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Kepatuhan Diet dan Minum Obat pada Pasien Gagal Jantung yang Mengalami Rehospitalisasi Widyasari, Ni Luh Wiwik; Puspawati, Ni Luh Putu Dewi; Azis, Abdul; Muliawati, Ni Kadek
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.342

Abstract

Background: Heart failure is a complex clinical condition associated with a high risk of rehospitalization and increased mortality. Rehospitalization is often influenced by patients' adherence to dietary recommendations and medication regimens. Objective: This study aimed to identify the levels of dietary and medication adherence among heart failure patients who experienced rehospitalization. Method: A quantitative descriptive study with a retrospective approach was conducted at the Integrated Cardiac Care Unit of Prof. Dr. I.G.N.G Ngoerah General Hospital in Denpasar, Bali. Data were collected using the DSR-SCB Scale and the MARS-10 questionnaire. A total of 86 participants were selected using purposive sampling. Result: The result revealed that 64 patients (74.4%) demonstrated non-adherence to dietary recommendations, while only 22 patients (25.6%) were adherent. Regarding medication adherence, 50 patients (58.1%) were categorized as non-adherent, and 36 patients (41.9%) as adherent. Conclusion: Most patients who experience rehospitalization demonstrate non-adherence to both dietary recommendations and prescribed medications. Patient non-adherence may be associated with sociodemographic factors such as age, gender, and educational level, in addition to limited health literacy and inadequate family support. Reducing the risk of rehospitalization requires the implementation of structured discharge planning and the provision of comprehensive education for both patients and caregivers
The Effect of Foot Massage with Lavender Essential Oil on The Sleep Quality of The Elderly in Banjar Gelumpang, Sukawati Village Puspawati, Ni Luh Putu Dewi; Ari Santi, Ni Kadek; Saraswati, Ni Luh Gede Intan
Basic and Applied Nursing Research Journal Vol 2 No 2 (2021): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.385 KB) | DOI: 10.11594/banrj.02.02.03

Abstract

Aging process in the elderly will cause health problems such as immobilization, incontinence, depression, malnutrition, decreased immune system, and sleep quality disorders. The puspose of this study was to determine the effect of foot massage with lavender essential oil on the sleep quality of the elderly. This research design used a pre-experimental with one group pre-test post-test design without a control group. The number of samples used was 20 respondents selected by purposive sampling and data collection using the pitsburgh sleep quality index questionnaire with the test result analyzed with Wilcoxon Sign Rank Test. The result showed that in pretest all respondents experienced poor sleep quality, and posttest data obtained that 13 respondents (65%) experienced good sleep quality. The results of data analysis using the Wilcoxon Sign rank test showed that the p-value = 0,000 <a (0,05) which means that there is an effect of foot massage with lavender essential oil on the sleep quality of the elderly in Banjar Gelumpang Sukawati village. Emphasis on certain points and the aroma of lavender will make the elderly feel relaxed so that the quality of sleep improved. It is suggests that the elderly and families to perform foot massage.
Self-Efficiency and Quality of Life Coronary Heart Disease Patients: A descriptive study Wistiani, Ni Made Dewi; Puspawati, Ni Luh Putu Dewi; Pamungkas, M. Adreng
Basic and Applied Nursing Research Journal Vol 3 No 2 (2022): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.03.02.04

Abstract

Introduction: Coronary heart disease is a disease that requires treatment in the long term and even for life, a strict diet, and restriction of physical activity which directly affects the patient's quality of life. Self-efficacy is one factor that affects the patient 's quality of life with coronary heart disease. Methods: This study aimed to determine the relationship between self-efficacy and quality of life of patients with coronary heart disease at the Cardiology Polyclinic at Sanglah Hospital Denpasar. This study used a correlational analytic design with a cross-sectional approach, a cardiac self-efficacy questionnaire, and the WHOQOL BREF. The sample size was 164 respondents recruited by consecutive sampling technique. Result: Most respondents were in the moderate self-efficacy category of 80 respondents (48.8 %), and most had a moderate quality of life, namely 64 respondents (39.0 %). Conclusion: High self-efficacy will increase the ability of coronary heart disease patients to follow a programmed therapy regimen, adhere to the recommended diet program, and regulate physical activities optimally so that they will be able to maintain and improve their quality of life
PENGARUH BEKAM KERING TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Wirastini, Ni Wayan Juni; Dewi Puspawati, Ni Luh Putu; Yuni Lestari, Ni Kadek
Media Keperawatan: Politeknik Kesehatan Makassar Vol 14 No 2 (2023): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan

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Abstract

Hipertensi merupakan penyakit yang cukup memprihatinkan dengan jumlah kasus yang cukup tinggi di berbagai belahan dunia. Salah satu cara yang dapat dilakukan untuk mengendalikan tekanan darah yaitu dengan pemberian bekam kering. Penelitian ini bertujuan untuk mengetahui pengaruh bekam kering terhadap penurunan tekanan darah pada penderita hipertensi. Penelitian ini menggunakan metode kuantitatif dengan desain quasi experimental nonequivalent pretest-posttest with control group. Sampel dipilih dengan teknik purposive sampling sejumlah 22 orang dan dibagi menjadi kelompok perlakuan dan kontrol masing-masing 11 orang. Pengukuran tekanan darah menggunakan alat sphygmomanometer, stetoskop. Data dianalisis menggunakan uji Paired T-Test, Independent T-Test pada tingkat kemaknaan α 0,05. Hasil penelitian didapatkan uji Paired T-test ada pengaruh pemberian bekam kering terhadap penurunan tekanan darah pada penderita hipertensi dengan nilai p value adalah sistole 0,001, diastole 0,002 dan pada kelompok kontrol saat pemberian KIE atau health education tidak signifikan dengan nilai p value adalah sistole 0,612 dan diastole 0,512. Hasil uji Independent T-test menunjukkan bahwa terdapat perbedaan tekanan darah sistole p-value 0,003, diastole p-value 0,000 pada kelompok intervensi dan kontrol dengan hasil uji stastistik t-hitung tekanan darah sistole 3,551, diastole 4,303. Bekam kering merupakan salah satu terapi non farmakologi yang efektif menurunkan tekanan darah pada penderita hipertensi. Efek bekam terhadap tekanan darah adalah menenangkan sistem saraf simpatis. Pelenturan sistem saraf simpatik ini merangsang sekresi enzim bekerja seperti sistem renin-angiotensin maka tekanan darah mengalami penurunan. Disarankan kepada pasien hipertensi untuk dapat melakukan bekam kering selama 1 minggu sekali sebagai pilihan alternatif menurunkanan tekanan darah.
GAMBARAN KELUHAN MUSKULOSKELETAL PADA PERAJIN UKIRAN BALI DAN UPAYA UNTUK MENGATASI KELUHAN: Musculoskeletal Disorders among Balinese Carving Craftsman and its Management Puspawati, Ni Luh Putu Dewi; Muliawati, Ni Kadek; Sri Arya Trisnawati, Ni Putu
Media Keperawatan: Politeknik Kesehatan Makassar Vol 15 No 1 (2024): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan

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Abstract

Perajin ukiran merupakan salah satu pekerjaan yang berisiko mengalami keluhan muskuloskeletal. Perajin ukiran selama bekerja senantiasa berada dalam posisi yang tidak ergonomis dan statis dalam jangka waktu yang lama. Tujuan penelitian ini untuk mengetahui gambaran keluhan muskuloskeletal pada perajin ukiran dan upaya untuk mengatasinya di Banjar Panglan, Desal Kapal, Mengwi, Badung, Bali. Penelitian ini merupakan deskriptif analitik untuk menggambarkan data pada perajin ukiran. Sampel dalam penelitian ini berjumlah 56 responden yang dipilih dengan metode purposive sampling. Instrumen penelitian yang digunakan yaitu Nordic Body Map untuk menilai keluhan muskuloskeletal. Penelitian menunjukkan responden terbanyak berusia 36-40 tahun (25%), berpendidikan SMA/SMK (78,6%), berjenis kelamin laki-laki sebanyak 55 orang (98,2%) dan sebagian besar tidak merokok (53,6%). Masa kerja terbanyak dalam rentang 1-5 tahun (26.7%), setiap harinya bekerja 8 jam (87,5%) selama 6 hari dalam seminggu. Sebagian responden merasakan nyeri pada bagian tubuh tertentu seperti leher, tengkuk, bahu, tangan, punggung, pinggang dan pinggul. Secara umum keluhan muskuloskeletal kategori rendah dan belum membutuhkan intervensi yang bersifat segera (100%). Upaya yang dilakukan oleh responden meliputi lakukan pemijatan beristirahat di tempat yang datar dan keras dan menerapkan metode Local Heat Application dengan mengoleskan ramuan, balsem atau minyak urut pada bagian yang sakit. Keluhan nyeri pada responden terjadi akibat faktor usia, posisi kerja dan lama bekerja. Kategori keluhan secara umum dalam katogori risiko rendah karena faktor kebugaran dan upaya untuk mengatasi keluhan yang dilakukan responden secara mandiri.
Foot Care Practices as Determinants of Diabetic Foot Ulcer Risk in Rural Populations Puspawati, Ni Luh Putu Dewi; Muliawati, Ni Kadek
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.936

Abstract

Background: Diabetic foot ulcers (DFUs) represent a major chronic complication of diabetes mellitus and are associated with infection, extended hospital stays, and an increased likelihood of lower-limb amputation. Individuals with diabetes remain at lifelong risk of DFUs, with recurrence frequently reported. Consistent and appropriate foot self-care is therefore considered a key preventive measure, particularly in community settings with limited access to specialized care. Objective: This study aimed to examine the relationship between foot self-care behaviour (FSCB) and the risk of developing diabetic foot ulcers among adults with type II diabetes living in rural communities. Methods: A cross-sectional study was conducted involving 100 adult outpatients with type II diabetes attending the Sukawati II Primary Health Care Centre, Gianyar, Bali. Participants were recruited using consecutive sampling. Data were collected through structured questionnaires that included demographic characteristics and foot self-care behaviour assessed using the Nottingham Assessment of Functional Foot Care (NAFF). The risk of diabetic foot ulcers was evaluated using Inlow’s 60-second diabetic foot screening tool, incorporating a 10 g monofilament test. Data analysis employed the Gamma correlation test to determine the association between variables. Results: The findings showed that 62% of participants demonstrated poor foot self-care behaviour. Additionally, 50% of respondents were identified as being at risk of developing DFUs. Statistical analysis revealed a strong and significant inverse relationship between foot self-care behaviour and DFU risk (p = 0.001; r = −0.613). Conclusion: Poor foot self-care behaviour is strongly associated with an increased risk of diabetic foot ulcers among individuals with type II diabetes in rural settings. These findings highlight the importance of strengthening foot care education and preventive interventions at the primary health care level
Intervensi Media Audiovisual Animatif terhadap Sikap Permisif Remaja terkait Risiko Kesehatan Rokok Elektrik : Studi Pra-Eksperimental Ni Komang Ayu Evi Mahayani; Ni Kadek Yuni Lestari; Ni Luh Putu Dewi Puspawati
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6628

Abstract

The use of electronic cigarettes among adolescents continues to increase, while socialization regarding their dangers in schools remains limited. Many adolescents have a permissive attitude toward e-cigarettes and consider them safer than conventional cigarettes. The lack of health education and the influence of social media strengthen positive perceptions of e-cigarette use. This study aims to determine the effect of educational video animation on adolescents’ attitudes toward the health impacts of e-cigarette use. This research employed a quantitative pre-experimental design with a One Group Pre-test Post-test Design. The sample consisted of 92 respondents selected using a proportional stratified random sampling technique. The intervention was conducted once using an educational animated video. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed that before the intervention, 18 respondents (20%) had negative attitudes and 74 respondents (80%) had positive attitudes, while after the intervention, all respondents (100%) demonstrated positive attitudes. The bivariate analysis obtained a p value = 0.000 (p < 0.05), indicating a significant effect of educational animated videos on adolescents’ attitudes toward the health impacts of e-cigarette use. Animated video media proved effective in enhancing understanding and shaping positive attitudes among adolescents as it can attract attention, clarify messages, and evoke stronger emotional impressions compared to conventional media.
Hubungan Dukungan Keluarga Dengan Kepatuhan Berobat Pada Penderita Hipertensi Di UPTD Puskesmas Rendang Pratiwi, Pande Kadek Intan Dwi; Puspawati, Ni Luh Putu Dewi; Lisnawati, Ketut
Majalah Cendekia Mengabdi Vol 4 No 1 (2026): Majalah Cendekia Mengabdi
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/mcm.v4i1.965

Abstract

Hipertensi merupakan penyakit kronis yang memerlukan pengobatan jangka panjang dan kepatuhan berobat yang konsisten untuk mencegah komplikasi. Salah satu faktor yang berperan dalam meningkatkan kepatuhan berobat adalah dukungan keluarga. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kepatuhan berobat pada penderita hipertensi di UPTD Puskesmas Rendang. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel penelitian berjumlah 72 responden penderita hipertensi yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan Family Support Questionnaire dan Adherence to Refills and Medications Scale (ARMS). Analisis data dilakukan dengan uji Spearman rho pada tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki dukungan keluarga tidak baik sebanyak 68 responden (94,4%), sedangkan dukungan keluarga baik sebanyak 4 responden (5,6%). Kepatuhan berobat penderita hipertensi sebagian besar berada pada kategori cukup, yaitu 52 responden (72,2%), dan kepatuhan baik sebanyak 20 responden (27,8%). Hasil uji Spearman rho menunjukkan nilai p = 0,000 (p < 0,05) dengan koefisien korelasi ρ = 0,878, yang menandakan adanya hubungan positif dengan kekuatan hubungan sangat kuat antara dukungan keluarga dan kepatuhan berobat. Terdapat hubungan yang signifikan antara dukungan keluarga dengan kepatuhan berobat pada penderita hipertensi di UPTD Puskesmas Rendang. Dukungan keluarga yang baik berperan penting dalam meningkatkan kepatuhan berobat penderita hipertensi.