Pengaruh sistem pemesanan makanan digital terhadap ketepatan waktu pemberian makanan dan kepuasan pasien

Effect of digital food ordering system on timeliness of feeding and patient satisfactionBackground: Computer-based information systems simplify food ordering, speed up the calculation of order data, and reduce operational costs for patient food ordering processes to reduce the time lag between ordering food and serving it to consumers. Only a few studies have examined the effect of digital food ordering applications on feeding accuracy and patient satisfaction.Objective: This study aims to determine the relationship between the digital food ordering system and the timeliness of feeding, and the relationship between timeliness of feeding, taste, menu variety, staff appearance, and food service with patient satisfaction.Methods: This study uses a mixed design design with a parallel concurrent mixed method. Quantitative research uses the one-group pretest-posttest pre-experimental design without a control group design and qualitative research uses the social constructivism–interpretation paradigm. The research was conducted in July 2022 at the Bayu Asih Hospital in Purwakarta. The study population consisted of 91 inpatients using a sampling technique, namely total sampling, while the number of samples for qualitative data was five persons using purposive sampling. Bivariate analysis used the Wilcoxon and Chi-Square tests, while the qualitative analysis used a deductive approach.Results: The average time for serving food with manual ordering tends to be greater, namely 181.5 seconds, which decreases to 156.62 seconds after using a digital food ordering system. Most of patients (73.6%) were satisfied with the timeliness of feeding, the taste of the food provided, the varied menu, and the neat appearance of the servers. The results of the analysis showed a significant relationship between the timeliness of food serving (p=0.006); food taste (p=0.001); menu variety (p=0.001); and the appearance of the waitress (p=0.001) with patient satisfaction.Conclusion: The timeliness of feeding increases after using a digital food ordering system. Timeliness of feeding, food taste, variety of food menus, appearance of food serving staff, and food service are significantly related to patient satisfaction

Vitamin D Levels in Chronic Kidney Disease Stage 3, 4, and 5

Background: Hypovitaminosis D is highly prevalent in chronic kidney disease (CKD). This conditionmay increase CKD progression and cause various complications, since kidney has a pivotal role in metabolizing the vitamin D. The aim of this study was to find the difference in vitamin D levels among CKD stage 3 to 5. Methods: A cross-sectional study involving patients aged over 18 years with CKD stage 3 to 5 who visited Dr. Hasan Sadikin General Hospital, Dustira Hospital, and Kidney Special Hospital Ny. R.A. Habibie in 2017 was conducted. CKD stages were determined based on glomerular filtration rate (GFR). Kruskal-Wallis test was used to analyzethe difference in vitamin D levels among CKD stage 3 to 5. Results: One hundred subjects consisting of 57 men and 43 women met the study criteria. There were 97% of subjects experienced hypovitaminosis D, with 20% having vitamin D insufficiency and 77% having vitamin D deficiency. In subjects with vitamin D insufficiency, a decrease in the mean vitamin D levels was observed along with advancing stages of CKD (p=0.255). No vitamin D level difference was observed among CKD stage 3 to 5 [11.1 (3.8-27.7) ng/mL vs 14.45 (5.10-50.90) ng/mL vs 11.7 (4.2-38.0) ng/mL, p>0.05]. Conclusions: There is no difference in vitamin D levels among CKD stage 3, 4 and 5

Malnutrition in Non-Hodgkin Lymphoma Patients at Dr. Hasan Sadikin General Hospital Bandung

Background: Non-hodgkin lymphoma (NHL) has the highest prevalence among hematologic malignancies. The prognosis and response to therapy in NHL patients may worsen in the presence of malnutrition. The aim of the study was to describe the malnutrition status in NHL patients. Methods: This was a cross-sectional descriptive study. Nutritional status was assessed using Subjective Global Assessment (SGA) obtained from the medical records of all NHL patients at Dr. Hasan Sadikin General Hospital registered in 2017.Results: In total, there were 78 medical records of NHL patients that fulfilled the inclusion criteria. All NHL patients had experienced malnutrition, categorized as mild-moderate malnutrition (70.5%) and severe malnutrition (29.5%). In NHL patients with mild-moderate malnutrition, 29% had 5–10% weight loss; 60% had suboptimal solid diet; 56.4% experienced anorexia; and 50.9% had subcutaneous fat loss. In NHL patients with severe malnutrition, 78.3% had more than 10% weight loss; 73.9% had suboptimal solid diet; 78.3% experienced anorexia; and 100% had subcutaneous fat loss.Conclusions: Based on subjective assessment, all NHL patients were malnourished and experienced change of food intake and loss of subcutaneous fat, therefore, a better nutritional support scheme are crucial for NHL patients

Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08). Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome

Pengaruh Edukasi Anemia dan Gizi Pada Pengetahuan, Norma Subyektif, Sikap, Perceived Behavior Control dan Niat Terhadap Kadar Hemoglobin Pada Ibu Hamil Anemia di Layanan Primer Pada Masa Pandemi Covid-19

Pada ibu hamil, anemia akan mempertinggi risiko keguguran, melahirkan bayi dengan berat badan lahir rendah, lahir sebelum waktunya, risiko perdarahan sebelum dan atau pada saat persalinan yang dapat menyebabkan kematian ibu dan bayinya. Menurut Kemenkes RI, 2021, Provinsi Banten termasuk bagian 6 Provinsi penyumbang 50% kasus kematian ibu. Tujuan studi ini adalah untuk menganalisa pengaruh dari edukasi edukasi anemia dan gizi terhadap kadar hemoglobin pada ibu hamil anemia di layanan primer pada masa pandemi covid-19. Penelitian ini menggunakan disain kuasi eksperimen dengan dengan rancangan the nonequivalent control group design.&nbsp; Sampel sebanyak 40 orang ibu hamil anemia trimester 2 di Layanan Primer di Kota Tangerang Provinsi Banten. Terdiri dari 20 orang ibu hamil pada kelompok eksperimen dan 20 orang pada kelompok kontrol. Data dikumpulkan setelah 4 minggu untuk intervensi pendidikan anemia dan gizi&nbsp; dan data dianalisis menggunakan uji T test, uji Uji Wilcoxon, Uji Mann Whitney. Hasil penelitian menyimpulkan ada perbedaan yang signifkan antara kelompok eksperimen dan kontrol pada tingkat pengetahuan (P Value= 0.000), Norma Subyektif (P Value= 0.000), sikap (P Value= 0.005), pengetahuan umum (P Value= 0.000), kadar hemoglobin (P Value= 0.000). Dan hasil penelitian&nbsp; menunjukkan hasil hasil yang tidak signifikan antara kelompok eksperimen dan kontrol adalah pada Perceived Behavioral Control (P Value= 1.000) dan niat (P Value= 0.602). Kesimpulan dari penelitian ini adalah bahwa ada pengaruh edukasi anemia&nbsp; dan gizi terhadap kadar hemoglobin pada ibu hamil anemia di layanan primer pada masa covid 19

Knowledge, Subjective Norm, Attitude, Perceived Behavior Control, Intentions About Hemoglobin in Pandemic Pregnant Women

Anemia will increase the risk of miscarriage, giving birth to babies with low birth weight, born prematurely, the risk of bleeding before and or during delivery which can cause the death of the mother and baby. According to the Indonesian Ministry of Health, in 2021, Banten Province is part of the 6 provinces that contribute 50% of maternal mortality cases. The purpose of this study was to analyze the effect of anemia and nutrition education on hemoglobin levels in anemic pregnant women in primary care during the COVID-19 pandemic. This study uses a quasi-experimental design with the nonequivanlent control group design. A sample of 40 pregnant women with anemia in the second trimester in Primary Services in Tangerang City, Banten Province. Consisting of 20 pregnant women in the experimental group and 20 people in the control group. Anemia and nutrition education is given to pregnant women individually at the first visit for ANC and follow-up education via WA/SMS every week for 4 weeks and during ANC visits primary data is collected using a semi-structured questionnaire for interviews and hemoglobin levels are also checked. at the start of the ANC visit and 4 weeks later. Data were collected after 4 weeks for anemia and nutrition education intervention and data were analyzed using T test, Wilcoxon test, Mann Whitney test. Active collaboration support between medical personnel and pregnant women through online media Whatsapp/SMS reminder. &nbsp;Effect of anemia and nutrition education on hemoglobin levels in anemic pregnant women in primary care during the Covid 19 period

Validation of Iron-Food Frequency Questionnaire for Assessing Iron Intake in Women of Reproductive Age: A Cross-Sectional Study on Female Undergraduate Students in Indonesia

The aim of this study is to develop and assess the validity of the Iron-Food Frequency Questionnaire (Iron-FFQ) in assessing the iron intake of reproductive age women. This cross-sectional study involved randomly selected female undergraduate students at Jantinangor, Sumedang district, West Java (n=94) as respondents. The validity test compared the iron intake using Iron-FFQ with the 3-Days Food Diary (FD). The iron contents of each food from both methods were obtained from Indonesian Food Composition Table (2017). Iron contents were analyzed using the Wilcoxon signed rank test and Spearman’s rank correlation. The results showed significant correlation in iron content between Iron FFQ and the 3 Days FD with r=0.25 for the tubers, nuts, and vegetables group, and r=0.21 for milk and fish (p&lt;0.05). While, statistically non-significant correlations were found for the rest of the food groups (cereal, meat, poultry, eggs, fruits, fats, sugar, syrup, confectionary, and spices) with r ranged from r=0.19 to r=0.01. The average assessment value using Iron-FFQ was lower than the 3-Days Food Diary, especially in the food and beverages group (-100%), sugar, syrup, and confectionary (-93.8%), and vegetables (-88.5%). In conclusion, Iron-FFQ can be declared valid for measuring iron intake from some food group such as starchy tubers, fish, shellfish and shrimp, nuts, vegetables, and milk as they have an acceptable correlation value

Effect of Eel Biscuit Supplementation on Height of Children with Stunting Aged 36–60 Months: A Pilot Study

Background. Stunting is a major health problem in developing countries. Animal-based supplements can increase the height of children with stunting. This study was aimed at determining the effect of eel biscuit supplementation on increase in the height of children with stunting aged 36–60 months. Methods. A pilot study with pretest-post-test design. The study was conducted in two villages in the Priangan Region, West Java Province, Indonesia. The participants were divided into two groups: intervention group (10 supplemented eel biscuit pieces) and control group (biscuits from the government’s biscuit programme). A total of 56 children aged 36–60 months with the height-for-age z-score of <−2 SD were recruited voluntarily for sampling. Results. The initial height-for-age z-score of the intervention group was −3.45 SD and that of the control group was −3.11 SD. After 3 months of supplemented eel biscuit consumption, the height-for-age z-score of the intervention group changed to −2.52 SD and that of the control group changed to −2.51 SD. The average shift of the height-for-age z-score after 3 months of supplemented eel biscuit consumption was 0.93 SD in the intervention group and 0.6 SD in the control group. There were significant differences in delta and percent increase in the height-for-age z-score between both groups. Conclusions. Consumption of supplemented eel biscuits for 3 months increased the height-for-age z-score of children with stunting aged 36–60 months by 0.93 SD