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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Journal of Health (JoH) Journal of Maternal and Child Health Amerta Nutrition Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Jurnal Sahabat Keperawatan Malahayati International Journal of Nursing and Health Science Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nahak, Maria Paula Marla
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Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Other

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ASUHAN KEPERAWATAN PADA PASIEN ABORTUS POST KURETASE DENGAN MASALAH KEPERAWATAN NYERI AKUT DI RSUD MGR. GABRIEL MANEK, SVD, ATAMBUA Koi, Elma Yanti Ningsi; Nahak, Maria Paula Marla; Usfinit, Paskalis Malafu
Jurnal Sahabat Keperawatan Vol. 7 No. 01 (2025): Jurnal Sahabat Keperawatan, Februari 2025
Publisher : Program Studi Keperawatan, Universitas Timor Jln. Mgr. Sugyopranoto-Haliwen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v7i01.9104

Abstract

Latar Belakang: Kebutuhan fisik dan psikologis yang tidak terpenuhi selama kehamilan akan menyebabkan terjadinya abortus inkomplit yang memerlukan kuretase. Tindakan kuretase pada pasien abortus inkomplit dapat menyebabkan nyeri perut dan rasa tidak nyaman. Tujuan: Penelitian ini bertujuan untuk melaksanakan asuhan keperawatan pada pasien yang mengalami abortus post kuretase dengan masalah nyeri akut di Ruang Cempaka RSUD MGR. Gabriel Manek SVD, Atambua. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Penelitian dilakukan pada 2 orang pasien (Ny. Y.M dan Ny. Y.P) yang mengalami abortus post kuretase dengan masalah nyeri akut di ruang Cempaka RSUD Mgr. Gabriel Manek SVD, Atambua. Studi kasus ini dilakukan pada 6-14 Februari 2024. Penelitian ini menggunakan proses keperawatan yang terdiri dari pengkajian; perumusan diagnosis keperawatan; rencana tindakan; implementasi; dan evaluasi. Hasil: Hasil evaluasi akhir pada kedua pasien menunjukkan bahwa setelah diberikan tindakan keperawatan manajamen nyeri, masalah nyeri akut teratasi. Kesimpulan: Setelah dilakukan asuhan keperawatan pada Ny. Y.M dan Ny. Y.P selama 3 hari dengan pendekatan proses keperawatan yang terdiri dari pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi keperawatan dan evaluasi, masalah nyeri akut teratasi.
Eksplorasi Peran Tim Pendamping Keluarga (TPK) dalam Rangka Akselerasi Penurunan Stunting di Kabupaten Malaka Maria Paula Marla Nahak; Yusfina Modesta Rua; Nahak, Maria Paula Marla
Journal of Health Vol. 12 No. 2 (2025): Journal of Health (JoH) - July
Publisher : LPPM STIKES Guna Bangsa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v12n2.16

Abstract

Stunting is a major health issue in Indonesia. In order to accelerate stunting reduction, the Indonesian government has mandated the formation of Family Assistance Team (FAT) at every village to assist stunting-risk families. FAT is the spearhead of stunting reduction at village level. Therefore, exploration of the role of FAT is a must to accelerate stunting reduction in Malaka Regency.  This study aimed to explore the role of FAT in Malaka Regency. This was a qualitative study, with case study approach, conducted in 2 villages of stunting focus location in Malaka Regency, Nusa Tenggara Province, Indonesia from July to September 2023. A total of 12 informants were selected for this study by purposive sampling. Data collected by a set of interview guide. Data analyzed by thematic analysis and qualitative data validate by member check and theoretical triangulation. Thematic analysis revealed three main themes: (1) TPK Activities, encompassing both core activities and collaborative efforts; (2) Supporting Factors, which include both monetary and non-monetary incentives; and (3) Inhibiting Factors, which consist of budget limitations, lack of awareness, inadequate facilities, insufficient monitoring, and limited understanding of stunting. Regular monitoring needs to be carried out to ensure the implementation of TPK at village level.
PENGARUH EDUKASI KESEHATAN TENTANG PENCEGAHAN ANEMIA TERHADAP PENGETAHUAN IBU HAMIL DI PUSKESMAS HALIWEN Amferis, Meliana Neni; Nahak, Maria Paula Marla; Berek, Pius Almindu Leki
Jurnal Sahabat Keperawatan Vol. 7 No. 02 (2025): Jurnal Sahabat Keperawatan, Agustus 2025
Publisher : Program Studi Keperawatan, Universitas Timor Jln. Mgr. Sugyopranoto-Haliwen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v7i02.10044

Abstract

Anemia pada masa kehamilan dapat mengakibatkan komplikasi kehamilan dan dapat memberikan efek negatif pada proses pertumbuhan dan perkembangan janin dalam kandungan hingga berpotensi menyebabkan kematian pada ibu dan anak. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi kesehatan tentang pencegahan anemia dalam kehamilan terhadap pengetahuan ibu hamil di wilayah kerja Puskesmas Haliwen. Penelitian ini merupakan penelitian kuantitatif dengan desain Quasi Eksperiment One Group dengan Pre-test-post-test design yang dilakukan di Puskesmas Haliwen pada tanggal 3 Maret – 28 Maret 2025. Sampel diambil menggunakan consecutive sampling sejumlah 30 orang di Puskesmas Haliwen. Data dianalisis menggunakan uji Wilcoxon sign rank test. Hasil penelitian menunjukkan ada perbedaan nilai mean sebelum dan sesudah pemberian edukasi kesehatan sebesar 70,50 meningkat menjadi 91,33. Hasil uji Wilcoxon sign rank test menunjukkan nilai p value= 0,000 (<0,05), artinya ada pengaruh edukasi kesehatan menggunakan media lembar balik terhadap pengetahuan tentang pencegahan anemia pada ibu hamil di Puskesmas Haliwen. Ada pengaruh pemberian edukasi kesehatan menggunakan media lembar balik tentang pencegaha anemia dalam kehamilan di wilaya kerja Puskesmas Haliwen (P value = 0,000). Diharapkan agar Puskesmas Haliwen tetap mempertahankan apa yang sudah dilakukan, yaitu mempertahankan pemeriksaan ANC, kunjungan posyandu dan kunjungan rumah untuk ibu-ibu hamil yang tidak melakukan pemeriksaan ANC, agar meningkatkan status kesehatan ibu hamil dan janin.
Performance of Stunting Reduction Acceleration Team: An Explorative-Qualitative Study in Indonesia-Timor Leste Border Area Nahak, Maria Paula Marla; Nitsae, Veronika
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is a complex issue influenced by multiple factors, including specific factors within and outside the health sector. Achieving a significant reduction in stunting needs the involvement of relevant local government offices in the Stunting Reduction Acceleration Team (SRAT). This study aimed to investigate SRAT performance in a specific context of accelerating stunting reduction in Malaka District. This qualitative study, with a phenomenological approach, was conducted in Malaka District, Indonesia, and Timor Leste Border Area from July to September 2023. This study revealed four major themes of SRAT performance to accelerate stunting reduction in Malaka District: activities to accelerate stunting reduction, challenges faced in implementing the programs, supporting factors for program implementation, and alternative activities initiated by the local government. This study showed that the many local government agencies responsible for specific and sensitive interventions have effectively fulfilled their mandatories and roles in accelerating the elimination of stunting in Malaka District. However, inadequate internal coordination within SRAT has led to a dearth of harmonization in its execution.
Upaya Peningkatan Pengetahuan Terkait Pentingnya Pemeriksaan Kehamilan (Antenatal Care) pada Ibu Hamil di Puskesmas Haliwen Nahak, Maria Paula Marla; Isu, Yani Kristiani; Nu'a, Feneria Jawa; Dos Santos, Jeliana Carvalho
Abdimas Galuh Vol 6, No 1 (2024): Maret 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i1.12339

Abstract

Kehamilan merupakan suatu fase yang penting dalam kehidupan seorang Wanita. Hasil penelitian sebelumnya menunjukkan bahwa masih terdapat ibu hamil yang mendatangi posyandu atau puskesmas pada trimester ketiga dan menjelang tafsiran persalinan. Hasil penelitian menunjukkan bahwa edukasi kesehatan masih menjadi pilihan untuk meningkatkan pengetahuan masyarakat. Penggunaan metode seperti ceramah dapat membantu meningkatkan pengetahuan masyarakat khususnya pada masyarakat dengan tingkat Pendidikan yang rendah. Edukasi kesehatan dilakukan pada tanggal 22 Desember 2022 di Puskesmas Haliwen. Partisipan dalam kegiatan ini adalah 23 orang ibu hamil. Kegiatan terdiri dari 4 tahap yaitu: (1) pembukaan; (2) penyampaian materi tentang pentingnya ANC; (3) diskusi; (4) penutup. Penggunaan metode ceramah terbukti efektif dalam meningkatkan pengetahuan ibu hamil tentang pentingnya antenatal care, khususnya pada ibu dengan tingkat pendidikan yang rendah.
Determinant factors of anemia prevention behavior among female adolescents in border area: a path analysis on the health belief model Nahak, Maria Paula Marla; Berek, Pius Almindu Leki
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.25937

Abstract

Combating anemia in female adolescents may prevent long term effects of low birth weight, malnutrition, and growth failure (stunting) in their progeny. This study aimed to path-analyze the determinants of anemia prevention behavior in female adolescents with health belief model approach. This was an observational analytical study, conducted at SMAN 3 Atambua, East Nusa Tenggara, Indonesia, from May 7, 2024 to August 2, 2024. A total of 103 participants were selected by total sampling. The data collected by a set of questionnaires. This study revealed a direct and positive correlation between perceived threat (b = 2.43; 95% CI = 0.67 to 4.18; p = 0.007), perceived benefits (b = 1.99; 95% CI = 0.20 to 3.78; p = 0.029), perceived barrier (b = 2.74; 95% CI = 0.34 to 5.14; p = 0.025), self-efficacy (b = 1.76; 95% CI = 0.06 to 3.46; p = 0.042), cues to action (b = 1.96; 95% CI = 0.27 to 3.65; p = 0.022) and anemia prevention behavior. Knowledge is indirectly correlated to anemia prevention behavior through self-efficacy (b =2.25; 95% CI = 0.95 to 3.54; p = 0.001); perceived susceptibility is indirectly correlated to anemia prevention behavior through perceived threat (b = 2.01; 95% CI = 0.78 to 3.24; p = 0.001); perceived severity is indirectly correlated to anemia prevention behavior through perceived threat (b = 0.91; 95% CI = 0.01 to 1.81; p = 0.045). The implications of this study suggest that multifaceted interventions should be put in place that combine education, empowerment, overcoming barriers, and increasing the perceived threat and severity of anemia, all of which can improve anemia prevention behavior among female adolescents.
Variability of blood pressure, pulse pressure, and mean arterial pressure in hypertensive individuals Berek, Pius Almindu Leki; Amaral, Fransiska; Akoit, Handrianus; Nahak, Maria Paula Marla; Mau, Djulianus Tes; Fouk, Maria Fatimah Wilhelmina Abuk; Made, Yovita
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1258

Abstract

Background: Hypertension is a major risk factor for cardiovascular disease and remains a public health issue, particularly in areas with limited access to healthcare services, such as the Indonesia–Timor Leste border region. Blood pressure variability, pulse pressure (PP), and mean arterial pressure (MAP) are important indicators for assessing the risks of long-term complications. Purpose: To determine the profile and variability of blood pressure, PP, and MAP among hypertensive individuals, as well as the relationship between sociodemographic characteristics and these parameters. Method: A quantitative descriptive design with a cross-sectional approach was employed. Data were collected from 124 respondents through blood pressure measurements taken at three different time points. Mean systolic and diastolic blood pressure (SBP and DBP), PP, and MAP were analyzed, along with comparisons between measurement times and respondent characteristics. Result: The mean systolic blood pressure (SBP) was 151.27 mmHg, and the mean diastolic blood pressure (DBP) was 89.86 mmHg, indicating that most participants fell into hypertension grade 1–2 categories. The mean PP was 61.43 mmHg and MAP was 110.32 mmHg, both exceeding normal thresholds, suggesting potential vascular complications. Significant fluctuations were found in SBP and PP between the second and third measurements (p=0.014 and p=0.032, respectively), while DBP and MAP remained relatively stable. No significant associations were found between sex, education level, or occupation with the blood pressure parameters. Conclusion: Blood pressure was relatively high and tended to be stable between measurements, with significant variability in systolic and pulse pressures (p<0.05). Meanwhile, sociodemographic characteristics such as age, gender, education, and occupation did not show a significant association with blood pressure, PP, or MAP. Suggestion: Hypertension control programs need to focus on an individualized approach with routine blood pressure monitoring using HBPM, stabilizing blood pressure variability, and improving patient education. Programs must also be tailored to sociocultural conditions and supported by simple digital technology for early detection in border communities.
Co-Authors Akoit, Handrianus Amaral, Fransiska Amferis, Meliana Neni Anugrahini, Christina Barros, Ijolindo Delfin Berek, Pius Almindu Leki Deda, Yohanis Ndapa Dos Santos, Jeliana Carvalho Hoar, Fransiska Sita Isu, Yani Kristiani Koi, Elma Yanti Ningsi Made, Yovita Maia, Esperanca De Deus Maria Fatimah W. A. Fouk Maria Getrida Simon Maria Paula Marla Nahak Mau, Djulianus Tes Meo, Maria Lupita Nena Naibili, Maria Julieta Esperanca Nu'a, Feneria Jawa Pala, Aplonia Ratrigis, Diegosan Vitores Rohi, Elfrida Dana F. Riwoe Sanches, Maria Goviana Santy Irene Putri Thius, Aprilia Yohana Usfinit, Paskalis Malafu Veronika Nitsae Yusfina Modesta Rua Yusfina Modesta Rua, Yusfina Modesta