Martina Bedho
Program Studi Keperawatan Ende - Poltekkes Kupang

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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

Abstract

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

Abstract

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

Abstract

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.