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Resiliensi dan Ide Bunuh Diri Pada Penderita Human Immunodeficiency Virus (HIV) Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Putri Rukmini, Ni Kadek
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.v18i1.4159

Abstract

Stigma, discrimination and changes in health conditions experienced by HIV sufferers can have serious impacts on the psychological condition of sufferers, including increasing suicidal ideation which can be triggered by feelings of hopelessness, depression, and lack of social support. Resilience is known to play a role in reducing individual stress levels and reducing the death rate from suicide. The purpose of this study was to determine the relationship between resilience and suicidal ideation in HIV. This type of research is quantitative research with a correlational analytical method and uses a cross-sectional approach. The research sample consisted of 116 HIV sufferers selected using a purposive sampling technique. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC) questionnaire and The Suicide Behaviors Questionnaire-Revised (SBQ-R). The statistical test technique used was the Spearman's Rank Test. The results showed that the majority of HIV sufferers' resilience was in the high category of 75 respondents (64,7%) and low suicidal ideation of 85 respondents (73,3%). There is a significant relationship between resilience and suicidal ideation in HIV sufferers (p = 0,000 alpha 0,05) with a moderate strength of relationship between the two variables and a negative nature or direction of the relationship, meaning that the higher the resilience of HIV sufferers, the lower the suicidal ideation in HIV sufferers.
Family Psychoeducation (FPE) Meningkatkan Harga Diri dan Menurunkan Stigma Negatif Keluarga dalam Merawat Orang dengan Gangguan Jiwa Sumirta, I Nengah; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede; Harini, I Gusti Ayu
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.v18i1.4074

Abstract

Mental health is health related to a person's emotional, mental and psychological condition. The root of mental health problems is very complex and diverse, involving biological, psychological, social and genetic factors. Events in life that have a major impact on a person's personality and behavior can affect their mental health. The purpose of this study was to determine the effect of Family Psychoeducation on stigma and family self-esteem in caring for family members with mental disorders at home. This type of research is a quantitative pre-experimental study, with a one group pre-post test design. Sampling using purposive sampling technique, sample size 45 people. Data were collected using the Rosenberg Self Esteem Scale (RSES) questionnaire to measure the level of self-esteem and Family stigma is measured by the Community Attitude Toward The Mentally (CAMI) scale. The variables studied were family stigma and self-esteem. The results of the pre-test showed an increase in negative stigma and a decrease in family self-esteem while providing home care with one of their family members with mental disorders. In the post-test, there was a decrease in negative stigma and an increase in self-esteem. The results of the Paired Sample Test on stigma and self-esteem obtained a p value = 0,000. There is an effect of Family Psychoeducation on reducing negative stigma and increasing self-esteem. It is recommended that families improve their ability to care for patients and the research site is advised to carry out Family Psychoeducation interventions routinely to family members who accompany family members with mental disorder who are undergoing outpatient treatment at the mental health clinic.
Citra Tubuh Pasien Diabetes Melitus Tipe 2 Di RSUD Sanjiwani Gianyar Candra, I Wayan; Sumitra, I Nengah; Ari Kresna, Ni Luh Gede; Harini, I Gusti Ayu; Ariati, Ni Made
JURNAL KEPERAWATAN Vol. 18 No. 2 (2024)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v18i2.109

Abstract

 ABSTRAK Diabetes Melitus merupakan masalah umum bagi kesehatan masyarakat yang secara terus-menerus jumlahnya mengalami peningkatan. Diabetes Melitus merupakan suatu penyakit kronis yang terjadi oleh peningkatan kadar gula dalam darah yang diakibatkan oleh ketidaknormalan sekresi insulin dalam pankreas. Dapat mengakibatkan perubahan bentuk dan fungsi tibuh.Tujuan dari penelitian ini adalah megidentifikasi gambaran citra tubuh pada pasien diabetes melitus tipe II. Rancangan penelitian deskriptif dengan menggunakan pendekatan cross-sectional. .Populasi penelitian ini adalah pasien diabetes melitus yang berkunjung ke Poliklinik Penyakit dalam RSUD Saniwani Gianyar. Jumlah sampel pada penelitian ini sebesar 36 orang. Pengambilan sampel pada penelitian ini adalah dengan teknik consecutive sampling. Variabel penelitian citra tubuh. Alat ukur pada penelitian ini menggunakan kuesioner SIBID.. Ethical Clearance diperoleh dari Komisi Etik Polkesden dengan no surat : 51/PEPK/V/2023. Hasil  penelitian didapatkan bahwa sebagian besar (72,2%) klien DM tipe 2 mengalami citra tubuh negatif dan hampir setengahnya (27,8%) citra diri positif. Berdasarkan karakteristik klien diabetes melitus yang memiliki citra diri negative hamper setengahnya(47, 2%) berusia ≥60 tahun, jenis kelamin perempuan (38,9%), memiliki  tingkat pendidikan dasar (58,3%) dan  lama menderita diabetes melitus ≥ 6 bulan (50,00%).  Disarankan  pasien diabetes melitus tipe II aktif meningkatkan pengetahuan tentang penyakitnya, berpartisipasi aktif dalam perawatan DM sehingga merubah persepsinya supaya memiliki citra tubuh yang positif.  Kata Kunci: DM Tipe 2, Citra Diri  ABSTRACT                 Diabetes mellitus is a common public health problem that is constantly increasing in number. Diabetes Mellitus is a chronic disease that occurs by increasing blood sugar levels caused by abnormal insulin secretion in the pancreas. The purpose of this study was to identify the description of body image in patients with type II diabetes mellitus. Descriptive research design using a cross-sectional approach. The population of this study were patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Saniwani Gianyar Hospital. The number of samples in this study amounted to 36 people. Sampling in this study was with consecutive sampling technique. Body image research variables. The measuring instrument in this study used the SIBID questionnaire. Ethical Clearance was obtained from the Ethics Commission of Polkesden with letter number: 51/PEPK/V/2023. The results showed that most (72.2%) type 2 DM clients experienced a negative body image and almost half (27.8%) had a positive self-image. Based on the characteristics of diabetes mellitus clients who have a negative self-image, almost half (47, 2%) are ≥60 years old, female gender (38.9%), have a basic education level (58.3%) and a long time suffering from diabetes mellitus ≥ 6 months (50.00%).  It is recommended that patients with type II diabetes mellitus actively increase knowledge about their disease, actively participate in DM care so as to change their perceptions so that they have a positive body image.  Keywords: Type 2 DM, Self-Image
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.