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Critical Aspects in Assessing Palliative End-of-Life Care: A Narrative Review of Family Support and Spiritual Needs Buntari Agustini, Ni Luh Putu Inca; Israfil, Israfil; Suyasa, I Gede Putu Darma; Sujianto, Untung
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44511

Abstract

Aims: To review the existing evidence on the assessment of spiritual needs and family support in palliative end-of-life nursing care. Methods: A narrative review was conducted using databases, including ScienceDirect, EBSCOhost, ProQuest, and PubMed. Keywords included “palliative care,” “assessment tools,” “family,” and “spiritual.” After applying the inclusion criteria, 12 relevant articles were analyzed. Results: Two major assessment domains were identified. First, spiritual needs encompass perceptions of death, hopelessness, dependency, fear, avoidance, anxiety, stress, depression, Quality of Life (QoL), and religious barriers. Second, family support includes caregiver burden, fatigue, depression, declining physical health, anxiety, and financial stress. These factors influence both patient well-being and the family’s capacity to provide end of life care. Conclusion: Spiritual needs and family support are interconnected and critical components of a comprehensive palliative nursing assessment. Integrating structured spiritual and family assessment tools into clinical practice is essential for developing culturally sensitive holistic care plans that enhance quality of life and death. Future nursing education, clinical training, and policies should prioritize systematic assessment approaches and interdisciplinary collaboration to strengthen end-of-life care.
Caregiver Empowerment Through Training and Mentoring on Knowledge of Personal Hygiene Management in Older People Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana; Sutini, Ni Kadek; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.508

Abstract

One key aspect of elderly care is personal hygiene management, which directly influences older adults' physical health, psychological well-being, and dignity. Our observation indicates that 6% of older people experience difficulties in maintaining personal hygiene independently. These older people depend on caregivers to maintain their hygiene. However, many caregivers lack adequate knowledge and skills, highlighting the need for practical training and mentoring interventions. This community service activity aimed to enhance knowledge related to personal hygiene management in elderly care by conducting a structured training and mentoring program for caregivers. This activity, carried out in March 2025, included interactive training sessions and one-on-one mentoring involving 41 caregivers from Pedungan and Melinggih villages. Both villages were chosen because our previous studies were carried out in these places. They were representatives of rural and urban areas. To measure the impact of our program, we conducted a pre-post test experimental design without control groups. Knowledge was measured with a self-developed, validated questionnaire. A Wilcoxon Signed Rank Test revealed a statistically significant increase in the knowledge after training, z = -3.829, P < 0.001, with a large effect size (r = 0.6). The median score on the knowledge increased from pre-program (Md = 13) to post-program (Md = 14). Training and mentoring empower caregivers by enhancing their knowledge to better manage the personal hygiene of older people. This approach not only improves the quality of care provided but also contributes to the dignity, comfort, and overall health outcomes of the elderly population. Future programs need to be expanded to include a broader range of caregivers from different areas.
Pemberdayaan Keluarga Pasien Stroke melalui Pelatihan Relaksasi Terpadu Berbasis Mindfulness untuk Mendukung Rehabilitasi di Rumah Suantari, Luh Ari; Artha Kusuma, I Nyoman Krisna; Purnama Sari, Putu Mariany; Kusmadi, I Kadek Doni; Sri Rahayu, Dewa Ayu Erna; Israfil, Israfil; Darma Suyasa, I Gede Putu; Buntari Agustini, Ni Luh Putu Inca; Indrayani, Ni Luh Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24890

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ABSTRAK Keluarga berperan sebagai pengasuh utama dalam rehabilitasi pasien stroke berbasis rumah, namun peran ini kerap dihadapkan pada stres psikologis, kelelahan emosional, dan keterbatasan kemampuan koping yang dapat memengaruhi kualitas perawatan. Program pengabdian kepada masyarakat ini bertujuan memberdayakan keluarga pasien stroke melalui pelatihan relaksasi terintegrasi berbasis mindfulness untuk meningkatkan pengetahuan, kemampuan regulasi stres, serta kesiapan caregiver dalam menjalankan perannya.Kegiatan dilaksanakan dengan pendekatan edukatif dan partisipatif yang melibatkan tenaga interprofesional serta mengacu pada kerangka POAC (Planning, Organizing, Actuating, dan Controlling). Sebanyak 15 caregiver mengikuti edukasi terstruktur, diskusi kelompok kecil, dan demonstrasi teknik relaksasi yang meliputi pernapasan mindfulness, pernapasan dalam, serta relaksasi otot progresif. Proses pembelajaran didukung media leaflet dan audiovisual untuk menunjang praktik mandiri di rumah.Evaluasi dilakukan melalui pre-test dan post-test yang dianalisis menggunakan uji Wilcoxon Signed-Rank. Hasil menunjukkan bahwa sebelum intervensi sebagian besar peserta berada pada kategori pengetahuan rendah dengan rerata skor 38,0. Setelah pelatihan, hampir seluruh peserta mencapai kategori pengetahuan baik dengan rerata skor 100. Analisis statistik menunjukkan peningkatan pengetahuan yang signifikan (Z = −3,296; p = 0,001). Temuan ini menunjukkan bahwa pelatihan relaksasi berbasis mindfulness efektif mendukung peran keluarga dalam rehabilitasi pasien stroke berbasis komunitas. Kata Kunci: Stroke, Caregiver, Mindfulness, Relaksasi Terintegrasi, Rehabilitasi Di Rumah.  ABSTRACT Family members play a central role as primary caregivers in home-based stroke rehabilitation, yet this responsibility is frequently associated with psychological stress, emotional exhaustion, and limited coping skills that may compromise care quality. This community service program aimed to empower families of stroke patients through integrated mindfulness-based relaxation training to improve caregivers’ knowledge, stress regulation abilities, and readiness to provide care.The program applied an educational and participatory approach with interprofessional collaboration and was guided by the POAC framework (Planning, Organizing, Actuating, and Controlling). Fifteen caregivers participated in structured educational sessions, small-group discussions, and demonstrations of relaxation techniques, including mindfulness breathing, deep breathing, and progressive muscle relaxation. Educational materials were supported by leaflet and audiovisual media to encourage independent home practice. Program effectiveness was assessed using pre-test and post-test evaluations and analyzed with the Wilcoxon Signed-Rank test. Results showed a significant improvement in caregivers’ knowledge, with mean scores increasing from 38.0 before the intervention to 100 after training (Z = −3.296; p = 0.001). These findings indicate that mindfulness-based relaxation training is a feasible and effective strategy to reduce caregiver stress and enhance family capacity in community-based stroke rehabilitation. Keywords: Stroke, Caregiver, Mindfulness, Integrated Relaxation, Home Based Rehabilitation.
A Simulation-Based Kinesthetic Learning Model of Indonesian-Thailand College Students to Prevent Long-Term Musculoskeletal Health Problems in Rural Areas Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Buntari, Ni Luh Putu Inca Agustini; Israfil, Israfil; Kamaryati, Ni Luh Putu; Dewi, Ni Putu Dita Ariani Sukma; Wulansari, Nadya Treesna; Strisanti, Ida Ayu Suptika; Nelson, Warongrong
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.742

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Musculoskeletal health problems are among the most common health issues affecting communities, particularly in rural areas, due to heavy physical labor, non-ergonomic working postures, and limited access to health education. These conditions can reduce productivity, impair quality of life, and increase the risk of disability if preventive measures are not implemented early. Community-based health promotion programs that combine educational approaches with hands-on practice represent an effective strategy to enhance community knowledge and skills in preventing musculoskeletal problems. Furthermore, cross-national collaboration in community service initiatives can enrich learning methods and broaden perspectives in delivering health education. This community service program aimed to provide health promotion to prevent musculoskeletal health problems in rural areas by involving students from Indonesia and Thailand. The program employed a pre- and post-intervention design to evaluate improvements in knowledge and skills among 20 participants in a rural community. The results demonstrated increased competency following student-led simulations, with correct responses rising to 95% in injury prevention, 90% in stretching and muscle strengthening, and 90% in the ability to identify populations vulnerable to musculoskeletal problems. Specifically, participants’ ability to perform back-strengthening exercises improved to a mean score of 4.10±1.02, indicating that direct demonstration of techniques had a significant impact. Participants also showed the highest level of confidence when performing upper-arm stretching exercises, with a mean score of 4.65±0.87, reflecting strong understanding among the participants. Another key finding revealed that video was the most preferred learning method, chosen by 55% of participants. The use of this learning medium has considerable potential to support musculoskeletal health promotion in rural communities. Overall, the program achieved its intended objectives and provides a replicable model for similar health promotion initiatives in other rural areas. These findings may inform future health promotion strategies by emphasizing the use of multimedia and experiential learning approaches in delivering education and enhancing skills within musculoskeletal health programs.
Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community Israfil, Israfil; Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Swarjana, I Ketut; Sriasih, Ni Kadek; Nooiad, Ganyanee; Yogi RS, I Gusti Agung; Tripayana, I Nyoman; Wicaksana, I Gusti Agung Tresna
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.750

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Hypertension is one of the non-communicable diseases whose prevalence continues to increase and remains a major risk factor for cardiovascular disease. The management of hypertension does not rely solely on pharmacological therapy but also requires non-pharmacological interventions, such as adopting a healthy diet rich in fruits and vegetables and low in salt. However, public knowledge regarding types of foods that effectively help lower blood pressure remains limited, particularly in rural areas. This community service program (PKM) aimed to provide education on healthy foods that can reduce blood pressure as a form of non-pharmacological therapy for patients with hypertension in the community. The activity employed the Preparation, Action, Reflection, and Evaluation (PARE) approach and was conducted in Melinggih Village, Gianyar Regency, Bali Province, involving 29 participants with hypertension. The program began with a pre-test, followed by health education sessions supported by visual educational media, consultations, discussions, and question-and-answer sessions, and concluded with a post-test evaluation. The results showed that the proportion of participants with good knowledge increased from 34.5% before the intervention to 100% after the implementation of the program. The Wilcoxon test results indicated Z = -4.300; p = 0.001, demonstrating a statistically significant difference in participants’ knowledge levels before and after the activity. The success of the program was supported by lecture methods, consultations, and interactive discussions conducted bilingually (Indonesian and Balinese), as well as the use of colorful leaflets illustrating vegetables and fruits beneficial in lowering blood pressure. Thus, this community-based educational intervention proved effective in improving community knowledge and awareness regarding healthy food choices for hypertension management.
Program Edukasi Integrasi Perawatan Paliatif dan Perawatan Jangka Panjang dalam Meningkatkan Pengetahuan Pasien Gagal Ginjal Kronik Stadium Akhir Agustini, Ni Luh Putu Inca Buntari; I Putu Gede Darmayasa; I Nengah Agus Mega Aryawan; Ida Ayu Ketut Adi Setiawati; Ni Kadek Leni; Ni Made Wirantini; Ni Luh Tutik Hermi Wahyuni; Susanti, Ni Luh Putu Dina; Israfil, Israfil; I Gede Putu Darma Suyasa; Ni Luh Dwi Indrayani
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.765

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Gagal ginjal kronik (GGK) stadium akhir merupakan kondisi kronis progresif yang memerlukan terapi pengganti ginjal jangka panjang dan menimbulkan beban multidimensional bagi pasien serta keluarga. Selain keluhan fisik, pasien sering mengalami tekanan psikologis, keterbatasan sosial, dan penurunan kualitas hidup. Namun, edukasi terstruktur mengenai perawatan paliatif dan perawatan jangka panjang masih terbatas, sementara pelayanan kesehatan cenderung berfokus pada aspek teknis dan kuratif hemodialisis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan pasien dan keluarga mengenai GGK stadium akhir, perawatan paliatif, perawatan jangka panjang, serta strategi pengelolaan kecemasan melalui program edukasi terintegrasi. Kegiatan diikuti oleh 30 peserta yang terdiri dari pasien GGK stadium akhir dan anggota keluarga pendamping dengan latar belakang sosial dan pendidikan yang beragam. Sebagian besar peserta belum pernah memperoleh edukasi terstruktur mengenai asuhan holistik sebelumnya. Intervensi dilakukan melalui penyuluhan kesehatan, diskusi interaktif, serta pemberian media edukasi berupa leaflet dan materi presentasi. Pelaksanaan program menggunakan pendekatan manajemen POAC (Planning, Organizing, Actuating, dan Controlling). Evaluasi dilakukan menggunakan kuesioner pretest dan posttest yang mencakup empat aspek pengetahuan. Terjadi peningkatan pada seluruh aspek yang dinilai. Pemahaman tentang GGK stadium akhir meningkat dari 80% menjadi 92%. Pemahaman perawatan paliatif meningkat dari 82% menjadi 94%, perawatan jangka panjang dari 84% menjadi 93%, dan strategi pengelolaan kecemasan dari 85% menjadi 95%. Rata-rata skor keseluruhan meningkat dari 83% pada pretest menjadi 93% pada posttest. Program edukasi integrasi perawatan paliatif dan perawatan jangka panjang efektif dalam meningkatkan pengetahuan pasien dan keluarga mengenai asuhan holistik GGK stadium akhir. Program ini berpotensi memperkuat kesiapan pasien dan keluarga dalam menghadapi kondisi kronis secara berkelanjutan.
Revitalizing Local Knowledge to Address Students’ Moral Degradation in the Metaverse Era: An Embedded Mixed Methods Digital Sociology Study Irmansah, Irmansah; Irfan, Irfan; Israfil, Israfil; Fitrah, Muh.
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 10, No 2 (2026): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v10i2.9993

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The rapid development of digital technology, particularly the emergence of the metaverse, has fundamentally reshaped adolescents’ patterns of social interaction, cultural practices, and moral frameworks. While the metaverse provides new opportunities for learning and communication, it also raises serious concerns regarding moral degradation, especially among high school students as digital natives who are highly vulnerable to global influences. The weakening of local cultural values, which have long served as moral compasses, further exacerbates this condition. Therefore, an integrative approach is required to safeguard moral resilience in digital environments. This study aims to measure the level of students’ moral degradation, analyze the relationship between moral perception and moral construction, and explore strategies for revitalizing local wisdom as a mitigation effort. An embedded mixed methods design was employed. Quantitative data were collected from 202 students through a five-point Likert scale questionnaire and analyzed with Jamovi 2.6.44 using descriptive statistics, reliability testing, Pearson correlation, and linear regression. Qualitative data were obtained from semi-structured interviews and focus group discussions with teachers and cultural figures, then analyzed through thematic analysis following Braun and Clarke’s procedures. The results show that both moral perception and moral construction are categorized as high. However, the significant correlation (r = 0.675; p < 0.001) reveals a gap between moral awareness and behavior. Qualitative findings emphasize that local values such as Maja Labo Dahu and Nggahi Rawi Pahu have potential as cultural filters, though their application in virtual interactions remains inconsistent.
EXPLORING NURSING STUDENTS' LEARNING EXPERIENCE IN COMMUNITY HEALTH NURSING PRACTICE: A PHOTOVOICE STUDY Israfil, Israfil; Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika; Citra Sari, Ni Made Candra
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.74298

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Introduction: Learning in the community presents different challenges than learning in a clinical setting. However, studies on student nurses' experience in the community have not been discussed comprehensively. This study aimed to explored nursing students’ experiences in a community setting using the five stages of the nursing process   Method: This study used a qualitative design with the Photovoice approach. A total of 14 students were involved in the study. Data was collected by taking photos and small group discussions for the narrative photo with the SHOWED approach. Photos and narration are the primary data and are analyzed thematically.   Result: A total of approximately eighteen photos have been included. At the assessment phase, the student requires an adaptation process and strategic anticipation, as the practice was conducted directly in the participants’ community. Formulating nursing diagnosis is done through teamwork and group discussion with an approach based on evidence and theory, and asking for guidance from the lecturer as a facilitator for learning. The development of nursing intervention was done with active participation from society, presenting the intervention plan to the community, community meetings, and ensuring the legality of the plan's activities. Implementation in the nursing community is implemented collaboratively between students and the community following the agreed-upon plan. Evaluating nursing practice is done with collaborative reflection of students, discussion together, and related plans, actions, and carrying on independently in public.   Conclusion: This study finds that community-based nursing practice requires student adaptation, strategic planning, and evidence-based teamwork.   Keywords: Clinical nursing education, community health nursing, photovoice, nursing students, nursing care plan
Caregiver Resilience and Burden in Long-Term Care Family of Children with Developmental Disabilities: A Cross-Sectional Study Wulandari, Sarah Kartika; Sriwahyuningsih, LG Nita; Israfil, Israfil
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.490

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Background: A family with a child with special needs experiences a struggle to provide care and quality of life. However, empirical evidence on the relationship between resilience and caregiver burden in the long-term care of children with developmental disabilities (DDC) in low- and middle-income countries remains limited, with a family nursing perspective in Indonesia, especially in Bali. This study aimed to determine the relationship between caregiver burden and resilience in long-term care of children with developmental disabilities. Methods: This study was reported in accordance with the STROBE guidelines. A cross-sectional study was conducted online using network sampling DDC in Denpasar City. The questionnaires were the Burden Scale for Family Caregivers (BSFC) to measure the family burden as the independent variable and the Resilience Scale for Adults (RSA) used to measure the resilience of the caregiver as the dependent variable. Spearman’s rank correlation was used for data analysis. Results: As many as 102 parents or siblings of DDC joined the research online. Data showed most caregivers were mothers (67,6%), with more than one child (65,7%), and with various types of DDC. A moderate negative correlation was observed between caregiver burden and resilience (r = −0.294, p < 0.005). The higher burden experienced by siblings (mean= 13.5), when fathers have the highest resilience (mean= 99.83), as they felt less burden (mean= 8.93). Conclusion: The greater burden experienced by the family implied a lower capacity to express resilience. Coping skill training could be developed as a response to the burden to build better family coping and boost resilience.
Analysis of Factors Related to the Incident of Chronic Kidney Failure in Hypertension Patients Making, Maria Agustina; Banhae, Yulianti Kristiani; Nugroho, Febtian C.; Hamu, Antonia; Israfil, Israfil
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.v5i4.2412

Abstract

Chronic kidney failure is a global health problem with increasing incidence, prevalence and mortality rates. Hypertension is one of the causes of kidney failure. So far there is no known research conducted regarding factors related to the prevalence of kidney failure. The aim of this study was to analyze various factors related to the incidence of chroni Chronic kidney failure is a global health problem with increasing incidence, prevalence and mortality rates. Hypertension is one of the causes of kidney failure. So far there is no known research conducted regarding factors related to the prevalence of kidney failure. The aim of this study was to analyze various factors related to the incidence of chronic kidney disease in hypertensive sufferers. This research method is descriptive analytical with a cross sectional approach, this research was conducted in the inpatient room of Prof Dr WZ Johannes Hospital in April-August 2023. The sample size was 100 respondents using consecutive sampling technique. Statistical tests are univariate, bivariate and multivariate. The result is that the relationship between age and kidney failure shows a p value = 0.129 > 0.05. relationship with gender p value = 0.687 > 0.05, relationship with blood pressure p value = 0.356 > 0.050, cholesterol level with p value = 0.374 < 0.05, relationship with LDL levels p value = 0.783 > 0.05, The relationship with HDL levels is p value = 0.096 > 0. Meanwhile, the education factor has a relationship with kidney failure with a p value = 0.002 < 0.05 and the treatment history factor has a relationship with p value = 0.356 > 0.050. The conclusion is that educational factors and treatment history are the dominant factors in controlling blood pressure, thus preventing the occurrence of complications of chronic kidney failure in hypertensive patients. c kidney disease in hypertensive sufferers. This research method is descriptive analytic with a cross sectional approach, the sample size is 100 respondents with a consecutive sampling technique. The results of statistical testing of the relationship between age and kidney failure show a p value = 0.129 > 0.05. relationship with gender p value = 0.687 > 0.05, relationship with blood pressure p value = 0.356 > 0.050, cholesterol level with p value = 0.374 < 0.05, relationship with LDL levels p value = 0.783 > 0.05, The relationship with HDL levels is p value = 0.096 > 0. Meanwhile, the education factor has a relationship with kidney failure with a p value = 0.002 < 0.05 and the treatment history factor has a relationship with p value = 0.356 > 0.050. The conclusion is that educational factors and treatment history are the dominant factors in controlling blood pressure, thus preventing the occurrence of complications of chronic kidney failure in hypertensive patients.
Co-Authors Abdul Haris Abdurrahman, Firman Ah Yusuf, Ah Amin, Nur Syariful Arba Arba Arnaya, I Gede Putu Suka Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Bai, Marieta Kristina Sulastiawati Banhae, Yulianti Kristiani Beni, Hakiki Handar Buntari, Ni Luh Putu Inca Agustini Cahyadi, Herry Suwaja Cintariasih, Putu Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Drs. I Wayan Darsana,M.Ed . Duygulu, Sergul Edi Sanjana, I Wayan Fauzia, Erlina Ferry Efendi Haeratun, Haeratun Hamu, Antonia Handi Partiwi, Putu I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gusti Agung Tresna Wicaksana I Gusti Ngurah , Aryana I Kadek, Miki Indra Bela I Ketut Swarjana I Nengah Agus Mega Aryawan I Putu Gede Darmayasa Ida Ayu Ketut Adi Setiawati Ilya Krisnana, Ilya Imaniar, Mahrati INA DEBORA RATU LUDJI Indah, Sulistia Indrayani, Ni Luh Dwi Irfan Irfan Irfan Irfan Irmansah, Irmansah Kamaryati, Ni Luh Putu khusnul khotimah Kusmadi, I Kadek Doni Lesomar, Ulifa Making, Maria Agustina Maria Agustina Making Mindo Sinaga, Mindo MMSI Irfan ,S. Kom Muchlis Muchlis Muh. Fitrah, Muh. Musakir Salat Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Leni Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Dwi Indrayani Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Tutik Hermi Wahyuni Ni Made Candra Citra Sari Ni Made Wirantini Ni Made, Ratih Comala Dewi Nooiad, Ganyanee Norma Tiku Kambuno Nugroho, Febtian C. Nurhayati Nurhayati Nurhijriah, Nurhijriah Nurrahmania, Nurrahmania Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Pimsen, Apiradee Portia, Vitug Prasetyanto, Yohanes Ari Purnama Sari, Putu Mariany Putra, Komang Ardidhana Nugraha Rittiruang, Amonwan Sagita, Ni Wayan Riska Sanjaya, Febry Sari, Aninda Rahma Sastrawati, Desak Kadek Selasa, Pius Sri Dewi Megayanti Sri Rahayu, Dewa Ayu Erna Sriasih, Ni Kadek Sriwahyuningsih, LG Nita Strisanti, Ida Ayu Suptika Suantari, Luh Ari Surayya, Ita Suryani, Ni Wayan Susanti, Ni Putu Aries Tammubua, Milcha Handayani Tanuparbrungson, Supawan Trifonia Sri Nurwela, Trifonia Sri Tripayana, I Nyoman Trivonia Sri Nurwela Untung Sujianto Vitug, Portia Zoleta- Wahyu Mulyadi Wahyu, I Made Yudi Wahyuni, Ni Komang Sri Wardana, Dewa Gede Wisnu Wilianarti, Pipit Festi Wulandari, Sarah Kartika Yogi RS, I Gusti Agung Yudi Apriani, Ni Luh Putu Yuni S. Arief Yusniawati, Yustina Ni Putu