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Correlation Ankle Brachial Index and Inlow’s Foot Screening Among Diabetes Patient at Tourism Area in Buleleng Udrayana, Oka; Purnamayanti, Ni Kadek Diah; Gautama, Made Satya Nugraha; Pratiwi, Luh Dea; Wirawan, Alfonsius Ade
Jurnal Kesehatan Holistic Vol. 9 No. 1 (2025): Jurnal Kesehatan Holistic Volume 9/ Nomor 1/ Januari 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v9i1.235

Abstract

Foot complications are a financial burden because treatment is comprehensive and lasts a long time. The prevalence of foot complications occurs repeatedly in every diabetes patient, so skills are needed to carry out early detection of diabetic foot complications. Early detection can be done with a non-invasive procedure using a simple technique, known as an ankle brachial index (ABI) examination. Other examination techniques are carried out comprehensively through inspection, palpation, and neurological examination using low's 60 second foot screening. This study aims to determine the relationship between ABI and Inlow's 60 second foot screening in type II diabetes mellitus patients in primary health facilities in Buleleng Regency. The design of this research was cross sectional carried out in September 2024. The population in this study were diabetes patients who were members of prolanis assisted by a community health center in Buleleng Regency. The total sample was 168 people. The research results showed a correlation between ABI examination results and Inlow's foot screening (p=<0.001). Routine diabetic foot examinations need to be carried out at primary health facilities for mapping, treatment and referral.
How is mhealth and web-based telemedicine implemented in patient with hypertension? : a narrative scoping review Gautama, Made Satya Nugraha
Holistic Nursing Plus Vol. 1 No. 1 (2023): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v1i1.65

Abstract

In this digital era, telemedicine has become one of the cutting-edge approaches that is feasible for hypertension management. Despite the proliferation of trial research, reviews of how telemedicine is practiced are limited. The aim of this study is to review how telehealth is applied in patients with hypertension. A scoping review according to the Joanna Briggs Institute Reviewer Manual's instructions was used with a narrative approach to the type of RCT intervention articles. The search was conducted through electronic databases Scopus, PubMed, and Medline-OVID with the keywords "Telemedicine" and "hypertension". Of 1945 articles, 13 studies met the criteria and were reviewed. Telemedicine interventions including mhealth-based and web-based provide various ways to manage and provide telemonitoring for BP. The utilization of m-health can be through the development of smartphone applications, text messaging, or the use of current social media. Whereas web-based utilization mostly uses email consultations and not many uses paid websites but are integrated with mobile phones. Telemedicine whether mhealth or web-based makes it easier for healthcare professionals to manage and monitor patients' BP, offering a sustainable positive impact in the future.
The self–directed learning readiness and self–efficacy of nursing students in synchronous learning: A cross–sectional study Harjanto, Totok; Gautama, Made Satya Nugraha; Sumunar, Dimas Septian Eko Wahyu
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2445

Abstract

Background: Beyond the pandemic, synchronous online learning was found to be a reliable approach in undergraduate nursing education. The students' self-directed learning readiness and online self-efficacy are key to the successful implementation of this approach. Readiness determines the learner’s needs based on contextual education, while efficacy refers to the students' confidence when completing online learning tasks. Purpose: The current study aims to investigate the relationship between self-directed learning readiness and self-efficacy among undergraduate nursing students. Methods: A descriptive correlational study was carried out to measure the undergraduate nursing students’ readiness and efficacy using the Self-Directed Learning Readiness (SDLR) Scale and the Online Learning Self-Efficacy Scale. Upon completing data collection using a web-based survey, univariate descriptive and bivariate analysis with Pearson correlation were conducted. Results: A total of 188 undergraduate nursing students participated in this study with an average age of 20.12 years old. The majority of nursing students (72.9%) within the program had a moderate SDLR level, while the mean (SD) SDLR was 149.95 (±12.24). Similarly, moderate self-efficacy was reported by the present study participants. The self-efficacy subscale of strength was categorized as high, while moderate levels of generality and magnitude were interpreted from the findings. The bivariate statistical analysis indicated a significant correlation between SDLRS and online self-efficacy (r=0.298, p<0.001). SDLR had significant correlations with each online self-efficacy subscale, including strength (r=0.259, p<0.001), generality (r=0.259, p<0.001), and magnitude (r=0.259, p<0.001). Conclusions: In synchronous learning, the undergraduate nursing student’s SDLR was found to have a positive relationship with self-efficacy. Provisioning the students’ individual learning skills is necessary to enhance their readiness and consequently improve their acquisition of the educational outcomes.
Terapi Spiritual Emotional Freedom Technique (SEFT) sebagai Perawatan Paliatif pada Penderita Kanker: Literature Review WIdyanata, Komang Agus Jerry; Artawan, I Kadek; Gautama, Made Satya Nugraha; Noviantari, Komang; Dey, Titin Novayanti; Theresia, Theresia
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5816

Abstract

Kanker merupakan penyakit yang ditandai dengan pertumbuhan dan penyebaran sel yang tidak normal, tidak terkendali dan dapat menyebabkan kematian apabila penyebarannya tidak terkontrol. Prevalensi kanker di Indonesia yakni 1,4 per 1000 penduduk serta termasuk pencetus kematian nomor 7 sebanyak (5,7 %) dari seluruhnya pemicu kematian. Penyebab kanker bersifat multifaktorial, yang mencakup faktor genetik dan lingkungan, serta riwayat keluarga dengan kanker. Pasien yang terdiagnosis kanker mengalami masalah pada pemenuhan kebutuhan sehingga memiliki risiko tinggi mengalami depresi, kecemasan, hingga nyeri sehingga berpengaruh pada kualitas hidupnya. Tujuan dari penelitian ini adalah mengidentifikasi hasil penelitian berkaitan dengan pengaruh terapi Spiritual Emotional Freedom Technique (SEFT) sebagai perawatan paliatif pada penderita kanker. Metode literature review ini mencakup kajian literatur terbaru yaitu 5 tahun terakhir tentang efek terapi SEFT (Spiritual Emotional Freedom Technique) pada pasien kanker, kata kunci yang digunakan adalah “SEFT”, “Spiritual Emotional Freedom Technique”, “Palliative Care” dan “Cancer” yang dikombinasikan dengan “AND”. Pengumpulan data dirangkum menggunakan prisma flowchart yang menjelaskan hasil seleksi artikel dari proses identifikasi, penyaringan, hingga evaluasi kelayakan. Artikel temuan yang diulas menyatakan bahwa efektivitas penerapan dari intervensi SEFT pada pasien kanker dapat berpengaruh pada aspek kualitas hidup pasien kanker baik pada aspek fisiologis (peningkatan kualitas tidur dan istirahat, serta penurunan nyeri), dan psikologis (penurunan tingkat kecemasan atau ansietas, stres, depresi, dan peningkatan relaksasi) setelah diberlakukannya intervensi ini. Terapi SEFT dapat digunakan sebagai intervensi perawatan paliatif dalam meningkatkan kualitas hidup pasien khususnya pada pasien kanker.
Stigma sebagai Beban Psikososial pada Pasien Kanker Payudara: Studi Deskriptif Putri, Fillia; Maisa, Esthika Ariany; Khambri, Daan; Gautama, Made Satya Nugraha; Merdawati, Leni
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52033

Abstract

Kanker payudara merupakan kanker dengan prevalensi tertinggi pada perempuan dan berdampak pada aspek psikososial. Selain beban fisik akibat pengobatan, pasien juga menghadapi stigma yang memengaruhi citra diri, hubungan sosial, dan pemulihan.Penelitian ini bertujuan untuk menggambarkan tingkat stigma yang dialami oleh pasien kanker payudara di RSUP Dr. M. Djamil Padang. Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik purposive sampling. Sebanyak 280 responden yang memenuhi kriteria inklusi berpartisipasi dalam penelitian ini, yaitu perempuan berusia ≥18 tahun yang telah didiagnosis kanker payudara dan sedang atau telah menjalani pengobatan. Instrumen yang digunakan adalah Breast Cancer Stigma Assessment Scale (BCSAS) yang terdiri atas 28 item dengan tujuh domain. Analisis data dilakukan secara deskriptif menggunakan SPSS versi 26. Hasil penelitian menunjukkan bahwa sebagian besar pasien mengalami tingkat stigma tinggi (39,6%), sedangkan 25,4% dengan tingkat sedang dan 35% pada tingkat rendah. Domain dengan skor tertinggi adalah dapat disembunyikan dan perubahan citra diri, sedangkan skor terendah terdapat pada gangguan keluarga dan asal penyakit. Hasil ini menunjukkan bahwa stigma masih menjadi beban psikososial signifikan bagi pasien kanker payudara. Oleh karena itu, diperlukan intervensi psikososial yang berkelanjutan, seperti pembentukan peer support group, untuk membantu pasien saling berbagi pengalaman, meningkatkan penerimaan diri, dan mengurangi dampak stigma terhadap kesejahteraan emosional.
Progressive Muscle Relaxation (PMR) in Cancer Patients: A Scoping Review Gautama, Made Satya Nugraha; Pitriyani, Kadek Dwi; Winaryanta , Made Deisyana; Widiarini, Luh Mutiara; Sunday, Ni Kadek Mawar Aries; Widyanata, Komang Agus Jerry; Khalish, Gaviota
Bali Medical and Wellness Journal Vol. 2 No. 3 (2025): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v2i3.40

Abstract

Background: Cancer patients frequently endure a range of physical and psychological burdens during treatment. Progressive Muscle Relaxation (PMR) is utilized as a supportive intervention to address these symptoms, though its specific implementation and efficacy require synthesis.  Objective: This scoping review aims to investigate the implementation strategies and the effects of PMR on physical and psychological outcomes in patients diagnosed with cancer.  Methods: Following PRISMA and Joanna Briggs Institute (JBI) guidelines, a comprehensive literature search was conducted for articles published between 2019 and 2024. Inclusion criteria required studies to be in English or Indonesian and utilize specific designs, including quasi-experimental and randomized controlled trials (RCTs).  Results: From a total of 792 initial records, 15 studies met the inclusion criteria. These studies, conducted across various countries, typically utilized PMR interventions lasting 15–25 minutes. The analysis indicated that PMR was associated with reductions in physical symptoms, such as pain, fatigue, nausea, vomiting, and dyspnea. Furthermore, significant improvements were noted in psychological symptoms, including anxiety, stress, and emotional distress, alongside positive effects on sleep quality, functional well-being, coping mechanisms, and resilience.  Conclusion: PMR shows promise as a beneficial intervention for alleviating symptom burden in cancer patients. However, the limited number of studies and methodological heterogeneity suggest a need for further rigorous research to clarify the mechanisms of action and expand its clinical applications.