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I Wayan Candra
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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.
Pengaruh Plant Therapy terhadap Kemampuan Bersosialisasi Pasien Skizofrenia Herlina, Nadia; Sumirta, I Nengah; Candra, I Wayan; Runiari, Nengah
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3847

Abstract

Individuals with schizophrenia often experience problems in social interaction due to a decrease in social skills which is part of the symptoms of schizophrenia. The purpose of this study is to determine the effect of plant therapy on the decline of social skills in schizophrenia patients. This research method uses pre-experimental one-group pretest-posttest research design. The sample collection by using the techniques of total sampling. Number of samples as many as 25 people. Data collection using questionnaires ability to socialize This study used the Wilcoxon Signed Rank Test with a significant ρ-value of 0,000. The results of this study show that before carrying out Plant Therapy intervention in the aspect of daily living activity, most of the categories are lacking. In terms of social behavior, most categories are lacking. In terms of occupational behavior, most of the categories are sufficient and lacking. After being given the intervention, Plant Therapy has improved in the aspect of daily living activity, most of the good categories. In terms of social behavior, most of the categories are good. In terms of occupational behavior, most of the categories are very good and good. The conclusion of this study is that there is an effect of Plant Therapy on the decrease in social skills in schizophrenia patients, p-value = 0,000.
Pengaruh Terapi Okupasi: Hasta Karya terhadap Harga Diri pada Pasien Skizofrenia Martini Puspita Yanti, Ni Made Yogi; Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3454

Abstract

Schizophrenia is a psychotic disorder that affects a person's ability to think, feel or behave properly. The negative symptoms that arise are low self-esteem problems where individuals always underestimate themselves and their abilities. Low self-esteem that continues can cause social interaction disorders, self-care deficits, anxiety disorders and non-compliance with treatment. One form of therapy to regain a person's self-confidence is through occupational therapy. The purpose of this study was to prove the effect of occupational therapy: hasta karya on self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024. This research method uses a one-group pre-post test design. The sampling technique is non-probability sampling with purposive sampling. The number of samples is 30 respondents. The research instrument uses the Rosenberg Self-Esteem Scale (RSES). The normality test uses the Shapiro-Wilk test. Hypothesis testing uses the Wilcoxon Signed Ranks Test. The results showed that before being given occupational therapy: hasta karya, 30 people (100,0%) had low self-esteem. After the intervention, 20 people (66,7%) had moderate self-esteem and 10 people (33,3%) had low self-esteem. After analysis, the p-value = 0,000 alpha (0,05) was obtained, meaning that there was an effect of providing occupational therapy intervention: handicrafts on low self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024, so it can be concluded that occupational therapy: handicrafts can increase self-esteem in schizophrenia patients.
Pengaruh Brain Gym Therapy terhadap Tingkat Depresi Pasien Diabetes Melitus Tipe 2 Wahyuliniya, Anak Agung Istri; Harini, I Gusti Ayu; Candra, I Wayan; Lestari, Agus Sri
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3257

Abstract

Diabetes melitus (DM) is a serious chronic disease. DM is a major cause of many diseases, such as blindness, heart disease, and kidney failure. The incidence of DM in Indonesia is 2.8%, and Bali Province is 1,33%. DM patients can experience depression due to the need for long-term treatment to avoid complications. The purpose of this study was to determine the effect of brain gym therapy on depression levels in patients with type 2 DM. Pre experimental research design with One-group pre-post test design. The research sample was DM patients who experienced depression. The sampling technique used was purposive sampling. This research instrument uses the beck depression inventory II questionnaire. The statistical test used is the Wilcoxon test. Measurement of depression levels in DM patients was  measured twice, namely before and after being given brain gym. The level of depression in research subjects before being given therapy in the moderate depression category, as many as 10 people (55,6%). The level of depression in the research subjects after being given therapy in the mild depression category, as many as 15 people (83,3%). Based on the results of the Wilcoxon test, the p value= 0,008 was obtained.  The p value 0,05 indicates that there is an effect of brain gym therapy on depression in DM patients. The conclusion of this study is that brain gym reduces the level of depression in patients with type 2 DM.
Pengaruh Self-Hypnosis Therapy with Positive Self-Talk terhadap Tingkat Stres pada Pasien Diabetes Melitus Chandranita Shailendra, Sagung; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.2892

Abstract

Diabetes mellitus is a major health problem that has reached an alarming level and endangers health. Patients with diabetes mellitus experience various physiological and psychological problems, one of which is stress. The stress condition of diabetes mellitus patients that is not treated can worsen their condition so that stress management is needed, self-hypnosis therapy with positive self-talk. The purpose of this study was to determine the effect of self-hypnosis therapy with positive self-talk on the stress level of diabetes mellitus patients in the Working Area of Puskesmas II West Denpasar in 2023. This type of pre-experimental research was with a one-group pre-post test design. The sampling technique used purposive sampling with a total of 30 research subjects. The research instrument uses the Perceived StressScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels in diabetic mellitus patientsScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels indiabetic mellitus patients.
Pengaruh Guided Imagery terhadap Tingkat Depresi pada Pasien Diabetes Melitus Patrayana, I Made Tantri; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3277

Abstract

Diabetes melitus is a dangerous health problem and is still listed as a cause of death in the world. Patients with diabetes melitus are at high risk of experiencing depression and ultimately worsening self-care. Therefore psychological treatment is carried out, one of which is guided imagery.The purpose of this study was to determine the effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023. This study used a pre-experimental  method with a one-group pre-post test design. The sampling technique used non-probability purposive sampling with a sample of 32 people. The research instrument used the Beck Depression Inventory-II (BDI-II).Data analysis technique using the wilcoxon signed rank test. The results showed that the level of depression in patients with diabetes melitus before being given guided imagery, most of the patients experienced moderate depression, 17 people (53,1%) then the level of depression in patients with diabetes melitus after being given guided imagery showed that most patients with diabetes melitus experienced mild depression, numbering 24 people (75.0%). After being analyzed, the results obtained were p-value = 0.003 (p 0.050). The conclusion of this study is that there is a significant effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023.
Hubungan Spiritualitas dengan Keputusasaan pada Remaja dengan HIV/AIDS Sumirta, I Nengah; Utami Budiari, Ni Putu; Harini, I Gusti Ayu; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4117

Abstract

HIV/AIDS is an infectious disease that attacks the immune system, resulting in a significant decline in physical health and triggering vulnerability to psychological problems, such as hopelessness. Despair can lead to decreased treatment adherence, which may worsen physical conditions and accelerate disease progression. The aim of this study was to analyze the relationship between spirituality and hopelessness in adolescents with HIV/AIDS. This type of quantitative research uses a correlational design with a cross-sectional approach. The sample size of 63 people was collected using purposive sampling technique. Data collection instruments used the Daily Spiritual Experience Scale (DSES) and the Beck Hopelessness Scale (BHS). Data analysis using Spearman's Rank Correlation Coefficient test. The results showed that 30 people (47,6%) had low spirituality, 28 people (44,4%) had moderate spirituality, 5 people (7,9%) had high spirituality and 4 people (6,3%) experienced mild hopelessness, 31 people (49,2%) experienced moderate hopelessness, 28 people (44, 4%) experienced moderate hopelessness and there was a relationship between spirituality and hopelessness with a p-value of 0.000 (p-value 0,005), correlation coefficient value of -0,664, strong correlation and negative direction which means the higher the spirituality, the lower the hopelessness. The inclusion of a spiritual approach in psychosocial interventions for adolescents with HIV/AIDS is recommended as a relevant strategy to reduce the risk of despair, strengthen psychological resilience, and enhance the overall quality of life of adolescents living with HIV/AIDS.
Co-Authors Agus Sri Lestari Ari Kresna Dewi, Ni Luh Gede Ari Kresna, Ni Luh Gede Ariati, Ni Made Chandranita Shailendra, Sagung Dewi, Ni Luh Gede Ari Kresna Gejir, I Nyoman Gusti Ayu Tirtawati, Gusti Ayu Hariana, Hariana Harini, I Gusti Ayu Herlina, Nadia Hertog Nursanyoto I Ketut Labir I Nengah sumirta I Wayan Mustika I Wayan Sudana IGA Ari Rasdini IGA Harini Martini Puspita Yanti, Ni Made Yogi mastra, nyoman Nengah Runiari Ngurah, I Gusti Ketut Gede NLP Yunianti SC, NLP Yunianti Patrayana, I Made Tantri Posmaningsih, Dewa Ayu Agustini Putri Rukmini, Ni Kadek Putu Epriliani SULISNADEWI, N.L.K sumirta, I Nengah Sumitra, I Nengah Utami Budiari, Ni Putu Wahyuliniya, Anak Agung Istri