The Effect of Holistic Comprehensive Health Service Approach Through Family Functions on Optimizing the Nutrition Status of Junior High School Students
DOI:
https://doi.org/10.22219/sm.Vol16.SMUMM1.12687Keywords:
Nutritional status, APGAR Family, Holistic ComprehensiveAbstract
Background : Nutritional status problems have many causes, including genetic, body metabolic conditions, behavior, environment, culture, and socioeconomic factors. One environmental factor that receives relatively limited attention is that children are exposed to undue stress, especially family stress. One of the factors influencing a child's nutritional status is his family. Family functions that run well can optimize the process of growth and development of children which can be described by the nutritional status. Optimization of nutritional status in children can not only be done from a clinical approach alone but needs holistic comprehensive management.
Objective : The purpose of the study was to analyze the effect of a holistic comprehensive health service approach through family functions on optimizing the nutritional status of junior high school students.
Method : This study was an observational analytic study with a cross sectional approach with the subjects of Malang City's "Z" Junior High School students. Implementation in May- August 2019. The research subjects were 265 people with multistage random sampling. Data collection by interview. The analysis is displayed in the form of frequency distribution and correlation using the Spearman test and logistic regression
Results and Discussion : Family function is quite influential on nutritional status (r = 0.445). In logistic regression, the equation Y = 8.563-0.582X1 - 0.992X2-0.606X3 is obtained. The most influential family function is partnership of 99.2%. Partnership describes communication, mutual sharing, mutual complementarity between family members in all problems faced by family members, as well as the level of deliberation in making decisions and or resolving a problem that is being faced with other family members. Comprehensive holistic health service approach is sufficient effect on nutritional status (r = 0.463).
Conclusion : The holistic comprehensive health service approach gives sufficient influence on the nutritional status of students in Malang City's "Z" Junior High School.
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References
Almatsier, S. 2010. Prinsip Dasar Ilmu Gizi, Jakarta: Penerbit PT Gramedia Pustaka Utama. Hal: 3-12, 144-149.
Alimul, A.A. 2006. Pengantar Kebutuhan Dasar Manusia. Jakarta: Salemba Medika.
Borrell, F., A. Suchman, R. Epstein. 2004. The Biopsychosocial Model 25 Years Later: Principles. Practice. and Scientific Inquiry. An Nals of Family Medicine. Vol.2(6):576-582.
Burhani, P.A., F. Oenzil, G. Revilla. 2016. Hubungan Tingkat Pengetahuan Ibu dan Tingkat Ekonomi Keluarga Nelayan dengan Status Gizi Balita di Kelurahan Air Tawar 8
Barat Kota Padang, Jurnal Kesehatan Andalas, Volume.5(3): 515-521.
Chamidah, A. N. 2009. Deteksi Dini Gangguan Pertumbuhan dan Perkembangan Anak, Jurnal Pendidikan Khusus JPK Universitas Negeri Yogyakarta. Volume. 5(2): 83-93.
Dogar, I Ahmad. 2007. Biopsychosocial Model. Annals of Punjab Medical College Vol.1(1):11-13
Depkes RI, 1994, Pedoman Praktis Memantau Status Gizi Orang Dewasa. Jakarta.
Dhamayanti, M. 2013. Overview Adolescent Healt Problems and Servuces. Diperoleh dari: http://idai.or.id/artikel/seputar-kesehatan-anak/over view-adolescent-health-problems-and-services [diunduh pada tanggal 9 Agustus 2019].
Fatimatuzzahro, U. 2016, Hubungan Body Image dengan Status Gizi Siswo Kelas XI di SMKN 4 Yogyakarta. Diperoleh dari: http://digilib.unisayogya.ac.id/2483/1/NASPUB%20Miee.pdf [diunduh pada tanggal 11 Oktober 2019].
Friedman, M.M. 2010. Buku Ajar Keperawatan Keluarga: Riset, Teori, dan Praktek, Edisi 5, Jakarta: EGC. Hal: 3-24.
Gumawang Z.A. Hubungan Fungsi Keluarga dengan Status Gizi Anak pada Murid di SDN 5 Kediri. 2016;1–4.
Harmaini. 2013. Keberadaan Orang Tua Bersama Anak. Jurnal Psikologi UIN Sultan Syarif Kasim Riau. Volume.9(2): 80-93.
Indarti, Y. 2016, Hubungan Status Ekonomi Keluarga dengan Status Gizi Balita di Kecamatan Ajung Kabupaten Jember Tahun 2016. Fenomena, Volume. 15(1): 149-162.
Khasanah U., 2012. Hubungan Pola Asuh dan Kharakteristik Keluarga dengan Status Gizipada Anak Usia Sekolah di SD Negeri Kelurahan Tugu Kota Depok. Universitas Indonesia. Jakarta. Thesis.
Kurniasih, D. 2010. Sehat dan Bugar Berkat Gizi Seimbang. Jakarta: Gramedia. Hal. 34-39.
Lestari, E.G., S. Humaedi, M Budiarti S. 2017. Peran Keluarga Dalam Menanggulangi Kenakalan Remaja, Jurnal Penelitian dan PKM. Volume. 4(2):153-159.
Myrnawati dan Anita, 2016, Pengaruh Pengetahuan Gizi, Status Sosial Ekonomi, Gaya Hidup dan Pola Makan terhadap Status Gizi (Studi Kausal di Pos PAUD Kota Semarang Tahun 2015). Jurnal Pendidikan Usia Dini, Volume 10(2): 213-232.
Olson, D.H. 1999. Empirical Approaches to Family Assessment. Journal of Family Thyerapy. Volume 14 (2): 1-10
Pahlevi, A.E. 2012. Determinan Status Gizi pada Siswa Sekolah Dasar. Jurnal Kesehatan Masyarakat. Vol. 7(2): 122-126.
Prasetyawat, A.E. 2010, Kedokteran Keluarga. Jakarta: Rineka Cipta. Hal: 32-36.
Pujiati, A., S. Rahmalia. 2015. Hubungan antara Perilaku Makan dengan Status Gizi pada Remaja Putri, The Journal of The Minerals, Metals & Materials Society (TMS). Volume 2(2): 1345-1352.
Republik Indonesia. 2004. Undang-Undang Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional. Lembaran Negara Republik Indonesia Tahun 2004 Nomor 150. Jakarta.
Restiani N. 2012. Hubungan Citra Tubuh, Asupan Energi dan Zat Gizi Makro serta Aktivitas Fisik dengan Status Gizi Lebih pada Siswa SMP Muhammadiyah 31 Jakarta Timur Tahun 2012. Diperoleh dari: http://lib.ui.ac.id/file?file=digital/20320278-S-Novita%20Restiani.pdf [diunduh pada tanggal 22 September 2019].
Riset Kesehatan Dasar, 2018, Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI, Jakarta. Diperoleh dari: http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf [diunduh pada tanggal 22 September 2019].
Rooney, B.L., M.A Mathiason., C.W Schauberger. 2011. Predictors of Obesity in Childhood, Adolescence, and Adulthood in A Birth Cohort. Matern Child Health Journal. Volume.15(8): 1166–75.
Ruslie, R.H, Darmadi. 2012. Analisis Regresi Logistik untuk Faktor-Faktor yang Mempengaruhi Status Gizi Remaja. Majalah Kedokteran Andalas. Volume.36(1): 62-71.
Sari, R. I. 2012, Faktor-faktor yang Berhubungan Dengan Status Gizi Remaja Usia 12-15 Tahun di Indonesia Tahun 2007. diperoleh dari: http://lib.ui.ac.id/file?file=digital/20294684-S-Ratna%20Indra%20Sari.pdf [diunduh pada tanggal 18 Oktober 2019].
Serly, V., A. Sofian., Y. Ernalia. 2015. Hubungan Body Image, Asupan Energi dan Aktivitas Fisik Dengan Status Gizi Pada Mahasiswa Fakultas Kedokteran Universitas Riau Angkatan 2014, Diperoleh dari: https://jom.unri.ac.id/index.php/JOMFDOK/article/view/4860 [diunduh pada tanggal 11 Oktober 2019].
Siagian, D.M., A. Mursyid., T. N. S. Hartini. 2017. Hubungan Konsumsi Sayur dan Buah dengan Obesitas pada Anak SD Kelas IV–VI DI SD Pantekosta Magelang Tahun 2017, diperoleh dari: http://eprints.poltekkesjogja.ac.id/238/1/29DARUWATI%20M%20S.pdf [Diakses pada: 25 Oktober 2019].
Soetjiningsih, I.G.N Gde Ranuh. 2013. Tumbuh Kembang Anak. Edisi 2..Jakarta: EGC. Hal: 61-72, 224-233, 256-268.
Story M. 2002. Individual and Environmental Influences on Adolescent Eating Behavior. Diperoleh dari: https://www.ncbi.nlm.nih.gov/pubmed/11902388 [Diunduh pada tanggal 29 Desember 2019].
Subianto, J. 2013. Peran Keluarga, Sekolah, dan Masyarakat dalam Pembentukan Karakter. Edukasia: Jurnal Penelitian Pendidikan Islam. Volume.8(2): 331-354
Supariasa, I. D. N. 2002, Penilaian Status Gizi. Jakarta: ECG. Hal: 19-27, 30-99.
Sutikno, Ekawati. 2011. Hubungan antara Fungsi Keluarga dan Kualitas Hidup Lansia. Jurnal Kedokteran Indonesia, Volume.2(1): 73-78.
UNICEF, 2015. Causes and Most Vulnerable to Undernutrition. http://www.unicef.org/ nutrition/training/2.5/4.html.
Vonderen, K.E.V dan W. Kinnally. 2012. Media Effects On Body Image: Examining Media Exposure in the Brooder Context of Internal and Other Social Factors, American Communication Journal. Volume. 14 Issue 2: 41-57.
WHO. 2014. Basic Documents 48th ed. WHO Press. World Health Organization. 20 Avenue Appia. 1211 Geneva 27. Switzerland. p-1.
Wirghana Indra, Edi Muin, Witri Windrawati, dkk., 2013, Buku Pengantar Kader BKR tentang Delapan Fungsi Keluarga, BKKBN, Direktorat Bina Kesehatan Remaja, Jakarta. Diperoleh dari: http://bkk.bantulkab.go.id/filestorage/berkas/2015/07/buku_8_fungsi_keluara [Diunduh pada tanggal 29 Desember 2019
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