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Enhancing the role of posyandu cadres in early detection and support for high-risk pregnant women through a psychoeducation approach
https://doi.org/10.22146/jcoemph.90252 Maria Lupita Nena Meo(1*), Monique Priscilla Fransiska Rotty(2), Heilbert Armando Mapaly(3)
(1) Program Studi Ilmu Keperawatan , Fakultas kedokteran Universitas Sam Ratulangi
(2) Program Studi Ilmu Keperawatan, Faculty of Medicine, Public Health, and Nursing, Universitas Sam Ratulangi, Manado, Indonesia
(3) Program Studi Teknik Informatika, Faculty of Engineering, Universitas Sam Ratulangi,Manado, Indonesia
(*) Corresponding Author
Abstract
Introduction: High-risk pregnancies are a major cause of maternal morbidity and mortality, both on a global and national scale. Tuminting Public Health Center, which is a partner in the Community Partnership Empowerment activities, has a significant number of patients with high-risk pregnancies. This indicates an urgent need for the care of high-risk pregnant women. Pregnant women with high-risk pregnancies require priority and continuous care, including early screening/detection, monitoring, and support. However, a situation analysis at the partner site has identified several issues, including: 1) Posyandu cadres are not actively involved in supporting high-risk pregnant women, resulting in these women not receiving appropriate healthcare for their pregnancy conditions. 2) Health promotion media for high-risk pregnant women is limited, preventing these women from receiving accurate health information tailored to their condition. The objectives of these activities are to enhance the role of cadres in supporting high-risk pregnant women and to improve the availability of health promotion media as a support tool for cadres in their role. Methods: To address these issues, the proposers offer the following solutions: 1) Training on early detection, monitoring, and support for posyandu cadres using a psychoeducational approach.2) Training on the use of digital media for health promotion for high-risk pregnant women for cadres. Results: This training was attended by 37 cadres at Tuminting Public Health Center. Participants' knowledge levels were evaluated before and after the activity. The evaluation of these activities showed a p-value of 0.000, indicating that there was a difference in the knowledge of the training participants before and after the training. Conclusion: Training activities with a psychoeducational approach can improve the knowledge of cadres, enabling them to enhance their role in early detection and support for high-risk pregnant women.
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1. WHO. Maternal mortality [Internet]. World Health Organization. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
2. Kemenkes RI. Profil Kesehatan Indonesia 2021 [Internet]. Pusdatin.Kemenkes.Go.Id. 2022. Kementrian Kesehatan Republik Indonesia. Available from: https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2021.
3. Bai, G.-N., Wang, Y.-F., Yang, L., & Niu WY. Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: Improvement of medication adherence and symptoms. Neuropsychiatr Dis Treat [Internet]. 2015;11. Available from: https://doi.org/10.2147/NDT.S88625
4. Marin, M., Ruiz Veguilla, M., Perez-Ayala, V., & Taylor E. Evaluation of a psychoeducation programme for parents of children and adolescents with ADHD: Immediate and long-term effects using a blind randomized controlled trial. . Eur Child Adolesc Psychiatry [Internet]. 2014;23(8). Available from: https://doi.org/10.1007/s00787-013-0494-7
5. CR G. Toward a definition of psychoeducation. Hosp Community Psychiatry [Internet]. 1988;39. Available from: https://doi.org/10.1176/ps.39.6.666
6. Nakigudde J, Ehnvall A, Mirembe F, Musisi S, Airaksinen E. An exploratory study on the feasibility and appropriateness of family psychoeducation for postpartum women with psychosis in Uganda. BMC Psychiatry [Internet]. 2013;13. Available from: https://doi.org/10.1186/1471-244X-13-131
7. Tarver, J., Daley, D., & Sayal K (2014). Attention-deficit hyper activity disorder (ADHD): An updated review of the essential facts. Child Care Health Dev [Internet]. 2014;40(6). Available from: https://doi.org/10.1111/cch.12139
8. Dahl, V., Ramakrishnan, A., Spears, A. P., Jorge, A., Lu, J., Bigio, N. A., & Chacko A. Psychoeducation inter ventions for parents and teachers of children and adolescents with ADHD: A systematic review of the literature. J Dev Phys Disabil [Internet]. 2020;32(2). Available from: https://doi.org/10.1016/j.eurpsy.2010.10.005
9. Sin J, Norman I. Psychoeducational interventions for family members of people with schizophrenia: A mixed-method systematic review. J Clin Psychiatry [Internet]. 2013;74(12). Available from: https://doi.org/10.4088/JCP.12r08308
10. Cheng, H.Y., Chair, S.Y., Chau JPC. The effectiveness of psychosocial interven tions for stroke family caregivers and stroke survivors: a systematic review and meta analysis. Patient Educ Couns [Internet]. 2014;95(1). Available from: https://doi.org/10.1016/j.pec.2014.01.005
11. Cheng HY, Chair SY, Chau JPC. Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial. Int J Nurs Stud [Internet]. 2018;87(July):84–93. Available from: https://doi.org/10.1016/j.ijnurstu.2018.07.005
12. King, R.B., Hartke, R.J., Houle, T., Lee, J., Herring, G., Alexander-Peterson, B.S., Raad J. A problem-solving early intervention for stroke caregivers: one year follow-up. Rehabil Nurs [Internet]. 2012;37(5). Available from: https://doi.org/10.1002/rnj.039
13. Pfeiffer, K., Beische, D., Hautzinger, M., Berry, J.W., Wengert, J., Hoffrichter, R., Becker, C., van Schayck, R., Elliott TR. Telephone-based problem-solving interven tion for family caregivers of stroke survivors: a randomized controlled trial. . J Consult Clin Psychol3 [Internet]. 2014;82(4). Available from: https://doi.org/10.1037/a0036987
14. Kruithof, W.J., Post, M.W., van Mielo, M.L., van den Bos, G.A., de Man-van Ginkel, J.M., Visser-Meily JM. Caregiver burden and emotional problems in partners of stroke patients at two months and one year post-stroke: determinants and prediction. Patient Educ Couns [Internet]. 2016;99(10). Available from: https://doi.org/10.1016/j.pec.2016.04.007
15. Toohill J, Callander E, Gamble J, Creedy DK, Fenwick J. A cost effectiveness analysis of midwife psycho-education for fearful pregnant women - a health system perspective for the antenatal period. BMC Pregnancy Childbirth [Internet]. 2017;17(1):1–7. Available from: https://doi.org/10.1186/s12884-017-1404-7
16. Gede Danu Widarta, Muhammad Ardian Cahya Laksana, Agus Sulistyono WP. Deteksi Dini Risiko Ibu Hamil Dengan Kartu Skor Poedji Rochjati Dan Pencegahan Faktor Empat Terlambat. Maj Obstet dan Gynekol [Internet]. 2015;23(1). Available from: http://dx.doi.org/10.20473/mog.V23I12015.28-32
DOI: https://doi.org/10.22146/jcoemph.90252
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