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All Journal COPING (Community of Publishing in Nursing) 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 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 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 Nursing Public Health Social Sciences

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Development of a Moblie Phone E-Nursing Application Prototype to Improve Self-Care for Heart Failure Patients Laksmi, Ida Ayu Agung; Susila, I Made Dwie Pradnya; Suprapta, Made Ani
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): 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.Vol22.Iss4.1621

Abstract

Generally, patients with heart failure will experience activity intolerance resulting in functional limitations and decreased self-care abilities. One of the innovations offered in the Digital era is to develop a mobile phone e-nursing application with mobile technology that can be used by heart failure patients anywhere and anytime. This research aims to create a mobile phone application prototype to improve self-care for heart failure patients. This study is a research and development design. This study involved 32 heart failure patients who had medical records and a history of hospitalization at Mangusada Hospital using a purposive sampling technique. This research produced a prototype the self-care e-nursing application prototype which was developed into 6 main menus including education, weight monitoring, symptom monitoring, diet programs, medication reminders, and rest-activity menus.  Then the prototype was evaluated using the System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ). The research results show that the average SUS score reached 84.84 and the overall PSSUQ score was above 5. The conclusion is this prototype is classified as acceptable. Thus, this prototype is worthy of being developed into a real application in the future. Future research is needed to investigate the integration of the e-nursing application with electronic medical records (EMRs) within existing hospital systems.
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
Hubungan Hipertensi dan Aritmia Dengan Mortalitas Pasien Congestive Heart Failure Ayu Agung Laksmi, Ida; Yogi Triana, Komang; Putra, Putu Wira Kusuma
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 2 (2018): 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.v2i2.55

Abstract

Gagal jantung merupakan masalah kesehatan progresif dengan angka mortalitas dan morbiditas yang tinggi di negara maju maupun negara berkembang. Selain usia dan jenis kelamin, faktor penting lainnya yang dapat memperberat kondisi pasien adalah adanya hipertensi dan aritmia. Tujuan penelitian ini adalah untuk mengetahui korelasi antara hipertensi dan aritmia dengan mortalitas pasien CHF di RSUD Mangusada. Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan hipertensi dan aritmia dengan mortalitas pasien CHF di RSUD Mangusada. Jenis penelitian ini adalah penelitian analitik dengan pendekatan potong lintang (cross sectional study) menggunakan uji analisis korelasi Lambda. Hasil penelitian menunjukkan nilai p pada variabel hipertensi adalah 0.847 dimana p > (0.05) sehingga Ho ditolak yang berarti bahwa tidak terdapat korelasi yang signifikan antara riwayat hipertensi dengan mortalitas pasien CHF nilai p = 0.00 dimana p < (0.05) sehingga Ho gagal ditolak yang berarti bahwa terdapat korelasi yang signifikan antara Aritmia dengan mortalitas pasien CHF dengan nilai korelasi 0.498 yang berarti kekuatan korelasi sedang. Aritmia memiliki korelasi yang signifikan terhadap mortalitas pasien CHF, sedangkan hipertensi tidak.
Hubungan Tingkat Pengetahuan tentang Senam Kaki Secara Mandiri terhadap Risiko Terjadinya Diabetic Foot pada Diabetesi di Puskesmas Kuta Utara Tuty Suryaningsih, Ayu; Ni Luh Putu Dian Yunita Sari; I Gede Wirajaya; Ida Ayu Agung Laksmi
Journal Center of Research Publication in Midwifery and Nursing Vol 8 No 2 (2024): 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.v8i2.326

Abstract

Latar Belakang: Penderita Diabetes mempunyai risiko lebih tinggi untuk terjadinya gangrene pada kaki. Senam kaki merupakan salah satu pilar penatalaksanaan komplikasi Diabetes yang dapat digunakan sebagai salah satu pencegahan kaki diabetik. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan tentang senam kaki secara mandiri terhadap resiko terjadinya diabetic foot pada diabetesi di Puskesmas Kuta Utara. Metedologi: Penelitian ini menggunakan desain cross sectional melibatkan 35 responden, dan menggunakan teknik total sampling. Responden menjawab pertanyaan yang menunjukkan pengetahuan serta lembar observasi senam kaki dan untuk mengetahui resiko diabetic foot yang muncul menggunakan kuesioner Inlow’s 60-second Diabetic Foot Screen Screening Tool. Hasil: hasil analisis uji korelasi spearman rank diperolah nilai signifikansi sebesar 0,00 (<0,05), yang artinya terdapat hubungan 1 tingkat pengetahuan tentang senam kaki secara mandiri terhadap resiko terjadinya diabetic foot pada diabetesi di Puskesmas Kuta Utara. Kesimpulan: Hasil penelitian menunjukkan pengetahuan tentang senam kaki dalam kategori cukup dan resiko terjadinya komplikasi diabetic foot dalam tingkatan sangat rendah. Namun timbulnya diabetic foot yang cukup tinggi di masyarakat, menjadi tantangan layanan kesehatan untuk memberikan pendidikan kesehatan yang berkala, perawatan kaki, dan senam kaki secara teratur dapat mengurangi terjadinya atau timbulnya diabetic foot.
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
Journal Center of Research Publication in Midwifery and Nursing 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
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
Co-Authors A.A Ngurah Nara Kusuma Agastiya, I Made Cahyadi Ahsan Ahsan Ayu Made Budihartini Dewi, Putu Adi Cahya Dwija, Ida Bagus Nyoman Putra Gandari, NK. Matalia Heri Kristianto I Gede Wirajaya I Gusti Ngurah Juniartha 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 Luh Putu Dian Yunita Sari Ni Made Ari Sukmandari Ni Nyoman Mariathi Ni Putu Cyntia Maseni Ni Putu Sinta Dewi 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 Tuty Suryaningsih, Ayu Udaksana, I Made Adi Wahyu Vittala, Govinda Yuliani Yuliani Yunitasari, Ni Kadek Mei