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The Relationship Between Self-Management and Blood Pressure of Hypertension Sufferers in the Kediri I Health Center Region, Tabanan District Kumalasari, Ni Putu Putri; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Mustika, I Wayan
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11105

Abstract

Background: Cases of hypertension in Indonesia show a significant increase. Hypertension continues to lead to complications when people with hypertension have not implemented self-management regularly. Management of hypertension which includes routine medication and healthy lifestyle changes requires good self-management. The purpose of this study was to determine the relationship between self-management and blood pressure of hypertensive patients in the Kediri I Health Center Working Area. Methods: This study uses a quantitative research design (non-experimental) using a cross-sectional approach. The sample amounted to 82 respondents obtained by purposive sampling technique, who met the inclusion criteria, namely hypertensive patients aged 15-59 years. Data collection instruments used the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure measurements using a sphygmomanometer. Results: Data analysis using the Spearman rank test showed the results of ρ = 0.000 and the correlation coefficient r = -0.732 which means that there is a significant and strong relationship (0.60 - 0.79) between the two variables. The majority of respondents showed poor self-management behavior 56.1%. Conclusion: It is hoped that it can be used as information for the relevant health centers, that the importance of implementing self-management to prevent an increase in blood pressure in hypertensive patients. 
The Impact of Prior Related Behavior on Stunting Incidents Abang I Health Center, Karangasem District, Bali, Indonesia Wulandari, Kadek Dina; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Sudiantara, Ketut
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11004

Abstract

Background: Stunting is growth failure in children under 5 years due to chronic malnutrition, often occurring during the first 1000 days of life. Maternal behavior during pregnancy has a major impact on fetal development and the possibility of stunting. This study aims to analyze the relationship between prior related behavior, such as blood increasing tablets consumption, antenatal care checks, and animal protein consumption, with the incidence of stunting in the Abang I Community Health Center Work Area, Karangasem Regency. Methods: Using non-probability sampling technique with Purposive sampling, with a total of 70 respondents from a total population of 230 people who met the inclusion criteria, namely mothers aged 15-45 years, mothers who had stunted toddlers and were registered in the Abang I Community Health Center Working Area. Results: Based on non-probability statistical tests. Spearman Rank parametric, found a significant p-value for blood increasing tablets consumption behavior (p=0.002), Antenatal care examination (p=0.004), and animal protein consumption (p=0.002), showing a value <0.05 which means there is a relationship with stunting incident. The majority of respondents showed bad behavior in these three areas, namely consump blood increasing tabletstion behavior 55.7%, antenatal care examination 55.7% and animal protein consumption 52.9%. It is hoped that health workers at the Community Health Center will follow up with pregnant women and teenage girls in coordination with the village or Community Health Center for education about the importance of blood increasing tablets, antenatal care examinations, and animal protein intake to prevent stunting in toddlers. Conclusion: There is a relationship between maternal behavior in consuming blood supplement tablets, antenatal care and animal protein consumption with the incidence of stunting in the working area of Puskesmas Abang I, Karangasem district, Bali, Indonesia.
Health Education with Videos on Drug Adherence in the Elderly with Hypertension Achjar, Komang Ayu Henny; Putu Ayu Erika Prameswari; Agus Sri Lestari; Nyoman Ribek; Ketut Gama; I G. K. Gede Ngurah; Ni Ketut Nuratni
Journal of Education Reseach and Evaluation Vol 8 No 3 (2024): August
Publisher : LPPM Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jere.v8i3.83679

Abstract

Adherence to medication in the elderly with hypertension is often a challenge, which can increase the risk of complications. The purpose of this study is to evaluate the effect of health education through video on medication adherence in the elderly at Puskesmas I East Denpasar. This study uses a quantitative research design with a pre-experimental approach. The subjects of the study were 53 elderly people with hypertension. Data collection was carried out before and after the intervention using educational videos, with instruments in the form of medication compliance questionnaires. Data analysis was carried out using the Wilcoxon statistical test. Before the education, the majority of respondents showed low compliance (52.8%). After the intervention, the high compliance rate increased significantly to 67.9%, while the low compliance decreased to 13.2%. The results of the Wilcoxon test showed a p-value = 0.000, indicating a significant influence of video education on medication adherence. Health education through videos is effective in increasing medication adherence in the elderly with hypertension. The implications of this study encourage the application of similar educational methods to improve therapy adherence in various health settings.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Padmi, Luh Sri Anggayoni Julia; Achjar, Komang Ayu Henny; Gama, I Ketut; Mustika, I Wayan; Lestari, Agus Sri; Sudiantara, Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
Health Education with Leaflet Media on the Level of Knowledge of Mother's about Toddler Rearing Partners in Stunting Prevention Achjar, Komang Ayu Henny; Marni , Ni Komang; Lestari, Agus Sri; Ribek, I Nyoman
Journal of Education Reseach and Evaluation Vol 7 No 2 (2023): May
Publisher : LPPM Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jere.v7i2.61560

Abstract

Stunting is a condition of toddlers who have a length or height that is less when compared to age. Stunting can have a bed impact on toddlers, namely short-term and long-term impacts that need to be watched out for early on. This study aims to analyze effect of health education with media leaflets on the level of knowledge of mothers about toddler parenting in stunting prevention. This type of research is pre-experimental by using simple random sampling technique. The population in this study was 708 people using 88 samples. Data was collected by using a questionnaire of knowledge. The results showed an increase in the knowledge of respondents who had good knowledge from 77 respondents (87.5%) to 85 respondents (96.6%), with sufficient knowledge to decrease from the initial 11 respondents (12.5%) to 3 respondents (3.4%), and there are no respondents who have less knowledge. The results of this study have been tested using the Wilcoxon test, the p-value = 0.000 < alpha (0.05), this means that Ha is accepted so that there is an effect of health education with media leaflets on the level of knowledge of mother's about toddler parenting in stunting prevention.
Differences in Providing Education Using Poster Media and Audiovisual Media on Prevention of Rabies Transmitting Animal Bites Achjar, Komang Ayu Henny; Asih, Putu Tarma; Lestari, Agus Sri; Gama, I Ketut; Ribek, I Nyoman
Journal of Education Reseach and Evaluation Vol 7 No 4 (2023): November
Publisher : LPPM Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jere.v7i4.67548

Abstract

Rabies is an acute infectious disease that attacks the nervous system in humans and warm-blooded animals caused by the rabies virus, transmitted through the saliva of rabid animals such as dogs, cats, monkeys, raccoons and bats through bites or open wounds. The aim of the research is to analyze the differences in providing education using poster media and audiovisual media on behavior to prevent bites from animals that transmit rabies. The type of research used was pre-experimental designs with a two-group pre-test and post-test without control group design. The sampling technique used is non-probability sampling, namely purposive sampling. The number of samples used in this research was 86 families divided into 2 groups, namely the poster group and the audiovisual group. This research used a questionnaire sheet to measure the behavior of preventing bites from animals that transmit rabies, which consists of 3 sub-variables, namely knowledge, attitudes and actions. Then it was analyzed using the Mann-Whitney test to analyze the differences between educational poster media and audiovisual media. The research results show that the average value for poster media before is 65.6 and after is 77. Meanwhile, the average value for audiovisual media before is 72.2 and after is 82.3. Statistical testing used the Mann-Whitney test and obtained a ρ−value of 0.001 < 0.05. The conclusion is that there is a difference between providing education using poster media and audiovisual media on behavior to prevent bites from animals that transmit rabies. Suggestions to respondents are that they can provide education to those closest to them or anyone who is advised to use audiovisual media.
Pemanfaatan Kearifan Lokal Bali menuju Desa Sehat Wisata Bebas Penyakit Tidak Menular di Desa Tibubeneng Kabupaten Badung, Provinsi Bali Achjar, Komang Ayu Henny; Krisnayanti , Komang Ayu; Ramlan, Djamaluddin; Rahayu, Sri; Sri Lestari, Agus; Gama, Ketut; Ayu Dharmawati, Gst Agung; Wiardani, Komang
Jurnal Pengabdian Masyarakat Indonesia Vol 5 No 2 (2025): JPMI - April 2025
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.3217

Abstract

Tidak dapat dipungkiri jumlah penderita Penyakit tidak menular seperti DM dan hipertensi masih tinggi, walaupun pemerintah sudah melakukan beberapa terobosan melalui pemberdayaan peran keluarga dan kader lansia di rumah, program Indonesia Sehat melalui pendekatan keluarga (PIS- PK) dengan kunjungan rumah. Peran tenaga kesehatan secara interprofesi untuk mampu berkontribusi dalam mengatasi masalah  fisik, psikologis, ekonomi dan sosial yang dihadapi lansia. Kegiatan diutamakan pada pelayanan kesehatan terintegrasi sesuai budaya lokal setempat dengan memanfaatkan kearifan lokal yang ada  di Bali. Perlu penanganan lansia yang berbeda di setiap budaya yang berbeda juga. Pemberdayaan komunitas melalui peran serta kelompok lokal, seperti Seka Truna Truni (STT) dan PKK, menunjukkan potensi besar dalam mendukung kesehatan lansia. Pendekatan kearifan lokal, termasuk terapi komplementer dan pemanfaatan produk herbal, dapat membantu meningkatkan kualitas hidup lansia. Tujuan: mewujudkan desa sehat wisata bebas penyakit tidak menular dengan memanfaatkan kearifan lokal Bali. Metode: pemberian pendidikan kesehatan, pelayanan kesehatan, pembentukan kelompok diskusi, swabantu, dan peduli lansia, pembuatan percontohan toilet ramah lansia, pembuatan model kursi bantu untuk lansia dan pemanfaatan tanaman herbal dan senam kaki DM sebagai terapi komplementer. Hasil: terjadinya peningkatan pengetahuan dan keterampilan para perangkat desa dan masyarakat.
Bay Leaf Brewing Lowers Blood Sugar Levels in Elderly People with Type 2 Diabetes Mellitus Satriawati, Ni Nyoman Ayu; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Achjar, Komang Ayu Henny; Mustika, Wayan; Lestari, Agus Sri
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/hd20603

Abstract

Background: Type 2 diabetes mellitus in the elderly can cause increased blood sugar levels that risk damaging various body systems. One natural alternative to help lower blood sugar levels is to utilize bay leaves, which are known to have active ingredients that have the potential to be antidiabetic. This study aims to determine the effect of boiled bay leaves on blood sugar levels in elderly people with type 2 diabetes mellitus. Methods: The study used a pre-experimental design with a one group pre and post test design approach. The study population was elderly people with type 2 diabetes mellitus in the Abang II Health Center, Karangasem, Bali Province, Indonesia with a sample size of 49 people selected using the proportional stratified random sampling technique. Respondents were given an intervention in the form of consuming 220 ml of boiled bay leaf water every morning before eating for seven consecutive days. The bay leaves used were old leaves weighing 2 grams. Blood sugar levels were measured using the Easy Touch tool, with established standard procedures. Results: The results showed that before the intervention, all respondents had random blood sugar levels >200 mg/dL. After the intervention, 93.9% of respondents experienced a decrease in blood sugar levels to <200 mg/dL. The paired t-test statistical test showed a p value = 0.001 (p <0.05), which means there was a statistically significant decrease in blood sugar levels. Conclusions: The conclusion of this study is that boiled bay leaf water is effective in lowering blood sugar levels in elderly people with type 2 diabetes. It is recommended to use it as a safe and natural additional therapy, while continuing to consult a doctor for further monitoring.
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.