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GAMBARAN PENGETAHUAN PASIEN DIABETES MELLITUS (DM) DAN KELUARGA TENTANG MANAJEMEN DM TIPE 2: THE DESCRIPTION OF KNOWLEDGE OF DIABETES MELLITUS (DM) PATIENTS AND FAMILY ABOUT THE MANAGEMENT OF DIABETES MELLITUS TYPE 2 Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma; Mitayanti, Ni Kadek
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.33

Abstract

Pendahuluan: Diabetes Melitus (DM) adalah suatu penyakit degeneratif yang dikarenakan tidak berfungsinya insulin yang ditandai dengan peningkatan kadar gula darah. Penanganan pasien DM tipe 2 dilakukan dengan 4 pilar, diantaranya : edukasi, diet, latihan fisik, dan pengobatan. Keberhasilan terapi untuk pasien DM dipengaruhi oleh pengetahuan responden tentang penyakit DM. Tujuan penelitian ini untuk mengetahui gambaran pengetahuan pasien dan keluarga tentang manajemen DM di Wilayah Kerja Puskesmas Tabanan II. Metode : Metode penelitian yaitu deskriptif kuantitatif, dengan jumlah sampel sebanyak 80 responden. Pengumpulan data menggunakan kuesioner dan didapatkan selama 2 minggu. Hasil : Hasil analisa dengan univariat berdasarkan tingkat pengetahuan pasien tentang manajemen DM tentang edukasi (65%) , diet (83,8%), latihan fisik (77,5%) dalam katagori baik, sementara pengobatannya (61,3%) dalam katagori kurang. Pengetahuan keluarga tentang manajemen DM yaitu edukasi (67,5%), diet (72,5%), latihan fisik (90%) dalam katagori baik, sementara pengobatan (53,8%) katagori kurang. Diskusi : Kesimpulannya bahwa pengetahuan tentang manajemen DM pada penderita DM dan keluarga di wilayah puskesmas Tabanan II belum optimal, sehingga perlu dikembangkan edukasi manajemen yang berkelanjutan dalam pelayanan kesehatan. Kata kunci : manajemen DM, pengetahuan, pasien, keluarga ABSTRACT Introduction : Diabetes Mellitus (DM) is a degenerative disease due to insulin malfunction characterized by elevated blood sugar levels. Handling of patients with type 2 diabetes is done with 4 pillars, including: education, diet, physical exercise, and treatment. The successfully of therapy for DM patients is influenced by the knowledge of respondents about DM disease. This research aimed to know the description of knowledge of patient and family about DM management in Health Center of Tabanan II Working Area. Method : The method of this research is descriptive quantitative, with the number of samples as much as 80 respondents. Data was collected used questionnaires and obtained for 2 weeks. Result : The Result of univariate analysis based on patient knowledge level about DM management about education (65%), diet (83,8%), physical exercise (77,5%) in good category, while treatment (61,3%) in less category. Family knowledge about DM management of education (67,5%), diet (72,5%), physical exercise (90%) in good category, while treatment (53,8%) in less category. Discussion: The conclusion of this resaearch are the knowledge about DM management of DM Patients and family at Health Center of Tabanan II are not optimal yet, so it is necessary to develop continuous management education in health services. Keywords: DM management, knowledge, patient, family
EFEKTIVITAS SLOW STROKE BACK MASSAGE DENGAN MENGGUNAKAN MINYAK ESENSIAL KENANGAN (CANANGA ODORATA) DAN MINYAK ESENSIAL LAVENDER (LAVANDULA ANGUSTIFOLIA) TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI: EFFECTIVENESS SLOW STROKE BACK MASSAGE USING YLANG ESSENTIAL OIL (CANANGA ODORATA) AND LAVENDER ESSENTIAL OIL (LAVANDULA ANGUSTIFOLIA) TO DECREASE BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION Trisnadewi, Ni Wayan; Pramesti, Theresia Anita; Adiputra, I Made Sudarma
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.36

Abstract

Pendahuluan: Tingginya angka kejadian hipertensi pada lansia menuntut peran tenaga kesehatan untuk melakukan upaya pencegahan komplikasi yang dapat timbul akibat hipertensi, salah satunya adalah slow stroke back massage. Manfaat dari slow stroke back massage adalah untuk mengurangi ketegangan sehingga dapat menurunkan toleransi nyeri dan ansietas. Metode: Desain penelitian yang digunakan dalam penelitian ini adalah control group pretest posttest design. Jumlah sampel dalam penelitian adalah 30 sampel yang dibagi menjadi 2 kelompok masing-masing 15 orang responden. Teknik sampling yang digunakan adalah purposive sampling. Hasil: Hasil penelitian menunjukkan setelah dilakukan uji Independent T Test pada tekanan darah sistole didapatkan signifikansi 0,000 < 0,05 yang berarti terdapat perbedaan penurunan tekanan darah sistole setelah pemberian slow stroke back massage dengan menggunakan minyak esensial kenanga dan lavender, sedangkan pada tekanan darah diastole didapatkan signifikansi 0,001 < 0,05 yang berarti terdapat perbedaan penurunan tekanan darah diastole setelah pemberian slow stroke back massage dengan menggunakan minyak esensial kenanga dan lavender. Diskusi: Efek eugenol yang hanya terdapat pada minyak esensial kenanga memungkinkan efek yang lebih baik daripada minyak esensial lavender. Kata Kunci: slow stroke back massage, minyak esensial kenanga, minyak esensial lavender, tekanan darah, lansia ABSTRACT Introduction: The high incidence of hypertension in elderly demands the role of health workers to make efforts to prevent complications that can arise due to hypertension, one of which is slow stroke back massage. The benefit of slow stroke back massage is to reduce tension and decrease the tolerance of pain and anxiety. This research aims to know the difference of effectiveness of slow stroke back massage by using ylang essential oil (Cananga odorata) and lavender essential oil (Lavandula angustifolia) to decrease blood pressure in elderly with hypertension. Method: This research was used control group pretest posttest design. The number of samples in this study was 30 samples which are divided into 2 groups each consisting of 15 respondents determined by purposive sampling technic. Result: After test of Independent T-Test the results showed the systole blood pressure got significance 0.000 <0,05 which mean there is a difference decreased of systole blood pressure after giving slow stroke back massage by using ylang and lavender essential oil, whereas at diastolic blood pressure got significance 0.001 <0.05 which means there is a difference decreased in diastolic blood pressure after giving slow stroke back massage using ylang and lavender essential oil. Discussion: The eugenol effect was found only in the ylang essential oil which allows for a better effect than the lavender essential oil. Keywords: slow stroke back massage, ylang essential oil, lavender essential oil, blood pressure, elderly
BAGAIMANA PERAWATAN KESEHATAN DAN DUKUNGAN KELUARGA DENGAN IBU HAMIL BERPERAN DALAM PEMANFAATAN PELAYANAN KESEHATAN VCT: HOW HEALTH CARE AND FAMILY SUPPORT WITH PREGNANT WOMEN PLAY A ROLE ON UTILIZATION OF VCT HEALTH SERVICES Oktaviani, Ni Putu Wiwik; Devhy, Ni Luh Putu; Adiputra, I Made Sudarma; Widiastuti, Dewa Ayu Putri
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.39

Abstract

Pendahuluan: AIDS adalah penyakit yang disebabkan oleh infeksi dengan virus yang disebut Human Immunodeficiency Virus (HIV), yang dimana kasus HIV pada ibu rumah tangga menduduki peringkat kedua. Penularan melalui perinatal menyumbang 5,1%. Penularan tersebut dapat dicegah jika ibu hamil sejak dini diketahui statusnya dan mendapat pengobatan dengan tepat. Integrasi program pencegahan HIV dari ibu kebayi pada pelayanan antenatal care telah dilakukan, namun keikutsertaaan ibu hamil untuk VCT masih rendah. Dukungan keluarga sangat penting dalam mendukung keikutsertaaan ibu hamil untuk VCT. Tujuan dari penelitian ini adalah untuk mengetahui gambaran fungsi perawatan kesehatan dan dukungan keluarga dengan ibu hamil dalam pemanfaatan pelayanan kesehatan VCT. Metode: Desain penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional. Studi dilakukan di Puskesmas I Susut, Bangli dengan jumlah sampel sebanyak 93 reponden dengan teknik non-probabiliti sampling dengan purposive sampling. Data yang diperoleh dianalisis dengan program komputerisasi dengan menggunakan analisis univariat. Hasil: Hasil menunjukan sebagian besar responden memiliki fungsi perawatan kesehatan tidak efektif 54,8% dan sebagian besar responden memiliki dukungan keluarga cukup 46,2%. Diskusi: Hasil penelitian ini dapat direkomendasikan diterapkan pada keluarga melalui peran kader kesehatan dan pihak puskesmas untuk meningkatkan kembali pelayanan kesehatan VCT terhadap Ibu hamil. Kata Kunci : Perawatan Kesehatan, Dukungan Keluarga, Ibu Hamil ABSTRACT Introduction: AIDS is a disease caused by infection with a virus called Human Immunodeficiency Virus (HIV), and the number of women who infected with HIV has increased year by year. Through perinatal transmission contributed 5.1%. The transmission can be prevented if pregnant woman know their status and get treatment appropriately. Integration of maternal to infant HIV prevention programs on antenatal care hip services is done, but the participation of pregnant women for VCT is still low. The family supports are important to support adherence participation of pregnant women for VCT. Method: This research aimed to description of the function health care and family support with pregnant woman on utilization of VCT health services. This study of description with cross sectional design. Study was conducted at Puskesmas I Susut Bangli with 93 samples was taken by non-probability sampling with purposive sampling. Obtained data was processing SPSS and analyzing by univariate test. Result: Research of study showard most respondents have a not effective Function health care 54,8% and most respondents have a enough family support 46,2%. Discussion: The results of this study research can be recommended to be applied to the family and the health community center or clinics to improve again the health services VCT to wards pregnant women. Keyword : Health care, Family support, Pregnant women
Literatur Review: Faktor Risiko Attention Deficit Hyperactivity Disorder (ADHD) : Risk Factors of Attention Deficit Hyperactivity Disorder (ADHD): Literature Review Adiputra, I Made Sudarma; Pinatih, G. N. Indraguna; Trisnadewi, Ni Wayan; Oktviani, Ni Putu Wiwik
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.167

Abstract

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a growth and development disorder in children characterized by impaired excessive activity and low attention of preschool-aged children. Children who suffer from ADHD will be very difficult to manage and tend to experience problems both at home or at school. This study literature aimed to obtain risk faktors for the incidence of ADHD. Methods and Results: The method used is literature review, search database using several sources from the database: EBSCO HOST, Proquest, PubMed, Scient Direct and Springer Link 2010-2020 publications, the keywords “Risk Faktors”,”adhd or attention deficit hyperactivity disorder” Boolean operator “AND”. There are total of 309 articles found in accordance with these keywords. The article was evaluated according to desirable criteria: full text, the language used and the suitability of the design, a total of 18 articles that are used for this review. Discussion: Risk faktors that increase the incidence of ADHD: Exposure to cigarette smoke, smoking and consuming alcohol during pregnancy, obese pregnant women, birth history with low birth weight (LBW) and premature birth, APGAR low score at birth, genetic and environmental conditions, socioeconomic parents, age of parents and birth history of sectio caesaria (SC).
Pengaruh Meditasi Terhadap Hipertensi Pada Lansia di Banjar Angkling Desa Bakbakan Wilayah Kerja Puskesmas Gianyar II: The Effect of Meditation on Hypertension in The Elderly in Banjar Angkling Bakbakan Village, Gianyar II Public Health Center Oktaviani, Ni Putu Wiwik; Urmilasari, Ni Putu Yessi; Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.172

Abstract

Introduction: Hypertension is the most common problem in elderly health and is a major cause of cardiovascular disease in the elderly. Meditation is used as an effort to treat hypertension by controlling the relationship and relaxing the blood vessels located in the vasomotor center in the spinal cord and as a relaxation meditation exercise that can reduce hypertension. The purpose of this study was to determine the effect of giving meditation on hypertension in the elderly. Method: This type of pre-experimental research with the design of One group Pre test-posttest Design. The total sample of 20 people was selected by purposive sampling technique. The tools used to collect data are a sphygmomanometer and a stethoscope. Result: The mean systolic blood pressure was 169.25 mmHg and diastole was 101.75 mmHg. The result shows the effect of giving meditation on hypertension in the elderly. Discussion: relaxation meditation which is centered on breathing will increase the circulation of oxygen to the muscles, so the muscles will relax, blood pressure will decrease.
Hubungan antara Nilai Ankle Brachial Index dengan Kelembaban Kaki pada Pasien Diabetes Mellitus Tipe II: Relationship between Ankle Brachial Index Value and Foot Moisture in Type II Diabetes Mellitus Patients Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik Oktaviani; Adiputra, I Made Sudarma Adiputra
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.179

Abstract

Introduction: Diabetes mellitus (DM) is a degenerative and chronic disease, which requires long-term treatment and independent patient care, to prevent the effects of acute complications and long-term complications. Prolonged hyperglycemic conditions will cause chronic complications to the nervous system, namely diabetic neuropathy and decreased moisture in the feet. The purpose of this study was to determine the relationship between the ankle brachial index value and the humidity and sensitivity of the feet of type II DM patients. Method: This research method is non-experimental correlational study, with the research design used is cross sectional, with a total sample of 86 respondents taken by purposive sampling technique. Data collection used a mercury tensimeter, stethoscope and skin moisture analyzer. Results: The results of univariate analysis based on the Ankle Brachial Index value obtained a mean value of 0.99 (Minimum 0.83, Maximum 1.29) in the Normal ABI category, the moisture value of the feet obtained a mean value of 34.11 (Minimum 24.09, Maximum 47.65) in the less moisture category. The results of the analysis with the Spearman Range test obtained a p-value of 0.000 which indicates a relationship between the value of the Ankle Brachial Index and the moisture of the feet in type II DM patients. Discussion: The conclusion based on the results of this study it can be concluded that ABI is not the most dominant factor affecting the moisture of the foot skin in DM patients, so further research is needed to find the dominant factor.
CEGAH PENINGKATAN KASUS COVID-19 MELALUI VIDEO EDUKASI ADAPTASI KEHIDUPAN BARU MASA PANDEMI DI LINGKUNGAN SEKOLAH Ni Kadek Muliawati; Ni Luh Gede Puspita Yanti; Ni Putu Wiwik Oktaviani; Nurul Faidah; I Made Sudarma Adiputra
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 6 No. 1 (2023)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v6i1.430

Abstract

Adaptation to New Habits (IMR) is an effort to accelerate the handling of Covid-19 that supports the sustainability of the community's economy that synergizes health, social and economic aspects. This educational video on adapting new habits in the school environment aims to increase school children's knowledge about adapting new habits during the covid 19 pandemic. The activity method used in this activity is counseling, demonstrations, and question and answer. This activity was attended by 11 students appointed by the school to take part in online activities via Zoom media. The questionnaire was given at the beginning of the meeting related to students' knowledge about adapting new habits at school and then providing an explanation of adapting new habits at school using video. At the end of the session, there was a demonstration on the correct point of adapting new habits and then continuing to fill out the questionnaire. Most of the students were at the age of 15 years, as many as 6 people (55%) of the total 11 students who took part in the activity. The results of the knowledge pretest obtained data from 4 students (36.4%) in the good category, 2 students (18.2%) in the sufficient category and 5 students (45.5%) in the poor category. The results of the posttest knowledge obtained data from 9 students (81.8%) in good category, 2 students (18.2%) in sufficient category and none in the less category. There is an increase in students' knowledge after being given education about adapting new habits at school with video media. Cooperation can be carried out with the Puskesmas to support information dissemination activities carried out consistently and sustainably
SOSIALISASI DESAIN FORMULIR STATUS KESEHATAN LANSIA Nurul Faidah; I Made Sudarma Adiputra; Ni putu Wiwik Oktaviani; Ni Kadek Muliawati; Ni Luh Gede Puspita Yanti
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 11: April 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v1i11.1884

Abstract

In the Elderly Posyandu activities, health checks are carried out by health workers at the East Denpasar Regional Health Center but there is no medical record form that can be used to document the results of the health examination. During the posyandu activities for the elderly, the cadres checked blood pressure, height, weight, glucose levels, and cholesterol. Therefore, we carried out community service by socializing the elderly assessment form and how to enter these data into the design of the form. The purpose of community service is to improve the ability of posyandu cadres in understanding and documenting the elderly health status form. The method carried out was conducting a pre-test which contained knowledge of cadres related to the assessment of the elderly, then socialization, demonstration and assistance were carried out in filling out the elderly health status form. The target is the elderly posyandu cadres of Banjar Tunjung Sari. The assistance provided includes how to fill out medical record forms for the assisted elderly, what items must be filled out, and how to manage the forms. After doing community service, the results of the knowledge before being given socialization obtained 4 (80%) lack of knowledge, after being given socialization and knowledge assistance 3 (60%) knowledge was good and cadres were able to fill out health forms and document the elderly health status forms. Health status can be continuously documented
PENDAMPINGAN ANGGOTA UKS DALAM MELAKUKAN AKUPRESUR UNTUK MENINGKATKAN SISTEM KONSENTRASI BELAJAR DAN PEMBUATAN DESAIN FORMULIR STATUS KESEHATAN DI SMA Nurul Faidah; I Made Sudarma Adiputra; Ni Luh Gede Puspita Yanti; Ni Putu Wiwik Oktaviani; Ni Kadek Muliawati
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 4: September 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v2i4.3228

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Learning requires students' readiness to take lessons in class when studying individually or in groups. Learning concentration is a form of student readiness in participating in the learning process. To increase the concentration of learning needs to be done acupressure therapy. Acupressure is useful for smoothing blocked blood flow, by pressing certain points it is believed to improve concentration, focus and memory. Apart from implementing acupressure to document the health status of students, socialization of student health records was carried out in schools. The purpose of the community service is to socialize acupressure therapy to increase learning concentration and socialize the Health status form to school-age children. The method is carried out using online methods or online materials in the form of simulations in conducting acupressure therapy and socialization related to student health documentation in target schools in the service of high school students. The results of the implementation of student community service were attended by 20 students and students understood acupressure techniques to increase learning concentration and documentation of health status in schools.
Tantangan penerapan Rekam Medis Elektronik (RME) berdasarkan regulasi Permenkes No. 24 Tahun 2022 Damayanti, Putu Sri; Adiputra, I Made Sudarma; Pradnyantara, I Gusti Agung Ngurah Putra
Health Sciences and Pharmacy Journal Vol. 9 No. 1 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/hspj.v9i1.1164

Abstract

Implementasi Rekam Medis Elektronik (RME) kini diwajibkan bagi semua fasilitas kesehatan di Indonesia sesuai dengan Peraturan Menteri Kesehatan No. 24 Tahun 2022, yang bertujuan untuk menstandarisasi pengelolaan rekam medis dan meningkatkan kualitas layanan kesehatan. Penelitian sebelumnya menunjukkan berbagai tantangan dalam penerapan RME, namun hambatan spesifik di bawah regulasi baru, terutama di rumah sakit daerah, belum banyak diteliti. Penelitian ini bertujuan untuk mengidentifikasi tantangan spesifik yang dihadapi Rumah Sakit Umum Dharma Yadnya Kota Denpasar dalam mengimplementasikan RME sesuai dengan regulasi baru tersebut. Penelitian ini menggunakan desain deskriptif kualitatif, dengan data dikumpulkan melalui wawancara dengan lima tenaga kesehatan yang dipilih secara purposive sampling. Fokus utama adalah mengidentifikasi tantangan yang berkaitan dengan kesiapan staf, kepatuhan hukum, manajemen rumah sakit, dan infrastruktur teknologi. Hasil penelitian menunjukkan adanya hambatan signifikan seperti pelatihan internal yang terbatas untuk staf, pemahaman yang kurang terhadap regulasi RME, dan gangguan teknis yang sering mengganggu pelayanan pasien. Temuan juga mengidentifikasi kesenjangan dalam kesiapan staf dan dukungan teknologi yang tidak memadai sebagai hambatan utama dalam implementasi RME yang efektif. Simpulan dari penelitian ini menunjukkan perlunya peningkatan di beberapa area kritis, termasuk memperbaiki program pelatihan staf, meningkatkan kesadaran hukum, memperkuat praktik manajemen rumah sakit, dan memperbarui infrastruktur teknologi untuk mendukung implementasi RME. Peningkatan ini sangat penting untuk mengoptimalkan layanan pasien dan mencapai manfaat yang diinginkan dari adopsi RME.