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Komang Ayu Henny Achjar
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Pemberdayaan Kader dan Keluarga Dalam Pengelolaan DM Pada Lansia di Rumah Komang Ayu Henny Achjar; I Ketut Gama; Ketut Sudiantara
Jurnal Pengabdian Masyarakat Indonesia Vol 3 No 4 (2023): JPMI - Agustus 2023
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.1332

Abstract

Kabupaten Badung merupakan kabupaten dengan jumlah kasus penderita DM tahun 2020 masuk dalam 10 besar penyakit tertinggi. Permasalahan yang ada, selama ini program perkesmas di Puskesmas Kuta I yang mewilayahi desa Tibubebeng belum berjalan optimal dikarenakan terbatasnya jumlah SDM, pendidikan dan kualitas SDM Puskesmas beragam, kurangnya sarana prasarana yang diperlukan puskesmas,  tidak rutinnya pelatihan perkesmas termasuk bagaimana menemukan kasus, asuhan keperawatan keluarga dengan lansia DM (pengkajian, perencanaan, pelaksanaan, evaluasi) di rumah, pencatatan pelaporan kasus.  kurangnya pemberdayaan keluarga dalam pengelolaan lansia DM di rumah,  program PIS-PK yang dilakukan oleh Puskesmas dan belum membahas tentang perlunya dukungan sosial keluarga melalui pemberdayakan keluarga dengan mengikutsertakan potensi keluarga, memandirikan keluarga melalui pelatihan terkait pentingnya edukasi diet seimbang, monitoring gula darah, latihan fisik, obat obatan DM sesuai anjuran, terapi komplementer, latihan senam kaki DM. Kegiatan pengabdian masyarakat bertujuan untuk pemberdayaan kader lansia dan keluarga DM dalam pengelolaan lansia DM di rumah. Metode pengabmas melalui kegiatan pelatihan terintegrasi DM, pelayanan kesehatan langsung, terapi komplementer senam kaki lansia DM serta pemanfaatan herbal sebagai pengobatan komplementer lansia DM di rumah.    Hasil kegiatan Perilaku kader lansia dalam pengelolaan DM setelah diberikan pelatihan terintegrasi terbanyak pengetahuan baik (80%), sikap baik (60%) dan tindakan baik (80%). Perilaku keluarga lansia dalam pengelolaan DM setelah diberikan pelatihan terintegrasi terbanyak pengetahuan baik (75%), sikap baik (70%) dan tindakan baik (80%).
Pemanfaatan Kearifan Lokal Bali menuju Desa Sehat Wisata Bebas Penyakit Tidak Menular di Desa Tibubeneng Kabupaten Badung, Provinsi Bali Komang Ayu Henny Achjar; Komang Ayu Krisnayanti; Djamaluddin Ramlan; Sri Rahayu; Agus Sri Lestari; Ketut Gama; Gst Agung Ayu Dharmawati; Komang Wiardani
Jurnal Pengabdian Masyarakat Indonesia Vol 5 No 2 (2025): JPMI - April 2025
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.3217

Abstract

Tidak dapat dipungkiri jumlah penderita Penyakit tidak menular seperti DM dan hipertensi masih tinggi, walaupun pemerintah sudah melakukan beberapa terobosan melalui pemberdayaan peran keluarga dan kader lansia di rumah, program Indonesia Sehat melalui pendekatan keluarga (PIS- PK) dengan kunjungan rumah. Peran tenaga kesehatan secara interprofesi untuk mampu berkontribusi dalam mengatasi masalah  fisik, psikologis, ekonomi dan sosial yang dihadapi lansia. Kegiatan diutamakan pada pelayanan kesehatan terintegrasi sesuai budaya lokal setempat dengan memanfaatkan kearifan lokal yang ada  di Bali. Perlu penanganan lansia yang berbeda di setiap budaya yang berbeda juga. Pemberdayaan komunitas melalui peran serta kelompok lokal, seperti Seka Truna Truni (STT) dan PKK, menunjukkan potensi besar dalam mendukung kesehatan lansia. Pendekatan kearifan lokal, termasuk terapi komplementer dan pemanfaatan produk herbal, dapat membantu meningkatkan kualitas hidup lansia. Tujuan: mewujudkan desa sehat wisata bebas penyakit tidak menular dengan memanfaatkan kearifan lokal Bali. Metode: pemberian pendidikan kesehatan, pelayanan kesehatan, pembentukan kelompok diskusi, swabantu, dan peduli lansia, pembuatan percontohan toilet ramah lansia, pembuatan model kursi bantu untuk lansia dan pemanfaatan tanaman herbal dan senam kaki DM sebagai terapi komplementer. Hasil: terjadinya peningkatan pengetahuan dan keterampilan para perangkat desa dan masyarakat.
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.
Burnout and Patient Safety Culture among Emergency Department Nurses: A Cross-Sectional Analysis Eka Lutfiatus Solehah; Komang Ayu Henny Achjar; Putu Ayu Lestarini; Nyoman Sri Ariantini; Yupin Aungsuroch
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1120

Abstract

Background: Emergency departments (EDs) in major tourist destinations face intensified patient volume and cultural diversity, posing risks to nurse well-being and patient safety. Purpose: This study examined the effects of tourism-pressure workload and intercultural nursing competence on patient safety culture among emergency nurses in Bali, testing burnout as a mediating mechanism within the Job Demands Resources (JD–R) framework. Methods: A quantitative, cross-sectional survey was conducted from May to September 2025, coinciding with Bali’s peak tourist season. Using a total-sampling (census) approach, all eligible emergency nurses in participating public and private hospitals across Bali were invited, yielding 283 fully usable responses. Data were analyzed with partial least squares structural equation modeling (PLS-SEM): measurement quality was tested via Cronbach’s α, composite reliability, average variance extracted, and Fornell Larcker/HTMT discriminant-validity criteria, and structural paths and bootstrapped indirect (mediation) effects were tested with 5,000 resamples and bias-corrected 95% confidence intervals. Results: Tourism-pressure workload strongly increased burnout (β = 0.511, p < .001) and was negatively associated with patient safety culture (β = −0.249, p < .001). Contrary to the hypothesized protective direction, intercultural nursing competence was positively associated with burnout (β = 0.336, p < .001), while directly strengthening patient safety culture (β = 0.382, p < .001) as its strongest predictor. Burnout was negatively related to patient safety culture (β = −0.314, p < .001) and partially mediated the workload–safety relationship; the indirect path from intercultural competence through burnout was small and of the opposite sign to its direct effect (competing partial mediation). The model explained 55.2% of the variance in burnout and 65.6% in patient safety culture. Conclusion: Burnout is a central pathway through which tourism-driven demands erode safety culture, and intercultural competence carries a dual character protecting safety culture directly while imposing emotional demands when organizational support is insufficient. Integrated workload management, structured intercultural training, and burnout prevention are required.
Co-Authors Agus Sri Lestari Agus Sri Lestari Aris Santjaka Djamaluddin Ramlan Eka Lutfiatus Solehah Febianingsih, Ni Putu Eka Gst Agung Ayu Dharmawati Harini, IGA I Gusti Ketut Gede Ngurah I Ketut Gama I Ketut Gama I Ketut Gama I Ketut Sudiantara I Made Candra Dinata I Made Dody Setiawan I Nyoman Jirna I Wayan Mustika I WAYAN SUARDANA I Wayan Sudiadnyana Ketut Gama Ketut Sudiantara Ketut Sudiantara Komang Ayu Krisnayanti Komang Wiardani Lita Heni Kusumawardani Luh Sri Anggayoni Julia Padmi Muryani, Ni Made Sri Ni Luh Putu Tanasya Putri Ni Nyoman Hartati Ni Nyoman Paramitha Dewintasari Ni Nyoman Putri Asri Rahmasari Ni Putu Chika Maharani Ni Putu Sriarta Prabhadewi Nyoman Sri Ariantini Putu Ayu Lestarini Setiawan, I Made Dody Sri Astiti Padma Parashita Sri Rahayu Yupin Aungsuroch