Faktor-Faktor yang Berhubungan dengan Peran Keluarga dalam Menunjang Kesembuhan Pasien dengan Kasus Tuberculosis

This study aims to determine the relationship between age, gender, education, occupation, marital status and belief in the role of the family in supporting the recovery of patients with TB cases. This research method uses a quantitative design with a correlational analytic approach. The technique of determining the respondents used the probability simple random sampling method. The results showed that the chi-square test results for the age variable were 0.332, 0.450 for gender, 0.021 for education, 0.686 for work, 0.717 for marital status and 0.002 for belief. As for the role of the family in supporting the recovery of patients with TB cases, the majority of respondents were categorized as moderate, namely 22 people (64.7%). In conclusion, the variables of age, gender, education, occupation and marital status did not have a significant relationship with the role of the family in supporting the recovery of patients with TB cases. Meanwhile, the belief variable has a significant relationship with the role of the family in supporting the recovery of patients with TB cases. Keywords: Family, Healing, Role, Pulmonary Tuberculosi

PENTINGNYA PENINGKATAN KETRAMPILAN TENAGA KESEHATAN DALAM PREVENTION MOTHER TO CHILD TRANSMITION HIV, SIFILIS, HEP. B PADA IBU HAMIL DI PUSKESMAS KOTA ENDE

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 Akseptor Dan Kader Mengenal Efek Samping Kontrasepsi Hormonal Di Pustu Tanjung Kabupaten Ende

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

Nurses attitude and communication on reporting incidents on patients safety culture in Ende Regional General Hospital.

Objective: to find out further what factors greatly affect the level of incident reporting, especially in the Ende Regional General Hospital. Methods: The research design used in this study was descriptive-analytic with a cross-sectional approach to analyzing incident reporting culture and factors influencing patient safety incident reporting culture in nurses at the Ende Regional General Hospital (RSUD). The population in this study were nurses at the Ende General Hospital with a sample of 162 nurses, sampling using purposive sampling techniques. The instrument used was the Incident Reporting Culture Questionnaire and attitude, communication and teamwork questionnaire. Result : There si significant nurses’ attitude (p=0,004) and nurses’ communication (p= 0,001) toward incident reporting. Conclusion: All health workers must work together so that patient safety incident reporting becomes a culture. The culture of reporting patient safety incidents at RSUD Ende must be improved. Nurses' communication and attitudes should be monitored more closely because they are closely related to the culture of reporting incidents in hospital

The factors affecting stunting among toddlers in Ende, Indonesia

Background: Short stature in toddlers indicates chronic nutritional problems that are influenced by maternal conditions, birth weight, toddler weight, and infant diseases or other problems that indirectly affect health.Purpose: To determine the factors affecting stunting among toddlers in Ende, IndonesiaMethod: Correlational using a cross sectional approach to 155 toddlers. Purposive sampling was used to collect samples from eight sub-districts in Ende Regency. Questionnaires were distributed for data collection. In this study, bivariate analysis used chi-square test, and multivariate analysis used logistic regression.Results: Univariate analysis showed that most of the respondents (mothers of toddlers) had a history of short stature, was not at risk for gestational age, had poor nutrition, had a good level of knowledge about infant food and nutrition, had no history of infection during pregnancy, and always had antenatal care check-ups. Factors under five identified that almost all have a history of infectious diseases, have been sick in the last month, have no history of low birth weight, have complete vaccination, are not premature, and have intrauterine growth, and growth restriction. Environmental factors indicate that some respondents have clean latrines, have a distance to health facilities <1 km, have clean drinking water, and are not pregnant and breastfeeding.Conclusion: Several variables have a significant relationship with stunting in such as exclusive breastfeeding, infectious diseases, drinking water quality, and distance to health facilities. The results of the multivariate analysis showed that the infectious disease variable was the dominant variable causing stunting in Ende Regency.Suggestion: Local health authority to garner cooperation from various regional bureaucracies in Ende Regency to tackle stunting in this area