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All Journal Jurnal Pendidikan Dasar Nusantara SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Kesehatan Medika Udayana JKEP : Jurnal Keperawatan Babali Nursing Research Jurnal Pengabmas Masyarakat Sehat Kosala : Jurnal Ilmu Kesehatan Altifani Journal: International Journal of Community Engagement Jurnal Gema Keperawatan Jurnal Pengabmas Masyarakat Sehat JURNAL SKALA HUSADA: THE JOURNAL OF HEALTH Suluh Pendidikan: Jurnal Ilmu-ilmu Pendidikan
Sukawana, I Wayan
Poltekkes Kemenkes Denpasar
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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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
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.
Pemberian Latihan ROM dengan Bola Karet terhadap Kekuatan Otot Tangan Pasien Stroke Non Hemoragik Ni Made Wedri; I Wayan Sukawana; I Made Sukarja
Jurnal Gema Keperawatan Vol 10, No 1 (2017): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v10i1.1776

Abstract

The purpose of this research is to know the effect of ROM exercise with rubber ball on hand muscle strength of non hemorrhagic stroke patient. Research with pre-test design post-test with control group. Selection of nonprobability samples of purposive sampling type, 46 samples in RSUD Klungkung and RSUD Bangli. Average hand muscle strength before ROM training with rubber ball 4.5130 after 8.1696, average hand muscle strength before ROM practice without rubber ball 5.7261 after 6.9609. The result of Paired T test of treatment group was obtained p = 0,000 α (α = 0,05) and control group result p = 0,000 α (α = 0,05). The result of analysis of Independent T test value p = 0,000 0,05, concluded that there is influence of ROM exercise with rubber ball to hand muscle strength of non hemorrhagic stroke patient.
MOBILE HEALTH APPLICATION – SMARTPHONE BASED DALAM PENINGKATAN SELF-MANAGEMENT PASIEN DIABETES MELITUS Made Yashinta Yashinta Maharani; Rr. Tutik Sri Hariyati; I Wayan Sukawana
Jurnal Gema Keperawatan Vol 11, No 2 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i2.498

Abstract

ABSTRACTTechnological innovation mHealth Application (Apps), namely software on smartphones or tablets can be used for self-management in patients with diabetes mellitus. This study aims to determine the potential for developing mobile health applications on smartphones to improve self-management of patients with diabetes mellitus. The method used is the study of literature. Smartphone-based mHealth applications include independent blood sugar control, medication, diet, physical activity, weight control, blood pressure control, and education on diabetes self-management proved to be effective in improving self-management of diabetics. Mobile health applications based on smart phones is one solution to improve self-management so that it can improve the health status of diabetic patients.
Faktor Keturunan dan Lingkar Pinggang terhadap Profile Gula Darah Ni Luh Putu Yunianti Suntari Cakera; I Wayan Sukawana; I Made Sukarja
Jurnal Gema Keperawatan Vol 8, No 1 (2015): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v8i1.1851

Abstract

This study analyzed the influence of heredity and waist circumference of the blood glucose profile (fasting, 2 hours PP, when blood glucose) in high school teenagers. Analytic survey research aimed at observing and analyzing the relationship between variables. The research design used cross sectional design. The linkage between genetic factors with fasting blood sugar levels, indicated by (1) Sig. alpha (0848 0.05). This means that Ho is accepted, genetic factors do not affect fasting blood sugar levels. (2) Sig. alpha (0.002 0.05). This means that Ho is rejected, genetic factors do not affect glucose levels darah2 pp hours. (3) Sig. alpha (0517 0.05). This means that Ho is accepted, genetic factors do not affect blood glucose levels for a while. The linkage between waist circumference factor with fasting blood sugar levels, indicated by (1) Sig. alpha (0327 0.05). It means that Ho is accepted, waist circumference do not affect fasting blood glucose levels. (2) Sig. alpha (0689 0.05). This means that Ho is accepted, waist circumference does not affect blood glucose levels 2 pp hours. (3) Sig. alpha (0322 0.05). This means that Ho is accepted, waist circumference does not affect blood glucose levels for a while.
Co-Authors Achjar, Komang Ayu Henny Ade Widya Ningtyas, Listina Artati, Putri Sagung Aura Nhaha Putri Yasa, Putu Nanda Daryaswanti, Putu Intan Dharma Yani, Made Vina Gede Ngurah, IGK I Dewa Putu Gede Putra Yasa I Dewa Putu Gede Putra Yasa I Gede Agus Narayana I Gusti Ayu Ari Rasdini I Gusti Ketut Gede Ngurah I Gusti Made Andika Putra I Ketut Suardana I Made Mertha I Made Oka Bagiarta I Made Sukarja I Made Sukarja I Made Sukarja I Nengah Sueca I Wayan Surasta JUNIARI, NI MADE Kadek Mahendra Prasetia Adinata Ketut Hermawan Komang Putriana Dewita Sari Lahallo, Cardian Althea Sthephanie Listina Ade Widya Ningtyas Made Yashinta Yashinta Maharani made, mertha Ni Gusti Ayu Putu Triyani Ni Luh Putu Nopita Apsari Ni Luh Putu Yunianti Suntari Ni Made Juniari Ni Made Wedri Ni Nyoman Karmini Ni Putu Eni Astuti Novita, Ni Wayan Numertayasa, I Wayan Oka Kusuma Jaya, I Gede Parashita, Sri Astiti Padma Putri Yulia Ningsih, Ni Luh Putu Raka, I Nyoman Rasdini, I Gusti Ayu Ari Rr Tutik Sri Hariyati Sudirman, I Nyoman Surasta, I Wayan Suratmiti, Ni Nyoman Wedri, Ni Made