Garuda - Garba Rujukan Digital

Effect of Digital Intervention on Chemotherapy Adherence: A Systematic Review Juniari, Ni Made; Sukartini, Tintin; Nihayati, Hanik Endang
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54405

Background: Chemotherapy is typically administered in specific doses and schedules to maximize its effectiveness in killing cancer cells. If a patient does not adhere to the prescribed regimen, the treatment may be less effective, potentially allowing the cancer to grow or spread. Digital interventions offer innovative approaches to address the issue of adherence. The aim of this study is to analyze the effect of digital interventions on enhancing cancer patients' adherence to chemotherapy. Method: This systematic review analyzed full-text original articles published in English in databases including Scopus, PubMed, Web of Science, CINAHL, and ProQuest from 2018 to February 2024. The articles were identified using the keywords: (telehealth OR telecare OR telenursing OR “smart application” OR “mobile application”) AND (adherence OR “treatment adherence”) AND (chemotherapy OR “adjuvant chemotherapy” OR “drug therapy”) AND (cancer OR neoplasm*). Bias was assessed using the Critical Appraisal Skills Program (CASP) tool. Results: A total of 456 items were found. Thirteen relevant papers from the literature search focused on breast cancer patients. The number of participants across all studies was 2,289. The digital interventions used included mobile games, video conferences, text messaging related to mobile health, and apps. These interventions provided medication reminders, symptom reporting, adherence tracking, and patient education, all of which contributed to increased chemotherapy adherence. Conclusion: Digital interventions positively influence chemotherapy adherence in cancer patients. The use of technology enables patients to actively participate in their treatment. This review was conducted across various continents, making the findings applicable to diverse ethnicities and races.

PENGARUH SIMULASI DI ATAS MEJA TERHADAP PENGETAHUAN SISWA SEKOLAH DASAR DALAM MENGHADAPI BENCANA GEMPA BUMI Putri Yulia Ningsih, Ni Luh Putu; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made
KOSALA : Jurnal Ilmu Kesehatan Vol 13 No 1 (2025): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v13i1.345

Zona rawan gempa di sekitar pulau Bali diapit oleh dua zona generator gempa: lempeng disubdication (lempeng Euro Asia dan Indo Australia) di sebelah utara dan selatan pulau Bali. Anak-anak adalah kelompok yang paling rentan terhadap bencana. Anak-anak rentan terhadap bencana karena mereka kurang memahami resiko di sekitar mereka, yang menyebabkan mereka tidak tahu cara menghadapi bencana. Studi ini bertujuan untuk mengetahui bagaimana pengetahuan siswa Sekolah Dasar No 11 Jimbaran tentang bencana gempa bumi jika dipengaruhi oleh intervensi simulasi di atas meja. Dalam penelitian ini, jenis penelitian yang digunakan adalah pra-eksperimental. Eksperimen dilakukan dengan menggunakan desain pre-post tes satu kelompok (one-group pre-post test design) dan menggunakan pendekatan prospektif. Populasi pada penelitian ini adalah siswa kelas V-VI yang dipilih menggunakan metode simple random sampling. Jumlah sampel pada penelitian ini sebanyak 46 responden. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan simulasi diatas meja terhadap pengetahuan siswa dalam menghadapi bencana gempa bumi di SD No 11 Jimbaran dengan p value 0,000 (p value < 0.05). Jadi dapat disimpulkan bahwa penggunaan media simulasi diatas meja efektif digunakan dalam memberikan sosialisasi mengenai pengetahuan menghadapi bencana gempa bumi. Kata kunci: gempa bumi; pengetahuan; simulasi di atas meja The earthquake-prone zone around the island of Bali is flanked by two earthquake generator zones: the subduction plates (Eurasia and Indo-Australia plates) to the north and south of Bali. Children are the most vulnerable group to disasters. Children are vulnerable to disasters because they have little understanding of the risks around them, which causes them not to know how to deal with disasters. This study aims to determine how the knowledge of elementary school students at No. 11 Jimbaran Elementary School about earthquake disasters is influenced by simulation interventions on the table. In this study, the type of research used is pre-experimental. The experiment was conducted using a one-group pre-post test design and using a prospective approach. The population in this study were students in grades V-VI who were selected using the simple random sampling method. The number of samples in this study was 46 respondents. The results of the research show that there is a significant effect of tabletop simulation on students' knowledge in dealing with earthquake disasters at SD No. 11 Jimbaran with a p-value of 0,000 (p-value < 0,05). So it can be concluded that the use of tabletop simulation media is effective in providing socialization regarding knowledge of dealing with earthquake disasters. Keywords : earthquake; knowledge; table top simulation

Kepuasan Pengguna Layanan Laboratorium Pendidikan Keperawatan Juniari, Ni Made; Suardani, Ni Luh Ketut
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3076

Laboratories are supporting units in higher education institutions. Therefore, it needs to be supported by good laboratory management so that the implementation of activities can run optimally. The educational laboratory at the Denpasar Health Polytechnic Nursing Department serves more than 800 users every year. So it is deemed necessary to assess the satisfaction of users of laboratory services and find out what things are the priorities to be improved, to achieve optimal service. The purpose of this study is to determine the level of satisfaction with the service quality method and analysis of the importance of performance that needs to be improved to achieve a laboratory management system that can provide satisfactory service. This research is quantitative descriptive research. The number of samples in this study was 455 respondents. Data on user satisfaction of laboratory services was collected using a questionnaire. The analysis technique begins with an analysis of the gap between user perceptions and expectations, followed by an analysis with the Importance Performance Analysis (IPA) matrix. The research results show that the gap for all attributes is negative, which means that expectations are higher than perceived perceptions. The tangible dimension produces a gap of -0,55 and a service quality value of 0.89 from the division of perceptions with expectations so that it is lowest ranked and is the dimension that has the biggest gap among all dimensions. The results of the IPA analysis show that there are still 6 attributes in quadrant I, so it is necessary to make improvements to these six attributes.

Gambaran Profil Lipid Pasien Diabetes Melitus Tipe 2 Oka Kusuma Jaya, I Gede; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.2844

The prevalence of diabetes mellitus (DM) continues to increase and is even predicted to continue to increase, as does Indonesia, which is currently the country with the highest prevalence of DM in Southeast Asia. The most common type of DM currently is type 2 DM, the majority of which is caused by an unhealthy lifestyle, causing insulin resistance. Apart from causing diabetes, insulin resistance also causes dyslipidemia and is one of the most important factors in the occurrence of atherosclerosis which has an impact on the emergence of diabetic ulcers. This study aimed to determine the lipid profile in patients with type 2 diabetes mellitus. The research design used was descriptive with an observational approach. The variable observed in this study was the lipid profile in type 2 DM patients. The sampling technique used was simple random sampling with a sample size of 47 people. The instrument used is a documentation sheet. The research was conducted at the Klungkung Regional General Hospital (RSUD). The data collected was analyzed using descriptive statistics, and the data was then presented in a table. The results of the study showed that the total cholesterol value in type 2 diabetes mellitus sufferers with total cholesterol values above 200 mg/dL was 26,4%, and the LDL value in type 2 diabetes mellitus sufferers with values above 100 mg/dL was 26,3%. The HDL value in type 2 diabetes mellitus sufferers with a value of less than 40 is 13,0%, and the triglyceride value in type 2 diabetes mellitus sufferers with a value of more than 150 mg/dL is 26,1%. Most respondents have a good lipid profile, but there are still respondents whose lipid profile is not within the normal range and are at risk of developing diabetic ulcers.

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

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.

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