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Gambaran Masalah Kesehatan Wisatawan Asing yang Berkunjung ke Pusat Pelayanan Kesehatan 2015 Gandamayu, Ida Bagus Maha; Agustini, Ni Luh Putu Inca Buntari; Kusuma, Made Dian Shanti
JURNAL NERS LENTERA Vol 4, No 2 (2016)
Publisher : JURNAL NERS LENTERA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.646 KB)

Pendahuluan: Perjalanan ke luar negeri dapat menimbulkan masalah kesehatan, perubahan kelembaban udara, suhu dan kuman penyakit adalah beberapa hal yang mampu mempengaruhi kesehatan wisatawan. Penelitian ini bertujuan untuk mengetahui gambaran masalah kesehatan wisatawan asing yang berkunjung ke pusat pelayanan kesehatan, layanan rawat jalan di rumah sakit Bali Royal Denpasar. Metode: Sampel yang digunakan dalam penelitian ini adalah sampel acak, berjumlah 181 responden yang berkunjung ke rumah sakit Bali Royal Denpasar. Hasil: Hasil penelitian menunjukkan bahwa masalah terbesar adalah observasi febris 14 (37.8%) dan diare 12 (46. 1%). Pembahasan: Faktor Lingkungan merupakan salah satu faktor penyebab, dimana lingkungan yang tidak sehat karena tercemar kuman serta berakumulasi dengan perilaku manusia yang tidak sehat pula. Kesimpulan: Dari total 181 responden, penyebab utama masalah kesehatan adalah disebabkan oleh infeksi dan penyakit lain. Infeksi dapat disebabkan oleh bakteri, virus serta lingkungan.

HUBUNGAN PENGGUNAAN MASKER SUNGKUP SELAMA TERAPI NEBULIZER TERHADAP SATURASI PERIFER OKSIGEN PADA PASIEN PPOK DI IGD BRSU TABANAN TAHUN 2016 Gustiawan, Sastro Putre; Satriani, Adi; Kamaryati, Ni Putu; Agustini, Inca Buntari
Jurnal Riset Kesehatan Nasional Vol 1, No 1 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Background. In Standard Operating Procedure, the use of hood mask on COPD patients in nebulizer therapy is used when necessary, which means that the medical staff able to wear a mask or not, it is because of lack of firmness in the Standard Operating Procedures created.Aim. To determine the relationship of the use of hoods during therapy nebulizer mask to saturation of peripheral oxygen in COPD patients in the ER Agency Tabanan General Hospital. Method. This research used non-probability sampling design, the sampling technique used in this study was consecutive sampling technique.Results. The respondents who wore hood mask on during nebulizer therapy as many as 84 respondents (98.8 percent), respondents who woremask on for 10-15 minutes by 85 respondents (100 percent), respondents who installed the rubber on mask during nebulizer therapy was 81 respondents (95.3 percent), the majority of respondents whom masks do did not come loose during nebulizer therapy as many as 76 respondents (89.4 percent). The saturation of oxygen peripheral therapy on COPD patients with nebulizer has a normal outcome as many as 82 respondents (96.5 percent).Conclusion. There was a significant relations between the use of hood mask during nebulizer therapy with the saturation of oxygen peripheral on COPD patients with the results of Pearsonâ€™s Chi-square test in Asymp.Sig value. (2-sided) of 0.00 (p = 0:00), because the value of Asymp.Sig. (2 -sided) 0:00 <0:05 (Alpha 5%).Suggestion. In a nebulizer therapy on COPD patients, medical staff should wear a hood mask during the therapy and follow-up the result of this study for the changes of standard operating procedures.Keywords:COPD, Hood Mask, Oxygen Peripheral Saturation, Nebulizer

KARAKTERISTIK MASALAH PASIEN DI POLIKLINIK PENYAKIT DALAM RSUP SANGLAH, DENPASAR Agustini, Inca Buntari; Darma Suyasa, Putu; Widia, Ketut
Jurnal Riset Kesehatan Nasional Vol 2, No 1 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

ABSTRAKPendahuluan: Rumah sakit dimana Poliklinik Penyakit Dalam sebagai salah satu fasilitas perawatan kesehatan individu menjadi bagian dari sumber daya kesehatan perlu untuk mendukung pelaksanaan upaya kesehatan. Data statistik di Rumah Sakit Sanglah menunjukkan bahwa ada peningkatan kunjungan pasien ke Poliklinik Penyakit Dalam dari tahun ke tahun, namun tidak ada catatan khusus dan belum ada upaya sistematis dalam menganalisanya. Selain itu, penerapan asuhan keperawatan juga perlu dievaluasi. Penelitian ini bertujuan untuk mengetahui gambaran kunjungan pasien ke Poliklinik Penyakit Dalam dan evaluasi pelaksanaan asuhan keperawatan di Poliklinik Penyakit Dalam RSUP Sanglah Denpasar.Metode: Penelitian ini dilakukan di Poliklinik Penyakit Dalam RSUP Sanglah. Penelitian ini adalah penelitian retrospektif menggunakan chart review untuk pengumpulan data. Penelitian ini melibatkan 306 sampel berdasarkan teknik sampling acak sistematik. Hasil: Hasil penelitian menunjukkan bahwa terdapat 51 responden (13,4%) mengunjungi rumah sakit dengan keluhan nyeri, 46 responden (12,1%) mengeluhkan kelemahan, 17 responden (4,5%) mengeluhkan pusing, 96 responden (26,5%) memiliki diagnosis keperawatan pada terapi regimen yang tidak efektif. , dan 103 responden didiagnosis secara medis (93,7%) dengan Penyakit Ginjal Kronis.Kesimpulan: Informasi ini dapat digunakan sebagai data dasar untuk pengembangan kualitas layanan nantinya. Tenaga kesehatan diharapkan mengelola masalah-masalah kesehatan yang dialami oleh pasien.Kata kunci: penyakit dalam, poliklinik penyakit dalam, asuhan keperawatanÂ ABSTRACTIntroduction: The hospital where medical out-patient department as one of the individual health care facilities become a part of the health resources need to support the implementation of health efforts.The statistic data in Sanglah Hospital showed that there was improvement of patient visits to the medical out-patient department from year to year, however there was no specific record and there has been no systematic effort in analyzing it. In addition, the description of nursing care implementation also needed to be evaluated. This study aimed to determine the description of patient visits to the medical out-patient department and the evaluation of nursing care implementation on medical out-patient department in Sanglah Hospital Denpasar.Methods: This research was conducted in medical out-patient department of Sanglah Hospital. This study was retrospective study using chart review for data collection. The study involved 306 samples based on sistematic random sampling technique. Â Results: Results showed that there were 51 respondents (13.4%) visited hospital with pain, 46 respondents (12.1%) complained of weakness, 17 respondents (4.5%) complained dizziness, 96 respondents (26.5%) had nursing diagnosis of ineffective regimen therapeutic, and 103 respondents were medically diagnosed (93.7%) with Chronic Kidney Disease.Conclusion: This information can be used as the basic data for the development of service quality later. Health personnel are expected to manage health problems experienced by patients.Â Â Â Keywords: internal disease, out-patient department, nursing care

EFEKTIVITAS PENDIDIKAN KESEHATAN TENTANG KEJANG DEMAM TERHADAP SIKAP ORANG TUA DALAM PENANGANAN KEGAWATDARURATAN KEJANG DEMAM PADA ANAK DI BANJAR BINOH KELOD DESA UBUNG KAJA Purnama Dewi, Sagung Mirah; Agustini, Inca Buntari; Wulansari, Nadya Treesna
Jurnal Riset Kesehatan Nasional Vol 3, No 1 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

The first treatment of febrile seizures in children is very important. Excessive worries and anxiety can be caused by education or knowledge of parents who are still less about the incidence of febrile seizures in children. This shows that much needed additional education about how the attitude of parents in handling emergency seizures in children fever. The goal is to know the effectiveness of health education about febrile seizures in the attitude of parents in handling emergency seizures in children in Banjar Binoh Kelod Ubung Kaja Village. This research uses pre-experimental design with one group pre test post test approach. The population in this study is all parents who have children aged under 5 years with a sample size of 20 respondents. The sampling technique used in this study is saturated sampling. Data collection tool used in this study is a questionnaire about parental attitudes in handling emergency seizures in children fever. The result of data analysis using Wilcoxon Sign Rank Test with significance level ? = 0,05 got result p value 0,000 which mean effective education of health toward parent attitude in handling emergency seizures in child fever. In this study, one that affects the attitude of parents in handling emergency spasmodic seizures in children is emotional. Confidence and good parental emotional levels are expected to improve parental attitudes in handling emergency seizures in children.

EVALUASI PELAKSANAAN PILAR UTAMA DIABETES PADA PASIEN DIABETES MELITUS TIPE 2 Agustini, Inca Buntari
Jurnal Riset Kesehatan Nasional Vol 1, No 2 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

ABSTRAKDiabetes Melitus merupakan penyakit yang tidak dapat disembuhkan akan tetapi sangat memungkinkan untuk dikelola atau dikontrol. Dalam konteks pengelolaan penyakit DM, kesadaran ataupun disiplin diri penderita sangat diperlukan untuk membangun kemandirian dan mempertahankan kepatuhan penderita dalam melaksanakan manajemen pengobatan. Komponen manajemen perawatan DM terdiri dari lima pilar utama yang sudah menjadi panduan bagi praktisi kesehatan. Akan tetapi, perlu evaluasi yang nyata untuk mengetahui keberhasilan pelaksanaannya. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan pilar utama diabetes pada pasien DM tipe 2.Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross-sectional. Penelitian dilakukan pada empat puskesmas di wilayah Denpasar, Bali dengan jumlah sampel 240 pasien DM tipe 2. Metode pengambilan sampel dilakukan dengan menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner Summary of Diabetes Self Care Activities.Hasil analisa data menunjukkan bahwa 81 (33,8%) responden tidak mengikuti perencanaan diet sesuai dengan yang dianjurkan, 118 (49,2%) responden setiap hari melakukan latihan fisik ringan, 174 (72,5%) responden melakukan pemeriksaan gula darah satu kali seminggu, 199 (82,9%) mengkonsumsi obat diabetes setiap hari dan 200 (83,3%) responden telah melakukan perawatan kaki setiap hari.Hal ini menunjukkan bahwa pelaksanaan empat pilar utama diabetes sudah baik. Pelaksanaan pilar pertama diabetes yang belum baik dimungkinkan karena responden belum memahami pentingnya melaksanakan diet sesuai anjuran. Oleh sebab itu, sangat penting membuat model yang tepat untuk meningkatkan motivasi dan kesadaran responden dalam melaksanakan pilar utama diabetes sehingga berdampak siginifikan terhadap peningkatan kualitas hidup penderita. Kata kunci : diabetes melitus tipe 2, pilar utama diabetes ABSTRACT Diabetes mellitus (DM) is a disease that is not curable but it is possible to be managed or controlled. In the context of DM management, patient awareness or self-discipline is needed to build and maintain the independence of patient compliance in implementing medication management. DM care management component consists of five main pillars which have become a guide for health practitioners. However, it should be a real evaluation to determine the success of the implementation. This study aims to evaluate the implementation of the main pillars of diabetes in patients with type 2 diabetes mellitus. The design study was quantitative descriptive cross-sectional approach. The study was conducted at four clinics in Denpasar, Bali with a sample size of 240 patients with diabetes mellitus type 2. The sampling method was done by using purposive sampling technique. The research instrument used a questionnaire Summary of Diabetes Self-Care Activities. The results of data analysis showed that 81 (33.8%) of respondents did not follow the diet plan in accordance with the recommended, 118 (49.2%) of respondents each day doing light physical exercise, 174 (72.5%) of respondents do blood sugar tests one times a week, 199 (82.9%) taking diabetes medication every day, and 200 (83.3%) of respondents have been doing foot care every day. This shows that the implementation of the four pillars of diabetes has been good. Implementation of the first pillar of diabetes are not well possible because the respondents do not understand the importance of implementing the diet proverly. Therefore, it is very important to allow the right model to improve motivation and awareness of the respondents in implementing the main pillars of diabetes which impacted significantly on improving the quality of life of patients. Keywords: diabetes mellitus type 2, the main pillars of diabetes

Procedure for Using Crystalloid and Colloid Fluids in Blood Pressure in Sectio Caesaria Patients Using Spinal Anesthesia Technique Dwi Arymbhi Sanjaya; Ni Luh Putu Inca Buntari Agustini; I Gede Agus Shuarsedana Putra; Emanuel Ileatan Lewar
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.255

Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the study about standard operating procedures (SOP) never have been done. The aim of this research was to describe and evaluate the SOP for the use of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 76.7% of respondents stated that there was no SOP for crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. In the multiple response tests, the effectiveness and side effects (21.3%) were the factors that had to be considered in the crystalloid and colloids fluid selection to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques in more detail, therefore the factors of effectiveness and risk of side effects are the main consideration.

The Effect of Foot Massage on Decreasing Peripheral Neuropathy Diabetic Complaints in the Patients with Type 2 Diabetes Mellitus Ni Luh Putu Inca Buntari Agustini; Nadya Tressna Wulansari; Yustina Ni Putu Yusniawati; Ni Wayan Sintia
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17152

Background: Peripheral neuropathy diabetic is a problem that will be experienced by almost all patients with type 2 diabetes mellitus (T2DM). One of the non-pharmacological therapies that can be done to reduce the complaints of peripheral neuropathy diabetic is foot massage. The purpose of this study was to determine the effect of foot massage on decreasing peripheral neoropathy diabetic complaints.Method: The research design was a one group pretest-post-test design (foot massage) as the treatment given to the patients with T2DM. The population in this study was the patients with T2DM who had peripheral neuropathy diabetic. Seventy-two participants were involved as the sample of the study selected through simple random sampling. The data was collected using the questionnaire of the Michigan Neuropathy Screening Instrument.Result: The results were analyzed using the Wilcoxon Sign Rank test with a significance level was set at α = 0.05.Conclusion: The foot massage had a significant effect at reducing the complaints of peripheral neuropathy diabetic in patients with T2DM (p=0,000 < ɑ 0.05). The patients with T2DM are expected to practice foot massage independently.

HUBUNGAN PENGGUNAAN MASKER SUNGKUP SELAMA TERAPI NEBULIZER TERHADAP SATURASI PERIFER OKSIGEN PADA PASIEN PPOK DI IGD BRSU TABANAN TAHUN 2016 Sastro Putre Gustiawan; Adi Satriani; Ni Putu Kamaryati; Inca Buntari Agustini
Jurnal Riset Kesehatan Nasional Vol. 1 No. 1 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Background. In Standard Operating Procedure, the use of hood mask on COPD patients in nebulizer therapy is used when necessary, which means that the medical staff able to wear a mask or not, it is because of lack of firmness in the Standard Operating Procedures created.Aim. To determine the relationship of the use of hoods during therapy nebulizer mask to saturation of peripheral oxygen in COPD patients in the ER Agency Tabanan General Hospital. Method. This research used non-probability sampling design, the sampling technique used in this study was consecutive sampling technique.Results. The respondents who wore hood mask on during nebulizer therapy as many as 84 respondents (98.8 percent), respondents who woremask on for 10-15 minutes by 85 respondents (100 percent), respondents who installed the rubber on mask during nebulizer therapy was 81 respondents (95.3 percent), the majority of respondents whom masks do did not come loose during nebulizer therapy as many as 76 respondents (89.4 percent). The saturation of oxygen peripheral therapy on COPD patients with nebulizer has a normal outcome as many as 82 respondents (96.5 percent).Conclusion. There was a significant relations between the use of hood mask during nebulizer therapy with the saturation of oxygen peripheral on COPD patients with the results of Pearson’s Chi-square test in Asymp.Sig value. (2-sided) of 0.00 (p = 0:00), because the value of Asymp.Sig. (2 -sided) 0:00 <0:05 (Alpha 5%).Suggestion. In a nebulizer therapy on COPD patients, medical staff should wear a hood mask during the therapy and follow-up the result of this study for the changes of standard operating procedures.Keywords:COPD, Hood Mask, Oxygen Peripheral Saturation, Nebulizer

EVALUASI PELAKSANAAN PILAR UTAMA DIABETES PADA PASIEN DIABETES MELITUS TIPE 2 Inca Buntari Agustini
Jurnal Riset Kesehatan Nasional Vol. 1 No. 2 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

ABSTRAKDiabetes Melitus merupakan penyakit yang tidak dapat disembuhkan akan tetapi sangat memungkinkan untuk dikelola atau dikontrol. Dalam konteks pengelolaan penyakit DM, kesadaran ataupun disiplin diri penderita sangat diperlukan untuk membangun kemandirian dan mempertahankan kepatuhan penderita dalam melaksanakan manajemen pengobatan. Komponen manajemen perawatan DM terdiri dari lima pilar utama yang sudah menjadi panduan bagi praktisi kesehatan. Akan tetapi, perlu evaluasi yang nyata untuk mengetahui keberhasilan pelaksanaannya. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan pilar utama diabetes pada pasien DM tipe 2.Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross-sectional. Penelitian dilakukan pada empat puskesmas di wilayah Denpasar, Bali dengan jumlah sampel 240 pasien DM tipe 2. Metode pengambilan sampel dilakukan dengan menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner Summary of Diabetes Self Care Activities.Hasil analisa data menunjukkan bahwa 81 (33,8%) responden tidak mengikuti perencanaan diet sesuai dengan yang dianjurkan, 118 (49,2%) responden setiap hari melakukan latihan fisik ringan, 174 (72,5%) responden melakukan pemeriksaan gula darah satu kali seminggu, 199 (82,9%) mengkonsumsi obat diabetes setiap hari dan 200 (83,3%) responden telah melakukan perawatan kaki setiap hari.Hal ini menunjukkan bahwa pelaksanaan empat pilar utama diabetes sudah baik. Pelaksanaan pilar pertama diabetes yang belum baik dimungkinkan karena responden belum memahami pentingnya melaksanakan diet sesuai anjuran. Oleh sebab itu, sangat penting membuat model yang tepat untuk meningkatkan motivasi dan kesadaran responden dalam melaksanakan pilar utama diabetes sehingga berdampak siginifikan terhadap peningkatan kualitas hidup penderita. Kata kunci : diabetes melitus tipe 2, pilar utama diabetes ABSTRACT Diabetes mellitus (DM) is a disease that is not curable but it is possible to be managed or controlled. In the context of DM management, patient awareness or self-discipline is needed to build and maintain the independence of patient compliance in implementing medication management. DM care management component consists of five main pillars which have become a guide for health practitioners. However, it should be a real evaluation to determine the success of the implementation. This study aims to evaluate the implementation of the main pillars of diabetes in patients with type 2 diabetes mellitus. The design study was quantitative descriptive cross-sectional approach. The study was conducted at four clinics in Denpasar, Bali with a sample size of 240 patients with diabetes mellitus type 2. The sampling method was done by using purposive sampling technique. The research instrument used a questionnaire Summary of Diabetes Self-Care Activities. The results of data analysis showed that 81 (33.8%) of respondents did not follow the diet plan in accordance with the recommended, 118 (49.2%) of respondents each day doing light physical exercise, 174 (72.5%) of respondents do blood sugar tests one times a week, 199 (82.9%) taking diabetes medication every day, and 200 (83.3%) of respondents have been doing foot care every day. This shows that the implementation of the four pillars of diabetes has been good. Implementation of the first pillar of diabetes are not well possible because the respondents do not understand the importance of implementing the diet proverly. Therefore, it is very important to allow the right model to improve motivation and awareness of the respondents in implementing the main pillars of diabetes which impacted significantly on improving the quality of life of patients. Keywords: diabetes mellitus type 2, the main pillars of diabetes

KARAKTERISTIK MASALAH PASIEN DI POLIKLINIK PENYAKIT DALAM RSUP SANGLAH, DENPASAR Inca Buntari Agustini; Putu Darma Suyasa; Ketut Widia
Jurnal Riset Kesehatan Nasional Vol. 2 No. 1 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

ABSTRAKPendahuluan: Rumah sakit dimana Poliklinik Penyakit Dalam sebagai salah satu fasilitas perawatan kesehatan individu menjadi bagian dari sumber daya kesehatan perlu untuk mendukung pelaksanaan upaya kesehatan. Data statistik di Rumah Sakit Sanglah menunjukkan bahwa ada peningkatan kunjungan pasien ke Poliklinik Penyakit Dalam dari tahun ke tahun, namun tidak ada catatan khusus dan belum ada upaya sistematis dalam menganalisanya. Selain itu, penerapan asuhan keperawatan juga perlu dievaluasi. Penelitian ini bertujuan untuk mengetahui gambaran kunjungan pasien ke Poliklinik Penyakit Dalam dan evaluasi pelaksanaan asuhan keperawatan di Poliklinik Penyakit Dalam RSUP Sanglah Denpasar.Metode: Penelitian ini dilakukan di Poliklinik Penyakit Dalam RSUP Sanglah. Penelitian ini adalah penelitian retrospektif menggunakan chart review untuk pengumpulan data. Penelitian ini melibatkan 306 sampel berdasarkan teknik sampling acak sistematik. Hasil: Hasil penelitian menunjukkan bahwa terdapat 51 responden (13,4%) mengunjungi rumah sakit dengan keluhan nyeri, 46 responden (12,1%) mengeluhkan kelemahan, 17 responden (4,5%) mengeluhkan pusing, 96 responden (26,5%) memiliki diagnosis keperawatan pada terapi regimen yang tidak efektif. , dan 103 responden didiagnosis secara medis (93,7%) dengan Penyakit Ginjal Kronis.Kesimpulan: Informasi ini dapat digunakan sebagai data dasar untuk pengembangan kualitas layanan nantinya. Tenaga kesehatan diharapkan mengelola masalah-masalah kesehatan yang dialami oleh pasien.Kata kunci: penyakit dalam, poliklinik penyakit dalam, asuhan keperawatan ABSTRACTIntroduction: The hospital where medical out-patient department as one of the individual health care facilities become a part of the health resources need to support the implementation of health efforts.The statistic data in Sanglah Hospital showed that there was improvement of patient visits to the medical out-patient department from year to year, however there was no specific record and there has been no systematic effort in analyzing it. In addition, the description of nursing care implementation also needed to be evaluated. This study aimed to determine the description of patient visits to the medical out-patient department and the evaluation of nursing care implementation on medical out-patient department in Sanglah Hospital Denpasar.Methods: This research was conducted in medical out-patient department of Sanglah Hospital. This study was retrospective study using chart review for data collection. The study involved 306 samples based on sistematic random sampling technique. Results: Results showed that there were 51 respondents (13.4%) visited hospital with pain, 46 respondents (12.1%) complained of weakness, 17 respondents (4.5%) complained dizziness, 96 respondents (26.5%) had nursing diagnosis of ineffective regimen therapeutic, and 103 respondents were medically diagnosed (93.7%) with Chronic Kidney Disease.Conclusion: This information can be used as the basic data for the development of service quality later. Health personnel are expected to manage health problems experienced by patients. Keywords: internal disease, out-patient department, nursing care

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