Tambi, melda Feneranda Seravia (2019) Pengaruh Pelatihan Berbasis Theory Of Planned Behavior Melalui Anteseden Intensi Terhadap Perilaku Kader Sebagai Penolong Pertama Serangan Stroke Studi Eksperimen di Wilayah Kerja Puskesmas Janti Kota Malang. Magister thesis, Universitas Brawijaya.
Abstract
eterlambatan dari onset gejala hingga pemberian pengobatan pada pasien stroke adalah hal yang paling penting. Menurut data Dinas Kesehatan Kota Malang tahun 2017, penderita stroke yang terbanyak ditemui di wilayah kerja Puskesmas Janti yaitu berjumlah 379 jiwa. Penderita penyakit yang berisiko antara lain diabetes melitus berjumlah 1.895 jiwa dan hipertensi berjumlah 2.426 jiwa. Data tersebut menunjukkan bahwa peningkatan penanganan pra rumah sakit menjadi perhatian khusus pada komunitas tersebut. Mencegah keterlambatan penanganan pasien stroke bukan hanya ditekankan pada tenaga kesehatan, tetapi pada semua individu yang berpotensi menjumpai kejadian tersebut. Kontribusi tersebut sangat penting untuk mengurangi mortalitas dan morbiditas dari stroke. Pendidikan berbasis komunitas memiliki peran untuk meningkatkan pengetahuan masyarakat sebagai penolong pertama menghadapi serangan stroke. Kesadaran masyarakat dapat berkontribusi dalam meningkatkan kecepatan kedatangan di rumah sakit setelah serangan. Sasaran yang tepat dalam pelaksanaan pendidikan berbasis komunitas adalah kader. Kader merupakan petugas kesehatan yang berada digaris depan dari setiap populasi di ruang lingkup kerja mereka. Data Dinas Kesehatan Kota Malang menunjukkan bahwa kader di Puskesmas Janti belum pernah mengikuti pelatihan terkait stroke di komuni tasnya. Fenomena ini akan mempengaruhi peran dan pemberdayaan masyarakat sehubungan dengan pengenalan, penemuan dan kesadaran menanggapi pasien dengan stroke akut. Penelitian in bertujuan untuk menganalisis pengaruh pelatihan berbasis theory of planned behavior melalui anteseden intensi terhadap perilaku kader sebagai penolong pertama serangan stroke. Jenis penelitian adalah quasi eksperimen pre and post test with control group design pada 44 orang kader kesehatan yang telah memenuhi kriteria inklusi. Penelitian ini dilaksanakan pada tanggal 18 Desember sampai dengan 31 Januari 2019 di Puskesmas Janti Kota Malang. Responden dibagi dalam dua kelompok. Kelompok pelatihan berbasis theory of planned behavior dan kelompok pelatihan dengan metode ceramah. Sesi pelatihan berbasis theory of planned behavior terdiri dari 5 sesi. Analisis data menggunakan Uji parametrik yaitu uji paired t test pada data sikap dan norma subjektif pada pelatihan dengan metode ceramah. Uji wilcoxon sign rank test pada kelompok pelatihan dengan metode ceramah dilakukan pada variabel pengetahuan, kontrol perilaku, intensi dan perilaku. Seluruh variabel pada kelompok pelatihan berbasis theory planned behavior menggunakan uji non parametrik yaitu uji wilcoxon sign rank test. Uji Mann Whitney digunakan untuk melihat perbandingan sikap, kontrol perilaku, intensi dan perilaku pada kedua kelompok. Uji independent t test digunakan untuk melihat perbedaan pada variabel pengetahuan, norma subjektif pada kedua kelompok. Analisis jalur digunakan pada variabel sikap, kontrol perilaku, norma subjektif dan intensi terhadap perilaku. Kesimpulan dari penelitian ini adalah terdapat pengaruh pelatihan berbasis theory of planned behavior terhadap peningkatan pengetahuan, sikap, kontrol perilaku, intensi dan perilaku. Pelatihan tidak berpengaruh terhadap norma subjektif kader dalam melaksanakan peran sebagai penolong pertama serangan stroke. Ada perbedaan perubahan kontrol perilaku dan perilaku kader pada pelatihan berbasis theory of planned behavior dan pelatihan dengan metode ceramah. Tidak terdapat perbedaan perubahan pengetahuan, sikap, norma subjektif dan intensi antara pelatihan berbasis theory of planned behavior dan pelatihan dengan metode ceramah. Hasil penelitian menunjukkan dua pemodelan yang digunakan untuk memprediksi perilaku kader sebagai penolong pertama. Ada pengaruh sikap, norma subjektif dan kontrol perilaku yang dirasakanix terhadap intensi. Ada pengaruh langsung intensi dan kontrol perilaku terhadap perilaku. Norma subjektif memberikan kontribusi terbesar dalam pembentukan intesi sebesar (0,435) dan kontrol perilaku memberikan pengaruh langsung terbesar terhadap intensi sebesar 0,447. Penggunaan pelatihan berbasis theory of planned behavior dapat meningkatkan kontrol perilaku dan perilaku kader sebagai penolong pertama. Peningkatan kontrol perilaku seorang kader berkaitan erat dengan kepercayaan masyarakat, legalitas sebagai seorang kader dan keterampilan yang baik. Melalui kontrol perilaku yang baik akan memberikan pengaruh besar bagi perubahan perilak
English Abstract
The delay from symptom onset to treatment in stroke patients is the most important thing. According to data from the public health office of Malang in 2017, the majority of stroke patients were found in the Janti Community Health Centre which amounted to 379 people. Patients with risky diseases include 1,895 diabetes mellitus and 2,426 patients with hypertension. The data showed that the increase in pre-hospital management became particular concern to the community. Preventing the delay in handling stroke patients is not only emphasized in health workers, but in all individuals who have the potential to encounter the incident. This contribution is very important to reduce mortality and morbidity from stroke. Community-based education has a role to increase people's knowledge as the first helper to deal with stroke. Public awareness can contribute to increasing the speed of arrival at the hospital after the attack. The right target in implementing community-based education is cadres. Cadres are health workers who are in the forefront of each population in their scope of work. Data from the public health office of Malang showed that cadres at the Janti Community Health Centre had never followed stroke training in their community. This phenomenon will influence the role and empowerment of the community related with the introduction, discovery and awareness of responding to patients with acute stroke. The study aimed to analyze the influence of based on theory of planned behavior training on cadre behavior as the first helper for stroke. This study was quasi experimental pre and post test with control group design in 44 health cadres who had met the inclusion criteria. This study was conducted on December 18 to January 31, 2019 at the Janti Community Health Centre in Malang. Respondents were divided into two groups. There were based training group theory of planned behavior and training groups with lecture methods. The training session of the theory of planned behavior consisted of 5 sessions. Data analysis using parametric test was a paired t test on the data of knowledge, attitude and subjective norm on training with the lecture method. The Wilcoxon sign rank test in the training group with the lecture method was carried out on behavioral control, intentional and behavioral control variables. All variables in the theory planned behavior based training group used the non-parametric test that was the Wilcoxon sign rank test. The Mann Whitney test was used to see the comparison of attitude, behavioral control, intention and behavior in both groups. The independent t test was used to see the difference in knowledge variable, subjective norm in both groups. Path analysis was used on attitude variable, behavior control, subjective norm and intention towards behavior. The conclusion of this study showed there was the influence of the theory of planned behavior-based training on increasing knowledge, attitude, behavioral control, intention and behavior. Training did not influence the subjective norm of cadres in carrying out their role as the first helper for stroke. There were differences in changes in behavior control and cadre behavior in training based on the theory of planned behavior and training methods with lecture methods. There were no differences in knowledge changes, attitude, subjective norm and intention between based training theory of planned behavior and training with lecture methods. The result of study showed two models that were used to predict the behavior of cadres as the first helper. There was the influence of attitude, subjective norm and perceived behavioral controls on intention. There was a directxi influence of intention and control of behavior towards behavior. Subjective norm provided the greatest contribution in intention formation in the amount of (0.435) and behavioral control provided the greatest direct influence on intention of 0.447. Theory of planned behavior training can improve behavior control and behavior of cadres as the first helper. The improvement of the behavior control of a cadre is closely related to public trust, legality as a cadre and good skills. Through good behavior control will have a major influence on behavior change
Other obstract
-
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/362.18 /TAM/p/2019/041903925 |
| Uncontrolled Keywords: | FIRST AID IN ILLNESS AND INJURY--STUDY AND TEACHING, CEREBROVASCULAR DISEASE--PATIENTS—CARE |
| Subjects: | 300 Social sciences > 362 Social problems of and services to groups of people > 362.1 People with physical illnesses > 362.18 Emergency services |
| Depositing User: | Budi Wahyono Wahyono |
| Date Deposited: | 26 Dec 2019 11:21 |
| Last Modified: | 26 Dec 2019 11:22 |
| URI: | http://repository.ub.ac.id/id/eprint/177368 |
Actions (login required)
 |
View Item |