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Tripayana, I Nyoman
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Health Professions Medicine & Pharmacology Nursing Public Health

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Optimalisasi Manajemen Nyeri melalui Terapi Distraksi Emosional dan Visual bagi Anak dan Keluarga dengan Perawatan Paliatif Care Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus; Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika; Tripayana, I Nyoman; Suyasa, Agus Baratha; Putri, I Gusti Ayu Nandita Arta; Sukmawati, Ni Wayan Eni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22093

Abstract

ABSTRAK Kanker pada anak adalah pertumbuhan sel abnormal yang dapat menyebar (metastasis) dan membutuhkan perawatan paliatif. Jenis kanker yang umum antara lain leukimia, tumor otak, neuroblastoma, dan osteosarcoma. Penyebab pasti belum diketahui, namun faktor genetik, paparan karsinogen, dan virus Epstein-Barr (EBV) berperan. Gejala meliputi demam menetap, nyeri berat, kelelahan, dan gangguan tumbuh kembang. Program PKM ini bertujuan mengajarkan manajemen nyeri dan pendampingan orang tua melalui terapi distraksi emosional dan visual. Pasien dan keluarga merasakan manfaat positif. Metode menggunakan action research: perencanaan, pelaksanaan, observasi, dan evaluasi. Kegiatan melibatkan Yayasan Peduli Anak Kanker Bali dan dilaksanakan melalui mewarnai, diskusi, dan pohon harapan. Hasil pretest menunjukkan rata-rata nyeri skala 4, dan posttest menunjukkan penurunan ke skala 1–2.  Kesimpulannya, terapi distraksi efektif mengurangi nyeri secara nonfarmakologis dan perlu diterapkan secara berkelanjutan dalam perawatan paliatif anak. Kata Kunci: Anak, Keluarga, Manajemen Nyeri, Distraksi Emosional dan Visual.  ABSTRACT Childhood cancer is characterized by abnormal cell growth that can metastasize and requires palliative care. Common types include leukaemia, brain tumours, neuroblastoma, and osteosarcoma. Although the exact cause remains unknown, contributing factors include genetics, exposure to carcinogens, and the Epstein-Barr virus (EBV). Symptoms may include persistent fever, severe pain, fatigue, and developmental delays. This community service program aims to educate parents on pain management and provide support through emotional and visual distraction therapy. The method applied is action research, consisting of planning, implementation, observation, and evaluation phases. Activities were conducted in collaboration with the Bali Childhood Cancer Care Foundation and included colouring, discussion, and a hope tree session. Pretest results indicated an average pain score of 4, which decreased to 1–2 in the post-test. Patients and families reported positive outcomes. In conclusion, distraction therapy is effective in reducing pain non-pharmacologically and should be sustainably implemented in pediatric palliative care. Keywords: Children, Family, Pain Management, Emotional and Visual Distraction
Program Pelayanan Kesehatan Terpadu dalam Optimalisasi Gizi Balita dan Pengelolaan Sampah di Desa Sudimara Tabanan Agustini, Ni Komang Tri; Wahyunadi, Ni Made Dwi; Sanjana, I Wayan Edi; Tripayana, I Nyoman; Antares, Ardhinata
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23195

Abstract

ABSTRAK Kesehatan masyarakat di wilayah pedesaan sangat dipengaruhi oleh perilaku gizi dan pengelolaan lingkungan. Desa Sudimara, Kecamatan Tabanan, merupakan salah satu daerah dengan permasalahan gizi anak balita serta rendahnya kesadaran masyarakat terhadap pengelolaan sampah rumah tangga. Kegiatan ini dilakukan untuk skrining kesehatan masyarakat, meningkatkan pengetahuan masyarakat tentang gizi seimbang bagi anak balita serta menumbuhkan kesadaran terhadap pengelolaan sampah yang berkelanjutan. Meliputi penyuluhan gizi dan praktik pembuatan Makanan Pendamping ASI (MP-ASI) berbahan pangan lokal, pemeriksaan kesehatan masyarakat (tekanan darah, GDS, kolesterol, dan asam urat), serta edukasi dan demonstrasi pengelolaan sampah rumah tangga melalui pemilahan, pembuatan kompos, dan eco-enzym. Kegiatan diikuti oleh 40 peserta yang terdiri atas ibu rumah tangga, kader Posyandu, dan perangkat desa. Sebanyak 85–90% peserta memahami cara penyusunan MP-ASI bergizi seimbang, sementara 70% peserta mulai menerapkan pemilahan sampah di rumah. Kegiatan ini menunjukkan adanya peningkatan signifikan pada pengetahuan peserta, baik dalam aspek gizi maupun pengelolaan sampah. Selain itu, masyarakat menunjukkan antusiasme untuk membentuk Bank Sampah Desa Sudimara sebagai bentuk keberlanjutan program. Kata Kunci: Gizi Balita, Kesehatan,Skrining, Pengelolaan Sampah.  ABSTRACT Public health in rural areas is greatly influenced by nutritional behavior and environmental management. Sudimara Village, Tabanan District, is one of the areas with nutritional problems for toddlers and low public awareness of household waste management. This activity was carried out to screen the public health, increase public knowledge about balanced nutrition for toddlers and raise awareness of sustainable waste management. Includes nutrition counseling and practice of making Complementary Breastfeeding Food (MP-ASI) from local food ingredients, public health checks (blood pressure, GDS, cholesterol, and uric acid), as well as education and demonstration of household waste management through sorting, composting, and eco-enzyme production. The activity was attended by 40 participants consisting of housewives, Posyandu cadres, and village officials. As many as 85–90% of participants understood how to prepare balanced nutritional MP-ASI, while 70% of participants began to implement waste sorting at home. This activity showed a significant increase in participants' knowledge, both in terms of nutrition and waste management. Furthermore, the community demonstrated enthusiasm for establishing the Sudimara Village Waste Bank as a form of program sustainability. Keywords: Toddler Nutrition, Health, Screening, Waste Management
Co-Authors Agustini, Ni Komang Tri Antares, Ardhinata Devi, Ni Luh Putu Lusiana Dewi, Ni Nyoman Ari Kundari LEWAR, EMANUEL ILEATAN Made Dian Shanti Kusuma Maharyawan, I Wayan Agus Ni Made Candra Citra Sari Parwati, Putu Atika Putra, I Gde Agus Shuarsedana Putri, I Gusti Ayu Nandita Arta Sanjana, I Wayan Edi Sukmawati, Ni Wayan Eni Suyasa, Agus Baratha Wahyunadi, Ni Made Dwi Yusniawati, Yustina Ni Putu