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Home care for patients with COVID-19 by family caregivers during covid-19 pandemic Martina Bedho; Sisilia Leny Cahyani
Malahayati International Journal of Nursing and Health Science Vol 5, No 1 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v5i1.6291

Background: Covid-19 transmission is very easy, and simultaneously, resulting in a higher incidence of morbidity and mortality. The special incidence rate in Ende Tengah District, Onekore Health Center area, in February 2021 there were 11 close contacts, 42 people were the highest SWAB-PCR positive in Ende Regency, 2 people were isolated at the Ende Regional General Hospital, while 40 people were self-isolating. at home, 2 people died. Special attention from families is needed by treating patients in self-isolation according to health protocols, to prevent transmission of COVID-19. Purpose: To determine Covid-19 transmission to family caregivers during home care of members with COVID-19.Method: The design uses a mixed-method with a cross-sectional approach. The sample size is 40 self-isolated patients using total sampling. Data were collected using Chi-Square Bivariate Analysis and Multivariate Logistic Regression Test.Results: There is no effect of work on the prevention of Covid-19 transmission with the results of the bivariate statistical test p-value 0.232. There is an effect of self-isolation patient care at home in the variable not leaving the room, bivariate statistical test p-value = 0.001 ( p> 0.05). The results of the logistic regression statistical test p-value (2.211 - 47.842). However, there was no influence from the four variables, namely recognizing the signs and symptoms of severe Covid-19 ( p-value = 0.894), using the correct health protocol (p-value = 0.163), giving good nutrition (p-value = 0.087) and the needs of patients are served by healthy people (p-value = 0.308). The results of the logistic regression statistical test on the effect of recognizing severe symptoms of Covid-19, the p-value (0.198-6.385). The effect of using health protocols p-value (0.573-20.103) The effect of providing good nutrition p-value 1.476 ( 2.862). The effect of serving the needs of patients by healthy people is the p-value (0.407 – 15.751).Conclusion: The main treatment for self-isolated patients is that patients are not allowed to leave the room to prevent the transmission of Covid-19, by including counseling of family members by nurses at the community health center.

Menstrual hygiene: Knowledge and practice among adolescent school girls at Koawena, Ende district-Indonesia Martina Bedho; Anatolia K Doondori; Irwan Budiana
Malahayati International Journal of Nursing and Health Science Vol 3, No 1 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v3i1.2357

Background: World Health Organization global database on women rarely pay attention to the cleanliness of their external genitalia, resulting in annual vaginal infections 10-15% by candida and 15% vaginal discharge. In Indonesia was a very few study on menstrual hygiene: knowledge and practice among adolescentPurpose: Knowing the influence of counseling on menstrual hygiene: knowledge and practice among adolescent school girls at Koawena, Ende district-IndonesiaMethods: The quantitative research by quasi-experiment design of one-group pretest-posttest approach. The population was adolescent school girls at Koawena, Ende district-Indonesia by total sampling were 17 respondents. Conducted on August, 2018. The analysis used univariate and bivariate analysis using the paired T- test.Results: The bivariate test analysis showed differences in the level of knowledge before and after counseling on menstrual hygiene: knowledge and practice p-value = 0.034, indicating by increasing of the level of knowledge, would be followed by in a good practice in menstrual hygiene among adolescent school girls at Koawena, Ende district-Indonesia.Conclusion: The health practitioners need to come to adolescent school girls to give health education with the topic of menstrual hygiene: knowledge and practice.

Pemberdayaan Akseptor Dan Kader Mengenal Efek Samping Kontrasepsi Hormonal Di Pustu Tanjung Kabupaten Ende Martina Bedho; Khrispina Owa; Yoseph Woge; Fitria Syafrudin Pua Sawa
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 4 Agustus 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i4.3804

ABSTRAK Peserta KB aktif dan akseptor KB baru di kabupaten Ende 53,2 %, lebih memilih menggunakan alat kontrasepsi hormonal sedangkan pemilihan alat kontrasepsi lain berada dibawah 20%. Alat kontrasepsi suntik yang paling banyak digunakan, berikutnya implant dan pil. Akseptor yang mengalami efek samping kenaikan berat badan dan hipertensi 32 orang (11,03%), dan akseptor terbanyak berada di Puskesmas pembantu Tanjung. Tujuan pengabdian masyarakat ini adalah pemberdayaan akseptor dan kader kesehatan mengenal efek samping penggunaan kontrasepsi hormonal, dimana sasarannya adalah kader dan akseptor. Metode yang digunakan adalah screening,ceramah, diskusi, simulasi dan praktikum oleh khalayak sasaran. Hasil pengabdian masyarakat menunjukan semua akseptor memiliki pengetahuan baik (83,33%) pada pretest sedangkan posttest (100%) namun belum tahu tentang lama penggunaan kontrasepsi hormonal baik secara suntik, implant dan pil. Keterampilan yang dicapai adalah semua kader dan akseptor 28 orang (100%) dapat mengukur tinggi badan, menimbang berat badan, dan mengukur tekanan darah. Diharapkan pengamatan yang intensif dari bidan Pustu Tanjung dan dapat diperdaya oleh kader KB untuk membantu mengawasi efek samping kontrasepsi hormonal. Kunci : Pemberdayaan akseptor dan kader, efek samping kontrasepsi hormonal. ABSTRACT 53.2% of active family planning participants and new family planning acceptors in the Ende district prefer to use hormonal contraceptives while the choice of other contraceptives is below 20%. The most widely used injectable contraceptives are implants and pills. There were 32 acceptors who experienced side effects of weight gain and hypertension (11.03%), and the most acceptors were in the Tanjung auxiliary health center. Research in Kumasi sub-district, Ghana, India, because some acceptors experienced long and heavy menstruation, spotting, no menstruation, and vaginal discharge so they were afraid of modern contraceptive methods (Kimberly Daniels, 2015). The aim of this community service is to empower acceptors and health cadres to recognize the side effects of using hormonal contraceptives, where the targets are cadres and acceptors. The methods used are screening, lectures, discussions, simulations, and practicum by the target audience. The results of community service show that all acceptors have good knowledge (83.33%) at pretest while posttest (100%), but they do not know about the length of time using hormonal contraceptives both by injection, implant, and pill. The skill achieved is that all 28 cadres and acceptors (100%) can measure height, weight body weight, and measure blood pressure. It is hoped that intensive observation from the midwife of Pustu Tanjung and the family planning cadres can help to monitor the side effects of hormonal contraception. Keywords: Empowerment of acceptors and cadres, side effects of hormonal contraception.

EMPOWERMENT OF CADRES IN INCREASING THE ROLE OF PARENTS FOR NUTRITIONAL FULFILLMENT AS AN EFFORT TO PREVENT STUNTING IN TODDLER Bedho, Martina; Owa, Khrispina; Patmawati, Try Ayu
Borneo Community Health Service Journal VOLUME 4 NOMOR 1 TAHUN 2024
Publisher : Fakultas Ilmu Kesehatan Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/neotyce.v4i1.4980

The prevalence of stunting in Indonesia is among the highest compared to other countries in Southeast Asia, such as Myanmar at 35 percent, Vietnam 23 percent, and Thailand 16 percent. East Nusa Tenggara is one of the provinces in Indonesia that has a high prevalence of stunting. Gheoghoma Village, is a village supported by the Ende DIII Nursing Study Program which is located in North Ende District, Ende Regency. This village is outside the city of Ende, which means that educational information about children with stunting is less accepted by the community.Â ObjectiveÂ to increase knowledge and the role of parents in fulfilling nutrition as an effort to prevent stunting in toddler.Â In this activity the community service team provides health education for cadres and parents, training and mentoring.Â The results of the pre and post test measurements showed that in the pre stage the average knowledge of respondents was 45.91, while in the post stage it was found that the average student knowledge increased, namely 74.77 after being given material and training.Â Counseling has proven effective in increasing understanding of parents and cadres regarding stunting. Parents and cadres responded enthusiastically to the material because they gained new knowledge. Therefore, it is necessary to increase socialization and training activities for parents and cadres. Based on the monitoring and evaluation that has been carried out by the implementation team, the recommendation for the follow-up plan proposed by the team is that similar activities must be carried out continuously in the context of health promotion for the elderly.

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

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%).

PENGARUH SUPLEMENTASI PROPOLIS TEKNOLOGI NANO BAGI PENDERITA TUBERKULOSIS DI RSUD ENDE : rifatunnisa; Bedho, Martina; 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.v3i1.1588

TB recovery is influenced by a good immune system and drugs and supplements that increase their killing power against Mycobacterium Tuberculosis. One ingredient that can be used as a supplement is propolis. The aim of the research is to prove the effectiveness of propolis with nanoparticle technology as a supplement in curing adult TB. Methodology: This research is an expressive research with a pretest posttest design. The research sample was 7 people with BTA (+) criteria as. The treatment for this research was the administration of TPR propolis (Turkish Propolis Ruqyah) with nano technology at a supplement dose of 1 drop per 10 KgBW. The symptoms felt are observed from the beginning of treatment until after giving therapy at the next control. Sig Value Results. Less than 0.05 is indicated by symptoms of cough accompanied by chest pain (0.031), anorexia (0.031), and decreased weight (0.016). These three symptoms show that there is a significant difference or influence on the symptoms of cough accompanied by chest pain, anorexia, and decreased weight before therapy and after therapy. Meanwhile, the symptoms of fever, malaise and cough with phlegm did not have a significant effect. The results of this study show that TB patients who received OAT therapy accompanied by the provision of nano-technology Propolis supplements were able to reduce the symptoms experienced by patients, namely reducing the symptoms of cough accompanied by chest pain, anorexia, and weight loss did not decrease.

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

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

Faktor-faktor yang berhubungan dengan kejadian stunting pada anak prasekolah di Kabupaten Ende Owa, Khrispina; Tokan, Pius Kopong; Bedho, Martina
Holistik Jurnal Kesehatan Vol 17, No 9 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i9.12810

Background: Indonesia is one of the endemic countries for soil transmitted helminths (STH) with the third highest number of children aged 1-14 years in the world after India and Nigeria, namely around 7% in 2012 and is estimated to be more than 1.5 billion people or 24% of the world's population. Infected with soil-borne worms it is estimated that more than two billion people with STH infections worldwide experience severe morbidity. These infections cause 9-135 thousand deaths per year. The prevalence of worm infections in Indonesia, especially in low socio-economic populations, is still relatively high, namely 45-65%. This group has a high risk of contracting worms because they do not maintain the cleanliness and sanitation of the environment where they live.Purpose: To determine the factors associated with the incidence of stunting in preschool children in Ende Regency.Method: This type of research is a mixed method design that uses non-experiment, namely analytical descriptive research with a cross sectional approach. The population in this study were children aged 12-72 months in Gheoghoma village, Ende Regency, with simple random sampling carried out randomly. The number of respondents with consideration of a representative sample was carried out within 3 months according to the inclusion criteria so that a sample of 82 respondents was obtained.Results: Showed that the majority of mothers' knowledge of worms was in the good category, with no stunting occurring as many as 55 (69.6%) and none experienced stunting, while mothers with a poor level of knowledge as many as 24 (30.4%) did not experience stunting but also experienced stunting as many as 3 (100%). The results of the Chi-Square test showed that poor maternal knowledge regarding the causes, prevention and management of worms has an influence on stunting in children with OR 1.125 (95% CI: 0.985-1.285 p-value = 0.01 (p<0.05).Conclusion: Factors that influence stunting are parents' low knowledge about the benefits of giving worm medicine to children. Although the worm infection in this study had little effect on the nutritional status of children, it could have an impact in the future if there is no immediate prevention and treatment.Suggestion: For health workers to always provide support for the implementation of worm and stunting prevention programs by increasing the role of the community in implementing clean and healthy living behavior. For future researchers, they should add risk factors for stunting with different variables and a larger number of samples. Keywords: Pre-School Children; Worms; Stunting. Pendahuluan: Indonesia merupakan salah satu negara endemik soil transmitted helminths (STH) dengan jumlah anak usia 1-14 tahun terbanyak ketiga di dunia setelah India dan Nigeria yaitu sekitar 7% di tahun 2012 dan diperkirakan lebih dari 1.5 miliar orang atau 24% dari populasi dunia terinfeksi cacing yang ditularkan melalui tanah. Diperkirakan lebih dari dua miliar orang dengan infeksi STH di dunia mengalami morbiditas berat. Infeksi tersebut menyebabkan 9-135 ribu kematian per tahun. Prevalensi infeksi cacingan di Indonesia terutama pada penduduk dengan sosio-ekonomi rendah, masih relatif tinggi yaitu sebesar 45-65%. Kelompok ini mempunyai risiko tinggi terjangkit penyakit kecacingan karena kurang menjaga kebersihan dan sanitasi lingkungan tempat tinggalnya. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak prasekolah di Kabupaten Ende.Metode: Jenis penelitian dengan rancangan mixed metode yang menggunakan non experiment yaitu penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah anak-anak berusia 12-72 bulan yang berada di desa Gheoghoma Kabupaten Ende dengan pengambilan simple random sampling dilakukan secara acak. Jumlah responden dengan pertimbangan sampel yang representatif dilakukan dalam waktu 3 bulan sesuai kriteria inklusi sehingga didapatkan sampel sebanyak 82 responden.Hasil: menunjukkan bahwa pengetahuan ibu terhadap kecacingan mayoritas berada pada kategori baik tidak terjadi stunting sebanyak 55 (69.6%) dan tidak ada yang mengalami stunting, sedangkan ibu dengan tingkat pengetahuan buruk sebanyak 24 (30.4%) tidak mengalami stunting namun juga mengalami stunting sebanyak 3 (100%). Hasil uji Chi-Square diketahui bahwa pengetahuan ibu yang buruk mengenai penyebab, pencegahan dan penanggulangan kecacingan mempunyai pengaruh terhadap stunting pada anak dengan OR 1.125 (95% CI: 0.985-1.285 p-value = 0.01 (p<0.05).Simpulan: Faktor yang berpengaruh terhadap stunting yakni rendahnya pengetahuan orangtua tentang manfaat pemberian obat cacing pada anak. Meskipun Infeksi cacing dalam penelitian ini kurang berpengaruh terhadap status gizi pada anak, tetapi kemungkinan bisa memberi dampak di masa depan jika tidak ada pencegahan dan penanganan segera.Saran: Bagi tenaga kesehatan agar senantiasa memberikan dukungan pelaksanaan program pencegahan kecacingan dan stunting dengan meningkatkan peran masyarakat dalam menerapkan perilaku hidup bersih dan sehat. Bagi peneliti selanjutnya agar menambahkan faktor risiko terjadinya stunting dengan variabel berbeda dan jumlah sampel yang lebih banyak. Kata kunci: Anak Pra Sekolah; Kecacingan; Stunting.

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