Irdawati Irdawati, Arifah Siti, Muhlisin Abi, Kusumawati Yuli, Siti Zulaekah A, Nugrahwati Evrinia, Putri Naura Farkhia, Syaiful Afifah Ayu
Pediatric Nursing Department Of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia.
Community Nursing Department Of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia.
MethodsX. 2024 Apr 16;13:102720. doi: 10.1016/j.mex.2024.102720. eCollection 2024 Dec.
In 2018 30.8% of children in Indonesia were stunted. Although the prevalence of stunting has decreased from 37.2% in the previous year, namely 2013, the stunting rate in Indonesia remains high and there are still two provinces with a prevalence above 40%, in Gatak District, Sukoharjo Regency itself there are still 268 stunting toddlers with a percentage of 8.55% in 2022. Many factors result in stunting events, one of which is the cadre knowledge factor. The role of cadres is very important because cadres are responsible for implementing the Primary Health Care Program and the smooth detection of stunting. This quasy experiment was conducted with pre-test and post-test with control group design. The subjects of this study were health cadres in Gatak District, Sukoharjo Regency. The intervention group was health cadres in Krajan Village and the control group was cadres from Sanggung Village. The intervention group was the group that received health counselling with media, while the control group was the group that received health counselling without media. Pretest data was obtained before health counselling, while post-test was conducted after health counselling and several weeks later after health counselling was conducted. Data analysis used Repeated Anova test by SPSS Version 22. The results showed that from pretest, posttest-1, and posttest-2, both the highest and lowest scores obtained increased, compared to the control group. There was a significant increase in knowledge scores in the booklet media interventions group from pre-test 15.21 ± 2.39 first post test and 17.05 ± 2.29 and second post-test 19.68 ± 2.38. While in the control group the knowledge score from the pre-test was 15.52 ± 2.79, slightly increased in the first post-test 7.26 ± 2:34, and the second post-test was 17.26 ± 2.26 the same. There was a significant difference after the second post-test of knowledge scores between the intervention and control groups (p-value 0.003) an effect size of 0.96. Research showed that health counseling provided to cadres can increase the value of knowledge in both control groups and treatment groups. Although there is not much difference, the results of the study show that the use of media in health care can provide better results than the value of cadres.
2018年,印度尼西亚30.8%的儿童发育迟缓。尽管发育迟缓的患病率较上一年(即2013年)的37.2%有所下降,但印度尼西亚的发育迟缓率仍然很高,仍有两个省份的患病率超过40%,仅在苏科哈约摄政区的加塔克区,2022年就仍有268名发育迟缓的幼儿,占比8.55%。导致发育迟缓事件的因素有很多,其中之一是干部知识因素。干部的作用非常重要,因为干部负责实施初级卫生保健计划以及顺利检测出发育迟缓情况。这项准实验采用了带有对照组设计的前测和后测。本研究的对象是苏科哈约摄政区加塔克区的卫生干部。干预组是克拉扬村的卫生干部,对照组是桑贡村的干部。干预组是接受借助媒体进行健康咨询的组,而对照组是接受不借助媒体进行健康咨询的组。前测数据是在健康咨询之前获取的,而后测是在健康咨询之后以及健康咨询进行几周后开展的。数据分析使用SPSS 22版本的重复方差分析测试。结果显示,从前测、后测1和后测2来看,与对照组相比,所获得的最高分和最低分均有所提高。手册媒体干预组的知识得分从前测的15.21±2.39、第一次后测的17.05±2.29以及第二次后测的19.68±2.38有显著提高。而对照组的知识得分从前测的15.52±2.79,在第一次后测时略有提高至17.26±2.26,第二次后测时为17.26±2.26,保持不变。干预组和对照组在第二次后测时的知识得分存在显著差异(p值为0.003),效应大小为0.96。研究表明,向干部提供的健康咨询能够提高对照组和治疗组的知识水平。尽管差异不大,但研究结果表明,在卫生保健中使用媒体比干部的方式能产生更好的效果。