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All Journal Jurnal Kesehatan Jurnal Gema Keperawatan Nursing and Health Sciences Journal (NHSJ) International Journal of Accounting & Finance in Asia Pasific
I Made Mertha
Fakultas Ekonomi dan Bisnis Universitas Udayana
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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Kombinasi Aromaterapi dan Hidroterapi dalam Menurunkan Tekanan Darah pada Pasien Hipertensi Primer Vikantara, I Gede Manik; Wedri, Ni Made; Mertha, I Made; Rasdini, IGA Ari; Rahayu, VM Endang Sri Purwadmi
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3452

Abstract

Hipertensi merupakan penyakit sistem kardiovaskuler yang menyebabkan gangguan pada pembuluh darah yang mengakibatkan jantung bekerja lebih keras karena terhambatnya suplai oksigen dan nutrisi yang terbawa oleh darah ke jaringan tubuh yang membutuhkannya. Hipertensi memiliki tanda dan gejala tekanan darah sistolik ≥140mmHg dan/atau tekanan darah diastolik ≥90mmHg setelah pemeriksaan berulang dan seringkali disadari ketika telah terjadi komplikasi. Upaya yang dapat dilakukan sebagai pengobatan adalah dengan aromaterapi mawar dan hidroterapi rendaman kaki air hangat. Tujuan Penelitian untuk mengetahui efektivitas kombinasi aromaterapi dan hidroterapi dalam menurunkan tekanan darah pasien hipertensi. Jenis penelitian ini adalah Quasy Experimental Design dengan rancangan pre-post design with group control serta dengan simple random sampling. Jumlah sampel dalam penelitian ini 40 responden pasien hipertensi primer yang rutin berobat ke Puskesmas, tidak mengonsumsi alkohol dan tidak merokok. Hasil penelitian menunjukkan selisih rata-rata penurunan tekanan darah sistole pada kelompok kombinasi lebih efektif dari kelompok hanya minum obat sebesar 6,8mmHg, lebih tinggi dari kelompok aromaterapi sebesar 3,0mmHg serta lebih efektif dari kelompok hidroterapi sebesar 4,0mmHg. Rata rata penurunan tekanan darah diastolik pada kelompok kombinasi lebih efektif dari kelompok hanya minum obat sebesar 3,8mmHg, lebih efektif dari kelompok aromaterapi sebesar 1,9mmHg serta kelompok hidroterapi sebesar 3,0mmHg. Hasil pengujian menggunakan uji One Way ANOVA didapat nilai signifikansi 0,00
Hubungan Karakteristik, Akses dengan Pemanfaatan Posyandu Lansia Mertha, I Made; Suardana, I Ketut; Wedri, Ni Made; Ngurah, I Gusti Ketut Gede
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4050

Abstract

Elderly Posyandu is a health service program aimed at improving the welfare of the elderly. The utilization of Elderly Posyandu by the elderly has not been optimal until now. This study aims to determine the relationship between characteristics and access with the utilization of Elderly Posyandu. This study is a descriptive correlation study with a cross-sectional approach. The number of samples is the total sampling of respondents who meet the predetermined inclusion criteria, namely 160 samples. Data collection with questionnaires from November 11, 2024 to December 9, 2024. Data analysis was carried out using the sperm rank correlation test. The results of the study showed that most of the elderly were in the 61-70 year age group (59,4%), most of the gender was female (61,9%), most of the education level was high school (23,1%), and most of the elderly were actively working (53,1%). The support of the elderly's family was mostly in the high category (91,3%). All elderly (100%) stated that access to elderly Posyandu was easy. The utilization of elderly Posyandu was mostly in the high category, namely 153 people (95,6%). Statistical test obtained p value for age (0,000), gender (0,165), education level (0,000), occupation (0,664), family support (0,003), and access (0,725). It was concluded that only age, education level, and family support of the elderly were related to the utilization of the elderly posyandu. Elderly cadres are advised to increase motivation in the elderly to utilize the elderly posyandu to maintain health status.
Tri Hita Karana-Based Governance and Financial Performance of Village Credit Institutions (LPDs): Moderating Effects of Location and IT Wirakusuma, Made Gede; Mertha, I Made
International Journal of Accounting and Finance in Asia Pasific (IJAFAP) Vol 8, No 3 (2025): October 2025
Publisher : AIBPM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32535/ijafap.v8i3.4208

Abstract

Village Credit Institutions (Lembaga Perkreditan Desa/LPDs) in Bali play a strategic role in community-based financial empowerment, yet many face governance and performance challenges. This study aims to examine the effect of Tri Hita Karana (THK)-based governance on the financial performance of LPDs and to test whether institutional fundamentals, specifically location and information technology adoption, moderate this relationship. Using legitimacy theory as the underlying framework, this quantitative research employed data from 94 LPDs across nine regencies in Bali, analyzed through Moderated Regression Analysis (MRA). The results indicate that THK-based governance has a positive and significant effect on financial performance (? = 0.412, p 0.05). Furthermore, both location (? = 0.217, p 0.05) and information technology adoption (? = 0.294, p 0.05) strengthen the relationship between governance and performance. These findings demonstrate that the integration of cultural ethics and digital transformation enhances institutional accountability and sustainability. The study contributes theoretically by extending good corporate governance (GCG) through cultural and technological perspectives and offers practical insights for policymakers to reinforce THK-based governance in LPDs
Determinan Faktor Risiko Neuropati Perifer Diabetik terhadap Kelembaban Kulit Kaki pada Pasien DM Tipe II Gayatri, Ni Wayan Cening Setiari; Mertha, I Made; Suardana, I Ketut; Ngurah, I Gusti Ketut Gede
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3762

Abstract

Diabetic peripheral neuropathy is one of the chronic complications of DM which causes dysfunction of the peripheral nervous system, can occur in the autonomic nerves characterized by a decrease in foot skin moisture. This study aims to determine the determinants of diabetic peripheral neuropathy risk factors with foot skin moisture in type II DM patients The design of this research is non-experimental with a simple correlational method. The sample in this research is 35 respondents who were selected by consecutive sampling at the UPTD Puskesmas Ubud I. The results of the ordinal logistic regression statistical test obtained p-value of Model Fitting Information is 0,002 (p-value 0,05) and p-value Pseudo R-Square Negelkerke is 0,681, which means the risk factors of diabetic peripheral neuropathy (age, duration of diabetes mellitus, gender, transient blood glucose, total cholesterol, waist circumference, systolic blood pressure, and diastolic pressure) together have a significant effect of 68,1% with foot skin moisture. The p-value of the Wald test for gender, duration of DM, transient blood glucose, and blood pressure 0,05 so that it can be stated that each the four risk factors of diabetic peripheral neuropathy partially have a significant effect with foot skin moisture. The odds ratio for systolic blood pressure is 1,132, which means that the higher the systolic blood pressure, the 1,312 times will have problems with foot skin moisture. Based on this research, suggested that the puskesmas service unit conduct inspection activities for diabetic peripheral neuropathy risk factors at least every month.
Hubungan Pemenuhan Kebutuhan Spiritual dengan Tingkat Depresi pada Lansia Penderita Diabetes Melitus Aura Nhaha Putri Yasa, Putu Nanda; Mertha, I Made; Surasta, I Wayan; Wedri, Ni Made; Sukawana, I Wayan; Gede Ngurah, IGK
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.2907

Abstract

The aging of an elderly will cause various problems in terms of psychology, physical, social and spiritual. Mental disorders such as depression become one of the problems that occur in elderly with diabetes mellitus due to living conditions that are not as expected. Spirituality can be used as a source of coping when experiencing sadness, loneliness or loss. The purpose of this study is to find out The Relationship Fulfillment of Spiritual Needs with Depression Levels in the Elderly with Diabetes Mellitus at Working Area Puskesmas I Denpasar Selatan in Year 2023. This research uses a quantitative research design with a non- experimental research design with a cross sectional approach. Sample of 76 respondents wereobtained by purposive sampling approach. This research instrument uses DSES (Daily Spiritual Exercise Scale) and GDS (Geriatric Depression Scale). Data analysis using Spearman's Rho Test with the level pa = 0.05 and showed the result of p = 0,000 and the correlation coefficient r = 0,729 which means that there is a strong relationship (0,51 0,75) between the two variables. Results of the study, so it can be concluded that there is a relationship between fulfillment of spiritual needs with depression levels in the elderly with diabetes mellitus at Working Area Puskesmas 1 Denpasar Selatan in 2023. It is recommended that health and family services fulfill the spiritual needs of the elderly through religious activities, love from the family to reduce depression in the elderly.
Terapi Pijat Punggung dengan Alat Pijat Kayu Kaki Tiga Menurunkan Tekanan Darah pada Lansia dengan Hipertensi Ayu Putri Laksmidewi, Ni Kade Mas; Mertha, I Made; Gede Ngurah, I Gusti Ketut
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3200

Abstract

Hypertension in the elderly is a degenerative disease caused by increased arterial pressure in accordance with age, aortic regurgitation, and the degenerative process that occurs in the body where persistent blood pressure increases with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Efforts that can be made as an alternative to non-pharmacological therapy, one of which is the provision of back massage therapy with a three-legged wooden massage tool. The purpose of this study was to determine the effect of giving back massage therapy with a three-legged wooden massage tool on blood pressure in the elderly with grade one hypertension. This type of research is pre-experimental with the design used one group pretest-posttest design using sampling techniques, namely non probability with purposive sampling. The number of samples used in this study were 16 elderly respondents with hypertension. The research was conducted in April 2023. The results showed that the average systole and diastol blood pressure before treatment was 158,94/92,81 mmHg with the average MAP calculation before treatment was 114,85 mmHg. The average systole and diastol blood pressure after treatment was 140,19/83,06 mmHg with an average MAP calculation after treatment of 102,10 mmHg. The results of statistical tests using paired t-test obtained a p value of 0,000 which stated that there was a significant difference in blood pressure before and after treatment. Based on this, it is recommended to the health service unit to make back massage therapy with a three-legged wooden massage tool as a non-pharmacological therapy in treating hypertensive patients, especially in the elderly group.
The Nursing Problem for Physical Mobility Impairments in Tibia Fracture Patients Post ORIF Operation with Rom Free Active Exercise (FAE) Ayu Ari Rasdini, I Gusti; Mertha, I Made; Wedri, Ni Made; Sukawana, I Wayan; Adhiutami, Lina
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.381

Abstract

Open fracture of the tibia is a complex injury with multifactorial outcomes and variable prognosis. This final scientific work by nurses aims to determine nursing care for physical mobility disorders with range of motion free active exercise in post-ORIF surgery tibia fracture patients. This scientific work uses a descriptive method with a case study approach which was carried out on 30 October – 02 November 2023. The results of the study showed data that the patient said he had pain in his left leg, did not dare to move his left leg, the back of his left leg was swollen. The nursing diagnosis of impaired physical mobility is related to pain. Nursing interventions are ambulation support, mobilization support and pain management with the criteria of increasing physical mobility. Innovation intervention range of motion free active exercise with 2 times the frequency of 2x8 steps. The nursing evaluation showed that physical mobility problems had decreased. Conclusion: range of motion free active exercise can increase range of motion, increase muscle strength, reduce complaints of pain, reduce anxiety when moving, and reduce edema. Suggestions for health workers can apply the results of non-pharmacological therapy research, especially range of motion free active exercise, to treat post-operative patients with complaints of physical mobility problems.
Media Edukasi Permainan Ular Tangga Meningkatkan Pengetahuan Siswa Sekolah Dasar dalam Menghadapi Bencana Gempa Bumi Dharma Yani, Made Vina; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made; Wedri, Ni Made; Mertha, I Made
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4043

Abstract

Indonesia has a high risk of disasters due to its geological and geographical location. Disasters are events that threaten society and impact all ages, including children. This shows that knowledge in dealing with disasters is very important to be given to children. This research aims to determine the effect of providing education using the snakes and ladders game on elementary school students' knowledge in dealing with earthquake disasters. The type of research is Pre- Experimental design with the design used, namely One-group pre-post design using simple random sampling. The total sample was 33 people. The variables in this study are education through the media of snakes and ladders games and elementary school students' knowledge of dealing with earthquake disasters. Knowledge data were collected using a knowledge questionnaire on dealing with earthquake disasters. Data analysis techniques were used using the Wilcoxone test. The results of the research showed that the knowledge of elementary school children before being given audiovisual media education was mostly in the sufficient category, namely 18 people (54,5%) and after being given it showed an increase in preparedness knowledge with the result that the majority of students were in the good category, 32 people (97%). The results of the research were tested using the Wilcoxon statistical test, obtained p-value = 0,000 alpha (0,05), it can be concluded that there is an influence of providing education in the snakes and ladders game media on students' knowledge in dealing with earthquake disasters at SD No. 2 Cemagi. It is recommended that teachers in schools increase the provision of disaster material by developing other similar game media.
Co-Authors Adhiutami, Lina Aura Nhaha Putri Yasa, Putu Nanda Ayu Ari Rasdini, I Gusti Ayu Putri Laksmidewi, Ni Kade Mas Dharma Yani, Made Vina Gayatri, Ni Wayan Cening Setiari Gede Ngurah, I Gusti Ketut Gede Ngurah, IGK I KETUT SUARDANA, I KETUT I Made Sukarja I Wayan Surasta JUNIARI, NI MADE Made Gede Wirakusuma Ngurah, I Gusti Ketut Gede Rahayu, VM Endang Sri Purwadmi Rasdini, IGA Ari Sukawana, I Wayan Vikantara, I Gede Manik Wedri, Ni Made