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Pengaruh cryotherapy oral terhadap kejadian mukositis akibat kemoterapi pada pasien kanker di ruang kemoterapi Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1455

Abstract

Background: Mucositis is one of the most common complications experienced by cancer patients undergoing chemotherapy. Effective management strategies are needed to reduce the severity of mucositis and improve patient quality of life. Purpose: To determine the effect of Oral Cryotherapy in reducing chemotherapy-induced mucositis in cancer patients. Method: A quasi-experimental design with a pre-post-test approach with a control group was used. The sampling technique used was purposive sampling, involving 34 participants: 17 in the intervention group and 17 in the control group. Mucositis severity was measured using the Oral Assessment Guide (OAG). Data analysis was performed using the non-parametric Mann-Whitney test. Results: Oral Cryotherapy was significantly effective in reducing the severity of chemotherapy-induced mucositis in cancer patients (p = 0.00; α = 0.05). Conclusion: Oral cryotherapy is an effective non-pharmacological intervention for reducing chemotherapy-induced mucositis in cancer patients and can therefore be considered as part of supportive care in oncology nursing practice.   Keywords: Chemotherapy; Mucositis; Oral cryotherapy.   Pendahuluan: Mukositis merupakan salah satu komplikasi yang paling sering dialami pasien kanker yang menjalani kemoterapi. Strategi penatalaksanaan yang efektif diperlukan untuk menurunkan tingkat keparahan mukositis serta meningkatkan kualitas hidup pasien. Tujuan: Untuk mengetahui pengaruh Cryoterapi Oral dalam menurunkan mukositis akibat kemoterapi pada pasien kanker. Metode: Desain quasi-eksperimen dengan pendekatan pre–post-test with control group. Teknik pengambilan sampel dilakukan dengan purposive sampling dengan melibatkan 34 partisipan yang terdiri dari 17 orang pada kelompok intervensi dan 17 orang pada kelompok kontrol. Tingkat keparahan mukositis diukur menggunakan instrumen Oral Assessment Guide (OAG). Analisis data dilakukan dengan uji non-parametrik Mann–Whitney. Hasil: Cryoterapi Oral efektif secara signifikan dalam menurunkan tingkat keparahan mukositis akibat kemoterapi pada pasien kanker (p = 0,00; α = 0,05). Simpulan: Cryoterapi Oral merupakan intervensi non-farmakologis yang efektif untuk menurunkan mukositis akibat kemoterapi pada pasien kanker, sehingga dapat dipertimbangkan sebagai bagian dari perawatan suportif dalam praktik keperawatan onkologi.   Kata Kunci : Cryoterapi Oral; Kemoterapi; Mukositis.
Edukasi Melalui Flipbook Berbasis Digital Sebagai Upaya Pencegahan Resiko Penyalahgunaan Narkoba Pada Remaja: Digital Flipbook-Based Education as an Effort to Prevent the Risk of Drug Abuse Among Adolescents Wati, Ni Made Nopita; Thrisna Dewi, Ni Luh Putu; Lisnawati, Ketut; Sanjiwani, A.A Sri Sanjiwani; Sudarma, Nyoman
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.86

Abstract

Drug abuse among adolescents continues to rise and poses a serious threat to the future of the younger generation. Existing educational efforts still rely heavily on conventional methods that are less appealing to today’s digital-native youth. Thus, an innovative and interactive educational medium is urgently needed. This community service project applied a participatory-educational approach and was conducted at a vocational health school in Bali. Participants included school counselors and students. Activities included situation analysis, development and validation of a digital flipbook, delivery of drug education using the flipbook, and evaluation of knowledge through pre- and post-tests. The use of digital flipbook significantly improved participants' knowledge. The proportion of students with good knowledge increased from 7.4% to 81.5%, while those with poor knowledge drastically decreased. Participants found the flipbook engaging and easy to use. The digital flipbook is an effective educational tool to enhance adolescent knowledge on drug abuse prevention. It is recommended for integration into school-based youth development and anti-drug programs.
PENINGKATAN PENGETAHUAN BAHAYA (NAPZA) PADA KELOMPOK SEKEHA TERUNA TERUNI MELALUI PENYULUHAN DAN PEMERIKSAAN NAPZA PADA SAMPEL URINE Nyoman Sudarma; Wati, Ni Made Nopita; Sanjiwani, A.A Sri; Lisnawati, Ketut; Dewi, Ni Luh Putu Thrisna
Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif Vol. 1 No. 2 (2024): Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif
Publisher : PT. Gelora Cipta Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61674/jpkmbi.v1i2.153

Abstract

NAPZA (Narkotika, Psikotropika, dan Zat Adiktif) merupakan zat berbahaya yang jika memasuki tubuh akan memberikan efek pada tubuh, terutama pada otak atau sistem saraf. Seka Teruna Teruni (STT) merupakan organisasi remaja khusus nya di Bali. Organisasi ini merupakan wadah generasi muda untuk memahami pentingnya kehidupan sosial dalam bermasyarakat. Penyalahgunaan NAPZA pada remaja merupakan salah satu bentuk dari penyimpangan yang dilakukan oleh remaja. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja khusus nya STT mengenai bahaya NAPZA. Adapun STT yang menjadi peserta pengabdian ini adalah SST Banjar Dauh Peken Desa Penarungan Kabupaten Badung Provinsi Bali. Metode yang digunakan dalam pengabdian ini adalah dengan memberikan penyuluhan mengenai bahaya NAPZA serta melakukan pemeriksaan kandungan NAPZA pada sampel urine. Untuk mengetahui peningkatan pengetahuan mengenai bahaya NAPZA dilakukan dengan memberikan pretes (sebelum dilakukan penyuluhan) dan post test (setelah penyuluhan). Pemeriksaan NAPZA pada sampel urine dilakukan dengan metode imunokromatografi. Jenis NAPZA yang diperiksa adalah jenis amphetamine. Berdasarkan hasil pretes dan post test yang dilakukan, diperoleh peningkatan pengetahuan mengenai bahaya NAPZA pada STT yaitu dari 90% menjadi 100%. Hasil pemeriksaan sampel urine STT pun menunjukkan sebanyak 40 orang STT (100%) negatif atau tidak terdapat kandungan amphetamine pada sampel urine. Hal ini menunjukkan bahwa STT memiliki pengetahuan mengenai bahaya NAPZA yang sangat baik, serta kesadaran yang tinggi dan mampu menjaga diri dengan baik sehingga dapat terhindar dari bahaya NAPZA. Akhir dari kegiatan pengabdian ini yaitu terbentuknya kader STT yang terus bergerak untuk memberikan pengetahuan, kesadaran, serta sikap kepada generasi penerus sehingga bahaya NAPZA yang merusak remaja dapat dihindari.
Optimalisasi Peran Tenaga Kesehatan Dalam Meningkatkan Patient Center Care Sebagai Upaya Pelayanan Terintegrasi Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; A.A Sri Sanjiwani; Ketut Lisnawati; I Nyoman Sudarma
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 5 Nomor 1 Tahun 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v5i1.167

Abstract

Background: Health services provided to patients should be integrated so as to ensure patient safety. The paradigm of health services is currently undergoing a change where it no longer prioritizes one profession as the core of service but instead requires the integration of various professions in providing health services. Patient-centered care (PCC) is a patient-focused service that can be carried out through interprofessional communication. The purpose of this service activity is to increase knowledge and optimize the competence of health workers to increase PCC through the implementation of interprofessional communication. Methods: The dedication method used in this activity is through a webinar using the Zoom meeting application. One of the private hospitals in Bali is a partner in this activity. This service activity consists of three stages: preparation, implementation, and evaluation. Results: The results of the activity show that health workers are able to carry out interprofessional communication and improve PCC as an integrated health service. Conclusion: Health workers are able to carry out interprofessional communication in improving PCC as an integrated health service. The community service process went according to plan and all health workers involved played an active role during the activities. It is hoped that health workers will always be able to apply interprofessional communication to improve PCC.
Edukasi Penerapan Healing Environment sebagai Upaya Pengendalian Stres pada Stroke Survivors dalam Mencegah Serangan Berulang Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut; Sri Sanjiwani, Anak Agung; Sudarma, I Nyoman
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 2 (2024): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i2.763

Abstract

Stroke is the second leading cause of death in the world and the third leading cause of disability, with incidence and prevalence increasing significantly. In Indonesia, the prevalence of stroke is high, mainly due to the lack of control of risk factors and slow adaptation to a healthy lifestyle after the attack. Stress is identified as one of the main factors that aggravate the physical condition and hinder the recovery process in stroke survivors. This community service aims to provide education about the healing environment method as an effort to control stress to prevent recurrent attacks in stroke survivors in Bangli Regency, Bali. This activity was carried out from December 2023 to January 2024, with a community service method in the form of education and demonstration for three days on how to create a healing environment that includes aspects of safety, physical and psychological comfort, social support, access to nature, art, music, and privacy which was attended by 20 stroke survivors. Results showed that the majority of participants had high blood pressure (80%) and normal blood glucose (85%). The increase in participants' knowledge about the healing environment was reflected in the pre-test results which showed 75% of participants had low knowledge, while the post-test showed an increase in sufficient knowledge in 80% of participants. This education helped participants recognize the factors that cause stress and manage stress effectively. The conclusion of this activity shows that the healing environment method can help reduce stress, accelerate recovery, and prevent recurrent stroke attacks. Thus, this method can improve the overall quality of life of stroke patients. The program emphasized the importance of a holistic approach that includes physical, psychological, social, and spiritual aspects to optimize the recovery of stroke patients and prevent further complications.
Is Infection Prevention and Control Training Can Increase Knowledge and Compliance of Nurses? Wati, Ni Made Nopita; Subyaktien, Elmy; Lestari, Tri Rahyuning; Pendet, Diah Pusparini; Rachmawati, Nunung; Juanamasta, I Gede; Aungsuroch, Yupin
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1355

Abstract

One of the indicators of service quality at the hospital is Healthcare-Associated Infections (HAIs) that can be prevented by hand hygiene, which is a procedure for cleaning hands with soap water, or alcohol-based liquids. This study aimed to identify the effect of Infection Prevention and Control (IPC) training on the level of knowledge and compliance of five moments for hand hygiene in nurses at the Dharma Yadnya Hospital in Denpasar. This study used a pre-experimental one-group pre-post test without a control group design. The number of samples was 42 nurses with purposive sampling techniques that met the inclusion and exclusion criteria. The results showed that before training 26 nurses (61.9%) had a good level of knowledge, and after training, 41 nurses (97.6%) had good knowledge. With regard to compliance with five moments for hand hygiene, before training 22 nurses (52.4%) were not compliant, and after training 29 nurses (69%) imperfectly adhered to the procedure. Mandatory training in IPC influences the level of knowledge and adherence to the five moments for hand hygiene among nurses. Suggestions for hospitals to provide continuity of education related to IPC, monitor nurses' compliance behaviors of the five moments for hand hygiene, either by direct observation or electronically, and provide rewards and punishments for behavioral evaluations.
Edukasi Peran Kepala Ruang dalam Menerapkan Gaya Kepemimpinan Caring Leadership Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Sudarma, Nyoman
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 2 (2024): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i2.505

Abstract

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.
PENGEMBANGAN KETERAMPILAN KOPING PADA REMAJA MELALUI EDUKASI TEKNIK MINDFUL S.T.O.P DI DESA PENGLIPURAN Sanjiwani, Anak Agung Sri; Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; Lisnawati, Ketut; Sudarma, Nyoman
Abdimas Galuh Vol 5, No 2 (2023): September 2023
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v5i2.11434

Abstract

Remaja menjadi salah satu kelompok usia yang tergolong rentan dalam menghadapi berbagai permasalahan kesehatan mental. Tugas perkembangan yang harus dilalui oleh remaja melibatkan berbagai potensi konflik yang berkaitan dengan penyesuaian terhadap tuntutan dari orangtua, guru, teman sebaya, keluarga besar dan diri sendiri. Strategi koping memiliki peran penting bagi remaja dalam mengatasi dinamika perkembangan yang dialami dalam masa remaja. Teknik Mindful S.T.O.P merupakan bagian dari pendekatan mindfulness yang dapat memfasilitasi remaja dalam menghadapi stresor maupun tekanan dalam keseharian. Edukasi teknik Mindful S.T.O.P diberikan dalam bentuk ceramah kepada kelompok karang taruna yang tergabung dalam Sekaa Truna Truni di Desa Penglipuran. Evaluasi dilakukan melalui kuisioner pengetahuan. Hasil kegiatan pengabdian ini menunjukkan bahwa terdapat peningkatan pengetahuan remaja mengenai strategi koping adaptif dari kurang (55%) menjadi kategori baik (45%) dan cukup (55%).  Upaya edukasi ini tidak hanya meningkatkan pengetahuan remaja mengenai cara adaptif dalam mengelola stresor yang dirasakan namun juga melatih remaja untuk mengenali diri sendiri mulai dari kecenderungan pikiran negatif yang muncul, perasaan yang menyertai hingga perilaku dalam menangani ketidaknyamanan tersebut. Mindful S.T.O.P dapat menjadi langkah awal bagi remaja dalam mengenali dirinya dan meningkatkan kesadaran dalam menentukan respon terhadap berbagai peristiwa yang dimaknai negatif bagi diri. Teknik ini tepat bagi remaja karena tergolong sederhana dan dapat dilakukan secara mandiri tanpa memerlukan media khusus.
Edukasi dan Penerapan Terapi Kipas sebagai Pendekatan Alternatif untuk Mengurangi Spastisitas dan Meningkatkan Koordinasi pada Pasien Pasca-Stroke Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Sudarma, I Nyoman
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 3 (2025): November
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i3.963

Abstract

Stroke is one of the leading causes of long-term disability, requiring continuous rehabilitative interventions. This community service program aimed to provide education and training on fan therapy as a non-pharmacological approach to help reduce spasticity and improve coordination in stroke survivors. The activity was conducted at the Amaranee Foundation in Bali, involving stroke survivors as participants. Initial assessments showed that the majority of participants had high blood pressure (64%) and normal blood glucose levels (71%). Before the educational session, most participants had a low level of knowledge (89.2%), but after the fan therapy education and practical demonstration, there was a significant improvement, with 64.2% reaching a moderate level and 35.8% achieving a high level of knowledge. Fan therapy was chosen for its ease of implementation, absence of side effects, and potential for independent application. Participants demonstrated high enthusiasm throughout the program and were able to practice basic fan therapy techniques to reduce muscle stiffness and enhance motor coordination. This program contributed positively to community-based rehabilitation efforts, particularly for stroke survivors in need of simple yet effective approaches. Fan therapy education is considered relevant as a sustainable recovery intervention within community settings.
PENGARUH MEDIA EDUKASI MELALUI KOMIK BERBASIS DIGITAL TERHADAP TINGKAT PENGETAHUAN TENTANG RISIKO PENYALAHGUNAAN NARKOBA PADA REMAJA Dwiyanti, Ni Kadek; Wati, Ni Made Nopita; Ni Luh Gede Intan Saraswati
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i1.344

Abstract

Penyalahgunaan narkoba pada remaja masih menjadi masalah kesehatan serius. Upaya edukasi memerlukan media yang menarik dan mudah dipahami, mengingat remaja lebih tertarik pada tampilan visual yang memicu rasa ingin tahu dan membantu mereka mengingat pesan edukatif dengan lebih baik. Komik digital menjadi salah satu alternatif yang dinilai efektif untuk menyampaikan informasi dengan cara yang interaktif. Penelitian ini menggunakan desain Quasi-Eksperimental dengan Pendekatan Pretest-Postest Control Group Design. Sampel terdiri dari 30 remaja yang terbagi menjadi kelompok intervensi dan kelompok kontrol, masing-masing 15 orang. Kelompok intervensi diberikan edukasi melalui komik digital, sedangkan kelompok kontrol menerima leaflet. Pengetahuan data diukur menggunakan kuesioner terstandar dan dianalisis menggunakan Wilcoxon Signed Rank Test serta Mann-Whitney Test. Kelompok intervensi menunjukkan peningkatan pengetahuan yang signifikan setelah diberikan komik digital (p=0,001), sedangkan kelompok kontrol tidak menunjukkan peningkatan yang signifikan (p=0,083). Mayoritas remaja pada kelompok intervensi mencapai kategori pengetahuan baik setelah intervensi, yang menunjukkan bahwa komik berbasis digital lebih efektif dibandingkan metode konvensional. Media komik berbasis digital terbukti efektif dalam meningkatkan pengetahuan remaja mengenai risiko penyalahgunaan narkoba. Media ini dapat dijadikan alternatif menarik, interaktif, dan mudah dipahami oleh kelompok usia remaja.