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STUDI KORELASI ANTARA BMI DENGAN MORTALITAS PASIEN GAGAL JANTUNG KONGESTIF Ida Ayu Agung Laksmi; Putu Wira Kusuma Putra
Gaster Vol 17 No 1 (2019): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.367 KB) | DOI: 10.30787/gaster.v17i1.343

Abstract

Latar Belakang Gagal jantung kongestif (GJK) merupakan masalah kesehatan progresif dengan angka mortalitas dan morbiditas yang tinggi di negara maju maupun negara berkembang dan kasus gagal jantung menjadi kasus 10 terbesar di RSUD Mangusada. Salah satu kondisi yang memperberat pasien dengan gagal jantung kongestif adalah obesitas. Penentukan tingkat obesitas dapat menggunakan pengukuran antropometri, salah satunya berupa pengukuran Body Mass Index (BMI). Tujuan Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan BMI dengan mortalitas pasien GJK di RSUD Mangusada. Metode Jenis penelitian ini adalah penelitian analitik dengan pendekatan potong lintang (cross sectional study) menggunakan uji analisis korelasi Gamma. Hasil Hasil penelitian menunjukkan p = 0.043 dimana p < (0.05) sehingga Ho gagal ditolak yang berarti bahwa terdapat korelasi yang signifikan antara BMI dengan mortalitas pasien gagal jantung kongestif. Nilai korelasi 0.198 yang berarti korelasi sangat lemah dan arah korelasinya positif yaitu semakin besar BMI pasien risiko meninggal juga semakin besar. Kesimpulan BMI terbukti memiliki korelasi yang signifikan dengan mortalitas pasien gagal jantung kongestif, sehingga kontrol diet pada pasien GJK sangat diperlukan.
Validity and Reliability of the Nurse Preparedness Questionnaire in Facing Emerging Infectious Diseases Ida Ayu Agung Laksmi; I Made Dwie Pradnya Susila
Nursing and Health Sciences Journal (NHSJ) Vol. 2 No. 3 (2022): September 2022
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v2i3.157

Abstract

Nurse preparedness is a factor that needs to be considered in order to suppress work safety in the face of the COVID-19 pandemic. Early nursing intervention plays an important role in the prevention, preparedness, and response to the impact of the COVID-19 pandemic and other emerging infectious diseases. A nurse preparedness questionnaire about emerging infectious diseases needs to be compiled as an instrument that can measure preparedness related to unpredictable emerging infectious diseases. The aim of this study was to analyze the validity and reliability of the nurse preparedness questionnaire in dealing with emerging infectious diseases in Bali. This research method is a cross-sectional study involving all nurses in the emergency department at Klungkung Hospital as many as 30 people. Conducting a literature review and adopting the WHO COVID-19 preparedness questionnaire developed the instrument. The questionnaire consists of 4 dimensions with a total of 28 statement items covering the dimensions of knowledge on preparedness for emerging infectious diseases, dimensions of facility preparedness and response readiness in triage, dimensions of the effective response of nurses, and dimensions of preparedness and readiness of nurses for personal protective equipment. The stratified scale in this questionnaire uses a modified Likert scale with 4 answer choices of answers choices (4) strongly agree (3) agree (2) disagree and (1) strongly disagree. In instrumental testing, all 28 items of the instrument were confirmed through content validity (Pearson Product Moment). Using internal consistency reliability, the study found reasonable inter-item reliability for all items (Cronbach’s α: > 0.90)
PENGARUH EDUKASI TERSTRUKTUR DENGAN MEDIA VIDEO TERHADAP KEPATUHAN ENAM LANGKAH MENCUCI TANGAN PADA KELUARGA PASIEN RUANG ICU Ni Ketut Mayastuti; Putu Wira Kusuma Putra; Ida Ayu Agung Laksmi
Jurnal Ilmiah Kesehatan Keperawatan Vol 15, No 2 (2019): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v15i2.295

Abstract

Ruang ICU merupakan ruang intensif dengan prinsip bersih, merawat pasien – pasien kritis yang rentan sekali mengalami infeksi nosokomial/HAIs. Salah satu upaya untuk mencegah terjadinya infeksi silang antara pasien ke keluarganya ataupun sebaliknya adalah dengan mencuci tangan. Untuk meningkatkan kepatuhan mencuci tangan, keluarga pasien perlu diberikan edukasi. Penelitian ini bertujun untuk mengetahui pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien di ruang ICU RSUD Kabupaten Klungkung. Penelitian ini merupakan penelitian kuantitatif desain Quasi Experimental dengan rancangan Pre tes Post test with Control Group Design. Tehnik sampling yang digunakan yaitu Nonprobability sampling dengan sistem Consecutive sampling, jumlah sampel 32 orang pada keluarga pasien ruang ICU RSUD Kabupaten Klungkung yang terbagi atas 16 orang pada kelompok perlakuan dan 16 orang pada kelompok kontrol. Pengumpulan data dilakukan secara observasi dengan alat ukur ceklist. Analisis data yang digunakan yaitu analisis univariat dan analisis bivariat. Berdasarkan hasil penelitian menunjukkan bahwa ada pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien ruang ICU, Pvalue=0,0001 (P<0,05). Manajemen RSUD Kabupaten Klungkung dapat meningkatkan pengetahuan dan kepatuhan enam langkah mencuci tangan pada keluarga pasien dengan memberikan edukasi melalui media video. Kata kunci          : Edukasi, media video, kepatuhan, cuci tangan
UPAYA PENINGKATAN KESIAPSIAGAAN BENCANA MELALUI PELATIHAN BERBASIS PENDEKATAN PARTISIPATIF MASYARAKAT DI BANJAR KRISNANTARA, DESA TIBUBENENG I Made Dwie Pradnya Susila; Ida Ayu Agung Laksmi; Made Adi Wahyu Udaksana
Synergy and Society Service Vol. 3 No. 2 (2023): Synergy and Society Service
Publisher : Universitas Triatma Mulya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51713/save.v3i2.76

Abstract

The Community-Based Disaster Preparedness Program carries out steps to empower community capacity so that they are able to reduce the level of risk and impact of disasters that arise in disaster management and emergency response. Communities living in disaster-prone areas can play a direct role as helpers. One of the first steps is to provide training to communities in disaster-prone areas. Communities living in disaster-prone areas must increase their capacity, including those in Banjar Krisnantara, Tibubeneng Village. The area of Banjar Krisnantara, Tibubeneng Village is one of the areas in Badung Regency with densely populated settlements and is geographically a vulnerable area to floods and tsunamis. Therefore, community-based disaster preparedness training is urgently needed through a participatory approach in Banjar Krisnantara, Tibubeneng Village as part of an effort to empower people who are vulnerable to safety and health issues due to disasters. This activity involves 2 lecturer members who have eligibility qualifications and 3 students whose activities are recognized with credits in accordance with the Independent Learning principles. This activity was carried out from 11-27 June 2023 which was divided into 3 stages, namely the orientation stage, the implementation stage, and the evaluation stage. The results of effective activities in increasing community preparedness in Banjar Krisnantara, Tibubeneng Village with all specific objectives achieved include the existence of a safe gathering point, increasing the level of community preparedness and the emergence of the forerunner to the formation of a Sibat team by all heads of families in Banjar Krisnantara who participated in the training.
Training hotel staff in early emergency management to enhance tourist comfort at Ubud Raya Resort area Ani, Luh Seri; Hendrayana, Made Agus; Gandari, Ni Komang Matalia; Laksmi, Ida Ayu Agung; Agastiya, I Made Cahyadi; Vittala, Govinda; Juniartha, I Gusti Ngurah; Dwija, Ida Bagus Nyoman Putra
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 1 (2024): February 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i1.12128

Abstract

Tourists who stay at the hotel have a risk of illness and/or experiencing emergency problems that interfere with the sense of security and comfort for tourists. One factor for successful emergency management is first aid proficiency. However, the knowledge and skills of hotel staff are relatively lacking in handling emergency problems for tourists.  Based on this, this service was held to train the skills of hotel staff in handling emergencies for tourists. Service activities are carried out by presentation methods and practice on basic life support. The target of this activity is the hotel staff of Ubud Raya Resort. Dedication materials were given in 5 meetings. The training material has been adjusted to travel medicine subjects and based on the results of previous research by the implementation team. The implementation of this service went smoothly and as planned. Based on the results of the pretest and posttest, an increase in the knowledge and skills of participants was obtained. Based on interviews, it was found that service participants received positive benefits from the service carried out. Thus, concluded that this service was successfully carried out despite the limitations in its implementation. This community service advice re-conducting basic life support training for hotel staff so that the knowledge and skills received are beneficial in the long term.
Simulasi Multimedia Interaktif: Meningkatkan Keterampilan CPR dan Efikasi Diri Mahasiswa Keperawatan Susila, I Made Dwie Pradnya; Laksmi, Ida Ayu Agung
Bali Medika Jurnal Vol 11 No 1 (2024): Bali Medika Jurnal Vol 11 No 1 Juli 2024
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v11i1.344

Abstract

Sejak adanya pandemic Covid-19, terjadi pergeseran paradigma dalam dunia pendidikan termasuk pendidikan keperawatan yang awalnya luring menjadi online ataupun blended learning yang memerlukan waktu panjang untuk beradaptasi. Salah satu metode pembelajaran yang dapat digunakan dalam situasi blended learning adalah metode simulation multimedia interactive teaching. Tujuan penelitian ini adalah untuk mengetahui efektivitas dari metode simulation multimedia interactive teaching pada pembelajaran CPR dengan melihat skill dan efikasi diri mahasiswa dalam melakukan high quality CPR. Penelitian ini dilaksanakan di STIKES Bina Usada Bali dengan melibatkan 70 orang mahasiswa semester VI. Penelitian ini menggunakan metode pre-eksperimen dengan pendekatan Pre-post test without control group dengan membandingkan skill dan efikasi diri mahasiswa semester VI Keperawatan dalam memberikan high quality cardiopulmonary resuscitation (CPR) sebelum dan setelah mengikuti metode simulation multimedia interactive learning. Skill mahasiswa dievaluasi berdasarkan 3 indikator yang di rekomendasikan oleh AHA (2015) dan efikasi diri mahasiswa akan dinilai menggunakan kuisioner efikasi Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES). Hasil uji T-Test Berpasangan penelitian ini menunjukkan bahwa peningkatan nilai mean pada variabel skill CPR dan self efikasi sebelum dan setelah responden mengikuti metode simulation multimedia interactive learning dengan nilai p-value (0.001), p <  (0.05). Oleh karena itu, metode simulation multimedia interactive teaching menjadi pilihan yang dapat diaplikasikan pada pembelajaran mahasiswa keperawatan dalam situasi blended learning.   Since the Covid-19 pandemic, there has been a paradigm shift in the world of education, including nursing education from offline to online or blended learning which requires a long time to adapt. One of the learning methods that can be used in blended learning situations is the interactive multimedia teaching simulation method. The purpose of this study was to determine the effectiveness of the interactive multimedia teaching simulation method in CPR learning by looking at students' skills and self-efficacy in performing high quality CPR. This research was conducted at STIKES Bina Usada Bali involving 70 semester VI students. This study used the pre-experimental method with the Pre-post test without control group approach by comparing the skills and self-efficacy of semester VI Nursing students in providing high quality cardiopulmonary resuscitation (CPR) before and after following the simulation multimedia interactive learning method. Student skills are evaluated based on the 3 indicators recommended by the AHA (2015) and student self-efficacy will be assessed using the Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES) efficacy questionnaire. The results using Paired T-Test showed that the mean value of the variable CPR skill and self-efficacy increased before and after the respondents followed the interactive multimedia learning simulation method with a p-value (0.001), p < α (0.05). Therefore, the interactive multimedia teaching simulation method is an option that can be applied to nursing student learning in blended learning situations
Hubungan Tingkat Pengetahuan dengan Perilaku Pemantauan Glukosa Darah Mandiri (PGDM) Pada Pasien DM Tipe II Di RS Bali Royal Denpasar Yunitasari, Ni Kadek Mei; Laksmi, Ida Ayu Agung
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 11, No 1 (2025): Journal Nursing Care
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jnc.v11i1.1132

Abstract

Background: Education on Independent Diabetes Management (EIDM) is a component of comprehensive DM management through Independent Blood Glucose Monitoring (IBGM). some patients demonstrate helplessness in managing the prevention of diabetic complications due to lack of knowledge level.Purpose: This study aimed to determine the correlation between knowledge level and the Independent Blood Glucose Monitoring (IBGM) in elderly people with type II DM at the Polyclinic of X Hospital Denpasar.Methods: This study used a cross-sectional correlative descriptive method. The sampling technique used non-probability sampling, namely purposive sampling. The sample in this study consisted of 78 respondents. The Spearman rank test was utilized for the analysis.Results: The Spearman rank test was utilized for the analysis. According to the findings of the investigation, the majority of respondents have less knowledge (51.3%) and unsuccessful in implementing IBGM (80.8%).Conclusion: Based on the findings of the analysis, the p-value was 0.000<0.05, implying that there was a correlation between knowledge level and the Independent Blood Glucose Monitoring (IBGM) in type II DM patient at the Polyclinic Interna of Bali Royal Denpasar Hospital.  Health professionals are in the forefront of efforts to improve the effectiveness of IBGM in controlling blood glucose levels, hence lowering diabetes-related mortality and morbidity rates.
PENINGKATAN PERAN IBU PKK SEBAGAI UPAYA OPTIMALISASI PEMELIHARAAN KESEHATAN TERHADAP PENYAKIT HIPERTENSI PADA MASA PANDEMIK COVID-19 Ida Ayu Agung Laksmi; A.A Ngurah Nara Kusuma
Synergy and Society Service Vol. 2 No. 1 (2022): Synergy and Society Service
Publisher : Universitas Triatma Mulya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.794 KB) | DOI: 10.51713/save.v2i1.54

Abstract

Hypertension is known to be one of the most vulnerable comorbidities and is associated with the severity of symptoms experienced by Covid-19 sufferers. The highest health problem in the elderly is hypertension, which is as many as 60 people out of a total of 98 people in Banjar Yeh Dangin, Abianbase Village, Mengwi Badung. The purpose of this community service activity is to empower PKK women as an intervention to optimize health care, especially against hypertension during the Covid-19 pandemic. This activity is carried out in three stages including the assessment stage, implementation stage, and evaluation stage. The assessment stage is carried out to analyze the problems and potentials that exist in Banjar Yeh Dangin, Abianbase Village, Mengwi Badung. The implementation stage is carried out with health education which is divided into 2 days of implementation, namely October 30, 2021 which is accompanied by free health service activities and November 4 which is accompanied by eye screening activities. Evaluation of activities is carried out in a formative manner that focuses on evaluating the process and evaluating the results carried out summatively by comparing the value of knowledge of PKK women before and after being given public education. The conclusion of this activity is that there is an increase in the knowledge of PKK women in Banjar yeh Dangin, Abianbase Village, Mengwi Badung. Therefore, monitoring activities can be carried out to increase the role of PKK in optimizing health care, especially for hypertension in Banjar Yeh Dangin, Abianbase Village, Mengwi Badung.
Hubungan Peran Kelompok Teman Sebaya dengan Perilaku Bullying pada Anak Maharani, Ni Putu Ananda; Sukmandari, Ni Made Ari; Laksmi, Ida Ayu Agung
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.3930

Abstract

School is a place for children to learn and gain knowledge, and help shape positive character in children until adulthood. In reality, lately there have been frequent acts of violence, both by teachers against students, and by fellow students. The violence can be in the form of physical violence and psychological violence. The phenomenon of bullying is often heard in all aspects of life, one of which is in educational institutions such as schools. The many cases of violence in schools cause problems that occur in the school environment. Peers are at high risk of causing bullying behavior in children, where children often spend time socializing and interacting with peers compared to family. The results of the report obtained from the principal of an elementary school in Badung Regency showed that there were 40 cases of bullying behavior from January 3, 2022 to October 2022. The purpose of this study was to determine the relationship between the role of peer groups and bullying behavior in children at SD Negeri 4 Lukluk. This study uses a quantitative method using a descriptive correlation research design with a cross-sectional approach. The sampling technique in this study used a nonprobability sampling technique with a total sampling method with a sample size of 72 respondents. Data analysis using spearman-rank to determine the relationship between the role of peer groups and attachment variables, namely bullying behavior. The results of the study showed a relationship between the role of peer groups and bullying behavior in children of SD Negeri 4 Lukluk.
FAKTOR DETERMINAN KESIAPSIAGAAN PERAWAT GAWAT DARURAT DALAM MENGHADAPI PENYAKIT INFEKSI EMERGING Laksmi, Ida Ayu Agung; Udaksana, I Made Adi Wahyu; Susila, I Made Dwie Pradnya
jitek Vol 10 No 2 (2023): Maret 2023
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v10i2.1034

Abstract

Emerging infectious diseases are infectious diseases that appear and increase so rapidly that they can be said to be epidemics or non-natural disasters. As the front line, nurses are faced with uncertainties that increase the risk of exposure to disease, so preparedness is needed. This study aims to analyze the factors that affect the preparedness of emergency nurses in dealing with patients with emerging infectious diseases. This study is a correlational analytic study involving 109 emergency nurses in Bali. Data were collected through an online survey using a general questionnaire on demographic factors, a questionnaire on nurses' knowledge of EID, and a questionnaire on nurse preparedness in dealing with EID that had been tested for validity and reliability. The results of the bivariate analysis using the Spearman rank test showed that only the availability of personal protective equipment (p-value 0.007, p < α (0.05) and nurses' knowledge had a significant correlation with emergency nurse preparedness in dealing with patients with emerging infectious diseases (p-value 0.005, p < α (0.05). Therefore, it can be suggested to the hospital management in providing opportunities for emergency nurses to receive training related to emergencies in dealing with emerging infectious diseases and increase the assurance of the availability of adequate personal protective equipment (PPE).