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All Journal Journal of Educational Research and Evaluation Jurnal Pengabdian Masyarakat Indonesia Jurnal Gema Keperawatan Health Dynamics
Achjar, Komang Ayu Henny
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Journal : Health Dynamics

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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.
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.
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.
Co-Authors Agus Sri Lestari Agus Sri Lestari Asih, Putu Tarma Ayu Dharmawati, Gst Agung Cahyanthi, Ni Komang Ayu Marini Permata Djamaluddin Ramlan, Djamaluddin Gama, I Ketut Gama, Ketut Harini, I Gusti Ayu I G. K. Gede Ngurah I Made Sukarja I Wayan Mustika I Wayan Suardana Junaiti Sahar Ketut Gama Krisnayanti , Komang Ayu Kumalasari, Ni Putu Putri Marni , Ni Komang Ngurah, I Gusti Ketut Gede Ngurah, IGK Gede Ni Ketut Nuratni Nyoman Ribek Padmi, Luh Sri Anggayoni Julia Parashita, Sri Astiti Padma Pramesti, Kadek Diah Putu Ayu Erika Prameswari Ribek, I Nyoman Satriawati, Ni Nyoman Ayu Sri Lestari, Agus SRI RAHAYU Sudiantara, Ketut Sukawana, I Wayan Wiardani, Komang Wulandari, Kadek Dina Yasa, I Dewa Putu Gede Putra