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Harini, I Gusti Ayu
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Journal : Jurnal Gema Keperawatan

 1 
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.
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.
Senam Tera Berpengaruh terhadap Tekanan Darah pada Lansia dengan Hipertensi Setiawati, Si Ayu Rai; Lestari, Agus Sri; Gama, Ketut; Suardana, Ketut; Harini, I Gusti Ayu
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.v16i2.3087

Abstract

The decline in physical condition in the elderly causes limited movement so that the elasticity of blood vessels becomes reduced. This condition becomes a predisposing factor of hypertension. This study aims to determine the effect of tera gymnastics on blood pressure in the elderly with hypertension in the working area of Puskesmas II West Denpasar in 2023. This type of research is quasi-experimental designs using a one-group pretest-posttest design. The number of samples was 36people using a non-probability sampling technique, namely purposive sampling. This study was conducted for 2 weeks with 6 interventions. Blood pressure measurement was done before the intervention was given then did a tera gymnasticsintervention for 30 minutes and blood pressure measurement was done again after 6 interventions. Data was analyzed by paired t-test. The results of the study found that the average systolic blood pressure before the intervention was 155.89 mmHg and diastolic was 98.14 mmHg. The mean systolic blood pressure after the intervention was 134.42 mmHg and diastolic was 90.67 mmHg. . The results of the statistical test obtained a p-value of 0.001 (p-value 0.05) so that it can be concluded that there is an effect of tera gymnastics on blood pressure in the elderly with hypertension in the work area of Puskesmas II West Denpasar in 2023. It is recommended that tera gymnastics be carried out regularly at least 3 times a week and used as a non-pharmacological therapy to lower blood pressure in hypertensive elderly in the work area of Puskesmas II West Denpasar.
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.
Gambaran Deteksi Dini Diabetes Melitus Tipe 2 pada Agregat Dewasa Devina Jenamo, Ida Ayu; Achjar, Komang Ayu Henny; Gama, I Ketut; Lestari, Agus Sri; Ngurah, I Gusti Ketut; 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.v17i2.3259

Abstract

Early adulthood is a continuation of youth, so the identity of early adulthood is not much different from youth. Type 2 diabetes mellitus is a metabolic disorder characterized by elevated blood sugar due to decreased insulin secretion. In addition to diabetes mellitus, this disease is a global health problem that is the leading cause of death and a major contributor to the high morbidity rate in Indonesia. Urbanization leading to lifestyle changes, and migration from rural to urban areas are two environments hypothesized to increase the incidence of type 2 DM. Type 2 diabetes will start as a result of obesity. The purpose of this study was to determine how the overview of early detection of non-communicable diseases in adults. The research design is descriptive research. The population of this study was 124 people with a sample of 95 people taken with non-probability sampling technique, namely purposive sampling. Data collection instruments in this study used a glucometer to measure blood sugar during. Research results 95 respondents obtained early detection of diabetes mellitus in adults in Banjar dinas Taman Griya Jimbaran Environment with a normal majority of 60 people (63,2%), high as many as 20 people (21,1%) and low as many as 15 people (15,8%). Suggestions are expected that respondents will continue to emphasize healthy living and avoid fast food to combat diabetes mellitus.
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 Wahyuliniya, Anak Agung Istri