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Harini, I Gusti Ayu
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Citra Tubuh Pasien Diabetes Melitus Tipe 2 Di RSUD Sanjiwani Gianyar Candra, I Wayan; Sumitra, I Nengah; Ari Kresna, Ni Luh Gede; Harini, I Gusti Ayu; Ariati, Ni Made
JURNAL KEPERAWATAN Vol. 18 No. 2 (2024): .
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v18i2.109

Abstract

 ABSTRAK Diabetes Melitus merupakan masalah umum bagi kesehatan masyarakat yang secara terus-menerus jumlahnya mengalami peningkatan. Diabetes Melitus merupakan suatu penyakit kronis yang terjadi oleh peningkatan kadar gula dalam darah yang diakibatkan oleh ketidaknormalan sekresi insulin dalam pankreas. Dapat mengakibatkan perubahan bentuk dan fungsi tibuh.Tujuan dari penelitian ini adalah megidentifikasi gambaran citra tubuh pada pasien diabetes melitus tipe II. Rancangan penelitian deskriptif dengan menggunakan pendekatan cross-sectional. .Populasi penelitian ini adalah pasien diabetes melitus yang berkunjung ke Poliklinik Penyakit dalam RSUD Saniwani Gianyar. Jumlah sampel pada penelitian ini sebesar 36 orang. Pengambilan sampel pada penelitian ini adalah dengan teknik consecutive sampling. Variabel penelitian citra tubuh. Alat ukur pada penelitian ini menggunakan kuesioner SIBID.. Ethical Clearance diperoleh dari Komisi Etik Polkesden dengan no surat : 51/PEPK/V/2023. Hasil  penelitian didapatkan bahwa sebagian besar (72,2%) klien DM tipe 2 mengalami citra tubuh negatif dan hampir setengahnya (27,8%) citra diri positif. Berdasarkan karakteristik klien diabetes melitus yang memiliki citra diri negative hamper setengahnya(47, 2%) berusia ≥60 tahun, jenis kelamin perempuan (38,9%), memiliki  tingkat pendidikan dasar (58,3%) dan  lama menderita diabetes melitus ≥ 6 bulan (50,00%).  Disarankan  pasien diabetes melitus tipe II aktif meningkatkan pengetahuan tentang penyakitnya, berpartisipasi aktif dalam perawatan DM sehingga merubah persepsinya supaya memiliki citra tubuh yang positif.  Kata Kunci: DM Tipe 2, Citra Diri  ABSTRACT                 Diabetes mellitus is a common public health problem that is constantly increasing in number. Diabetes Mellitus is a chronic disease that occurs by increasing blood sugar levels caused by abnormal insulin secretion in the pancreas. The purpose of this study was to identify the description of body image in patients with type II diabetes mellitus. Descriptive research design using a cross-sectional approach. The population of this study were patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Saniwani Gianyar Hospital. The number of samples in this study amounted to 36 people. Sampling in this study was with consecutive sampling technique. Body image research variables. The measuring instrument in this study used the SIBID questionnaire. Ethical Clearance was obtained from the Ethics Commission of Polkesden with letter number: 51/PEPK/V/2023. The results showed that most (72.2%) type 2 DM clients experienced a negative body image and almost half (27.8%) had a positive self-image. Based on the characteristics of diabetes mellitus clients who have a negative self-image, almost half (47, 2%) are ≥60 years old, female gender (38.9%), have a basic education level (58.3%) and a long time suffering from diabetes mellitus ≥ 6 months (50.00%).  It is recommended that patients with type II diabetes mellitus actively increase knowledge about their disease, actively participate in DM care so as to change their perceptions so that they have a positive body image.  Keywords: Type 2 DM, Self-Image
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%).
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.
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 Massage Minyak Jahe Merah terhadap Skala Nyeri pada Pasien dengan Osteoarthritis Pramesti, Kadek Diah; Ngurah, IGK Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Lestari, Agus Sri; Achjar, Komang Ayu Henny; Mustika, I Wayan; 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.v18i1.4041

Abstract

Osteoarthritis is a degenerative disease of joint cartilage that causes pain. The aim of this study was to determine the effect of red ginger oil massage on the pain scale in patients with osteoarthritis. This research used pre-experimental research with one-group pre-posttest with purposive sampling technique with 35 populations. There were 33 samples were given massage treatment using 5-10cc of red ginger essential oil 2x a week for 2 weeks for 20 minutes. The results of this research show that the majority of respondents are 66-70 years old (54,5%), the majority are female (55,5%), the respondent's education is high school (60,6%), the respondent's occupation is trader (24,2%), and the majority of respondents suffered from osteoarthritis for one year (30,3%). The patient's pain scale before the red ginger oil massage was carried out was in the moderate pain category (72,7%) with an average pain scale of 4,12 and after the red ginger oil massage was carried out it was in the mild pain category (100%) with an average pain scale of 2,18. Based on the results of the Wilcoxon test, a p value of 0,000 (α=0,05) was obtained, so it can be concluded that there is an effect of red ginger oil massage on the pain scale in patients with osteoarthritis and a decrease in the pain scale of 1,94. Massage in synergy with the red ginger oil content applied to the skin will reach the blood circulation which can inhibit prostaglandin synthesis, so that pain subsides or inflammation is reduced. It is hoped that the results of this research can be used as an alternative measure in treating complaints of joint pain in osteoarthritis patients.
Citra Tubuh Pasien Diabetes Melitus Tipe 2 Di RSUD Sanjiwani Gianyar Candra, I Wayan; Sumitra, I Nengah; Ari Kresna, Ni Luh Gede; Harini, I Gusti Ayu; Ariati, Ni Made
JURNAL KEPERAWATAN Vol. 18 No. 2 (2024)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v18i2.109

Abstract

 ABSTRAK Diabetes Melitus merupakan masalah umum bagi kesehatan masyarakat yang secara terus-menerus jumlahnya mengalami peningkatan. Diabetes Melitus merupakan suatu penyakit kronis yang terjadi oleh peningkatan kadar gula dalam darah yang diakibatkan oleh ketidaknormalan sekresi insulin dalam pankreas. Dapat mengakibatkan perubahan bentuk dan fungsi tibuh.Tujuan dari penelitian ini adalah megidentifikasi gambaran citra tubuh pada pasien diabetes melitus tipe II. Rancangan penelitian deskriptif dengan menggunakan pendekatan cross-sectional. .Populasi penelitian ini adalah pasien diabetes melitus yang berkunjung ke Poliklinik Penyakit dalam RSUD Saniwani Gianyar. Jumlah sampel pada penelitian ini sebesar 36 orang. Pengambilan sampel pada penelitian ini adalah dengan teknik consecutive sampling. Variabel penelitian citra tubuh. Alat ukur pada penelitian ini menggunakan kuesioner SIBID.. Ethical Clearance diperoleh dari Komisi Etik Polkesden dengan no surat : 51/PEPK/V/2023. Hasil  penelitian didapatkan bahwa sebagian besar (72,2%) klien DM tipe 2 mengalami citra tubuh negatif dan hampir setengahnya (27,8%) citra diri positif. Berdasarkan karakteristik klien diabetes melitus yang memiliki citra diri negative hamper setengahnya(47, 2%) berusia ≥60 tahun, jenis kelamin perempuan (38,9%), memiliki  tingkat pendidikan dasar (58,3%) dan  lama menderita diabetes melitus ≥ 6 bulan (50,00%).  Disarankan  pasien diabetes melitus tipe II aktif meningkatkan pengetahuan tentang penyakitnya, berpartisipasi aktif dalam perawatan DM sehingga merubah persepsinya supaya memiliki citra tubuh yang positif.  Kata Kunci: DM Tipe 2, Citra Diri  ABSTRACT                 Diabetes mellitus is a common public health problem that is constantly increasing in number. Diabetes Mellitus is a chronic disease that occurs by increasing blood sugar levels caused by abnormal insulin secretion in the pancreas. The purpose of this study was to identify the description of body image in patients with type II diabetes mellitus. Descriptive research design using a cross-sectional approach. The population of this study were patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Saniwani Gianyar Hospital. The number of samples in this study amounted to 36 people. Sampling in this study was with consecutive sampling technique. Body image research variables. The measuring instrument in this study used the SIBID questionnaire. Ethical Clearance was obtained from the Ethics Commission of Polkesden with letter number: 51/PEPK/V/2023. The results showed that most (72.2%) type 2 DM clients experienced a negative body image and almost half (27.8%) had a positive self-image. Based on the characteristics of diabetes mellitus clients who have a negative self-image, almost half (47, 2%) are ≥60 years old, female gender (38.9%), have a basic education level (58.3%) and a long time suffering from diabetes mellitus ≥ 6 months (50.00%).  It is recommended that patients with type II diabetes mellitus actively increase knowledge about their disease, actively participate in DM care so as to change their perceptions so that they have a positive body image.  Keywords: Type 2 DM, Self-Image
The Relationship Between Behavior Towards Breast Self Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Rahmasari, Ni Nyoman Putri Asri; Gama, I Ketut; Gede Ngurah, I Gusti Ketut; Sudiantara, Ketut; Henny Achjar, Komang Ayu; Lestari, Agus Sri; Suardana, I Wayan; Mustika, I Wayan; Harini, I Gusti Ayu; Hartati, Ni Nyoman
Health Dynamics Vol 2, No 10 (2025): October 2025 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Breast cancer is the leading cause of death for women in Indonesia with an increasing incidence rate. One method of early detection is Breast Self-Examination (SADARI), but this practice is still minimal among adolescent girls due to lack of education. This study aims to analyze the relationship between knowledge, attitudes, and actions of SADARI with the effectiveness of early detection of breast cancer in students of SMK Kesehatan Bali Dewata. With a cross-sectional design, the study involved 71 female students through proportional random sampling technique. Data were collected through questionnaires assessing knowledge, attitudes, and actions of SADARI. The results showed that 36.6% of respondents had sufficient knowledge and 45.1% had a positive attitude, but only 32.4% performed SADARI correctly and regularly. SADARI knowledge and action were significantly associated with early detection of breast cancer (p=0.000 and p=0.045), while attitude showed no significant correlation (p=0.090). In conclusion, awareness of SADARI is quite high, but the practice is still less than optimal. The behavioral recommendation for self-breast examination as an early detection of breast cancer is that the use of interactive educational media on the internet can help increase awareness and skills for self-examination.Keywords: Health behavior; Breast self-examination; Early detection
Pengaruh Terapi Okupasi: Hasta Karya terhadap Harga Diri pada Pasien Skizofrenia Martini Puspita Yanti, Ni Made Yogi; Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Harini, I Gusti Ayu
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.v17i2.3454

Abstract

Schizophrenia is a psychotic disorder that affects a person's ability to think, feel or behave properly. The negative symptoms that arise are low self-esteem problems where individuals always underestimate themselves and their abilities. Low self-esteem that continues can cause social interaction disorders, self-care deficits, anxiety disorders and non-compliance with treatment. One form of therapy to regain a person's self-confidence is through occupational therapy. The purpose of this study was to prove the effect of occupational therapy: hasta karya on self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024. This research method uses a one-group pre-post test design. The sampling technique is non-probability sampling with purposive sampling. The number of samples is 30 respondents. The research instrument uses the Rosenberg Self-Esteem Scale (RSES). The normality test uses the Shapiro-Wilk test. Hypothesis testing uses the Wilcoxon Signed Ranks Test. The results showed that before being given occupational therapy: hasta karya, 30 people (100,0%) had low self-esteem. After the intervention, 20 people (66,7%) had moderate self-esteem and 10 people (33,3%) had low self-esteem. After analysis, the p-value = 0,000 alpha (0,05) was obtained, meaning that there was an effect of providing occupational therapy intervention: handicrafts on low self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024, so it can be concluded that occupational therapy: handicrafts can increase self-esteem in schizophrenia patients.
Pengaruh Brain Gym Therapy terhadap Tingkat Depresi Pasien Diabetes Melitus Tipe 2 Wahyuliniya, Anak Agung Istri; Harini, I Gusti Ayu; Candra, I Wayan; Lestari, Agus Sri
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.v17i1.3257

Abstract

Diabetes melitus (DM) is a serious chronic disease. DM is a major cause of many diseases, such as blindness, heart disease, and kidney failure. The incidence of DM in Indonesia is 2.8%, and Bali Province is 1,33%. DM patients can experience depression due to the need for long-term treatment to avoid complications. The purpose of this study was to determine the effect of brain gym therapy on depression levels in patients with type 2 DM. Pre experimental research design with One-group pre-post test design. The research sample was DM patients who experienced depression. The sampling technique used was purposive sampling. This research instrument uses the beck depression inventory II questionnaire. The statistical test used is the Wilcoxon test. Measurement of depression levels in DM patients was  measured twice, namely before and after being given brain gym. The level of depression in research subjects before being given therapy in the moderate depression category, as many as 10 people (55,6%). The level of depression in the research subjects after being given therapy in the mild depression category, as many as 15 people (83,3%). Based on the results of the Wilcoxon test, the p value= 0,008 was obtained.  The p value 0,05 indicates that there is an effect of brain gym therapy on depression in DM patients. The conclusion of this study is that brain gym reduces the level of depression in patients with type 2 DM.
Co-Authors Achjar, Komang Ayu Henny Agus Sri Lestari Ari Kresna Dewi, Ni Luh Gede Ari Kresna, Ni Luh Gede Ariati, Ni Made Devina Jenamo, Ida Ayu Dewi, Ni Luh Gede Ari Kresna Dewintasari, Ni Nyoman Paramitha Gama, I Ketut Gama, Ketut Gede Ngurah, I Gusti Ketut Hartati, Ni Nyoman Henny Achjar, Komang Ayu I Wayan Candra I Wayan Mustika I Wayan Suardana Ketut Suardana, Ketut Martini Puspita Yanti, Ni Made Yogi Ngurah, I Gusti Ketut Ngurah, I Gusti Ketut Gede Ngurah, IGK Gede Patrayana, I Made Tantri Pramesti, Kadek Diah Putri Rukmini, Ni Kadek Rahmasari, Ni Nyoman Putri Asri Setiawati, Si Ayu Rai Sudiantara, I Ketut Sudiantara, Ketut sumirta, I Nengah Sumitra, I Nengah Utami Budiari, Ni Putu Wahyuliniya, Anak Agung Istri