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I Wayan Surasta
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh senam kaki diabetes terhadap neuropati perifer sensori pada pasien diabetes mellitus tipe 2 Kadek Sri Rosiani; Desak Made Widyanthari; I Wayan Surasta
Coping: Community of Publishing in Nursing Vol 6 No 1 (2018): April 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Sensory peripheral neuropathy (NPS) adalah komplikasi mikrovaskular jangka panjang dari diabetes mellitus tipe 2 (DM) yang sebagian besar menyebabkan amputasi. Pencegahan yang bisa digunakan adalah latihan kaki diabetik. Penelitian ini bertujuan untuk mengetahui pengaruh latihan kaki diabetik terhadap NPS pada pasien DM tipe 2 di Puskesmas III Denpasar Utara. Penelitian ini adalah eksperimen semu dengan desain kelompok kontrol pretest-posttest. Sampel adalah 20 responden yang dipilih dengan teknik sampling jenuh dan dibagi menjadi kelompok intervensi dan kontrol. Data dikumpulkan dengan pemeriksaan NPS dengan Semmes Weinstein Monofilament 10g di delapan lokasi uji di kedua kaki. Studi ini menemukan ada perubahan level NPS yang 70% NPS moderat menjadi 70% NPS ringan pada kelompok intervensi, sedangkan perubahan levelnya adalah 20% menjadi 40% NPS parah dalam kontrol. Hasil uji Mann-Whitney menemukan bahwa p <? (p = 0,000; ? = 0,05), dapat disimpulkan bahwa ada pengaruh yang signifikan dari latihan kaki diabetik terhadap NPS pada pasien DM tipe 2 di Puskesmas III Denpasar Utara. Berdasarkan penelitian ini, direkomendasikan kepada praktisi perawatan kesehatan untuk mempromosikan latihan kaki diabetik sebagai terapi tambahan sebagai pencegahan primer dan sekunder dari NPS. Kata kunci: latihan diabetes, diabetes melitus, neuropati ABSTRACT Sensory peripheral neuropathy (NPS) is long term microvascular complication of type 2 diabetes mellitus (DM) that mostly lead to amputation. A prevention that can be used is diabetic foot exercise. This study aims to determine the effect of diabetic foot exercise to NPS in type 2 DM patient in Puskesmas III Denpasar Utara. This study was quasy experimental with pretest-posttest control group design. Sample was 20 respondents which chosen by saturated sampling technique and divided into intervention and control group. Data collected by NPS examination with Semmes Weinstein Monofilament 10g in eight test sites in both feet. This study found there were change level of NPS which 70% moderate NPS to 70% mild NPS in intervention group, while the level change was 20% to 40% severe NPS in control. The result of Mann-Whitney test found that p<? (p=0,000; ?=0,05), it could be concluded that there was significant effect of diabetic foot exercise to NPS in type 2 DM patient in Puskesmas III Denpasar Utara. Based on this study, it is recommended to health care practitioner to promote diabetic foot exercise as adjuvant therapy as primary and secondary prevention of NPS. Keyword: Diabetic Exercise, Diabetes Mellitus, Neuropathy
ACTIVE LOWER RANGE OF MOTION BERBANTU KAYU REFLEKSI MENINGKATKAN KELEMBABAN KAKI PASIEN DIABETES MELITUS TIPE II Ni Made Ayu Rahayuni; I Made Sukarja; I Wayan Surasta
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 (223.205 KB) | DOI: 10.24843/coping.2022.v10.i01.p03

Abstract

Sudomotor autonomic neuropathy decrease the function of the sweat glands (eccrine) so that the skin of the foot becomes dry and cracked may predispose the diabetic foot. This study aimed to determine the effect of active lower range of motion assisted by wooden reflexology roller on the foot moisture of diabetic patient. In this quasi-experimental research with pre and post-test design with the control group, 36 diabetic patients with T2DM ?3 years, aged ?50 years, and did not have diabetic or gangrenous ulcers were grouped into the treatment group, which was given an active lower range of motion assisted by wooden reflexology roller, and the control group, which was given standard treatment. The average humidity of the treatment group increased from 24.75% to 43.48% with the p-value 0,000 (? = 0,05). While the control group’s feet moisture increased from 27.1% to 32.4% with a p-value 0.000. The p-value of independent sample t-test between treatment group and control resulted 0,000 (? = 0,05). According to the results, it can be concluded that there was a significant influence between active role ROM assisted wood reflection and the moisture of DM type II patient's feet.
PENGARUH PEER EDUCATION TERHADAP PERILAKU PERSONAL HYGIENE GENETALIA DALAM PENCEGAHAN KANKER SERVIKS PADA REMAJA PUTRI Ayu Ervyna; Putu Ayu Sani Utami; I Wayan Surasta
Coping: Community of Publishing in Nursing Vol 3 No 2 (2015): JURNAL EDISI MEI-AGUSTUS 2015
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Cervical cancer is a malignancy that occurs on the cervix, caused by the Human Pavilloma Virus (HPV) and it can arise due to personal hygiene of female genital organ poorly. The purpose of this study is to determine the influence of peer education againts the personal hygiene behavior of female genital organ in cervical cancer prevention. Type of research used is pre experimental approach with one group pre-post design. The sample consisted of 41 persons who were selected by systematic random sampling. The results of the analysis data used the Wilcoxon test and it was obtained the significant average difference with knowledge has a value of p = 0.000; ? <0.05, attitude has a value of p = 0.000; ? <0.05 and action has a value of p = 0.000; ? <0.05, it means that peer education effects the change of personal hygiene behavior of the female genital organ in the prevention of cervical cancer in teenage girls. The health education through peer education againts the personal hygiene behavior of female genital organ can be able to simultaneously empower and make independent teenage girls in acquiring knowledge that will be shaping positive attitudes and behavior. It is expected that the school management plan of PKPR which is forming peer groups in every school in order to improve teen’s knowledge of reproductive health.
Model of fulfilling basic needs for the elderly at home based on Balinese culture I Ketut Suardana; I Wayan Surasta; Made Liandana; I Made Mertha; Ni Luh Putu Sri Erawati
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 1 (2025): March 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i1.433

Abstract

The problems that exist in society related to the elderly are mainly in meeting basic needs, and there is a tendency to get depression. Decreased body function in the elderly can affect physical, mental, and psychosocial changes. This study aims to identify patterns of improvement in the basic needs of the elderly and identify models of basic needs services for the elderly. This research uses a qualitative design where researchers conduct FGDs with in-depth interviews. The sample was taken by purposive random sampling with a sample of 35 people who were divided into six groups. The results of the study showed a discussion rate of 29% for the topic of life support, psychological counseling at 26%, services provided by the family at 18%, care and daily life at 17%, and attitudes of the elderly at 3%. The elderly's life support for walking or toilets is 44%. Tools for asking for help is 31%. The most discussed psychological problem is the exceptional attention level of 77%. The desired service is for families to pay attention to the elderly, which is 38%. Most eating and drinking services are daily care related to defecation assistance (24%), and the attitude of the elderly when they need help is to convey it to trusted people (23%). The importance of integrating comprehensive care models that prioritize the physical, emotional, and social needs of the elderly. By fostering collaboration among families, caregivers, and healthcare professionals, it is possible to create a supportive ecosystem that empowers elderly individuals to lead fulfilling lives.
Co-Authors Ayu Ervyna Desak Made Widyanthari I Ketut Suardana I Made Sukarja Kadek Sri Rosiani Made Liandana Made Mertha Ni Luh Putu Sri Erawati Ni Made Ayu Rahayuni Putu Ayu Sani Utami