BACKGROUND: Increasing the incidence of nasopharyngeal cancer causes an increase mortality in sufferers. Family support is an important aspect of the treatment of patients that very helpful to strengthen psychologically and make patients more enthusiastic about undergoing treatment. Patients who have high enthusiasm will improve their quality of life so that family support is needed in treating patients. AIM: This study aims to explore family experiences in providing support in the care of nasopharyngeal cancer patients in Yogyakarta. METHODS: This research uses qualitative method with phenomenological approach. Data collected through in-depth interviews. Informants in this study amounted to 12 people consisting of patients and families determined by purposive sampling. This research was conducted in Sleman Regency from January to April 2019. Data validity uses source triangulation, member checking, and peer debriefing. Analysis of the data in this study using the help of OpenCode 4.02 software. RESULTS: The results showed that the treatment of patients with nasopharyngeal cancer was influenced by several factors, namely, family perceptions in caring for patients, family knowledge about the disease, and family information sources. These factors will affect the family process in providing care to patients including family support, family communication, and medication that have been undertaken. Family support is provided in the care of nasopharyngeal cancer patients in the form of emotional, informational, instrumental, appreciation, and spiritual support. In addition, in carrying out patient care, there are several obstacles, namely, transportation, administrative, and financial obstacles. CONCLUSION: The family is expected to always provide support to patients in the form of emotional support, informational, instrumental, and appreciation as well as spiritual support for the success of treatment of the patient.
Violence against women/children (VaW/C) has bio-psycho-socio-economic impacts. The Pedak community has not been exposed to efforts for violence prevention although some VaW/C cases have arisen. Hence, this community services aimed to increase public awareness to prevent and reduce VaW/C. Multiple approaches through a cycle of action research were conducted, including diagnosing, planning, action, and evaluation in Padukuhan Pedak, Trimurti, Srandakan, Bantul, Yogyakarta Province. Observation of the community conditions and in-depth interviews with community leaders were used in the diagnosing stage. The action stage includes three priority actions: 1) VaW/C education for community representatives (a quasi-experiment), 2) VaW/C education in children's reading corners, and 3) youth Posyandu coaching. These activities succeeded in increasing public knowledge and reactivated community activities to prevent and overcome violence in society. Multisector role involvement and a multifaceted approach are needed to increase community awareness of VaW/C and assist them in designing applicable and sustainable programs.
The Elderly Posyandu (integrated healthcare services post) has not yet been established in Jomboran, Donokerto, Turi, Sleman, Yogyakarta. The health cadres have never received training on organizing elderly Posyandu. Furthermore, some elderly people are unable to visit the Posyandu due to illness. This community service project aimed to establish an elderly Posyandu and train health cadres for the Posyandu to operate continuously. This community service used an action research cycle to identify priority problems and their solutions by involving and empowering partners. Our partners were hamlet and health cadres, with 21 cadres trainees and 54 elderly as the targets. This community service resulted in a considerable increase in health cadres' knowledge following the training (p=0.000). Furthermore, other indicators of community service effectiveness include increasing cadres' skills to conduct health checks and elderly Posyandu management, the enthusiasm of participants (elderly) in Posyandu activities, and establishment of an elderly posyandu were achieved. In conclusion, community service activities effectively increase the capacity of cadres and help form the Elderly Posyandu. The Elderly Posyandu that has been formed needs to be continued by increasing cross-sectoral support and cadres' capacity on an ongoing basis.
Adolescence and early adulthood are transitional periods that vulnerable to mental and reproductive health disorders. This community service aimed to provide education about mental and reproductive health to increase knowledge and prevent both health problems in partners. A cycle of action research method was conducted by involved partners to determine the priority of the problems and how to solve them. Eighteen participants were involved with mental and reproductive health education session. As a result, there was an improvement of the mean score of participants' knowledge from 9,11 become 11,50 (maximum score=15) [p=0,001] and indicators achievement of the activeness of participants in participating in this community service activity. In conclusion, the educational session helped increase participants' mental and reproductive health knowledge. Multisectoral participation is needed to assist youth in implementing healthy lifestyle behaviors to maintain mental and sexual health. ABSTRAK Kelompok usia remaja dan dewasa awal merupakan masa transisi yang rentan dengan masalah kesehatan mental dan reproduksi. Tujuan dari pengabdian masyarakat ini adalah memberikan edukasi mengenai kesehatan mental dan reproduksi untuk meningkatkan pengetahuan dan mencegah kedua masalah kesehatan tersebut pada mitra. Pendekatan yang dilakukan pada pengabdian masyarakat ini adalah satu siklus action research di mana tim pengabdian melibatkan mitra dalam penentuan prioritas masalah yang diselesaikan serta bagaimana cara menyelesaikannya. Sesi edukasi dilakukan terhadap 18 orang anggota organisasi remaja AMIN tersebut. Hasil pengabdian ini adalah meningkatnya rerata skor pengetahuan remaja mengenai kesehatan mental dan reproduksi dari 9,11 menjadi 11,50 (skor maksimal 15) [p=0,001], serta tercapainya indikator keaktifan partisipan dalam berpartisipasi pada kegiatan pengabdian masyarakat ini. Sebagai kesimpulan, sesi edukasi bermanfaat meningkatkan pengetahuan partisipan tentang kesehatan mental dan reproduksi. Dibutuhkan peran serta multisektor untuk mendampingi remaja dalam menerapkan perilaku hidup sehat untuk menjaga kesehatan mental dan seksual.
Medication safety is one of the patient safety criteria that must be met in healthcare facilities. However, research on medication safety in private primary care remains limited. This study aimed to increase medication safety initiatives for Diabetes Mellitus (DM) patients and healthcare recipients’ (patients') knowledge of medication safety. A cycle of action research (diagnosing, planning, action, and evaluation) was used in a private clinic (PKU Muhammadiyah Srandakan Clinic, Yogyakarta Special Region). The involvement level of research subjects was co-learning. The diagnosing phase was conducted by in-depth interviews and questionnaires distribution with clinical leaders and staff (n=11). The planning stage was completed through medication prescription standard operational (SPO) procedure review and the educational media preparation for patients. In the action stage, in-house training for clinic staff about medication safety and the educational intervention with a quasi-experimental (without control, non-randomization) on PROLANIS DM participants (total sampling, n=50) were conducted. Study results showed that the diagnosing phase exposes the clinic staff's adequate understanding of medication safety. There were obstacles to implementing prescribing services from the patient, staff, operational, and infrastructure aspects. A revised SPO for Prescription Medication Services and educational media were created during the planning stage. There was a significant increase in patients’ knowledge between the pre-test and post-test in the action and evaluation stage (p=0.000), and there was no patient safety incident related to medication safety during this research. In conclusion, staff knowledge was good, there was a significant increase after health education was provided to patients, and complex obstacles need to be resolved comprehensively and continuously.
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