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HUBUNGAN SELF-MANAGEMENT DENGAN KUALITAS HIDUP LANSIA HIPERTENSI Gusti Nyoman Mega Utami; Desak Made Widyanthari; Ni Kadek Ayu Suarningsih
Coping: Community of Publishing in Nursing Vol 9 No 6 (2021): Desember 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 (213.471 KB) | DOI: 10.24843/coping.2021.v09.i06.p10

Abstract

Hypertension is a chronic disease that often occurs in elderly. Increased blood pressure in hypertension will have an impact on decreasing life quality of the elderly. Self-management plays an important role in controlling blood pressure to prevent further symptoms and complications. This study intended to define the relationship among self-management and life quality of elderly with hypertension in the working area of ??Buleleng I Public Health Center. This study was a correlative study with a cross-sectional design on 30 elderly with hypertension selected through consecutive sampling technique. The research instruments used were Hypertension Self-Management Behavior Questionnaire and Older People's Quality of Life questionnaire. The results indicated the average score of self-management and quality of life of the elderly were in good category. The results of the Spearman Rank test showed statistically there was a positive and very strong relationship among self-management and the quality of life of the elderly with hypertension in the working area of ??the Buleleng I Public Health Center (p = 0,000; r = 0,810). Elderly with hypertension were expected to improve self-management through the implementation of a healthy lifestyle and regular medical check up to the health services to improve life quality.
Pemeriksaan Ankle Brachial Index (ABI) Post Exercise Pada Pasien Diabetes Melitus dengan Peripheral Arterial Disease Desak Made Widyanthari; Ratna Sitorus; Yulia -
Coping: Community of Publishing in Nursing Vol 4 No 1 (2016): APRIL 2016
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 (163.716 KB)

Abstract

The examination of Ankle Brachial Index (ABI) is one method to detect the presence of Peripheral Arterial Disease (PAD) in Diabetic patients. Inaccuracy the diagnosis of PAD results in the inadequate treatment of PAD and this can lead to serious problems such as  amputations, impaired functional capacity, low quality of life and depression. This study aims to determine differences ABI examination Pre and Post Exercise in diabetic patients with intermittent claudication. This study design was  one group pre-post test with  17 samples. The test were analyzed using dependent t test and showed  a significant differences ABI value pre and post exercise on the right foot with  p value of 0.004 and the left foot with  p value of  0.000. This study showed  the measurement of ABI post exercise more objective for the diagnosis of PAD in diabetic  patients with intermittent claudication or suspected PAD.
HUBUNGAN KADAR GULA DARAH PUASA DENGAN PH SALIVA PADA PENDERITA DIABETES MELITUS (DM) TIPE 2 Pande Ebin Anisa Putri; Desak Widyanthari Made Widyanthari; I Gusti Ngurah Juniartha
Coping: Community of Publishing in Nursing Vol 9 No 6 (2021): Desember 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 (169.609 KB) | DOI: 10.24843/coping.2021.v09.i06.p04

Abstract

Saliva’s acidity (pH) has an important role in maintaining oral health. One of the factors that cause changes in salivary pH is the fasting blood sugar levels which caused by Type 2 Diabetes Mellitus (DM). This research was aims to determine the correlation of an increase in fasting blood sugar levels with changes of salivary pH in patients with type 2 DM in the work area of Puskesmas II Denpasar Timur. This study is a quantitative research that used correlative analytics design with cross-sectional study model approach. The sampling methods used purposive sampling which is a total of 30 respondents. The data collection of fasting blood sugar levels and salivary pH is done directly by the patients (door to door). Correlation test results using Pearson Product Moment, it showed that fasting blood sugar levels and salivary pH on patients with type 2 of DM in the work area of Puskesmas II Denpasar Timur has a weak and negative correlation (p = 0,03; r = -0,393), which means that the higher fasting blood sugar levels it will causes of decreasing salivary pH. This study is expected to be beneficial for who has type 2 DM to control their blood sugar levels so that oral health complications caused by decreasing of salivary pH could be prevented.
HUBUNGAN PENGALAMAN SPIRITUALITAS DENGAN PERILAKU SELF MANAGEMENT PADA PASIEN DIABETES MELITUS DI PUSKESMAS GIANYAR I Ni Made Sri Dharmayanti; Desak Made Widyanthari; I Kadek Saputra
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 (245.394 KB) | DOI: 10.24843/coping.2021.v09.i05.p10

Abstract

Diabetes mellitus is a chronic disease that requires patients’ active role in self management to prevent life-threatening complications such as hypoglycemia, neuropathy, heart disease, and stroke. Diabetes self management is important for the patient to achieve optimal diabetes management and spirituality experience is one of the factors that can affect diabetes self management behavior in patients. The purpose of this study was to determine the correlation between spirituality experience and self management behavior of diabetes mellitus patients in Puskesmas Gianyar I. This study was a descriptive correlative study with a cross-sectional approach. A total of 37 respondents were selected by consecutive sampling technique which majority of respondents were male (67.6%) and the age range between 56 to 65 years (40.5%). Data were collected for a month from March to April 2021 with research instruments used in this study were the Daily Spiritual Experience Scale (DSES) to measure spirituality experiences and the Diabetes Self Management Questionnaire (DSMQ) to measure self-management behavior. Spearman's rank statistical test (? = 0.05) obtained p-value = 0.007; r = 0.437 indicates a significant correlation between spirituality experiences and self-management behavior of diabetic patients. The spirituality experiences provide support, strength, and confidence in dealing with an illness that will be related to self-management behavior. The result of this study is expected to be a reason for health services and nurses to understand more about patient spirituality experience aspects and diabetes self management behavior.
HUBUNGAN AKTIVITAS FISIK DENGAN KUALITAS TIDUR PADA PASIEN DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS II DENPASAR BARAT Komang Hadpani; Desak Made Widyanthari; Made Oka Ari Kamayani
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 (362.757 KB) | DOI: 10.24843/coping.2020.v08.i02.p11

Abstract

Diabetes Mellitus (DM) is a metabolic disorder because the pancreas does not produce enough insulin or body does not capable to use insulin effectively. Poor sleep quality is often happens in patient with type 2 DM because of the sleep disorder. One of the effort to increasing sleep quality are by doing physical activities. This studi aimed to determine the correlation between physical activities and sleep quality among patients with Type 2 Diabetes Mellitus at wilayah kerja Puskesmas II Denpasar Barat. This study was a descriptive correctional and cross sectional study model approach. The samples in this study are 30 respondents obtained with purposive sampling methods. Physical activities and sleep quality data are used the International Physical Activity Questionnare and Pittsburgh Sleep Quality Index Questionnare. The result of the Spearman Rank correlation test showed that are positif relation between physical activities and sleep quality of patient with Type 2 DM at wilayah kerja Puskesmas II Denpasar Barat (r = 0.817; p=0.01), which means that lower physical activity, the worse the sleep quality of patients with type 2 DM. The result of this research is expected to be used as a guide in observing daily physical activities for increasing sleep quality.
The Correlation between Body Mass Index (BMI) and Salivary PH on Type 2 Diabetes Mellitus Patients in Work Area of Health Center III North Denpasar Ni Kadek Desi Ayani; I Gusti Ngurah Juniartha; Desak Made Widyanthari
Journal of A Sustainable Global South Vol 6 No 1 (2022): February 2022
Publisher : Institute for Research and Community Services Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/jsgs.2022.v06.i01.p01

Abstract

The existence of epidemiological transitions and the shift of infectious diseases into non-infectious diseases cause high degenerative and chronic diseases such as Diabetes Mellitus (DM). There are several types of diabetes mellitus, but of all types, type 2 diabetes mellitus is DM, which has the highest prevalence of around 90-95% of all DM patients in the world. The increase in the number of people with Type 2 DM is caused by many factors, such as excessive weight or overweight and obesity. Determination of more nutritional status or overweight can be seen from the Body Mass Index (BMI). High BMI is associated with blood sugar instability and the potential for complications such as micro vascular complications, namely neuropathy. Neuropathy causes problems in the sympathetic and parasympathetic nerves which will have an impact on changes in the salivary acidity. This study was a correlation study with a cross sectional approach. The sample in this study amounted to 41 participants chosen by consecutive sampling technique. Data collection was done by measuring height, weight, and salivary pH. Correlation analysis used Pearson Product Moment with a confidence interval of 95% (? = 0.05). The results of the Pearson Product Moment statistical test indicated that the correlation coefficient r=-0.398, and the Sig. value 0.010 (p <0.05). This result indicated that there was a weak negative correlation between BMI and salivary pH on Type 2 DM which means the higher BMI value, the lower salivary pH on Type 2 DM.
HUBUNGAN ANTARA PEMENUHAN KEBUTUHAN SPIRITUAL DENGAN TINGKAT STATUS MENTAL PADA ORANG DENGAN GANGGUAN JIWA (ODGJ) Kadek Verlyanita Septiarini; Ni Made Dian Sulistiowati; Desak Made Widyanthari
Jurnal Ilmu Keperawatan Jiwa Vol. 1 No. 2 (2018): November 2018
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.528 KB) | DOI: 10.32584/jikj.v1i2.148

Abstract

THE CORRELATION BETWEEN FULFILLMENT OF SPIRITUAL NEEDS AND MENTAL STATUS LEVEL IN PEOPLE WITH PSYCHIATRIC DISORDER (ODGJ) ABSTRACTThe fulfillment of spiritual needs was required by the people with Psychiatric Diorder (ODGJ), considering the spiritual needs are very important in the change of mental status. This study was aimed to finding out the correlation between Fulfillment of Spiritual Needs and Mental Status Level in people  with Psychiatric Disorder (ODGJ) at Wilayah Kerja Puskesmas II Denpasar Timur. This was a quantitative study that applies cross -sectional method. The sample for this study is 69 respondents by using purposive sampling technique. The data are analyzed by using Spearman-Rho. The instruments which are used for collecting data of this study are a questionnaire about spiritual fulfillment and Mini Mental State Examination (MMSE) questionnaires.The results showed the number of loading spiritual needs either as much as 46 respondents or 66.7%. Meanwhile, most of the respondet has a high level of mental status that is 37 respondents or 53.6%. The result of the analysis shows that there is a correlation between fulfillment of spiritual needs and Mental Status Level on ODGJ with p value 0.000 with positive correlation 0,863 and positive direction. Based on the findings above, it is advisable to the nurse to make programs related to the spiritual such as routine joint prayer and ODGJ peguyuban which is spiritual meaning. 
GAMBARAN POST-ACUTE COVID-19 SYNDROME PADA PASIEN PASCA TERINFEKSI CORONAVIRUS DISEASE 2019 I Gusti Ayu Julia Arsita Devie; Ni Kadek Ayu Suarningsih; Indah Mei Rahajeng; Desak Made Widyanthari
Coping: Community of Publishing in Nursing Vol 10 No 3 (2022): Juni 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 (461.155 KB) | DOI: 10.24843/coping.2022.v10.i03.p13

Abstract

Post-acute COVID-19 syndrome merupakan gejala menetap dalam jangka waktu yang lebih lama pada pasien yang telah sembuh dari COVID-19. Gejala COVID-19 yang berkepanjangan berdampak pada kesehatan fisik hingga psikologis. Penelitian ini bertujuan untuk mengetahui gambaran post-acute COVID-19 syndrome pada pasien pasca terinfeksi corona virus disease 2019. Sampel penelitian berjumlah 30 orang pasien pasca perawatan dengan COVID-19 yang dipilih menggunakan teknik nonprobability sampling dengan teknik quota sampling. Hasil penelitian menunjukkan bahwa rata-rata usia dari responden pasien pasca terinfeksi COVID-19 adalah 29 tahun dan mayoritas berjenis kelamin perempuan. Sebagian besar menjalani perawatan COVID-19 melalui isolasi mandiri (56,7%) dengan rata - rata lama perawatan 12,8 hari. Gejala yang paling umum dilaporkan selama atau sebelum terinfeksi COVID-19 adalah kehilangan rasa dan bau, batuk, demam, kelelahan, dan sakit tenggorokan. Sedangkan, gejala yang menetap 1 - 2 minggu pasca dinyatakan sembuh dari infeksi COVID-19 yang umum dilaporkan adalah kelelahan, batuk, kehilangan rasa dan bau, sakit tenggorokan, serta sesak napas. Gejala batuk menetap dengan karakteristik batuk berlendir atau berdahak terjadi pada 26,7% pasien. Sesak napas yang dialami 1 - 2 minggu setelah terinfeksi COVID-19, 83,3% diantaranya mengalami sesak napas ketika melakukan aktivitas dengan kategori ringan. Selain itu, mayoritas yang mengalami gejala kelelahan setelah 1 - 2 minggu pasca terinfeksi COVID-19 berada pada kategori berat.
GAMBARAN TINGKAT DIGITAL HEALTH LITERACY PENDERITA DIABETES MELITUS DI PUSKESMAS BULELENG I PADA MASA PANDEMI COVID-19 I Gusti Ayu Putu Anggitha Puja Laskmi Dewi; Indah Mei Rahajeng; Ni Kadek Ayu Suarningsih; Desak Made Widyanthari
Coping: Community of Publishing in Nursing Vol 10 No 5 (2022): Oktober 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 (220.829 KB) | DOI: 10.24843/coping.2022.v10.i05.p11

Abstract

Pandemi COVID-19 menyebabkan adanya keterbatasan penderita Diabetes Melitus (DM) dalam mengakses pelayanan kesehatan di Indonesia. Peningkatan angka kejadian DM pada masa pandemi COVID-19 terjadi di Kabupaten Buleleng khususnya Puskesmas Buleleng I. Pemerintah menganjurkan untuk memanfaatkan teknologi informasi dalam manajemen mandiri penderita DM. Kemampuan akses teknologi dan informasi kesehatan dalam manajemen mandiri DM dapat ditinjau dari tingkat digital health literacy. Penelitian ini bertujuan untuk mengetahui gambaran tingkat digital health literacy pada penderita DM di Puskesmas Buleleng I pada masa pandemi COVID-19. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan jenis penelitian deskriptif analitik dengan pendekatan survei. Responden penelitian sebanyak 67 orang didapatkan melalui teknik consecutive sampling. Analisis data menggunakan analisis statistik deskriptif. Hasil penelitian menunjukkan tingkat digital health literacy rendah (50,7%). Digital health literacy rendah disertai dengan karakteristik responden meliputi usia rentang 57-66 tahun (32,8%), berjenis kelamin laki-laki (31,3%), lama menderita DM selama 1-5 tahun (41,4%), dan berpendapatan <UMK (47,8%).
PENGARUH PENDIDIKAN KESEHATAN MELALUI WHATSAPP TERHADAP PENGETAHUAN DAN SIKAP REMAJA KELAS X PADA PENCEGAHAN SEKS PRANIKAH DI SMK NEGERI 5 DENPASAR Dewa Gede Wirahadi Putra; I Gusti Ayu Pramitaresthi; Desak Made Widyanthari
Coping: Community of Publishing in Nursing Vol 10 No 4 (2022): Agustus 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 (289.559 KB) | DOI: 10.24843/coping.2022.v10.i04.p05

Abstract

Remaja mengalami perubahan fisik dan hormonal yang menyebabkan mulai timbulnya dorongan seksual. Timbulnya dorongan seksual dapat memicu remaja untuk melakukan aktivitas seksual termasuk seks pranikah. Pencegahan seks pranikah dapat melalui pendidikan kesehatan untuk meningkatkan pengetahuan dan sikap remaja. Pendidikan kesehatan melalui WhatsApp dapat dimanfaatkan sebagai media untuk menyebarkan informasi kesehatan kepada remaja. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan melalui WhatsApp mengenai pencegahan seks pranikah terhadap pengetahuan dan sikap remaja di SMK Negeri 5 Denpasar. Penelitian ini adalah penelitian pre-experiment dengan rancangan penelitian pretest-posttest one group design. Sampel dari penelitian ini dipilih dengan menggunakan proportionate stratified random sampling. Sampel pada penelitian ini sebanyak 46 orang yang diberikan berupa pesan pendidikan kesehatan melalui WhatsApp sebanyak tiga kali dalam seminggu selama dua minggu. Uji statistik yang digunakan pada penelitian ini yaitu uji t-test berpasangan dan uji Wilcoxon. Hasil uji statistik menunjukkan terdapat perbedaan pengetahuan (p < 0,001) dan sikap (p = 0,001) sebelum dan sesudah intervensi. Pemberian pendidikan kesehatan melalui WhatsApp berpengaruh terhadap pengetahuan dan sikap remaja mengenai pencegahan seks pranikah di SMK Negeri 5 Denpasar.