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Pencegahan Gejala Depresi pada Lansia melalui Edukasi dan Deteksi Dini Kusuma, Made Dian Shanti; Sari, Ni Made Candra Citra; Tripayana, I Nyoman
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 9 No 3 (2025): Volume 9 Nomor 3 Tahun 2025
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v9i3.24763

Abstract

Elderly people will face changes both physically and mentally. The changes that occur are generally decreased physical function, having comorbidities, and the emergence of symptoms of depression that are often not realized and detected due to the aging process. If symptoms of depression are not detected properly, it can cause the elderly to be at risk of depression. Efforts that can be made to prevent depression in the elderly are to routinely carry out early detection and provide mental health education. The purpose of this activity is to find out the elderly who have symptoms of depression and are at risk of depression. This activity was carried out in the Pedungan sub-district by involving assistance from the Health Center in the elderly posyandu program. The implementation of the activity was carried out for 2 weeks by involving the elderly who attended the elderly posyandu held in the hamlet/community of the sub-district. The measuring instrument used to conduct screening is the Geriatric Depression Scale-15 (GDS-15). This measuring instrument has been validated for application to the elderly. This community service activity was attended by 19 elderly people. There was an increase in knowledge scores before and after being given education. The results were analyzed using the Wilcoxon Signed Test with a p value <.001 and a Z value of -3.750. The difference in mean values ​​before education was 71.53 and after education was 80.16. The screening results showed that there were 6 (20.8%) elderly people who had symptoms of depression. Elderly people who have symptoms of depression are then advised to immediately consult with health workers as an effort to treat the symptoms of depression they have, so that the elderly can avoid depression. The implementation of this activity is expected to be implemented routinely so that it can identify elderly people who are at risk of experiencing depression.
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
Burnout and Compliance in Filling Out Pre-Anesthesia Report Forms by Anesthesitants Tripayana, I Nyoman; Lewar, Emanuel Ileatan; Anggaraeni, Komang Rosa Tri; Diputra, I Nyoman Yoga
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.7483

Abstract

Burnout is a psychological process caused by unrelenting work stress, which indirectly affects the completeness of pre-anesthesia reports. Based on a survey of medical records analysis, surgical anesthesia report forms were still found in medical records that were incomplete. The purpose of this study was to explore preliminary data on the burnout experienced by anesthesiologists and their compliance with filling out anesthesia reports. This study is a qualitative study with a multiple case study design using a descriptive approach. The participants in this study were anesthetists at Klungkung Regional General Hospital, with a total of five participants in the operating room. The data collection method in this study used primary data by conducting interviews on the level of burnout and compliance of anesthetists, as well as assessment sheets of observations regarding compliance in filling out anesthesia report forms. The data analysis techniques used in this study were individual case analysis and cross-case analysis. The level of burnout experienced by anesthesiologists varies across each dimension. Overall, participants tended to experience mild emotional exhaustion. In the depersonalization dimension, participants were found to be in the severe category. Meanwhile, in the self-efficacy dimension, all three participants were in the low category. The pre-anesthesia assessment form contained items that were not filled in, namely those related to lifestyle history. Burnout, especially when influenced by work fatigue and psychosocial stress, has the potential to reduce the quality of documentation, which plays an important role in patient safety. Therefore, organizational efforts are needed to reduce burnout through workload management, managerial support, and a more effective documentation system in order to improve compliance and the quality of anesthesia services.
Kesiapsiagaan Masyarakat Dalam Menghadapi Bencana Gempa Bumi di Indonesia : Literature Review Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Parwati, Putu Atika; Devi, Ni Luh Putu Lusiana; Maharyawan, I Wayan Agus; Dewi, Ni Nyoman Ari Kundari; Tripayana, I Nyoman; Suyasa, Agus Baratha; Sukmawati, Ni Wayan Eni; Putri, I Gusti Ayu Nandita Arta; Karisma, Putu Ayu; Juniawan, Putu Denny
Jurnal Sains Kesehatan Vol 32, No 3 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.32.3.364-373

Abstract

Kesiapsiagaan merupakan suatu proses menyiapkan masyarakat untuk siap baik secara pengetahuan, sikap, dan sarana prasarana terutama pada daerah daerah yang memiliki resiko jiwa terhadap bencana gempa bumi. Saat ini pemahaman masyarakat terkait kesiapsiagaan tergolong masih kurang dan sarana prasaranan dalam melakukan tatalaksana gempa bumi juga masih belum maksimal. Perlu dilakukan pengkajian lebih lanjut dalam melihat bagaimana kesiapsiagaan masyarakat Indonesia terhadap kejadian gempa bumi.  Tujuan penelitian ini adalah untuk mengetahui bagaimana literatur tingkat kesiapsiagaan masyarakat dalam menghdapi bencana gempa bumi di Indonesia. Penelitian ini menggunakan tinjauan literatur (literature review) yaitu google scolar. Artikel yang diperoleh dipilih berdasarkan publikasi yang diterbitkan antara tahun 2020–2025. Berdasarkan hasil tinjauan sistematis terhadap 9 artikel penelitian, diketahui bahwa kesiapsiagaan masyarakat dalam menghadapi bencana gempa bumi secara umum berada pada tingkat cukup hingga tinggi, khususnya pada daerah-daerah yang sudah mendapatkan sosialisasi, edukasi, dan simulasi bencana. Pelatihan, penyuluhan, dan pendekatan berbasis kearifan lokal terbukti efektif dalam meningkatkan pengetahuan dan kesiapsiagaan masyarakat. Namun, masih terdapat wilayah tertentu yang memiliki tingkat kesiapsiagaan rendah akibat kurangnya pemahaman terhadap risiko dan ketergantungan terhadap mitos lokal yang tidak ilmiah. Faktor lain seperti resiliensi komunitas juga berpengaruh signifikan terhadap kesiapsiagaan masyarakat. Tingkat kesiapsiagaan masyarakat Indonesia dalam menghadapi bencana gempa bumi bervariasi, dipengaruhi oleh faktor pengetahuan, sosialisasi, sarana prasarana, kearifan lokal, dan resiliensi komunitas. Upaya edukasi dan simulasi secara berkelanjutan sangat diperlukan untuk meningkatkan kesiapsiagaan masyarakat secara merata di seluruh wilayah.Kata Kunci: bencana, gempa bumi, kesiapsiagaan, masyarakat, mitigasi
Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community Israfil, Israfil; Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Swarjana, I Ketut; Sriasih, Ni Kadek; Nooiad, Ganyanee; Yogi RS, I Gusti Agung; Tripayana, I Nyoman; Wicaksana, I Gusti Agung Tresna
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.750

Abstract

Hypertension is one of the non-communicable diseases whose prevalence continues to increase and remains a major risk factor for cardiovascular disease. The management of hypertension does not rely solely on pharmacological therapy but also requires non-pharmacological interventions, such as adopting a healthy diet rich in fruits and vegetables and low in salt. However, public knowledge regarding types of foods that effectively help lower blood pressure remains limited, particularly in rural areas. This community service program (PKM) aimed to provide education on healthy foods that can reduce blood pressure as a form of non-pharmacological therapy for patients with hypertension in the community. The activity employed the Preparation, Action, Reflection, and Evaluation (PARE) approach and was conducted in Melinggih Village, Gianyar Regency, Bali Province, involving 29 participants with hypertension. The program began with a pre-test, followed by health education sessions supported by visual educational media, consultations, discussions, and question-and-answer sessions, and concluded with a post-test evaluation. The results showed that the proportion of participants with good knowledge increased from 34.5% before the intervention to 100% after the implementation of the program. The Wilcoxon test results indicated Z = -4.300; p = 0.001, demonstrating a statistically significant difference in participants’ knowledge levels before and after the activity. The success of the program was supported by lecture methods, consultations, and interactive discussions conducted bilingually (Indonesian and Balinese), as well as the use of colorful leaflets illustrating vegetables and fruits beneficial in lowering blood pressure. Thus, this community-based educational intervention proved effective in improving community knowledge and awareness regarding healthy food choices for hypertension management.