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Harini, I Gusti Ayu
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Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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Journal : Health Dynamics

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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.
The Relationship Between Behavior Toward 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
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Prabhadewi, Ni Putu Sriarta; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Gama, I Ketut; Lestari, Agus Sri; Sudiantara, Ketut; Achjar, Komang Ayu Henny; Harini, I Gusti Ayu; Hartati, Ni Nyoman; Mustika, I Wayan
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.
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 Prabhadewi, Ni Putu Sriarta 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 Yanti, Ni Putu Riska