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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN LINK Jurnal Kesehatan Andalas MATAPPA: Jurnal Pengabdian Kepada Masyarakat Jurnal Keperawatan Muhammadiyah Proceedings of the International Conference on Applied Science and Health Journal of Health, Education, And Literacy (J-Healt) Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu dan Teknologi Kesehatan Bali Medika Jurnal Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Journal of Borneo Holistic Health Jurnal Ilmiah Kesehatan Rustida Babali Nursing Research Jurnal Gema Keperawatan Nursing and Health Sciences Journal (NHSJ) Synergy and Society Service Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Journal Nursing Research Publication Media (NURSEPEDIA) Gaster Jurnal Masyarakat Madani Indonesia Protein: Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Ilmiah Kesehatan Keperawatan Jurnal Info Kesehatan Jurnal Pengabdian Masyarakat Bina Usada Jurnal Kesehatan Jurnal CARING (Center of Research Publication in Midwifery and Nursing)
Laksmi, Ida Ayu Agung
Department Of Nursing, STIKES Bina Usada Bali, Denpasar, Bali, Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Hubungan Kadar Gula Darah dengan Nilai Ankle Brachial Index Pasien Diabetes Melitus di Out Patient Departement Siloam Hospital Denpasar Susiyanti, Erna; Laksmi, Ida Ayu Agung; Dewi, Putu Adi Cahya; Wijaya, I Putu Artha
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2629

Abstract

Uncontrolled blood sugar levels in patients with diabetes mellitus will result in peripheral neuropathy in the lower extremities, so that the sensitivity of the feet will decrease. Ankle Brachial Index (ABI) assessment is necessary for Type 2 Diabetes Mellitus (T2DM) patients to detect peripheral neuropathy early, particularly on the soles of the feet. Low ABI values that cause vascular disorders are influenced by increasing age, duration of DM and obesity. Objective: To determine the relationship between blood sugar levels and the ankle brachial index value of patients with diabetes mellitus in the Out-Patient Department (OPD) Siloam Hospital, Denpasar. Methods: This study employed a correlational research design with a cross-sectional approach, using simple random sampling to involve 227 respondents. The research instruments used were a Sphygmomanometer to measure the ABI value and a Glucometer (Glukotest) to measure the blood sugar levels of respondents. Data analysis was carried out using Spearman's rank correlation. Results:  Based on the value of blood sugar levels, it shows that the majority of respondents have a high category, namely 205 respondents (90.3%) and based on the value of the ankle brachial index (ABI), the majority of respondents' right foot ABI values are in the mild obstruction category, namely 128 respondents (56.4%) and the majority of the left foot has mild obstruction, namely 133 respondents (59.5%). The analysis yielded a p-value of 0.001, indicating a significant relationship between blood sugar levels and ankle brachial index (ABI) values. Conclusion: There is a significant relationship between blood sugar levels and ABI index on T2DM. Keywords: ankle brachial index, blood sugar level, T2DM
The Relationship Between Self Care Behavior and Quality of Life of Breast Cancer Patients Undergoing Chemotherapy in The Chemotherapy Room of Bali Mandara Hospital Ni Nyoman Mariathi; Ida Ayu Agung Laksmi; Ni Putu Cyntia Maseni
Jurnal Kesehatan Vol. 14 No. 02 (2025): Jurnal Kesehatan: Volume 14, Issue 02, October 2025
Publisher : STIKES Hesti Wira Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63323/jkes.v14i02.227

Abstract

Introduction: Breast cancer patients with chemotherapy treatment have a negative impact on physical and psychological quality of life. This impact can be influenced by self care behavior. This study aims to determine the relationship between Self Care Behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital Method: The study was conducted with an analytical observational design with a cross sectional approach conducted from February to March 2025 with a total sample of 34 respondents selected by purposive sampling technique. Data were collected using the Self Care Behavior questionnaire and the ORTC QLQ BR-23 questionnaire. Data were analyzed using the spearman's rho test. Results: The results showed that the majority had self care behavior dependence as much as 67.6% and most of the functional quality of life and symptoms in the moderate category as much as 73.5%. Analysis of the relationship between self care behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital obtained a p value <0.001. Conclusion: It can be said that there is a relationship between self care behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital. The recommendations of this study are expected to be input for nurses to always provide counseling to patients with diabetes mellitus to improve quality of life. Protocol registration: This research has previously passed ethical review with the number: 015/EA/KEPK.RSBM.DISKES/2025
Peningkatan Kesiapsiagaan Bencana dengan Implementasi Permainan Edukatif D-Station pada Anak Usia Sekolah Ida Ayu Agung Laksmi; Made Dwie Pradnya Susila; Made Ani Suprapta
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 1 (2026): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/gvcz1x98

Abstract

Indonesia merupakan salah satu negara dengan risiko bencana tertinggi di dunia, sehingga pendidikan mitigasi bencana sejak usia dini menjadi sangat penting. Anak-anak sekolah dasar termasuk dalam kelompok rentan terhadap dampak bencana karena keterbatasan fisik dan pengetahuan. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan siswa terhadap bencana dan kesiapsiagaan melalui media pembelajaran berbasis permainan edukatif, yaitu D-Station Boardgame. Kegiatan dilakukan di SD No. 1 Sading, Kabupaten Badung, Bali, dengan pendekatan pre-test dan post-test terhadap siswa kelas IV dan V. Hasil menunjukkan adanya peningkatan signifikan rerata pengetahuan siswa tentang bencana dari 60,20 menjadi 86,00 dan kesiapsiagaan bencana dari 54,50 menjadi 84,33. Metode gamifikasi terbukti efektif dalam menyampaikan materi mitigasi secara interaktif dan menyenangkan. Hasil pengabdian ini merekomendasikan penggunaan media pembelajaran berbasis permainan sebagai strategi edukatif yang efektif dalam membangun budaya siaga bencana di lingkungan sekolah dasar
Pemberian Terapi Genggam Bola Karet Ball Squeezing pada Pasien Stroke Nonhemoragik dengan Masalah Keperawatan Gangguan Mobilitas Fisik Yuliani Yuliani; Ida Ayu Agung Laksmi
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 1 (2026): Januari: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i1.2023

Abstract

Non-hemorrhagic stroke occurs due to blockage of blood flow to the brain by a thrombus or embolus. The blockage results in focal neurological disorders that affect the musculoskeletal system, namely weakness in the extremities, which gives rise to nursing problems of impaired physical mobility. To overcome the problem of impaired physical mobility, rubber ball grip exercises (ball squeezing) are given. These exercises have been shown to increase muscle strength, prevent joint stiffness, and improve blood circulation. This scientific paper was conducted to determine the description of nursing care for non-hemorrhagic stroke patients with nursing problems of impaired physical mobility. During the meeting, the nurse provided rubber ball grip exercises (ball squeezing) for 10-15 minutes for 3 times in 24 hours. Evaluation of these actions showed that the patient who initially experienced weakness in the upper extremities with muscle strength 2-3 and after being given rubber ball grip exercises (ball squeezing), the problem of impaired physical mobility was resolved, as evidenced by the patient being able to perform therapy, the extremities feeling slightly lighter, and muscle strength 4. Therefore, it is recommended that non-hemorrhagic stroke patients be given rubber ball grip exercises (ball squeezing) to overcome impaired physical mobility.
Simulasi Multimedia Interaktif: Meningkatkan Keterampilan CPR dan Efikasi Diri Mahasiswa Keperawatan I Made Dwie Pradnya Susila; Ida Ayu Agung Laksmi
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
Analisis Asuhan Keperawatan Pada Pasien Anak ISPA yang Diberikan Kombinasi Pijat Dengan Minyak Aromaterapi Peppermint Dengan Masalah Keperawatan Ketidakefektifan Bersihan Jalan Napas di UPTD Puskesmas II Dinas Kesehatan Kecamatan Denpasar Utara I Kadek Agus Pranata; Ida Ayu Agung Laksmi
Journal of Health Education and Literacy Vol. 8 No. 2 (2026): Journal of Health, Education and Literacy (J-Healt)
Publisher : Universitas Sulawesi Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ISPA merupakan penyakit yang rentan dialami anak-anak dengan gejala terjadinya pilek, batuk dan gangguan pernapasan yang menjadi tanda adanya masalah ketidakefektifan bersihan jalan napas. Pemberian pijat dan aromaterapi peppermint menjadi salah satu terapi non farmakologi yang berpotensi memiliki manfaat untuk mengatasi masalah tersebut. Tujuan studi ini adalah untuk menganalisis pemberian asuhan keperawatan pada anak ISPA yang diberikan terapi kombinasi pijat dengan minyak aromaterapi peppermint terhadap masalah keperawatan ketidakefektifan bersihan jalan napas di UPTD Puskesmas II Dinas Kesehatan Kecamatan Denpasar Utara. Sampel studi adalah 3 pasien anak yang mengalami ISPA. Pemberian kombinasi pijat dengan minyak aromaterapi peppermint diberikan satu kali sehari dengan waktu pemberian 10 menit selama 3 hari. Setelah dilakukan asuhan keperawatan selama 3 hari didapatkan adanya perubahan pada status pernapasan pasien, yakni frekuensi napas dalam rentang normal, keluhan batuk berkurang, tidak ditemukan suara napas abnormal. Hasil ini menandakan bahwa pemberian kombinasi pijat dengan minyak aromaterapi peppermint efektif untuk mengatasi masalah ketidakefektifan bersihan jalan napas pada pasien anak dengan ISPA. Pemberian kombinasi pijat dengan minyak aromaterapi peppermint memberikan efek relaksasi dan aroma menthol menimbulkan rasa lega dan melonggarkan saluran napas. Terapi ini dapat dijadikan alternatif pengobatan non farmakologi bagi pasien dengan ISPA.
Pengaruh Senam Tera Terhadap Penurunan Nyeri Sendi Pada Lansia Penderita Rheumatoid Arthritis di Wilayah UPTD Puksemas Kediri III Ni Putu Sinta Dewi; Ni Komang Matalia Gandari; Ida Ayu Agung laksmi; Putu Wira Kusuma Putra
CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan Vol. 9 No. 2 (2025): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v9i2.584

Abstract

Latar Belakang: Rheumathoid Arthritis (RA) merupakan gangguan peradangan kronis autoimun atau respon autoimun, dimana imun seseorang bisa terganggu dan turun yang menyebabkan hancurnya organ sendi dan lapisan pada sinovial, terutama pada tangan, kaki dan lutut. Meskipun tidak menimbulkan kematian secara langsung, namun arthritis dapat menimbulkan kecacatan bagi penderitanya. Metode: Penelitian ini menggunakan metode kuantitiatif pre-eksperimen dengan One Group Pretest Postest design. Sampel diambil menggunakan metode purposive sampling dan diperoleh besar sampel sejumlah 46 responden. Kegiatan senam tera dilakukan selama 1 minggu dengan 3 kali pertemuan selama 30 menit. Analisis data menggunakan wilcoxone sign rank test. Hasil Penelitian: Diketahui responden dengan nyeri ringan sebelum kegiatan sebanyak 22 orang (47,8%) dan nyeri sedang sebanyak 29 orang (52,2%). Sedangkan setelah melakukan kegiatan senam tera diketahui responden dengan nyeri ringan sebanyak 41 orang (89,1%) dan nyeri sedang 5 orang (10,9). Berdasarkan hasil uji wilxocon yang melibatkan 46 responden diketahui nilai p value 0,023 (p < 0,05), maka H0 ditolak dan Ha diterima yakni ada pengaruh senam tera terhadap penurunan nyeri sendi pada lansia penderita Rheumatoid Arthritis di UPTD Puksemas Kediri III. Kesimpulan: Berdasarkan hasil penerapan kegiatan senam tera yang telah dilakukan maka dapat disimpulkan bahwa sterdapat pengaruh senam tera terhadap penurunan nyeri sendi pada lansia penderita Rheumatoid Arthritis di UPTD Puksemas Kediri III
Sehat di Tengah Vulkanik di Banjar Adat Gede, Desa Adat Muncan, Kabupaten Karangasem Ida Ayu Agung Laksmi; Ni Putu Rasti Ayu Ningsih; Putu Dewi Puspita Agustini; Ni Nyoman Ratih Andara Putri; Amelia Yunita Lestari
Jurnal Pengabdian Masyarakat Bina Usada (ABDINUSA) Vol. 2 No. 2 (2024): Jurnal Pengabdian Masyarakat Bina Usada (ABDINUSA)
Publisher : LPPM STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/abdinusa.v2i2.441

Abstract

Bencana adalah bagian dari kehidupan yang datang secara tiba-tiba tanpa dapat diprediksi kapan, bagaimana, dan di mana akan terjadi. Gunung meletus adalah peristiwa keluarnya endapan magma dari dalam perut bumi yang didorong oleh gas bertekanan tinggi. Masyarakat yang tinggal di wilayah rawan bencana termasuk Banjar Adat Gede Desa Adat Muncan Karangasem, perlu ditingkatkan kapasitasnya melalui penyuluhan kesehatan. Ancaman erupsi Gunung Agung memiliki dampak negatif berupa material berbahaya seperti lahar dan abu vulkanik panas yang dapat merusak pemukiman warga dan menyebabkan berbagai penyakit ISPA (Infeksi Saluran Pernapasan Atas). Dengan adanya penyuluhan kesehatan yang tepat, masyarakat dapat memahami bagaimana menjaga kesehatan mereka selama dan setelah bencana. Edukasi yang diberikan berupa cara mempertahankan kesehatan ditengah gunung meletus adalah dengan menerapkan PHBS (Perilaku Hidup Bersih dan Sehat). Setelah mendapatkan materi Sehat di Tengah Vulkanik, pengetahuan masyarakat meningkat dengan nilai p-value 0,000 (p<α 0,5%) dapat disimpulkan bahwa program ini efektif dalam meningkatkan pengetahuan masyarakat mengenai bencana gunung meletus.
Analysis of Nursing Care in Elderly Patients with Type 2 Diabetes Mellitus Through the Provision of Diabetes Self-Management Education Ni Wayan Mariani; Ida Ayu Agung Laksmi
Jurnal Kesehatan Vol. 15 No. 02 (2026): Jurnal Kesehatan: Volume 15, Issue 02, October 2026
Publisher : STIKES Hesti Wira Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63323/jkes.v15i02.278

Abstract

Introduction: Elderly patients with Diabetes Mellitus often experience impaired blood glucose regulation due to decreased insulin sensitivity, changes in body composition, and declining pancreatic function. One of the most common nursing problems is unstable blood glucose levels, which are influenced by non-adherence to therapy, uncontrolled dietary patterns, physical activity that is not adjusted to the patient’s abilities, and a lack of understanding regarding the disease and its treatment. The purpose of this study is to analyze nursing care for unstable blood glucose levels in patients with Type II Diabetes Mellitus through self-management education. Method: The management of unstable blood glucose levels in patients with diabetes mellitus was carried out through the provision of diabetes self-management education for 45 minutes, once every three days during home visits, in accordance with the Standard Operating Procedure (SOP). The sample in this scientific paper consisted of elderly patients with Type II Diabetes Mellitus who experienced unstable blood glucose levels. Results: After the intervention was carried out during 3 home visits, the problem of unstable blood glucose levels with blood sugar levels gradually improved, with the results of client 1 being 178 mg/dl, the results of client 2 being 201 mg/dl and the results of client 3 being 185 mg/dl. It is hoped that the UPTD Puskesmas I of the South Denpasar District Health Office can implement this education as an intervention in nursing care for patients suffering from diabetes mellitus with nursing problems of unstable blood glucose levels. Conclusion: The characteristics of the three primary managed patients were elderly individuals (>59 years old), both male and female, with a history of Type II Diabetes Mellitus for more than five years, and with main problems including lack of knowledge and skills in diabetes management. The nursing evaluation demonstrated an improvement in knowledge and behavioral changes among all three patients regarding diabetes management, as well as a reduction in blood glucose levels. Therefore, the problem of unstable blood glucose levels in all three patients showed gradual improvement.
Co-Authors A.A Ngurah Nara Kusuma Agastiya, I Made Cahyadi Ahsan Ahsan Amelia Yunita Lestari Ayu Made Budihartini Dewi, Putu Adi Cahya Dwija, Ida Bagus Nyoman Putra Gandari, NK. Matalia Heri Kristianto I Gusti Ngurah Juniartha I Kadek Agus Pranata I Kadek Sudika I Ketut Krisna Pramana I Putu Artha Wijaya Komang Yogi Triana Luh Seri Ani Made Adi Wahyu Udaksana Made Agus Hendrayana Made Ani Suprapta Made Ani Suprapta Made Dwie Pradnya Susila Maharani, Ni Putu Ananda Mayastuti, Ni Ketut Ni Kadek Dwi Ari Lestari Ni Ketut Mayastuti Ni Komang Desi Tri Handayani Ni Made Ari Sukmandari Ni Nyoman Mariathi Ni Nyoman Ratih Andara Putri Ni Putu Cyntia Maseni Ni Putu Rasti Ayu Ningsih Ni Putu Sinta Dewi Ni Wayan Mariani Putu Dewi Puspita Agustini Putu Sumadi Putu Wira Kusuma Putra Suprapta, Made Ani Surinten, Ni Wayan Susila, I Made Dwie Pradnya Susiyanti, Erna Sutami, Ni Kadek Dian Tina Handayani Tony Suharsono Udaksana, I Made Adi Wahyu Vittala, Govinda Yuliani Yuliani Yunitasari, Ni Kadek Mei