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Prehospital Handling of Traffic Accidents in High School PGRI 4 Denpasar Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus
Jurnal Abdimas ITEKES Vol 1 No 1 (2021): Jurnal Abdimas ITEKES Bali September
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.v1i1.399

Traffic accidents are the eighth leading cause of death in Indonesia. Data from the Traffic Corps of the Police of the Republic of Indonesia states that every year 28,000-38,000 people die from traffic accidents in Indonesia. This number makes Indonesia ranked first in the country with the highest ratio of deaths from traffic accidents in the world (Kompas, 2017). In 2018 there was an accident with a death toll of 261 people. The number of victims of serious injuries/hospitalization due to transportation accidents was 190 people. Bali is classified as an area with heavy traffic and has a high number of traffic accidents. One of the efforts made is to seek to reduce the number of deaths due to pre-hospital snacking errors. Efforts made in this community service program are to educate students about handling pre-hospital patients at SMA PGRI 4 Denpasar which begins with counseling about fractures and continues with the introduction of pre-hospital handlers in fracture patients. This program aims to increase knowledge about the definition of fracture and train students on pre-hospital handling in road accidents so as to reduce the death rate in accident victims due to the first mishandling on the road. In the implementation of this activity, the activity begins with the provision of a pre-test questionnaire which is filled out by the participants, then counseling about fractures is carried out using the lecture method and finally a post-test aimed at SMA PGRI 4 Denpasar students. The results of the activity showed an increase in students' knowledge about fractures and could train students about handling fractures in road accidents.

ANALYSIS OF FACTORS RELATED TO THE SELF-EFFICACY OF INDONESIAN RED CROSS (IRC) MEMBER STUDENTS IN CARRYING OUT AHA 2020 STANDARD CARDIOPULMONARY RESUSCITATION IN DENPASAR CITY Yusniawati, Yustina Ni Putu; Sanjaya, I Wayan Edi; Putra, I Gde Agus Shuarsedana; Lewar, Emanuel Ileatan; Putri, I Gusti Ayu Nandita Arta
Nurse and Health: Jurnal Keperawatan Vol 13 No 1 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i1.547

Abstract Background: Cardiac arrest is a condition of the heart that loses its function suddenly to pump blood throughout the body. Cardiac Arrest has events that take place very quickly and cannot be predicted so that it becomes an important concern in the world of health. Cardiopulmonary Resusitatiom (CPR) training programs for IRC students are increasingly emphasized to increase bystander CPR which is very low, while some cause low interest of students in doing CPR, especially mouth to mouth because they are afraid to do CPR because they feel wrong if they do CPR incorrectly, physically cannot do CPR, fear of harming the individuals helped, fear of contracting diseases contagious, the belief that the person has died. Objective: Analyze the factors of self- physicalizing (knowledge, attitude, motivation and awareness) of IRC students in providing cardiopulmonary resuscitation (CPR) in cardiac arrest patients Method: This research is a type of quantitative research with a cross sectional approach with purposive sampling. Data collection was carried out for 2 months once using a direct questionnaire. The number of samples in this study was 300 respondents of IRC member students in Denpasar City. The inclusion criteria in this study are IRC member students from universities who are active in lectures, active as members of IRC Denpasar City, attending basic training IRC members are young and willing to be respondents. Process research directly and also written on the consent sheet becomes a research respondent and is given informed consent. After getting approval, participants can do the entire questionnaire for 30 minutes. The analysis test carried out is univariate analysis, which describes the characteristics of research respondents, analysis using sperm, multivariate analysis using logistic regression tests. Results: The results of the study obtained that knowledge P value = 0.022, attitude p value 0.026, motivation p value 0.017 and awareness p value 0.050. Awareness is the most influential variable with student preparedness (OR= 1,192), which means that poor awareness will cause low efficacy of undergraduate nursing students in helping patients with cardiac arrest by 1 time compared to the efficacy of IRC member students who have good awareness after the variables of knowledge, attitude, and motivation are controlled. Conclusion: There is a significant relationship between knowledge, attitudes, motivation and awareness with the efficacy of PMI member students in conducting CPR AHA 2020 where awareness is the most influential variable on the efficacy of IRC member students in conducting CPR AHA 2020.

Pengaruh perbedaan sistem pembagian kerja terhadap kelelahan penata anestesi di ruang operasi di indonesia : The effects of differences in the divison of labor on fatigue of nurse anesthetists in operating rooms in indonesia yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.223

The division of labor in this study refers to the working hour arrangement made by the hospital management for 24-hour optimal service. Nurses in the operating room as health workers need the division of labor. It considers that not all planned or scheduled surgery can be carried out at a predetermined time since delays, acceleration, or cancellation can occur. Nurses in the operating room must be ready for 24 hours for surgeries. However, an intensive division of labor with long working hours is an essential factor affecting the fatigue levels of nurse anesthetists in the operating room. Fatigue decreases alertness, concentration, judgment, and mood. To determine the effect of different divisions of labor over fatigue levels of nurse anesthetists in the operating room in Indonesia. This study used a quantitative research design with an analytical observational design and a cross-sectional approach. The sampling technique was purposive sampling with a sample of 228 nurse anesthetists in the operating room from hospitals in various regions throughout Indonesia. Data was collected with OFER and ENSS questionnaires translated into Indonesian and tested previously for validity and reliability. Data were analyzed using SPSS Version 20, with univariate analysis. It indicates that the respondents were primarily male, aged 22 to 68 years old, married, had an associate’s degree, with >3 years tenure, the number of operating rooms were between 1 to 26 rooms, the number of nurse anesthetists ranges from 1 to 43 people, and the number of surgery ranges from 1 to 50 per day. Bivariate analysis was carried out using Kruskal-Wallis analysis. The results showed a difference between work shifts and work fatigue, where 12 hours-12 hours work shift have severe fatigue rates than others. The work shifts regulate the working hours of nurse anesthetists to work optimally. It is essential to adjust the work shift so that they can have enough time to rest. An irregular division of work hours and the work hours longer than the rest duration are significant factors causing chronic fatigue in nurse anesthetists.

Penggunaan Anestesi Inhalasi Dengan Obat Sevoflurane Terhadap Post Operative Nausea And Vomiting (PONV) Pada Klien Bedah Dengan Anestesi Umum Di RSUD Karangasem Lewar, Emanuel Ileatan; Yusniawati, Yustina Ni Putu; Sudiana, I Ketut; Putra, I Gde Agus Shuarsedana; Meikayani, Ida Ayu Putu Carisa
Jurnal Riset Kesehatan Nasional Vol. 9 No. 1 (2025)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v9i1.601

PONV merupakan suatu kondisi timbulnya rasa mual dan muntah akibat dari efek samping obat anestesi yang diberikan kepada pasien saat dilakukan pembedahan. Kejadian PONV berlangsung 24 jam pertama setelah dilakukan pemberian agen anestesi pada klien yang akan dilakukan pembedahan. Ada berbagai faktor yang dapat menyebabkan timbulnya kejadian PONV yaitu pola kebiasaan klien berupa merokok dan minum alkohol, usia, jenis kelamin, serta riwayat mabuk dalam melakukan perjalanan jauh. Ada berbagai efek obat yang dapat menyebabkan PONV yaitu volatile agent, opioid, sevoflurance. Selain obat ada juga situasi yang dapat menyebabkan terjadi PONV yaitu jenis operasi yang dilakukan dan lama waktu operasi yang diperlukan untuk melakukan pembedahan. Dalam penelitian ini adalah untuk mengetahui bagaimana penggunaaan agen anestesi Inhalasi Sevoflurance dengan kejadian PONV pada klien yang melakukan pembedahan dengan tehnik general anestesi di RSUD Karangasem. Penelitian ini merupakan penelitian kuantitatif, desain analitis korelatif dengan cross sectional. Instrument pada penelitian ini adalah menggunakan kuesioner. Uji Analisa data menggunakan sperman rho. Hasil Penelitian: diperoleh hasil bahwa mayoritas durasi pembiusan dengan inhalasi sevoflurane >30 menit sebanyak 46(59,7%), mayoritas klien mengalami PONV sebanyak 41 (53,2%). Dari uji bivariat dengan sperman rho diperoleh hasil 0,000 dimana nilai p value <0,05 dengan R 0,05 dengan hasil terdapat hubungan yang kuat antara inhalasi sevoflurane pada klien dengan pembedahan menggunakan tehnik general anestesi di RSUD Karangasem. Terdapat hubungan yang kuat antara penggunaan anestesi inhalasi sevoflurane dengan PONV pada klien yang melakukan pembedahan dengan anestesi umum di RSUD Karangasem. Maka dari itu perlu dilakukan pemantauan yang baik oleh penata anestesi ketika memberikan obat inhalasi sevoflurane agar tidak terjadi PONV. Kata Kunci: Anestesi Inhalasi, Sevofluran, PONV

Pemberian Edukasi Manajemen Nyeri dengan Terapi Perilaku,Kompres Hangat dan Dingin, Alat Tens, dan Akupuntur untuk Mengurangi Nyeri Pada Remaja Putri Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Harditya, Kadek Buja; Putri, I gusti Ayu Andita Arta; Lewar, Emanuel Ileatan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.15464

ABSTRAK Nyeri suatu ketidaknyamanan yang bersifat subjektif yang timbul dari berbagai penyebab mulai dari trauma jaringan, adanya kerusakan organ, maupun peradangan jaringan serta keganasan. Rasa nyeri yang menetap merupakan alasan yang paling umum orang mencari perawatan kesehatan. Individu yang merasakan nyeri merasa tertekan atau menderita dan mencari upaya untuk menghilangkan nyeri. Nyeri dapat merupakan faktor utama yang menghambat kemampuan dan keinginan individu untuk pulih dari suatu penyakit. Pengobatan farmakologi merupakan pilihan yang baik dalam proses pemulihan dan penyembuhan. Selain terapi farmakologi, terapi non farmakologi juga merupakah pilihan ketika pasien sudah berada pada skala nyeri ringan. Ada berbagai tehnik penanganan nyeri seperti terapi perilaku, kompres hangat dan dingin, alat tens, dan akupuntur. Tujuan manajemen nyeri ini adalah untuk meningkatkan pemahaman remaja putri dalam memanajemen nyeri yang dirasakan dan dapat melakukan penatalaksanaan nyeri secara mandiri dengan tehnik terapi perilaku, kompres hangat dan dingin, alat tens, dan akupuntur. Metode yang dilakukan pada kegiatan ini adalah memberikan edukasi berupa penjelasan dan materi tentang penatalaksanaan nyeri dan mempraktikkan kegiatan penatalaksanaan nyeri secara mandiri. Sebanyak 35 anggota peserta dapat menjelaskan dan mempraktikkan tehnik manajemen nyeri dengan terapi perilaku, kompres hangat dan dingin, alat tens dengan baik dan benar. Dari hasil perbandiangan pre test dan post test diperoleh bahwa terdapat peningkatan pengetahuan peserta setelah diberikan edukasi dan pelatihan penatalaksanaan nyeri dengan hasil sangat baik sebanyak 35 (100%). Terdapat peningakatan pengetahuan dan keterampilan dalam penatalaksanaan nyeri dengan tehnik terapi perilaku, kompres hangat dan dingin, alat tens, dan akupuntur pada siswa SMK PGRI 1 Denpasar. Kata Kunci: Manajemen Nyeri, Non Farmakologi, Remaja Putri ABSTRACT Introduction: Pain is a subjective discomfort that arises from various causes ranging from tissue trauma, organ damage, tissue inflammation and malignancy. Persistent pain is the most common reason people seek health care. Individuals who experience pain feel distressed or suffering and seek relief from the pain. Pain can be a major factor that hinders an individual's ability and desire to recover from an illness. Pharmacological treatment is a good choice in the recovery and healing process. Apart from pharmacological therapy, non-pharmacological therapy is also an option when the patient is already on the mild pain scale. There are various pain management techniques such as behavioral therapy, warm and cold compresses, tensile devices, and acupuncture. Objective: The aim of this pain management is to increase the understanding of young women in managing the pain they feel and to be able to manage pain independently using behavioral therapy techniques, warm and cold compresses, tensile devices, and acupuncture. Research Method: the method used in this PKM activity is to provide education in the form of explanations and materials about pain management and to practice pain management activities independently. Results: As many as 35 PKM participant members were able to explain and practice pain management techniques using behavioral therapy, warm and cold compresses, tensile devices properly and correctly. From the results of the pre-test and post-test comparison, it was found that there was an increase in participants' knowledge after being given education and training in pain management with very good results of 35 (100%). Conclusion: There is an increase in knowledge and skills in managing pain with behavioral therapy techniques, warm and cold compresses, tensile devices, and acupuncture among students at SMK PGRI 1 Denpasar. Keywords: Pain Management, Non-Pharmacological, Young Women

Edukasi dan Pendampingan Assesment Pra Anestesi Ample Kepada Pasien dan Keluarga Pasien Sebelum Dilakukan Tindakan Anestesi Dd Poli Anestesi RSUD Singaraja Yusniawati, Yustina Ni putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Wijaya, I Nyoman Hendra
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19543

ABSTRAK Persiapan operasi dilakukan terhadap pasien dimulai sejak pasien masuk ke ruang perawatan sampai saat pasien berada di kamar operasi sebelum tindakan pembiusan dan operasi dilakukan. Tahap-tahap yang dilakukan sebelum pembedahan adalah persiapan fisik, persiapan mental atau psikis, latihan sebelum operasi (preoperatif exercise), informed consent, dan pemberian obat-obatan premedikasi. Kegiatan ini penting dilaksanakan agar pasien bisa dilakukan tindakan operasi dengan aman tanpa ada komplikasi saat pemberian agen anestesi. Dukungan keluarga dalam mendampingi pasien yang akan operasi juga sangat dibutuhkan. Pengetahuan keluarga dan pasien serta dukungan keluarga tentang penatalaksanaan assesment pra anestesi kurang maka beresiko akan gagalnya kegiatan operasi karena pasien tidak mengikuti syarat dari assesment pra anestesi. Pemberian edukasi dan pendampingan pada keluarga pasien meningkatkan pengetahuan dan kesadaran dari pasien dan keluarga dalam mengikuti assesment pra anestesi dengan baik sebagai persiapan sebelum dilakukan anestesi pada pembedahan elektif. Melakukan edukasi dan pendampingan kepada pasien dan keluarga dalam assesment pra anestesi terkait AMPLE sehingga pasien dan keluarga dapat mengetahui pentingnya assesment AMPLE sebelum tindakan anestesi. Melakukan pendampingan dan edukasi kepada keluarga tentang pentingnya dukungan keluarga dalam mendampingi dan menyiapkan pasien yang akan dilakukan tindakan pembedahan dan anestesi. Setelah dilakukan pemberian edukasi dan pendampingan pada keluarga pasien dan dilakuken evaluasi diperoleh hasil bahwa sebanyak 30 peserta terdapat 2 orang mendapat nilai 100, 15 orang mendapat nilai 90, dan 13 orang mendapat nilai 80. Pemberian edukasi tentang AMPLE ini perlu dilakukan secara terus menerus kepada keluarga pasien yang akan dilakukan tindakan operasi agar dapat memahami pentingnya penatalaksanaan AMPLE untuk mencegah terjadinya kontraindikasi saat dilakukan operasi. Kata Kunci: Assesment Pra AMPLE, Pasien Dan Keluarga, Edukasi, Pengetahuan dan Dukungan Keluarga ABSTRACT Preparations for surgery are carried out on patients starting from the time the patient enters the treatment room until the time the patient is in the operating room before anesthesia and surgery are carried out. The stages carried out before surgery are physical preparation, mental or psychological preparation, preoperative exercise, informed consent, and administration of premedication drugs. This activity is important to carry out so that patients can undergo surgery safely without any complications when administering anesthetic agents. Family support in accompanying patients undergoing surgery is also very much needed. Family and patient knowledge and family support regarding the management of the pre-anesthesia assessment are lacking, which means there is a risk that the operation will fail because the patient does not follow the requirements of the pre-anesthesia assessment. Objective: to increase knowledge and awareness of patients and families in participating in pre-anesthesia assessments properly as preparation before anesthesia for elective surgery. Providing education and assistance to patient families increases the knowledge and awareness of patients and families in participating in pre-anesthesia assessments properly as preparation before anesthesia is carried out in elective surgery. Provide education and assistance to patients and families in pre-anesthesia assessments related to AMPLE so that patients and families can know the importance of AMPLE assessments before anesthesia procedures. Provide assistance and education to families about the importance of family support in accompanying and preparing patients for surgery and anesthesiXXX. After providing education and assistance to the patient's family and carrying out an evaluation, the results showed that of the 30 participants, 2 people got a score of 100, 15 people got a score of 90, and 13 people got a score of 80. Providing education about AMPLE needs to be carried out continuously to the families of patients who will undergo surgery so that they can understand the importance of managing AMPLE to prevent contraindications during surgery. Keywords: Pre-AMPLE Assessment, Patient And Family, Education, Knowledge and Family Support

Program Edukasi dan Pendampingan Pertolongan Pertama Manajemen Nyeri Pada Trauma Muskuluskeletal Sebagai Upaya Perawatan Jangka Panjang bagi Remaja di Sekolah Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Lewar, Emanuel Illeatan; Agustini, Ni Luh Putu Inca Buntari; Wahyunadi, Ni Made Dewi; Sanjana, I Wayan Edi; Harditya, I Kadek Buja
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 8 (2024): Volume 7 No 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.14916

ABSTRAK Cidera akibat kecelakaan lalu lintas menyebabkan kematian 1,2 juta jiwa per tahunnya. Saat terjadi kecelakaan sering kali korban mengalami multiple trauma yang perlu dilakukan tata laksana dengan baik di prehospital. Hal yang menjadi penatalaksanaan awal saat korban mengalami kecelakaan yaitu airway, breathing dan circulation. Penatalaksanaan lanjutan setelah 3 hal penting dilakukan adalah manajemen dalam tatalaksana nyeri berupa penatalaksanaan fraktur, balut tekan, dislokasi, aputasi dan log roll sehingga perlu dilakukan tata laksana yang baik saat di pre hospital. Secara umum keterlambatan atau kurang tepatnya pemberian pertolongan pertama pada fraktur muskuluskeletal sering kali terjadi karena kurangnya pengetahuan dan kepedulian penolong yang menemukan kejadian tersebut. Remaja menjadi target pengabdian masyarakat saat ini dikarenakan remaja merupakan komunitas produktif yang aktif dalam bermasyarkat sehingga merupakan generasi penerus yang perlu di didik untuk dapat menjadi agen perubahan kesehatan. Memberikan edukasi dan pendampingan kepada remaja sekolah dalam melakukan tindakan pertolongan pertama pada trauma muksuluskeletal, kontrol pendarahan, dislokasi, aputasi dan log rolling. Masalah yang ditemukan yaitu remaja belum memahami cara melakukan penatalaksanaan manajemen nyeri pada patah tulang dengan baik, remaja belum mengetahui cara melakukan penatalaksanaan nyeri pada dislokasi sendi, remaja belum mengetahu cara melakukan transportasi pasien trauma. Kegiatan pendekatan yang dilakukan kepada sekolah dan remaja berjalan dengan baik, dimana remaja mau kooperatif dalam kegiatan yang telah dilakukan, hasil post test baik pengetahuan memiliki peningkatan sebanyak 49 responden memiliki pengetahuan yang baik, dan terdapat 49 responden memiliki kemampuan yang baik dalam praktik pertolongan pertama dan transport pasien trauma. Remaja sekolah memahami pertolongan pertama pada kecelakaan lalulintas dan mampu melakukan pertolongan pertama pada fraktur, dislokasi dan melakukan transport pasien dengan benar Kata Kunci: Edukasi, Pendampingan, Remaja, Manajemen Nyeri, Trauma Muskuluskeletal ABSTRACT Injuries resulting from traffic accidents cause 1.2 million deaths per year. When an accident occurs, the victim often experiences multiple trauma which needs to be managed properly at the prehospital. The initial management when a victim experiences an accident is airway, breathing and circulation. Follow-up management after 3 important things have been done is pain management in the form of fracture management, compression dressings, dislocations, aputations and log rolls so that good management needs to be carried out in the pre-hospital setting. In general, delays or inaccurate provision of first aid for musculoskeletal fractures often occur due to a lack of knowledge and concern of the rescuers who discover the incident. Teenagers are currently the target of community service because teenagers are a productive community who are active in society so that they are the next generation who need to be educated to be agents of health change. Objective: to provide education and assistance to school teenagers in carrying out first aid measures for mucosal-keletal trauma, bleeding control, dislocation, amputation and log rolling. Provide education and assistance to school teenagers in carrying out first aid measures for muxuluskeletal trauma, controlling bleeding, dislocations, amputations and log rolling. Problems found are that teenagers do not understand how to properly manage pain in fractures, teenagers do not know how to manage pain in joint dislocations, teenagers do not know how to transport trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients Keywords: Education, Mentoring, Adolescents, Pain Management, Musculoskeletal Trauma

Pelatihan dan Pendampingan Deteksi Dini Hipertensi, Pemberian Slow Deep Breathing dan Pemeriksaan Kesehatan sebagai Upaya Perawatan Jangka Panjang bagi Lansia di Panti Werda Wana Seraya Yusniawati, Yustina Ni putu; Putra, I Gde Agus Shuarsedana; Harditya, I Kadek Buja; Lewar, Emanuel Ileatan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19599

ABSTRAK Hipertensi merupakan masalah kesehatan yang perlu menjadi perhatian serius. Meningkatnya usia lansia di Indonesia sejalan dengan meningkatnya insidensi penyakit degeneratif pada lansia. Salah satu penyakit degeneratif yang mempunyai tingkat morbiditas dan mortalitas tinggi adalah hipertensi. Di Provinsi Bali khususnya di Denpasar, kasus hipertensi menduduki posisi ke empat dengan jumlah kasus meningkat sebanyak 61,15%, dibandingkan pada tahun 2020 terdapat kasus sebanyak 54.082 jiwa. Terbentuknya lansia yang memiliki pemahaman yang baik tentang hipertensi dan penatalaksanaan hipertensi dengan makan makanan sehat, minum obat teratur dan produktif melakukan tindakan rileksasi dengan slow deep breathing serta memiliki hasil pemeriksaan tensi yang stabil. Penyuluhan kepada lansia dan penjaga lansia di Panti Werda Wana Seraya tentang deteksi dini hipertensi dan penatalaksanaan hipertensi untuk lansia, pelatihan dan pendampingan terkait tindakan untuk mencegah hipertensi dan meningkatkan rileksasi pada lansia dengan slow deep breathing secara singkat, melakukan pemeriksaan kesehatan kepada lansia untuk deteksi dini kesehatan lansia, dan melakukan evaluasi semua kegiatan PKM yang telah dilaksanakan. Kegiatan perkenalan dari tim PKM kepada pengurus Panti Werdha Wana Seraya dan peserta PKM, kegiatan penjajakan berjalan dengan baik dan lancar dan tim PKM disambut baik oleh Kepala Panti Werdha Wana Seraya. Kegiatan kedua dilanjutkan dengan penyuluhan deteksi dini hipertensi dan mengajarkan slow deep breathing. Pada kegiatan kedua ini, peserta antusias mengikuti kegiatan dengan aktif bertanya. Peserta PKM juga mengikuti kegiatan relaksasi dengan slow deep breathing dengan antusias dan bersemangat. Pada pertemuan ketiga, kegiatan evaluasi penyuluhan deteksi dini hipertensi dan slow deep breathing. Kegiatan penyuluhan deteksi dini kejadian hipertensi perlu ditingkatkan terutama pada lansia perlu dilakukan secara terus menerus. Kata Kunci: Lansia, Hipertensi, Slow Deep Breathing, Relaksasi ABSTRACT Hypertension is a health issue that requires serious attention. The increasing elderly population in Indonesia is in line with the rising incidence of degenerative diseases among seniors. One of the degenerative diseases with high morbidity and mortality rates is hypertension. In Bali, specifically in Denpasar, hypertension cases rank fourth, with a 61.15% increase compared to 2020, when there were 54,082 cases. This community service program (PKM) is to foster elderly individuals who have a good understanding of hypertension and its management through healthy eating, regular medication, and productive relaxation practices like slow deep breathing, as well as achieving stable blood pressure readings. Providing education to the elderly and caregivers at the Wana Seraya Nursing Home about early detection of hypertension and its management for seniors, training and support related to hypertension prevention and relaxation techniques using slow deep breathing, conducting health screenings for early detection of health issues among seniors, and evaluating all PKM activities that have been implemented. An introductory session from the PKM team to the management of the Wana Seraya Nursing Home and participants, with a smooth and successful engagement where the team was warmly welcomed by the Head of the Nursing Home. The second activity involved a seminar on early detection of hypertension and teaching slow deep breathing. Participants were enthusiastic and actively asked questions during this session. They also engaged in relaxation activities using slow deep breathing with enthusiasm and eagerness. In the third meeting, the evaluation of the hypertension detection seminar and slow deep breathing was conducted. There is a need to enhance ongoing education about early detection of hypertension, especially among the elderly Keywords: Elderly, Hypertension, Slow Deep Breathing, Relaxation.

Optimalisasi Manajemen Nyeri melalui Terapi Distraksi Emosional dan Visual bagi Anak dan Keluarga dengan Perawatan Paliatif Care Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus; Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika; Tripayana, I Nyoman; Suyasa, Agus Baratha; Putri, I Gusti Ayu Nandita Arta; Sukmawati, Ni Wayan Eni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22093

ABSTRAK Kanker pada anak adalah pertumbuhan sel abnormal yang dapat menyebar (metastasis) dan membutuhkan perawatan paliatif. Jenis kanker yang umum antara lain leukimia, tumor otak, neuroblastoma, dan osteosarcoma. Penyebab pasti belum diketahui, namun faktor genetik, paparan karsinogen, dan virus Epstein-Barr (EBV) berperan. Gejala meliputi demam menetap, nyeri berat, kelelahan, dan gangguan tumbuh kembang. Program PKM ini bertujuan mengajarkan manajemen nyeri dan pendampingan orang tua melalui terapi distraksi emosional dan visual. Pasien dan keluarga merasakan manfaat positif. Metode menggunakan action research: perencanaan, pelaksanaan, observasi, dan evaluasi. Kegiatan melibatkan Yayasan Peduli Anak Kanker Bali dan dilaksanakan melalui mewarnai, diskusi, dan pohon harapan. Hasil pretest menunjukkan rata-rata nyeri skala 4, dan posttest menunjukkan penurunan ke skala 1–2. Kesimpulannya, terapi distraksi efektif mengurangi nyeri secara nonfarmakologis dan perlu diterapkan secara berkelanjutan dalam perawatan paliatif anak. Kata Kunci: Anak, Keluarga, Manajemen Nyeri, Distraksi Emosional dan Visual. ABSTRACT Childhood cancer is characterized by abnormal cell growth that can metastasize and requires palliative care. Common types include leukaemia, brain tumours, neuroblastoma, and osteosarcoma. Although the exact cause remains unknown, contributing factors include genetics, exposure to carcinogens, and the Epstein-Barr virus (EBV). Symptoms may include persistent fever, severe pain, fatigue, and developmental delays. This community service program aims to educate parents on pain management and provide support through emotional and visual distraction therapy. The method applied is action research, consisting of planning, implementation, observation, and evaluation phases. Activities were conducted in collaboration with the Bali Childhood Cancer Care Foundation and included colouring, discussion, and a hope tree session. Pretest results indicated an average pain score of 4, which decreased to 1–2 in the post-test. Patients and families reported positive outcomes. In conclusion, distraction therapy is effective in reducing pain non-pharmacologically and should be sustainably implemented in pediatric palliative care. Keywords: Children, Family, Pain Management, Emotional and Visual Distraction

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