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sumirta, I Nengah
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Pelatihan Relaksasi Progresif untuk Menangani Stres Pasien Hipertensi di Puskesmas Banjarangkan I Klungkung Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Dewi, Ni Luh Gede Ari Kresna
Jurnal Peduli Masyarakat Vol 5 No 4 (2023): Jurnal Peduli Masyarakat: Desember 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i4.2411

Abstract

Pasien Hipertensi terus bertambah jumlahnya seiring dengan pertambahan jumlah penduduk dan perubahan gaya hidup masyarakat. Data terakhir tahun 2022 tercatat jumlah pasien hipertensi mencapai 756 di Puskesmas Banjarangkan I Klungkung. Pada umumnya pasien hipertensi mengalami stres. Satu diantara upaya yang dapat dilakukan adalah dengan memberikan pelatihan relaksasi progresif. Kegiatan pelatihan relaksasi progresif bertujuan untuk meningkatkan pengetahuan tentang stres dan relaksasi progresif, memiliki kemampuan dalam melakukan relaksasi progresif sehingga dapat mengurangi ketegangan serta merilekskan otot-otot secara sistemik pada pasien hipertensi yang mengalami stres. Sasaran dari kegiatan pengabdian kepada masyarakat ini adalah 50 orang pasien hipertensi yang mengalami stres. Kegiatan yang dilakukan adalah memberikan pelatihan ketrampilan dalam melakukan relaksasi progresif.Evaluasi kegiatan dilakukan dengan instrument PSS untuk tingkat stres, tes tertulis untuk pengetahuan,dan tes penampilan untuk kemampuan melakukan relaksasi progresif.Hasil akhir dari kegiatan pengabdian kepada masyarakat yang telah dilakukan terjadi penurunan tingkat stres pasien hipertensi setelah diberikan relaksasi progresif sejumlah 38 orang (76%). Terjadi peningkatan pengetahuan 43 orang (86%) dan peningkatan kemampuan melakukan relaksasi progresif sebesar 38 orang (76%).
Pelatihan Asertif untuk Menurunkantingkat Depresi pada Pasien Diabetes Melitus Candra, I Wayan; Sumirta, I Nengah; Dewi, Ni Luh Gede Ari Kresna
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4451

Abstract

Pasien dibaetes melitus terus bertambah jumlahnya seiring dengan pertambahan jumlah penduduk dan perubahan gaya hidup masyarakat. Data terakhir tahun 2023 tercatat jumlah pasien diabetes melitus mencapai 405 orang di Puskesmas Klungkung I. Pada umumnya pasien diabetes melitus mengalami depresi. Satu diantara upaya yang dapat dilakukan adalah dengan memberikan pelatihan asertif. Kegiatan pelatihan asertif bertujuan untuk meningkatkan pengetahuan tentang keadaan depresi dan perilaku asertif, memiliki kemampuan dalam melakukan asertif sehingga dapat mengambil keputusan dengan tepat dalam memperjuangkan hak sendiri tanpa mengganggu hak orang lain. Sasaran dari kegiatan pengabdian kepada masyarakat ini adalah 25 orang pasien diabetes melitus yang mengalami depresi. Kegiatan yang dilakukan adalah memberikan pelatihan ketrampilan dalam melakukan perilaku asertif dari persiapan dengan melakukan koordinasi persiapan sasaran,alat dan tempat,pelaksanaan pelatihan, dan evaluasi pengetahuan dan ketrampilan berperilaku asertif. Hasil akhir dari kegiatan pengabdian kepada masyarakat yang telah dilakukan terjadi penurunan tingkat depresi pasien diabetes melitus setelah diberikan perilaku asertif sejumlah 22 orang (88%). Terjadi peningkatan pengetahuan 23 orang (92%) dan peningkatan kemampuan melakukan perilaku asertif sebesar 22 orang (88%).
Pengaruh emotional freedom technique terhadap kualitas tidur pasien hipertensi di wilayah kerja upt puskesmas kuta utara tahun 2021 : Effect of emotional freedom technique on sleep quality of hypertensive patients in upt puskesmas north kuta working area in 2021 I Wayan Candra; Utami, Gusti Ayu Septian Maya Dwi; Sumirta, I Nengah; Sulisnadewi, N.L.K
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.234

Abstract

Hypertension is a non-communicable disease that continues to receive attention in an effort to improve public health status. Some people are not aware of having hypertension and often do not show symptoms, only realizing it after causing organ disorders. The condition of hypertension that is not managed according to standards can have various adverse effects on the quality of a person's life. One of them can be caused is disturbing the quality of a person's sleep.The purpose of this study is to determine the influence of Emotional Freedom Technique on the sleep quality of hypertensive patients. Design research using  one-group pre-post test design. Sampling techniques used  nonprobability sampling  is  purposive sampling. The number of samples as many as 19 people. The research instrument used is the Pittsburgh Sleep Quality Index  (PSQI). The results showed the quality of sleep of hypertensive patients before being given emotional freedom technique,  namely all research subjects as many as 19 people (100%) poor sleep quality. After being given  Emotional Freedom Technique  showed the quality of sleep hypertension patients to be good as many as 6 people (31.6%). There is an effect of Emotional Freedom Technique on the Sleep Quality of hypertensive patients (p=0.000). Emotional Freedom Technique  improves the sleep quality of hypertensive patients.
Resiliensi dan Ide Bunuh Diri Pada Penderita Human Immunodeficiency Virus (HIV) Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Putri Rukmini, Ni Kadek
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4159

Abstract

Stigma, discrimination and changes in health conditions experienced by HIV sufferers can have serious impacts on the psychological condition of sufferers, including increasing suicidal ideation which can be triggered by feelings of hopelessness, depression, and lack of social support. Resilience is known to play a role in reducing individual stress levels and reducing the death rate from suicide. The purpose of this study was to determine the relationship between resilience and suicidal ideation in HIV. This type of research is quantitative research with a correlational analytical method and uses a cross-sectional approach. The research sample consisted of 116 HIV sufferers selected using a purposive sampling technique. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC) questionnaire and The Suicide Behaviors Questionnaire-Revised (SBQ-R). The statistical test technique used was the Spearman's Rank Test. The results showed that the majority of HIV sufferers' resilience was in the high category of 75 respondents (64,7%) and low suicidal ideation of 85 respondents (73,3%). There is a significant relationship between resilience and suicidal ideation in HIV sufferers (p = 0,000 alpha 0,05) with a moderate strength of relationship between the two variables and a negative nature or direction of the relationship, meaning that the higher the resilience of HIV sufferers, the lower the suicidal ideation in HIV sufferers.
Family Psychoeducation (FPE) Meningkatkan Harga Diri dan Menurunkan Stigma Negatif Keluarga dalam Merawat Orang dengan Gangguan Jiwa Sumirta, I Nengah; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4074

Abstract

Mental health is health related to a person's emotional, mental and psychological condition. The root of mental health problems is very complex and diverse, involving biological, psychological, social and genetic factors. Events in life that have a major impact on a person's personality and behavior can affect their mental health. The purpose of this study was to determine the effect of Family Psychoeducation on stigma and family self-esteem in caring for family members with mental disorders at home. This type of research is a quantitative pre-experimental study, with a one group pre-post test design. Sampling using purposive sampling technique, sample size 45 people. Data were collected using the Rosenberg Self Esteem Scale (RSES) questionnaire to measure the level of self-esteem and Family stigma is measured by the Community Attitude Toward The Mentally (CAMI) scale. The variables studied were family stigma and self-esteem. The results of the pre-test showed an increase in negative stigma and a decrease in family self-esteem while providing home care with one of their family members with mental disorders. In the post-test, there was a decrease in negative stigma and an increase in self-esteem. The results of the Paired Sample Test on stigma and self-esteem obtained a p value = 0,000. There is an effect of Family Psychoeducation on reducing negative stigma and increasing self-esteem. It is recommended that families improve their ability to care for patients and the research site is advised to carry out Family Psychoeducation interventions routinely to family members who accompany family members with mental disorder who are undergoing outpatient treatment at the mental health clinic.
Pengaruh Tapas Acupressure Technique Terhadap Tingkat Kecemasan pada Pasien Hipertensi Eka Gayatri, Putu Mitha; Sumirta, I Nengah; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3018

Abstract

Hypertension not only has a physical impact but also affects the patient's psychological condition, one of them is anxiety. Efforts that can be do to reduce anxiety in hypertensive patients are by providing non-pharmacological therapy, namely Tapas Acupressure Technique. Tapas Acupressure Technique is a simple technique that can be done easily, and is free of charge. The aims of research to determine effect of Tapas Acupressure Technique to level anxiety hypertension patients. This research used method pre-experimental design with one group pre-post test. Sampling using non-probability with purposive sampling. The numbersamples was 19 subjects. Data analysis using Non Parametric Test with Wilcoxon Signed Rank Test. Measuring the level of anxiety using Hamilton Anxiety Rating Scale (HARS). The results showed before given Tapas Acupressure Technique most the subjek penelitiants experienced mild anxiety 13 people (68.4%) and moderate anxiety 6 people (31.6%). After the treatment, there was no anxiety 5 people (26.3%), 12 people mild anxiety (63.2%), and 2 people moderate anxiety (10.5%). Tapas Acupressure Technique has a significant effect on the anxiety level of hypertension patients with p-value = 0,000 alpha 0.05, that Tapas Acupressure Technique can reduce anxiety levels in hypertension patients.
Pengaruh Plant Therapy terhadap Kemampuan Bersosialisasi Pasien Skizofrenia Herlina, Nadia; Sumirta, I Nengah; Candra, I Wayan; Runiari, Nengah
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3847

Abstract

Individuals with schizophrenia often experience problems in social interaction due to a decrease in social skills which is part of the symptoms of schizophrenia. The purpose of this study is to determine the effect of plant therapy on the decline of social skills in schizophrenia patients. This research method uses pre-experimental one-group pretest-posttest research design. The sample collection by using the techniques of total sampling. Number of samples as many as 25 people. Data collection using questionnaires ability to socialize This study used the Wilcoxon Signed Rank Test with a significant ρ-value of 0,000. The results of this study show that before carrying out Plant Therapy intervention in the aspect of daily living activity, most of the categories are lacking. In terms of social behavior, most categories are lacking. In terms of occupational behavior, most of the categories are sufficient and lacking. After being given the intervention, Plant Therapy has improved in the aspect of daily living activity, most of the good categories. In terms of social behavior, most of the categories are good. In terms of occupational behavior, most of the categories are very good and good. The conclusion of this study is that there is an effect of Plant Therapy on the decrease in social skills in schizophrenia patients, p-value = 0,000.
Pengaruh Guided Imagery terhadap Tingkat Depresi pada Pasien Diabetes Melitus Patrayana, I Made Tantri; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3277

Abstract

Diabetes melitus is a dangerous health problem and is still listed as a cause of death in the world. Patients with diabetes melitus are at high risk of experiencing depression and ultimately worsening self-care. Therefore psychological treatment is carried out, one of which is guided imagery.The purpose of this study was to determine the effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023. This study used a pre-experimental  method with a one-group pre-post test design. The sampling technique used non-probability purposive sampling with a sample of 32 people. The research instrument used the Beck Depression Inventory-II (BDI-II).Data analysis technique using the wilcoxon signed rank test. The results showed that the level of depression in patients with diabetes melitus before being given guided imagery, most of the patients experienced moderate depression, 17 people (53,1%) then the level of depression in patients with diabetes melitus after being given guided imagery showed that most patients with diabetes melitus experienced mild depression, numbering 24 people (75.0%). After being analyzed, the results obtained were p-value = 0.003 (p 0.050). The conclusion of this study is that there is a significant effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023.
Hubungan Spiritualitas dengan Keputusasaan pada Remaja dengan HIV/AIDS Sumirta, I Nengah; Utami Budiari, Ni Putu; Harini, I Gusti Ayu; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4117

Abstract

HIV/AIDS is an infectious disease that attacks the immune system, resulting in a significant decline in physical health and triggering vulnerability to psychological problems, such as hopelessness. Despair can lead to decreased treatment adherence, which may worsen physical conditions and accelerate disease progression. The aim of this study was to analyze the relationship between spirituality and hopelessness in adolescents with HIV/AIDS. This type of quantitative research uses a correlational design with a cross-sectional approach. The sample size of 63 people was collected using purposive sampling technique. Data collection instruments used the Daily Spiritual Experience Scale (DSES) and the Beck Hopelessness Scale (BHS). Data analysis using Spearman's Rank Correlation Coefficient test. The results showed that 30 people (47,6%) had low spirituality, 28 people (44,4%) had moderate spirituality, 5 people (7,9%) had high spirituality and 4 people (6,3%) experienced mild hopelessness, 31 people (49,2%) experienced moderate hopelessness, 28 people (44, 4%) experienced moderate hopelessness and there was a relationship between spirituality and hopelessness with a p-value of 0.000 (p-value 0,005), correlation coefficient value of -0,664, strong correlation and negative direction which means the higher the spirituality, the lower the hopelessness. The inclusion of a spiritual approach in psychosocial interventions for adolescents with HIV/AIDS is recommended as a relevant strategy to reduce the risk of despair, strengthen psychological resilience, and enhance the overall quality of life of adolescents living with HIV/AIDS.
Co-Authors Ari Kresna Dewi, Ni Luh Gede Dewi, Ni Luh Gede Ari Kresna Eka Gayatri, Putu Mitha Harini, I Gusti Ayu Herlina, Nadia I Wayan Candra I Wayan Candra I Wayan Mustika Nengah Runiari Patrayana, I Made Tantri Putri Rukmini, Ni Kadek SULISNADEWI, N.L.K Utami Budiari, Ni Putu Utami, Gusti Ayu Septian Maya Dwi