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Pemilihan Akses Vaskular Berhubungan dengan Kualitas Hidup Pasien yang Menjalani Hemodialisis Putu Intan Daryaswanti; Kadek Dheana Novitayani
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 2 (2021): April 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i2.1250

Abstract

Tindakan Hemodialisa yang dilakukan secara regular tentunya harus memberikan kenyamanan pada pasien dalam menjalaninya. Kenyamanan yang meningkat dapat meningkatkan kualitas hidup pasien yang rutin menjalankan hemodialisis termasuk dalam pemilihan akses vaskuler pasien hemodialisis. Tujuan penelitian ini untuk mengetahui hubungan pemilihan akses vascular dengan kualitas hidup pasien yang menjalani hemodialisis. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain metode korelasi cross sectional. Populasi penelitian ini adalah pasien GGK yang menjalani hemodialisis regular di Klinik Semesta Mandiri Denpasar Pengambilan sampel menggunakan teknik simple random sampling dengan jumlah responden 35. Alat pengumpulan data yang digunakan untuk mengetahui kualitas hidup pasien menggunakan kuesioner WHOQOL-BREF (The World Health Organization Quality of Life). Uji korelasi Spearman menunjukkan nilai signifikansi 0,012 (p<0,05) berarti ada hubungan antara akses vaskuler dengan kualitas hidup pasien. Nilai korelasi Spearman menunjukkan bahwa akses vaskuler memiliki korelasi yang sedang (0,419) dan menunjukkan arah korelasi menunjukkan positif, dimana akses vaskuler AVF menunjukkan kualitas hidup pasien menjadi baik. Hasil penelitian yang berpusat pada pasien, dengan fokus pada hasil seperti QOL, telah muncul sebagai hal yang penting komponen penelitian efektivitas komparatif dan peningkatan pemberian perawatan kesehatan.
Gambaran Tingkat Pengetahuan Dan Perilaku Masyarakat Tentang Pemberantasan Sarang Nyamuk Di Banjar Dinas Dangin Pura Desa Panji Sukasada Buleleng Agung Sintha; Putu Intan Daryaswanti
Bali Health Published Journal Vol. 3 No. 1 (2021): Juni : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.502 KB) | DOI: 10.47859/bhpj.v3i1.13

Abstract

Background: Dengue hemorrhagic fever is one of the population's health issues in Indonesia, with an increasing number of sufferers as the disease spreads. The cases rose dramatically in Panji Village, with a significant spike in cases per year. Dengue hemorrhagic fever transmission is inextricably linked to the residents' experience and behavior. Mosquito Nest Eradication is the most reliable, safe, and cost-effective method of eliminating dengue fever vectors. The MNE Program must be complemented by increasing public awareness of dengue fever. Public awareness is needed since it is the first step in changing people's behavior. The aim of this study is to describe the community's level of knowledge and behavior regarding MNE in Panji Village. Method: This study is a descriptive study using univariate analysis. The overall selection of this study was 400 people from the community who were interviewed using a questionnaire. The inclusion criteria comprises any community member from Banjar Dinas Dangin Pura, who is 17 to 55 years old and can read and write. Meanwhile, people between the ages of 17 and 55 who are wandering, those with mental illnesses, and people with special needs are among the exclusion criteria. Results: The majority of the population in the Banjar Dinas Dangin Pura Panji Village was between the ages of 26 and 35 (46.7%), In terms of gender (224 people) (56%) were men, completed their high schools, with 229 people (57.3%), were working as farmers 158 individuals (39.4%). Most people in Banjar Dinas Dangin Pura Panji Village had inadequate knowledge as many as 249 individuals (62.3%), and had less behavior as many as 152 individuals (38%) towards MNE. Conclusion : The majority of people had a poor degree of awareness about MNE, and those on MNE had a poor degree of behavior.
Gambaran Tingkat Stres Akademik Mahasiswa DIII Keperawatan Dalam Menjalani Pembelajaran Online di Stikes Kesdam IX/Udayana Eko Prayitno; Putu Intan Daryaswanti
Bali Health Published Journal Vol. 3 No. 1 (2021): Juni : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (518.665 KB) | DOI: 10.47859/bhpj.v3i1.14

Abstract

Background: The recent outbreak of the Covid-19 pandemic has restricted activities involving large groups of individuals, including the learning process at institutions that should use an online learning system. Boredom and trouble understanding information during online learning can result in academic stress for students, who must be able to adjust to a new learning method as well as the demands of campus assignments. The goal of this study is to determine the amount of academic stress experienced by DIII nursing students enrolled in online learning at Stikes Kesdam IX/Udayana in 2021. Methods: This study employs a descriptive research method. DIII nursing students from Stikes Kesdam IX/Udayana made up the study's population, which totalled 94 persons. Random sampling with a modified Dass 42 questionnaire was employed in this study with validity value (0.361-0.603) and a reliable value (0.916). Results: According to the findings of the survey, as many as 37 people (50%) aged 17 to 25 years faced significant academic stress. As many as 25 people were found to be suffering from significant academic stress among male respondents (54.3%). On the other hand, students in their junior and senior years were more likely to feel significant academic stress, with up to 22 people reporting this occurrence (53.6%). Meanwhile, 35 students (49.3%) faced extreme academic stress as they had an accomplishment index score of 2.76-3.5. Conclusion: The amount of academic stress experienced by DIII nursing students enrolled in online learning at Stikes Kesdam IX/Udayana, with 94 responses, fell into the severe academic stress group, with as many as 48 people experiencing severe academic stress (51.1% ).
GAMBARAN TINGKAT PENGETAHUAN LANSIA TENTANG PENYAKIT DEMENSIA DI BANJAR KERTA, KECAMATAN PAYANGAN, KABUPATEN GIANYAR A. A. Gede Raka Suta Pranata; Ni Made Wina Krisnayani; Komang Agus Jerry Widyanata; Putu Intan Daryaswanti
Bali Health Published Journal Vol. 4 No. 1 (2022): Juni : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.546 KB) | DOI: 10.47859/bhpj.v4i1.81

Abstract

Latar Belakang : Masalah kesehatan yang sering dialami oleh lansia salah satunya adalah penyakit dimensia. Demensia merupakan kumpulan gejala neurodegeneratif yang timbul karena kelainan yang bersifat kronis dan progesif disertai dengan gangguan fungsi kognitif seperti kemampuan mengingat, proses berpikir, kalkulasi, kapasitas belajar, orientasi, bahasa, dan mengambil keputusan. Demensia terjadi karena sel saraf otak di bagian tertentu mengalami kerusakan, sehingga menyebabkan kemampuan otak untuk berkomunikasi dengan saraf tubuh lainnya menjadi menurun. Dampak demensia terjadinya penurunan dalam daya ingat, kemampuan untuk mengingat waktu, mengenali orang, tempat dan benda. Tujuan penelitian ini bertujuan untuk mengetahui tingkat pengetahuan lansia tentang penyakit demensia Metode : Penelitian ini menggunakan metode deskriptif menggunakan alat ukur kuesioner. Lokasi penelitian ini di Banjar Kerta, Kecamatan Payangan, Kabupaten Gianyar, dengan jumlah sampel 77 orang lansia yang berusia lebih dari 45 tahun dengan teknik purposive sampling. Hasil : Karakteristik berdasrakan usia sebagian besar usia 60-74 tahun 55 responden (71,4%), berdasarkan jenis kelamin sebagian besar perempuan 43 (55,8%), berdasarkan pekerjaan sebagian besar tidak bekerja 39 (50,6%), berdasarkan pendidikan sebagian besar SD 48 (62,3), hasil tingkat pengetahuan lansia tentang penyakit demensia yang diperoleh yaitu hasil pengetahuan dalam kategori kurang sebesar 64 (83,1%). Simpulan : Tingkat pengetahuan lansia tentang penyakit demensia di Banjar Kerta, Kecamatan Payangan, Kabupaten Gianyar sebagian besar memiliki tingkat pengetahuan kurang. Perlu penekanan pengetahuan pada pasien yang berlatar belakang pendidikan rendah dan yang tidak bekerja dan pada lansia tentang demensia.
GAMBARAN TINGKAT KELEMBABAN KULIT PADA PASIEN GAGAL GINJAL KRONIK DI RUANG HEMODIALISA RSUD BULELENG Putu Intan Daryaswanti
Bali Health Published Journal Vol. 1 No. 1 (2019): Juni : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.694 KB) | DOI: 10.47859/bhpj.v1i1.101

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Background: Etiology of pruritus uremic has not yet been found specifically, but there are risk factors of the pruritus such as dry skin, reduced pruritogenic transpidermal elimination, hyperparathyroid, high calcium, magnesium and phosphate levels. Pruritus is a common and sad symptom that affects patients with chronic kidney disease. Purpose: to describe the skin moisture level in patients with Chronic Kidney Failure who undergo Hemodialysis in the Hospital of Buleleng. Method: This research is a quantitative research using descriptive method design. The population of this study was CRF patients who underwent regular HD at Buleleng Hospital. Sampling using simple random sampling technique with a total of 52 respondents. Respondents studied were CRF patients who underwent regular HD twice a week with a description of characteristics including age, sex, education, occupation and length of HD. Result: showed that the majority of respondents (38.4%) were in the category of 30-45 years old with a greater number of male respondents (69.2%). Most of the respondents' education levels were in secondary education (42.3%) and respondents did not work as many as 10 respondents (19.2%). Furthermore, the length of HD is mostly for 0-5 years, which is as much as 75%. the skin moisture level of CRF patients undergoing Hemodialysis in Buleleng General Hospital found that all respondents obtained dry skin (100%). Patients who undergo HD for approximately 5 years have experienced dry skin. Conclusion: Chronic kidney failure can cause changes in the sweat glands and oil glands which cause the skin to lose its natural ability to moisturize itself. This condition can also be caused by metabolic changes in CRF, which are interrelated with the fluid volume of patients undergoing dialysis.
GAMBARAN TINGKAT KOGNITIF PADA LANSIA DI DESA LEBIH BANJAR DUUR KAJA GIANYAR Ni Made Melati Dewi; Putu Intan Daryaswanti
Bali Health Published Journal Vol. 2 No. 2 (2020): Desember : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.86 KB) | DOI: 10.47859/bhpj.v2i2.248

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Background: Cognitive level is a mental process or physical or thought activity that leads to the role of perception, ability, memory and thought processes possessed by every human being. The incidence of cognitive decline in Indonesia in 2019 as many as 47% of elderly experience a decrease in cognitive level. The occurrence of changes and setbacks in the cognitive level in the future will have an impact on the health of the elderly one of which is, a decrease in memory and changes in memory. This study aims to determine the cognitive level in the elderly in the village of more Banjar Duur Kaja Gianyar in 2020. Method: This study used a descriptive research method with cross sectional approach, the measuring instrument used in this study was the MMSE (Mini Mental State Examination) questionnaire. The population in this study is the elderly who live in the village of more Banjar Duur Kaja Gianyar with a total sample of 47 samples. The sampling technique used in this study was purposive sampling. Results: The results of the study of 47 elderly, the cognitive level of the elderly in the category of probable cognitive levels. Respondents with age > 60 are 18 elderly (45%) have a probable cognitive level. Respondents who were not educated 15 elderly (36.59%) had a probable cognitive level. Respondents who did not work 8 elderly (38.10%) had a probable cognitive level. 11 male respondents (44%) had a probable cognitive level. Conclusion: The cognitive level of the elderly in the village of more Banjar Duur Kaja Gianyar is in the category of probable cognitive level of 19 elderly (40.4%).
GAMBARAN TINGKAT PENGETAHUAN IBU TENTANG MANAJEMEN LAKTASI DI ASRAMA BATALYON ZENI TEMPUR 18/YKR GIANYAR Dewa Putu Eka Putra Apnyana; Putu Intan Daryaswanti
Bali Health Published Journal Vol. 2 No. 2 (2020): Desember : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.297 KB) | DOI: 10.47859/bhpj.v2i2.249

Abstract

Background: Lactation management is all management and efforts made to help mothers achieve success in breastfeeding their babies properly. The lack of proper management of lactation results in a decrease in the immune system of the baby, an increase in malnutrition and malnutrition rates that are at risk of increasing morbidity and mortality in infants. This study aims to determine the knowledge of mothers about lactation management in the Battalion Zeni Tempur 18 / YKR Gianyar Dormitory in 2020 Method: This research used descriptive research method with survey approach. The population in this study were mothers who had children under five in the Battalion Engineer Battalion 18 / YKR Gianyar Dormitory with a total sample of 37 samples. The sampling technique used in this study was purposive sampling. Results: The results of 37 respondents, that is the knowledge of mothers about lactation management, mostly in the good category. Respondents aged 20-35 years were mostly 32 people (91.4%) had good knowledge. Respondents with a high level of education were mostly 24 people (92.3%) with good knowledge. Respondents who did not work were mostly 22 people (88%) who had good knowledge. Primiparous respondents mostly 22 (88%) had good knowledge about lactation management. Conclusion: The level of mother's knowledge about lactation management in the Battalion Engineer Battalion 18 / YKR Gianyar Dormitory is mostly in the good category of 34 people (91.9%)
Pengetahuan Remaja tentang Infeksi Menular Seksual di SMA Negeri 1 Singaraja Putu Intan Daryaswanti; Priyo Utomo; Ni Made Diah Pusparini Pendet
Jurnal Kesehatan Medika Udayana Vol. 7 No. 02 (2021): Oktober : Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.082 KB) | DOI: 10.47859/jmu.v7i02.93

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Background: Sexually Transmitted Infections are diseases that are transmitted through sexual contact. Most of the sufferers of this disease are adolescents aged 15-24 years. The high risk factor for this disease is adolescents because of the usual premarital sexual behavior. Sexuall transmission disease are still a health problem in various countries. One of the reasons is the relatively low level of adolescent knowledge. The purpose of this study was to describe the level of adolescent knowledge about sexually transmitted infections in SMA Negeri 1 Singaraja. Method: This research uses descriptive method with survey approach. The population in this study were teenagers in SMA Negeri 1 Singaraja with a sample of 293 samples. The sampling technique used in this study was simple random sampling. The measuring instrument in this study used a closed questionnaire with 30 questions. The data is then processed using SPSS. The data analysis method in this research is qualitative data analysis method. Results: The results of the 293 respondents, the knowledge of adolescents about sexually transmitted infections were mostly in the good category. Adolescents with a good level of knowledge were 260 respondents (88.7%), 30 respondents (10.2%) in moderate category, and 3 respondents (1.0%) in poor category. Conclusion: The majority of adolescents' knowledge level about sexually transmitted infections in SMA Negeri 1 Singaraja was in the good category as many as 260 respondents (88.7%). The results of this study are expected to be input for adolescents to always pay attention to their health and as an effort to prevent sexually transmitted infections.
TINGKAT KEPATUHAN PASIEN GAGAL GINJAL KRONIK DALAM MENJALANI HEMODIALISA Ni Putu Wiyani; I Made Sukarja; Wina Ni Made Krisnayani; Putu Intan Daryaswanti
Jurnal Kesehatan Medika Udayana Vol. 4 No. 2 (2018): Oktober: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.178 KB) | DOI: 10.47859/jmu.v4i2.146

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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.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance
GAMBARAN UPAYA MENGATASI KECEMASAN PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA Ni Wayan Purnami; V.M.E Sri Purwadmi Rahayu; I Ketut Dira; Putu Intan Daryaswanti
Jurnal Kesehatan Medika Udayana Vol. 5 No. 1 (2019): April : Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.944 KB) | DOI: 10.47859/jmu.v5i1.151

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.Keywords : Chronic Kidney Failur; Hemodialysis; Fear