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All Journal Jurnal Pendidikan dan Pengajaran Jurnal Gema Keperawatan Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Health Dynamics
Ngurah, I Gusti Ketut Gede
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Educational Model for Overcoming Stunting Toddlers with Bio Acupressure Massage Using Pure Coconut Oil Ribek, Nyoman; Ngurah, I Gusti Ketut Gede; Labir, Ketut; Wardani, Ketut
Jurnal Pendidikan dan Pengajaran Vol 54, No 2 (2021): JULY 2021
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.363 KB) | DOI: 10.23887/jpp.v54i2.35837

Abstract

Educational models to overcome stunting are needed because stunting has a negative impact on the health and function of the body as well as increasing child morbidity. The prevalence of stunting under five in Indonesia in 2019 was 27.67%, in Bali 21.9% and Karangasem 26.23% above WHO 20%. This data is the reason for conducting research in 2020. The aim is to find out whether the educational model of bio acupressure massage using virgin coconut oil can increase appetite, sleep quality and immune power so that stunting toddlers increase height. The research method is quasi-experimental; the research design is nonequivalent control group design. The sample is 50 people with purposive sampling technique. The analysis before and after treatment was carried out by paired sample t-test, the results were that all variables had significant differences (P value> 0.05). Variable differences between groups using t-two independent test with an alpha of 0.05 resulted in a significant difference in appetite (P value = 0.01) and a significant difference in height (p value = 0.020). There was no significant difference between sleep quality and endurance (P value > 0.05). It was concluded that there was a significant difference before and after education on stunting, while between the bio acupressure and conventional groups there was a significant difference in the variables of appetite and height. It is recommended that in overcoming stunting, bio acupressure massage education is the right education.
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 Effect of Coffee Consumption on Blood Sugar Levels in Diabetes Mellitus Patients in the Working Area of West Denpasar Puskesmas II, Denpasar, Bali, Indonesia Sulistiawati, Putu; Gama, I Ketut; Sudiantara, Ketut; Ngurah, I Gusti Ketut Gede
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/hd11106

Abstract

Background: Non-communicable diseases (NCDs) are chronic diseases that cannot be transmitted from person to person. The aim of this study was to determine the effect of coffee consumption on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. Methods: This research method uses pre-experimental design using a non-equivalent control-group before-after design. The research subjects were diabetes mellitus sufferers aged 45 years and over. The population in this study was 77 and the total sample for this study was 44 people using the non-probability sampling technique with the purposive sampling method. The data collection instrument uses a glucometer. Coffee is consumed twice/day as much as 200 ml in the morning and evening 5 minutes after eating for 6 days. Results: The research results showed that of the 44 respondents, in the treatment group it was found that the average blood sugar level before being given coffee was 183.50 mg/dL, and after being given coffee was 168.50 mg/dL. Meanwhile, in the control group, the average blood sugar level before and after the study was 198.50 mg/dL. The results of univariate analysis used the Wilcoxon test and obtained a p value of 0.000 (α < (0.05)). Conclusion: The conclusion of this research is that there is an effect of drinking coffee on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. It is hoped that from the results of this research, drinking coffee can be used as an alternative drink to lower blood sugar levels. 
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.
The Effect of Gayatri Mantra Meditation on Blood Pressure Reduction in Elderly Individuals with Hypertension in Pemecutan Kelod Village, Denpasar, Indonesia Dewi, Ni Putu Diah Trisna; Sudiantara, Ketut; Mustika, I Wayan; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20305

Abstract

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Dewintasari, Ni Nyoman Paramitha; Mustika, I Wayan; Sudiantara, I Ketut; Lestari, Agus Sri; Henny Achjar, Komang Ayu; Gama, I Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Harini, I Gusti Ayu
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/hd20602

Abstract

Background: Hypertension is a condition in which blood pressure is higher than normal values of ≥140/≥90 mmHg. Effective blood pressure control is the main goal to prevent and treat hypertension. In addition to pharmacological approaches, blood pressure can be controlled with non-pharmacological approaches such as acupressure therapy. This study aims to determine the effect of acupressure therapy at the SP6 and LI4 points on reducing blood pressure in elderly individuals with hypertension. Methods: This study was designed with a quasy-experiment with the type of research pre and post-test with control group with purposive sampling technique. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The population amounted to 81 elderly people with hypertension with the number of samples used in this study as many as 46 elderly samples with hypertension (23 in intervention group and 23 in control group). The majority of respondents were aged 65-69 years, female, worked as traders, and had elementary school education and did not go to school. Blood pressure was measured using a sphygmomanometer. Acupressure on SP6 and LI4 points was given to the intervention group for 3 weeks with a frequency of 2 times in 1 week, while the control group was given conventional treatment. Results: The results of the post-test difference in blood pressure between the intervention group and the control group with the Mann Whitney U-Test test showed a p-value = 0.000 (p <0.05), it can be concluded that there is a significant difference between the intervention group and the control group. Conclusions: The study concludes that there is an effect of acupressure therapy at point SP 6 and LI 4 on lowering blood pressure in the elderly with hypertension. It is hoped that the results of the study can be used as an alternative therapy in lowering blood pressure.
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.
Hubungan Karakteristik, Akses dengan Pemanfaatan Posyandu Lansia Mertha, I Made; Suardana, I Ketut; Wedri, Ni Made; Ngurah, I Gusti Ketut Gede
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.v18i1.4050

Abstract

Elderly Posyandu is a health service program aimed at improving the welfare of the elderly. The utilization of Elderly Posyandu by the elderly has not been optimal until now. This study aims to determine the relationship between characteristics and access with the utilization of Elderly Posyandu. This study is a descriptive correlation study with a cross-sectional approach. The number of samples is the total sampling of respondents who meet the predetermined inclusion criteria, namely 160 samples. Data collection with questionnaires from November 11, 2024 to December 9, 2024. Data analysis was carried out using the sperm rank correlation test. The results of the study showed that most of the elderly were in the 61-70 year age group (59,4%), most of the gender was female (61,9%), most of the education level was high school (23,1%), and most of the elderly were actively working (53,1%). The support of the elderly's family was mostly in the high category (91,3%). All elderly (100%) stated that access to elderly Posyandu was easy. The utilization of elderly Posyandu was mostly in the high category, namely 153 people (95,6%). Statistical test obtained p value for age (0,000), gender (0,165), education level (0,000), occupation (0,664), family support (0,003), and access (0,725). It was concluded that only age, education level, and family support of the elderly were related to the utilization of the elderly posyandu. Elderly cadres are advised to increase motivation in the elderly to utilize the elderly posyandu to maintain health status.
Pemberdayaan dan Pendampingan Kader Kesehatan Pada Kelas Ibu Hamil di Desa Bon Dalem Tejakula Buleleng Tirtawati, Gusti Ayu; Candra, I Wayan; Nursanyoto, Hertog; Gejir, I Nyoman; Mastra, Nyoman; Posmaningsih, Dewa Ayu Agustini; Ngurah, I Gusti Ketut Gede
Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Vol. 3 No. 2 (2024)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jppmi.v3i2.282

Abstract

Kesehatan ibu menjadi indikator kesehatan individu dimasyarakat. Kesiapan ibu hamil menjalani kehamilan dan persiapan persalinan perlu upaya preventif agar mencegah komplikasi persalinan. Kesehatan ibu perlu dijaga dengan upaya edukasi dalam bidang gizi, Kesehatan gigi, pemeriksaan laboratorium dan Kesehatan lingkungan. Kader sebagai garda depan dalam peningkatan Kesehatan di Masyarakat sangat penting untuk mengupdate ilmu dalam Upaya Kesehatan ibu atau kelas ibu sehingga meningkatkan cakupan kelas ibu di Desa Bon dalem. Data cakupan ibu terpapar dengan kelas ibu hanya 18 %, kondisi ibu terkait gizi belum optimal dimana 20% dengan IMT kurang. Program pendampingan kader kesehatan di Desa Bon Dalem wilayah kerja Puskesmas Tejakula II menjangkau kesiapan ibu dalam menghadapi persalinan yang aman tanpa komplikasi. Metode yang digunakan. Metode pengabdian yaitu pendampingan kader kesehatan tentang kelas ibu, cara membuat kudapan untuk mencegah KEK dan edukasi gizi, promosi Kesehatan, gigi dan Kesehatan lingkungan keluarga. Pemegang program dipuskesmas dan bekerjasama dengan kader merupakan sasaran kegiatan pengabdian. Dilakukan advokasi kepada Kepala desa, Kepala Puskesmas Tejakula II untuk pembentukan Progran pendampingan kader dalam kelas ibu dan edukasi kelas ibu. Metode pendampingan dengan tatap muka pada kader Kesehatan. Pre test dan post test dilaksanakan untuk mengetahui perbedaan pengetahuan kader sebelum dan setelah perlakuan. Data selanjutnya dianalisis untuk mengetahui efektitas program pengabdian. Kegiatan dilaksanakan secara luring di Desa. Kegiatan dilaksanakan 1 Mei-November 2024. Hasil kegiatan pengabdian yaitu diperoleh nilai rata-rata peningkatan pengetahuan peserta sebelum edukasi 55,1 (termasuk kategori kurang) dan setelah edukasi meningkat menjadi 91,2 (termasuk kategori baik). Tindak lanjut kegiatan pengabmas pada tahap 3 (tahun 2025) akan dilaksanakan dengan metode interprofesional collaboration, dengan melibatkan dosen dan mahasiswa dari berbagai jurusan di Poltekkes Kemenkes Denpasar.
Co-Authors Achjar, Komang Ayu Henny Agus Sri Lestari Ayu Harini, I Gusti Dewi, Ni Putu Diah Trisna Dewintasari, Ni Nyoman Paramitha Gama, I Ketut Gayatri, Ni Wayan Cening Setiari Gejir, I Nyoman Gusti Ayu Tirtawati, Gusti Ayu Harini, I Gusti Ayu Hartati, Ni Nyoman Henny Achjar, Komang Ayu Hertog Nursanyoto I KETUT SUARDANA, I KETUT I Made Mertha I Wayan Candra I Wayan Mustika I Wayan Suardana Kumalasari, Ni Putu Putri Labir, Ketut mastra, nyoman Padmi, Luh Sri Anggayoni Julia Posmaningsih, Dewa Ayu Agustini Prabhadewi, Ni Putu Sriarta Ribek, Nyoman Satriawati, Ni Nyoman Ayu Sudiantara, I Ketut Sudiantara, Ketut Sulistiawati, Putu Wardani, Ketut Wedri, Ni Made Wulandari, Kadek Dina