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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.909 KB)

Abstract

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.
SENAM KAKI DAN STIMULASI KUTANEUS DENGAN VCO MENINGKATKAN KELEMBABAN KULIT KAKI PADA DIABETISI DI PUSKESMAS SUKAWATI I KABUPATEN GIANYAR I Wayan Sukawana; I Made Sukarja; Ni Made Wedri
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 2, No 1 (2020): Januari 2020
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v2i1.981

Abstract

Abstract Autonomic neuropathy in diabetes mellitus impact the feet to losing their natural ability to moisturize the overlying skin, so that the skin of the feet becomes dry, cracked, and prone to infections (ulcers). This activity aims to enable people with diabetes to be able to do foot exercises and cutaneous stimulation with VCO so that the skin moisture in their feet increases. Foot skin moisture was measured by a Skin Moisture Analyzer at ten right foot points before and after four weeks of diabetes people doing foot exercises and cutaneous stimulation with VCO. Average foot moisture before foot exercises and cutaneous stimulation with VCO of 38.93 then increased to 49.55. Paired t test proved that there was a significant increase in foot skin moisture after activity (t = -4.66 and significance value = 0.00). All people with diabetes are advised to continue their activities.Key words: Skin Moisture, Foot Exercises, Cutaneous Stimulation
Pelatihan Bantuan Hidup Dasar Pada Kelompok Sekeha Teruna Sebagai Antsisipasi Cedera Pariwisata di Desa Dawan Kaler Klungkung I Made Sukarja; I Wayan Sukawana; Ni Made Wedri
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 1, No 3 (2019): Juli 2019
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v1i3.931

Abstract

Basic Life Support Training at Sekeha Teruna Group as a Tourism Injury Prediction in Dawan Kaler Klungkung Village. The development of tourist villages, in general, has taken into account the security and safety of tourists so that tourists feel comfortable enjoying the natural beauty of Bali. Nevertheless, most of the tourist attractions associated with the rice fields and forests are sometimes relatively slippery. In addition, Bali is an area with high rainfall. This situation contains the risk of accidents, which impact the occurrence of casualties either mild or severe even threaten the lives of tourists. This condition makes tourists feel concerned. Tourist accidents warn that people in Bali including Terraces and Teruni as prospective workers in tourism should have basic life support skills and skills. This community service aims to make the sekeha teruna able to do basic life support. The results of this activity indicate that there is an increase in knowledge after being given training with an average score of 46 to 80. And 100% of participants are able to practice basic life support techniques. It is recommended to the puskesmas to continue the training program.Keywords: basic life support
GAMBARAN KEPATUHAN MASYARAKAT MAWANG KELOD DALAM MENERAPKAN PROTOKOL PENCEGAHAN COVID-19 DI TEMPAT UMUM I Wayan Sukawana; I Made Sukarja
Coping: Community of Publishing in Nursing Vol 9 No 2 (2021): April 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.814 KB) | DOI: 10.24843/coping.2021.v09.i02.p11

Abstract

Covid-19 merupakan penyakit yang sangat mudah menular melalui droplet dan aerosol yang mengandung virus SARS-CoV-2. Penularan Covid-19 dapat dicegah dengan mematuhi protokol kesehatan pencegahan Covid-19. Penelitian ini bertujuan untuk memperoleh gambaran kepatuhan masyarakat dalam menerapkan protokol pencegahan Covid-19. Responden dalam penelitian ini adalah 60 masyarakat desa Adat Mawang Kelod yang diambil dengan teknik consecutive sampling. Data dikumpulkan dengan melakukan observasi terhadap perilaku masyarakat dalam menerapkan protokol pencegahan Covid-19. Hasil penelitian menemukan bahwa 30,0% responden menggunakan masker sesuai standar, 5% yang melakukan cuci tangan saat tiba di tempat yang diamati, dan 16,7% yang melakukan jaga jarak lebih dari 1 meter. Responden yang patuh terhadap ketiga jenis protokol pencegahan Covid-19 hanya 1,7%.
PEMBINAAN KELUARGA MELALUI MEDIA WHATSAPP GROUP MENINGKATKAN KETAATAN PELAKSANAAN PROTOKOL KESEHATAN PENCEGAHAN COVID-19 Ketut Hermawan; I Wayan Sukawana; I Dewa Putu Gede Putra Yasa
Coping: Community of Publishing in Nursing Vol 9 No 4 (2021): Agustus 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.295 KB) | DOI: 10.24843/coping.2021.v09.i04.p05

Abstract

Abstrak: Pembinaan Keluarga Melalui Media Whatsapp Group Meningkatkan Ketaatan Pelaksanaan Protokol Kesehatan Pencegahan COVID-19. Penelitian ini bertujuan untuk mengetahui pengaruh pembinaan keluarga melalui media whatsapp group terhadap ketaatan protokol kesehatan pencegahan COVID-19. Penelitian dilaksanakan dengan metoda pre-experimental, One Group pre-post test desaign terhadap 30 kepala keluarga yang diambil dengan teknik acak sederhana di Banjar Dinas Ketug – Ketug, Desa Jinengdalem. Data dikumpulkan dengan teknik observasi terhadap perilaku ketaatan pelaksanaan protokol kesehatan pencegahan Covid-19. Hasil penelitian ini menemukan bahwa ada pengaruh pembinaan keluarga melalui media whatsapp group terhadap ketaatan protokol kesehatan pencegahan COVID-19 dengan p-value = 0,000< alpha (0,05) , dilihat dari hasil bahwa nilai post test > pre test sebanyak 30 responden (100%). Kesimpulannya bahwa ada peubahan perilaku ketaatan responden mengenai ketaatan protokol kesehatan pencegahan COVID-19.
PENGARUH KONTRASEPSI HORMONAL DAN OBESITAS SENTRAL TERHADAP KADAR GLUKOSA DARAH PADA WANITA DEWASA Ni Luh Putu Nopita Apsari; I Wayan Sukawana; Ni Gusti Ayu Putu Triyani
Coping: Community of Publishing in Nursing Vol 6 No 3 (2018): Desember 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.22 KB)

Abstract

Obesitas adalah suatu kondisi akumulasi lemak berlebih di jaringan adiposa. Masa akumulasi lemak berlebih dipengaruhi oleh hormon yaitu riwayat penggunaan kontrasepsi hormonal estrogen dan pada wanita dengan uterus progesteron. Progesteron mengakibatkan penurunan jumlah dan afinitas reseptor insulin terhadap glukosa sehingga kadar glukosa darah akan meningkat. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Sampel besar yang digunakan adalah 40 orang dengan teknik simple random sampling. Penelitian ini dilakukan pada studi terkait riwayat penggunaan kontrasepsi hormonal dan melakukan pengukuran obesitas sentral, kadar glukosa darah puasa dan kadar glukosa darah 2 jam pasca prandial. Tes yang digunakan dalam penelitian ini adalah anacova. Ukuran rata-rata lingkar pinggang sebagai cerminan responden obesitas sentral yaitu 85,58 cm. Rata-rata kadar glukosa darah puasa responden yaitu 97,72 mg / dL dan rata-rata kadar glukosa darah dua jam PP yaitu 158,18 mg / dL. Hasil dalam penelitian ini adalah tidak ada pengaruh dengan nilai sig sebesar 0,073 untuk kadar glukosa darah puasa dan sig sebesar 0,811 untuk kadar glukosa darah 2 jam post prandial, maka dapat disimpulkan tidak ada pengaruh hormonal terhadap puasa darah kadar glukosa dan 2 jam post prandial setelah variabel obesitas sentral terkontrol. Berdasarkan hasil penelitian maka wanita dewasa di desa Jagapati tidak perlu khawatir ketika menggunakan kontrasepsi hormonal. Kata kunci: kontrasepsi hormon, obesitas sentral, kadar glukosa darah ABSTRACT Obesity is a condition of excess accumulation of fat in adiposa tissue. Excessive fat accumulation period is influenced by hormone namely estrogen hormonal contraceptive use history and in women with a uterus of progesteron. Progesteron resulted in a decrease in the number and affinity of insulin receptor against glucose so that blood glucose levels will increase. This research is research observational analytic with cross-sectional approach. Large samples used is 40 people with simple random sampling technique. This research was conducted on the study of hormonal contraceptive use history related and do measurement central obesity, fasting blood glucose levels and blood glucose levels 2 hour post prandial. The test used in this study is ancova. The average size of waist circumference as a reflection of the Central obesity respondents i.e. 85,58 cm. Average fasting blood glucose levels of respondents i.e. 97.72 mg/dL and the average blood glucose levels two hours PP i.e. 158,18 mg/dL. The results in this study is there is no influence with the value of the sig of 0,073 for fasting blood glucose levels and the sig of 0,811 for blood glucose levels 2 hour post prandial, then it can be concluded there are no hormonal influence against fasting blood glucose levels and 2 hour post prandial after Central obesity variables controlled. Based on the research results then the adult woman in the village of Jagapati need not worry when using hormonal contraceptives. Keyword: hormonal contraception, central obesity, blood glucose levels
Senam Kaki Meningkatkan Kelembaban Kulit Kaki pada Diabetisi I Wayan Sukawana; I Made Sukarja; Ni Made Wedri
Jurnal Gema Keperawatan Vol 9, No 1 (2016): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v9i1.1767

Abstract

The purposes of this research were to know the influence of foot gymnastics toward skin moisture on the feet. The method of the research is “Quasy Experiment” with Pre-posttest design without control group each 13 sample was taken by simple random. Skin moisture feet before foot gymnastics = 27.91 % ± 6.28 and after foot gymnastics for six month = 36.04 % ± 8.70. The paired t test can be concluded that foot gymnastics can increase skin moisture on the feet of patients with diabetes mellitus.
Spa kaki dengan Bantuan Kayu Refleksi terhadap Saturasi Oksigen pada Diabetesi I Made Sukarja; I Wayan Sukawana
Jurnal Gema Keperawatan Vol 13, No 1 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i1.1134

Abstract

Chronic hyperglycolia in people with diabetes results in changes in intra-cell biochemical homeostasis so that the selendothel and nerves are disturbed. Disorders of blood vessels and nerves result in decreased blood supply to the legs. Decreased blood supply to the legs is characterized by a decrease in the value of oxygen saturation. Efforts are needed to improve oxygen saturation in people with diabetes to prevent diabetic foot disease. The purpose of this study was to determine the effect of Foot SPA with the help of wood reflection on oxygen saturation in people with diabetes in South Denpasar. The study was conducted with a quasi-experimental method, pre-test post test with control group design. The study used 2 (two) groups, group I was given treatment in the form of Foot SPA with the help of wood reflection every 2 days 15-30 minutes for 6 weeks, group II (control group) were given foot exercises every 2 days 15-30 minutes for 6 weeks. Saturation data were collected with digital oximetry at the beginning of the study and one day after the treatment period ended. Data were analyzed by paired and unpaired different tests. The results of the statistical independent test of the t test that have been done show that the value of p value is 0,000 (p value 0.05). This shows that there is a significant difference in oxygen saturation of the legs in the diabetics between the treatment groups that are given SPA reflective wooden foot SPA with a control group that is only given diabetic foot exercises. This can also be seen from the difference in the average oxygen saturation of the feet with diabetes in the treatment group by 4.52% and the control group by 0.28%. The results of the analysis showed that the administration of reflex wooden aids on foot was more effective in increasing oxygen saturation of the feet compared to only foot exercises in the control group.
SENAM KAKI MENINGKATKAN SENSASI SENSORIS DIABETISI DENGAN DIABETIC PERIPHERAL NEUROPATHY I Wayan Sukawana
Jurnal Gema Keperawatan Vol 11, No 1 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i1.251

Abstract

Hipoxia on axon and myelin caused by microangiopathy can lead to Diabetic Peripheral Neuropathy in people with diabetes. The aim of this research is to know the effect of foot gymnastics on DPN in people with diabetes. The study was conducted by quasi-pre-post experiment without group control of 13 people with DPN. Average number of DPN points before foot exercises = 4.42 points and after exercises = 0.46 points from 20 checkpoints. After exercising legs every 2 days for 6 weeks, all (100%) of the respondents experienced an increase in sensory sensation and 83.3% of them were free of DPN. T-paired t-test results obtained t value = 3.80 with a significance value of 0.003, so it is concluded that foot gymnastics can increase sensory sensation in diabetic patients with DPN.
Kontribusi Hasil Belajar, Kecerdasan Emosi, dan Motivasi Kerja Terhadap Kinerja Lulusan D-III Keperawatan Ni Luh Putu Yuni Suntari; I Wayan Sukawana; I Made Oka Bagiarta
Jurnal Gema Keperawatan Vol 6, No 1 (2013): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v6i1.1711

Abstract

This research aim to know about the contribution of the study result, emotional question and job motivation factor toward the work performance of the graduated third diploma of nursing at Poltekkes Kemenkes Denpasar, who works in Sanglah General Hospital period of 2012. This is application research which applied the ex post facto, with correlational design. The research sample are 135 nurse. The result show that: 21,1% contribution of result study for work performance. Have 14,8% contribution of emotional question for work performance, and 33,2% contribution of job motivation factor for work performance. 21,3% contribution together between study result, emotional question, and job motivation for work performance.