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Analysis of Factors Associated with Blood Pressure in Patients with Uncontrolled Hypertension at Health Center I West Denpasar Ayu Ari Rasdini, I Gusti; Gede Putra Yasa, I Dewa Putu; Wedri, Ni Made; Sukawana, I Wayan; Adhiutami, Lina
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 3 (2023): September 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i3.279

Abstract

Hypertension is a non-communicable disease which is currently a major challenge for global and national community healing, and is one of the most common causes of death in the world. According to the NHANES, blood pressure that is not normalized is defined as systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, where the patient is unconscious, conscious but not treated or treated with antihypertensive drugs. Factors that can cause uncontrolled blood pressure are uncontrollable and controllable factors, namely salt consumption, coffee consumption, and obesity. Analyzing the factors associated with blood pressure in patients with uncontrolled hypertension at Health Center I West Denpasar. This study used a cross-sectional analytic survey approach, involving 57 people using the accidental sampling method. Statistical analysis using Chi-square. The results of the chi square analysis showed that the salt consumption factor was p=0.000, the coffee consumption factor was p=0.041, and the obesity factor was p=0.022. The factor that is most closely related to the increase in blood pressure is coffee consumption with an OR value of 0.224 times. Health workers need to provide information about DASH (Dietary Approaches To Stop Hypertension) in hypertensive patients to help reduce increased blood pressure in addition to taking antihypertensive drugs regularly.
The Nursing Problem for Physical Mobility Impairments in Tibia Fracture Patients Post ORIF Operation with Rom Free Active Exercise (FAE) Ayu Ari Rasdini, I Gusti; Mertha, I Made; Wedri, Ni Made; Sukawana, I Wayan; Adhiutami, Lina
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.381

Abstract

Open fracture of the tibia is a complex injury with multifactorial outcomes and variable prognosis. This final scientific work by nurses aims to determine nursing care for physical mobility disorders with range of motion free active exercise in post-ORIF surgery tibia fracture patients. This scientific work uses a descriptive method with a case study approach which was carried out on 30 October – 02 November 2023. The results of the study showed data that the patient said he had pain in his left leg, did not dare to move his left leg, the back of his left leg was swollen. The nursing diagnosis of impaired physical mobility is related to pain. Nursing interventions are ambulation support, mobilization support and pain management with the criteria of increasing physical mobility. Innovation intervention range of motion free active exercise with 2 times the frequency of 2x8 steps. The nursing evaluation showed that physical mobility problems had decreased. Conclusion: range of motion free active exercise can increase range of motion, increase muscle strength, reduce complaints of pain, reduce anxiety when moving, and reduce edema. Suggestions for health workers can apply the results of non-pharmacological therapy research, especially range of motion free active exercise, to treat post-operative patients with complaints of physical mobility problems.
Media Edukasi Permainan Ular Tangga Meningkatkan Pengetahuan Siswa Sekolah Dasar dalam Menghadapi Bencana Gempa Bumi Dharma Yani, Made Vina; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made; Wedri, Ni Made; Mertha, I Made
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4043

Abstract

Indonesia has a high risk of disasters due to its geological and geographical location. Disasters are events that threaten society and impact all ages, including children. This shows that knowledge in dealing with disasters is very important to be given to children. This research aims to determine the effect of providing education using the snakes and ladders game on elementary school students' knowledge in dealing with earthquake disasters. The type of research is Pre- Experimental design with the design used, namely One-group pre-post design using simple random sampling. The total sample was 33 people. The variables in this study are education through the media of snakes and ladders games and elementary school students' knowledge of dealing with earthquake disasters. Knowledge data were collected using a knowledge questionnaire on dealing with earthquake disasters. Data analysis techniques were used using the Wilcoxone test. The results of the research showed that the knowledge of elementary school children before being given audiovisual media education was mostly in the sufficient category, namely 18 people (54,5%) and after being given it showed an increase in preparedness knowledge with the result that the majority of students were in the good category, 32 people (97%). The results of the research were tested using the Wilcoxon statistical test, obtained p-value = 0,000 alpha (0,05), it can be concluded that there is an influence of providing education in the snakes and ladders game media on students' knowledge in dealing with earthquake disasters at SD No. 2 Cemagi. It is recommended that teachers in schools increase the provision of disaster material by developing other similar game media.
IMPLEMENTASI QUIZZIZ DALAM PEMBEAJARAN IPAS DI KELAS 3 SD Sukawana, I Wayan; I Ketut Sudarsana; Ni Putu Candra Prastya Dewi
Suluh Pendidikan : Jurnal Ilmu-Ilmu Pendidikan Vol 23 No 1 (2025): EDISI KHUSUS SULUH PENDIDIKAN : Jurnal Ilmu-Ilmu Pendidikan
Publisher : IKIP SARASWATI TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46444/suluh-pendidikan.v23i1.958

Abstract

Penelitian ini bertujuan untuk mendeskripsikan implementasi pemanfaatan platform Quizizz dalam pembelajaran Ilmu Pengetahuan Alam dan Sosial (IPAS) di kelas 3 Sekolah Dasar (SD) serta mengeksplorasi respon siswa terhadap penggunaan media pembelajaran interaktif ini. Penelitian kualitatif dengan jenis penelitian deskriptif ini dilaksanakan di SD Negeri 2 Pempatan, Karangasem, dengan melibatkan 17 siswa kelas 3 yang dipilih melalui teknik purposive sampling. Data dikumpulkan melalui observasi selama tiga sesi pembelajaran IPAS menggunakan Quizizz, wawancara dengan guru dan siswa, serta analisis dokumen Modul Ajar dan hasil kuis siswa. Hasil penelitian menunjukkan bahwa guru mengimplementasikan Quizizz sebagai kegiatan awal, aktivitas inti, dan evaluasi formatif, dengan memanfaatkan fitur-fitur seperti timer, leaderboard, dan umpan balik. Respon siswa secara umum positif, ditunjukkan dengan meningkatnya minat, keterlibatan, dan motivasi belajar. Sebagian besar siswa merasa Quizizz mudah digunakan dan membantu pemahaman materi. Penelitian ini menyimpulkan bahwa Quizizz berpotensi menjadi media pembelajaran yang inovatif dan menarik dalam pembelajaran IPAS di kelas rendah SD, meskipun perancangan kuis yang terintegrasi dengan tujuan pembelajaran tetap krusial.
Empowerment of Cadres and Health Workers in Foot Care (Foot Spa) in Diabetics Ni Made Wedri; I Wayan Sukawana; I Made Sukarja
Altifani Journal: International Journal of Community Engagement Vol 4, No 1 (2023)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/altifani.v4i1.7055

Abstract

The number of DM sufferers continues to increase and is becoming a major health problem because of the economic burden, complications and difficulty in curating and the risk of amputation. The number of DM sufferers at the Abiansemal II Community Health Center was 167 people. Information was obtained from several sufferers saying their feet were tingling, dry and cracked heels, & they had never had foot care (foot spa), because they felt it was unnecessary. The service aims to increase understanding, awareness of cadres and people with diabetes about diabetic foot care to prevent foot ulcers. Service method with cadre assistance in empowering people with diabetes. Starting from giving a pre-test to cadres through a questionnaire, then providing counseling and training on diabetic foot care. Next, the cadres provide direct assistance to the diabetes in each Banjar, finally a post test is carried out on the cadres. The result was an increase in the knowledge and ability of cadres in diabetic foot care with a good category of 90% and a sufficient category of 10%. Independent foot spas should be continued by people with diabetes on an ongoing basis.
THE RELATIONSHIP AMONG HBA1C, LOW-DENSITY LIPOPROTEIN (LDL) CHOLESTEROL, AND SYSTOLIC BLOOD PRESSURE IN PATIENTS WITH DIABETES MELLITUS Ni Made Juniari; I Wayan Sukawana; I Gusti Made Andika Putra
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2363

Abstract

Diabetes mellitus is a chronic disease often accompanied by cardiovascular complications, one of which is hypertension. Controlling HbA1c and LDL cholesterol levels is a crucial component of diabetes mellitus management, aiming to reduce the risk of these complications. This study aimed to analyze the association between HbA1c control and LDL cholesterol control with systolic blood pressure control in diabetes mellitus patients at the Tejakula II Community Health Center. This study used an observational analytical design with a cross-sectional approach. The subjects were registered Diabetes Mellitus patients receiving services at the Tejakula II Community Health Center. The sample size of this research was 47 participants. Data on HbA1C, LDL cholesterol, and systolic blood pressure were obtained from patient medical records. Data were analyzed bivariately using appropriate statistical tests and odds ratio calculations. The results showed that HbA1C and LDL cholesterol control were not significantly associated with systolic blood pressure control (p > 0.05). The model explained 13.4% of the variation in systolic blood pressure control (Nagelkerke R² = 0,134). Although the odds ratios suggested a tendency toward a higher risk of uncontrolled systolic blood pressure among patients with uncontrolled HbA1C and LDL levels, these associations were not statistically significant. However, patients with uncontrolled HbA1C and LDL cholesterol levels had a higher risk of developing uncontrolled systolic blood pressure. Diabetes Mellitus management needs to be carried out comprehensively and multifactorially in primary health care facilities.