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All Journal Journal of Educational Research and Evaluation Jurnal Pengabmas Masyarakat Sehat Jurnal Gema Keperawatan Gemakes: Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabmas Masyarakat Sehat Health Dynamics
Gama, I Ketut
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PEMBERDAYAAN KADER DALAM PENGELOLAAN ASAM URAT PADA LANSIA DI DESA MEGATI KABUPATEN TABANAN Mustika, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Purnama, Tedi
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i2.1670

Abstract

Lansia sebagai kelompok berisiko mengakibatkan konsekuensi pada tingginya proporsi masalah kesehatan pada lansia. Proses menua mengakibatkan penurunan secara bertahap hampir seluruh organ dan sistem dalam tubuh, baik fisik, mental maupun psikologisnya. Kelemahan fisik merupakan faktor risiko yang mengakibatkan penurunan kemampuan lansia untuk bisa menikmati kehidupan. Penyakit tidak menular pada lansia kwantitasnya juga sangat tinggi, seperti: hipertensi, diabetes miletus, Asma, rematoid dan gangguan gizi. Dilapangan juga banyak ditemukan satu orang lansia menderita lebih dari satu penyakit, jiga tidak jarang ditemukan seorang lansia menderita lebih dari satu penyakit. Tujuan kegiatan pengabdian masyarakat sebagai salah satu Tri Darma Pegruan Tinggi yang memberikan kontribusi transfer ilmu dan tehnologi kepada Masyarakat khususnya kader dalam pengelolaan asam urat. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini yaitu pelatihan kader dan pemberdayaan kader menggunakan modul Penyakit tidak menular dan buku pemantauan kesehatan lansia. Membat jamu bubuk kunyit, pelayanan lansia meliputi pemeriksaan fisik: menimbang BB dan mengukur tinggi badan, mengukur tekanan darah, menghitung denyut nadi dan pemeriksaan gula darah, asam urat dan kolesterol, membuka ruang konsultasi bidang kesehatan, sesuai hasil pemeriksaan dan keluhan yang disampaikan. Hasil pengabdian didapatkan bahwa sebelum dan setelah pelatihan kader lansia adanya peningkatan pengetahuan dalam pengelolaan penyakit tidak menular khususnya asam urat.
The Relationship Between Self-Management and Blood Pressure of Hypertension Sufferers in the Kediri I Health Center Region, Tabanan District Kumalasari, Ni Putu Putri; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Mustika, I Wayan
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11105

Abstract

Background: Cases of hypertension in Indonesia show a significant increase. Hypertension continues to lead to complications when people with hypertension have not implemented self-management regularly. Management of hypertension which includes routine medication and healthy lifestyle changes requires good self-management. The purpose of this study was to determine the relationship between self-management and blood pressure of hypertensive patients in the Kediri I Health Center Working Area. Methods: This study uses a quantitative research design (non-experimental) using a cross-sectional approach. The sample amounted to 82 respondents obtained by purposive sampling technique, who met the inclusion criteria, namely hypertensive patients aged 15-59 years. Data collection instruments used the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure measurements using a sphygmomanometer. Results: Data analysis using the Spearman rank test showed the results of ρ = 0.000 and the correlation coefficient r = -0.732 which means that there is a significant and strong relationship (0.60 - 0.79) between the two variables. The majority of respondents showed poor self-management behavior 56.1%. Conclusion: It is hoped that it can be used as information for the relevant health centers, that the importance of implementing self-management to prevent an increase in blood pressure in hypertensive patients. 
The Effect of Coffee Consumption on Blood Sugar Levels in Diabetes Mellitus Patients in the Working Area of West Denpasar Puskesmas II, Denpasar, Bali, Indonesia Sulistiawati, Putu; Gama, I Ketut; Sudiantara, Ketut; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11106

Abstract

Background: Non-communicable diseases (NCDs) are chronic diseases that cannot be transmitted from person to person. The aim of this study was to determine the effect of coffee consumption on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. Methods: This research method uses pre-experimental design using a non-equivalent control-group before-after design. The research subjects were diabetes mellitus sufferers aged 45 years and over. The population in this study was 77 and the total sample for this study was 44 people using the non-probability sampling technique with the purposive sampling method. The data collection instrument uses a glucometer. Coffee is consumed twice/day as much as 200 ml in the morning and evening 5 minutes after eating for 6 days. Results: The research results showed that of the 44 respondents, in the treatment group it was found that the average blood sugar level before being given coffee was 183.50 mg/dL, and after being given coffee was 168.50 mg/dL. Meanwhile, in the control group, the average blood sugar level before and after the study was 198.50 mg/dL. The results of univariate analysis used the Wilcoxon test and obtained a p value of 0.000 (α < (0.05)). Conclusion: The conclusion of this research is that there is an effect of drinking coffee on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. It is hoped that from the results of this research, drinking coffee can be used as an alternative drink to lower blood sugar levels. 
The Impact of Prior Related Behavior on Stunting Incidents Abang I Health Center, Karangasem District, Bali, Indonesia Wulandari, Kadek Dina; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Sudiantara, Ketut
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11004

Abstract

Background: Stunting is growth failure in children under 5 years due to chronic malnutrition, often occurring during the first 1000 days of life. Maternal behavior during pregnancy has a major impact on fetal development and the possibility of stunting. This study aims to analyze the relationship between prior related behavior, such as blood increasing tablets consumption, antenatal care checks, and animal protein consumption, with the incidence of stunting in the Abang I Community Health Center Work Area, Karangasem Regency. Methods: Using non-probability sampling technique with Purposive sampling, with a total of 70 respondents from a total population of 230 people who met the inclusion criteria, namely mothers aged 15-45 years, mothers who had stunted toddlers and were registered in the Abang I Community Health Center Working Area. Results: Based on non-probability statistical tests. Spearman Rank parametric, found a significant p-value for blood increasing tablets consumption behavior (p=0.002), Antenatal care examination (p=0.004), and animal protein consumption (p=0.002), showing a value <0.05 which means there is a relationship with stunting incident. The majority of respondents showed bad behavior in these three areas, namely consump blood increasing tabletstion behavior 55.7%, antenatal care examination 55.7% and animal protein consumption 52.9%. It is hoped that health workers at the Community Health Center will follow up with pregnant women and teenage girls in coordination with the village or Community Health Center for education about the importance of blood increasing tablets, antenatal care examinations, and animal protein intake to prevent stunting in toddlers. Conclusion: There is a relationship between maternal behavior in consuming blood supplement tablets, antenatal care and animal protein consumption with the incidence of stunting in the working area of Puskesmas Abang I, Karangasem district, Bali, Indonesia.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Padmi, Luh Sri Anggayoni Julia; Achjar, Komang Ayu Henny; Gama, I Ketut; Mustika, I Wayan; Lestari, Agus Sri; Sudiantara, Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
Differences in Providing Education Using Poster Media and Audiovisual Media on Prevention of Rabies Transmitting Animal Bites Achjar, Komang Ayu Henny; Asih, Putu Tarma; Lestari, Agus Sri; Gama, I Ketut; Ribek, I Nyoman
Journal of Education Reseach and Evaluation Vol 7 No 4 (2023): November
Publisher : LPPM Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jere.v7i4.67548

Abstract

Rabies is an acute infectious disease that attacks the nervous system in humans and warm-blooded animals caused by the rabies virus, transmitted through the saliva of rabid animals such as dogs, cats, monkeys, raccoons and bats through bites or open wounds. The aim of the research is to analyze the differences in providing education using poster media and audiovisual media on behavior to prevent bites from animals that transmit rabies. The type of research used was pre-experimental designs with a two-group pre-test and post-test without control group design. The sampling technique used is non-probability sampling, namely purposive sampling. The number of samples used in this research was 86 families divided into 2 groups, namely the poster group and the audiovisual group. This research used a questionnaire sheet to measure the behavior of preventing bites from animals that transmit rabies, which consists of 3 sub-variables, namely knowledge, attitudes and actions. Then it was analyzed using the Mann-Whitney test to analyze the differences between educational poster media and audiovisual media. The research results show that the average value for poster media before is 65.6 and after is 77. Meanwhile, the average value for audiovisual media before is 72.2 and after is 82.3. Statistical testing used the Mann-Whitney test and obtained a ρ−value of 0.001 < 0.05. The conclusion is that there is a difference between providing education using poster media and audiovisual media on behavior to prevent bites from animals that transmit rabies. Suggestions to respondents are that they can provide education to those closest to them or anyone who is advised to use audiovisual media.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Dewintasari, Ni Nyoman Paramitha; Mustika, I Wayan; Sudiantara, I Ketut; Lestari, Agus Sri; Henny Achjar, Komang Ayu; Gama, I Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Harini, I Gusti Ayu
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20602

Abstract

Background: Hypertension is a condition in which blood pressure is higher than normal values of ≥140/≥90 mmHg. Effective blood pressure control is the main goal to prevent and treat hypertension. In addition to pharmacological approaches, blood pressure can be controlled with non-pharmacological approaches such as acupressure therapy. This study aims to determine the effect of acupressure therapy at the SP6 and LI4 points on reducing blood pressure in elderly individuals with hypertension. Methods: This study was designed with a quasy-experiment with the type of research pre and post-test with control group with purposive sampling technique. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The population amounted to 81 elderly people with hypertension with the number of samples used in this study as many as 46 elderly samples with hypertension (23 in intervention group and 23 in control group). The majority of respondents were aged 65-69 years, female, worked as traders, and had elementary school education and did not go to school. Blood pressure was measured using a sphygmomanometer. Acupressure on SP6 and LI4 points was given to the intervention group for 3 weeks with a frequency of 2 times in 1 week, while the control group was given conventional treatment. Results: The results of the post-test difference in blood pressure between the intervention group and the control group with the Mann Whitney U-Test test showed a p-value = 0.000 (p <0.05), it can be concluded that there is a significant difference between the intervention group and the control group. Conclusions: The study concludes that there is an effect of acupressure therapy at point SP 6 and LI 4 on lowering blood pressure in the elderly with hypertension. It is hoped that the results of the study can be used as an alternative therapy in lowering blood pressure.
Bay Leaf Brewing Lowers Blood Sugar Levels in Elderly People with Type 2 Diabetes Mellitus Satriawati, Ni Nyoman Ayu; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Achjar, Komang Ayu Henny; Mustika, Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20603

Abstract

Background: Type 2 diabetes mellitus in the elderly can cause increased blood sugar levels that risk damaging various body systems. One natural alternative to help lower blood sugar levels is to utilize bay leaves, which are known to have active ingredients that have the potential to be antidiabetic. This study aims to determine the effect of boiled bay leaves on blood sugar levels in elderly people with type 2 diabetes mellitus. Methods: The study used a pre-experimental design with a one group pre and post test design approach. The study population was elderly people with type 2 diabetes mellitus in the Abang II Health Center, Karangasem, Bali Province, Indonesia with a sample size of 49 people selected using the proportional stratified random sampling technique. Respondents were given an intervention in the form of consuming 220 ml of boiled bay leaf water every morning before eating for seven consecutive days. The bay leaves used were old leaves weighing 2 grams. Blood sugar levels were measured using the Easy Touch tool, with established standard procedures. Results: The results showed that before the intervention, all respondents had random blood sugar levels >200 mg/dL. After the intervention, 93.9% of respondents experienced a decrease in blood sugar levels to <200 mg/dL. The paired t-test statistical test showed a p value = 0.001 (p <0.05), which means there was a statistically significant decrease in blood sugar levels. Conclusions: The conclusion of this study is that boiled bay leaf water is effective in lowering blood sugar levels in elderly people with type 2 diabetes. It is recommended to use it as a safe and natural additional therapy, while continuing to consult a doctor for further monitoring.
PENYULUHAN DAN PENDAMPINGAN CARA PEMENFAATAN DAUN SALAM (SYZYGIUM POLYANTHUM) UNTUK MENGATASI MASALAH KEPUTIHAN (FLOUR ALBUS) PADA KAUM PEREMPUAN Suratiah, Suratiah; Hartati, Nyoman; Gama, I Ketut; Tamam, Badrut
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 1 (2025): JANUARI
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i1.3803

Abstract

Keputihan (Flour Albus) adalah hal yang biasa dan fisologis terjadi pada setiap perempuan, namun hampir 50% dari seluruh populasi perempuan terkena keputihan patologis yang mengakibatkan masalah ketidaknyaman pada alat kelamin luar. Keputihan yang patologis akan mengganggu kenyaman para perempuan. Rasa gatal yang dirasakan cendrung menyebabkan perempuan gelisah dan menggaruk yang akan berdampak pada perlukaan atau perlecetan sehingga berdampak pada infeksi yang lebih lanjut. Selain itu juga akan berdampak pada hubungan suami istri dimana seorang perempuan merasa tidak nyaman karena gatal dan berbau. Hasil penelitian Suratiah, dkk (2018), menyatakan bahwa ekstrak rendaman daun salam muda efektif dalam menghambat pertumbuhan candida albicans. Dimana candida albicans diketahui salah satu penyebab terbanyak keputihan menjadi patologis. Daun salam sangat dikenal oleh para perempuan dan sangat mudah untuk didapatkannya, namun belum banyak para perempuan mengetahui bahwa daun salam dapat dimanfaatkan untuk mencegah infeksi oleh jamur pada keputihan. Dalam pengabdian kepada masyarakat ini, pengabdi ingin memberikan penyuluhan dan pendampingan cara pemanfaatan daun salam untuk mengatasi masalah keputihan seperti gatal dan basah pada kaum perempuan. Dari pengabdian ini para perempuan dapat memahami tentang keputihan dan hal yang mengakibtakan keputihan menjadi gatal dan produksi yang berleihan serta para perempuan juga mampu mengetahui dan mampu membuat rendaman daun salam muda. Hasil pengabdian ini menunjukkan pengetahuan para perempuan ilmu tentang keputihan dan penyebab gatalnya bertambah serta mampu membuat rendaman duan salam yang digunakan untuk cebok. Para perempuan juga mengatakan setelah 2 minggu menggunakan rasa gatal hilang dan adanya tambahan sensasi keset saat berhubungan dengan suami.
Pelatihan Dan Pemberdayaan Ibu-Ibu Pkk Untuk Pencegahan Stunting Di Desa Sekardadi Kabupaten Bangli Tahun 2024 Arini, NI Wayan; Gama, I Ketut; Marhaeni, Gusti Ayu; Wiardani, Ni Komang; Rusminingsih, Ni Ketut; Widhya HS, Cokorda Dewi
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 2 (2025): APRIL
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i2.3976

Abstract

Short toddlers (stunting) is a chronic nutritional problem caused by a lack of nutritional intake over a long period of time which results in factors that provide food that does not meet the nutritional needs of children. The occurrence of stunting in toddlers is caused by various factors. The direct cause is a lack of food intake and the presence of infectious diseases. Other causes are lack of maternal knowledge, wrong parenting patterns and poor hygiene and sanitation. The objectives of the Sustainable Regional Development Program are to: Increase knowledge about nutrition, especially nutrition for pregnant women to prevent stunting and Improve skills in making nutritious food using local ingredients available in the area.The results of this community service were that the percentage of PKK women's knowledge level before education had the most adequate criteria 48 people (90.57%). After education, the most are in good criteria 45 people (84.90%). The average knowledge score of PKK mothers before being given education was 66, including sufficient criteria. After education, the average score increased to 77.3, including good criteria. There was an increase in knowledge and skills after training. So that the knowledge and skills gained during the training can be applied in everyday life. Tempe Labu Siam Nugget and Lato Dimsum, can be made in various ways such as making crispy nuggets so that children don't get bored
Co-Authors Achjar, Komang Ayu Henny Agus Sri Lestari Asih, Putu Tarma Badrut Tamam Devina Jenamo, Ida Ayu Dewintasari, Ni Nyoman Paramitha Febri Diana Putri, Ni Putu Gede Ngurah, I Gusti Ketut Gusti Ayu Marhaeni Harini, I Gusti Ayu Hartati, Ni Nyoman Hartati, Nyoman Henny Achjar, Komang Ayu I Wayan Mustika I Wayan Suardana Kumalasari, Ni Putu Putri Ngurah, I Gusti Ketut Ngurah, I Gusti Ketut Gede Ngurah, IGK Gede Ni Komang Wiardani Ni Wayan Arini Padmi, Luh Sri Anggayoni Julia Pramesti, Kadek Diah Purnama, Tedi Rahmasari, Ni Nyoman Putri Asri Ribek, I Nyoman Rusminingsih, Ni Ketut Satriawati, Ni Nyoman Ayu Sudiantara, I Ketut Sudiantara, Ketut Sulistiawati, Putu suratiah, suratiah Widhya HS, Cokorda Dewi Wulandari, Kadek Dina