The impact of the eruption of Mount Semeru in Lumajang Regency, East Java, was in the form of environmental damage and caused many fatalities. The problem that needs to be addressed is related to the adequacy of nutrition for high-risk groups of people, including infants and toddlers, whose nutritional status and food intake are often not monitored. As an effort to overcome nutritional problems that arose after the eruption of Mount Semeru in Candipuro Village, Lumajang Regency. Monitor the nutritional status of toddlers aged 6-59 months who are at the evacuation site in Candipuro Village by measuring the Upper Arm Circumference (LiLA) using the Toddler LiLA tape and carried out for 1 month from the preparation stage, implementation to activity reporting. This Community Service activity was carried out at the Candipuro Village evacuation site with a target of 25 toddlers aged 6-59 months, and the results showed that the Toddler LiLA measurement that was carried out was declared successful because the toddlers whose nutritional status was monitored were confirmed to have good nutritional status while in the evacuation location. This activity is prioritized for toddlers because infants and toddlers are the most vulnerable group and require special nutritional treatment in the technical response to health crises due to disasters. It is stated that monitoring toddlers' growth must be carried out every month so that if toddlers experience nutritional problems, they can be handled more quickly and resolved.
This study aims to determine the effect of high-energy-protein interlude on increasing dietary compliance, nutritional intake adequacy and quality of life of hemodialysis patients. This research is a pre-experimental study with a one group pre-test and post-test design. The number of samples in this study was 71. All research subjects were patients undergoing hemodialysis treatment at Dr. Sardjito Hospital Yogyakarta. Patients will be given high-energy and protein snacks twice a day for 21 days. The sample it self was selected by using the consecutive sampling method. Data analysis using McNemar test and Multiple Logistics Regression. The results showed that there was a significant increase in dietary compliance and nutrient intake during the intervention, but after the intervention was completed, decreased compliance and nutritional intake. So that there was no significant difference in dietary adherence between before and after the intervention (p = 0.32) and there was no significant increase in the adequacy of nutrient intake between before and after the intervention. There was a significant difference between the quality of life scores before and after being given a snack (p = 0.01). Multivariate analysis showed that energy intake, fat intake, and length of hemodialysis period could be used to predict poor quality of life of hemodialysis patients (R2 = 0.125; AIC = 72). The provision of snacks can help to increase the average intake of nutrients to meet the intake of nutrients and the quality of life of hemodialysis patients.
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