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Maria Salestina Sekunda
Program Studi Keperawatan Ende, Politeknik Kesehatan Kemenkes Kupang
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PENDAMPINGAN ORANG TUA DALAM PENANGANAN ANAK STUNTING DI DESA GHEOGHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE TAHUN 2023: POLA ASUH ANAK STUNTING Bai, Marieta; Cahyani, Sisilia L.; Sekunda, Maria S.
Kelimutu Nursing Journal Vol 2 No 2 (2023): Volume 2 Nomor 2 Desember 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i2.1427

Abstract

Stunting adalah masalah kurang gizi kronis yang disebabkan oleh kurangnya asupan gizi dalam waktu yang cukup lama, sehingga mengakibatkan gangguan pertumbuhan pada anak yakni tinggi badan anak lebih rendah atau pendek (kerdil) dari standar usianya. Selain faktor gizi, stunting disebabkan karena kurangnya pengetahuan masyarakat terutama ibu-ibu yang memiiki anak bayi dan balita tentang stunting. Metode pelaksanaan dalam program pengabdian kepada masyarakat melalui edukasi kesehatan melalui penyuluhan tentang gizi seimbang anak Balita, kunjungan rumah anak stunting, pengkajian anak stunting, posyandu bayi balita, menimbang berat badan, mengukur tinggi badan, mengukur lingkar kepala, mengukur lingkar lengan atas dan pemberian susu pada anak stunting.di Desa Gheoghoma Kecamatan Ende Utara Kabupaten Ende. Populasi dalam kegiatan  ini adalah ibu-ibu di desa Gheoghoma yang memiliki balita dengan stunting. Tujuan dari adanya penyuluhan ini untuk memberikan informasi mengenai “Pentingnya pola asuh pada anak untuk perbaikan gizi dalam penanganan stunting
PEMBERDAYAAN KADER DALAM UPAYA PENCEGAHAN KOMPLIKASI HIPERTENSI PADA LANSIA PASCA BENCANA DI DESA GHEOGOMA KABUPATEN ENDE: Sekunda, Maria S.; Bai, Marieta K. S.; Woga, Raimunda
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1545

Abstract

Disasters can occur at any time and without knowing the time of occurrence. Some of the impacts of disasters that occur in life are damaged health facilities, lack of implementation of posyandu for the elderly and limited reach of health services, thereby increasing morbidity rates in the community, especially the elderly. One of the non-communicable diseases (NCDs) that often occurs in the elderly is hypertension. In the post-disaster period, elderly people who suffer from hypertension need to have their blood pressure monitored and controlled to prevent complications from hypertension. Hypertension is one of the main risk factors for global death and is estimated to cause 9.4% of world deaths annually (WHO, 2015). Cadre training in preventing post-disaster illnesses in the elderly is very important to minimize and reduce the risk of complications from hypertension in disaster victims. The aim of this community service activity is to control potential complications of hypertension in the elderly in the post-disaster period. The target of this community service activity is elderly posyandu cadres who live in Gheogoma Village, Ende District, Ende Regency. The method used in this activity is providing health education through counseling, mentoring and training of cadres, training in checking blood pressure. The location and time of the activity will be held on 12-13 June 2023 in Gheogoma Village, Ende District, Ende Regency. The results of the activity showed that 80 percent of the cadres had good knowledge and of the 12 participants, 11 cadres were able to measure blood pressure well, and 3 cadres were adequate at measuring blood pressure. It is hoped that cadres will continue to be active in measuring blood pressure and utilize the skills they have by carrying out blood pressure checks for Gheoghoma village residents who need them
PENERAPAN ASUHAN KEPERAWATAN PADA PASIEN HIPERTENSI DI RUANG PENYAKIT DALAM I RSUD ENDE: Sekunda, Maria S.; Cahyani, Sisilia Leny; Bai, Marieta K. S.; Doondori, Anatolia K.
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1577

Abstract

Hypertension becomes a serious problem of public health, because if not controlled will develop and cause harmful complications. The consequences can be fatal due to frequent complications, such as stroke (brain hemorrhage), coronary heart disease, and renal failure (Gunawan, 2001). The purpose of the case study to describe nursing care in patient with hypertension in the room of the disease in III is carried out in a comprehensive process with nursing. The method used in case studies in patient with hypertension is a case study with a nursing process approach implemented on 3-5 may 2023 at the internal Medicine room I of Ende hospital. The results of the case study showed that the client complained of dizziness, headache, blurred eyes, neck tension, weakness, nausea, grimacing face, pain scale 5, looked weak, attached NaCl infusion 20 tts/min on the right hand, blood pressure 170/100 mmHg, pulse 104 x/min, temperature 375 0C, breathing 22 x/min, CRT < 3 seconds. The nursing diagnosis appointed is resti decreased cardiac output and pain discomfort disorders. All interventions are structured based on the appointed nursing diagnosis. After 3 days of implementation, the results obtained were that the problem of resting decreased cardiac output did not occur and the pain discomfort was resolved in part thanks to the cooperation of patients, families and caregivers.
ASUHAN KEPERAWATAN PADA KELUARGA DENGAN ARTHRITIS REUMATOID (AR) DIKABUPATEN ENDE: Sekunda, Maria Salestina; Cahyani, Sisilia Leny; Bai, Marieta
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1590

Abstract

Rheumatoid arthritis is the most common autoimmune disease in the community. It can lead to long-term joint damage, prolonged pain, loss of function and disability (Singh, et al., 2012). This case study aims to enable the author to carry out Nursing Care in the family of Mr. K. S with one of the family members suffering from Rheumatoid Arthritis using the nursing process approach. This case study aims to enable the author to carry out Nursing Care in the family of Mr. K. S with one of the family members suffering from Rheumatoid Arthritis using the nursing process approach. This case study uses a case study method through nursing care steps starting from assessment, nursing diagnosis, intervention, implementation, evaluation to nursing documentation activities. The results of the assessment on the family on behalf of Mrs. K. S complained of pain in the left knee, weak body, swelling in the left knee. The nursing problems raised in these cases are disorders of comfort, pain, and physical mobility inhibitions. The evaluation found that the problem of pain discomfort disorder was partially resolved because the client had shown signs of controlled pain such as a relaxed face, Pain scale 1 (0-10) vital signs within normal limits: and for physical mobility impediments are partially resolved because the client says he can walk on his own even though he still feels a little pain. The problems caused by Rheumatoid Arthritis are very complex and can cause various problems in the human life system, so clients are encouraged to carry out treatment as early as possible, follow the rules of taking medication and implement healthy living behaviors.
PEMBERDAYAAN KADER DALAM PENANGANAN HENTI JANTUNG DI DESA GHEO GHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE Sekunda, Maria Salestina; Rifatunnisa; owa, khrispina
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1820

Abstract

The role of cadres is very important in efforts to anticipate and handle hypertension complications such as cardiac arrest. One of the roles of cadres when the elderly experience cardiac arrest is that cadres are able to prevent and treat cardiac arrest by providing basic life support and are able to give advice to the elderly to avoid things that can be at risk of causing sudden death. The Community Service activity was held on May 1-2, 2024 in the Gheoghoma Village office hall and was attended by 11 village cadres and the Head of Gheo Ghoma Village. The method used is education and skills to do basic life support. At the beginning of the activity, a test of cadre knowledge about basic life support was carried out and then simulations and demonstrations were carried out and then closed with a post test. From the results of the activity, data was obtained that most of the cadres had understood and were able to provide basic life support, as evidenced by the results of the answers to the questions given where the respondents had less knowledge than 75% and in the post stage after being given material and demonstrations on the treatment of cardiac arrest, the results of the increase in respondents' knowledge about basic life support were obtained, which was as much as 83%. In addition, in training activities, cadres are able to carry out basic life support using BHD phamptom aids and obtain a score from 0% to 75%. Therefore, it is highly expected that the village management will continue to cooperate with the government, especially the cadres in improving knowledge and other skills in preventing sudden death in the community by conducting continuous training so as to increase knowledge and skills that will have an impact on the prevention and handling of sudden death due to cardiac arrest
PENGENALAN MASALAH KESEHATAN DAN PENGGUNAAN FASILITAS KESEHATAN BERPENGARUH TERHADAP KEJADIAN ISPA DI WILAYAH KERJA PUSKESMAS MONI Bedho, Marthina; Owa, Khispina; Paschalia, Yustina; Sekunda, Maria S.
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1821

Abstract

ISPA tertinggi kedua pada balita (62,90%) dari semua kasus di Puskesmas Moni berdasarkan 10 Patron penyakit di Kabupaten Ende. ISPA memproduksi secret yang dapat menghambat oxygenasi tubuh, sehingga menurunkan metabolisme sel, dan akan menyumbang angka kesakitan dan kematian pada balita, menyebabkan terhambatnya tumbuh kembang anak,. Keluarga merupakan garda terdepan dalam mengasuh anak balita untuk mencegah penyakit infeksi seperti ISPA. Tujuan penelitian untuk mengetahui pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada balita. Disain penelitian adalah Mix metode dengan pendekatan cross sectional. Besar sampel dihitung berdasarkan rumus Slovin sebanyak 164 responden. Pengambilan sampel menggunakan purposive dan accidental sampling. Data dikumpulkan dengan wawancara, observasi. Menggunakan instrument baku. Analisis Bivariat Chi-Square untuk menguji pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada balita. Uji Regresi logistic untuk menganalisis kekuatan pengaruh mengenal masalah kesehatan dan penggunaan fasilitas kesehatan terhadap kejadian ispa pada pada tingkat kepercayaan 95% dan batas kemaknaan P≤0,05. Ada pengaruh keluarga mengenal sakit Ispa terhadap kejadian Ispa pada balita p - value = 0,000 ( p>0,05). keluarga mengenal masalah kesehatan OR=7,280 (95% CI: 3,205 -16,538; P=0,000), ada pengaruh keluarga mengenal sakit Ispa terhadap kejadian Ispa balita p - value = 0,000. Ada pengaruh keluarga menggunakan fasilitas kesehatan terhadap kejadian Ispa balita p - value = 0,000 ( p>0,05). ( p>0,05),penggunaan fasilitas kesehatan OR= 13,328 (95%CI:5.598 – 31.735 p – value = 0.000. Variabel paling dominan berpengaruh meningkatkan resiko ispa adalah penggunaan fasilitas kesehatan. Edukasi berkala tentang tugas keluarga dalam bidang kesehatan untuk menekan kejadian Ispa balita.
Penerapan Terapi Air Putih dan Kompres Hangat untuk Mengatasi Masalah Nyeri dan Gangguan Eliminasi Urin pada Pasien ISK di RSUD Ende : Sekunda, Maria S.; Owa, Khrispina; Bai, Marieta K. S.
Kelimutu Nursing Journal Vol 4 No 1 (2025): Volume 4 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i1.2011

Abstract

Urinary tract infection (UTI) is an infection caused by the growth of microorganisms in the urinary tract, which in normal conditions urine does not contain bacteria, viruses or other microorganisms. Urinary tract infections can occur in men and women of all ages. The purpose of this special study is that the author is able to apply the provision of drinking water therapy and warm compresses to overcome pain problems and changes in urine elimination patterns in patients with Mrs. SM with a medical diagnosis of UTI through a nursing process approach. The method used in the case study on Mrs. SM with UTI is a case study with a nursing process approach which was carried out on March 29-April 1, 2025 in the Internal Medicine Room of Ende Hospital. The results of the case study showed that the assessment data found in Mrs. S.M with UTI were weakness, pain in the waist, lower abdominal pain, pain that comes and goes and feels like being stabbed, painful urination, abdominal distension, bloating, grimacing face, BP: 110/80 mmHg, S: 38 0C, N: 94x/min, RR: 20x/min, urination comes out a little at a time. The nursing diagnosis raised in Mrs. S.M's case was pain and impaired urinary elimination. After implementation, the results obtained were that the problems of pain and impaired urinary elimination were resolved thanks to the cooperation of the patient, family and nurse. Nursing care carried out on Mrs. S.M's patient can run well thanks to the cooperation and support of the family. Therefore, it is expected that the patient will behave healthily by not holding back urine and consuming lots of water 8-10 glasses a day.
Penerapan Asuhan Keperawatan pada Ny. M. E. Dengan Asma Bronkial di RSUD Ende : Nggeru, Yosefina Anggreni; Paschalia, Yustina; Sekunda, Maria Salestina; Doondori , Anatolia K.
Kelimutu Nursing Journal Vol 4 No 1 (2025): Volume 4 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i1.2020

Abstract

According to Basic Health Research (RISKESDAS, 2018), the prevalence rate of asthma at all ages in Indonesia is 2.5%. The incidence of asthma is most common in the age group of 75 years and above and begins to decrease in the age group of 15-24 years. The role of nurses in providing nursing care to patients is by providing pharmacological therapy, non-pharmacology and providing education about bronchial asthma. In the implementation of nursing care in asthma cases, nurses are challenged or have problems with the lack of understanding of nurses about the use of literature in setting service standards such as having to use the Indonesia Nursing Diagnostic Standards (SDKI), Indonesia Nursing Output Standards (SLKI), Indonesia Nursing Intervention Standards (SIKI) and patient non-compliance in preventing asthma attacks. This case study aims to describe the nursing care of Mrs. M. E. with a medical diagnosis of bronchial asthma and analyze the gap between theory and real cases. The method used is a case study with a nursing care approach which includes review, diagnosis, planning, implementation and evaluation of nursing. The results of the case study found three nursing problems in the case, namely ineffective airway clearance related to airway hypersecretion, ineffective breathing patterns related to inhibition of breathing effort, and sleep pattern disorders related to shortness of breath. Nursing interventions and implementations are designed and implemented with dependent actions such as observation, education and interdependent such as collaborative actions. After 3 days of implementation, the problem of ineffective airway cleaning was partially resolved, and the problem of ineffective breathing patterns and sleep pattern disorders was resolved. After 3 days of implementation, the nursing problem of ineffective breathing patterns and sleep pattern disorders was resolved, while the problem of ineffective airway clearance was partially resolved and it was recommended for patients and families to follow all recommendations from health workers with the aim of preventing the onset of more severe complications
Pemberdayaan Keluarga dalam Upaya Pencegahan Penyakit Kecacingan dan Stunting Pada Balita di Desa Gheoghoma Kabupaten Ende Owa, Khrispina; Sekunda, Maria Salestina; Tokan, Pius Kopong; Ibrahim, Muhamad Chairul
SENTRA DEDIKASI: Jurnal Pengabdian Masyarakat Vol. 3 No. 3 (2025): September 2025
Publisher : Arlisaka Madani Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59823/dedikasi.v3i3.107

Abstract

Penyakit kecacingan (soil-transmitted helminth/ STH) dan stunting pada balita tetap menjadi masalah kesehatan masyarakat khususnya di wilayah pedesaan karena faktor lingkungan, sanitasi, serta praktik pemberian makan dan perilaku higienis keluarga. Pemberdayaan keluarga melalui edukasi kesehatan, penguatan praktik Perilaku Hidup Bersih dan Sehat (PHBS), akses dan pemeliharaan sanitasi layak, serta peningkatan ketahanan pangan keluarga merupakan strategi kunci untuk pencegahan terpadu kecacingan dan stunting di tingkat desa. Pemberdayaan keluarga juga memiliki peran strategis dalam pencegahan kedua masalah tersebut, mengingat keluarga merupakan unit terkecil yang berperan langsung dalam pola asuh, perilaku hidup bersih dan sehat (PHBS), serta pemenuhan gizi anak. Tujuan Pengabdian Masyarakat ini meningkatkan kemampuan dan kemandirian keluarga dalam upaya pencegahan penyakit kecacingan dan stunting. Metode Partisipatory Learning and Action (PLA) dengan metode learning by doing. Tahap persiapan dengan mengidentifikasi permasalahan mitra, tahap elaksanaan dengan memberikan sosialisasi, edukasi dan pelatihan serta pendampingan kepada keluarga tentang CTPS, penerapan PHBS di rumah tangga, pengawas minum obat cacing, dan tahap evaluasi penerapan PHBS di keluarga, pengawasan minum obat cacing balita, serta pemantauan pertumbuhan anak secara rutin setiap bulan melalui KMS balita. Hasil kegiatan pengabdian masyarakat ini menemukan bahwa pemberdayaan keluarga melalui peningkatan pengetahuan, keterampilan, dan perubahan perilaku dapat menjadi intervensi efektif dan berkelanjutan untuk mencegah kecacingan sekaligus menurunkan prevalensi stunting pada balita, apabila dilaksanakan dengan dukungan program kesehatan masyarakat dan multisektor secara berkesinambungan. Intervensi berbasisi keluarga dapat meningkatkan kemampuan dan kemandirian keluarga dalam upaya pencegahan penyakit kecacingan dan stunting pada balita.
Nurse Leadership in Disaster Preparedness in 5 Community Health Centers in the Ende Regency City Budiana, Irwan; Patmawati, Try Ayu; Sekunda, Maria Salestina
International Journal of Natural and Health Sciences Vol. 2 No. 4 (2024): October 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijnhs.v2i4.2523

Abstract

Nurses have a very strategic role in reducing risk. This research aims to determine the relationship between nurse leadership and disaster preparedness. The research design used in this research is descriptive analytic with a cross sectional approach. This research was carried out at the Community Health Center from January to October 2023. The population in this study were all nurses at the Ende Regency. Sampling was taken using a non-probability sampling technique, namely purposive sampling. Data were processed using SPSS software in two stages, namely descriptive analysis and bivariate analysis. The research results show that leadership is in the good category with a p value (0.90). Nurses in general are not prepared to be leaders, especially in disaster preparedness
Co-Authors Anatolia K. Doondori Aris Wawomeo Aris Wawomeo Artama, Syaputra Aurelius Fredimento Bai, Marieta Bai, Marieta K S Bai, Marieta K. S. Bedho, Marthina Budiana, Irwan Cahyani , Sisilia L. Cahyani, Sisilia L. Cahyani, Sisilia Leny Dekresano, Claverita Prima Dhoke, Maria F. L. Doondori , Anatolia K. Doondori, Anatalia K. Febtian Cendradevi Nugroho Ibrahim, Muhamad Chairul Julianus Lende Khrispina Owa Kopong, Pius Tokan Krispina Owa Kurnia, Theresia A. Kurnia, Theresia Avila Marieta K.S.Bai Marthina Bedho Muhammad Chairun Rahim Nggeru, Yosefina Anggreni Novian Agni Yudhaswara Owa, Khispina Owa, Krispina Pande Putu Januraga Paschalia, Yustina Paschalia, Yustina P. M. Patmawati, Try Ayu Pius K. Tokan Pius Kopong Tokan Pius Kopong Tokan Pius Selasa Ragu Thedolfi Rif'atunnisa, Rif'atunnisa Rifatunnisa Rif’atunnisa Santoninho Zino De Carvalho Sawitri, Anak Agung Sagung Sisilia Leny Cahyani Sisilia Leny Cahyani Theresia A. Kurnia Tokan, Pius K. Tokan, Pius Kopong Woga, Raimunda Woge, Yoseph Yosephina E Gunawan Yustina P.M Paschalia