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PELATIHAN TERAPI AKUPRESUR UNTUK MENGATASI KELUHAN PENYAKIT DM DAN HIPERTENSI PADA LANSIA BAGI KADER LANSIA I Made Mertha; I Ketut Suardana; I Gede Widnjanegara; IGK Gede Ngurah
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 2, No 2 (2020): April 2020
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v2i2.999

AbstractIncreased prevalence of the elderly will have an impact on health development. This is because in the elderly there is a physiological decline in all body systems, which results in various health problems in the elderly. The main health problems generally experienced by the elderly are hypertension and DM. One program to prevent and control complaints due to DM and hypertension is to do primary prevention with acupressure therapy. Acupressure therapy is one of the therapies that can be done easily that is obtained through training. Training is provided with the aim of comparing the behavior (knowledge, attitudes and skills) of elderly cadres about acupressure therapy before and after training. Community service is carried out through lecture, discussion and acupressure practices. Based on community service that has been done, it can be concluded that the target is mostly in the age group of 40-50 years, 30 people (60%), and most of the female sex is 45 people (90%), target knowledge increases based on good knowledge categories from 20 people (40%) to 35 people (70%), and an increase in attitudes with a very good category from 17 people (34%) to 38 people (76%). For the target audience it is recommended to maintain and improve behavior in acupressure and apply it every day, so as to overcome complaints of hypertension and DM in the elderly during the implementation of the elderly posyandu.Keywords: Elderly; Acupressure; Hypertension; DM.

Mobilisasi Dini dan Penurunan Skala Nyeri pada Pasien Post Operasi TURP Benign Prostate Hyperplasia I Wayan Sumberjaya; I Made Mertha
Jurnal Gema Keperawatan Vol 13, No 1 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i1.1220

Pain is an unpleasant symptom experienced by patients who undergoing post surgery of TURP BPH. One technique used to reduce pain after surgery is early mobilization techniques. This study aimed to determine the effect of early mobilization on reducing pain scale in post surgery patients with TURP BPH. The design of this study was one group pre-post test design with a pre-experimental design, with a total sample was 12 respondents using purposive sampling technique. The instrument used in this study was guide sheet in the form of Standard Operating Procedures (SOP) and a pain gauge in the form of Numeric Rating Scale (NRS). Pain scale before early mobilization, 2 respondents (16.7%) were with pain scale 6 and 3 respondents (25%) were with pain scale 3. After early mobilization, 1 respondent (8.3%) was with pain scale 5 and 3 respondents ( 25%) were with pain scale 2. Wilcoxon test results obtained p-value = 0.0001 0.05, it means that the provision of early mobilization had a significant effect on pain scale reduction in post surgery patients with TURP Benign Prostate Hyperplasia (BPH) in Bima Ward Sanjiwani Regional Hospital Gianyar. The results of the study concluded that there was effect on pain scale reduction in post surgery patients with TURP BPH. The results of the study are expected to be used as a reference in enhancing the development of independent interventions on acute pain nursing problems.

Pengaruh Pemberian Air Kelapa Muda terhadap Tekanan Darah pada Pasien Hipertensi V.M. Endang S.P. Rahayu; I Made Mertha; I Gusti Ayu Ari Rasdini; I Dewa Putu Gede Putra Yasa
Jurnal Gema Keperawatan Vol 14, No 2 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i2.1808

Hypertension is often called the “silent killer”. Hypertension is a condition when blood pressure in blood vessels continues to increase chronically where systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Hypertension can be controlled with non pharmalocogical treatment, one of them is young coconut water, because the content of potassium contained in young coconut water is very useful to reduce systolic and diastolic blood pressure. This study aims to determine the effect of giving young coconut water against blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar 2021. The type of this research was pre-experimental design with one group pretest-post test design using non probability sampling with purposive sampling. The number of sampels were 11 people. The study was conducted on April 2021. The result showed the mean systolic blood pressure and diastole before treatment 149,45/95,73 mmHg and after treatment 140,73/89,45 mmHg. Hypothesis testing used paired t-test with a value of p=0,000 0,05. It can be concluded that there is the effect of giving young coconut water on blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar. Patients with hypertension should be able to use young coconut water as a cheap and efficient non-pharmacological therapy to lower blood pressure.

Teknik Pernapasan Buteyko dan Arus Puncak Ekspirasi pada Pasien Asma I Kadek Ananta Wijaya; I Made Mertha; I Gusti Ayu Ari Rasdini
Jurnal Gema Keperawatan Vol 13, No 2 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i2.1320

Asthma is a chronic inflammatory disorder in the airway. The peak expiratory flow rate is one of the human lung function tests used to assess the ability of lung function and provide an image of the airway disorder. This study aims to determine the effect of Buteyko’s respiratory technique on peak expiratory flow rate in asthma patients. The type of research is Pre-Experimental Design with One-Group Pretest-Posttest using purposive sampling. The sample size is 22 people. The patient's peak expiratory flow rate is measured using a peak flow meter. The results of peak expiratory flow rate of the patient tested using paired t- test. The results showed that the peak expiratory flow rate prior to Buteyko’s respiratory technique of 75.764%, and after given breathing Buteyko's breathing techniques, peak expiratory flow rate of patients showed an increase to equal to 79.986%. Based on the results of the research, the value of ρ-value = 0.000 alpha (0,05), it can be concluded that there is influence of giving respiratory technique Buteyko can increase the peak expiratory flow rate in asthma patient. It is expected that the hospital to consider implementing Buteyko's breathing techniques for asthma patients.

Pendidikan Kesehatan dengan Media Audiovisual Mempengaruhi Perilaku Pasien TB Paru dalam Pencegahan Infeksi Nosokomial COVID-19 di Puskesmas I Ketut Suardana; Komang Trisna Handayani; I Made Mertha; I Wayan Surasta
Jurnal Gema Keperawatan Vol 14, No 2 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i2.1809

Patients with tuberculosis with weak immune systems susceptible to develop nosocomial infections, so that promotive and preventive efforts are needed while the patient is in control of treatment. The aims of this study is to determine the effect of health education with audiovisual media to prevention of COVID-19 nosocomial infection behavior at Patient with pulmonary tuberculosis at Community Health Center Seririt I. This research was conducted in April 2021. The type of this research is Pre- Experimental designs with One-Group Pretest-Posttest design. The sample was selected using purposive sampling technique with 11 respondents. The results showed that the average value of pulmonary tuberculosis patient behavior before being given audiovisual health education, is 57,15 in the sufficient category and after education with audiovisual media 85,34 in the good category. The paired T-test results ρ - value = 0.001 α (0.05), that mean health education with audiovisual media is effective for changing behavior of pulmonary tuberculosis patients in the prevention of COVID-19 nosocomial infection. Health service providers such as puskesmas can increase health promotion efforts, especially for pulmonary TB patients so that they are not exposed to nosocomial infections.

Kelompok Swabantu Diabetes Terhadap Pengetahuan Dan Kepatuhan Kontrol Pasien Diabetes Mellitus I Made Mertha; I Nyoman Ribek; I Made Widastra
Jurnal Gema Keperawatan Vol 9, No 2 (2016): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v9i2.1675

The research objective is to identify diabetes self-help groups, self helpkompok analyze the effect of diabetes on patients' knowledge of DM, and analyze the influence of self-help groups for compliance control diabetes patients with diabetes mellitus. This study is quasy-experimental with pre-post design without control group. The study was conducted at the health center IV South Denpasar for 5 months ie from June to October 2015. The study population was patients with DM and DM patients at high risk who went to the health center IV South Denpasar. Samples were selected that met the inclusion criteria and exclusion amounts to 35 people. Respondents subsequently formed self-help groups. Self-help groups in the form of counseling treatment diabetes management, prevention of the risk of diabetes, foot care, foot gymnastics, yoga activities and random blood sugar measurements once a month. Data collection tool was a questionnaire about their knowledge and compliance controls are carried out pre and post treatment. Based on the results of statistical tests revealed no influence of self-help groups for knowledge and compliance control of diabetic patientsat the health center IV South Denpasar (p = 0.000; α = 0.05).

PENGARUH PEMBERIAN DEEP BREATHING EXERCISE TERHADAP SATURASI OKSIGEN PADA PASIEN PPOK DI IGD RSUD SANJIWANI GIANYAR TAHUN 2018 I Made Mertha
Jurnal Gema Keperawatan Vol 11, No 1 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i1.253

The purpose of this study is to determine the effect of giving deep breathing exercise to oxygen saturation in COPD patients in the Emergency Unit of Sanjiwani Hospital Gianyar on 2018. The research design was quasy experiment with pre and post test with control group using purposive sampling method to 20 respondents which grouped into two groups. There are 10 respondents in treatment group and 10 respondents in control. The result of Paired T-test of treatment group, mean difference 5,1% with ρ value 0,001. Of control group mean difference of 0.5% with ρ value 0,052. The conclusion showed there is a significant effect of deep breathing exercise to COPD patients.

Penggunaan Elemen Penghangat Cairan Intravena dengan Lampu Penghangat terhadap Shivering Pasca Operatif I Made Sukarja; I Made Mertha
Jurnal Gema Keperawatan Vol 6, No 1 (2013): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v6i1.1665

The study aims to compare the effectiveness of the use of intravenous fluids heating element and heating lamps for post operative shivering. Methods of pre-experimental research studies (static group camparison/posttest design). The sample consisted of 20 people divided into the two group: group of intravenous fluids heating element and heating lamps group. The result of the treatment group heating element intravenous fluids, the time required to stop shivering average of 32,5 minutes, and the treatment group heating lamp until the shivering stops takes an average 50,4 minutes. In the Mann Whitney test, the value of p=0.000. It means that there are differences in effectiveness between the use of intravenous fluids heating elements and heating lamp in which the use of intravenous fluids heating elements are more effective than the use of heating lamps to overcome shivering in patient post operative.

PELATIHAN TERAPI AKUPRESUR UNTUK MENGATASI KELUHAN PENYAKIT DM DAN HIPERTENSI PADA LANSIA BAGI KADER LANSIA I Made Mertha; I Ketut Suardana; I Gede Widnjanegara; IGK Gede Ngurah
Jurnal Pengabmas Masyarakat Sehat Vol 2, No 2 (2020): April 2020
Publisher : Poltekkes Kemenkes Denpasar

AbstractIncreased prevalence of the elderly will have an impact on health development. This is because in the elderly there is a physiological decline in all body systems, which results in various health problems in the elderly. The main health problems generally experienced by the elderly are hypertension and DM. One program to prevent and control complaints due to DM and hypertension is to do primary prevention with acupressure therapy. Acupressure therapy is one of the therapies that can be done easily that is obtained through training. Training is provided with the aim of comparing the behavior (knowledge, attitudes and skills) of elderly cadres about acupressure therapy before and after training. Community service is carried out through lecture, discussion and acupressure practices. Based on community service that has been done, it can be concluded that the target is mostly in the age group of 40-50 years, 30 people (60%), and most of the female sex is 45 people (90%), target knowledge increases based on good knowledge categories from 20 people (40%) to 35 people (70%), and an increase in attitudes with a very good category from 17 people (34%) to 38 people (76%). For the target audience it is recommended to maintain and improve behavior in acupressure and apply it every day, so as to overcome complaints of hypertension and DM in the elderly during the implementation of the elderly posyandu.Keywords: Elderly; Acupressure; Hypertension; DM.

Latihan Otot Berpengaruh Terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus Dipa Lindayani; IGA Ari Rasdini; VM Endang Rahayu; Made Mertha; Made Wedri
Jurnal Smart Keperawatan Vol 9, No 1 (2022): Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v9i1.605

Meningkatnya jumlah penderita diabetes melitus (DM) yang ditandai dengan peningkatan kadar glukosa darah, dapat disebabkan oleh banyak faktor, seperti; faktor keturunan/genetik, obesitas, perubahan gaya hidup, pola makan yang salah dan obat-obatan. Kadar glukosa darah pada penderita DM dapat disebabkan karena proses menua, kehamilan, perokok, stres dan kurangnya aktivitas fisik Latihan otot merupakan latihan fisik bertujuan meningkatkan dan mempertahankan kesegaran tubuh yang dilaksanakan sesuai prinsip F.I.D.J (Frekuensi, Intensitas, Durasi, dan Jenis) Penelitian ini dilakukan di Puskesmas II Denpasar Barat bertujuan untuk mengetahui pengaruh latihan otot terhadap kadar glukosa darah pada pasien diabetes mellitus. Desain penelitian ini adalah pre-eksperimental dengan rancangan one group pretest posttest design. Sampel sebanyak 44 orang yang menderita diabetes mellitus. Intervensi diberikan latihan otot 4 kali dalam seminggu dengan durasi 40 menit. Kadar glukosa darah pada subyek penelitian diabetes mellitus sesudah diberikan latihan otot sebagian mengalami penurunan kadar glukosa darah yaitu sebanyak 42 orang (95,5%) memiliki kadar glukosa darah hipoglikemi (110-144mg/dL), dan sebanyak 2 orang memiliki kadar glukosa darah normal (145-179mg/dL).Hasil penelitian menunjukkan bahwa ada pengaruh latihan otot terhadap kadar glukosa darah pada pasien diabetes mellitus di Puskesmas II Denpasar Barat (ρ=0,003) dengan rata-rata kadar glukosa darah sebelum intervensi yaitu 128,75 mg/dl dan setelah intervensi yaitu 114,48 mg/dl. Hasil penelitian ini dapat digunakan untuk mengembangkan promosi kesehatan tentang manfaat latihan otot sebagai salah satu pencegahan terhadap terjadinya komplikasi DM.Kata kunci: latihan otot; kadar glukosa darah; diabetes melitus MUSCLE EXERCISE EFFECTS ON BLOOD GLUCOSE LEVELS INDIABETES MELLITUS PATIENTSABSTRACT The increasing number of people with diabetes mellitus which is characterized by increased blood glucose levels, can be caused by many factors, such as; heredity, obesity, lifestyle changes, wrong diet and drugs. Blood glucose levels in people with diabetes can be caused by the aging process, pregnancy, smoking, stress and lack of physical activity Muscle training is a physical exercise aimed at improving and maintaining body freshness which is carried out according to the principles of Frequency, Intensity, Duration, and Type (F.I.D.J). The research was conducted at Public health center to determine the effect of muscle training on blood glucose levels in diabetes mellitus patients. The research design was pre-experimental with one group pretest posttest design. A sample of 44 people who suffer from diabetes mellitus. The intervention was given muscle training 4 times a week with a duration of 40 minutes. Blood glucose levels in diabetes mellitus research subjects after being given muscle training partially decreased blood glucose levels, as many as 42 people (95.5%) had hypoglycemic blood glucose levels (110-144mg/dL), and 2 people had normal blood glucose levels. (145-179mg/dL). The results showed that there was an effect of muscle training on blood glucose levels in diabetes mellitus patients at West Denpasar Health Center II (ρ = 0.003) with an average blood glucose level before the intervention that was 128.75 mg / dl and after the intervention was 114.48 mg. / dl. The results of this study can be used to develop health promotion about the benefits of muscle training as a prevention against complications of DM. Keywords: muscle training; blood glucose levels; diabetes mellitus

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