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Brisk walking exercise as an effort to reduce blood glucose levels in diabetes mellitus Mustika, I Wayan; Sudiantara, Ketut; Suardana, I Wayan; Gama, Ketut
Journal Center of Excellent : Health Assistive Technology Vol. 2 No. 1 (2024): Journal Center of Excellent : Health Assistive Technology
Publisher : Center of Excellent (Pusat Unggulan Iptek)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jchat.v2i1.1564

Background: Non-communicable diseases (NCDs) are a health problem that is currently the focus of global and national attention. One of the NCDs that can be found is Diabetes Mellitus (DM). The chronic metabolic disease called diabetes mellitus is caused by an insufficient amount of insulin produced by the pancreas or the body being unable to adequately use the insulin it produces. Diabetes cannot be cured, but blood sugar can be controlled to prevent complications. Physical exercise or exercise is the third and very important aspect in controlling diabetes. One physical exercise that can be done is brisk walking exercise for 30 minutes. Objective: To find out whether the implementation of brisk walking exercise can reduce blood glucose levels in diabetes mellitus sufferers in Wall Village, Tejakula District, Buleleng Regency in 2023. The type of research used is quasi-experimental with a nonequivalent control group design. The sampling technique used was non-probability sampling, namely purposive sampling, namely 30 respondents (15 intervention groups and 15 control groups). The Wilcoxon test results obtained ????-value 0.001 < alpha (0.05), which means there is a difference in blood glucose levels before and after brisk walking exercise in diabetes mellitus sufferers. Based on this research, it is recommended that brisk walking can be used as a non-pharmacological therapy to reduce blood glucose levels.

PEMBERDAYAAN KADER DALAM PENGELOLAAN ASAM URAT PADA LANSIA DI DESA MEGATI KABUPATEN TABANAN Mustika, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Purnama, Tedi
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i2.1670

Lansia sebagai kelompok berisiko mengakibatkan konsekuensi pada tingginya proporsi masalah kesehatan pada lansia. Proses menua mengakibatkan penurunan secara bertahap hampir seluruh organ dan sistem dalam tubuh, baik fisik, mental maupun psikologisnya. Kelemahan fisik merupakan faktor risiko yang mengakibatkan penurunan kemampuan lansia untuk bisa menikmati kehidupan. Penyakit tidak menular pada lansia kwantitasnya juga sangat tinggi, seperti: hipertensi, diabetes miletus, Asma, rematoid dan gangguan gizi. Dilapangan juga banyak ditemukan satu orang lansia menderita lebih dari satu penyakit, jiga tidak jarang ditemukan seorang lansia menderita lebih dari satu penyakit. Tujuan kegiatan pengabdian masyarakat sebagai salah satu Tri Darma Pegruan Tinggi yang memberikan kontribusi transfer ilmu dan tehnologi kepada Masyarakat khususnya kader dalam pengelolaan asam urat. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini yaitu pelatihan kader dan pemberdayaan kader menggunakan modul Penyakit tidak menular dan buku pemantauan kesehatan lansia. Membat jamu bubuk kunyit, pelayanan lansia meliputi pemeriksaan fisik: menimbang BB dan mengukur tinggi badan, mengukur tekanan darah, menghitung denyut nadi dan pemeriksaan gula darah, asam urat dan kolesterol, membuka ruang konsultasi bidang kesehatan, sesuai hasil pemeriksaan dan keluhan yang disampaikan. Hasil pengabdian didapatkan bahwa sebelum dan setelah pelatihan kader lansia adanya peningkatan pengetahuan dalam pengelolaan penyakit tidak menular khususnya asam urat.

The Effect of Coffee Consumption on Blood Sugar Levels in Diabetes Mellitus Patients in the Working Area of West Denpasar Puskesmas II, Denpasar, Bali, Indonesia Sulistiawati, Putu; Gama, I Ketut; Sudiantara, Ketut; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11106

Background: Non-communicable diseases (NCDs) are chronic diseases that cannot be transmitted from person to person. The aim of this study was to determine the effect of coffee consumption on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. Methods: This research method uses pre-experimental design using a non-equivalent control-group before-after design. The research subjects were diabetes mellitus sufferers aged 45 years and over. The population in this study was 77 and the total sample for this study was 44 people using the non-probability sampling technique with the purposive sampling method. The data collection instrument uses a glucometer. Coffee is consumed twice/day as much as 200 ml in the morning and evening 5 minutes after eating for 6 days. Results: The research results showed that of the 44 respondents, in the treatment group it was found that the average blood sugar level before being given coffee was 183.50 mg/dL, and after being given coffee was 168.50 mg/dL. Meanwhile, in the control group, the average blood sugar level before and after the study was 198.50 mg/dL. The results of univariate analysis used the Wilcoxon test and obtained a p value of 0.000 (α < (0.05)). Conclusion: The conclusion of this research is that there is an effect of drinking coffee on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. It is hoped that from the results of this research, drinking coffee can be used as an alternative drink to lower blood sugar levels.

The Impact of Prior Related Behavior on Stunting Incidents Abang I Health Center, Karangasem District, Bali, Indonesia Wulandari, Kadek Dina; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Sudiantara, Ketut
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11004

Background: Stunting is growth failure in children under 5 years due to chronic malnutrition, often occurring during the first 1000 days of life. Maternal behavior during pregnancy has a major impact on fetal development and the possibility of stunting. This study aims to analyze the relationship between prior related behavior, such as blood increasing tablets consumption, antenatal care checks, and animal protein consumption, with the incidence of stunting in the Abang I Community Health Center Work Area, Karangasem Regency. Methods: Using non-probability sampling technique with Purposive sampling, with a total of 70 respondents from a total population of 230 people who met the inclusion criteria, namely mothers aged 15-45 years, mothers who had stunted toddlers and were registered in the Abang I Community Health Center Working Area. Results: Based on non-probability statistical tests. Spearman Rank parametric, found a significant p-value for blood increasing tablets consumption behavior (p=0.002), Antenatal care examination (p=0.004), and animal protein consumption (p=0.002), showing a value <0.05 which means there is a relationship with stunting incident. The majority of respondents showed bad behavior in these three areas, namely consump blood increasing tabletstion behavior 55.7%, antenatal care examination 55.7% and animal protein consumption 52.9%. It is hoped that health workers at the Community Health Center will follow up with pregnant women and teenage girls in coordination with the village or Community Health Center for education about the importance of blood increasing tablets, antenatal care examinations, and animal protein intake to prevent stunting in toddlers. Conclusion: There is a relationship between maternal behavior in consuming blood supplement tablets, antenatal care and animal protein consumption with the incidence of stunting in the working area of Puskesmas Abang I, Karangasem district, Bali, Indonesia.

The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Padmi, Luh Sri Anggayoni Julia; Achjar, Komang Ayu Henny; Gama, I Ketut; Mustika, I Wayan; Lestari, Agus Sri; Sudiantara, Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.

The Effect of Gayatri Mantra Meditation on Blood Pressure Reduction in Elderly Individuals with Hypertension in Pemecutan Kelod Village, Denpasar, Indonesia Dewi, Ni Putu Diah Trisna; Sudiantara, Ketut; Mustika, I Wayan; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20305

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.

Bay Leaf Brewing Lowers Blood Sugar Levels in Elderly People with Type 2 Diabetes Mellitus Satriawati, Ni Nyoman Ayu; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Achjar, Komang Ayu Henny; Mustika, Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20603

Background: Type 2 diabetes mellitus in the elderly can cause increased blood sugar levels that risk damaging various body systems. One natural alternative to help lower blood sugar levels is to utilize bay leaves, which are known to have active ingredients that have the potential to be antidiabetic. This study aims to determine the effect of boiled bay leaves on blood sugar levels in elderly people with type 2 diabetes mellitus. Methods: The study used a pre-experimental design with a one group pre and post test design approach. The study population was elderly people with type 2 diabetes mellitus in the Abang II Health Center, Karangasem, Bali Province, Indonesia with a sample size of 49 people selected using the proportional stratified random sampling technique. Respondents were given an intervention in the form of consuming 220 ml of boiled bay leaf water every morning before eating for seven consecutive days. The bay leaves used were old leaves weighing 2 grams. Blood sugar levels were measured using the Easy Touch tool, with established standard procedures. Results: The results showed that before the intervention, all respondents had random blood sugar levels >200 mg/dL. After the intervention, 93.9% of respondents experienced a decrease in blood sugar levels to <200 mg/dL. The paired t-test statistical test showed a p value = 0.001 (p <0.05), which means there was a statistically significant decrease in blood sugar levels. Conclusions: The conclusion of this study is that boiled bay leaf water is effective in lowering blood sugar levels in elderly people with type 2 diabetes. It is recommended to use it as a safe and natural additional therapy, while continuing to consult a doctor for further monitoring.

Pengaruh Massage Minyak Jahe Merah terhadap Skala Nyeri pada Pasien dengan Osteoarthritis Pramesti, Kadek Diah; Ngurah, IGK Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Lestari, Agus Sri; Achjar, Komang Ayu Henny; Mustika, I Wayan; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4041

Osteoarthritis is a degenerative disease of joint cartilage that causes pain. The aim of this study was to determine the effect of red ginger oil massage on the pain scale in patients with osteoarthritis. This research used pre-experimental research with one-group pre-posttest with purposive sampling technique with 35 populations. There were 33 samples were given massage treatment using 5-10cc of red ginger essential oil 2x a week for 2 weeks for 20 minutes. The results of this research show that the majority of respondents are 66-70 years old (54,5%), the majority are female (55,5%), the respondent's education is high school (60,6%), the respondent's occupation is trader (24,2%), and the majority of respondents suffered from osteoarthritis for one year (30,3%). The patient's pain scale before the red ginger oil massage was carried out was in the moderate pain category (72,7%) with an average pain scale of 4,12 and after the red ginger oil massage was carried out it was in the mild pain category (100%) with an average pain scale of 2,18. Based on the results of the Wilcoxon test, a p value of 0,000 (α=0,05) was obtained, so it can be concluded that there is an effect of red ginger oil massage on the pain scale in patients with osteoarthritis and a decrease in the pain scale of 1,94. Massage in synergy with the red ginger oil content applied to the skin will reach the blood circulation which can inhibit prostaglandin synthesis, so that pain subsides or inflammation is reduced. It is hoped that the results of this research can be used as an alternative measure in treating complaints of joint pain in osteoarthritis patients.

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