Introduction. Studies showed that the caregiving process has an impact on physical and psychological health, such as stress and fatigue. This research aims to analyze the correlation between fatigue and stress in female caregivers caring for the hospitalized elderly in Medan, Indonesia. Method. This is a correlational study with a cross-sectional approach. Data collection was conducted from March to October 2020 and 42 caregivers participated. The data analysis was performed to analyze for frequency distribution and the Pearson correlation test was used to measure the strength of the correlation between variables. Results. It was reported that 47.5% of female caregivers were in the average age range of 47 years, and provided care almost 24 hours per day. The elderly had been sick for less than a year on average and showed some degree of partial dependence. Based on the results of the Pearson correlation test, the value of Sig. 0.000 < 0.05 was obtained. Furthermore, the direction of the positive relationship can be seen from the sign of the coefficient (Pearson's correlation of 0.759), which means that the higher the fatigue, the higher the stress level.Conclusion. These results are expected to be the basic data for future research and should be considered hospitals regarding care for the elderly. This can reduce the impact of the stress on the caregivers’ which can affect the quality of care provided.
Kanker rahim di Indonesia menduduki peringkat pertama, 65%. Kondisi pasiennya dalam stadium lanjut. Pada penelitian di tiga belas laboratorium patologi anatomi didapatkan jumlah penderita kanker serviks sekitar 18,5%. Ditemukan sejak umur 25-34 tahun dengan puncaknya terbanyak berada pada umur 45-54 tahun. Data di RS.H.Adam Malik Medan tahun 2011 ditemukan jumlah pasien kanker serviks sebanyak 367 orang. Keluhan utama yang paling banyak dialami penderita adalah perdarahan pervaginam (77,9%), sedangkan stadium terbanyak adalah IIIb (39,5%). Pengabdian kepada masyarakat ini ini bertujuan untuk memberikan komunikasi,edukasi dan informasi (KIE) kanker serviks dan melakukan deteksi dini gejala kanker servik pada wanita usia subur untuk menurunkan morbiditas dan mortalitas dan memotivasi melakukan pemeriksaan IVA Test sekali dalam 3 tahun. Pengabdian masyarakat ini dilaksanakan di dua (2) Klinik bersalin yaitu rumah bersalin SAM (20 orang) dan Klinik Bersalin Sari (20 orang). Metode pendekatan yang dilaksanakan menggunakan komunikasi informasi edukasi (KIE) dan pemeriksaan serviks dengan metode IVA test. Metode analisis data menggunakan dependent t test. Hasil kegiatan diperoleh data mayoritas WUS berusia 26-30 tahun (40%), suku batak (13%),agama islam (95%),menikah pertama kali (77.5%), pendidikan SMA/diploma/sarjana (80%),IRT (77.5%),pekerjaan suami karyawan (52.5%),umur pertama menikah 26-30 tahun(40%) dan tidak merokok (80%); menggunakan alat kontrasepsi suntik (42.5%);riwayat obstetri mayoritas WUS melahirkan 2 kali (42.5%),tidak pernah periksa (80%),tidak ada saudara yang sakit(75%),kanker payudara (10%),tidak banyak keputihan (65%),tidak ada sakit di bawah perut(70%), tidak ada perdarahan saat bersenggama (90%) dan tidak mengalami haid tidak teratur (55%);hasil IVA Test WUS adalah negatif (80%),radang (17,5 %) dan positif (2.5%);pengetahuan WUS sebelum diberi Komunikasi Edukasi Informasi (KIE) tentang kanker serviks dan IVA Test rata –rata = 13.58,SD =3.012 dan sesudah diberi KIE rata –rata= 14.30, SD = 3.275. Hasil uji statistik diperoleh beda mean = 0.725 dan nilai P=0,016,maka dapat disimpulkan ada pengaruh yang signifikan KIE terhadap pengetahuan WUS tentang kanker serviks dan IVA Test.
Cervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Test
Background. The exploration of coffee as an aromatherapy in the health service has not been widely carried out. In many cases, aromatherapy has been shown to reduce stress and fatigue. Purpose. To analyzes the effect of coffee aromatherapy on the fatigue and stress levels of female caregivers caring for the elderly at the University of Sumatera Utara Hospital (USU Hospital), in Medan. Methods. This is a quasi-experiment one group pretest posttest design. The research involved 16 caregivers were given a treatment of coffee oil by inhalation for 15 minutes for three consecutive days, without coffee oil inhalation and 10% of coffee oil concentration on the first day, 20% on the second day, and 30% on the third day. Each sample received a pretest and posttest in the form of stress and fatigue instruments. The data analysis performed was univariate in order to describe the properties of each variable examined and analyze the mean score. Similarly, bivariate analysis with the Analysis of Variance (ANOVA) statistical test was used to determine the effect of coffee aromatherapy on reducing the fatigue and stress level. Results. The result showed that most caregivers were elderly children with an average age of 38 years, 81.3% assisted in caring for the elderly, and actively working outside the home. Based on the ANOVA test, the data showed that the administration of coffee aromatherapy for three consecutive days has no effect on female caregivers’ fatigue and stress level. However, the mean score showed a decrease in fatique and stress level before and after coffee oil inhalation in three days. Conclusion. It is necessary to provide coffee oil aromatherapy intervention with a longer duration to have an effect on reducing caregiver fatique and stress in the future, so the results are expected to form the basic data for the design of nursing interventions based on complementary therapies in order to reduce the fatigue and stress of caregivers while providing care to the hospitalized elderly.
Adolescent reproductive and sexuality health in Indonesia is still low, this can be seen from the many cases of pregnancy out of wedlock, violence during courtship and abortion with high-risk drugs. The understanding of adolescents about reproductive health is the provision of adolescents in healthy and responsible behavior. But not all teenagers get information about reproductive health. This limitation of knowledge and understanding can bring teenagers towards risky behavior. This is a lack of information about sexuality and reproduction. Cadres health has a big role in realizing the optimal level of community health. Community service is carried out in two (2) junior high schools, namely Dharma Pancasila Private Junior High School (260 students and 21 cadres trained) and Al-Fhatiyan Private Middle School Medan (199 students and cadres trained by 16 students). The method used is by: 1. counseling with material on adolescent reproductive health; 2. cadre training; 3. Cadre mentoring. Evaluation of program success: pre test and post test cadres and student participants. Based on the results of the questionnaires distributed to students, the majority of data was 13 years old (47.5%), male sex (54%), high school parents education (62%) and entrepreneurial work (96.6%). The results of the dependent test obtained data, average knowledge before health education 26.23 and after health education39.58. The mean difference is 13,349 and the standard deviation is 3,911 and 95% CI 13,707-12,990. Based on the results of statistical tests obtained P = 0.001, it can be concluded that there is an influence of adolescent reproductive health cadres on student knowledge. For attitudes obtained data on average attitudes before counseling 27.57 and after counseling 39.58. The mean difference is 13,349 and the standard deviation is 3,802 and 95% CI 12,362 - 11,664. P value = 0.001 it can be concluded that there is an influence of adolescent reproductive health cadres on student attitudes. This PKM activity is useful in increasing knowledge and attitudes towards adolescent reproductive health. With increased knowledge of the behavior of adolescents to risky sexual behavior, and if the attitudes of adolescents towards sexual behavior are good, it is expected that sexually well and adolescents are expected to be responsible for their reproductive healthKeywords: cadres, education, health, reproduction, adolescents
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