Jurnal Kesehatan Indonesia

Perbedaan Konseling Gizi Menggunakan Media Booklet dan Leaflet terhadap Pengetahuan Pasien Diabetes Melitus Tipe 2 di Poli Gizi RSUD dr. H. Andi Abdurrahman Noor

Nita Pratiwi — 2026-03-30

Diabetes Mellitus (DM) is a chronic metabolic disorder affecting 589 million people worldwide in 2024, including 11.3% in Indonesia. While nutrition counseling is a cornerstone of DM management, conventional media such as leaflets often fall short in improving dietary compliance. This study aims to analyze the comparative effectiveness of booklets versus leaflets in enhancing the knowledge of patients with Type 2 DM. This quasi-experimental study employed a nonequivalent control group pretest-posttest design at Nutrition Clinic of dr. H. Andi Abdurrahman Noor Regional General Hospital. The sample included 32 patients with T2DM. The variables assessed were nutrition counseling using leaflets and booklets, and patient knowledge. Data were analyzed using the Wilcoxon and Mann–Whitney tests. The results showed a significant difference in knowledge before and after nutrition counseling using both leaflet and booklet (p=0.000). There was a significant difference in the average knowledge score between the leaflet and booklet groups (p=0.006), with the leaflet group increasing by 5.81, whereas the booklet group increased by 7.06. In conclusion, booklets were more effective in improving knowledge. DM patients are encouraged to use the booklet to enhance their understanding of the DM diet and support healthier daily eating habits.

Faktor Aktivitas Fisik, Asupan Protein, dan Keragaman Gizi dengan Status Gizi Remaja di Kabupaten Sidoarjo: Studi Cross-Sectional

Hilma Nahlah Faradisah — 2026-03-30

Adolescents are an age group vulnerable.to nutritional problems due to changes in lifestyle, diet, and physical activity. This study analyzed the relationship between physical activity, protein intake, and nutritional diversity with the nutritional status of adolescents at SMA PGRI 1 Sidoarjo. The study design used a cross-sectional approach with 120 students as respondents. Data collection used a structured questionnaire and SQ-FFQ, while nutritional status was determined based on BMI. Data analysis was performed using the Spearman correlation test. The results showed that most adolescents had high physical activity (61.70%), adequate protein intake (47.50%), and diverse nutritional diversity (55.80%). The nutritional status of adolescents was mostly in the normal category (40.00%). The results of the Spearman correlation test showed that there was no relationship between physical activity and nutritional status (p value = 0.242; p > 0.05), there was a relationship between protein intake and nutritional status (p value = 0.024; p < 0.05), there was a relationship between nutritional diversity and nutritional status (p value = 0.000; p < 0.05). It can be concluded that the quality of food intake, especially protein and nutritional diversity in adolescent nutritional status is important.

Hubungan Disiplin Kerja Dan Beban Kerja Dengan Kinerja Petugas Rekam Medis Di RSUD Ratu Zalecha Martapura

Thina Maria Kaleluny — 2026-03-31

Unit plays a crucial role in supporting the quality of healthcare services. The performance of medical record staff is influenced by work discipline and workload. High discipline enhances efficiency and adherence to procedures, whereas excessive workload can reduce work quality. A preliminary study at Ratu Zalecha Regional Hospital, Martapura, revealed low punctuality and compliance with standard operating procedures (SOPs). Among 43 staff members, only 13.95% arrived on time, and 65.11% had not completed their attendance records properly. This study aims to analyze the relationship between work discipline and workload with the performance of medical record staff at Ratu Zalecha Regional Hospital, Martapura. A quantitative method with a cross-sectional approach was used. The results showed that most staff had good work discipline (58.1%), light workload (58.1%), and good performance (60.5%). The Spearman Rho test showed a significant relationship between work discipline and performance (p = 0.013), and between workload and performance (p = 0.001). In conclusion, work discipline and workload significantly influence the performance of medical record staff.

Audit Pengkodean Klinis Menggunakan Aturan Morbiditas di Rawat Inap Rumah Sakit Umum Daerah Sultan Suriansyah Banjarmasin

Ayu Dwi Anissa — 2026-04-14

Clinical coding audits are necessary to review and analyze identified errors and to trace their sources by comparing the information produced by clinical coders with the data documented in patients’ medical records. Sultan Suriansyah Regional General Hospital Banjarmasin has never conducted a clinical coding audit. This study aimed to evaluate clinical coding audits using morbidity rules in inpatient medical records. This study employed a mixed-method approach with a quantitative design supported by qualitative data. A total of 99 inpatient medical record files were reviewed. The main informant was the inpatient coding officer, while triangulation informants included the inpatient BPJS doctor/verifier and the head of the medical records unit. Data were collected through observation and interviews using observation and interview guidelines, and analyzed using univariate analysis. The results of the study showed that, based on morbidity rules, the reliability of diagnosis coding was 91% consistent (90 medical records) and 9% inconsistent (9 medical records), mainly due to preliminary diagnoses that required supporting examinations to establish final diagnoses. Diagnosis completeness reached 100% (99 medical records), as completeness has been established as a standard. Coding accuracy was 93% accurate (92 medical records) and 7% inaccurate (7 medical records), primarily due to differences in ICD-10 code selection. Relevance of coding was 96% appropriate (95 medical records) and 4% inappropriate (4 medical records), which was influenced by the high workload of coding officers, leading to coding errors. In conclusion, clinical coding audits using morbidity rules at Sultan Suriansyah Regional General Hospital Banjarmasin revealed that several audit elements, particularly reliability, accuracy, and relevance, have not yet achieved optimal results.

Hubungan Tingkat Kecukupan Energi dan Zat Gizi Makro dengan Status Gizi Santri Pondok Pesantren Salafiyah Al-Amin Sleman

Fazri Adi Saputra — 2026-04-20

The acceleration of growth during adolescence must be accompanied by the provision of adequate nutrition. It was also necessary to monitore their nutritional status to prevent nutritional problem. This was more important to do in student who enrolled in boarding schools because it tend to be lacking in proving adequate food. This research aimed to determine the relationship between energy and macronutrient adequacy and the nutritional status of students at the Salafiyah Al-Amin Islamic Boarding School, Sleman, Yogyakarta. This research was a cross-sectional research design. All of population who met inclusion and exclusion criterias were invited as respondents (40 students). The BMI/A index was used to determine nutritional status, while the level of energy and macronutrient adequacy was determined by comparing nutrient intake from three 24-hour food recalls with AKG. Data was analysed using the Pearson test. The average of energy, protein, and fat adequacy of students was insufficient, which were 73,66%, ±11,54%, 70,82%, ±8,17%, and 79,96%, ±7,66%, respectively. In the other hand, the average of carbohydrate intake was sufficient, namely 81,63%, ±3,43%. The majority of students had normal nutritional status. The Pearson test results showed a correlation between the nutritional status and the levels of energy adequacy (p=0.023; r=0.359) and fat (p=0.023; r=0.358). In the other hand, the nutritional status of students was not correlated with the level of protein adequacy (p=0.101; r=0.263) and carbohydrates (p=0.185; r=0.185). This result emphasized the importance of providing adequate food in order to maintain students' nutritional status and health.

Analisis Pola Asuh Psikososial Pada Gizi Balita Pesisir di Kota Tarakan

Selvia Febrianti — 2026-05-06

Parenting goes beyond providing food; it involves psychosocial stimulation, which is crucial for a child's cognitive, physical, motor, and socio-emotional development. Parents often face various challenges during this process. In coastal areas, issues such as poor sanitation, limited food availability, and socio-economic factors can hinder the fulfillment of a toddler's nutritional needs, ultimately impacting their nutritional status. This study aims to determine the relationship between psychosocial parenting patterns and the nutritional status of toddlers in coastal areas. This is an analytical study using a cross-sectional approach. The subjects included parents of 200 toddlers aged 1–5 years, selected through proportional random sampling over a three-month period. Parenting styles were measured using the Parenting Style and Dimension Questionnaire (PSDQ), while children's nutritional status was determined using data from Maternal and Child Health (MCH) books. Data analysis was performed using the Chi-Square test at a 95% confidence level. The results indicated a significant relationship between psychosocial parenting patterns and the nutritional status of toddlers in coastal areas (p = 0.035). Parenting patterns play a vital role in determining nutritional status, as they encompass how parents meet the nutritional, health, and emotional needs essential for a child's optimal growth and development.