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All Journal Jurnal Ners Indonesia Bali Medika Jurnal Jurnal Keperawatan Malang (JKM) Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Jurnal Kesehatan
Nyoman Eta Risnawati
STIKES Bina Usada Bali
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH PEER LEADER SUPPORT TERHADAP KEPATUHAN MINUM OBAT ORANG DENGAN HIV AIDS Gede Arya Bagus Arisudhana; Ni Putu Dita Wulandari; Nyoman Eta Risnawati; Desak Putu Cristine Monica
Jurnal Ners Indonesia Vol 12 No 2 (2022): MARET 2022
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jni.12.2.134-141

Abstract

Adherence to taking medication was so important to suppress HIV suppression. Maintaining compliance can be done using a peer support intervention approach. The purpose of this study was to determine the effect of peer leader support on medication adherence of people living with HIV/AIDS. The research method used is one group pre-test post-test. The sample in this study was determined using a consecutive technique, with a total sample of 25 respondents. The Antiretroviral Adherence Scale was used to measure the adherence level. The peer leader support treatment procedure was based on empowerment, self-management, experience exploration, motivation, and problem-solving in a systematic way and administered for 14 weeks. The data analysis used paired t-test. The results showed that there was an increase in the average value of adherence before being given the intervention (3.04) and after being given the intervention (4.40). The bivariate analysis result obtained p-value < 0.000 (α = 0.05). Based on the value of p<α, the peer leader support was affected adherence to taking medication in PLWHA. It is necessary to conduct a peer intervention model to explore changes in viral load and CD4 cell values associated with ARV adherence
Pemberdayaan Masyarakat Melalui Peer Support Group dalam Meningkatkan Sumber Daya Psikologis Populasi Kunci HIV: Community Empowerment Through Peer Support Group In Improving HIV Key Population Psychological Gede Arya Bagus Arisudhana; Made Ririn Sri Wulandari; Nyoman Eta Risnawati; Desak Putu Cristine Monica
Jurnal Pengabdian Kepada Masyarakat : Kesehatan Vol. 2 No. 3 (2022): september
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) STIKES Notokusumo Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.72 KB)

Abstract

Abstrak: Orang dengan HIV dan AIDS memiliki masalah kesehatan yang sangat kompleks seperti penurunan sumber daya psikologis. Diperlukan dukungan sosial untuk menjaga mempertahankan sumber daya psikologis yang baik. Bentuk dukungan sosial yang dapat dilakukan yaitu melalui pelatihan peer support group. Tujuan  pengabdian masyarakat ini adalah memberdayakan masyarakat melalui peer support group untuk meningkatkan sumber daya psikologis. Metode pelaksanaan pengabdian masyarakat ini menggunakan pendekatan Participatory Learning and Action (PLA). Bentuk kegiatan pengabdian masyarakat meliputi pendidikan kesehatan tentang HIV dan AIDS, pelatihan peer leader, dan pelaksanaan peer support group seperti sesi berbagi, motivasi, dan pemecahan masalah berdasarkan pengalaman. Hasil pelaksanaan pengabdian masyarakat ini yaitu rerata usia partisipan adalah 41.24 tahun, sebagian besar berjenis kelamin perempuan 60%. Tingkat pendidikan partisipan didmoniasi SMA/SMK (44%). Pekerjaan partisipan sebagian besar ibu rumah tangga (40%). Setelah diberikan pendidikan kesehatan diketahui tingkat pengetahuan partisipan didominasi tingkat pengetahuan yang baik (64%). Hasil evaluasi sumber daya psikologis partisipan sebagian besar pada kategori sedang (68%). Dapat disimpulkan pelaksanaan pemberdayaan masyarakat melalui peer support group memberikan dampak yang positif pada sumber daya psikologis orang dengan HIV dan AIDS. Pembentukan peer support group tidak sebatas pada populasi kunci, disarankan anggota kelompok bersifat heterogen sehingga memperoleh pengalaman menjalani kondisi HIV yang lebih variatif. Abstract: People with HIV and AIDS have complex health problems, such as decreased psychological resources. Social support is needed to maintain good psychological resources. Social support can conduct through peer support group training. The purpose of this community service is to empower the community through peer support groups to increase psychological resources. This community service implementation method uses a Participatory Learning and Action (PLA) approach. The forms of community service activities include health education about HIV and AIDS, peer leader training, and the implementation of peer support groups such as sharing sessions, motivation, and problem-solving based on experience. The result of this community service implementation is that the average age of the participants is 41.24 years, and most of them are 60% female. The education level of the participants has dominated by SMA/SMK (44%). Most of the participant's occupations are housewives (40%). After health education, the knowledge level of participants has dominated by a good level of knowledge (64%). The evaluation of participants' psychological resources was moderate (68%). The conclusion was the implementation of community empowerment through peer support groups has a positive effect on the psychological resources of people living with HIV and AIDS. The formation of peer support group members is supposed to be heterogeneous, so they gain more varied experiences of living with HIV.    
The Effect of Acupressure on The KI 3 on Pain Scale in Gout Arthritis Patients at UPTD PUSKESMAS I Health Office of Denpasar Selatan Subdistrict Ni Wayan Somawati Purnamasari; Ni Komang Matalia Gandhari; Ni Luh Putu Dian Yunita Sari; Nyoman Eta Risnawati
Jurnal Kesehatan Vol. 14 No. 02 (2025): Jurnal Kesehatan: Volume 14, Issue 02, October 2025
Publisher : STIKES Hesti Wira Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63323/jkes.v14i02.235

Abstract

Introduction: Gout arthritis is a condition where there is an increase in uric acid levels in the blood, leading to various effects, one of which is pain. Managing pain in gout arthritis patients can be addressed through complementary therapy, one of which is acupressure on the KI 3 point. This study aims to determine the effect of acupressure on the KI 3 point on pain scale in gout arthritis patients at UPTD Puskesmas I Health Office of Denpasar Selatan Subdistrict. Method: The study was conducted using a pre-test and post-test one-group design from February to March 2025, with a sample size of 20 respondents selected using purposive sampling. Pre-test and post-test data were collected using a numerical rating scale. Data were analyzed using the Wilcoxon signed-rank test with p<0.05. Results: The results showed that the pain scale before acupuncture at point KI 3 had a median pain score of 5, and there was a change in the pain scale after acupuncture at point KI 3, with a median of 3. The analysis results indicate an effect of acupressure at the KI 3 point on the pain scale of gout arthritis patients at the UPTD Puskesmas I Health Center in Denpasar Selatan District, with a p-value <0.001. The recommendations from this study are expected to serve as input for nurses to always provide acupressure as a supportive therapy for gout arthritis patients to alleviate acute pain. Conclusion: It can be said that there was an effect of acupressure at the KI 3 point on the pain scale of gout arthritis patients at the UPTD Puskesmas I of the South Denpasar District Health Office with a value of p=0.001.
Telehealth Intervention for Self-management Among Patient with Hypertension: A Scoping Review I Made Cahyadi Agastiya; Nyoman Eta Risnawati
Jurnal Keperawatan Malang Vol 9 No 1 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i01.245

Abstract

Background: Self-management among hypertensive patients is important to reduce morbidity and mortality. The use of telehealth can be applied to optimized self-management among hypertensive patients. Purpose: This study aimed to describe the application of telehealth in self-management of hypertensive patients. Methods: This review uses three electronic databased namely PubMed, EbscoHost and Scopus. The article included in the review is the use of telehealth in management in hypertensive psien. Review papers are excluded from the review. 9 articles are included in this review. Result: The form of application of telehealth in the management of hypertensive patients is health education related to hypertension, blood pressure monitoring, motivational support related to self-management, reminders in the form of taking medication, doctor visits, and diet, recording blood pressure results regularly in the form of charts / diagrams, and online consultations. Implication: The forms of telehealth implementation in this review are education, monitoring the blood pressure of hypertensive patients, motivation, reminders, diagram of blood pressure monitoring, and e-consultation. Although in the application of telehealth, there are some challenges, the application of telehealth provides advantages and benefits in chronic patient management Keywords: Hypertension; self-management; telehealth
Relaxation–based Immersive Virtual Reality (RIVR) sebagai Strategi Berpusat pada Pasien Untuk Meningkatkan Kenyamanan Selama Hemodialisis I Made Cahyadi Agastiya; Nyoman Eta Risnawati; Ni Kadek Indrayanti
Bali Medika Jurnal Vol 12 No 2 (2025): Bali Medika Jurnal December 2025
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v12i2.494

Abstract

Latar belakang: Pasien hemodialisis sering mengalami ketidaknyamanan multidimensi selama prosedur yang berlangsung 3–5 jam. Intervensi non-farmakologis berbasis teknologi seperti relaxation-based immersive virtual reality (RIVR) menawarkan solusi inovatif untuk meningkatkan kenyamanan. Tujuan: Menilai efektivitas RIVR terhadap kenyamanan fisik, psikospiritual, sosiokultural, dan lingkungan pada pasien hemodialisis di RSUD Tabanan, Bali. Metode: Studi kuasi-eksperimen dengan desain pre-test/post-test control group melibatkan 42 pasien yang dibagi secara konsekutif menjadi kelompok intervensi (n=21; RIVR berbasis panorama alam selama ±10 menit) dan kelompok kontrol (n=21; perawatan standar berupa leaflet relaksasi). Kenyamanan diukur menggunakan Shortened General Comfort Questionnaire in Indonesian version (SGCQ) dan dianalisis dengan uji Wilcoxon dan Mann-Whitney (α=0.05). Hasil: RIVR secara signifikan meningkatkan skor kenyamanan total (Z = −5.0, p < 0.001), terutama pada domain fisik (p < 0.001), psikospiritual (p < 0.001), dan lingkungan (p = 0.003). Tidak ada perubahan signifikan pada kenyamanan sosiokultural (p = 0.64). Simpulan: RIVR efektif meningkatkan kenyamanan multidimensi pasien hemodialisis dan direkomendasikan sebagai bagian dari perawatan holistik di unit nefrologi.   Background: Patients undergoing hemodialysis frequently experience multidimensional discomfort during prolonged 3–5-hour sessions. Technology-based non-pharmacological interventions such as relaxation-based immersive virtual reality (RIVR) offer a promising approach to enhance patient comfort. Objective: This study aimed to evaluate the effectiveness of RIVR on physical, psychospiritual, sociocultural, and environmental comfort among hemodialysis patients at Tabanan General Hospital, Bali. Methods: A quasi-experimental pre-test/post-test control group design was employed with 42 patients randomly assigned to an intervention group (n = 21; 10-minute nature-based RIVR) or a control group (n = 21; standard care with a relaxation leaflet). Comfort was measured using the validated Indonesian Shortened General Comfort Questionnaire (SGCQ) and analyzed using Wilcoxon signed-rank and Mann–Whitney U tests (α = 0.05). Results: The RIVR group showed a significant improvement in total comfort scores (Z = −5.0, p < 0.001), particularly in physical (p < 0.001), psychospiritual (p < 0.001), and environmental domains (p = 0.003). No significant change was observed in sociocultural comfort (p = 0.64). Conclusion: RIVR is an effective, non-invasive intervention to enhance multidimensional comfort in hemodialysis patients and should be integrated into holistic nephrology care protocols.
Co-Authors Desak Putu Cristine Monica Gede Arya Bagus Arisudhana I Made Cahyadi Agastiya Made Ririn Sri Wulandari Ni Kadek Indrayanti Ni Komang Matalia Gandhari Ni Putu Dita Wulandari Ni Wayan Somawati Purnamasari Sari, Ni Luh Putu Dian Yunita