,也远远超出了我们对后代传统教育方法的信念。
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引用次数: 0
FROM COVID-19 TO PATIENT SAFETY: PRACTICE IN INDONESIA 从COVID-19到患者安全:印度尼西亚的实践
Pub Date : 2022-12-10 DOI: 10.20473/jaki.v10i2.2022.152-154
Haerawati Idris
The December 2022 edition of the Indonesian health administration journal has been published. This time raised several topics about health system. Generally, the manuscripts submitted raise topics related to the issue of Covid-19. Other topics include access to health services, management programs, health insurance, and patient safety. Another topic of this edition also raises the issue of access to health services. Ainy (2022) The issue of Covid-19 is still a concern for researchers at this time. Covid-19 inspection services are still a necessity at this time. However, not all districts can prepare for this need. Imaniar (2022) reports that the availability of RT-PCR in Covid-19 tests is still limited at the district level. Since Covid-19, the use of online-based systems has increased. Murima reported (2022) that the use of telemedicine in health facilities during a pandemic greatly helped health service providers, but there were obstacles such as not being multidisciplinary and lack of knowledge in using technology.
《印尼卫生管理杂志》2022年12月版已经出版。这一次提出了几个关于卫生系统的话题。一般来说,提交的手稿提出了与新冠肺炎问题有关的主题。其他主题包括获得医疗服务、管理计划、医疗保险和患者安全。本期的另一个主题也提出了获得医疗服务的问题。Ainy(2022)新冠肺炎问题目前仍然是研究人员关注的问题。新冠肺炎检查服务目前仍然是必要的。然而,并非所有地区都能为这一需求做好准备。Imaniar(2022)报告称,新冠肺炎检测中RT-PCR的可用性在地区层面仍然有限。自新冠肺炎以来,基于在线系统的使用有所增加。Murima报告(2022)称,在疫情期间,在卫生设施中使用远程医疗极大地帮助了卫生服务提供者,但也存在一些障碍,如缺乏多学科性和使用技术的知识。
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引用次数: 0
THE ROLE OF HEALTH WORKERS AND SUPPORT SYSTEM COUNSELORS FOR WOMEN WITH PRIMARY INFERTILITY 卫生工作者和支持系统顾问对原发性不孕症妇女的作用
Pub Date : 2022-12-10 DOI: 10.20473/jaki.v10i2.2022.241-250
D. Puspitaningrum, M. Z. Rahfiludin, Z. Shaluhiyah, S. Winarni
Background: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services.Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertilityMethods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysisResults: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical careConclusion: Health workers and counselors need an integrated support system service for women with primary infertility.
背景:原发性不孕是一个问题,其中之一是不孕妇女的心理问题。根据印尼体外受精协会(Perfitri)的数据,2021年印尼试管婴儿项目的总周期达到10000个,是处理生育问题的最重要数字。问题的出现是因为没有心理服务。目的:探讨卫生工作者和辅导员在三宝垄市中心医院原发性不孕妇女支持系统中的作用方法:这是三宝垄市市中心医院的描述性研究,采用定性探索性设计,有五名卫生工作者和两名辅导员。研究人员采用半结构化的一对一访谈,为期一周。结果:卫生工作者认为,原发性不孕妇女的支持系统,根据咨询师的诊断,将重点放在临床护理和咨询上,认为原发性不孕妇女需要心理支持来辅助临床护理的成功。结论:卫生工作者和咨询师需要为原发性不育妇女提供综合支持系统服务。
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引用次数: 0
LESSON LEARNED FROM THE UNITES STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE 从美国吸取的教训:提高初级保健的医疗覆盖率
Pub Date : 2022-12-09 DOI: 10.20473/jaki.v10i2.2022.286-292
Komang Triyani Kartinawati, L. Pradnyawati, D. Campos-Outcalt, G. Barker
The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia.
印度尼西亚的全民健康保险由Badan Penyelenggara Jaminan Kesehatan (BPJS)组织,向人口提供医疗保险一样的健康保护。这种健康覆盖对于保护和保持印度尼西亚人口的健康质量至关重要。然而,全民健康保险,包括国民健康保险的可及性,存在一些负担。因此,我们可以借鉴以医疗保险为中心的美国的医疗保险和医疗补助计划。我们至少可以从美国的医疗保险中学到三个主要的经验教训,比如参加医疗保险,滑动费用折扣计划,以及医疗服务收费的成本分析。尽管美国和印度尼西亚在卫生系统和人口方面存在差异,但这些经验教训可以为印度尼西亚的全民健康覆盖减轻负担。
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引用次数: 0
EXPLORATION OF DISTRICT-LEVEL INNOVATIONS TO ADDRESS MATERNAL AND NEONATAL MORTALITY IN INDONESIA 探索地区一级的创新,以解决印度尼西亚的孕产妇和新生儿死亡率问题
Pub Date : 2022-12-05 DOI: 10.20473/jaki.v10i2.2022.206-218
H. Halimah, Edward Sutanto, S. Suparmi, Ario Baskoro, Nirwan Maulana, Nadhila Adani, Wahyu Puji Nugraheni, D. Djunaedi, F. Aryani, Melyana Lumbantoruan, Trihono Trihono
Background: The Indonesian maternal and neonatal mortality rates remain some of the highest in Southeast Asia.Aims: This study aims to assess and compare district-level innovations that address maternal and neonatal mortality.Methods: This was a qualitative study conducted via four focus group discussions in eight selected districts in November 2021. Data obtained were analyzed using the WHO health system building blocks framework.Results: The study found high variation in districts’ innovations ranging from expansion of service for maternity waiting homes to periodical obstetrician visits at Puskesmas. A majority of districts use a local approach as the basis for innovation. Some innovations are modifications of the national program or initiated purely by District Health Offices, Puskesmas, and the community. Many interventions are based on multisectoral commitment, community participation, and targeting to strengthen health service delivery. Leadership and health financing also have an influence on the implementation of these innovations.Conclusion: The multitude of innovations reflects a high variation in barriers to reducing maternal and neonatal mortality that need to be addressed at the district level. A routine forum to share districts’ best practices is warranted. Additionally, family-based surveillance for neonatal danger signs, monitoring for pregnant women and neonates via WhatsApp, and zoning systems for referrals to healthcare facilities in larger districts are innovations identified in this study that have potential to be replicated in other districts or expanded nationally.
背景:印度尼西亚的产妇和新生儿死亡率仍然是东南亚最高的。目的:本研究旨在评估和比较地区一级解决孕产妇和新生儿死亡率的创新。方法:这是一项定性研究,于2021年11月在八个选定的地区通过四次焦点小组讨论进行。使用世卫组织卫生系统构建模块框架分析了获得的数据。结果:研究发现,从扩大待产之家的服务到定期在Puskesmas进行产科医生访问,各地区的创新变化很大。大多数地区采用本地方法作为创新的基础。有些创新是对国家方案的修改,或完全由地区卫生办事处、社区和社区发起。许多干预措施是基于多部门承诺、社区参与和加强卫生服务提供的目标。领导和卫生筹资也对这些创新的实施产生影响。结论:大量创新反映了降低孕产妇和新生儿死亡率的障碍差异很大,需要在地区一级加以解决。有必要定期举办论坛,分享地区的最佳做法。此外,以家庭为基础的新生儿危险体征监测、通过WhatsApp对孕妇和新生儿进行监测以及在较大地区向医疗机构转诊的分区系统是本研究确定的创新,有可能在其他地区复制或在全国推广。
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引用次数: 0
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Jurnal Administrasi Kesehatan Indonesia
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