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Kitu, Irene Febriany Mamo
Poltekkes Kemenkes Kupang
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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EFFECTIVENESS OF HOME-BASED CARE AND MULTI-FAMILY GROUP SUPPORT ON COPING AND TREATMENT ADHERENCE IN TUBERCULOSIS CLIENTS Ester Radandima; Kartini Pekabanda; Antonetha Rosni Hunggumila; Veronika Toru; Irene Febriany Mamo Kitu
Journal of Innovation Research and Knowledge Vol. 6 No. 1 (2026): Juni 2026
Publisher : Bajang Institute

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Abstract

Background : Tuberculosis (TB) is still a global health problem with low levels of medication adherence as one of the causes of drug resistance. Home-Based Care with Multi-Family Group Support programs are seen as able to improve coping strategies and client compliance. Objective: To determine the influence of the Home-Based Care Program with the Multi-Family Group Support approach on coping strategies and treatment adherence of TB clients. Methods: A quasi-experimental study with a pre-test post-test with control group design involved 56 TB respondents who were divided into intervention and control groups. The research instrument used a coping strategy questionnaire (COPE Inventory) and a treatment compliance observation sheet. Data analysis was carried out in univariate, bivariate (paired t-test, independent t-test), and multivariate (linear regression test). Results: There was a significant improvement in adaptive coping strategies (p<0.05) and medication adherence (p<0.05) in the intervention group compared to the controls. The most influential factors were family support and the intensity of group meetings. Conclusion: The Home-Based Care Program with a Multi-Family Group Support approach effectively improves coping strategies and treatment adherence in TB patients. The Home-Based Care Program with a Multi-Family Group Support approach is effective in improving coping strategies and treatment adherence in TB clients.
Pengaruh Edukasi Kader Hipertensi Terhadap Peningkatan Pengetahuan Keluarga Tentang Pencegahan Stroke di Desa Mbatakapidu: Pengabdian Veronika Toru; Irene Febriany Mamo Kitu; Ester Radandima; Kartini Pekabanda; Oklan B.T Liunokas
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 4 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 4 April - Juni
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i4.6944

Abstract

Latar Belakang: Hipertensi diidentifikasi secara global sebagai pembunuh senyap (the silent killer) karena sering kali tidak memunculkan gejala klinis awal hingga memicu komplikasi fatal. Hipertensi yang tidak terkontrol menjadi salah satu penyebab serangan jantung, stroke, penyakit ginjal kronis, dan demensia yang paling penting dan dapat dicegah. Pemberdayaan kader kesehatan desa sebagai agent of change diperlukan untuk menjembatani kesenjangan informasi ini. Tujuan kegiatan pengabdian masyarakat ini, yaitu untuk mengetahui pengaruh edukasi oleh kader dalam meningkatkan pengetahuan keluarga tentang pencegahan stroke di Desa Mbatakapidu. Metode: Kegiatan ini dilaksanakan pada tahun 2026 di Desa Mbatakapidu dengan melibatkan 5 orang kader kesehatan dan 20 perwakilan keluarga yang memiliki anggota penderita hipertensi. Metode yang digunakan meliputi pembekalan kader di balai desa, diikuti dengan edukasi komunitas melalui kunjungan rumah (home visit) selama ±30 menit oleh kader kepada keluarga sasaran. Evaluasi keberhasilan dilakukan secara kuantitatif dengan membandingkan tingkat pengetahuan sebelum (pre-test) dan dua minggu sesudah intervensi (post-test) menggunakan kuesioner terstruktur. Hasil: Sebelum dilakukan edukasi, mayoritas keluarga memiliki tingkat pengetahuan yang kurang yaitu sebesar 60% (12 orang). Setelah mendapatkan intervensi edukasi terstruktur dari kader, tingkat pengetahuan keluarga mengalami peningkatan signifikan dengan 80% (16 orang) keluarga berhasil mencapai kategori pengetahuan yang baik. Kesimpulan: Edukasi berbasis pemberdayaan kader hipertensi melalui kunjungan rumah terbukti efektif meningkatkan pengetahuan keluarga secara signifikan dalam upaya pencegahan stroke di tingkat komunitas.
Faktor yang Mempengaruhi Kecemasan Keluarga dalam Merawat Anggota Keluarga dengan TB Paru Febriany Mamo Kitu, Irene; Toru, Veronika; Verawati Rade Taka
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Pulmonary tuberculosis is a chronic, recurrent infectious disease that usually affects the lungs, and can even affect all organs. Pulmonary TB is spread through the air from person to person. When a person with pulmonary TB coughs, sneezes, or spits, TB germs are released into the air, which can be inhaled by others, potentially infecting them. Psychological distress in families with members with pulmonary TB can also occur due to fear of contracting TB, worry about the lengthy treatment process, and even concern about the social environment where negative stigma toward pulmonary TB persists. This literature review was conducted by searching the Google Scholar database and selecting articles based on inclusion criteria, resulting in the selection of 10 primary articles for analysis. Family anxiety in caring for a family member with pulmonary TB is a manifestation of multiple psychological burdens. The majority of families indicated that despite having the resilience to care, they remain emotionally distressed. Family anxiety in caring for a patient with pulmonary TB is a complex phenomenon triggered by a combination of a lack of accurate medical information, economic pressures, gender, age, and minimal social support in the surrounding environment. Education should not only focus on patient medication schedules but also address family anxiety management. Furthermore, it's crucial for healthcare facilities to initiate support groups for patient families to share emotional burdens and prevent caregivers from feeling socially isolated.Keywords: abstract keywords
Unmasking the Pandemic's Shadow: A Systematic Review of The Multifaceted Impact of COVID-19 Stigma in Asia Yosephina Elizabeth Sumartini Gunawan; Leni Landudjama; Servasius To’o Jala Mulu; Irene Febriany Mamo Kitu; Maria Christina Endang Sukartiningsih; Dwi Febryanto; Guang-Hsing Liu; Yuliana Dafroyati
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1737

Abstract

The COVID-19 pandemic has exacerbated stigma toward health workers, patients, and survivors while intensifying social inequalities through rising unemployment, poverty, and social exclusion. This systematic review examined literature from ProQuest, Science Direct, Google Scholar, and PubMed, focusing on the stigma of COVID-19 in Asia. Original research employing quantitative or qualitative methods was included for articles that published in 2020-2021, while review articles were excluded. Screening followed PRISMA guidelines, with data collection and analysis conducted from November 2021 to April 2022, resulting in 24 articles. Data extracted included titles, authors, publication years, participants, methods, findings, strengths, and limitations. Quality was assessed using JBI’s critical appraisal tools, and thematic analysis was performed using Braun and Clarke’s framework. The review identified three key themes: general characteristics of COVID-19 stigma, affected populations, and the multifaceted impacts. Stigma in Asia has led to widespread fear and discrimination against infected individuals, survivors, health workers, and vulnerable groups with significant psychological, spiritual, economic, and health repercussions. We recommend that the government raise public awareness to minimize misinformation by providing education about COVID-19 and efforts to address the impacts caused by stigma, as well as integrating anti-stigma measures into policies and expanding mental health services for those affected.
Co-Authors Antonetha Rosni Hunggumila Dwi Febryanto Ester Radandima Ester Radandima Guang-Hsing Liu Gunawan, Yosephina E S GUNAWAN, YOSEPHINA ELIZABETH SUMARTINI HARA, MARIA KARERI Ineke Noviana Kaka, Mahendri Ega Kartini Pekabanda Leni Landudjama Maria Christina Endang Sukartiningsih Meidiana Dwidiyanti Mulu, Servasius To'o Jala Oklan B.T Liunokas Servasius To’o Jala Mulu Umbu Nggiku Njakatara Verawati Rade Taka Veronika Toru Wijayanti, Diyan Yuli Yuliana Dafroyati Yunita Ngana Rebuwula