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Optimalisasi Peran Pengawas Minum Obat Melalui Pelatihan Motivasi Interviewing dan Relaksasi Otot Progresif Untuk Mengatasi Masalah Kecemasan Pada Penderita Tuberkulosis di Kelurahan Dira Tana Agustine, Uly; Belarminus, Petrus; Santoso, Shelfi Dwi Retnani Putri; Riti, Dessy Natalia
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.549

Abstract

Tuberkulosis (TB) masih menjadi salah satu masalah kesehatan utama di Kelurahan Dira Tana. Meskipun jumlah kasus relatif rendah, angka putus pengobatan tetap tinggi dan menjadi tantangan serius. Salah satu penyebabnya adalah kecemasan dan kurangnya dukungan sosial yang dialami oleh penderita TB. Pengabdian masyarakat ini bertujuan untuk meningkatkan peran Pengawas Minum Obat (PMO) melalui pelatihan Motivational Interviewing (MI) dan Relaksasi Otot Progresif (ROP) untuk membantu mengurangi kecemasan dan meningkatkan kepatuhan pasien terhadap pengobatan. Kegiatan ini melibatkan 20 peserta dan dilaksanakan melalui ceramah, diskusi, simulasi, serta evaluasi menggunakan pre-test dan post-test. Hasil evaluasi menunjukkan peningkatan pemahaman peserta, dengan sebagian besar menunjukkan pemahaman yang baik setelah pelatihan. Hal ini membuktikan bahwa metode pelatihan yang digunakan efektif dalam membekali PMO dengan keterampilan yang dibutuhkan untuk mendampingi pasien TB. Kesimpulannya, pelatihan ini berkontribusi dalam memperkuat peran PMO dan diharapkan dapat dilaksanakan secara berkelanjutan untuk mendukung pengendalian TB di wilayah Dira Tana.
IMPROVING MEDICATION ADHERENCE AS INDICATED BY BTA TEST IN TUBERCULOSIS PATIENTS USE MOTIVATIONAL INTERVIEWING Santoso, Shelfi Dwi Retnani Putri; Agustine, Uly; Mugianti, Sri; Paju, Wanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2466

Abstract

Low adherence to TB medication can also lead to the development of drug resistance, making treatment more challenging. There is a need for a specific approach to TB patients to enhance motivation in anti-tuberculosis treatment, including the innovation of providing motivational interviewing (MI). This study aims to determine the impact of MI on the treatment adherence of tuberculosis patients as indicated by the BTA test. The research method used a quasi-experimental design with a control group. The population consisted of 60 respondents using consecutive sampling techniques, divided into 30 experimental groups and 30 control groups. Descriptive analysis was used to depict the deviation in the percentage of gender, age, and education, while the difference test employed the Wilcoxon Signed Ranks Test. The results indicated that both the experimental and control groups consisted mostly of males, with 16 (53.3%) and 17 (56.7%), respectively, and individuals over 41 years of age, with 23 (76.7%) and 21 (70%), respectively. Meanwhile, the difference test showed that the treatment group had a p-value of 0.000, indicating a significant difference in treatment adherence before and after the intervention. Discussion: MI communication can increase clients' motivation to engage in positive behavior’s, such as adhering to treatment, which can lead to negative BTA test results. Conclusion: This intervention can be recommended as an additional approach to improving treatment adherence in tuberculosis patients.
HUBUNGAN MOTIVASI DAN KARATERISTIK DEMOGRAFI DENGAN KINERJA PERAWAT PUSKESMAS DI SUMBA TIMUR AGUSTINE, ULY
JURNAL KESEHATAN PRIMER Vol 1 No 1 (2016): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v1i1.65

Abstract

Introduction: One of the main strategies on health human resources development and empowerment is increasing their efficiency in work. Motivation and demographic characteristics is one of the factors that affect the performance of nurses. The objective of this research was to find out the correlation between motivation and demographic characteristics with the performance of nurses work in Public Health Center in East Sumba Regency. Method: This is a quantitative research with correlation study technique approach. The population of this research is 232 nurses in East Sumba Regency with 102 respondents as research sample who was taken by non purposive sampling. The data was analyzed using univariate and bivariat, using statistical test of chi-quare. Result: The research results are there is a significant correlation of demographic characteristics (age, education level and length of work) and the performance of nurses; there is a correlation of intrinsic motivation (responsibility, achievement, recognition, progress, evolve possibilities) and extrinsic motivation (salary, job security, working condition, supervision quality, interpersonal relationships among peers and superiors) with the performance of nurses on Public Health Center in East Sumba Regency. Conclusions: of this research are there is a significant correlation between motivation and demographic characteristics with nurses` performance; based on multivariate test, achievement sub-variable is the most significant correlation toward performance variable.
KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI YANG BEROBAT KE BALAI PENGOBATAN YAYASAN PELAYANAN KASIH A DAN A RAHMAT WAINGAPU AGUSTINE, ULY; MBAKURAWANG, IVONSIANI NATALIA
JURNAL KESEHATAN PRIMER Vol 1 No 2 (2016): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v1i2.74

Abstract

Introduction: Hypertension is a disease or disorder of the circulatory system that causes a rise in blood pressure above the normal value. Obedience comes from obedient basic words which means discipline and obedience. The purpose of this study is to identify the relationship between several variables that affect the level of adherence such as age, gender, education, knowledge, occupation, distance perception, severity and range of drug delivery. Method: This research is a quantitative research with nonrandom sampling of sam-pling type purposive sampling. Instrument used in this research in the form of questionnaires and observation sheets involving 30 people respondents suffering from hypertension. Results: Result: The results showed that of 30 respondents studied there were 17 respondents (57%) who did not adhere to taking medicine and there were 13 respondents (43%) who obediently took antihypertensive drugs. Based on Chi-square analysis with 5% significance level found that there is no meaningful relationship between age, sex, education, knowledge, occupation, distance perception, severity, and drug delivery range with medication adherence level Antihypertensive. Suggestion: It is recommended to health officers at BP YPK A and A Rahmat Waingapu to provide health education in the form of counseling about hypertension and its treatment periodically.
GAMBARAN SIKAP ORANG TUA TERHADAP MODEL DAN TIPE POLA ASUH PADA ANAK USIA PRA SEKOLAH DI TK PAUD RINJUNGU PAHAMU DI DESA KAMBATATANA KABUPATEN SUMBA TIMUR MUNAWAROH, FAIQATUL; KODY, MARTHA METI; AGUSTINE, ULY; GUNAWAN, YOSEPHINA ELIZABETH SUMARTINI
JURNAL KESEHATAN PRIMER Vol 2 No 1 (2017): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v2i1.82

Abstract

Introduction: Parenting patterns of good and true parents in children will affect the personality of pre-school age children. The purpose of this study is to know the description of parental attitudes toward the model and type of parenting pattern in pre-school age children in TK PAUD Rinjungu Pahamu Kambatatana Village, East Sumba regency. Method: This research is descriptive study to know the description of parent attitude toward model and type of parenting pattern in pre school children, with sampling technique total sampling 35 respondents. Result: Model of parent and follower pattern that approve as much as 65,71%, Pancasila parenting model that approve as much as 68,57%. The authoritarian parenting pattern that approves as much as 65.71%. Approved democratic parenting as much as 74.28%. Laisesz-faire parenting pattern that does not approve as much as 74.28%. Conclusion: most of the respondents apply good parenting to the child. Thus it is advisable for parents to guide using the democratic parenting pattern because it is always strong, be a child can grow into a person well.
POLA ASUH KELUARGA DAN PERKEMBANGAN EMOSIONAL ANAK PRA SEKOLAH WANDA, RUNI; NYOKO, YUNETI OCTAVIANUS; KODY, MARTHA METI; AGUSTINE, ULY
JURNAL KESEHATAN PRIMER Vol 2 No 1 (2017): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v2i1.83

Abstract

Introduction:The family is the first and main vehicle for character education. If a family fails to educate character on its children, it will be difficult for other institutions outside the family to improve it and will affect the child's own emotional development. Based on the observation of some students who have not been active during the learning process is going on, often disrupt his friends while playing, fighting and grabbing toys. The purpose of this research is to know the description of the pattern of family care and emotional development of preschool children in SatapWaingapu kindergarten 4. Method: used is descriptive study, population in this research are family and preschool children as many as 35 people and the sample using Total Sampling. Results: Democratic family pattern of 30 people (86%), authoritarian 5 people (14%) and negative child emotional development that is 24 people (69%), positive as many as 11 people (31%). Suggestions: Families are expected to be able to understand and understand the importance of parenting in children, have a lot of time in children and to educational facilities to better pay attention to children's activities and children's play environment in school.
Survey of People with Mental Disorders in Waingapu City District, East Sumba District, 2017 Agustine, Uly; Karahanau, Marwin U.K.
JURNAL KESEHATAN PRIMER Vol 3 No 1 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i1.248

Abstract

Background:The problem of mental disorders throughout the world has become a very serious problem. WHO states there are at least 1 in 4 people in the world experiencing mental problems, it is estimated there are around 450 million people in the world who experience mental health disorders. The aim is to identify people with mental disorders based on: Demographics include: age, sex, education and employment and Nursing Diagnosis includes: violent behavior, social isolation, low self-esteem, hallucinations and self-care deficits in Kota Waingapu District, East Sumba Regency. Methods: This type of research uses descriptive. The sampling technique is total sampling. Results: From the results of the study found from 30 respondents the distribution of male sex suffered the most mental disorders as many as 16 people (53.3%), the age distribution that suffered the most from mental disorders aged 26-35 were 11 people (36.7%) , Education distribution that suffered the most from mental disorders with elementary school education was 14 people (46.7%) and the distribution of jobs that suffered the most from mental disorders by not working was 28 people (93.3%) and based on the most nursing diagnoses who experienced disorders hallucinations as many as 12 people (40%), Violence Behavior as many as 12 people (40%). Conclusion: With the presence of patients with mental disorders, it is expected that more patients will be considered in terms of treatment and health service agencies apply soul programs, especially in the government of East Sumba district.
Factors Affecting the Level of Compliance with Medication in Diabetes Mellitus Patients Treated at the Service Foundation Medical Center Kasih A dan A Rahmat Waingapu Agustine, Uly; Welem, Leonardo Ronel Ralf
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.259

Abstract

Background: Diabetes Mellitus (DM) is a disease with high blood sugar levels caused by insulin deficiency in the blood that occurs due to damage to pancreatic beta cells. Data from Health Department of East Sumba Regency indicate the number of DM patients in 2015 amounted to 764 patients, while in 2016 (January-November) as many as 561 patients. The purpose of this study is to identify factors that affect the level of adherence of medication to DM patients including age, gender, education, occupation, knowledge. Method: This research uses descriptive method. Sampling technique Total Sampling. The instrument used in this study is a questionnaire and an observation sheet involving 25 people with DM patients. Result: From the result of the research, the respondent's distribution is based on the age of the respondent, the most is 45-59 years old is 12 people (48%), based on sex of the most sex of women is 19 people (76%), based on the most education Is 11 elementary school students (44%), based on work which do not work the most that is working amounted to 13 people (52%), based on the most knowledge is knowledge less as much as 9 people (36%), and result of sheet Observation of compliance level of respondents who obedient only 6 people (24%) while non-compliance as much as 19 people (76%). Conclusion: To ensure patient compliance in taking DM medication, it is necessary to supervise the medication and explain about the importance of taking medication regularly and the need for home visit activity by medical center for follow up of DM patient.
Cultural Social Relationship With The Implementation Of Antenatal Care (ANC) in The Kambaniru Puskesmas Working Area Agustine, Uly; Sukartiningsih, Maria Christina Endang
JURNAL KESEHATAN PRIMER Vol 4 No 1 (2019): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v4i1.267

Abstract

Background: One of the goals of the Millennium Development Goals (MDG’s) is to improve maternal health. This goal can be achieved by utilizing Antenatal Care (ANC) services for pregnant women. ANC services are examinations of pregnant women during pregnancy to prevent complications or detect early risks of pregnancy and prepare for healthy births. Health services during pregnancy are important for pregnant women and their babies. Many efforts were made in preventing the bad conditions that can occur in pregnant women, one of which is the MCH Revolution conducted by the NTT government to reduce MMR and IMR. The purpose of this study was to evaluate the extent of the success of the Maternal and Child Health Revolution Program in terms of policies, services and community participation in East Sumba Regency. Method: qualitative presented in the form of descriptive description of phenomenology that is giving description about Social Culture linkage with Antenatal Care (ANC) in Work Area of ​​Puskesmas Kambaniru. The selection of participants is done by purposive strategy. Data collection is done by structured interview method. Results: Themes generated in this study are Maternal Knowledge of Pregnancy, Cultural Tradition, Pregnancy Checkup Site, Social Support, and Barrier Factors. Conclusion: The customs of local cultural traditions performed by pregnant women is still done until now one of them is hamayang or sembayang adat tradition. There are still certain restrictions that pregnant women are not allowed to be associated with cultural traditions.