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All Journal Jurnal Keperawatan Jurnal Penelitian Kesehatan Suara Forikes Promotif: Jurnal Kesehatan Masyarakat JMM (Jurnal Masyarakat Mandiri) Holistic Nursing and Health Science CARADDE: Jurnal Pengabdian Kepada Masyarakat Journal of Health Science and Prevention International Journal of Nursing and Health Services (IJNHS) JIK- JURNAL ILMU KESEHATAN Jurnal Kesehatan Indonesia Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Ilmiah Keperawatan Healthy-Mu Journal JIKP Jurnal Ilmiah Kesehatan PENCERAH Bali Medika Jurnal Jurnal Kesehatan Panrita Husada Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Psikologia: Jurnal Pemikiran dan Penelitian Psikologi Basic and Applied Nursing Research Journal Jurnal Pengabdian kepada Masyarakat Wahana Usada Jurnal Keperawatan Aptekmas : Jurnal Pengabdian Kepada Masyarakat Psycho Idea Jurnal Medika: Karya Ilmiah Kesehatan Jurnal Kebidanan dan Keperawatan Aisyiyah Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) SERVIRISMA: Jurnal Pengabdian kepada Masyarakat Bhakti Community Journal JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Pustaka Keperawatan Jurnal Kesehatan dr. Soebandi Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif Jurnal Abdimas Kesehatan Jurnal Akademika Baiturrahim Jambi Health Care Media
Putu Thrisna Dewi, Ni Luh
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Self-Acceptance in Breast Cancer Patients Undergoing Chemotherapy in an Integrated Cancer Installation Room In General Hospital Nurliani, Ni Kadek Erni; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 7 No. 1 (2025): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v7i1.530

Abstract

Abstract Chemotherapy is one of the treatments for breast cancer patients that affects the physical, psychological, and quality of life of the patient. Patients need to have a good coping mechanism to maintain a good quality of life. Several factors that affect the quality of life of cancer patients include self-acceptance. This study aims to describe the picture of self-acceptance in breast cancer patients undergoing chemotherapy. The design of this study used quantitative descriptive with a cross-sectional design. The study was conducted at the Integrated Cancer Installation of the Regional General Hospital with a sample of 149 people using a purposive sampling technique. Based on the results of the study, it was found that breast cancer patients undergoing chemotherapy experienced moderate self-acceptance as many as 72 samples (48.3%), with the largest age range of 46-55 years (54; 36.2%), most respondents were married (148; 99.3%). most respondents were in stage III (83; 55.7%), had been diagnosed with cancer for 3-6 months (54; 36.2) and were undergoing 2-3 series of chemotherapy (54: 36.3%). The higher a person's self-acceptance, the more optimistic they are in undergoing treatment for their recovery. It is expected that nurses will use a caring approach to increase patient self-acceptance during chemotherapy and provide support to patients to remain optimistic during treatment.
EDUKASI METODE MINDFUL JOURNALING DALAM PENINGKATAN STRATEGI MANAJEMEN STRES PADA REMAJA Sanjiwani, Anak Agung Sri; Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; Lisnawati, Ketut; Sudarma, Nyoman
Servirisma Vol. 5 No. 1 (2025): Servirisma : Jurnal Pengabdian kepada Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/servirisma.2025.51.93

Abstract

Stress is one of the mental health problems that can be experienced by adolescents. The dynamics of the transition to adulthood can create various challenges for adolescents. This is also accompanied by high peer competition, environmental demands, the urge to show themselves and other factors making adolescents a vulnerable group related to mental health issues. Stress, even in the mild category, if unrecognized and untreated can lead to greater potential for mental health problems. Based on this, the community service activities carried out aim to provide education to adolescent students regarding strategies in managing daily stress and introduce one of the strategies that can be done for stress management by doing mindful journaling. The methods provided were lectures, discussions and writing simulations for 24 students at the vocational high school level. The results of the community service activities showed that there was an increase in knowledge after being given the material as well as the ability to identify stressors, thoughts-feelings and evaluate actions in dealing with the stressors faced through mindful journaling exercises.
Gratitude intervention for the management of psychological distress in breast cancer survivors Sanjiwani, Anak Agung Sri; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut
Psikologia: Jurnal Pemikiran dan Penelitian Psikologi Vol. 20 No. 1 (2025): Psikologia: Jurnal Pemikiran dan Penelitian Psikologi
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/psikologia.v20i1.17824

Abstract

Psychological distress in breast cancer survivors is related to the sequelae of the treatment and care process. Distress experienced includes emotional experiences related to multifactor and causes interference in overcoming the challenges of cancer, including physical symptoms and treatment. This study aims to determine the effect of providing gratitude intervention in the form of a gratitude diary/writing on psychological distress in breast cancer survivors. Twenty-two respondents were involved in this study, divided into a control group (n=11) and an experimental group (n=11). The method used in this study was a quantitative experimental one-group pre-post-test design. The results showed that gratitude diary/writing was significant in reducing psychological distress in breast cancer survivors (anxiety p=0.003; stress p=0.003; depression p=0.003). Gratitude diary conditions breast cancer survivors to actively remember the positive side and then reinterpret the life experiences experienced by increasing appreciation for the positive things that have happened.   Keyword: breast cancer survivor, gratitude diary, psychological distress,
Hubungan Health Locus of Control dengan Manajemen Diri pada Pasien Stroke Sumiari, Ni Wayan; Dewi, Ni Luh Putu Thrisna; Mahardika, I Made; Mirayanti, Ni Ketut Ayu; Lisnawati, Ketut; Sanjiwani, Anak Agung Sri
Jurnal Akademika Baiturrahim Jambi Vol. 14 No. 2 (2025): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v14i2.854

Abstract

Stroke is one of the leading causes of long-term disability and requires continuous management, including rehabilitation and routine follow-up, to prevent recurrence. Optimal recovery depends not only on medical interventions but also on the patient's ability to consistently engage in self-management. One of the psychological factors influencing self-management behavior is the health locus of control, which refers to an individual's belief in their ability to control their health status. This study aims to analyze the relationship between health locus of control and self-management among stroke patients. A descriptive correlational design with a cross-sectional approach was employed, involving 50 respondents selected through total sampling. Data were collected using a standardized questionnaire and analyzed using the Spearman Rank test. The results showed that the majority of respondents (48%) had a moderate level of self-management, and 44% had an internal health locus of control. A significant relationship was found between health locus of control and self-management among stroke patients (p = 0.000), with a correlation coefficient of 0.946 indicating a very strong positive relationship. These findings suggest that the higher an individual’s belief in their ability to control their health, the better their self-management. Therefore, nursing interventions that focus on enhancing health locus of control can serve as an important strategy in the rehabilitation of stroke patients. It is recommended that healthcare professionals, particularly nurses, develop educational programs and psychosocial interventions aimed at strengthening the health locus of control of stroke patients to support long-term success in self-management.
Hubungan Frekuensi Serangan Stroke dengan Tingkat Kecemasan Keluarga Stroke Survivor Waisyaka, Anak Agung Esha; Dewi, Ni Luh Putu Thrisna; Sudarsana, I Dewa Agung Ketut
Jurnal Akademika Baiturrahim Jambi Vol. 14 No. 2 (2025): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v14i2.945

Abstract

Recurrent stroke is one of the major challenges in patient care, affecting not only the patient’s physical condition but also the psychological well-being of their family. This study aims to analyze the relationship between the frequency of stroke attacks and the anxiety levels of stroke survivor families. This research employs a quantitative descriptive correlational design with a sample of 69 stroke survivor family members selected using purposive sampling. Data were collected using a questionnaire on stroke attack frequency and the Hamilton Anxiety Rating Scale (HARS), and analyzed using the Spearman rank test. The results indicate a significant relationship between the frequency of recurrent strokes and family anxiety levels, with a p-value < 0.001 and a correlation coefficient of 0.706, suggesting a strong positive correlation. The more frequent the stroke attacks, the higher the level of anxiety experienced by the patient’s family. Data analysis shows that the majority of families with patients experiencing their first stroke reported mild anxiety (69.6%), while those facing recurrent strokes tended to experience higher levels of anxiety. Increased anxiety is influenced by uncertainty regarding the patient's condition, financial burden, and emotional demands of caregiving. Based on these findings, it is recommended that healthcare professionals provide education on preventing recurrent strokes and stress management strategies for stroke survivor families to help reduce anxiety and improve their quality of life.
Pengaruh cryotherapy oral terhadap kejadian mukositis akibat kemoterapi pada pasien kanker di ruang kemoterapi Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1455

Abstract

Background: Mucositis is one of the most common complications experienced by cancer patients undergoing chemotherapy. Effective management strategies are needed to reduce the severity of mucositis and improve patient quality of life. Purpose: To determine the effect of Oral Cryotherapy in reducing chemotherapy-induced mucositis in cancer patients. Method: A quasi-experimental design with a pre-post-test approach with a control group was used. The sampling technique used was purposive sampling, involving 34 participants: 17 in the intervention group and 17 in the control group. Mucositis severity was measured using the Oral Assessment Guide (OAG). Data analysis was performed using the non-parametric Mann-Whitney test. Results: Oral Cryotherapy was significantly effective in reducing the severity of chemotherapy-induced mucositis in cancer patients (p = 0.00; α = 0.05). Conclusion: Oral cryotherapy is an effective non-pharmacological intervention for reducing chemotherapy-induced mucositis in cancer patients and can therefore be considered as part of supportive care in oncology nursing practice.   Keywords: Chemotherapy; Mucositis; Oral cryotherapy.   Pendahuluan: Mukositis merupakan salah satu komplikasi yang paling sering dialami pasien kanker yang menjalani kemoterapi. Strategi penatalaksanaan yang efektif diperlukan untuk menurunkan tingkat keparahan mukositis serta meningkatkan kualitas hidup pasien. Tujuan: Untuk mengetahui pengaruh Cryoterapi Oral dalam menurunkan mukositis akibat kemoterapi pada pasien kanker. Metode: Desain quasi-eksperimen dengan pendekatan pre–post-test with control group. Teknik pengambilan sampel dilakukan dengan purposive sampling dengan melibatkan 34 partisipan yang terdiri dari 17 orang pada kelompok intervensi dan 17 orang pada kelompok kontrol. Tingkat keparahan mukositis diukur menggunakan instrumen Oral Assessment Guide (OAG). Analisis data dilakukan dengan uji non-parametrik Mann–Whitney. Hasil: Cryoterapi Oral efektif secara signifikan dalam menurunkan tingkat keparahan mukositis akibat kemoterapi pada pasien kanker (p = 0,00; α = 0,05). Simpulan: Cryoterapi Oral merupakan intervensi non-farmakologis yang efektif untuk menurunkan mukositis akibat kemoterapi pada pasien kanker, sehingga dapat dipertimbangkan sebagai bagian dari perawatan suportif dalam praktik keperawatan onkologi.   Kata Kunci : Cryoterapi Oral; Kemoterapi; Mukositis.
PENINGKATAN PENGETAHUAN BAHAYA (NAPZA) PADA KELOMPOK SEKEHA TERUNA TERUNI MELALUI PENYULUHAN DAN PEMERIKSAAN NAPZA PADA SAMPEL URINE Nyoman Sudarma; Wati, Ni Made Nopita; Sanjiwani, A.A Sri; Lisnawati, Ketut; Dewi, Ni Luh Putu Thrisna
Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif Vol. 1 No. 2 (2024): Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif
Publisher : PT. Gelora Cipta Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61674/jpkmbi.v1i2.153

Abstract

NAPZA (Narkotika, Psikotropika, dan Zat Adiktif) merupakan zat berbahaya yang jika memasuki tubuh akan memberikan efek pada tubuh, terutama pada otak atau sistem saraf. Seka Teruna Teruni (STT) merupakan organisasi remaja khusus nya di Bali. Organisasi ini merupakan wadah generasi muda untuk memahami pentingnya kehidupan sosial dalam bermasyarakat. Penyalahgunaan NAPZA pada remaja merupakan salah satu bentuk dari penyimpangan yang dilakukan oleh remaja. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja khusus nya STT mengenai bahaya NAPZA. Adapun STT yang menjadi peserta pengabdian ini adalah SST Banjar Dauh Peken Desa Penarungan Kabupaten Badung Provinsi Bali. Metode yang digunakan dalam pengabdian ini adalah dengan memberikan penyuluhan mengenai bahaya NAPZA serta melakukan pemeriksaan kandungan NAPZA pada sampel urine. Untuk mengetahui peningkatan pengetahuan mengenai bahaya NAPZA dilakukan dengan memberikan pretes (sebelum dilakukan penyuluhan) dan post test (setelah penyuluhan). Pemeriksaan NAPZA pada sampel urine dilakukan dengan metode imunokromatografi. Jenis NAPZA yang diperiksa adalah jenis amphetamine. Berdasarkan hasil pretes dan post test yang dilakukan, diperoleh peningkatan pengetahuan mengenai bahaya NAPZA pada STT yaitu dari 90% menjadi 100%. Hasil pemeriksaan sampel urine STT pun menunjukkan sebanyak 40 orang STT (100%) negatif atau tidak terdapat kandungan amphetamine pada sampel urine. Hal ini menunjukkan bahwa STT memiliki pengetahuan mengenai bahaya NAPZA yang sangat baik, serta kesadaran yang tinggi dan mampu menjaga diri dengan baik sehingga dapat terhindar dari bahaya NAPZA. Akhir dari kegiatan pengabdian ini yaitu terbentuknya kader STT yang terus bergerak untuk memberikan pengetahuan, kesadaran, serta sikap kepada generasi penerus sehingga bahaya NAPZA yang merusak remaja dapat dihindari.
Optimalisasi Peran Tenaga Kesehatan Dalam Meningkatkan Patient Center Care Sebagai Upaya Pelayanan Terintegrasi Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; A.A Sri Sanjiwani; Ketut Lisnawati; I Nyoman Sudarma
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 5 Nomor 1 Tahun 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v5i1.167

Abstract

Background: Health services provided to patients should be integrated so as to ensure patient safety. The paradigm of health services is currently undergoing a change where it no longer prioritizes one profession as the core of service but instead requires the integration of various professions in providing health services. Patient-centered care (PCC) is a patient-focused service that can be carried out through interprofessional communication. The purpose of this service activity is to increase knowledge and optimize the competence of health workers to increase PCC through the implementation of interprofessional communication. Methods: The dedication method used in this activity is through a webinar using the Zoom meeting application. One of the private hospitals in Bali is a partner in this activity. This service activity consists of three stages: preparation, implementation, and evaluation. Results: The results of the activity show that health workers are able to carry out interprofessional communication and improve PCC as an integrated health service. Conclusion: Health workers are able to carry out interprofessional communication in improving PCC as an integrated health service. The community service process went according to plan and all health workers involved played an active role during the activities. It is hoped that health workers will always be able to apply interprofessional communication to improve PCC.
Edukasi Penerapan Healing Environment sebagai Upaya Pengendalian Stres pada Stroke Survivors dalam Mencegah Serangan Berulang Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut; Sri Sanjiwani, Anak Agung; Sudarma, I Nyoman
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 2 (2024): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i2.763

Abstract

Stroke is the second leading cause of death in the world and the third leading cause of disability, with incidence and prevalence increasing significantly. In Indonesia, the prevalence of stroke is high, mainly due to the lack of control of risk factors and slow adaptation to a healthy lifestyle after the attack. Stress is identified as one of the main factors that aggravate the physical condition and hinder the recovery process in stroke survivors. This community service aims to provide education about the healing environment method as an effort to control stress to prevent recurrent attacks in stroke survivors in Bangli Regency, Bali. This activity was carried out from December 2023 to January 2024, with a community service method in the form of education and demonstration for three days on how to create a healing environment that includes aspects of safety, physical and psychological comfort, social support, access to nature, art, music, and privacy which was attended by 20 stroke survivors. Results showed that the majority of participants had high blood pressure (80%) and normal blood glucose (85%). The increase in participants' knowledge about the healing environment was reflected in the pre-test results which showed 75% of participants had low knowledge, while the post-test showed an increase in sufficient knowledge in 80% of participants. This education helped participants recognize the factors that cause stress and manage stress effectively. The conclusion of this activity shows that the healing environment method can help reduce stress, accelerate recovery, and prevent recurrent stroke attacks. Thus, this method can improve the overall quality of life of stroke patients. The program emphasized the importance of a holistic approach that includes physical, psychological, social, and spiritual aspects to optimize the recovery of stroke patients and prevent further complications.
Edukasi Peran Kepala Ruang dalam Menerapkan Gaya Kepemimpinan Caring Leadership Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Sudarma, Nyoman
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 2 (2024): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i2.505

Abstract

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.
Co-Authors -, Ketut Lisnawati A.A Sri Sanjiwani Aeny Suryanti Anak Agung Sri Sanjiwani Anak Agung Sri Sanjiwani Andika Prajadita Artati, Anak Agung Made Ayuni Putri Ayuniati, Ni Luh Ketut Citrawati, Ni Ketut Citrawati, Ni Ketut Cok Istri Wulan Divyasita Damayanti, Ni Putu Riski Desak Made Ari Dwijayanti Dewa Gede Anom, Dewa Gede DEWI, NI PUTU RAHAYU INDRA Diah Prihatiningsih Dwi Jayanti, Desak Made Ari I Gede Juanamasta I Gusti Ngurah Gede Putra I Gusti Ngurah Ketut Sukadarma I Made Mahardika I Made Widhi Arthayasa I Nyoman Sudarma I Nyoman Sudarma I Nyoman Sudarma I Putu Herry Eka Prasetya Ika Yuni Widyawati Jayanti, Desak Made Ari Dwi Jayanti, Desak Made Ari Dwi Kadek Dwi Surya Artajaya Ketut Lisna Wati Ketut Lisnawati Ketut Lisnawati Lestari, Ni Kadek Yuni Lestari, Ni Kadek Yuni Lestari, Ni Kadek Yuni LESTARI, R TRI RAHAYUNING Liem, Khatijah Lisnawati, Ketut M. Adreng Pamungkas Made Nursari Martariani, Ita Merlin, Ni Made Mirayanti, Ni Ketut Ayu Ni Gusti Ayu Putu Triyani Ni Kadek Ayu Cintya Dewi Ni Kadek Erna Ni Kadek Muliawati Ni Kadek Yuni Lestari Ni Komang Ayu Sintya Ni Komang Srinadi Ni Komang Suwandewi Ni Luh Gede Desi Meilena Ni Luh Nik Rahayu Ni Luh Putu Ari Widyantari Ni Made Diah Natalia Indrasari Ni Made Dwipayanti Ni Nyoman Gunahariati Ni Putu Ratih Oktaviani Nopita Wati, Ni Made Nopita Wati, Ni Made Nurliani, Ni Kadek Erni Nyoman Sudarma Oktaviani, Ni Putu Wiwik Pramesti, Theresia Anita Putu Gede Subhaktiyasa R Tri Rahyuning Lestari Ria Anggraini Sang Ayu Ketut Candrawati Sanjiwani, A.A Sri Sanjiwani, Anak Agung Sri Sri Sanjiwani, Anak Agung Sudarsana, I Dewa Agung Ketut Sumiari, Ni Wayan Theresia Anita Pramesti Waisyaka, Anak Agung Esha Wati , Ni Made Nopita Wati, Ni Made Nopita Yundari, Anak Agung Istri Dalem Hana