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Pelatihan kader kesehatan dalam pengamatan efek samping penggunaan Kontrasepsi hormonal di wilayah kerja Puskesmas Onekore: Efek Samping Kontrasepsi Hormonal Bedho, Martina; Owa, Khrispina
JOURNAL OF Public Health Concerns Vol. 3 No. 4 (2023): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v3i4.345

Abstract

Background: Onekore Public Health Center has 24 Posyandu, the only active village health worker (Kader) are Posyandu Kompi C. Meanwhile, 32% of acceptors are obesity and have hypertension. According to the results of the study showed that there was an effect of the long use of hormonal contraception on the incidence of obesity. While the research was conducted in Kumasi sub-district, Ghana, India, because some of the acceptors experienced long and heavy menstruation, no menstruation, and vaginal discharge, they were afraid of modern contraceptive methods. Perpose: So the community service team of the Ende Nursing DIII Study Program was motivated to empower health cadre village health worker (Kader) to help midwives identify side effects of using hormonal contraception through community service activities. Method: The method used is lecture, discussion, simulation and practicum by the target audience. Result: The results of community service showed that all acceptors had good knowledge (83.33%) in the pretest while the posttest (100%) but did not know about the duration of using hormonal contraception either by injection, implant and pill except for one village health worker (Kader) (3.57%). The skills achieved are that all 28 health village health worker (Kader) (100%) can measure height, weight, assess normal weight and measure blood pressure. Conclusion: Based on the results of community service at the Onekore Community Health Center, it was concluded that all cadres had good knowledge (100%) while the cadres skills in measuring weight, TB, blood pressure and calculating weight were normal (> 80%). Keywords: Empowerment; Health Cadres; Hormonal Contraceptives; Knowledge; Side effects. Pendahuluan: Puskesmas Onekore memilki 24 Posyandu, kader kesehatan yang aktif hanya Posyandu Kompi C. Sementara akseptor yang mengalami obesitas dan hipertensi 32%. Hasil penelitian di 3 Puskesmas Kota Ende menunjukan ada pengaruh lama penggunaan kontrasepsi hormonal terhadap kejadian obesitas. Penelitian di kecamatan Kumasi Ghana India, sebagian akseptor mengalami haid yang lama dan banyak, tidak haid, dan keputihan sehingga mereka takut akan metode kontrasepsi modern. Tujuan: Pengabdian masyarakat ini bertujuan melakukan pelatihan kader kesehatan Puskesmas Onekore, agar dapat mengamati efek samping pada akseptor dengan penggunaan kontrasepsi hormonal. Metode: Metode yang digunakan ceramah oleh tim pengabdian masyarakat, diskusi, simulasi, praktikum oleh khalayak sasaran. Hasil: Menunjukan semua akseptor memiliki pengetahuan cukup (60%) pada pretest, namun belum tahu tentang lama penggunaan kontrasepsi hormonal baik secara suntik, implant dan pil kecuali satu kader (3,57%). Sedangkan post test kader kesehatan berpengetahuan baik (80%), Keterampilan yang dicapai semua kader kesehatan 18 orang (100%) dapat mengukur tinggi badan, menimbang berat badan, menilai berat badan normal dan mengukur tekanan darah. Simpulan: Berdasarkan hasil pengabdian masyarakat di Puskesmas Onekore mendapatkan simpulan bahwa semua kader memiliki pengetahuan baik (100%) Sedangkan ketrampilan kader dalam mengukur BB, TB, tekanan darah, dan menghitung BB normal (> 80%).
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.
Edukasi Pemberdayaan Oran Tua Untuk Pencegahan Stunting Pada Balita Di Posyandu Desa Gheoghoma Kabupaten Ende Bedho, Martina; Owa, Khrispina; Patmawati, Try Ayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.19794

Abstract

ABSTRAK Nusa Tenggara Timur adalah salah satu provinsi di Indonesia yang memiliki masalah prevalensi Stunting yang tinggi dibandingkan dengan prevalensi stunting di provinsi lainnya selama dua peride bertutut-turut yaitu yaitu 51,7 persen pada tahun 2013 dan 42,6 persen pada tahun 2018. Desa Gheoghoma, merupakan desa binaan Program Studi DIII Keperawatan Ende yang berlokasi di Kecamatan Ende Utara, Kabupaten Ende. Desa ini berada diluar kota Ende yang memungkinkan informasi edukasi tentang anak dengan stunting kurang diterima oleh masyarakat. Untuk meningkatkan pengetahuan Orangtua dalam Upaya Pencegahan Stunting Pada Balita. Pada kegiatan ini tim pengabdian masyarakat memberikan edukasi bagi orangtua, pelatihan dan pendampingan. Hasil pengukuran pre dan post test didapatkan bahwa pada tahap pre rerata pengetahuan responden adalah 54,25 sedangkan pada tahap post didapatkan rerata pengetahuan siswa meningkat yakni 78,46 setelah diberikan materi dan pelatihan. Edukasi yang diberikan mampu meningkatkan pengetahuan ibu. Orang tua memberikan respon dan sangat antusias terhadap materi. Oleh karena itu perlu ditingkatkan kegiatan sosialisasi dan pelatihan kepada orang tua maka rekomendasi rencana tindak lanjut yangdiajukan oleh tim adalah kegiatan serupa harus  dilaksanakan secara kontinu dan adanya peningkatan kemandirian masyarakat tentang pencegahan, deteksi dini dan manfaat Program Stategi Penurunan dan Pencegahan Stunting di Desa Gheogoma Kabupaten Ende Kata Kunci: Stunting,Edukasi, Pengetahuan Orang Tua  ABSTRACT East Nusa Tenggara is one of the provinces in Indonesia that has a high prevalence of Stunting compared to the prevalence of stunting in other provinces for two consecutive periods, namely 51.7 percent in 2013 and 42.6 percent in 2018. Gheoghoma Village is a fostered village of the Ende Nursing DIII Study Program located in North Ende District, Ende Regency. This village is located outside the city of Ende, which means that educational information about children with stunting is less well received by the community. To increase parental knowledge in efforts to prevent stunting in toddlers. In this activity, the community service team provided education for parents, training and assistance. The results of the pre and post test measurements showed that at the pre stage the average respondent's knowledge was 54.25 while at the post stage the average student knowledge increased to 78.46 after being given material and training. The education provided was able to increase the mother's knowledge. Parents responded and were very enthusiastic about the material. Therefore, it is necessary to increase socialization and training activities for parents, so the recommendation for the follow-up plan proposed by the team is that similar activities must be carried out continuously and there is an increase in community independence regarding prevention, early detection and the benefits of the Stunting Reduction and Prevention Strategy Program in Gheogoma Village, Ende Regency Keywords: Stunting, Education, Parental Knowledge