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All Journal Medicina E-Jurnal Medika Udayana Jurnal Pendidikan Anak Usia Dini Undiksha ISM (Intisari Sains Medis) : Jurnal Kedokteran Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Bali Anatomy Journal Public Health and Preventive Medicine Archive Gema Kesehatan

Putu Aryani

Bagian Ilmu Kedokteran Komunitas/Ilmu Kedokteran Pencegahan, Fakultas Kedokteran Universitas Udayana

Author-ID : 234425

Arts Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

Published : 37 Documents Claim Missing Document

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Proporsi depresi pada penderita diabetes melitus tipe 2 di RSUP Sanglah Denpasar Gede Aditya Ersa Krisnawan; Putu Aryani; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Introduction: Over 285 millions of people in 2010 in the world live with diabetes mellitus type 2 (DMT2). In Indonesia based on Riskesdas 2013, 2.45 millions of people live with DMT2 or around 1.5% of Indonesiaâ€™s total population. One of the disease causded by DMT2 is depression. 30% people with DMT2 has also experience depression. Depression in Indonesia based on Riskesdas 2013 has 19 millions of people suffering from it or 11.6% of Indonesiaâ€™s total population.Method: This research was a descriptive study with cross-sectional approach. The subjects was 51 patients diagnosed with diabetes melitus type 2 and did the follow-up in Diabetic Centre of RSUP Sanglah from October-November 2017.Data for this research was acquired Â from interview using Zung Self Depression Scale (ZSDS).Result: The results showed 78.9% sample which experience depression higher in women (80.0%), the unemployeed subject (88.6%), medium educational degree (86.2%), duration of illness >5 years (87.5%), the usage of insulin (81.0%), and patient with complication history (78.8%).Conclusion: Higher depression was found in patients with DMT2 with female gender, not working, disease duration> 5 years, history of insulin use, and had a history of complications. The proportion of depression in DMT2 patient was high, thus further research on relation between depression and DMT2 is necessary to conduct

Perilaku hand hygiene tenaga kesehatan di RSUP Sanglah tahun 2018 Made Dwi Andhika Yogiswara; Ni Luh Putu Ariastuti; Putu Aryani
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Low hand hygiene behavior is a very detrimental and a cause of health care associated infection and is a problem faced by patients and the medical profession at this time. The purpose of this study was to find out the distribution of hand hygiene behavior among healthcare professionals in Sanglah General Hospital Denpasar.Method: This study was conducted using a descriptive method with a cross-sectional study design carried out in the polyclinic and inpatients ward at Sanglah General Hospital in September to November 2018.Results: From the 96 study samples, 82.3% had good compliance with hand hygiene standards and 68.7% had a positive perception of hand hygiene. Women are more obedient than men towards the implementation of hand hygiene and doctors is the lowest profession to have a level of adherence to hand hygiene.Conclusion: Perception and compliance with hand hygiene in medical personnel at Sanglah General Hospital Denpasar has been very good, but it still needs to be improved so that all medical personnel perform hand hygiene procedures as a routine practice for the sake of infection prevention and control.

Faktor-faktor yang mempengaruhi kejadian kurang energi kronis (KEK) pada ibu hamil di wilayah kerja UPT Puskesmas I Pekutatan, Jembrana, Bali Numbi Akhmadi Teguh; Ayu Hapsari; Putu Ria Asprila Dewi; Putu Aryani
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Common nutritional problems in pregnant women are chronic energy deficiency (CED). CED in pregnant women is a state of the mother lack of energy and protein intake during the period of pregnancy which can lead to the occurrence of health problems in the mother. This study aims to determine factors assoIKated with CED among pregnant women at UPT Puskesmas I Pekutatan, Jembrana, Bali.Methods: A case control study was conducted among 36 respondents, 12 cases (KEK) and 24 control (Non-KEK). The sampling technique used is purposive sampling technique. Affordable populations in this study were pregnant women recorded in medical records data at UPT Puskesmas I Pekutatan period 01 January-31 May 2017. The data were collected by interview using questionnaire and assessed using SPSS software version 20 for Windows. Existing data were analyzed by univariate and Fisher's exact bivariate with odds ratio calculation (OR).Results: About 13 respondents (36,1%) are <20 years old /> 35 years old with the most recent education is graduated from SMA that is 20 respondents (55,6%). Most respondents did not work (91.7%) and had low economic status (30.6%). Most of the respondents had children <2 (69.4%). Economic status (OR = 115; 95% IK: 9,3-1418), education level (OR = 2,3; 95% IK: 0,5-9,5), age (OR = 7,6; 95% IK: 1.6-35.9), gestational distance (OR = 11; 95% IK: 1.7-69), number of parities (OR = 7.6; 95% IK: 0.7-83.7) , And visit frequency of ANC (OR = 5; 95% IK: 0,9-26,4).Conclusion: The characteristic and frequency of ANC visit among pregnant women are risk factors of KEK occurrence in pregnant mother, so it is expected to provide information related to risk factors of KEK by health personnel in Puskesmas I Pekutatan, state of Jembrana.

Faktor resiko gangguan pertumbuhan pada anak usia balita (1-5 tahun) di Rumah Sakit Ibu dan Anak (RSIA) Pucuk Permata Hati, Bali-Indonesia Made Diah Ari Bestari; I Wayan Weta; Putu Aryani
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Impaired growth is still a problem that is encountered in children, so the search for factors related to growth disorders is important to evaluate in order to make an early anticipation.Method: This study used a case-control design conducted at Pucuk Permata Hati Child and Mother Hospital during the period February to April 2019. Sample search was done through consecutive methods. The search was carried out on the variables of child birth weight, maternal age at pregnancy, gestational age, hypertension conditions during pregnancy, history of abortion, maternal hemoglobin during pregnancy, placental disease (placental abruption or placenta previa), and breastfeeding. Data analysis using the help of SPSS version 25.0 software, chi-square test, logistic regression, and odds ratio calculation.Results: This study found that there was a significant relationship between maternal age â‰¤ 20 years, preterm pregnancy, hypertension during pregnancy, and placental disease during pregnancy as a risk factor that contributed to the occurrence of growth disorders in children (OR> 1; p <0.05). Then placental disease during pregnancy was the most important risk factor for growth disorders in children (aOR: 7.79; 95% CI: 1.79-75.97; p = 0.037).Conclusion: Age of preterm pregnancy, history of hypertension during pregnancy, and placental disorders are factors that play a role in the occurrence of growth disorders in children.

Hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Kota Denpasar Gede Anantha Restu Permana; Komang Ayu Kartika Sari; Putu Aryani
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Introduction: Myopia is a state of vision in which light fall in front of retina that causes blurred appearance of distant objects. The prevalence of myopia in Indonesia reaches 25% in adults and 10-12% in children.Method: This study aimed to identify the relationship of gadget usage behavior and myopia on sixth grade of elementary school children in Denpasar. This study was conducted by analytical method with cross-sectional design. Gadget usage behavior included position, visibility, and duration of gadget usage which were measured by questionnaire. Myopia was measured by snellen chart.Â Samples of this study were 100 sixth grade children of Saraswati 2 Elementary School in Denpasar which were selected by simple random sampling technique.Result: Results of this study showed that there was no relationship between position of gadget usage and myopia (p value=0.059).Â There was a relationship between eye to gadget distance and myopia (p value=0.000). Â Duration of gadget usage per day was not related to myopia with (p value=0.490).Conclusion: The results of this study are useful for early prevention to children about risk factors of the gadget usage behavior towards myopia.Â Researchers suggest to other researchers to examine using other research methods and besides examining factors related to myopia such as genes, light intensity, and outdoor or indoor activities.Â Â Latar Belakang: Miopia merupakan keadaan penglihatan dimana cahaya jatuh di depan retina yang menyebabkan objek jauh terlihat kabur. Prevalensi miopia di Indonesia mencapai 25% pada orang dewasa dan 10-12% pada anak-anak. Penelitian ini bertujuan untuk mengidentifikasi dan menguraikan hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Denpasar.Metode: Penelitian ini dilakukan dengan metode analitik menggunakan desain potong-lintang. Perilaku penggunaan gadget meliputi posisi, jarak pandang, dan durasi penggunaan gadget dinilai dengan menggunkan kuisioner. Status miopia sendiri diukur menggunakan snellen chart. Sampel penelitian adalah 100 orang anak kelas 6 di SD Saraswati 2 Denpasar yang dipilih melalui teknik simple random sampling.Hasil: Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara posisi penggunaan gadget terhadap miopia dengan nilai p=0,059. Terdapat hubungan antara jarak pandang penggunaan gadget terhadap miopia dengan nilai p=0,000. Durasi penggunaan gadget perhari tidak berhubungan terhadap miopia dengan nilai p=0,490.Simpulan: Hasil dari penelitian ini bermanfaat untuk melakukan pencegahan sejak dini kepada anak-anak tentang faktor risiko dari perilaku penggunaan gadget terhadap miopia. Peneliti menyarankan agar penelitian selanjutnya dilakukan dengan menggunakan metode penelitian lain serta meneliti pula faktor yang berhubungan dengan miopia seperti gen, intensitas cahaya, aktivitas luar ruangan dan dalam ruangan.

Faktor risiko kejadian berat bayi lahir rendah di RSUP Sanglah, Denpasar, Bali, Indonesia I Gusti Ngurah Yuda Bagus Aryana; Komang Ayu Kartika Sari; Putu Aryani
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Introduction: Maternal and child health has become a primary health focus in Indonesia and the maternal and child mortality rate in Indonesia is higher than those in South-East Asia countries. The incidence of Low Birth Weight (LBW) contributes to more than 50% of all neonatal mortality of all births in Indonesia. Therefore, identification of the risk factors that contributes to the incidence of LBW is important.Method: This retrospective case-control study involved 50 cases of LBW and 50 controls (baby with normal birth-weight), The data were analyzed using SPSS version 22.Result: The results of multivariate analysis showed that the factors significantly associated with LBW incidence were maternal blood pressure (p=0.000), history of giving birth to LBW babies (p=0.000), and the mode of current labor (p=0.034). The maternal age, maternal education level, maternal occupation, maternal anemia, parity, history of smoking, history of alcohol consumption, history of abortion, parity distance, and maternal BMI had no significant association (p>0.005).Conclusion: Thus, the incidence of LBW can be prevented through maternal blood control during the pregnancy. Careful history taking of past history of giving birth to LBW babies and the mode of delivery must be done to reduce the incidence of LBW. Pendahuluan: Kesehatan ibu dan anak merupakan salah satu fokus utama kesehatan di Indonesia. Kasus kematian ibu dan anak di Indonesia lebih tinggi dibandingkan dengan negara-negara di Asia Tenggara. Kejadian bayi berat lahir rendah (BBLR) berkontribusi terhadap lebih dari 50% total kematian neonatal di seluruh kelahiran di Indonesia. Oleh karena itu, identifikasi faktor-faktor risiko yang mendasari kejadian BBLR menjadi penting untuk dilakukan.Metode: Penelitian kasus kontrol retrospektif ini melibatkan 50 kasus (BBLR) dan 50 kontrol (bayi lahir dengan berat badan normal. Data yang diperoleh kemudian dianalisis menggunakan perangkat SPSS versi 22.Hasil: Hasil analisis multivariat didapatkan faktor-faktor yang memiliki hubungan signifikan dengan kejadian BBLR adalah tekanan darah ibu (p=0,000), riwayat melahirkan bayi BBLR (p=0,000), dan tipe persalinan bayi saat ini (p=0,034). Sebaliknya, faktor usia ibu, tingkat pendidikan ibu, pekerjaan ibu, anemia pada ibu, jumlah paritas, riwayat merokok, riwayat konsumsi alkohol, riwayat abortus, jarak paritas, dan IMT ibu tidak memiliki hubungan yang signifikan (p>0,005).Simpulan: Pencegahan kejadian BBLR dapat dilakukan dengan mengontrol tekanan darah ibu selama kehamilan. Penggalian riwayat melahirkan bayi BBLR sebelumnya dan pemilihan metode persalinan juga harus dilakukan dengan seksama untuk mengurangi kejadian BBLR.

Barriers to mental health services at public health centers: Providers’ perspectives Putu Aryani; Pande Putu Januraga; Komang Ayu Kartika Sari; Lisanne Gerstel; Willem F Scholte
Public Health and Preventive Medicine Archive Vol. 7 No. 1 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i1.p13

Background and purpose: The disparity between the increasing prevalence of mental health (MH) illness and the availability of treatment in Indonesia remains high, despite the campaign to provide MH services at public health centers (PHCs) initiated by the government in 2014. This study explored barriers to MH service provision at PHCs in Denpasar, Bali, Indonesia in order to identify priorities for service improvement. Methods: This explorative qualitative study was conducted from March to December 2015 and employed in-depth interviews and focus group discussions (FGDs). In-depth interviews were conducted with the Head of Denpasar City Health Office and with general practitioners (GPs) from four PHCs in Denpasar, to explore the perspective of policy and service management and experiences in PHC clinics, respectively. To further explore MH service implementation in the community, two FGDs were conducted with MH program managers and community health workers (CHWs). The interviews and FGDs were recorded, and verbatim transcripts were analyzed using thematic framework analysis. Results: Barriers to MH service provision identified in our study are poor dissemination of the national policy to the local government and PHCs; low prioritization of MH issues; organization workforce issues; funding concerns; poor coordination and supervision; poor management and recording system; scarcity of ancillary facilities and other resources such as psychotropic medicines. Conclusion: The findings of this study highlight the importance of national policy dissemination and collaboration between local government, health providers and CHWs to overcome the barriers in providing MH services at PHC level.

Patient Age 55 Years Old with Residual Schizophrenia with Extrapyramidal Syndrome, Hypertension and Less Family Support Agus Indra Yudhistira Diva Putra; Kadek Riskia Megayanti; Ida Bagus Made Mahendra Wisma; Putu Aryani; Made Intan Ayurini
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 6, No 1 (2023): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.74543

Mr. IMS, 55 years old when visited at home in a mental health service program called Pusat Kesehatan Masyarakat (Puskesmas) in Denpasar city, Bali, by heteroanamnesis to his younger brother have chief complaints since six months ago did not want to take care of himself like most people. On general impression examination, the patient wore black clothes, a dark blue shirt, and long pants. The patient's hair is not combed neatly. Fingernails looked uncut and not maintained, smelled bad from the patient's body. The patient is cooperative when answering the examiner's questions and answering using Indonesian and Balinese Languages. The patient's visual contact is inadequate, one part of his eye glanced up, but the verbal contact with the examiner was sufficient, and when the patient was speaking there was a twitch under the patient's chin. The patient said his mood today when asked by the examiner was in good condition. The examiner asked the patient about the orientation and also abstract thinking and concentration the result is the normal limit.

PENGETAHUAN, SIKAP DAN PERILAKU IBU HAMIL TERHADAP NUTRISI SELAMA KEHAMILAN DI WILAYAH KERJA UPT PUSKESMAS MENGWI I, BADUNG, BALI Dian Reginalda Kusuma; Putu Dhanu Aryawangsa; Agung Bagus Sista Satyarsa; Putu Aryani
GEMA KESEHATAN Vol. 12 No. 1 (2020): JUNI 2020
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v12i1.127

Kehamilan dapat menentukan derajat kesehatan ibu dan janin selanjutnya. Kurangnya pengetahuan, sikap dan perilaku tentang nutrisi selama kehamilan dapat meningkatkan risiko komplikasi pada ibu dan janin. Penelitian bertujuan untuk mengetahui gambaran pengetahuan, sikap dan perilaku ibu hamil terhadap nutrisi selama kehamilan di UPT Puskesmas Mengwi I. Penelitian ini merupakan penelitian deskriptif cross-sectional menggunakan sumber data primer yang diperoleh dari wawancara ibu hamil yang dilakukan di UPT Puskesmas Mengwi I. Pengambilan sampel menggunakan metode non-probability sampling dengan cara consecutive sampling, dengan jumlah subyek sebanyak 71 ibu hamil yang memenuhi kriteria inklusi. Analisis data dilakukan dengan program statistik dengan analisis univariat dan bivariat. Hasil dalam penelitian ini memperoleh sebagian besar ibu hamil (78,9%) tersebar antara kelompok umur 20-35 tahun. Mayoritas Ibu hamil mengenyam pendidikan tinggi (70,4%) dan bekerja sebagai Ibu Rumah Tangga (53,5%). Sebagian besar pekerjaan suami adalah karyawan swasta (43,7%). Pendapatan keluarga didominasi dengan pendapatan tinggi (60,6%). Sebagian besar Ibu hamil memiliki status multigravida dan sebagian besar memiliki usia kehamilan Trimester III (47,9%). Terdapat sebagian (18,3%) ibu hamil mengalami kejadian Kekurangan Energi Kronis. Hampir seluruh Ibu hamil telah mendapatkan informasi tentang gizi selama kehamilan (90,1%) dan bersumber dari tenaga kesehatan (81,7%). Hasil pengetahuan ibu hamil diperoleh dengan kriteria baik (70,4%), sikap ibu hamil diperoleh kriteria baik (80,3%) dan perilaku ibu hamil diperoleh kriteria baik (88,7%). Berdasarkan hasil tersebut dapat disimpulkan bahwa pengetahuan, sikap dan perilaku ibu hamil dengan kriteria baik. Disarankan agar tetap dilakukan pemberian edukasi dan pengamatan gizi ibu hamil khususnya kepada ibu hamil dengan sosiodemografi dan sosioekonomi yang rendah.

Water Ambulance Service Provision to Improve Healthcare Access for Community in Nusa Penida Island, Bali: A Qualitative Feasibility Study Aryani, Putu; Harjana, Ngakan Putu Anom; Januraga, Pande Putu; Kurnianingsih, Desak Ketut Dewi Satiawati; Wirawan, Gede Benny Setia; Swapatni, Ni Made Adi; Wibawa, I Komang Gede Sentanu
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p07

Background and purpose: An important component of healthcare access is transportation. Lack of transportation has been cited as an important barrier to healthcare access in remote islands region. Here we conduct a feasibility study on the implementation of water ambulance service to improve healthcare access in the region of Nusa Penida and its surrounding islands in Bali Province, Indonesia. Methods: We employed a qualitative approach with interviews and focused group discussions with stakeholders. Data collection was conducted to assess the feasibility of operating water ambulance services, based on a framework that included technical, market, organizational, and financial feasibilities. Inductive coding was conducted and data was analyzed to evaluate the feasibility based on local capacity against pre-determined framework of assessment based in literature. Results: Qualitative interviews revealed perceived urgency and need for water ambulance service among stakeholders. They also perceive the need of water ambulance service was not mutually exclusive to other alternatives, such as expanding healthcare capacity on the islands. There was also readiness and adequate capacity from stakeholders which include a dedicated health emergency services under the health office that coordinate ambulance service in the region, readiness to create dedicated medical team and boat crew to operate water ambulance services, and readiness to cover the cost of initial procurement followed by operational costs which may include public-private partnerships. Conclusion: There was a strong perceived need for water ambulance service in Nusa Penida Islands. At the same time, local stakeholders revealed adequate basic capacity to feasibly operate water ambulance services according to benchmarks identified in literature review.

Co-Authors Aditya Permana Adriyanto Agung Bagus S. Satyarsa Agus Indra Yudhistira Diva Putra Ayu Hapsari Bagus Juniada Cintya Denny Yuliyatni, Putu Dela, Erinda Resta Sellia Dian Reginalda Kusuma Dyah Kanya Wati Gede Aditya Ersa Krisnawan Gede Agus Indra Pramana Gede Anantha Restu Permana Gede Ari Mahendra M. Gede Benny Setia Wirawan Gede Wira Mahadita Gerstel, Lisanne Hanik Nuryanti Harini, I Gusti Ayu Agung Diah Harjana, Ngakan Putu Anom I Desak Ketut Dewi Satiawati I Gusti Ngurah Yuda Bagus Aryana I Nengah Gandi Karyadi I Wayan Surya Nata I Wayan Weta I Wayan Weta Ida Ayu Shanti Ariesta Devi Ida Bagus Made Mahendra Wisma Jacintha James Kadek Ayu Purwaningsih Kadek Dewi Indriyani Kadek Riskia Megayanti Komang Ayu Kartika Sari Lisanne Gerstel Luh Ayu Tirtayani Luh Seri Ani Made Arlita Dian Septiantari Made Diah Ari Bestari Made Dwi Andhika Yogiswara Made Dyah Vismita Indramila Duarsa Duarsa Made Intan Ayurini Ni Luh Putu Ariastuti Ni Made Laksmi Utari Ni Putu Ayu Reza Dhiyantari Ni Putu Resti Harini Ni Wayan Arya Utami, Ni Wayan Arya Numbi Akhmadi Teguh Nyoman Yuni Suryani Dharmaputri Pinatih Pande Putu Januraga Prabandari, Gusti Ayu Agung Diah Cahya Prijadi, Evelyn Andreana Prof. Dr. Anak Agung Gede Agung,M.Pd . Putu Ayudia Mahendra Dewi Putu Cintya Denny Yuliyatni Putu Dhanu Aryawangsa Putu Ria Asprila Dewi Putu Utamia Suma Masyuni Reqgi First Trasia Reqki First Trasia Sanjivan Gunasekaran Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Scholte, Willem F Sharon Jesicca Siwi, Luh Putu Anggyani Raka Suyasa Adryan Yunanda Swapatni, Ni Made Adi Teja, Anjaya Artha Tommy Sutanto Vijay Ramachandran Wayan Citra Wulan Sucipta Putri Wibawa, I Komang Gede Sentanu Willem F Scholte Yenny Kandarini

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