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All Journal Bali Medika Jurnal Jurnal Peduli Masyarakat Jurnal Gema Keperawatan Jurnal Keperawatan Health Dynamics Jurnal Keperawatan (e-Journal)
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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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.
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.
Hubungan Spiritual Well-Being Dengan Hardiness Pada Pasien Pasca Stroke Candra, I Wayan; Yanti, Ni Putu Riska; Dewi, Ni Luh Gede Ari Kresna; Sumirta, I Nengah; Harini, I Gusti Ayu
Bali Medika Jurnal Vol 12 No 2 (2025): Bali Medika Jurnal December 2025
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v12i2.513

Abstract

Pasien pasca stroke sering kehilangan rasa kendali dan makna hidup, sehingga membutuhkan ketangguhan psikologis (hardiness) yang dapat diperkuat melalui kesejahteraan spiritual (spiritual well-being). Tujuan: Mengetahui hubungan spiritual well-being dan hardiness pada pasien pasca stroke di Yayasan Tapasya Stroke Centre Amaranee Tabanan Tahun 2025. Metode: Penelitian kuantitatif non-eksperimental dengan desain korelasional dan pendekatan cross-sectional. Sampel berjumlah 77 pasien pasca stroke di Yayasan Tapasya Stroke Centre Amaranee Tabanan yang dipilih menggunakan teknik consecutive sampling. Instrumen yang digunakan adalah Spiritual Well-Being Scale (SWBS) dan Hardiness Scale. Analisis data dilakukan menggunakan uji statistik Spearman Rank. Hasil: Sebagian besar subjek penelitian memiliki spiritual well-being pada kategori sedang sebanyak 50 orang (64,9%) dan dimensi hardiness yang dominan adalah dimensi kontrol sebanyak 49 orang (63,6%). Terdapat hubungan positif yang kuat antara spiritual well-being dan hardiness (r = 0,695; p < 0,000), artinya spiritual well-being menjelaskan 48% varians hardiness. Simpulan: Spiritual well-being berperan penting dalam memperkuat ketangguhan psikologis pasien pasca stroke. Temuan ini mendukung pentingnya integrasi intervensi spiritual dalam program rehabilitasi pasca stroke berbasis pendekatan holistik di komunitas.
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