Kadek Eka Swedarma
Program Studi Ilmu Keperawatan Fak.Kedokteran Universitas Udayana

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Hubungan Tingkat Stres Dengan Insomnia Pada Lansia di Seksi Penyantunan Lanjut Usia Wana Seraya Denpasar UPT Pelayanan Sosial Dinas Sosial Provinsi Bali Putra, I Gede Yudiana; Napitupulu, Rico Almando; Swedarma, Kadek Eka; Astutik, Windu
Jurnal Kesehatan Medika Udayana Vol 3 No 01 (2017)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (555.941 KB)

Abstract

ABSTRACT Backgroud: Influence the aging process cause many problems both physical, mental, and social economy. Mental disorders are common in the elderly population, insomnia, depression, stress, anxiety, dementia and delirium. This study aims to determine the stress level relationship with the level of insomnia in older adults. Methods: This study used a descriptive correlation design using cross sectional approach. Samples in this study were elderly people who live in Section of helpful aged “Wana Seraya” Denpasar UPT Social Services social service Unit of Bali Province  and research that met the inclusion criteria of 40 respondents. Results: The data obtained in the statistical analysis using Spearman Rho test. The results of this study were 16 respondents (40%) are stressed and 21 respondents (52.5%)  mild insomnia. The results of research shows there is the relationship between the level of stress with insomnia with the value of p = 0,001 ( p<0.05 ) and r = + 0,492 to the direction of a positive relationship, this means that getting high levels of stress and the more severe the level of insomnia. Conslusions: There was a correlation between stress levels and insomnia in the elderly in Section of helpful aged “Wana Seraya” Denpasar UPT Social Services social service Unit of Bali Province    ABSTRAK Latar Belakang: Pengaruh proses penuaan menimbulkan berbagai masalah baik secara fisik, mental, maupun sosial ekonomi. Gangguan mental yang sering dijumpai pada populasi lansia yaitu, insomnia, depresi, stres, anxietas, demensia dan delirium.  Penelitian ini bertujuan untuk mengetahui hubungan tingkat stres dengan tingkat insomnia pada lansia. Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan menggunakan pendekatan cross sectional. Sampel pada penelitian ini adalah lansia yang tinggal di Seksi Penyantunan Lanjut Usia “Wana Seraya” Denpasar UPT Pelayanan Sosial Dinas Sosial Provinsi Bali dan memenuhi kriteria inklusi penelitian yaitu sebanyak 40 responden. Hasil: Data yang diperoleh di analisis dengan menggunakan uji statistik Spearman Rho. Hasil penelitian ini adalah 16 responden (40%) mengalami stres sedang dan 21 responden (52.5%) mengalami insomnia ringan. Hasil penelitian menunjukan terdapat hubungan antara tingkat stres dengan insomnia dengan nilai p = 0,001 (p<0,05) dan r = +0,492 dengan arah hubungan positif, artinya semakin tinggi tingkat stres maka semakin berat tingkat insomnia. Simpulan: Ada hubungan yang antara tingkat stres dengan insomnia pada lansia di Seksi Penyantunan Lanjut Usia “Wana Seraya” Denpasar UPT Pelayanan Sosial Dinas Sosial Provinsi Bali.
Gambaran Keaktifan Lansia Mengikuti Posyandu Lansia Prasetya, Ni Putu Ayu Padmanila; Yanti, Ni Luh Putu Eva; Swedarma, Kadek Eka
Jurnal Ners Widya Husada Vol 6, No 3 (2019): NOVEMBER
Publisher : Universitas Widya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.947 KB) | DOI: 10.33666/jners.v6i3.354

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Masa lansia merupakan sebuah tahap akhir kehidupan yang penting untuk diperhatikan kesehatannya. Hal ini disebabkan karena lansia akan mengalami penurunan daya tahan fisik sehingga rentan terhadap penyakit yang dapat menyebabkan kematian. Pencegahan penyakit pada lansia dapat dilakukan dengan mengunjungi pelayanan kesehatan seperti puskesmas dan posyandu lansia. Posyandu lansia merupakan salah satu bentuk nyata pelayanan sosial dan kesehatan pada lansia. Penelitian ini bertujuan untuk mengetahui gambaran karakteritik, pengetahuan, dukungan keluarga dan keaktifan lansia mengikuti posyandu lansia di Desa Padangsambian Klod Kecamatan Denpasar Barat. Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Sampel terdiri dari 61 responden yang diperoleh dengan teknik purposive sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner dan daftar absensi kunjungan lansia ke posyandu lansia. Hasil penelitian menunjukkan bahwa 83,6% lansia yang mengikuti posyandu lansia berusia 60-74 tahun, 73,8% lansia yang mengunjungi posyandu lansia berjenis kelamin perempuan, 65,6% lansia tidak bekerja, 54,1% lansia memiliki pengetahuan kategori kurang baik, 57,4% lansia memiliki dukungan keluarga yang kurang baik, dan 63,9% lansia dikategorikan tidak aktif dalam mengikuti posyandu lansia di Desa Padangsambian Klod Kecamatan Denpasar Barat.Kata kunci: keaktifan, lansia, posyanduDESCRIPTION OF ELDERLY ACTIVITIES FOLLOWING THE ELDERLY POSYANDUABSTRACTElderly life is a final stage of life that is important to its health. It’s because of elderly will get decrease in physical endurance, so they are susceptible of disease that can cause death. To prevent disease among elderly can be done by visiting of health services such as Puskesmas and Posyandu for the elderly. Posyandu is a real form of social services and health among elderly. This study aimed to describe characteristics, knowledge, family support and participate among elderly take part in Posyandu for elderly in Padangsambian Klod Village, West Denpasar District. This study was a descriptive study with cross sectional design. Purposive Sampling was used to get sample that consist of 61 respondents. Data was collected using questionnaires and attendance lists among elderly in Posyandu for elderly. The results show that 83.6% of respondents who attended Posyandu for elderly were 60-74 years old, 73.8% of respondents who visited Posyandu for elderly were female, 65.6% of respondents did not work, 54.1% of respondents had poor knowledge, 57.4% of respondents had poor family support, and 63.9% of respondents were categorized as not active in participating of Posyandu for elderly in Padangsambian Klod Village, West Denpasar District. Keywords: elderly, participation, posyandu
PERBEDAAN TINGKAT KEPUASAN KERJA PERAWAT BERDASARKAN UNIT KERJA: LITERATURE REVIEW Ida Ayu Putri Saraswati; Ni Putu Emy Darma Yanti; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 9 No 4 (2021): Agustus 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.537 KB) | DOI: 10.24843/coping.2021.v09.i04.p12

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Job satisfaction could affect various aspects in nursing practice such as productivity, performance, patient safety, nursing outcomes and service quality. The work environment can influence the level of nurses’ job satisfaction so those nurses working in different work units may have different levels of job satisfaction. This is a..literature review which aims to determine different levels of nurses' job satisfaction in different work units. The literatur searching was carried out through Google Scholar, Proquest, PubMed and ScienceDirect databases with specific keywords. Ten articles were selected based on inclusion and exclusion criteria. The results show that there are differences in the level of job satisfaction among nurses working in outpatient, inpatient, intensive care and emergency units. Job satisfaction of nurses working in diverse work units can be influenced by different variables. Work unit characteristics, including unit type, adequacy of the number of nurses, nurse to patient ratio, number of patients, complexity of patient care, job stress, work schedule, relations with other health workers are factors that influence differences in job satisfaction for nurses in each unit. Hospital management needs to make an effective strategic plan as an effort to improve nurse job satisfaction. Improving the quality of the work environment and work arrangements are needed to reduce nurses' work stress and increase nurse job satisfaction so as to produce quality health services.
GAMBARAN TINGKAT STRES KERJA PERAWAT DI RUANG ISOLASI COVID-19 RSUD BALI MANDARA Kadek Lia Ari Pramadewi; Komang Menik Sri Krisnawati; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 9 No 5 (2021): Oktober 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.754 KB) | DOI: 10.24843/coping.2021.v09.i05.p11

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Work stress is an emotional condition caused by workload and individual’s ability to cope their job demands. Nurses’ work stress during COVID-19 pandemic may occur due to high workload, dealing with patients’ death and dying, personal demands and fears, personal protection equipment usage, stigma, and risk of infection. The purpose of this study was to determine the description of the work stress level of nurses in COVID-19 isolation department of Bali Mandara hospital. This research was a descriptive quantitative study using total sampling technique. Samples in this study were 74 respondents. The results showed that the majority of nurses had an age range 26-35 years old (77,0%), female (66,2%), nursing diplome degree (52,7%), and nursing working experience <3 years (64,9%). Nurses’ work stress level were dominantly at mild work stress level (56,8%) and moderate work stress level (43,2%). The majority nurses who have moderate work stress level are 26-35 years old (81,3%), female (62,5%), bachelor degree/Ners (53,1%), and nursing working experience <3 years (68,8%).
HUBUNGAN FAKTOR PSIKOLOGIS DENGAN RISIKO BUNUH DIRI PADA REMAJA SMA DAN SMK DI BANGLI DAN KLUNGKUNG Ni Kadek Diah Widiastiti Kusumayanti; Kadek Eka Swedarma; Putu Oka Yuli Nurhesti
Coping: Community of Publishing in Nursing Vol 8 No 2 (2020): Agustus 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.224 KB) | DOI: 10.24843/coping.2020.v08.i02.p03

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Suicide are currently increasing throughout the world including in Indonesia and it makes suicide become the second leading cause of death at the age of 15 to 29 years old. The cause of suicide cannot be exactly identified. However, there are several factors contribute to suicide such as psychology, biology, family, environment, and sexual orientation. This study aimed at analyzing the correlation among psychological factors (hopelessness, depression, anxiety and stress) with suicide risk in senior and vocational high school adolescents in Bangli and Klungkung Regency. Population in this study was senior and vocational high school adolescents in Bangli and Klungkung whose ages ranging from 15 to 18 years. The sampling technique applied in this research was Non Probability Sampling with Purposive Sampling technique. The instruments used in this study were standard questionnaires named Beck Hopelessness Scale, Depression Anxiety and Stress Scale, and Scale of Suicide Ideation. The results of this study showed p <0.001. It means that there is a meaningful relationship between psychological factors and suicide risk in senior and vocational high school adolescents in Bangli and Klungkung. Moreover, it has a positive correlation which means that the more psychological factors are, the more suicide risk will be. Furthermore, the less psychological factors, the less its risk of suicide will be. Lastly, the strength of the correlation among variables is found weak.
HUBUNGAN KECANDUAN INTERNET DENGAN GEJALA DEPRESI PADA REMAJA Ni Komang Trisna Prihayanti; Kadek Eka Swedarma; Putu Oka Yuli Nurhesti
Coping: Community of Publishing in Nursing Vol 9 No 3 (2021): Juni 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.23 KB) | DOI: 10.24843/coping.2021.v09.i03.p14

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Gangguan mental yang umumnya dialami oleh remaja adalah depresi. Dewasa ini, penyebab terjadinya depresi pada remaja salah satunya yaitu kecanduan internet. Penelitian ini bertujuan untuk mengetahui hubungan antara kecanduan internet dengan gejala depresi pada remaja di SMAN 2 Denpasar. Penelitian ini menggunakan rancangan deskriptif korelatif dengan pendekatan cross sectional. 100 orang siswa terpilih menjadi responden penelitian dengan menggunakan teknik stratified random sampling. Dua instrumen digunakan pada penelitian ini, yakni Internet.Addiction.Test. (IAT) dan Beck Depression.Inventory (BDI). Hasil penelitian menunjukkan mayoritas responden menggunakan internet dengan tujuan mengakses media sosial, menggunakan smartphone sebagai perangkat utama untuk mengakses internet, menggunakan internet pertama kali pada usia ?12 untuk laki-laki dan <12 tahun untuk responden perempuan serta <12 tahun untuk responden yang berusia <16 tahun dan ?12 tahun untuk responden yang berusia ?16 tahun, dan mayoritas menggunakan internet selama 4-6 jam. Sebagian besar responden mengalami kecanduan internet sedang dan mayoritas tidak mengalami gejala depresi. hubungan yang signifikan lemah dengan.arah positif antara kecanduan internet dengan gejala depresi pada remaja ditemukan pada pada penelitian ini dengan.p 0,012 (p<0,05; r = 0,252). Hal ini berarti terdapat hubungan antara.kecanduan.internet.dengan.gejala.depresi.pada.remaja.di.SMAN 2 Denpasar. Penelitian ini diharapkan dapat menjadi landasan bagi orang tua untuk lebih memperhatikan penggunaan internet dan menggunakan internet sesuai kebutuhan.
PENGARUH EDUKASI DUA LINTAS TERHADAP JUMLAH, JENIS, DAN JADWAL MAKAN PENDERITA DM TIPE 2 I Putu Arya Sedana; Made Sukarja; Kade Eka Swedarma
Coping: Community of Publishing in Nursing Vol 6 No 3 (2018): Desember 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Kontrol glikemik yang buruk pada orang dengan DMT2 ditunjukkan dengan perilaku makan yang tidak sehat. Itu berarti orang dengan T2DM masih membutuhkan pengobatan untuk meningkatkan kontrol glikemik. Pendidikan dua arah adalah salah satu pendidikan yang mengandung pendidikan gizi dan penyelesaian masalah yang meningkatkan pengetahuan dan melibatkan orang-orang dengan T2DM secara aktif dalam proses pendidikan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pendidikan dua arah terhadap jumlah, jenis, dan jadwal makan penderita T2DM. Penelitian ini adalah eksperimen quasy yang menggunakan Nonequivalent Control Group Design. Jumlah sampel dalam penelitian ini adalah 30 orang yang 15 orang di setiap kelompok yang dipilih dengan metode Purposive Sampling. Penelitian ini menggunakan EFR 3x24 jam sebagai instrumen untuk pretest dan posttest. Pretest-posttest menunjukkan jumlah (p = 0,008) dan jadwal (0,000) makan pada kelompok intervensi berbeda secara signifikan. Hasil penelitian ini juga menunjukkan ada pengaruh pendidikan dua arah terhadap jumlah (p = 0,001) dan waktu (p = 0,038) orang yang makan T2DM di Wilayah Kerja Puskesmas II Denpasar Barat. Dua cara pendidikan perlu disampaikan kepada orang-orang dengan T2DM untuk meningkatkan pengetahuan dan pemecahan masalah. Kata kunci: DM tipe 2, pendidikan dua arah, jumlah, tipe, dan jadwal makan ABSTRACT Bad glycemic control in people with T2DM shown with unhealthy eating behavior. It mean people with T2DM still need treatment to improve glycemic control. Two ways education is one of education which contain nutrition education and problem solving that improve knowledge and involve people with T2DM actively in education process. Aim of this study is to determine the effect of two ways education on amount, type, and schedule of eating people with T2DM. This study is a quasy experiment which use Nonequivalent Control Group Design. Number of sample in this study is 30 peoples which 15 peoples in each group which selected with Purposive Sampling method. This study use EFR 3x24 hours as instrument for pretest and posttest. Pretest-posttest showed amount (p=0,008) and schedule (0,000) of eating in intervention group was significantly different. This study result also showed there is effect of two ways education on amount (p=0,001) and time (p=0,038) of eating people with T2DM at Puskesmas II West Denpasar Working Area. Two ways education needs to be delivered to people with T2DM to improve knowledge and problem solving. Keywords: type 2 DM, two ways education, amount, type, and schedule of eating
HUBUNGAN WELAS ASIH DIRI DENGAN CITRA TUBUH PADA REMAJA DI SMA NEGERI 2 SEMARAPURA Pande Putu Ayu Erismadewi; Kadek Eka Swedarma; Gusti Ayu Ary Antari
Coping: Community of Publishing in Nursing Vol 10 No 1 (2022): Februari 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.892 KB) | DOI: 10.24843/coping.2022.v10.i01.p06

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Tekanan pada citra tubuh merupakan masalah psikososial yang sering dialami oleh remaja. Citra tubuh yang rendah atau negatif dapat memberikan dampak yang buruk pada perkembangan remaja. Salah satu faktor yang mempengaruhi citra tubuh adalah welas asih diri. Welas asih diri dapat meningkatkan pemikiran positif tentang penerimaan penampilan seseorang dan berpikir positif mengenai diri sendiri sehingga diharapkan dapat membentuk citra tubuh yang tinggi atau positif pada remaja. Penelitian ini bertujuan untuk mengetahui hubungan antara welas asih diri dengan citra tubuh pada remaja di SMA Negeri 2 Semarapura. Metode penelitian yang digunakan adalah kuantitatif dengan rancangan penelitian cross-sectional. Sampel dalam penelitian ini sebanyak 183 responden yang dipilih dengan teknik simple random sampling. Pengumpulan data welas asih diri diukur menggunakan kuesioner Self-Compassion Scale (SCS) dan citra tubuh diukur menggunakan kuesioner Multidimensional Body Self Relational Questionnaire-Appearance Scale (MBSRQ-AS). Hasil analisis univariat menunjukkan sebagian besar remaja memiliki welas asih diri yang sedang sebanyak 136 responden (74,3%) dan memiliki citra tubuh yang tinggi sebanyak 106 responden (57,9%). Analisis data dengan menggunakan uji korelasi Spearman Rank mendapatkan hasil bahwa terdapat hubungan lemah dengan arah hubungan positif yang siginfikan antara welas asih diri dengan citra tubuh pada remaja di SMA Negeri 2 Semarapura (p = 0,000 ; r = 0,325). Peneliti merekomendasikan kepada sekolah dan petugas kesehatan agar bersama-sama membuat dan mendukung program dalam mengurangi tekanan psikologis remaja salah satunya dalam mewujudkan citra tubuh yang positif melalui edukasi pentingnya penanaman rasa welas asih dalam diri remaja.
HUBUNGAN ANTARA DUKUNGAN KELUARGA DENGAN KEMAMPUAN MELAKUKAN PERAWATAN PALIATIF ANAK KANKER DI RUMAH SINGGAH YAYASAN PEDULI KANKER ANAK BALI Ni Putu Sri Fatmiwiryastini; Kadek Cahya Utami; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 9 No 4 (2021): Agustus 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.854 KB) | DOI: 10.24843/coping.2021.v09.i04.p09

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Cancer is the leading cause of death of children and adolescents in the world. Children with cancer experience various problems both physical and psychological that affect the quality of life of the patient, so it needs holistic treatment or known as palliative care. Palliative care is a community-based treatment to improve the quality of life of children with cancer. Parents have an important role in providing palliative care for children with cancer. This study aims to determine the correlation family support and the ability to perform palliative care of cancer children. This study is used a cross sectional correlative descriptive design selected by accidental sampling technique. The questionnaire used was a demographic questionnaire, a family support questionnaire and a palliative care ability questionnaire. The results of this study indicate 70% of respondents have less family support and 45% of respondents have good palliative care abilities. This study resulted that there is a significant strong and positive correlation the level of family support and the ability of parents to do palliative care for cancer children (p value = 0.001; r = 0.664; a = 0.05). Based on these results it is hoped that family can increase the provision of support so as to improve the ability of palliative care of cancer children.
GAMBARAN PERILAKU KESELAMATAN WISATA WAHANA AIR OLEH PENGELOLA DI TANJUNG BENOA Nyoman Adi Artha; Kadek Eka Swedarma; Komang Menik Sri Krisnawati
Coping: Community of Publishing in Nursing Vol 8 No 3 (2020): Oktober 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.702 KB) | DOI: 10.24843/coping.2020.v08.i03.p08

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The behavior of water sport tourism managers in the effort of tourist safety is a behavior which involves knowledge, attitudes, and actions of water sport tourism managers in an effort to maintain the safety of tourists when playing water sport. The safety of tourists depends on the manager, which includes knowledge, attitudes, and actions. The purpose of this study is to know the description of the knowledge, attitudes, and actions of water sport tourism managers in Tanjung Benoa in an effort to maintain tourist safety. This research is a descriptive study with a quantitative method consisting of 38 samples obtained through purposive sampling. Data collection is done by distributing questionnaires to find out the description of knowledge, attitudes, and actions. Based on the results of the study the results obtained on the knowledge variable has a percentage of good knowledge that is 86.8% and sufficient knowledge of 13.2%. On the attitude variable the percentage of respondents who have good attitudes is 86.8% and bad attitude is 13.2%. Respondents in the action variable had a percentage of good actions is 81.6% and bad actions 18.4%. Therefor it can be concluded that the water sport tourism manager in Tanjung Benoa has good behavior because more than 81% get good grades in each variable. Suggestions for managers of water sport are consistent & sustainable in conduct training to all managers in order to maintain and improve the behavior of managers.