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Overview of the Level of Activity Daily Living of the elderly who have chronic diseases in the Geriatric Polyclinic of the State General Hospital Ni Wayan Suetri; Sang Ayu Ketut Candrawati; Ni Ketut Citrawati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.708

Abstract

Introduction: The increase in the elderly population will of course be accompanied by an increase in the risk of suffering from chronic diseases which can accelerate functional decline and reduce the ability of the elderly to carry out important activities in daily living Activities of Daily Living (ADL Objectives: The aim of this study was to obtain a more comprehensive picture of the level of ADL independence in elderly people with chronic diseases Methods: This type of research is descriptive with a cross-sectional study design. The research sample of elderly people who had chronic diseases was 63 elderly people selected using consecutive sampling. The research instrument uses the Barthel Index. Results: The results of the study showed that of the 63 elderly people, the majority of the 39 elderly people (61.9%) who had chronic diseases experienced a mild level of dependence in carrying out daily living activities Conclusions: Chronic diseases can affect the functional abilities of elderly people in living their daily lives. The importance of educating the elderly and their families about chronic disease management, providing support to increase independence, as well as developing intervention programs that can improve the elderly's ability to carry out Activities of Daily Living (ADL).
The Care Giver Lived Experience in Caring for Elderly With Palliative Conditions Ni Komang Sukra Andini; Sang Ayu Ketut Candrawati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.774

Abstract

Introduction: Elderly is the final stage of the human development cycle. Every year the number of elderly people increases in Indonesia in the Bali area based on the population census. The prevalence of the number of elderly people from 2021 to 2022 increases. According to a survey by the Indonesian Medical Gerontology Association (PERGEMI), as many as 24.6% of the elderly population (seniors) in Indonesia have a history of chronic disease. In the condition of the elderly who are unable to take care of themselves fully, they need a caregiver or companion who is often called a caregiver, the role of a caregiver is as a provider of nursing care to the patient. Objectives: This study aims to describe of the care giver's experience in caring for elderly people with palliative conditions. Methods: Data were collected using the face-to-face individual in deep interview, with semi structure interview questions. Results: The results of this study by using interviews and observations from 4 participants, 4 themes were obtained that show the Care Giver's experience in caring for the elderly with palliative conditions, namely: (1) End Stage of Life Phase (2) Routine Care (3) Psychological Support (4) Spiritual Support. Conclusions: The description of the Care Giver's experience is considering palliative conditions as conditions in the End Stage of Life Phase; Daily care focuses on Routine Care; Psychological support is really needed; Spiritual support is really needed. Based on the research results, it can be concluded that elderly people in nursing homes in the final phase of their lived experience worsening conditions between life and death and all their needs are assisted by caregivers. In palliative conditions, all daily needs are fulfilled by the caregiver. The main focus of care for elderly people with palliative conditions is providing psychological support and spiritual supported
Does acupressure therapy decrease blood pressure in hypertensive elderly? Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.919

Abstract

ntroduction: Hypertension is a high blood pressure condition often referred to as the "silent killer" as it is frequently asymptomatic but can lead to a range of serious health complications, including heart disease and stroke. The prevalence of hypertension continues to rise worldwide, with projections of reaching 29% of the adult population by 2025. To control hypertension, complementary therapies such as acupressure are emerging as a supportive complement to the management of high blood pressure, especially for the elderly, to improve their quality of life and ease the burden on the healthcare system. Objectives: to analyze the effect of acupressure therapy on blood pressure in hypertensive elderly. Methods: Pre-Experimental Design, with a One-Group Pretest-Posttest Design. Results: The results showed a decrease in average systolic blood pressure by 24.08 mmHg, from 148.08 mmHg in the pre-test to 124.00 mmHg in the post-test, with a p value of 0.002. In addition, there was a decrease in mean diastolic blood pressure by 11.83 mmHg, from 85.83 mmHg in the pre-test to 74.00 mmHg in the post-test, with a value of (p value 0.013). These results indicate that acupressure therapy has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertension. Conclusions: These findings support using acupressure as a complementary therapy to assist in managing hypertension in the elderly, potentially improving their quality of life and reducing the burden of hypertension-related health services.
Pengaruh Terapi Bekam Kering Terhadap Tekanan Darah Pada Pasien Hipertensi Primer: The Effect of Dry Cupping Therapy on Blood Pressure in Primary Hypertension Patients Candrawati, Sang Ayu Ketut; Sukraandini, Ni Komang
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.161

Abstract

Latar Belakang: hipertensi merupakan salah satu penyakit tidak menular yang menjadi penyebab morbiditas dan mortalitas di dunia. 9,4% kematian setiap tahunnya diakibatkan karena komplikasi hipertensi. Hipertensi ditandai dengan peningkatan tekanan sistol >140 mmHg dan diastol >90 mmHg.  Bekam kering  merupakan salah satu terapi alternatif yang digunakan dalam menurunkan tekanan darah pada pasien hipertensi. Tujuaan penelitian: mengetahui adanya pengaruh terapi bekam kering terhadap tekanan darah pada pasien hipertensi primer. Studi ini adalah Quasi-eksperimental dengan pendekatan One-Group Pretest-Posttest Design. Jumlah sampel 15 pasien hipertensi primer yang diambil dengan tehnik purposive sampling. Pengukuran data menggunakan tensi digital merk onemed. Analisis data menggunakan Paired T Test. Hasil penelitian menunjukkan pada tekanan darah sistolik diperoleh nilai p value sebesar 0,000 dan tekanan darah diastolik diperoleh nilai p value sebesar 0,001 ini berarti terdapat pengaruh tekanan darah sistolik dan diastolik sebelum dan sesudah diberikan terapi bekam kering. Terapi bekam kering bisa dijadikan terapi alternatif untuk pasien dengan hipertensi primer.
Penerapan Statistik Deskriptif: Perspektif Kuantitatif dan Kualitatif Putu Gede Subhaktiyasa; Sang Ayu Ketut Candrawati; N. Putri Sumaryani; Ni Wayan Sunita; Abd. Syakur
Emasains : Jurnal Edukasi Matematika dan Sains Vol. 14 No. 1 (2025): Maret 2025
Publisher : Program Studi Pendidikan Matematika dan Pendidikan Biologi Universitas PGRI Mahadewa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59672/emasains.v14i1.4450

Abstract

Statistik deskriptif merupakan metode analisis data yang penting untuk menggambarkan dan menganalisis karakteristik utama data secara sistematis. Namun penerapannya seringkali menghadapi tantangan yang berpotensi mengurangi validitas hasil penelitian. Tujuan penelitian ini adalah untuk memberikan panduan praktis penerapan statistik deskriptif dalam penelitian kuantitatif dan kualitatif. Penelitian ini menggunakan pendekatan penelitian kualitatif dengan desain studi pustaka untuk menganalisis literatur akademik untuk mengidentifikasi langkah-langkah utama dalam penerapan statistik deskriptif, termasuk persiapan data, pengolahan, analisis, visualisasi, dan interpretasi hasil. Hasil penelitian menunjukkan bahwa statistik deskriptif memiliki peran penting dalam meningkatkan validitas dan kredibilitas penelitian baik dalam eksplorasi awal maupun untuk mendukung analisis inferensial. Panduan praktis yang dirancang membantu peneliti menghindari kesalahan umum dan memberikan langkah-langkah yang sistematis untuk memastikan analisis yang akurat. Ini dapat membantu peneliti dari berbagai bidang untuk mengingkatkan kualitas analisis data penelitian.
The Effect of Slow Stroke Back Massage on Headache Intensity in Hypertensive Older Adults Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini; Desak Made Ari Dwijayanti
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1212

Abstract

Introduction: A Headache is a common complaint among individuals with hypertension and is often associated with elevated blood pressure. One form of complementary therapy that can be applied to alleviate this symptom is Slow Stroke Back Massage (SSBM). Objectives: This study aimed to examine the effect of Slow Stroke Back Massage on headache intensity in older adults with hypertension. Methods: This quantitative research employed a quasi-experimental design with a non-equivalent control group pretest-posttest approach. Thirty-four hypertensive older adults participated in the study and were selected through purposive sampling. The intervention group received SSBM therapy three times per week for 10 minutes over four weeks, while the control group received only standard antihypertensive medication. Headache intensity was measured using the Numeric Rating Scale (NRS). Results: The mean pre-test headache intensity score was 6.12 ± 1.62 in the intervention group and 5.82 ± 1.55 in the control group. After the intervention, the mean scores decreased to 2.71 ± 1.53 and 3.82 ± 1.55, respectively. The reduction in headache intensity was 3.41 points in the intervention group and 2.00 points in the control group. The Wilcoxon test showed a significant difference in the intervention group (p = 0.000), while the paired sample t-test confirmed significance in the control group (p = 0.000). The pre-test comparison between groups using the independent t-test indicated no significant difference (p = 0.592), whereas the post-test comparison using the Mann-Whitney U test showed a significant difference (p = 0.041). These findings suggest that SSBM significantly reduces headache intensity among hypertensive older adults. Conclusions: Slow Stroke Back Massage is an effective, safe, and non-pharmacological intervention for reducing headache intensity in hypertensive patients. Its application is recommended as a complementary therapy in elderly care.
Pemberdayaan Kader Kesehatan Masyarakat Dalam Perawatan Paliatif Di Desa Binaan Peguyangan Kangin Andini, Ni Komang Sukra; Candrawati, Sang Ayu Ketut; Citrawati, Ni Ketut; Subhaktiyasa, Putu Gede; Suniyadewi, Ni Wayan
Jurnal Abdimas ITEKES Vol 4 No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v4i2.688

Abstract

Perubahan angka kematian yang didominasi oleh penyakit non infeksi atau penyakit yang tidak menular menjadi sutu gambaran perubahan transisi epidemiologi pararel, untuk mengatasi fenomena tersebut, maka dibutuhkan perawatan paliatif. Menurut WHO ada lebih dari 40 juta orang di dunia yang membutuhkan perawatan paliatif tetapi hanya 14% yang baru menerima perawatan tersebut. Indonesia masuk ke dalam posisi terujung. Indonesia berada di peringkat 70 dengan tingkat asuhan paliatif terendah, atau hanya 0,1% dari pasien yang membutuhkan asuhan paliatif. Perawatan paliatif tidak hanya berfokus pada pelayanan paliatif di rumah sakit namun saat ini perlu untuk dikembangan perawatan paliatif berbasis komunitas. Perawatan paliatif di lingkungan komunitas tentunya membutuhkan dukungan kader Kesehatan Masyarakat dalam memberikan pengetahuan dan pendampingan terhadap anggota keluarga yang memiliki keluarga dengan kondisi penyakit paliatif. Kader kesehatan mempunyai peranan penting dalam meningkatkan permasalahan perawatan paliatif baik  yang  dialami  oleh  pasien  maupun  keluarga  maka  perlu  ada  upaya  pemberdayaan  kader  dalam peningkatan   pengetahuan   keperawatan   paliatif   di   wilayah   kerja Puskemas   peguyangan kangin  sangat  diperlukan. Pengabdian masyarakat ini dilakukan di Puskesmas III Denpasar Utara Wilayah Desa Binaan Peguyangan Kangin, Adapun kegiatan yang dilakukan adalah 1.         Melakukan pre test; 2.Penyuluhan kepada kader Kesehatan, Pendidikan  kesehatan yang    diberikan  kepada  kader  adalah  mengenai  konsep  perawatan  paliatif , tugas  dan  fungsi  keluarga  dalam  perawatan  paliatif,  gangguan  psikologis dan pemenuhan   kebutuhan   psikologis   pasien   dan   keluarga   serta   pemenuhan kebutuhan   spiritual   pasien   dan   keluarga   dalam   perawatan paliatif; 3. Melakukan post-test sebagai evaluasi kegiatan. Hasil kegiatan pengabdian masyarakat ini dapat meningkatkan pengetahuan kader Kesehatan terkait perawatan pasien paliatif yang ditunjukkan melalui nilai post test kader Kesehatan. Berdasarkan hasil pretest diketahui bahwa pengetahuan kader mengenai perawatan paliatif  bahwa pengetahuan baik 20 orang (74%). Post-test pelaksanaan pengabdian menunjukkan peningkatan pengetahuan kader terkait perawatan paliatf sebanyak 25 orang (89%) pengetahuan kader baik. Selain itu kader juga mendapatkan pengetahuan dan pengalaman terkait perawatan pasien paliatif. Pengetahuan kader Kesehatan terkait perawatan paliatif diharapkan mampu digunakan untuk mendampingi anggota posyandu yang memiliki keluarga dengan kondisi penyakit paliatif. Kata kunci : Pemberdayaan, kader kesehatan, perawatan paliatif
Pengaruh Pemberian Air Rebusan Jahe Merah Terhadap Intensitas Nyeri Dismenore Pada Remaja Putri Wilandari, Rahma; Ni Kadek Muliawati; Sang Ayu Ketut Candrawati
Jurnal Kesehatan Madani Medika Vol 16 No 1 (2025): Jurnal Kesehatan Madani Medika
Publisher : Sekolah Tinggi Ilmu Kesehatan Madani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36569/jmm.v16i1.450

Abstract

Nyeri haid atau dismenorea sangat umum terjadi pada wanita usia subur dan sangat umum terjadi di seluruh dunia. Beberapa wanita mengalami nyeri luar biasa saat menstruasi sehingga dapat mengganggu kehidupan sehari-hari. Dampak yang terjadi apabila dismenore tidak diatasi yakni akan menimbulkan ketidaknyamanan pada remaja putri, konsentrasi yang terganggu karena dismorene dan aktivitas sehari-hari yang terganggu. Tujuan penelitian ini untuk mengetahui pengaruh pemberian air rebusan jahe merah terhadap intensitas nyeri dismenore pada remaja putri di SMA N 1 Ubud. Penelitian ini menggunakan analisis deskriptif dengan pendekatan kuantitatif. Penelitian ini termasuk jenis penelitian kuantitatif dengan pendekatan pra-experimental menggunakan rancangan one group pre-test post-test design. Populasi sebanyak 584 siswi dengan sampel sebanyak 34 remaja putri. Analisis data menggunakan univariat dan bivariat menggunakan uji Wilcoxon. Hasil penelitian menunjukkan sebagian besar tingkat nyeri dismenore sebelum diberikan air rebusan jahe merah didapatkan nilai mean 6,09 atau rata-rata dengan dismenore sedang. Setelah diberikan air rebusan jahe merah nilai mean yaitu 1,09 atau rata-rata dengan dismenore ringan. Nilai p yaitu 0,000 < 0,05 dapat disimpulkan air rebusan jahe merah dapat menurunkan tingkat nyeri dismenorea pada remaja putri. Tenaga kesehatan dapat memberikan penyuluhan dan sosialiasi kesehatan tentang tatalaksana atau metode mengurangi tingkat nyeri dismenore pada remaja putri.
Spiritual Leadership Enhances Caring Behaviour: The Mediating Role of Calling Candrawati, Sang Ayu Ketut; Sriani, Ni Kadek Ayu; Subhaktiyasa, Putu Gede; Andini, Ni Komang Sukra; Putri, Ni Luh Nova Dilisca Dwi; Citrawati, Ni Ketut; Andriany, Megah
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.58964

Abstract

Background: Caring behaviour is essential for patient health; however, it is often not practised optimally. Therefore, spiritually-based leadership is required to encourage this behaviour. Unfortunately, research investigating the ability of spiritual leadership to enhance caring behaviour through spiritual well-being is limited.Purpose: This study aimed to examine the impact of spiritual leadership and spiritual well-being in the form of calling and membership on caring behaviour.Methods: This study employed an explanatory quantitative design with a cross-sectional approach. One hundred fourteen inpatient nurses who provided comprehensive patient care were selected using a total sampling technique. Data were collected using the Spiritual Leadership Questionnaire and the Caring Behaviours Inventory. The analysis adopted partial least squares structural equation modelling (PLS-SEM) using a second-order reflective-formative model.Results: The findings demonstrate that spiritual leadership has a significant direct effect on caring behaviour (t=3.976, p=0.000), calling (t=4.672, p=0.000), and membership (t=2.845, p=0.005). However, the direct impact of membership on caring behaviour was insignificant (t=1.298, p=0.194). Calling proved to mediate the effects of spiritual leadership on caring behaviour (t=3.145, p=0.002), while membership could not function as a mediator (t=1.197, p=0.231).Conclusion: This study emphasizes the importance of spiritual leadership in nursing care, particularly in enhancing nurses’ caring behaviours. Healthcare organizations should implement training programs on spiritual leadership to encourage calling nurses to perform their duties with dedication. Developing nurse membership should be considered, but the main focus must be on strategies that strengthen nurses’ calling, as this is an essential factor in providing quality and empathetic care.