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Glycemic Control Determinant of Diabetes Mellitus Patients I Wayan Sukawana; I Made Sukarja; Listina Ade Widya Ningtyas; Ni Luh Putu Yunianti Suntari Cakera; Ni Made Juniari
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.v3i2.223

Abstract

Diabetes Mellitus (DM) is a chronic disease that cannot be cured. Complications in DM are the main cause of blindness, kidney failure, heart attacks, strokes, and amputations of the lower limbs. Various problems in DM can be prevented by controlling DM. DM control is influenced by individual factors and external factors. This study aims to determine the determinants of DM control on DM control parameters. The study was carried out with a cross-sectional design on 31 DM patients who were taken consecutively in July 2022 at the Ubud I Gianyar Health Center. The data collected in this study were HbA1c levels, blood glucose levels (fasting and 2 hours post-prandial), systolic and diastolic blood pressure. The results obtained are factors of age, gender, duration of DM, and dietary adherence together had a significant effect of 75.6% (p-value = 0.00) on HbA1c control. There is a significant contribution of 39.5% to systolic control. Has a significant effect (p-value omnibus test = 0.013) of 45.2% on controlling fasting glucose levels. The conclusion is that DM control by intervening modifiable factors such as emphasizing the importance of dietary adherence.
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.