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Journal : Kelimutu Nursing Journal

PENTINGNYA PENINGKATAN KETRAMPILAN TENAGA KESEHATAN DALAM PREVENTION MOTHER TO CHILD TRANSMITION HIV, SIFILIS, HEP. B PADA IBU HAMIL DI PUSKESMAS KOTA ENDE owa, khrispina; Wawomeo, Aris; Woge, Yoseph; Sekunda, Maria S.
Kelimutu Nursing Journal Vol 2 No 1 (2023): Volume 2 Nomor 1 Juni 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i1.1226

Abstract

HIV, Syphilis and Hepatitis B infections are infectious diseases that are still a health problem in the world, including in Indonesia. The incidence of mother-to-child transmission ranks 5th highest in Asia. HIV transmission from mother to child is 20-45%, Syphilis transmission from mother to child is 69-80% and Hepatitis B transmission from pregnant women to children is 90-95% (Kemenkes RI, 2014). Only 50% of pregnant women are willing to do an examination or test at the initial Antenatal visit while more pregnant women are known to be positive for viral infections in the final trimester which affects the implementation of treatment (Kesga Division of the Ende District Health Office, 2019). The Objectives to analyse the perception of pregnant women about the role of midwives in the success of the PMTCT-HIV, Syphilis, Hepatitis B program for pregnant women at the Ende Regency Health Center. Methods: using a quantitative design method with a correlational analytic approach. The technique for determining respondents used purposive sampling method. The research sample was first trimester pregnant women who checked themselves at the Ende City Health Center from June to August 2021. The sampling technique used the Slovin formula which amounted to 50 respondents. Data were collected from pregnant women's examination cards, MCH books and interviews with respondents. Data processing used the Spearman Rank correlation test with the help of the SPSS for windows 19.00 program. The results of the Spearman Rank variable test of the role of midwives as communicators, motivators, facilitators and counsellors do not have a significant relationship to the success of the PMTCT-HIV, Syphilis, Hepatitis B Program with a value (p-value <0.05), namely 0.656 for the p-value of the role variable as a counsellor, 0.629 for the p-value of the role variable as a motivator, 0.580 p-value for the role variable as a communicator and 0.445 for the p-value of the midwife's role variable as a facilitator. As for the direction of the relationship between the four variables, it has a unidirectional nature according to the positive value of the Corelation Coefficient, and for the level of relationship between the four variables, namely the variable role of midwives as counsellors and motivators has a strong level of relationship (0.656) and (0629), the variable role of midwives as communicators and facilitators has a moderate level of relationship (0.580) and (0.445). Conclusion is necessary to maximize the success of the PMTCT program, including counsellor training for all health workers, especially midwives, the availability of facilities and infrastructure to support activities and counselling efforts in a sustainable, integrated and integrated manner supported by the ability of midwives to manage health programs to improve knowledge and health behaviour in pregnant women.
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
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.