Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom <p>Diterbitkan oleh<br><strong>Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br>Alamat Redaksi:&nbsp;<strong>STIKes Hang Tuah Pekanbaru</strong>&nbsp;<br>Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666.&nbsp;<br>Website: keskom.htp.ac.id&nbsp;<br>Email: keskom@htp.ac.id</p> <p><strong>Jurnal Kesehatan Komunitas memuat tulisan ilmiah baik berupa naskah hasil penelitian maupun naskah konsep di bidang kesehatan masyarakat. Diterbitkan setiap 4 (empat) bulan sekali yaitu pada bulan April, Agustus, dan Desember&nbsp;.</strong></p> Jurnal Kesehatan Komunitas (Journal of Community Health) Published by : P3M STIKes Hang Tuah Pekanbaru en-US Jurnal Kesehatan Komunitas 2088-7612 <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> Health Problem in Life Cycle http://jurnal.htp.ac.id/index.php/keskom/article/view/222 <p>Jurnal Kesehatan Komunitas Volume 3 Nomor 4 tahun 2017 kali ini membahas tentang permasalahan kesehatan yang melibatkan semua siklus kehidupan (<em>life cycle</em>). Kehidupan manusia selalu mengikuti suatu siklus yang berjalan seiring waktu. Dalam menjalani siklusnya, manusia melewati semua masa mulai dari kandungan, bayi, balita, remaja, dewasa, hingga menjadi tua atau lanjut usia. Selama menjalani hidupnya, manusia akan mengalami perubahan dalam hidupnya termasuk masalah kesehatan yang mungkin akan dihadapi manusia sepanjang hidupnya.</p> <p>Kita misalkan masalah yang dihadapi bayi dalam salah satu artikel di jurnal ini dimana tidak tercapainya ASI eksklusif karena pemberian makanan tambahan (PMT) terlalu dini kepada bayi 0-6 bulan. Adapun faktor yang berhubungan dengan PMT ini karena rendahnya pendidikan dan pengetahuan ibu tentang PMT. Tidak hanya masalah PMT yang terlalu dini, anak balita juga menghadapi banyak masalah diantaranya gizi buruk pada balita yang juga dibahas dalam edisi kali ini. Program penanggulangan gizi buruk sudah berjalan tetapi hasilnya belum dapat mengatasi kejadian gizi buruk. Salah satu penyebab kejadian gizi buruk diantaranya tidak hanya masalah SDM, masalah dana juga masih menjadi persoalan, ditambah lagi kurangnya koordinasi antara tenaga kesehatan (bidan), kader kesehatan, dan masyarakat. Masalah gizi buruk salah satunya juga karena kurangnya pemanfaatan posyandu oleh masyarakat sehingga sebagian anak kurang terpantau pertumbuhannya. Adapun faktor penyebab orang tua tidak mau membawa anaknya ke posyandu menurut salah satu artikel yang dimuat kali ini diantaranya adalah rendahnya pendidikan, orang tua yang bekerja, peran kader yang kurang, dan pengetahuan yang kurang yang berdampak kepada rendahnya pemanfaatan pelayanan posyandu oleh masyarakat.</p> <p>Anak usia sekolah juga rentan terhadap persoalan kesehatan, salah satunya adalah masih rendahnya perilaku cuci tangan pada anak-anak menurut satu artikel edisi ini. Walaupun sudah disediakan sarana dan prasarana yang mendukung untuk cuci tangan tapi pemanfaatannya masih rendah. Ternyata dengan melakukan diskusi kelompok dengan anak-anak akan lebih meningkatkan pengetahuannya tentang cuci tangan pakai sabun dibandingkan dengan memberikan ceramah tentang cuci tangan pakai sabun.</p> <p>Usia kerja juga mengalami masalah kesehatan seperti pada nelayan di Desa Kemang Kecamatan Pangkalan Kuras Kabupaten Pelalawan yang mengalami <em>Pterigium</em>. Kejadian <em>Pterigium</em> yaitu suatu keadaan yang merupakan fenomena iritatif akibat sinar UV, pengeringan, dan lingkungan dengan banyak angin. Hasil penelitian tahun 2016 dalam jurnal ini telah ditemukan sekitar 77,8% kejadian <em>Pterigium </em>pada nelayan. Faktor penyebab <em>Pterigium</em> diantaranya pengetahuan nelayan yang kurang dan perilaku nelayan dalam menggunakan Alat Pelindung Diri (APD) yang masih belum lengkap, tidak adanya peran tenaga kesehatan, serta masa kerja nelayan yang lebih dari 5 jam sehari.</p> <p>Memasuki siklus terakhir kehidupan yaitu masa lanjut usia, juga dihadapkan pada penyakit degeneratif yang semakin meningkat. Salah satunya hipertensi yang diderita lanjut usia. Cara mengatasinya menurut salah satu penelitian dalam artikel ini adalah dengan melakukan perendaman kaki pada penderita hipertensi. Hasil penelitian membuktikan bahwa perendaman kaki pada penderita hipertensi dapat menurunkan tekanan darah pada lanjut usia. Sehingga cara perendamkan kaki merupakan bentuk terapi komplementer yang mudah dan murah dilakukan secara mandiri dalam menurunkan hipertensi.</p> <p>Untuk menghindari masalah-masalah kesehatan yang mungkin akan dilalui selama siklus kehidupan, maka mulai dari kandungan, masa bayi, masa balita, anak, dan masa remaja asupan gizi dan pola hidup sehat harus diperhatikan, sehingga saat dewasa dan masa lanjut usia nanti hidup menjadi sehat dan berkualitas. Upaya meningkatkan siklus hidup berkualitas merupakan peran semua pihak yaitu, individu, keluarga, dan pemerintah dengan menyediakan pelayanan kesehatan yang bermutu.</p> jasrida yunita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-31 2017-12-31 3 4 127 128 10.25311/keskom.Vol3.Iss4.222 Soak Feet Warm Water Therapy Effective To Reduce Blood Pressure In The Elderly http://jurnal.htp.ac.id/index.php/keskom/article/view/127 <p>Hypertension is a heart and blood vessels disease that is manifested by rising blood pressure. Untreated hypertension will lead to complication such as stroke and heart failure. Soak feet warm water is one of the complementary therapy that can reduce blood pressure. The purpose of this research is to find out the effecveness of soak feet warm water therapy to reduce blood pressure in the elderly. This research was a quantave by using the pre-experimental design and pretest and posest approach. The Sample were elderly with hypertension in working area of Puskesmas Simpang Tiga Pekanbaru. The sampling technique was used purposive sampling. The data collection techniques were used observation and measuring blood pressure by using sphignomanometer. The data analyzed was used Wilcoxon test. The Results showed that generally elderly with hypertension were on stage II. Stasc result showed that <br>mean blood pressure post soak feet warm water therapy was 74,00 and standard deviaon was 5, 026, with the sistolic P value was 0.000 (&lt;0.05) and diastolic P value was 0.000 (&lt;0.05). So, it could be stated that soak feet warm water therapy effecve to reduce blood pressure in elderly. It is recommended to elderly with hypertension to always controlling their blood pressure, if there is a rising of blood pressure they could using soak feet warm water therapy to treat hypertension as a complementary therapy, cheap and easy to do indenpendently.</p> yessi harnani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-31 2017-12-31 3 4 129 132 10.25311/keskom.Vol3.Iss4.127 Factors Related To The Provision Of Food Supplement ( PMT ) Baby Age ( 0-6 ) Months In Work Area Health Eagles Tangkerang Central Village City Pekanbaru http://jurnal.htp.ac.id/index.php/keskom/article/view/128 <p><em>Supplementary Feeding (PMT) in infants is the provision of food or beverages containing nutrients to infants or children aged 6-24 months to meet the nutritional needs after exclusive breastfeeding. Achievement rates of exclusive breastfeeding in Riau Province in 2011 was 45.9%, in 2012 increased to 46.2%. Exclusive breastfeeding PHC coverage in 2012 amounted to 60.4%, in 2013 decreased to 32.5%. The aim of research to determine the factors Associated with supplementary feeding (PMT) in infants aged (0-6) months in Puskesmas Garuda Village Middle Tangkerang Pekanbaru.This study is a quantitative analytical observational design (cross-sectional). </em><em>With the dependent variable supplemetary feeding (PMT) and independent variables (education, employment, knowledge, and resources). </em><em>The population in this study</em><em> are all</em><em> mothers who had infants aged (0-6) months, as many as 388 people with a</em><em> partial</em><em> sample of</em><em> mother who had infants age (0-6) months as many as</em><em> 128. The sampling technique is quota sampling. </em><em>Data types consist of primay data and secondary data. Collecting primary data obtained directly from observations in the field through interviews with a quetionnaire measuring tool. </em><em>The analysis which is used is the analysis of univariate</em><em>,</em><em> bivariate with Chi-square</em><em> and multivariate. </em><em>The results showed there is a relationship between education and the Feeding (P value 0.032, POR 95% CI = 2.338 1.137 to 4.808), knowledge (P value 0.002, POR value = 3.844 95% CI 1.710 to 8.639</em><em>. </em><em>)Is expected to relevant agencies to</em><em> improve communication program, information, and education (KIE).</em><em> establish cooperation across programs and sectors, more active in providing information to mothers </em><em>with infants aged (0-6) months to education dan knowledge of the low one through</em><em> the extension of the supplementary feeding (PMT).</em><strong><em>&nbsp;</em></strong><strong><em>Keyword&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; :&nbsp;&nbsp; supplementary feeding, education , knowledge, </em></strong></p> Meliza Rasyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-29 2017-12-29 3 4 133 137 10.25311/keskom.Vol3.Iss4.128 Determinants Of The Under Five Years Children Visit To Posyandu In The Pusaran Enok District's Of Indragiri Hilir http://jurnal.htp.ac.id/index.php/keskom/article/view/135 <p><strong><em>ABSTRACT</em></strong></p> <p>A visit to Posyandu toddler is the coming to Posyandu toddler to get health care. The participation rate of maternal health check babies to Integrated Health Service Post (Posyandu) is still low. Riau Province has not reached the target Strategic Plan which is only 64.52% of the target of 80%. IHC D / S in District Inhil (Indragiri Hilir) decrease from 2013 to 2014, ie from 50.4% to 50.3%. The aim of research to determine the factors associated with a visit to Posyandu toddler in the Village Puskesmas Enok Maelstrom Indragiri Hilir. This study uses a quantitative method with cross-sectional design. The population is all the mothers who have children aged between 12-59 months in the Maelstrom Village Puskesmas Posyandu Enok Indragiri Hilir. The number of samples in this study were 63 mothers. Techniques of sampling using a set number of samples based on sampling techniques stratifiet proportional random sampling. The results showed that the study (p = 0.042, POR = 3.333), occupation (p = 0.016, POR = 4.154), the role of volunteers (p = 0.004, POR = 6.028), and knowledge (p = 0.029, POR = 3.682) was associated with a visit to Posyandu toddler. While age (ρ = 1.000), income (p = 0.247) health facilities (p = 0.320) there was no correlation with a visit to Posyandu toddler. Conclusions are variable relationship education, employment, the role of cadres, and knowledge of the toddler visit to neighborhood health center in the Village Maelstrom Enok Indragiri Hilir Subdistrict.</p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keyword&nbsp;&nbsp;&nbsp;&nbsp; :&nbsp;&nbsp; Visitst to the Posyandu in the Work Area Kelurahan Pusaran Kecamatan Enok Kabupaten Indragiri Hilir 2015</em></strong></p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p> Yeyen Gumayesty ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-29 2017-12-29 3 4 138 144 10.25311/keskom.Vol3.Iss4.135 THE IMPLEMENTATION OF THE PREVENTION AND IMPROVEMENT PROGRAM OF MALNUTRITION IN CHILDREN UNDER FIVE YEARS AT SIAK HULU III PUBLIC HEALTH CENTER http://jurnal.htp.ac.id/index.php/keskom/article/view/155 <p>Prevention and tackling malnutrition is an effort to anticipate potential problem of malnutrition before incident malnutrition and combat cases of malnutrition has happebed. Puskesmas Siak Hulu III has happened malnutrished cases for three years successive.</p> <p>The aim of this research is aware of the problem of malnutrition program of prevention and tacking Puskesmas Siak Hulu III the program implementation so far, and wich has operated community health center. The reseach a qualitative method being used.</p> <p>This research executed in june until july 2015. An analysis of the data done is analysis before in the feald, during analysis in the field, and analysis of after in a fieldwork constisting of an analysis of the domain, taxonomic analysis, componencial analysis and the theme of it’s cultural analysis. Informants in this research is 8 of a person taken based in the principle of sufficiency (Adequasy).</p> <p>The research result obtained important themes of human resources, financing system, as well as advice remains a big problem in achieving the program. Most being considerate in the research is not stead a source of the national budget in the form of vehicle operational cost calculation in the program implementation. While the implementation of the program against the technical level is still experiencing a sumber of problems that could actualy be solved well namely coordination between health workers (midwives) cadres parents with toddkers and of health worker was recommended to all community health center head, the program nutrition and holders the village midwives priority heath to be more effort to promote compared with the effort to curative is cases of malnutrition.</p> winda septiani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-31 2017-12-31 3 4 145 152 10.25311/keskom.Vol3.Iss4.155 RELATION WORKING ENVIRONMENT BEHAVIOR AGAINST FISHERMEN SCENE PTERYGIUM IN THE VILLAGE KEMANG KECAMATAN BASE KURAS PELALAWAN DISTRICT http://jurnal.htp.ac.id/index.php/keskom/article/view/203 <p><em>Pterygium is a thickening of the conjunctiva or the white part of the eye on the side of the medial or lateral, usually in older people, but can also be found in young adults, and increasingly extends towards the cornea. Ultraviolet light is one factor that can increase the incidence of pterygium. This situation is an irritating phenomenon caused by ultraviolet light, drying and the environment with a lot of wind. Data from Kemang Postu found that 30 (80%) incidence of pterygium</em><em>.</em></p> <p><em>The purpose of this research that determines the behavior of fishermen on the incidence pteirigum. This research is a quantitative research with cross sectional analytic design. This research was conducted in Desa Kemang District of Pangkalan Kuras Pelalawan June-July 2016, with a sampling technique in the study of saturated sampling. Data were collected using a questionnaire and profile data from Kemang Village office. Data analysis for bivariate with chi-square test on the degree of α = 0.05.</em></p> <p><em>The results showed that there is a relationship between knowledge p-value = 0.001 &lt;0.05 POR = 18,083 (3.281-99.67), personal protective equipment fisherman p-value = 0.001 &lt;0.05, POR = 14,000 (2.69-72.97) the role of power health with the results of p-value = 0.008 &lt;0.05, POR 10,667 (1.92-59.20) and the period of 0,017 fishermen p-value &lt;0.05, POR 7750 (1.53-39.12) with pterygium disease</em><em>.</em></p> <p><em>Health workers should pay more attention to the fishing community in order to prevent and menangguangi incidence of pterygium.</em></p> Novita Rany ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-31 2017-12-31 3 4 153 158 10.25311/keskom.Vol3.Iss4.203 THE EFFECTIVENESS METHOD OF LECTURES AND DISCUSSION ON INCREASED KNOWLEDGE CHILD IV GRADERSABOUT WASHING HANDS USING SOAP AT SDN 044 http://jurnal.htp.ac.id/index.php/keskom/article/view/205 <p>Hand washing with soap (ctps) is a sanitary by cleaning hand use of water and soap to break the cycle of germs. In sdn 044 are already available the sinks but rarely see students do hand washing after doing activities at recess at school. The purpose of skripsi is knowing the effectiveness of methods lectures and discussion on increased knowledge fourth graders about hand washing with soap in sdn 044 pekanbaru 2016 year.</p> <p>Research methodology this is quasi experiment with the design the research uses one group pre-test post-test.The population was all children class 4.Samples from 68 people.Technique sampling in census. The analysis used is univariat and bivariat by test willcoxon and mann-whitney, a measuring instrument used is kuisioner and data processing using computerized.</p> <p>The research results show effective by using the method lectures on increasing the knowledge of respondents for CTPS after is given information with the results of P <sub>value</sub> = 0,0001 &lt; 0,05, Effective by using the method discussion on increasing the knowledge of respondents for CTPS after is given information with the result P <sub>value</sub> = 0,0001 &lt; 0,05, There is a difference in average score knowledge was after is given information either by a method of lectures and discussion method used , where the mean rank with the methods 41,65 discussion that is larger than the value of the mean rank with the methods namely 27.35 lectures with P <sub>value</sub> =0,002 &lt; 0,05.</p> <p>Advised For the schools should use of discussion to provide information health and conduct empowerment with advocacy for students to the and equipment support the activities clean and healthy behaviors particularly the activities hand washing with soap</p> <p><strong>&nbsp;</strong></p> <p>Background: Hand washing with soap ( ctps ) is a sanitary by cleaning hand use of water and soap to break the cycle of germs. In sdn 044 are already available the sinks but rarely see students do hand washing after doing activities at recess at school. The purpose of skripsi is knowing the effectiveness of methods lectures and discussion on increased knowledge fourth graders about hand washing with soap in sdn 044 pekanbaru 2016 year.</p> <p>&nbsp;</p> <p>Methods: Research methodology this is quasi experiment with the design the research uses one group pre-test post-test.The population was all children class 4.Samples from 68 people.Technique sampling in census. The analysis used is univariat and bivariat by test willcoxon and mann-whitney, a measuring instrument used is kuisioner and data processing using computerized.</p> jessica devis ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2017-12-31 2017-12-31 3 4 159 163 10.25311/keskom.Vol3.Iss4.205