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Ni Kadek Sutini
Institut Teknologi Dan Kesehatan Bali
Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Research Priority of Gerontic Nursing in Indonesia: findings from a Delphi Study I Gede Putu Darma Suyasa; Ni Kadek Sutini
Jurnal Keperawatan Padjadjaran Vol. 9 No. 1 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i1.1563

Abstract

While elderly population in Indonesia continues to increase, research around elderly and health care for elderly is still limited. The purpose of this study was to identify priority of research area on Gerontic Nursing in Indonesia. This was a descriptive study, using Delphi study with 2 survey rounds. Round 1 involved 34 participants purposely selected among nurses who worked in the area of and had a research interest in Gerontic Nursing. Open ended online questionnaire about priority areas was sent to potential participants. Data was analyzed for its similarity, resulted in 36 research areas around Gerontic Nursing. Round 2 involved 204 nurses with the same criteria as in round 1, selected using convenience sampling technique. Close ended questionnaire using Semantic Differential Scale ranged from 1 to 9 was sent online to potential participants. Data was descriptively analyzed for median, interquartile range (IQR), and range. Findings indicated 10 levels of research priority. Level 1 research priority with median of 9, IQR 1, and range 5 were long term care for elderly, family knowledge on caring for elderly, personal hygiene in elderly, competency of Gerontic Nurse, and nutrition in elderly. Nurse academics and researchers are suggested to collaborate with nurse practitioners in various settings to conduct research on these priority areas.
The association between hypertension self-management and stroke event in male patients at the Badung District Hospital, Bali Ni Kadek Sutini; Ni Wayan Septarini; I Made Ady Wirawan; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 6 No. 2 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i2.p02

Abstract

Background and purpose: Hypertension is a major risk factor for stroke. Despite efforts to control hypertension with pharmacological and non-pharmacological therapies, the prevalence of and death from stroke is reported to be increasing. This study aims to determine the association of hypertension self-management with the incidence of stroke in patients with hypertension. Methods: A case-control study was conducted involving 44 patients suffering from hypertension and who had suffered a stroke as cases, as well as 44 patients with hypertension and without stroke as controls. Cases and controls were conveniently selected at the outpatient clinic of Badung District Hospital. Data on self-management of diet, physical activity, stress mitigation efforts, alcohol consumption, and medication adherence were collected using self administered questionnaire. Data on the diagnosis of hypertension, stroke and history of comorbidities were obtained from the patient’s medical records. Multivariate analysis using logistic regression was employed to assess the association between hypertension self-management with the incidence of stroke in patients with hypertension. Results: Characteristics of cases and controls did not differ in education, marital and socioeconomic status, but differed in age and employment. Multivariate analysis showed that there were three components of hypertension self-management associated with the incidence of stroke, namely poor adherence to medication (AOR=7.28; 95%CI: 2.19-24.17), poor self-management of stress (AOR=5.45; 95%CI: 1.56-18.99), and poor management of self-regulated diet (AOR=5.28; 95%CI: 1.31-21.32). Conclusion: Medication adherence, diet and stress management are the three main components of self-management that are associated with stroke events among hypertension patients. Efforts to increase medication adherence, diet and stress management should be enhanced.
PERAWATAN MANDIRI HIPERTENSI DAN PEMANFAATAN LAYANAN KESEHATAN TRADISIONAL PENDERITA HIPERTENSI DI DENPASAR Sutini, Ni Kadek; Suyasa, I Gede Putu Darma
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 5, No 2 (2020)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v5i2.289

Abstract

ABSTRAKHipertensi semakin sering terjadi pada masyarakat di Indonesia dan dianggap sebagai salah satu penyebab utama morbiditas dan mortalitas. Meskipun upaya pengelolaan hipertensi dengan pendekatan farmakologi dan nonfarmakologi termasuk pendekatan pelayanan kesehatan tradisional telah dilakukan, namun prevalensi hipertensi dan kematian akibat hipertensi masih tetap tinggi. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi perawatan mandiri hipertensi dan pemanfaatan pelayanan kesehatan tradisional pada pasien hipertensi di Denpasar. Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Responden adalah 100 pasien yang direkrut melalui consecutive sampling di 4 Puskesmas di Denpasar. Kuesioner yang divalidasi tentang manajemen diri dari diet, aktivitas fisik, manajemen stres, konsumsi alkohol, merokok, kepatuhan pengobatan dan penggunaan layanan kesehatan tradisional, digunakan untuk mengumpulkan data. Data dianalis secara univariate mengunakan SPSS versi 20.0. Hasil: Hasil menunjukkan bahwa usia rata-rata responden adalah 55 tahun (berkisar 17-80 tahun), dan 50,4% adalah perempuan. Dalam perawatan mandiri hipertensi, sebagian besar responden menunjukkan perawatan mandiri yang memadai di 5 domain (72% untuk perawatan mandiri diet, 74% untuk perawatan mandiri stres, 97% membatasi konsumsi alkohol, 95% menghindari merokok dan 89% patuh dengan konsumsi obat). Namun, 63% responden menunjukkan perawatan mandiri yang buruk pada aktivitas fisik. Selain itu, hanya 25% responden yang menggunakan pelayanan kesehatan tradisional untuk mengelola hipertensinya. Kesimpulan: Meskipun perawatan mandiri hipertensi sudah baik, penanganan pada aktivitas fisik dan penggunaan pelayanan kesehatan tradisional perlu tingkatkan. Praktisi kesehatan disarankan untuk mempromosikan aktivitas fisik dan penggunaan layanan kesehatan tradisional untuk mengelola hipertensi.Kata kunci: Hipertensi, Layanan Kesehatan Tradisional, Perawatan MandiriHypertension Self-Care and Utilization of Traditional Health Services for Hypertensive Patients in DenpasarABSTRACTHypertension is increasingly common in Indonesia and is considered one of the leading causes of morbidity and mortality. Although efforts to manage hypertension with pharmacological and non-pharmacological approaches, including traditional health care approaches, have been conducted, the prevalence of hypertension and death due to hypertension is still high. Objective: This research aimed to identify hypertension self-care and utilization of traditional health services in hypertensive patients in Denpasar. Methods: This research was a descriptive study with a cross-sectional approach. Respondents were 100 patients who were recruited using consecutive sampling at 4 health centers in Denpasar. A validated questionnaire on self-management on diet, physical activity, stress management, alcohol consumption, smoking, medication adherence, and utilization of traditional health services were used to collect data. Data were analysed for univariate statistics using SPSS version 20.0. Results: The results showed that the average age of the respondents was 55 years (range 17-80 years), and 50.4% were women. In hypertension self-care, most respondents indicated adequate self-care in 5 domains (72% for diet self-care, 74% for stress self-care, 97% limiting alcohol consumption, 95% avoiding smoking, and 89% adhering to drug consumption). However, 63% of respondents indicated poor self-care in physical activity. In addition, only 25% of respondents used traditional health services to manage their hypertension. Conclusion: Although hypertension self-care is considered adequate, the management of physical activity and the utilization of traditional health services should be improved. It is suggested that health practitioners should promote physical activity and the utilization of traditional health services to manage hypertension.Keywords: Hypertension, Traditional Health Services, Self-Care
Pemberdayaan Kader Posyandu dan Komplementer Berbasis Akupresur dan Usada Bali Sebagai Upaya Optimalisasi Mutu Pelayanan Kesehatan di UPTD Puskesmas Tabanan III Nuartini, Ni Nyoman; Sutini, Ni Kadek; Dira, Made Asmarani; Bhandesa, Asthadi Mahendra; Kory, I Kadek Krishna Dwimartopaz; Putri, Ni Putu Kamita; Dirgayasa, I Nyoman; Suastika, Kadek Sasi Sasmita
Jurnal Aplikasi dan Inovasi Iptek Vol 6 No 1 (2024): Jurnal Aplikasi dan Inovasi Iptek No. 6 Vol. 1 Oktober, 2024
Publisher : Denpasar Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52232/jasintek.v6i1.165

Abstract

Pembangunan kesehatan masyarakat sangat penting untuk dilakukan. Puskesmas Tabanan III telah membentuk kader posyandu untuk mendukung program kerja puskesmas. Keterampilan kader perlu terus dikembangkan dan diberdayakan seiring dengan perkembangan dan minat kesehatan masyarakat. Masih kurang optimalnya pengelolaan kader posyandu yang lebih teratur dan tersistem khususnya dalam mendukung program Puskesmas dan pelaksanaan Posyandu. Solusi yang ditawarkan adalah Pemberdayaan Kader Posyandu dan Komplementer Berbasis Akupresur dan Usada Bali Sebagai Upaya Optimalisasi Mutu Pelayanan Kesehatan di Puskesmas Tabanan III. Kegiatannya antara lain: Edukasi dan praktik Akupresur pada kader untuk menangani beberapa masalah kesehatan, Edukasi dan praktik pemanfaatan tanaman obat menurut Usada Bali pada kader untuk menangani masalah dan gangguan kesehatan ringan, Pendampingan kader membimbing cara pemanfaatan teknik Akupresur dan pemanfaatan tanaman obat menurut Usada Bali kepada masyarakat, Edukasi pada kader tentang manajemen mutu kesehatan, Praktik dan Simulasi pada kader tentang mutu pelayanan kesehatan sesuai standar pelayanan mutu Puskesmas Tabanan III, Pendampingan dan evaluasi pelaksanaan pelayanan standar mutu kesehatan dan standar mutu Puskesmas Tabanan III. Kegiatan dilakukan dengan metode sosialisasi, pelatihan dan praktik, pendampingan, monitoring dan evaluasi. Hasil kegiatan ini terdapat peningkatan pengetahuan dan keterampilan kader dalam pelakasanan pelayanan kesehatan dengan terapi Akupresur dan Usada Bali demi mewujudkan optimalitas mutu pelayanan puskesmas
Peningkatan Kesehatan pada Hipertensi Berbasis Perawatan Jangka Panjang Suantika, Putu Inge Ruth; Sutini, Ni Kadek; Indrayani, Ni Luh Dwi; Dari, Ni Putu Desy Ratna Wulan; Megawati, Putu Vera; ArizonaVallentino, I Gede Rendy; Syukri, Muhammad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 5 (2025): Volume 8 No 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i5.19518

Abstract

ABSTRAK Hipertensi menjadi salah satu masalah kesehatan global dengan prevalensi yang terus meningkat. Pengelolaan hipertensi memerlukan pendekatan komprehensif, termasuk intervensi nonfarmakologis seperti senam hipertensi berbasis perawatan jangka panjang. Dalam hal ini, pendekatan Interprofessional Education (IPE) dan Interprofessional Collaboration (IPC) berperan penting dalam memastikan kolaborasi yang efektif antarprofesi kesehatan untuk meningkatkan kualitas pelayanan dan edukasi kepada masyarakat. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan masyarakat tentang hipertensi, keterampilan melaksanakan senam hipertensi secara mandiri, serta memperkuat kerja sama lintas profesi melalui IPE dan IPC. Kegiatan dilakukan melalui penyuluhan menggunakan media power point, leaflet, dan video senam, serta evaluasi pengetahuan peserta dengan pre-test dan post-test. Pelaksanaan mengintegrasikan prinsip IPE dan IPC dalam pendekatannya. Terdapat peningkatan pengetahuan lansia terhadap hipertensi yang ditunjukkan dari hasil post test lebih tinggi daripada skor pre test. Lansia juga mampu melakukan senam hipertensi secara mandiri dengan panduan video, didukung oleh kerja tim yang kolaboratif antarprofesi. Penyuluhan berbasis media edukasi dengan pendekatan IPE dan IPC efektif meningkatkan pengetahuan dan keterampilan masyarakat dalam pengelolaan hipertensi.. Kata Kunci: Hipertensi, IPE, IPC, Edukasi, Perawatan Jangka Panjang  ABSTRACT Hypertension is one of the most significant global health problems, with an increasing prevalence each year. Managing hypertension requires a comprehensive approach, including nonpharmacological interventions such as long-term hypertension exercise programs. In this context, Interprofessional Education (IPE) and Interprofessional Collaboration (IPC) play a crucial role in ensuring effective collaboration among healthcare professionals to improve service quality and community education. The aims is to enhance community knowledge about hypertension, develop skills in independently performing hypertension exercises, and strengthen interprofessional collaboration through IPE and IPC. The program was conducted through health education using power point presentations, leaflets, and exercise videos. Pre-test and post-test evaluations were used to measure participants’ knowledge. The implementation incorporated IPE and IPC principles in its approach. There was an increase in the elderly's knowledge about hypertension, as indicated by the post-test results being higher than the pre-test scores.. Participants were also able to independently perform hypertension exercises guided by educational videos, supported by effective interprofessional team collaboration. Health education using interactive media, supported by IPE and IPC approaches, effectively improved community knowledge and skills in hypertension management.. Keywords: Hypertension, IPE, IPC, Health Education, Long-Term Care.
GAMBARAN PENGETAHUAN KELUARGA DENGAN HIPERTENSI TENTANG PERAWATAN MANDIRI HIPERTENSI PADA MASA PANDEMI COVID-19 ni kadek sutini; Kadek Ayu Ananda Maharini; Ni Wayan Sukma Antari; I Gede Putu Darma Suyasa
JURNAL MEDIKA USADA Vol 5 No 2 (2022): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v5i2.138

Abstract

Background: People with hypertension are a vulnerable group to morbidity and mortality, especially during the Covid-19 pandemic. During the period of social restrictions, self-management of hypertension is recommended for patients especially in controlling their blood pressures. Families play an important role in the self-management carried out by the patient at home. Purpose: This study aimed to identify knowledge of families with hypertension about the self-management of hypertension. Methods: This study employed a descriptive design with a cross-sectional approach. The research was carried out in Serangan Village, South Denpasar District for 1 month. This study involved 145 families with hypertension. Data was collected using questionnaires. The data wqs analyzed univariately using SPSS version 20. Results: showed that most families had adequate knowledge of hypertension self-management (66.2%). However, the remaining 33.8% indicated poor knowledge on self-management. Based on the six components of hypertension self-management, most families in this study had adequate knowledge on diet management (66.2%), physical activity management (67.6%), stress management (89.0%), alcohol intake management (53.8%), smoking habit management (85.5%) and medication adherence (92.4%). Conclusion: Health care workers are suggested to strengthen family education about hypertension self-management especially those indicating poor knowledge via home visits with Pandemic protocols.
Hubungan Pengetahuan Dengan Perilaku Penderita Hipertensi Terhadap Cara Pengobatan Hipertensi Dengan Terapi Komplementer Di Puskesmas 1 Denpasar Timur ni kadek sutini; Putu Ayu Laksmi Dewi; I Gede Putu Darma Suyasa; I Wayan Edi Sanjana
JURNAL MEDIKA USADA Vol 7 No 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.246

Abstract

Background: Non-pharmacological management of hypertension through complementary medicine has now been developed in Indonesia. However, the interest of hypertensive patients in complementary medicine is not optimal because there are many factors that influence the behavior of patients in the use of complementary medicine. Methods: This study employed an analytic study design with a cross-sectional approach. This research was conducted at Puskesmas 1 East Denpasar for 1 month. This study involved 101 hypertensive patients using accidental sampling technique. Data collection was carried out using a questionnaire. Data were analyzed univariately and bivariately using SPSS version 20. Results: This study showed that most hypertensive patients had good knowledge of hypertension treatment with complementary therapies (64.4%). A total of 53.5% of hypertensive patients showed adequate behavior in the treatment of hypertension with complementary therapy. Based on the chi square test, it was found that there was a significant relationship between knowledge and behavior of hypertensive patients towards hypertension treatment with complementary therapy (p-value = 0.04). Conclusion: It is recommended for health workers to increase education and promotion about hypertension treatment with complementary therapy, especially for hypertensive patients with poor knowledge.
Attitudes Toward Older People Among Nursing Students in Southeast Asia: A Narrative Review Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek; Israfil, Israfil; Rittiruang, Amonwan
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.623

Abstract

The rapid growth of the older population worldwide has had significant consequences in the health care system, especially in preparing prospective nurses as health workers with positive attitudes towards older people. Unfortunately, students' attitudes have been reported to vary from positive attitudes to indications of ageism towards the older age group. This study aimed to identify and describe current findings regarding nursing students' attitudes toward older people in Southeast Asian countries. This study was conducted using a narrative review approach. The literature was sourced from international databases: PubMed, Science Direct, EBSCOhost, and ProQuest. Keywords included "attitude" AND "older people" OR "elderly" OR "older Adult” AND "nursing student". A total of 154 articles were found and there were 7 articles that met the inclusion criteria from five Southeast Asian countries: Indonesia, Malaysia, Thailand, Philippines, and Vietnam. In general, nursing students in the five Southeast Asian countries have positive attitudes toward elderly health and are highly willing to become elderly nurses as their future career. The attitudes toward older people among nursing students are associated with the level of nursing students' knowledge about older people’s health, subjective norms towards older people, perceived behavioral control, good intentions, having learning experiences with project-based learning about older people’s health on campus, and having experience caring for older people during the education process. Incorporating more comprehensive Gerontic nursing content into the nursing education curriculum, including theoretical knowledge and direct practice opportunities, is imperative to increase students’ positive attitude toward older people.
Education and Simulation of Range of Motion (ROM) for Caregivers to Improve the Quality of Life of Older People in the Community Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Israfil, Israfil; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari; Oka Putra, I Nyoman Trisna Oka Putra
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.509

Abstract

The aging process has caused various health problems, including limited physical mobility due to muscle weakness, joint stiffness, and certain chronic disease conditions. Efforts to maintain the health of older people can be done through Range of Motion (ROM) exercises, with the family as caregivers having an essential role in doing so. This community service activity aims to improve the knowledge of elderly caregivers by providing education and simulations on ROM exercises for older people. A total of 41 caregivers from Melinggih Village, Gianyar Regency and Pedungan Village, Denpasar City were involved in this activity in March 2025. The activity was carried out using the education and simulation method, with stages using the PARE (Preparation, Action, Reflection, and Evaluation) approach. The results of the Wilcoxon statistical test obtained a p-value < 0.001 with Z = - 3.65, which showed a significant difference in the level of caregiver knowledge about ROM exercises in older people before and after the activity. Good knowledge increased from 63% to 100%, and poor knowledge decreased from 31.7% to 0%. This shows that community service activities with education and simulation methods have successfully increased caregivers' knowledge and practical abilities in performing ROM exercises for older people. ROM exercises can be an easy choice for caregivers as an effective way to maintain the health of older people in the community, support long-term care programs, and thus improve the quality of life for the older people in the community.
Empowering Caregivers to Improve Working Posture Management for Preventing Musculoskeletal Injuries in Long Term Care Settings Indrayani, Ni Luh Dwi; Buntari, Ni Luh Putu Inca Agustini; Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Duygulu, Sergul; Portia, Vitug; Israfil, Israfil; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.522

Abstract

Physically demanding tasks in long-term care, such as lifting and repositioning patients, increase caregivers' risk of musculoskeletal disorders, highlighting the need for empowerment through targeted education and skills training to ensure safe practices. This community service aimed to evaluate the effectiveness of an educational training program for caregivers, focusing on working posture management and technique in transferring older people to reduce the risk of musculoskeletal injuries. A pre- and post-intervention design was used to assess cognitive improvement and participant satisfaction among 41 caregivers in community setting. Results showed a marked increase in correct responses across all questionnaire items following the training, indicating improved knowledge and satisfaction throughout the training. The increased to 95.1% after the training was found, indicating a significant gain in knowledge about the basic concepts of transfer techniques. Participants expressed high satisfaction, with simulation-based learning identified as the most effective instructional method. The findings suggest that targeted, practical training can enhance caregivers’ competencies and contribute to safer caregiving practices. Despite these positive outcomes, limitations included a participant bias, limited follow-up, or the socio-economic context of the participants in short-term evaluation. Future programs are recommended to include follow-up assessments and wider community involvement to ensure long-term impact and sustainability.
Co-Authors ArizonaVallentino, I Gede Rendy Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Dari, Ni Putu Desy Ratna Wulan Dira, Made Asmarani Dirgayasa, I Nyoman Duygulu, Sergul I GEDE PUTU DARMA SUYASA I Made Ady Wirawan I Wayan Edi Sanjana Indrayani, Ni Luh Dwi Israfil, Israfil Kadek Ayu Ananda Maharini Kory, I Kadek Krishna Dwimartopaz Megawati, Putu Vera Muhammad Syukri Ni Luh Putu Inca Buntari Agustini Ni Nyoman Nuartini Ni Wayan Septarini Ni Wayan Sukma Antari Oka Putra, I Nyoman Trisna Oka Putra Portia, Vitug Putri, Ni Putu Kamita Putu Ayu Laksmi Dewi Rittiruang, Amonwan Sagita, Ni Wayan Riska Sawitri, Anak Agung Sagung Suastika, Kadek Sasi Sasmita