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Harini, IGA
Jurusan Keperawatan, Poltekkes Kemenkes Denpasar
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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HUBUNGAN TINGKAT SELF-DISCLOSURE DENGAN PSYCHOLOGICAL WELL-BEING PADA PENDERITA KANKER PAYUDARA I Wayan Candra; Ni Made Dania Dwi Rezanthi; I Nengah Sumirta; Ni Luh Gede Ari Kresna Dewi; I Gusti Ayu Harini
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4106

Abstract

Breast cancer is one of the types of cancer with the highest incidence that causes physical and psychological impacts, including decreased psychological well-being. Efforts to improve psychological well-being of breast cancer patients with self-disclosure. The purpose of this study was to determine the relationship between the level of self-disclosure with psychological well-being in breast cancer patients at Sanjiwani Hospital, Gianyar Regency in 2025. This type of research is quantitative research with a correlational analytic design with a cross-sectional approach. The sampling technique used purposive sampling with a total sample of 85 people. Data analysis techniques using the Spearman Rank statistical test, and data collection using the 32-item Revised Self-Disclosure Scale and Ryff's Psychological Well-Being Scale. The results of the study the level of self-disclosure in the research subjects was mostly high as many as 51 people (60%) and most of the psychological well-being was high as many as 67 people (78,8%). There is a significant relationship p= 0,000, r= 0,776, between the level of self-disclosure with psychological well-being in breast cancer patients. There is a strong relationship with a positive direction between the level of self-disclosure with psychological well-being in breast cancer patients, the higher the level of self-disclosure owned, the higher psychological well-being.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Ni Putu Sriarta Prabhadewi; I Gusti Ketut Gede Ngurah; I Wayan Suardana; I Ketut Gama; Agus Sri Lestari; Ketut Sudiantara; Komang Ayu Henny Achjar; I Gusti Ayu Harini; Ni Nyoman Hartati; I Wayan Mustika
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Ni Nyoman Paramitha Dewintasari; I Wayan Mustika; I Ketut Sudiantara; Agus Sri Lestari; Komang Ayu Henny Achjar; I Ketut Gama; I Wayan Suardana; I Gusti Ketut Gede Ngurah; I Gusti Ayu Harini
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.
The Relationship Between Behavior Toward Breast Self-Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Ni Nyoman Putri Asri Rahmasari; I Ketut Gama; I Gusti Ketut Gede Ngurah; Ketut Sudiantara; Komang Ayu Henny Achjar; Agus Sri Lestari; I Wayan Suardana; I Wayan Mustika; I Gusti Ayu Harini; Ni Nyoman Hartati
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
Hubungan Spiritual Well-Being Dengan Hardiness Pada Pasien Pasca Stroke I Wayan Candra; Ni Putu Riska Yanti; Ni Luh Gede Ari Kresna Dewi; I Nengah Sumirta; I Gusti Ayu Harini
Bali Medika Jurnal Vol 12 No 2 (2025): Bali Medika Jurnal December 2025
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v12i2.513

Abstract

Pasien pasca stroke sering kehilangan rasa kendali dan makna hidup, sehingga membutuhkan ketangguhan psikologis (hardiness) yang dapat diperkuat melalui kesejahteraan spiritual (spiritual well-being). Tujuan: Mengetahui hubungan spiritual well-being dan hardiness pada pasien pasca stroke di Yayasan Tapasya Stroke Centre Amaranee Tabanan Tahun 2025. Metode: Penelitian kuantitatif non-eksperimental dengan desain korelasional dan pendekatan cross-sectional. Sampel berjumlah 77 pasien pasca stroke di Yayasan Tapasya Stroke Centre Amaranee Tabanan yang dipilih menggunakan teknik consecutive sampling. Instrumen yang digunakan adalah Spiritual Well-Being Scale (SWBS) dan Hardiness Scale. Analisis data dilakukan menggunakan uji statistik Spearman Rank. Hasil: Sebagian besar subjek penelitian memiliki spiritual well-being pada kategori sedang sebanyak 50 orang (64,9%) dan dimensi hardiness yang dominan adalah dimensi kontrol sebanyak 49 orang (63,6%). Terdapat hubungan positif yang kuat antara spiritual well-being dan hardiness (r = 0,695; p < 0,000), artinya spiritual well-being menjelaskan 48% varians hardiness. Simpulan: Spiritual well-being berperan penting dalam memperkuat ketangguhan psikologis pasien pasca stroke. Temuan ini mendukung pentingnya integrasi intervensi spiritual dalam program rehabilitasi pasca stroke berbasis pendekatan holistik di komunitas.
Co-Authors AA Sri Sasmita Laksmi Agus Sri Lestari Candra, I Wayan I Dewa Made Ruspawan I Gede Widjanegara I Gusti Ketut Gede Ngurah I Ketut Gama I Ketut Sudiantara I Nengah Sumirta I Wayan Candra I Wayan Mustika I WAYAN SUARDANA IGB ADI Sadnyana Putra Komang Ayu Henny Achjar Ni Luh Gede Ari Kresna Dewi Ni Luh Gede Ari Kresna Dewi Ni Made Dania Dwi Rezanthi Ni Nyoman Hartati Ni Nyoman Paramitha Dewintasari Ni Nyoman Putri Asri Rahmasari Ni Putu Riska Yanti Ni Putu Sriarta Prabhadewi Ni Wayan Lita Perdani Putu Yoan Sugiantara Sumirta, I Nengah