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The Utilization of Voluntary Counseling and Testing Through Support and Family Health Care Functions Ni Putu Wiwik Oktaviani; Ni Luh Putu Devhy; I Made Sudarma Adiputra; Ni Wayan Trisnadewi
Jurnal Berkala Epidemiologi Vol. 9 No. 3 (2021): Jurnal Berkala Epidemiologi (PERIODIC EPIDEMIOLOGY JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I32021.275-283

Background: The transmission of the Human Immunodeficiency Virus (HIV) from mother to baby is now increasing along with the growing number of HIV-infected women. Approximately 15% of pregnant women living with HIV have accessed antiretroviral (ARV) medicine to prevent transmission of the virus to their babies. Purpose: This study aimed to identify the support and healthcare functions available to pregnant women in using the voluntary counseling test (VCT). Methods: This research was conducted in the working area of Gianyar District health center. The independent variables in this study are family support and family healthcare functions. The dependent variable is the utilization of VCT health service facilities. This study employed a cross-sectional research design. The samples were 108 respondents recruited using a probability sampling technique, namely multi-stage sampling. Bivariate and multivariate analysis were conducted using the chi-square test and logistic regression test. Results: The research variable related to the use of VCT health services with family support showed an odds ratio (OR) = 122, while family healthcare function had an OR = 465. Conclusion: Pregnant women with good family support, good healthcare function, increased maternal age, and early gestational age were more likely to use VCT than when they were in opposite situations.

Community Behavior in Rural Areas: Washing Hands and Wearing Masks During the Covid Ni Putu Wiwik Oktaviani; I Komang Suastika; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 3 No 2 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The spread of the Covid-19 virus is currently still increasing even though the Covid-19 vaccine has started to be given to the public. The development of Covid -19 cases as of April 20, 2021, totaling 1,614,849 positive cases. The increase in the spread of the virus requires the application of health protocols through hand washing and the wearing of strict masks during the Covid 19 pandemic. Objective:This study aims to determine the description of hand washing behavior and a description of the wear of masks in the Banjar Dinas Muntigunung community, West Tianyar Village, Kubu District, Karangasem Regency in the Covid-19 Pandemic Era. The type of research used in this research is quantitative research with a descriptive exploratory research design. The population of this research is the whole society Banjar Dinas Muntigunung. The sampling technique used in this study is non-probability sampling with simple random sampling technique of 360 people, the available population is made a lottery number then randomized until 360 samples are collected. Data collection is done online. Data analysis was carried out by univariate namely the frequency distribution. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, 273 people (75.8%). The community is expected to be able to implement and improve hygiene and healthy living habits, especially the behavior of washing hands with soap in running water and using masks when leaving the house or interacting with other people. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, as many as 273 people (75.8%). The community has good behavior in washing hands and wearing masks during the Covid 19 pandemic.

Strategies of Health Workers in Tackling Stunting in Rural Areas during the Covid-19 Pandemic Ni Putu Wiwik Oktaviani; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The current Covid-19 vaccination has reached most people throughout Indonesia. The main focus of this spectrum is on handling the Covid-19 pandemic through the provision of vaccines in Indonesia. The pandemic's impact is indisputably clear, especially in the Stunting Management Programs, which are likely not optimal and require a viable strategy in handling it. Objective: This study aims to identify the strategy of health workers in tackling stunting in rural areas during the Covid-19 Pandemic. Method: This study employs a quantitative descriptive design where the population involved are health workers holding nutrition programs from health centres in rural areas in the province of Bali. The sampling technique in this study utilizes a non-probability sampling technique, namely purposive sampling of 34 respondents. Afterwards, data collection was done online, with the inclusion criteria for health workers working as nutrition program holders and community health centres in rural areas. This study indicates that 55.90% of health workers are not well-performing at dealing with stunting during the pandemic, while 44.10% of them show positive performance. Therefore, prevention of stunting by health workers during a pandemic is one of the indicators of whether stunting is in a high or low incidence.

Pengaruh Senam Bugar Terhadap Tekanan Darah Lansia dengan Hipertensi : Studi Quasi Eksperimental I Made Sudarma Adiputra; Ni Luh Gede Ita Sunariati; Ni Wayan Trisnadewi; Ni Putu Wiwik Oktaviani
Jurnal Kesehatan Vokasional Vol 6, No 4 (2021): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.66441

Latar Belakang: Hipertensi pada lansia merupakan peningkatan tekanan darah yang terjadi pada lanjut usia. Senam bugar merupakan aktivitas fisik dengan gerakan yang ringan dan sangat tepat bila dilakukan pada lansia hipertensi.Tujuan: Mengetahui pengaruh senam bugar lansia terhadap tekanan darah lansia dengan hipertensi.Metode: Jenis penelitian ini adalah Quasi Experiment dengan rancangan Non-Equivalent Control Group Design. Jumlah responden yang berpartisipasi sebanyak 36 orang. Penelitian ini dibagi menjadi dua kelompok yaitu kelompok intervensi dan kelompok kontrol, pemilihan sampel diambil dengan teknik Purposive Sampling. Data dianalisis menggunakan Wilcoxon dan Mann-Whitney.Hasil: Hasil penelitian ini menunjukkan pada kelompok perlakuan nilai rata-rata tekanan darah sistole saat pre-test 168,1 mmHg dan post-test 153,4 mmHg sedangkan diastole pre-test 95,56 mmHg dan post-test 82,67 mmHg, pada kelompok perlakuan secara statistik mengalami penurunan tekanan darah setelah senam bugar lansia dengan p-value <0.001 uji beda dua kelompok didapatkan hasil p-value <0.001, dari hasil ini terlihat ada perbedaan tekanan darah antara kelompok perlakuan dan kontrol.Kesimpulan: Hal ini menunjukkan ada pengaruh yang signifikan senam bugar lansia terhadap tekanan darah lansia dengan hipertensi. Diharapkan lansia berperan aktif dalam mengikuti kegiatan senam dari posyandu lansia secara rutin untuk membantu menurunkan serta mengontrol tekanan darah tinggi.

HUBUNGAN ANKLE BRACHIAL INDEX (ABI) DENGAN SENSITIVITAS KAKI PADA PENDERITA DIABETES TIPE II I Made Sudarma Adiputra; I Made Dwi Arianta; Ni Wayan Trisnadewi; Ni Putu Wiwik Oktaviani
Jurnal Keperawatan Vol 16 No 1 (2020): Jurnal Ilmiah Keperawatan Sai Betik
Publisher : Jurusan Keperawatan Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkep.v16i1.1891

Hiperglikemi kronis dapat menyebabkan sel endotel pembuluh darah dan sel saraf menjadi hiperglisolia. Kondisi ini mengakibatkan perubahan berbagai jalur biokimia, salah satunya protein kinase C (PKC) yang menyebabkan penebalan pembuluh darah sehingga terjadi penurunan nilai ABI. Penurunan nilai ABI akan mengganggu metabolisme sel Schwann sehingga hantaran saraf perifer mengalami gangguan. Terganggunya hantaran saraf perifer akan menyebabkan penurunan sensitivitas kaki. Penelitian ini bertujuan untuk mengetahui hubungan ankle brachial index (ABI) dengan sensitivitas kaki pada penderita diabetes tipe II. Penelitian ini menggunakan metode cross sectional. Jumlah sampel penelitian ini sebanyak 86 orang diambil dengan teknik purposive sampling. Pengumpulan data menggunakan spygmonanometer digital dan monofilament 10 g. HasilÂ uji Chi square di dapatkan p=0,000 menunjukan bahwa ada hubungan ABI dengan sensitivitas kaki pada penderita diabetes mellitus tipe II. Penurunan nilai ABI akan diikuti dengan penurunan sensitivitas kaki, jika hal ini tidak dicegah akan berisiko menimbulkan kaki diabetik pada penderita diabetes melitus tipe II

PEMBERDAYAAN KADER KESEHATAN MENDETEKSI DINI STUNTING PADA BALITA Ni Putu Wiwik Oktaviani; Ni Luh Gede Puspita Yanti; Nurul Faidah; Ni Kadek Muliawati; I Made Sudarma Adiputra
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 10: Maret 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v1i10.1618

Penyakit Covid-19 sampai saat ini masih mengancam dan menjadi masalah kesehatan yang harus ditangani dengan serius. Kondisi kesehatan dunia dan ekonomi semakin buruk karena dipengaruhi oleh penyakit Covd-19 yang sangat menular. Salah satu dampak dari Covid-19 adalah kasus kekurangan gizi atau stunting yang masih belum bisa tertangani dengan baik dan membutuhkan strategi yang tepat dalam penanganan stunting. Pemerintah Indonesia memberikan perhatian yang sangat besar pada stunting, yang menargetkan penurunan stunting sebanyak 19% pada tahun 2024. Intervensi 1000 hari pertama dari program pemerintah yang bertujuan untuk menurunkan angka kejadian stunting ini sudah mampu menurunkan angka kejadian stunting dengan perlahan. Pos Pelayanan Terpadu (Posyandu) balita merupakan akses primer masyarakat khususnya ibu dengan balita untuk melakukan pemantauan terhadap tumbuh kembang balita. Tahapan pertama dalam pengabdian masyarakat melakukan pretest untuk mengetahui pengetahuan kader kesehatan mengenai stunting, tahap kedua memberikan pengetahuan mendeteksi dini stunting dan simulasi penggunaan kalkulator stunting, tahap ketiga melakukan posttest untuk melihat perubahan pengetahuan setelah diberikan pengetahuan. Hasil pengabdian masyarakat ini memberikan manfaat kepada kader dalam melakukan deteksi dini stunting terhadap balita menggunakan kalkulator gizi.

HYPERLIPIDEMIA IS A DOMINANT RISK FACTOR FOR CORONARY HEART DISEASE: Hiperlipidemia Merupakan Faktor Risiko Dominan Kejadian Penyakit Jantung Koroner I Made Sudarma Adiputra; Ni Wayan Trisnadewi; Ni Putu Wiwik Oktaviani; Dewa Putu Dwita
Jurnal Berkala Epidemiologi Vol. 11 No. 1 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I12023.25-31

Background: Coronary heart disease (CHD) is a major health problem in developed and developing countries. Until now, the death rate due to CHD is the highest in the world. Its risk factors include major modifiable risk factors, such as hyperlipidemia, hypertension, diabetes mellitus, obesity, smoking, and non-modifiable risk factors. Purpose: This study aimed to determine the major risk factors for the incidence of CHD. Methods: This study employed an unmatched case-control design, with a total sample of 43 cases and 86 controls recruited by a purposive sampling technique. Case samples were CHD patients diagnosed by a cardiologist and control samples were non-CHD patients who visited the cardiac polyclinic, with similar variables of age, sex, and residence. The samples were taken at the integrated heart center of Sanglah Hospital, Denpasar, based on the patient medical records. Data analysis was performed using the Chi-square test and logistic regression. Results: The results showed three risk factors that statistically and significantly increased the incidence of CHD, namely history of total cholesterol of â‰¥240mg/dl with adjusted OR=4.64 (95% CI: 1.60-13.49), type-2 diabetes mellitus with adjusted OR=2.85 (95% CI: 1.16-6.99), and smoking with adjusted OR=2.54 (95% CI: 1.01-6.46). Conclusion: The history of high total cholesterol is statistically the most dominant risk factor for the incidence of CHD.

Community Behavior in Rural Areas: Washing Hands and Wearing Masks During the Covid Ni Putu Wiwik Oktaviani; I Komang Suastika; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 3 No 2 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The spread of the Covid-19 virus is currently still increasing even though the Covid-19 vaccine has started to be given to the public. The development of Covid -19 cases as of April 20, 2021, totaling 1,614,849 positive cases. The increase in the spread of the virus requires the application of health protocols through hand washing and the wearing of strict masks during the Covid 19 pandemic. Objective:This study aims to determine the description of hand washing behavior and a description of the wear of masks in the Banjar Dinas Muntigunung community, West Tianyar Village, Kubu District, Karangasem Regency in the Covid-19 Pandemic Era. The type of research used in this research is quantitative research with a descriptive exploratory research design. The population of this research is the whole society Banjar Dinas Muntigunung. The sampling technique used in this study is non-probability sampling with simple random sampling technique of 360 people, the available population is made a lottery number then randomized until 360 samples are collected. Data collection is done online. Data analysis was carried out by univariate namely the frequency distribution. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, 273 people (75.8%). The community is expected to be able to implement and improve hygiene and healthy living habits, especially the behavior of washing hands with soap in running water and using masks when leaving the house or interacting with other people. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, as many as 273 people (75.8%). The community has good behavior in washing hands and wearing masks during the Covid 19 pandemic.

Strategies of Health Workers in Tackling Stunting in Rural Areas during the Covid-19 Pandemic Ni Putu Wiwik Oktaviani; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The current Covid-19 vaccination has reached most people throughout Indonesia. The main focus of this spectrum is on handling the Covid-19 pandemic through the provision of vaccines in Indonesia. The pandemic's impact is indisputably clear, especially in the Stunting Management Programs, which are likely not optimal and require a viable strategy in handling it. Objective: This study aims to identify the strategy of health workers in tackling stunting in rural areas during the Covid-19 Pandemic. Method: This study employs a quantitative descriptive design where the population involved are health workers holding nutrition programs from health centres in rural areas in the province of Bali. The sampling technique in this study utilizes a non-probability sampling technique, namely purposive sampling of 34 respondents. Afterwards, data collection was done online, with the inclusion criteria for health workers working as nutrition program holders and community health centres in rural areas. This study indicates that 55.90% of health workers are not well-performing at dealing with stunting during the pandemic, while 44.10% of them show positive performance. Therefore, prevention of stunting by health workers during a pandemic is one of the indicators of whether stunting is in a high or low incidence.

Pengoptimalan perubahan perilaku kesehatan selama pandemi covid-19 di tempat wisata wilayah bali: Optimizing changes in health behavior during the covid-19 pandemic in bali regional tourism places Ni Putu Wiwik Oktaviani; Ni Kadek Muliawati; I Made Sudarma Adiputra; Ni Luh Gede Puspita Yanti; Nurul Faidah
Bhakti Community Journal Vol. 1 No. 1 (2022): Bhakti Community Journal
Publisher : Stikes Wira Medika Bali

Penyebaran virus Covid-19 saat ini masih tinggi terjadi di Indonesia, berlangsungnya pandemi yang berkepanjangan memberikan dampak kepada seluruh lini kehidupan khususnya dibidang ekonomi. Bali sendiri sebagai tempat wisata sangat terdampak selama pandemi ini, karena perputaran ekonomi di Bali lebih banyak dari sektor pariwisata. Kebijakan adaptasi kehidupan baru menjadi kebijakan yang dapat memulihkan sektor ekonomi, di Bali sendiri kebijakan ini ditetapkan kepada masyarakat untuk mematuhi protokol kesehatan selama berkunjung ke tempat wisata yang ada di Bali. Penerapan protokol kesehatan menjadi salah satu cara yang dilakukan untuk mencegah penyebaran virus Covid-19 selama berkunjung ke tempat wisata. Permasalahan yang dihadapi penerapan protokol kesehatan didaerah wisata selama ini belum terlaksana secara optimal, salah satunya dapat dilihat bahwa persediaan sabun cuci tangan di tempat wisata tidak selalu tersedia. Banyak juga tempat cuci tangan yang tersedia tetapi aliran airnya tidak ada sehingga tidak bisa digunakan. Kondisi ini menjadi alasan pengabdian masyarakat ini dilaksanakan dengan tujuan teridentifikasi perubahan perilaku kesehatan pada masyarakat selama pandemi Covid-19 saat berkunjung ke tempat wisata. Metode pelaksanaan pengabdian masyarakat ini menggunakan desain pre-post test penyuluhan perubahan perilaku kesehatan selama pandemi Covid-19. Sasaran pengabdian masyarakat ini adalah masyarakat yang berkunjung ke tempat wisata selama pandemi Covid-19.Hasil kegiatan ini didapatkan peningkatan perilaku baik saat berkunjung ke tempat wisata sebesar 66.00% (33 orang). Luaran kegiatan ini adalah pembagian stiker pencegahan penyebaran Covid-19 dengan pendekatan 5M (mencuci tangan, menggunakan masker, menjaga jarak, mengurangi mobilisasi, dan menghindari kerumunan).

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