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Ankle Brachial Index berhubungan dengan Sensitivitas Kaki Pada Penderita Diabetes Militus Tipe II Adiputra, I Made Sudarma; Arianta, I Made Dwi; Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik
Jurnal Kesehatan Samodra Ilmu (JKSI) Vol 11 No 2 (2020): JURNAL KESEHATAN SAMODRA ILMU (JKSI)
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Yogyakarta

ABSTRACT Introduction : Chronic hyperglycemia can cause blood vessel endothelial cells and nerve cells to become hyperglycolic. This condition results changes in various biochemical pathways, one of which is protein kinase C (PKC) which causes thickening of the arteries resulting in decreased ABI values. Decreasing the ABI value will disrupt of Schwann cell metabolism, so that it will cause impaired peripheral nerve delivery. Disruption of peripheral nerve delivery will cause a decrease of foot sensitivity. This study aimed to determine the relationship of ankle brachial index (ABI) with foot sensitivity in patient with diabetes mellitus type II in Public Health Center I of South Denpasar. Method : This study used cross sectional method. The number of samples of this research was 86 people collecting by purposive sampling technique. Data were collected used digital spygmonanometer and monofilament 10 g. Result : As many as 23 people with ABI vascular disorders and 42 people with decrease of foot sensitivity. Chi square test results obtained p = 0,000 with a significance value of p<0.05, so 0.000 <0.05 which shows that there is a relationship between ABI and foot sensitivity in patients with diabetes mellitus type II in Public Health Center I of South Denpasar. Discussion : Decrease of ABI value will following with decrease of foot sensitivity, if this isn’t prevented there is a risk of developing diabetic foot in patients with diabetes mellitus type II.

Stunting Knowledge and Attitudes among Adolescents in Banjar Pande, Sayan Village, Ubud, Gianyar: The Effect of Structured Education Komalasari, Ni Luh Putu Ratih; Oktaviani, Ni Putu Wiwik; Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma; Wahyudi, Hendro
Basic and Applied Nursing Research Journal Vol 5 No 1 (2024): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.05.01.06

Introduction: Stunting is a chronic nutritional problem that remains a major threat to the quality of human resources. One of the efforts to break the stunting cycle is through the active role of youth. However, many adolescents are still unaware of stunting, so it is necessary to increase adolescent knowledge by providing structured education. The aim of this study was to determine the effect of structured education on adolescents' knowledge and attitudes about stunting. Methods: This study is pre-experimental research with a pretest-posttest one-group design. The sample size was 34 people, selected using a purposive sampling technique. Structured education was provided through modules and video media three times, conducted once a week for 45 minutes. Results: The results of the study showed that the average pretest score for adolescents' knowledge was 11.97, and the posttest score was 16.26. The average pretest score for adolescents' attitudes was 37.68, and the posttest score was 55.21. The results of the Wilcoxon signed-ranks test for knowledge showed a p-value of 0.000 < 0.05, and for attitudes, it also showed a p-value of 0.000 < 0.05, indicating that there was an effect of structured education on adolescents' knowledge and attitudes about stunting. Conclusion: Structured education using modules and video media is an effective method to convey messages in an understandable and engaging way, enabling the target audience to learn the material well, increasing adolescents' knowledge about stunting and encouraging the formation of positive attitudes.

Effectiveness of Peduli Family Module to Engage Diet, Exercise, and Medication Adherence on Type 2 Diabetes Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik; Resiyanthi, Ni Komang Ayu
Public Health of Indonesia Vol. 11 No. S1 (2025): Special Issue
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11iS1.962

Background:For diabetes patients, adhering to lifelong self-care routines is a significant challenge. Objectives:This study aimed to introduce the PEDULI family module, which can be used as an educational tool for the families of diabetes patients and as a training resource for diabetes educators Methods:This study employed a quasi-experimental design with a pretest-posttest. A total of 82 diabetes patients were involved. PEDULI family module, designed to enhance diabetes management through family involvement. Diet, exercise and medication adherence were measured. Results: The intervention was highly effective in improving diet, exercise, and medication adherence, as well as overall health behavior. Exercise and medication adherence saw particularly strong improvements, influenced by demographic factors such as education, occupation, and family size. Conclusion:These findings suggest that future interventions should consider tailoring strategies to individual characteristics to maximize their effectiveness. Keywords:adherence; diet; exercise; engagement; family; medication

YOGA TAHAP I MAMPU MENINGKATKAN FLEXIBILITAS OTOT PADA REMAJA PUTRI DI SANGGAR SENAM STUDIO 88 DENPASAR: YOGA STAGE I ABLE TO INCREASE MUSCLE FLEXIBILITY IN ADOLESCENTS IN SANGGAR SENAM STUDIO 88 DENPASAR Oktaviani, Ni Putu Wiwik; Lestari, Ni Kadek Yuni
Bali Medika Jurnal Vol 5 No 1 (2018): Bali Medika Jurnal Vol 5 No 1 July 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i1.18

Overweight menjadi salah satu masalah kesehatan remaja di Indonesia. Latihan yang bersifat aerobik dapat menurunkan lemak tubuh, mencegah overweight dan meningkatkan fleksibilitas. Tujuan penelitian ini untuk mengetahui hatha yoga dapat meningkatkan fleksibilitas pada remaja putri di Denpasar. Rancangan penelitian randomized with pre-test and post-test group design. Kelompok (13 sampel) mendapat perlakuan hatha yoga. Perlakuan diberikan selama 6 minggu, frekuensi 3 kali/minggu, durasi 45 menit di Sanggar Senam Studio 88 Denpasar pada pagi hari. Hasil penelitian menunjukkan peningkatan fleksibilitas hatha yoga dengan rerata 12,58 cm. Hasil rerata peningkatan fleksibilitas sebesar 5 cm dengan nilai p=0,035. Simpulan bahwa pelatihan hatha yoga efektif dalam menurunkan persentase lemak tubuh dan meningkatkan fleksibilitas di Denpasar. Kepada individu dengan overweight sebaiknya melakukan aktivitas olahraga secara rutin dan kontinyu. Hatha Yoga sebagai salah satu alternatif kegiatan olahraga yang dapat digunakan untuk meningkatkan fleksibilitas serta kebugaran fisik. Kata Kunci : Hatha yoga, fleksibilitas ABSTRACT Overweight was one of the adolescent health problem in Indonesia. Aerobic exercise can reduce body fat, prevent overweight and increase flexibility. The purpose of this study was to identify the effect of Hatha Yoga flexibility of adolescent girl in Denpasar. Research used randomized pre-test and post-test design involved 26 subject. Group treated hatha yoga. This intervention was given for 6 weeks, frequency 3 times a week, for 45 minute in Sanggar Senam Studio 88 Denpasar. The result shown that hatha yoga increasing of flexibility hatha yoga with a mean 12.58 cm. The result mean increased flexibility by 5 cm with value of p = 0.035. Conclusion: hatha yoga effective increasing flexibility of adolescent girl in Denpasar. It is suggested to individuals with overweight in order to do sports activities regularly and continuously. Hatha yoga as an alternative sport activities that can be used to increase flexibility and physical fitness.

BAGAIMANA PERAWATAN KESEHATAN DAN DUKUNGAN KELUARGA DENGAN IBU HAMIL BERPERAN DALAM PEMANFAATAN PELAYANAN KESEHATAN VCT: HOW HEALTH CARE AND FAMILY SUPPORT WITH PREGNANT WOMEN PLAY A ROLE ON UTILIZATION OF VCT HEALTH SERVICES Oktaviani, Ni Putu Wiwik; Devhy, Ni Luh Putu; Adiputra, I Made Sudarma; Widiastuti, Dewa Ayu Putri
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.39

Pendahuluan: AIDS adalah penyakit yang disebabkan oleh infeksi dengan virus yang disebut Human Immunodeficiency Virus (HIV), yang dimana kasus HIV pada ibu rumah tangga menduduki peringkat kedua. Penularan melalui perinatal menyumbang 5,1%. Penularan tersebut dapat dicegah jika ibu hamil sejak dini diketahui statusnya dan mendapat pengobatan dengan tepat. Integrasi program pencegahan HIV dari ibu kebayi pada pelayanan antenatal care telah dilakukan, namun keikutsertaaan ibu hamil untuk VCT masih rendah. Dukungan keluarga sangat penting dalam mendukung keikutsertaaan ibu hamil untuk VCT. Tujuan dari penelitian ini adalah untuk mengetahui gambaran fungsi perawatan kesehatan dan dukungan keluarga dengan ibu hamil dalam pemanfaatan pelayanan kesehatan VCT. Metode: Desain penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional. Studi dilakukan di Puskesmas I Susut, Bangli dengan jumlah sampel sebanyak 93 reponden dengan teknik non-probabiliti sampling dengan purposive sampling. Data yang diperoleh dianalisis dengan program komputerisasi dengan menggunakan analisis univariat. Hasil: Hasil menunjukan sebagian besar responden memiliki fungsi perawatan kesehatan tidak efektif 54,8% dan sebagian besar responden memiliki dukungan keluarga cukup 46,2%. Diskusi: Hasil penelitian ini dapat direkomendasikan diterapkan pada keluarga melalui peran kader kesehatan dan pihak puskesmas untuk meningkatkan kembali pelayanan kesehatan VCT terhadap Ibu hamil. Kata Kunci : Perawatan Kesehatan, Dukungan Keluarga, Ibu Hamil ABSTRACT Introduction: AIDS is a disease caused by infection with a virus called Human Immunodeficiency Virus (HIV), and the number of women who infected with HIV has increased year by year. Through perinatal transmission contributed 5.1%. The transmission can be prevented if pregnant woman know their status and get treatment appropriately. Integration of maternal to infant HIV prevention programs on antenatal care hip services is done, but the participation of pregnant women for VCT is still low. The family supports are important to support adherence participation of pregnant women for VCT. Method: This research aimed to description of the function health care and family support with pregnant woman on utilization of VCT health services. This study of description with cross sectional design. Study was conducted at Puskesmas I Susut Bangli with 93 samples was taken by non-probability sampling with purposive sampling. Obtained data was processing SPSS and analyzing by univariate test. Result: Research of study showard most respondents have a not effective Function health care 54,8% and most respondents have a enough family support 46,2%. Discussion: The results of this study research can be recommended to be applied to the family and the health community center or clinics to improve again the health services VCT to wards pregnant women. Keyword : Health care, Family support, Pregnant women

PERILAKU PENANGANAN NYERI DISMENORE PADA REMAJA DI SMP PGRI 5 DENPASAR: DYSMENORRHEA PAIN MANAGEMENT BEHAVIOR IN ADOLESCENTS IN SMP PGRI 5 DENPASAR Fredelika, Lili; Oktaviani, Ni Putu Wiwik; Suniyadewi, Ni Wayan
Bali Medika Jurnal Vol 7 No 1 (2020): Bali Medika Jurnal Vol7 No 1 Juli 2020
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v7i1.105

Problems that arise during menstruation such as dysmenorrhea are problems that are often experienced by 30-50% of young women in each country. The high incidence of dysmenorrhea is not matched by good behavior, where documentation is still rarely found by adolesence in School Health Unit. Proper knowledge, attitudes and actions are needed to create good behavior. The aim of this study is to determine the handling of dysmenorrhea pain in adolescents at SMP PGRI 5 Denpasar. The method used is descriptive quantitative with cross sectional approach. Data collection techniques using a questionnaire, while the sampling technique using probability sampling with stratified random sampling technique, the number of samples as many as 154 students of class IX. The results showed 116 students (75.3%) had good knowledge, 110 students (71.4%) had good attitudes, 139 students (90.3%) had less dysmenorrhea treatment measures. So it was concluded that the behavior of pain handling dysmenorrhea in adolescents in SMP PGRI 5 Denpasar included in the sufficient category (91.5%). It is hoped that this study can improve the behavior of pain handling dysmenorrhea in adolescents. The better the level of knowledge, attitudes and actions shown by adolescents, the better the behavior of dysmenorrhea pain management in adolescents.

Pengaruh Meditasi Terhadap Hipertensi Pada Lansia di Banjar Angkling Desa Bakbakan Wilayah Kerja Puskesmas Gianyar II: The Effect of Meditation on Hypertension in The Elderly in Banjar Angkling Bakbakan Village, Gianyar II Public Health Center Oktaviani, Ni Putu Wiwik; Urmilasari, Ni Putu Yessi; Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.172

Introduction: Hypertension is the most common problem in elderly health and is a major cause of cardiovascular disease in the elderly. Meditation is used as an effort to treat hypertension by controlling the relationship and relaxing the blood vessels located in the vasomotor center in the spinal cord and as a relaxation meditation exercise that can reduce hypertension. The purpose of this study was to determine the effect of giving meditation on hypertension in the elderly. Method: This type of pre-experimental research with the design of One group Pre test-posttest Design. The total sample of 20 people was selected by purposive sampling technique. The tools used to collect data are a sphygmomanometer and a stethoscope. Result: The mean systolic blood pressure was 169.25 mmHg and diastole was 101.75 mmHg. The result shows the effect of giving meditation on hypertension in the elderly. Discussion: relaxation meditation which is centered on breathing will increase the circulation of oxygen to the muscles, so the muscles will relax, blood pressure will decrease.

The Role of the Family Companion Team (TPK) in Finding New Cases of Families at Risk of Stunting Oktaviani, Ni Putu Wiwik; Adiputra, I Made Sudarma; Trisnadewi, Ni Wayan
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v5i4.2483

Increasing human resources is one of Indonesia's efforts to build a golden Indonesia in 2045. Stunting is the current nutritional issue that Indonesia is dealing with. The Indonesian government has created a national strategy to accelerate stunting reduction through families involving health workers known as the Family Companion Team (TPK). According to the results of the evaluation of stunting prevention programs, most local governments have been unable to implement activities to accelerate stunting reduction. This research aims to determine the role of the family companion team in finding new cases of families at risk of stunting. Data collection in this study was carried out using multiple random sampling techniques, distributing questionnaires to 62 TPK in the working area of Puskesmas II Blahbatuh, the inclusion criteria for this study were TPK who had been listed in the Regent's Decree (SK), domiciled in the working area of the puskesmas II Blahbatuh and willing to be a respondent. This research hypothesis test uses Chi square. The results of this study show that there is no significant relationship between the role of TPK in finding new cases of families at risk of stunting and a p value > 0.05. The family approach is a good strategic innovation in providing assistance to families at risk of stunting, but it is not optimal in identifying new findings.

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