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Maria S. Sekunda
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Jalan Prof. Dr. W. Z. Yohanes, Ende Provinsi Nusa Tenggara Timur, Kab. Ende, Provinsi Nusa Tenggara Timur
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Kelimutu Nursing Journal
Published by Poltekkes Kemenkes Kupang
ISSN : -     EISSN : 29640245     DOI : https://doi.org/10.31965/knj
Core Subject : Health,
Nursing
Kelimutu Nursing Journal (KNJ) dikelola oleh Program Studi DIII Keperawatan Ende dan diterbitkan oleh Politekkes Kemenkes Kupang sebagai media LITBANG yang memuat kajian pustaka atau karya tulis ilmiah hasil penelitian dan pengabmas di bidang keperawatan dan penanggulangan bencana. KNJ diterbit 2 (dua) kali dalam setahun pada bulan Juni dan Desember.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 43 Documents
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STUDI KASUS PASIEN DENGAN CHRONIC KIDNEY DISEASE STAGE V ON HEMODIALYSIS Hidayat, Wahyu; Patmawati, Try Ayu
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.v2i1.1232

Abstract

Chronic Kidney Disease (CKD) is a progressive disease without medication and high morbidity and mortality that generally occurs in the general adult population, especially in people with diabetes and hypertension. The purpose of this study was to describe a case study of patients with Chronic Kidney Disease Stage V on Hemodialysis. The research design uses case studies in a descriptive manner which aims to describe the nursing care carried out. The number of samples is 1 person who observed the data collection method of interviews, observation and physical examination. The presentation of the data was made by the researcher in the form of narrative text. This research was conducted on December 10, 2022. Data presentation can be accompanied by verbal expressions from the case study subjects which are the supporting data. The results of the study show the enforcement of the five nursing diagnoses based on the SDKI and the implementation of nursing actions based on SIKI. The conclusion in this study is that nursing care provided to patients and families refers to the SDKI, SLKI, and SIKI. As for his advice, further research is needed regarding the effectiveness of the interventions used which are based on the conditions of different patients.
FAKTOR YANG MEMPENGARUHI KEPATUHAN MASYARAKAT MENGGUNAKAN MASKER DI KABUPATEN ENDE Sekunda, Maria S.; Budiana, Irwan; Kurnia, Theresia A.
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.v2i2.1389

Abstract

Adanya peraturan dari pemerintah mengenai protokol kesehatan COVID-19 tidak serta merta mencerminkan perubahan perilaku masyarakat. Ada masyarakat yang tidak memakai masker saat berada di luar rumah. Ada pula yang menggunakan masker kain dan ada pula yang memakai masker medis dengan berbagai jenis. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi kepatuhan masyarakat dalam menggunakan masker. Penelitian ini merupakan penelitian korelasional non-eksperimental dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah masyarakat yang memenuhi kriteria inklusi seperti berusia antara 20-65 tahun, bertempat tinggal di Kecamatan Ende Tengah > 1 tahun, dan bersedia diteliti dengan teknik purposive sampling. Analisis data yang dilakukan dalam penelitian ini ada 2 yaitu analisis deskriptif yang digunakan untuk mengetahui frekuensi setiap responden. Sedangkan untuk mengetahui hubungan variabel bebas dengan variabel terikat digunakan analisis bivariat dan analisis multivariat dengan menggunakan uji regresi logistik. Hasil analisis bivariat menunjukkan bahwa variabel yang mempengaruhi kepatuhan masyarakat menggunakan masker adalah variabel pengetahuan dengan nilai OR sebesar 1,6; p = 0,000; 95% CI = 1,054-6,401) dan variabel perilaku dengan nilai OR sebesar 9,96; p = 0,005; 95% CI = 1,52-10,33). Hasil analisis multivariat menunjukkan bahwa variabel perilaku sangat signifikan terhadap kepatuhan responden dalam menggunakan masker (OR 2.67; p = 0.007; CI 95% = 1.32-5.42). Variabel yang tidak berhubungan signifikan terhadap kepatuhan masyarakat dalam menggunakan masker adalah sikap, dukungan tokoh masyarakat, dan dukungan keluarga. Kesimpulan: Kepatuhan dan perilaku masyarakat mempunyai pengaruh terhadap kepatuhan penggunaan masker dalam pencegahan penularan Covid 19. Kata Kunci: Kepatuhan, pengetahuan, perilaku, Sikap
STUDI KASUS ASUHAN KEPERAWATAN PADA TN‘Y’DENGAN DIABETES MELITUS TIPE II DI RUANGAN RPD III RSUD ENDE Anabanu, Yudi Meliaki; Artama, Syaputra
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.v2i2.1399

Abstract

Diabetes Mellitus (DM) is a disease that occurs due to high blood glucose levels commonly called hyperglycemia. Purpose of case study: To know and carry out the nursing care process at Mr. 'Y' by conducting studies, establishing diagnoses, providing interventions, implementation and evaluation. The results of Mr.'Y' case study found dizzy data clients said dizziness, fatigue and lethargy, shortness of breath, coughing up phlegm, weakness, fatigue, nausea, vomiting, reduced appetite, high blood glucose levels, GDS: 315 mg / dL, received novorapid therapy 4 units / sl, attached O2 nasal cannula 5 lpm, ronkhi breathing, difficult activities, all activities assisted, vomiting approximately 3-4x a day, eat a little, approximately 10 spoons, drink limited water, attached infusion NaCl 0.9% 20 tpm. With health problems instability of blood glucose levels, ineffective airway clearance, ineffective breathing patterns, activity intolerance and risk of nutritional deficits. Interventions are structured based on the nursing problems found. The implementation monitors blood glucose levels, teaches patients effective deep breathing and coughing techniques, monitors sputum, provides warm water, provides oxygen, helps perform simple movements, facilitates simple movements, recommends gradual activity, recommends bed rest, identifies nutritional status, monitors weight, provides foods high in protein and calories, and collaborates with nutritionists. The results of the evaluation were carried out for 3 days to five nursing problems were partially resolved. The conclusion obtained is the importance of the participation of all parties in prevention and care as well as the importance of continuity of care and implementation to improve patient health.
PENGARUH PERILAKU TERHADAP KEPATUHAN MASYARAKAT MENGGUNAKAN MASKER DI KABUPATEN ENDE Sekunda, Maria S.; Budiana, Irwan; Cahyani , Sisilia L.; Kurnia, Theresia A.
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.v2i2.1404

Abstract

The existence of regulations from the government regarding the COVID-19 health protocol does not immediately reflect changes in people's behavior. There are people who do not wear masks when they are outside the house. There are also those who use cloth masks and there IS a small number who wear medical masks of various types. This study aims to identify the factors that influence community compliance with using masks. This research is a correlational non-experimental study with a cross- sectional approach. The sample in this study was people who met the inclusion criteria, such as those aged between 20-65 years, living in the sub-district of Ende Tengah > 1 year, and willing to be studied with a purposive sampling technique. There are 2 data analyses carried out in this study, namely descriptive analysis which is used to determine the frequency of each respondent. Meanwhile, to determine the relationship between the independent variable and the dependent variable, bivariate analysis, and multivariate analysis were used using a logistic regression test. The results of the bivariate analysis show that the variables that affect people's compliance with using masks are the knowledge variable with an OR value of 1.6; p = 0.000; 95% CI = 1.054-6.401) and behavioral variables with an OR value of 9.96; p = 0.005; 95% CI = 1.52-10.33). The results of multivariate analysis showed that the behavioral variable was very significant with respondents' compliance in using masks (OR 2.67; p = 0.007; 95% CI = 1.32-5.42).   Compliance and community behavior have an influence on compliance with using masks in preventing the transmission of Covid 19.
ASUHAN KEPERAWATAN ULKUS DIABETES MELITUS : LAPORAN KASUS Nipa, Yohanes; rifatunnisa; Paschalia, Yustina P. M.
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.v2i2.1420

Abstract

Background Diabetes is a metabolic disease that has specific signs in the form of hyperglycemia. The main complications of DM in Indonesia are neuropathy (13%-78%), microvascular complications (16%-53%) and diabetic foot ulcer complications (7.3%-24%). Peripheral neuropathy causes loss of sensation in the distal areas of the feet, resulting in a high risk of foot ulcers and even amputation. Cases of Diabetes Mellitus (DM) Ulcers really need attention to prevent further complications in the form of amputation. Data related to the prevalence of diabetes mellitus ulcers in Ende Hospital (2023) explains that there are variations in data on diabetic ulcers. The prevalence of diabetic ulcers in Ende Hospital in 2020 was 50 people, in 2021 it was 45 people and in 2022 it was 21 people. The purpose of this research is to be able to carry out nursing care for clients with a medical diagnosis of diabetes mellitus ulcers. The research method used is a case study. The case study taken from Ende Regional Hospital was 1 client with nursing care for a client with a medical diagnosis of diabetes mellitus ulcer. Results: client found problems with tissue integrity disorders, potential for infection collaboration, acute pain, nutritional deficits and knowledge deficits about diabetes mellitus ulcers and their management. The interventions used are based on SIKI: wound care, pain management, nutritional management, health education. The conclusion is that the problems of impaired tissue integrity, potential collaboration of infection, acute pain and nutritional deficits have not been resolved. Total DFUAS scoring was 64 with 90% necrotic and 10% slough. Suggestions: Clients and families are expected to be able to care for diabetic wounds themselves at home after being taught how to care for wounds so that the wounds remain dry and clean and infection does not occur. Clients are expected to carry out routine health control and be disciplined in implementing a diabetes mellitus diet.
PEMBERDAYAAN KADER DAN EDUKASI KEPADA REMAJA PUTRI DALAM UPAYA PENCEGAHAN STUNTING DI DESA BOROKANDA WILAYAH KERJA PUSKESMAS KOTA RATU Cahyani, Sisilia L.; rifatunnisa; Sekunda, Maria S.; Dhoke, Maria F. L.
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.v2i2.1426

Abstract

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1,000 days of life (HPK). It is important to reduce stunting as early as possible to avoid long-term detrimental impacts such as stunting children's growth and development. The aim of this community service is to empower cadres in providing education to young women about preventing stunting in Borokanda Village, Ratu City Health Center Working Area, which includes increasing posyandu cadres' knowledge about Stunting, taking into account reproductive health, parenting patterns, eating patterns, clean and healthy living behavior during the first 1000 days of life. Increasing knowledge of young women about stunting by paying attention to reproductive health, parenting, eating patterns, clean and healthy living behavior during the first 1000 days of life, which is educated by posyandu cadres who have received training on how to provide counseling to young women. This community service activity was carried out through several methods, including: lectures/counseling, booklets, training and mentoring for posyandu cadres in educating young women and the results obtained were an increase in the knowledge of young women with good post test results of 93%.
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 DALAM PEMENUHAN KEBUTUHAN OKSIGENASI PADA PASIEN DENGAN TUBERKULOSIS PARU DI RSUD ENDE: M. Fadli, Ferawati; Paschalia, Yustina; Doondori, Anatolia
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.v3i1.1555

Abstract

Tuberculosis is a disease caused by the mycobacterium tuberculosis bacterium. According to several studies, the increase in the incidence of pulmonary TB is due to lack of early detection, interruption of medication, lack of patient compliance with treatment, and the emergence of resistance (Nisa, 2017). This study aims to describe the application of nursing care in meeting oxygenation needs in patients with a medical diagnosis of pulmonary TB at Ende Regional Hospital. The method used is a descriptive case study design with a nursing care approach. The subject of this research was a patient with a medical diagnosis of pulmonary tuberculosis who was treated at RPD III Ende Regional Hospital. The results of the case study found 2 (two) nursing problems related to interference with meeting oxygenation needs, namely ineffective airway clearance related to retained secretions, and ineffective breathing patterns related to difficulty breathing. Nursing interventions and implementation are designed and implemented with dependent actions such as observation, education and interdependent actions such as collaborative actions. After implementation for 3 days, the nursing problem was partially resolved. It is recommended that patients and families always promote a healthy and regular lifestyle and comply with all recommendations given by health workers to prevent complications
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.

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