I WAYAN SUARDANA
Department Of Nursing, Health Polytechnic Ministry Of Health Denpasar, Denpasar, Bali, Indonesia.

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Exercise Program: Tai Chi and Cognitive Stimulation to Improve Health Status of Elderly in Nursing Homes Ni Made Riasmini; Eska Riyanti; I Wayan Suardana; I Ketut Gama; Husnul Khatimah
JURNAL INFO KESEHATAN Vol 19 No 2 (2021): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol19.Iss2.585

Abstract

The structure of the aging population reflects the higher average life expectancy, which possesses an impact on the emergence of degenerative non-communicable diseases. Promotive effort through an exercise program (tai-chi exercise and cognitive stimulation) is required for the elderly to enhance their physical and mental health. This study aims to determine an overview of the exercise program's effectiveness on the health status of the elderly in nursing homes. The research method administered Quasi experiment with a control group design. The sample was the elderly who live in nursing homes. This study employed simple random sampling with a total sample of 116 people in 2 provinces: DKI Jakarta and South Sumatra Province. The statistical test utilized a t-test and multiple linear regression test. The results revealed that there was a difference in the average value of the health status of the elderly before and after the exercise programs in the intervention group (p-value = 0.001), there was a difference in the average value of the health status of the elderly between the intervention group and the control group after the exercise intervention program (p-value = 0.001), there was a relationship between the length of stay in the orphanage on the health status of the elderly. Recommendation: the resulting exercise program can be employed as complementary therapies replicated more extensively in various health care settings.
The Effect of Gayatri Mantra Meditation on Blood Pressure Reduction in Elderly Individuals with Hypertension in Pemecutan Kelod Village, Denpasar, Indonesia Ni Putu Diah Trisna Dewi; Ketut Sudiantara; I Wayan Mustika; I Gusti Ketut Gede Ngurah; I Wayan Suardana; Agus Sri Lestari
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20305

Abstract

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Ni Putu Sriarta Prabhadewi; I Gusti Ketut Gede Ngurah; I Wayan Suardana; I Ketut Gama; Agus Sri Lestari; Ketut Sudiantara; Komang Ayu Henny Achjar; I Gusti Ayu Harini; Ni Nyoman Hartati; I Wayan Mustika
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Luh Sri Anggayoni Julia Padmi; Komang Ayu Henny Achjar; I Ketut Gama; I Wayan Mustika; Agus Sri Lestari; Ketut Sudiantara; I Wayan Suardana; I Gusti Ketut Gede Ngurah
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Ni Nyoman Paramitha Dewintasari; I Wayan Mustika; I Ketut Sudiantara; Agus Sri Lestari; Komang Ayu Henny Achjar; I Ketut Gama; I Wayan Suardana; I Gusti Ketut Gede Ngurah; I Gusti Ayu Harini
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20602

Abstract

Background: Hypertension is a condition in which blood pressure is higher than normal values of ≥140/≥90 mmHg. Effective blood pressure control is the main goal to prevent and treat hypertension. In addition to pharmacological approaches, blood pressure can be controlled with non-pharmacological approaches such as acupressure therapy. This study aims to determine the effect of acupressure therapy at the SP6 and LI4 points on reducing blood pressure in elderly individuals with hypertension. Methods: This study was designed with a quasy-experiment with the type of research pre and post-test with control group with purposive sampling technique. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The population amounted to 81 elderly people with hypertension with the number of samples used in this study as many as 46 elderly samples with hypertension (23 in intervention group and 23 in control group). The majority of respondents were aged 65-69 years, female, worked as traders, and had elementary school education and did not go to school. Blood pressure was measured using a sphygmomanometer. Acupressure on SP6 and LI4 points was given to the intervention group for 3 weeks with a frequency of 2 times in 1 week, while the control group was given conventional treatment. Results: The results of the post-test difference in blood pressure between the intervention group and the control group with the Mann Whitney U-Test test showed a p-value = 0.000 (p <0.05), it can be concluded that there is a significant difference between the intervention group and the control group. Conclusions: The study concludes that there is an effect of acupressure therapy at point SP 6 and LI 4 on lowering blood pressure in the elderly with hypertension. It is hoped that the results of the study can be used as an alternative therapy in lowering blood pressure.
The Relationship Between Behavior Toward Breast Self-Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Ni Nyoman Putri Asri Rahmasari; I Ketut Gama; I Gusti Ketut Gede Ngurah; Ketut Sudiantara; Komang Ayu Henny Achjar; Agus Sri Lestari; I Wayan Suardana; I Wayan Mustika; I Gusti Ayu Harini; Ni Nyoman Hartati
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
COMPLEMENTARY NURSING COMMUNITY SERVICE OF STIKES BULELENG, POLTEKKES DENPASAR, AND UNIVERSITY OF FORT DE KOCK BUKITTINGGI IN KLUNGKUNG, BALI I Wayan Antarikswan; I Made Sundayana; I Dewa Ayu Rismayanti; Gede Budi Widiarta; Made Yos Kresnayana; Gede Ivan Kresnayana; Ni Made Dwi Yunica Astriani; Ni Putu Indah Sintya Dewi; Mochamad Heri; G. Nur Widya Putra; I Kadek Yudi Aryawan; Aditha Angga Pratama; Made Martini; Agus Ari Pratama; Ni Ketut Putri Marthasari; Putu Wahyu Sri Juniantari Sandy; Ni Luh Linda Ayuni Tania; Luh Seri Astuti; I Wayan Suardana; Yelmi Reni Puteri; Ni Putu Diah Ayu Rusmeni
Jurnal Pengabdian Masyarakat Sundaram Vol. 3 No. 1 (2025): JPMS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/jpms.v3i1.63

Abstract

High blood pressure, better known as hypertension, is now a global health problem of increasing concern. This disease is included in the list of the ten leading causes of death worldwide, and each year claims many lives. Therefore, effective prevention and treatment measures are urgently needed to address hypertension worldwide. A preliminary study conducted in Dawan Village revealed 60 cases of hypertension in the past six months. Based on these initial findings, researchers were motivated to conduct further research on how wet cupping therapy can help lower cholesterol levels and blood pressure in hypertensive patients in Dawan Village. This initiative was welcomed by the residents of Dawan Kaler Village, located in Klungkung Regency, Bali Province. The goal is to provide the Dawan Kaler community with sufficient knowledge on how to manage hypertension and control their cholesterol levels. This community service program is expected to increase awareness and understanding of hypertension among Dawan Kaler residents, as well as the benefits of cupping therapy in lowering blood pressure and cholesterol.