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Daryaswanti, Putu Intan
Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana
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Journal : Jurnal Kesehatan Medika Udayana

 1 
Hubungan Obesitas Sentral Terhadap Lipid Profil Pada Peserta Medical Check Up di Niki Diagnostik Center Denpasar Daryaswanti, Putu Intan; Adiatmika, I Putu Gede; Bagiartha, I Made Oka
Jurnal Kesehatan Medika Udayana Vol 3 No 01 (2017)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Central obesity is the fat deposition in the abdominal area and can cause adverse health effect. Dyslipidemia is a condition that follows the obese, where there is a lipid metabolism disorder characterized by changes in plasma lipid fractions (hypercholesterolemia, hypertriglyceridemia, increased LDL cholesterol and decrease HDL cholesterol). The situation is a high risk factor for atherosclerosis. This study aims to determine the relationship between central obesity and lipid profiles. Methods:The study was conducted at the check-up participants who have waist circumference ≥ 80 cm for women and waist circumference ≥ 90 cm for men. The study design was analytical descriptive cross-sectional study. Results: Data of waist circumference were measured by anthropometric assessment and data of lipid profiles were measured by using a TRX 7010. The results showed that waist circumference of participants were 91-115 cm, and all participants had increased levels of lipid profile. Based on the Pearson correlation test, a score is significant correlation between central obesity on LDL (p <0.05), and there is no significant correlation among to the total cholesterol, HDL cholesterol and triglycerides (p> 0.05). Conclusions:  It was concluded there is a relationship between central obesity and LDL cholesterol and no relationship among central obesity, total cholesterol, HDL cholesterol, and triglycerides. ABSTRAK Latar belakang: Obesitas sentral merupakan timbunan lemak yang terdapat di daerah perut dan dapat menimbulkan dampak buruk pada kesehatan. Dislipidemia adalah kondisi yang mengikuti obesitas, dimana terjadi gangguan metabolisme lipid yang ditandai dengan perubahan fraksi lipid plasma (hiperkolesterolemia, hipertrigliseridemia, peningkatan kolesterol LDL dan penurunan kolesterol HDL). Keadaan tersebut merupakan faktor risiko tinggi terjadinya aterosklerosis. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara obesitas sentral dan lipid profil. Metode: Penelitian dilakukan pada peserta check up dengan lingkar pinggang ≥ 80 cm untuk perempuan dan lingkar pinggang ≥ 90 cm untuk laki-laki. Rancangan penelitian adalah deskriptif analitik cross-sectional study. Data lingkar pinggang diukur dengan pemeriksaan antopometri dan data lipid profil diukur dengan menggunakan alat TRX 7010. Hasil: penelitian didapatkan ukuran lingkar pinggang peserta adalah 91-115 cm dan semua peserta mengalami peningkatan kadar lipid profil. Berdasarkan uji korelasi Pearson, didapatkan nilai hubungan bermakna antara obesitas sentral terhadap LDL (p<0,05), dan tidak ada hubungan bermakna pada kolesterol total, kolesterol HDL dan trigliserida (p>0,05). Simpulan: ada hubungan antara obesitas sentral dengan kolesterol LDL dan tidak ada hubungan antara obesitas sentral, kolesterol total, kolesterol HDL, dan trigliserida.
Gambaran Glukosa Darah Pada Pasien Pra Hemodialisa di Unit Hemodialisa RSUP. Sanglah Denpasar Artati, Putri Sagung; Sukawana, I Wayan; Suratmiti, Ni Nyoman; Daryaswanti, Ni Putu Intan
Jurnal Kesehatan Medika Udayana Vol 3 No 02 (2017)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Background: Hemodialysis is often found in complications that include muscle cramps, hypotension, arrhythmia, hypoxemia, uremia, hypoglycemia and digestive disorders. The function of kidney organs that are replaced by dialysis is that there are significant differences, so that the metabolic material which should be absorbed is wasted, especially blood glucose. The purpose of this study was to determine the description of blood glucose in pre-HD patients at Sanglah Hospital Denpasar. Method: The design of this study used a cross sectional approach. The population in this study were all patients who would undergo hemodialysis in the hemodialysis unit of Sanglah Hospital, Denpasar, with a sample of 30 people. Primary data presented in the form of frequency distribution. Blood glucose levels were measured by a glucometer device, blood samples were taken through 5 minute capillary access before the hemodialysis process was carried out. Results: In this study it was found that the majority of respondents who underwent hemodialysis in the hemodialysis unit of Sanglah Hospital, Denpasar, were 51-55 years old with 9 people (33.33%), 19 people (63.33%) male sex, and recorded that 13 respondents (43.33%) had blood glucose levels 70-125 mg / dl and 17 respondents (56.67%) had blood glucose levels> 125 mg / dl. From the results of measurements of blood glucose levels for the study sample, patients who underwent hemodialysis in the hemodialysis unit of Sanglah General Hospital were included in the high category, and 13 respondents were included in the normal category. Conclusion: Most of the patients undergoing hemodialysis have a history of diabetes, this is the most common cause of kidney failure. High blood sugar levels are a risk factor for damage to various systems and tissues in the kidneys. Many studies have shown that good blood sugar levels will prevent kidney damage. ABSTRAK Latar Belakang: Tindakan hemodialisa sering kali ditemukan komplikasi yang terjadi antara lain, kram otot, hipotensi, aritmia, hipoksemia, uremia, hipoglikemia dan gangguan pencernaan. Fungsi organ ginjal yang digantikan dialiser ada perbedaan yang signifikan, sehingga bahan metabolism yang semestinya direabsorbsi terbuang terutama glukosa darah. Tujuan dari penelitian ini yaitu untuk mengetahui gambaran glukosa darah pada pasien pra HD di RSUP Sanglah Denpasar. Metode: Rancangan penelitian ini menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien yang akan menjalani hemodialisa di unit hemodialisa RSUP Sanglah Denpasar dengan sampel sebanyak 30 orang. Data primer yang disajikan berupa distribusi frekuensi. Kadar glukosa darah diukur dengan alat gluco meter, sampel darah diambil melalui akses kapiler 5 menit sebelum dilakukan proses hemodialisa. Hasil: Pada penelitian ini ditemukan bahwa responden yang menjalani hemodialisa di unit hemodialisa RSUP Sanglah Denpasar terbanyak berumur 51-55  tahun sebanyak 9 orang (33,33%), sebanyak 19 orang (63,33%) berjenis kelamin laki-laki, dan tercatat bahwa 13 responden (43,33%) memiliki kadar glukosa darah 70-125 mg/dl dan 17 responden (56,67%) memiliki kadar glukosa darah > 125 mg/dl. Dari hasil pengukuran kadar glukosa darah terhadap sampel penelitian didapatkan pasien-pasien yang menjalani hemodialisa di unit hemodialisa RSUP Sanglah termasuk dalam kategori tinggi, dan 13 responden yang termasuk kategori normal. Dari  responden yang kadar glukosa darahnya normal sebagian besar berumur 36-40 tahun sebanyak 6 responden (20%) dan  berjenis kelamin laki-laki sebanyak 8 responden (26,67%), yang kadar glukosa darahnya tinggi sebagian besar berumur 46-55 tahun sebanyak 12 responden (40%) dan berjenis kelamin laki-laki 11 responden (36,67%). Simpulan: Sebagian besar pasien yang menjalani hemodialisa memiliki riwayat penyakit kencing manis, ini merupakan penyebab terbanyak dari gagal ginjal. Kadar gula darah yang tinggi merupakan faktor risiko terjadinya kerusakan berbagai sistem dan jaringan dalam ginjal. Banyak penelitian membuktikan, dengan kontrol kadar gula darah yang baik akan mencegah kerusakan ginjal.
Tingkat Pengetahuan Pasien Gagal Ginjal Kronik Dalam Menjalani Hemodialisa Wiyani, Ni Putu; Sukarja, I Made; Krisnayani, Ni Made Wina; Daryaswanti, Putu Intan
Jurnal Kesehatan Medika Udayana Vol 4 No 02 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death. ABSTRAK Latar belakang: Gagal Ginjal Kronik merupakan salah satu masalah kesehatan penting di Indonesia dan masyarakat dunia. Di Indonesia menurut data dari Penetri (Persatuan Nefrologi Indonesia) jumlah penderita gagal ginjal diperkirakan mencapai 4500 orang, namun yang terdeteksi menderita gagal ginjal kronik tahap terminal dari mereka yang menjalani cuci darah (hemodialisa) hanya sekitar 4 ribu – 5 ribu orang. Kasus gagal ginjal di Indonesia setiap tahunnya masih terbilang tinggi, pasalnya masih banyak masyarakat Indonesia tidak menjaga pola makan dan kesehatan tubuhnya. Hal ini berarti membuat penyakit gagal ginjal kronik menduduki salah satu peringkat penyakit penyebab kematian tertinggi. Tujuan penelitian ini adalah untuk menggambarkan tingkat kepatuhan pasien gagal ginjal kronik dalam menjalani program hemodialisa di ruang hemodialisa RSUD Sanjiwani Gianyar. Penelitian ini merupakan penelitian jenis observasional deskriptif. Penelitian ini menggunakan teknik sampling yaitu purposive sampling dengan jumlah sampel sebanyak 30 orang. Pada penelitian ini hasil dari tingkat kepatuhan pasien GGK terhadap hemodialisa sebanyak 27 responden (90%) yang patuh dan yang tidak patuh sebanyak 3 responden (10%). Dengan demikian sebagian besar pasien gagal ginjal kronik patuh menjalani hemodialisa di ruang hemodialisa RSUD Sanjiwani Gianyar. Kesimpulan penelitian ini adalah diharapkan pasien gagal ginjal kronik agar berobat secara teratur sesuai dengan aturan yang telah ditetapkan oleh petugas kesehatan. Penundaan cuci darah menyebabkan komplikasi paru, kejang, penurunan kesadaran, gangguan elektrolit yang berat, gagal jantung, yang bisa menyebabkan kematian.
Gambaran Upaya Mengatasi Kecemasan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Purnami, Ni Wayan; Rahayu, V.M Endang Sri Purwadmi; Dira, I Ketut; Daryaswanti, Putu Intan
Jurnal Kesehatan Medika Udayana Vol 5 No 01 (2019)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Abstract

ABSTRACT Background: Chronic kidney disease is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain the metabolism and balance of fluids and electrolytes causes uremia. One medicine for the treatment of chronic kidney failure is hemodialysis therapy. Ironically, many patients undergoing hemodialysis experience anxiety. This study aims to determine the efforts to overcome the anxiety of chronic kidney failure in patients undergoing hemodialysis in the Hemodialysis Room of Sanglah Hospital, Denpasar. Method: The research design used was a descriptive analysis approach survey. The study sample used was kidney failure patients who experienced chronic hemodialysis anxiety and light using consecutive sampling technique. Data obtained in April 2012 by filling out a questionnaire about efforts to overcome data analysis anxiety in univariate. Results: Of the 40 respondents who underwent hemodialysis, there were 28 people (70%) experiencing moderate anxiety and 12 people (30%) experiencing mild anxiety. And to overcome anxiety is 27 people (67.50%) doing cognitive therapy and 13 people (32.50) doing relaxation techniques. Conclusions: Some efforts made such as cognitive therapy and relaxation techniques can reduce anxiety in patients with chronic renal failure undergoing hemodialysis.     ABSTRAK Latar belakang: Penyakit ginjal kronis adalah gangguan fungsi ginjal progresif dan irreversible dimana kemapuan tubuh gagal untuk mempertahankan metabolisme dan keseimbangan cairan dan elektrolit sehingga menyebabkan uremia. Salah satu obat untuk pengobatan gagal ginjal kronis adalah dengan cara terapi hemodialisa. Ironisnya, banyak pasien yang menjalani hemodialisa mengalami kecemasan. Penelitian ini bertujuan untuk mengetahui upaya mengatasi kecemasan gagal ginjal kronik asien yang menjalani hemodialisa di Ruang Hemodialisa RSUP Sanglah Denpasar. Metode: Desain penelitian yang digunakan adalah survei pendekatan analisis deskriptif. Sampel penelitian yang digunakan adalah pasien gagal ginjal yang mengalami kecemasan hemodialisa kronis dan cahaya menggunakan teknik consecutive sampling. Data yang didapatkan pada bulan April 2012 dengan cara mengisi kuesioner tentang upaya untuk mengatasi kecemasan analisis data di univariat. Hasil: Dari 40 responden yang menjalani hemodialisa, ada 28 orang (70%) mengalami kecemasan sedang dan 12 orang (30%) mengalami kecemasan ringan. Dan untuk mengatasi kecemasan adalah 27 orang (67,50%) melakukan terapi kognitif dan 13 orang (32,50) melakukan teknik relaksasi. Simpulan: Beberapa upaya yang dilakukan seperti terapi kognitif dan teknik relaksasi dapat menurunkan kecemasan pada pasien gagal ginjal kronik yang menjalani hemodialisis.
Gambaran Tingkat Pengetahuan Pasien DM tipe II tentang Manajemen DM di RSUD Wangaya Kota Denpasar Daryaswanti, Putu Intan; Dwipranata, Kadek Yoga; Deani, Ni Wayan
Jurnal Kesehatan Medika Udayana Vol 5 No 02 (2019)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Background: Diabetes Militus is a degenerative disease caused by changes in lifestyle such as diet can play a role in increasing blood glucose levels. This change in lifestyle is due to a lack of patient knowledge about DM management, leading to failure in DM management and complications for type II DM. Purpose: a study to determine the level of knowledge of Type 2 Diabetes Militus patients in Wangaya District Hospital, Denpasar. Method: The method used in the study is to use descriptive methods. The study population was patients visiting the Wangaya Hospital Polyclinic in Denpasar City with medical diagnosis of type II DM. The research sample of 30 respondents with purposive sampling. The data obtained from the questionnaire that had previously been tested for validity and reliability. Then the data is analyzed univariately to see the patient demographic characteristics and is presented in the frequency distribution. Results: the results of the study obtained the level of patient knowledge about management of Type 2 DM (73.3%) in either category. When viewed by the DM management component, the patient's knowledge of DM (63.3%) is sufficiently knowledgeable, the patient's knowledge of diet (63.3%) is good, the DM patient's knowledge of medicine (90.0%) is well-informed and knowledgeable DM patients about physical exercise (60.0%) lack knowledge. Conclusion: knowledge of type II DM patients about DM management as a whole is well known, but when elaborated the components of DM management which consist of the concept of disease from type II DM, diet, medication and physical exercise are not fully well known.
Co-Authors A. A. Gede Raka Suta Pranata Agung Sintha Artati, Putri Sagung Artawan, I.K Astutik, Windu Bagiartha, I Made Oka Deani, Ni Wayan Dewa Putu Eka Putra Apnyana Dewi, Ni Luh Made Asri Dira, I Ketut Dwipranata, Kadek Yoga Eko Prayitno Febianingsih, Ni Putu Eka Florencia, Jessica Dini I Ketut Dira I Made Sukarja I Made Sukarja I Putu Gede Adiatmika Kadek Dheana Novitayani Kadek Yoga Dwipranata Komang Agus Jerry W Krisnayani, Ni Made Wina Muryani, Ni Made Sri N.L.P Suardhini Yudhawati Ni Komang Dima Listyana Putri Ni Made Melati Dewi Ni Made Wina Krisnayani Ni Putu Eny Sulistyadewi Ni Putu Wiyani Ni Wayan Deani Ni Wayan Purnami Noviyanti, Ni Putu Ayu Wulan Pendet, Ni Made Diah Pusparini Prakoso, Eko Budi Priyo Utomo Purnami, Ni Wayan Putra, I Gede Yudiana Putra, I Gede Yudiana Putri, Ni Komang Dima Listyana Rahayu, V.M Endang Sri Purwadmi Sukawana, I Wayan Suratmiti, Ni Nyoman Udiyani, Ida Ayu Bunga V.M.E Sri Purwadmi Rahayu Wahyu Widiantari, Made Ary Widayati, Kurniasih Widiartha, Komang Kurniawan Widyanata, Komang Agus Jerry Wina Ni Made Krisnayani Wiyani, Ni Putu Yudhawati, N.L.P Suardhini