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I Dewa Putu Gede Putra Yasa
Poltekkes Kemenkes Denpasar
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Pendampingan Kader Dalam Pengembangan Perawatan Mandiri Pasien Diabetes Melitus Tipe 2 di Kelurahan Pedungan Kota Denpasar IGA Ari Rasdini; IDP Putrayasa; VM Endang S.P Rahayu; Made Wedri
Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Vol. 2 No. 6 (2022): November 2022 - Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat
Publisher : Indonesian Scientific Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25008/altifani.v2i6.286

Abstract

Tingginya kejadian Diabetes Melitus (DM ) berdampak pada semua aspek kehidupan pasien.Fokus utama dalam manajemen DM yaitu merubah pola hidup. Manajemen gaya hidup merupakan hal yang mendasar dalam perawatan DM seperti manajemen belajar sendiri, dukungan perawatan, aktivitas fisik, konseling merokok, dan perawatan psikososial .Diharapkan dengan perubahan pola hidup dapat meningkatkan kendali glikemik dan menurunkan komplikasi serta kematian. Kader kesehatan diberikan program pemberdayaan dengan sebagai motivator dan mentoring dalam melaksanakan perawatan mandiri secara komprehensif. Program utama dalam pengabdian kepada masyarakat yaitu pendampingan kader dalam pemberdayaan pasien DM tipe 2.Kegiatan tersebut diawali dengan pre test dengan memberikan pertanyaan dalam bentuk kuesioner. Materi diberikan oleh tim pelaksana sesuai dengan isi modul. Program pendampingan dilaksanakan setelah pemberian materi selesai. Pendampingan kader dilaksanakan dengan cara mendatangkan langsung pasien DM tipe 2 di Kelurahan Pedungan kota Denpasar. Mitra dibagi kedalam kelompok kecil yang beranggotakan 5-6 orang setelah diberikan pemaparan materi dan pendampingan terjadi peningkatan kemampuan mitra dalam pemberdayaan pasien DM tipe 2. Peningkatan tersebut terjadi secara bermakna yaitu 85,7 %, dengan kategori baik.
Faktor Dominan yang Mempengaruhi Tingginya Kasus TB Paru I Ketut Sudiantara; I Dewa Putu Gede Putra Yasa; Sitti Fatmawati
Jurnal Gema Keperawatan Vol 8, No 1 (2015): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v8i1.2462

Abstract

The purpose of this research was to identified Dominant factor that influence of height incident of lung Tuberculosis. Design of study is descriptive design with cross sectional approach. Study was loceted at public health center I of Sukawati on Jun 2014. Lung Tuberculosis patients who have look at the public health center I of Sukawati as sample. Number of sampel was 34 lung tuberculosis patinents, was taken by using purposive sampling. Influence factor as data primier was collected by using questioner. Result of study was showed the dominant factor is predisposing factor 18 respondents (53%). From the result showed height risk for spereted lung tuberculosis infection
Aplikasi Brief Pain Inventory (BPI) untuk Mengidentifikasi Nyeri Kronis pada Pasien Kanker Payudara Ni Nyoman Sri Ayu Desianti; I Dewa Putu Gede Putra Yasa; I Wayan Surasta; VM Endang SP Rahayu
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2563

Abstract

Chronic pain is the main complaint of breast Cancer patients. Appropriate pain assessment is needed in palliative care of cancer patients. This study aims to describe the characteristics of pain in breast cancer patients who are studied with BPI at Bali Mandara Hospital in 2023. This research method uses a quantitative method which is carried out at the Surgical Oncology Polyclinic at Bali Mandara Hospital. This research activity was carried out in April 2023 using a purposive sampling technique of 44 respondents. The BPI Pain Inventory Brief Questions cover several aspects of pain assessment, many factors can be identified that affect pain objectively. This is very helpful in managing pain by the Nursing team. The results showed characteristic age respondents 30-40 years old was 7 (15,9%), 41-50 years old was 17 (38,6%), 51-60 years old was 13 (29,5%), 61-70 years old was 4 (9,1%) and 71-80 years old was 3 (6,9%). Respondents' characteristic length of the used contraceptive method was mean: 2 years 5 months, minimum at 5 years dan maximum at 72 months. that out of 44 respondents, 25 respondents (56.8%) experienced mild pain with a score of 1-3, moderate pain as many as 18 respondents (40.9%) with a score of 4-6, and severe pain as much as 1 (2.3%) with a score of 7-10. It can be concluded that this study showed that most of the respondents experienced pain that was not too severe. This is very helpful in managing pain by the nursing team.
Self-administered acupressure at the Taichong point reduces blood pressure in hypertensive patients Yasa, I Dewa Putu Gede Putra; Sukawana, I Wayan; Surasta, I Wayan; Rasdini, I Gusti Ayu Ari
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54438

Abstract

Background: Blood pressure control can be achieved through lifestyle changes, pharmacological therapy, and non-pharmacological therapy. Complementary therapies can be included in hypertension management programs and are self-administered. This study aims to analyze the effect of self-administered acupressure at the Taichong point on blood pressure in hypertensive patients. Method: The research was conducted at Puskesmas II Denpasar Utara using a pre-experimental design with 38 primary hypertensive patients. Blood pressure data were measured five minutes before and after the patients performed self-administered acupressure at the Taichong point between the first and second metatarsals. Acupressure was performed with a stick for 5 seconds, lifted for 1 second, and repeated 30 times. Result: The results showed that all respondents had stage 2 hypertension, with systolic blood pressure (SBP) ranging from 140 to 172 mmHg and diastolic blood pressure (DBP) between 90 and 102 mmHg. After the intervention, all respondents experienced a decrease in SBP and DBP, with an average reduction in SBP of 13.89 ± 5.46 mmHg and a reduction in DBP of 11.05 ± 6.32 mmHg. The analysis results showed a significant effect on blood pressure (p-value: 0.0001). Conclusion: This study concludes that self-administered acupressure at the Taichong point significantly reduces blood pressure in primary hypertensive patients.
Perception and Educational Needs in the Self-Management Type 2 Diabetes Mellitus Patients: A Phenomenological Study Based on Local Wisdom Yasa, I Dewa Putu Gede Putra; Rahayu, VM Endang SP; Rasdini, I Gusti Ayu Ari
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1340

Abstract

Lack of knowledge, misperceptions, and the absence of a diabetes management culture pose challenges to providing social support, particularly within families. This is a qualitative phenomenological study aimed at identifying factors contributing to self-management, unearthing the influence of a patrilineal culture, and uncovering the educational needs for local wisdom-based diabetes mellitus self-management in type 2 patients. Data were collected through in-depth interviews and analyzed thematically. The study population consisted of type 2 diabetes mellitus patients living within patrilineal families. The sample size was 10 female individuals aged between 40 and 60 years. The duration of type 2 DM ranged from 6 to 15 years. Four themes emerged from the research: (1) Insufficiency in self-management, (2) Beliefs and perceptions about type 2 diabetes mellitus, (3) The influence of patrilineal families on self-management, and (4) The need for the development of educational programs for self-management type 2 DM management rooted in local culture. According to the results, people with Type 2 Diabetes Mellitus may not be capable of managing their health. Though there are many different opinions and views regarding Type 2 DM, there are frequently gaps in our knowledge. The management of diabetes is greatly impacted by patrilineal family systems. Participants express a significant need for educational programs that are culturally sensitive and improve their ability to control their diabetes.
Self-care education based on local wisdom to improve glycemic control and self-efficacy in type 2 diabetes Yasa, I Dewa Putu Gede Putra; Surasta, I Wayan; Rasdini, Iga Ari; Iblasi, Abdulkareem S.; Polsook, Rapin; Juanamasta, I Gede
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2741

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires structured self-care education supported by family and cultural context. In Bali, health-related decisions are often influenced by patrilineal households where male family members act as primary decision-makers. This study evaluated a self-care education program based on Balinese local wisdom to improve glycemic control and self-efficacy among T2DM patients. Methods: A quasi-experimental design with pre- and post-tests and a control group was conducted at Community Health Center in Bali, Indonesia from June to September 2024. .Seventy patients with T2DM living in patrilineal households were purposively recruited and randomly allocated into intervention (n=35) and control (n=35) groups.. The intervention consisted of twelve weekly sessions of culturally tailored self-care education covering diet, physical activity, monitoring, medication, and foot care, with active involvement of male household decision-makers. Outcome measures included self-efficacy (Diabetes Management Self-Efficacy Scale), HbA1C, and systolic/diastolic blood pressure, analyzed using t-tests. Results: After 12 weeks, the intervention group demonstrated significant improvements compared to controls: self-efficacy (mean difference: 8.37, p<0.001), systolic blood pressure (-4.51 mmHg, p<0.001), diastolic blood pressure (-2.74 mmHg, p<0.001), and HbA1C (-0.61%, p<0.001). Although the HbA1C reduction was modest, it indicates a meaningful step toward better glycemic control. Conclusion: A 12-week culturally tailored self-care education program involving patrilineal family members improved self-efficacy and glycemic control in T2DM patients. These findings highlight the importance of integrating local wisdom and family involvement into diabetes education to enhance patient empowerment and adherence.
Co-Authors Anak Agung Sayu Risma Kusuma Dewi I Gede Juanamasta I Gusti Ayu Ari Rasdini I Kadek Oki Wanjaya I Ketut Sudiantara I Made Widastra I Putu Bayu Suadnyana Iblasi, Abdulkareem S. made, mertha N Adi Sumartawan Ni Made Wedri Ni Nyoman Sri Ayu Desianti Polsook, Rapin Rahayu, VM Endang SP Rasdini, I Gusti Ayu Ari Rasdini, IGA Ari Sitti Fatmawati Sukawana, I Wayan Surasta, I Wayan VM Endang SP Rahayu