Jurnal Kesehatan Terpadu (Integrated Health Journal) https://www.jurnalpoltekkesmaluku.com/index.php/JKT <p class="box_area style18"><strong>Jurnal Kesehatan Terpadu (Integrated Health Journal)</strong>&nbsp;provides a forum for publishing the novel technologies and knowledge related to the health sciences. This journal encompasses original research articles, review articles, and short communications, including:&nbsp; Food and nutrition, Environmental health, Nursing, Midwifery &amp; Medical laboratory. Jurnal Kesehatan Terpadu&nbsp;(Integrated Health Journal) is published by <strong>Poltekkes Kemenkes Maluku </strong>and&nbsp;published periodically (twice a year) in May and November.</p> <p class="box_area style18">ISSN&nbsp;<a href="https://issn.brin.go.id/terbit/detail/1180424964" target="_blank" rel="noopener">1978-7766</a> (Print) and ISSN&nbsp;<a href="https://issn.brin.go.id/terbit/detail/1498320967" target="_blank" rel="noopener">2597-9566</a> (Online)</p> Poltekkes Kemenkes Maluku en-US Jurnal Kesehatan Terpadu (Integrated Health Journal) 1978-7766 Faktor yang Berpengaruh terhadap Ketegangan Otot Pekerja Pande Besi https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/276 <p>Blacksmithing is a job that requires a lot of energy. Unnatural working positions can increase worker stress and may affect the risk of musculoskeletal disorders. Complaints of muscle strain occur in the part of the skeletal muscle that the worker feels, because the muscle is constantly under static load for a long time. This study aimed to identify the factors that influence muscle tone in blacksmith workers. The nature of this study was to use a cross-sectional approach to analytical observations. The total number of workers is 39, which are taken on a pro-rata basis. Data is collected through observations, interviews, and measurements. Physical workload was measured based on a person's heart rate, while work posture was assessed using RULA. The assessment of musculoskeletal disorders is based on the NBM approach. The data were then analyzed using chi-square and Fisher's exact test. The results showed that 41 percent of workers in the high group experienced muscle strains and 59 percent in the low group. The factors that affect the muscle tension of blacksmith workers are age, gender, working hours and working posture. Recommendations for industry are: managing rest periods, designing comfortable workplaces, providing sanitation facilities and educating about safe workplace.</p> Ernita Sari Erin Chairudina Hadi Suryono Marlik Marlik ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 70 76 10.32695/jkt.v14i2.276 Gender dan Tingkat kepedulian Masyarakat terhadap Sampah https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/429 <p>Indonesia is the second largest producer of plastic waste in the world after China, one source of waste is from the tourism sector such as in the Borobudur Temple Area, Central Java. The problem of low awareness and gender norms that are still closely embedded in Indonesian society are inhibiting factors in modern approaches to waste management, thereby impacting the burden on local governments in waste management. The aim of this study was to determine the effect of gender on concern for waste. Methods: Cross-sectional deskriptif survey study in the Borobudur sub-district area of 374 respondents representing the X generation or &nbsp;millennial generation and Z generation. &nbsp;This study shows that the difference in the average value (mean) of the variabels of knowledge, concern, perception, millennial PKK actions, and external faktors regarding institutions is slightly higher in the female group, namely 0.5005, 0.2207, 0.1452, 0 .8338, and 0.1046. But, individual perceptions of concern for community groups are slightly higher in the male group, namely 0.0659. This study shows that concern for waste, the female group's average value of each variable is slightly higher than the male group, and only one variable, namely external factors, individual perceptions of concern for community groups is slightly lower.</p> Tuti Susilowati Hadi Ashar Ina Kusrini Siti Wahyuningsih Hermasani Tya Maretta Teguh Setyaji Purwanti Purwanti Dhanik Ernawati Maria Prasasti Ragil Putri Widyaningrum Sukamsi Sukamsi Zulfikar Peluw ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 93 99 10.32695/jkt.v14i2.429 Hubungan Sarapan Pagi Dengan Status Gizi Dan Prestasi Akademik Mahasiswa https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/460 <p>Breakfast contributes 25% of the total daily nutritional intake. The benefits of breakfast can improve learning achievement. The long-term effects of nutritional intake and status can influence cognitive. This research aimed to determine the relationship between breakfast and the nutritional status and academic achievement of students. This research is an observational analytic with a cross-sectional study approach carried out on nutrition students at the Maluku Ministry of Health Polytechnic. The population was 176 people and the sample was 71 people who were willing to be involved in the research until completion. The research location was carried out at the Maluku Ministry of Health Polytechnic. The dependent variables used are nutritional status and academic achievement, while the independent variable is breakfast. Analysis of the relationship between variables was carried out using a chi-square. The results of the study showed a correlation between breakfast and nutritional status, p-value (0.002) and breakfast with achievement, p-value (0.205). In conclusion, there is a relationship between breakfast and students' nutritional status, but it has no relationship with academic achievement. It is recommended that there be similar research with a diversity of variables that can show factors that influence the nutritional status and academic achievement.</p> Wahyuni Sammeng Octovina Soumokil ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 100 109 10.32695/jkt.v14i2.460 Hubungan Faktor Pekerjaan dengan Stres Kerja pada Perawat di Rumah Sakit Daerah Jakarta Timur https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/354 <p>Nurses have an essential task and important role in hospital services. The increase in hospital services will affect the performance of nurses. Nurses are required to do quality work and provide professional services to patients. Nurses have more medical actions than other medical workers. This condition gives nurses more significant work pressure and increases stress levels. This study aims to determine the relationship between work factors and work stress experienced by nurses. The type of research is a quantitative research using a cross-sectional approach. The population in this study were nurses who worked in Pondok Kopi Islamic Hospital, East Jakarta. The total population in this research is 191, and the samples taken were 125 people. This study used a cross-sectional approach. The results showed that 53 nurses (42.4%) experienced work stress, and 72 (57.6%) did not experience work stress. The bivariate analysis results show a significant association between job demands, social support, interpersonal relationships, roles and organisational changes with job stress. There is also an insignificant association between control over work and job stress.&nbsp;</p> Haris Muzakir Azizah Fajar Islam ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 77 84 10.32695/jkt.v14i2.354 Hubungan antara Indeks Massa Tubuh pada Awal Kehamilan dan Kenaikan Berat Badan Ibu dengan Perdarahan Pasca Salin https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/361 <p>The number of maternal deaths in Indonesia caused by postpartum bleeding can occur vaginally or sectio caesarean. This can be reduced if every mother is able to access quality health services from pregnancy to postpartum and health workers immediately make referrals if complications occur. The aim of this study was to determine the relationship between body mass index in early pregnancy and postpartum bleeding and the relationship between maternal weight gain and postpartum bleeding. This research uses design cross sectional. The population is 465 patients in the delivery room at the Tidore Islands City Hospital in August 2020-August 2021, using a total sampling technique, using secondary data from census books in the delivery room and medical records room at the Tidore Islands City Hospital and recorded in a collection sheet. data. Test results chi-square between the body mass index variable and postpartum hemorrhage, the p value = 0.000, there is a significant relationship with the contingency coefficient value (0.534). Test results chi-square between the variable maternal weight gain and postpartum bleeding, the p value = 0.000, there is a significant relationship with the contingency coefficient value (0.344). So it is very important to monitor weight gain during pregnancy as a form of early detection of postpartum bleeding.</p> Siska Nawang Ayunda Maqfiro Rasmin Hi. Abd Mutalib ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 85 92 10.32695/jkt.v14i2.361 Pengaruh Pemberian Ekstrak Daun Kelor (Moringa oleifera) terhadap Kadar Kolesterol pada Akseptor KB Suntik 3 Bulan di Kelurahan Mojoroto Kecamatan Mojoroto Kota Kediri https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/471 <p>Family planning acceptance in Indonesia is high and injectable contraceptives have the highest prevalence. Long-term use of hormonal contraceptives causes changes in lipid metabolism. Moringa has the activity of lowering cholesterol levels. The purpose of this study was to determine the effect of moringa leaf extract (Moringa oleifera) on cholesterol levels. This research method uses a quasy experiment with a sample of 66 respondents consisting of 33 intervention group respondents who were given moringa leaf extract for 28 days and 33 control group respondents) with simple random sampling technique. Data analysis using t test. The results of the paired t test on cholesterol levels in the intervention group showed significant results, namely p value 0.000. The paired t test results on cholesterol levels in the control group showed insignificant results, namely p value 0.532. The results of the independent sample test on cholesterol levels in both groups showed a significant p value of 0.000. Cholesterol levels decreased after giving moringa leaf extract to 3-month injectable birth control acceptors. Health workers can motivate people to utilize moringa plants as a treatment in lowering cholesterol levels.</p> Nilna Hidayatul Husna Finta Isti Kundarti Lumastari Ajeng Wijayanti Ira Titisari ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 110 120 10.32695/jkt.v14i2.471 Liofilisasi Hemolisat Packed Red Cell Limbah Darah Palang Merah Indonesia dengan Penambahan Lioprotektan sebagai Alternatif Standar Hemoglobin https://www.jurnalpoltekkesmaluku.com/index.php/JKT/article/view/509 <p>Lyophilization of PRC waste added with 20% sucrose as lyoprotectant. This study aimed to create an alternative Hb standard, replacing the manufacturer's Hb standard. This study used an experimental with <em>pre and</em> <em>posttest without control group</em><em> design</em>. PMI blood waste PRC was &nbsp;processed into hemolysate, added with lyoprotectant, lyophilized, checked Hb levels using the Cyanmethemoglobin method as a group<em>pre test</em>, stored at 4<sup>O</sup>C for six months, checked Hb levels with the Cyanmethemoglobin method as a group<em>post test</em>. Homogeneity Test and Stability Test were carried out according to ISO 13528:2015. The average Hb level of PRC lyophilisate before storage (Xr)=15.06 g/dl, obtained Ss≤0.3σ<sub>pt</sub>, so that it was &nbsp;declared homogeneous according to the homogeneous acceptability value according to ISO 13528: 2015. After being stored for six months at 4<sup>O</sup>C, the average level of Hb lyophilisate PRC (Yr) =14,68 g/dl, obtained |Xr-Yr| ≤ 0.3σ<sub>pt</sub> so that it was &nbsp;declared stable according to the stable acceptability value according to ISO 13528: 2015. Hb levels of PRC lyophilisate were stated to be homogeneous and stable for six months. Hb standard from PRC lyophilisate can be used as an alternative to commercial Hb standard.</p> Bambang Supriyanta Ullya Rahmawati Martha Atik Martsiningsih Rita Rena Pudyastuti ##submission.copyrightStatement## 2024-02-29 2024-02-29 14 2 121 128 10.32695/jkt.v14i2.509