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All Journal journal of internal medicine WMJ (Warmadewa Medical Journal) Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal EduHealth Aesculapius Medical Journal Warmadewa Minesterium Medical Journal MEDICA (International Medical Scientific Journal)
Luh Gede Sri Yenny
Universitas Warmadewa
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Pelatihan Interpretasi Elektrokardiogram bagi Tenaga Kesehatan di Puskesmas III Denpasar Selatan Komang Trisna Sumadewi; Ni Wayan Rusni; Tanjung Subrata; Luh Gede Sri Yenny
Warmadewa Minesterium Medical Journal Vol. 3 No. 1 (2024): Januari 2024
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.3.1.2024.21-27

Abstract

Henti jantung merupakan salah satu penyebab kematian utama didunia. Sekitar 85% penderita penyakit kardiovaskuler meninggal akibat henti jantung. Aritmia juga berkontribusi dalam menyebabkan kematian hingga mencapai 50% kasus. Prevalensi aritmia di Indonesia meningkat seiring dengan bertambahnya usia yaitu 70% pada usia 65-85 tahun dan 8% pada usia diatas 85 tahun. Penderita gangguan kardiovaskuler umumnya mendapatkan pemeriksaan elektrokardiogram (EKG) untuk menegakkan diagnosis. Tenaga medis harus mampu menginterpretasikan hasil rekaman EKG, meliputi gangguan konduksi, aritmia, dan gangguan miokard sehingga dapat mengetahui mengidentifikasi kegawatdaruratan di bidang kardiovaskuler. Wawancara bersama tenaga kesehatan di Puskesmas III Denpasar Selatan menemukan fasilitas untuk mendeteksi penyakit jantung masih terbatas. Mesin EKG di Puskesmas tergolong cukup jarang digunakan sehingga keterampilan dalam menggunakan EKG dan menginterpretasikannya mengalami penurunan. Tujuan dari program kemitraan ini adalah untuk meningkatkan pengetahuan tenaga kesehatan mengenai kegawatdaruratan kardiovaskuler serta meningkatkan keterampilan tenaga kesehatan di lingkungan Puskesmas III Denpasar Selatan mengenai penggunaan EKG serta interpretasinya. Mengacu pada permasalahan tersebut, maka dilaksanakan kegiatan pengabdian dengan memberikan edukasi mengenai kegawatdaruratan di bidang kardiovaskuler, melatih tenaga kesehatan dalam menggunakan mesin EKG serta menginterpretasikan hasil rekaman EKG. Program ini diharapkan dapat membantu tenaga kesehatan di lingkungan Puskesmas III Denpasar Selatan menambah wawasan mengenai penyakit kardiovaskuler serta menurunkan angka kematian akibat penyakit kardiovaskuler. Program kemitraan ini dilaksanakan di ruang pertemuan Puskesmas III Denpasar Selatan dengan kehadiran peserta sebanyak 100%. Berdasarkan nilai pretest dan postest didapatkan peningkatan pengetahuan peserta mengenai penyakit kardiovaskuler (36,9%). Keterampilan mitra dalam menggunakan mesin EKG dan menginterpretasikannya juga meningkat dari observasi yang dilakukan oleh tim pengabdian.
Peningkatan Kualitas Hidup Lansia Melalui Edukasi Hipertensi dan Budidaya Toga Ni Wayan Rusni (Scopus ID: 57203956698); Asri Lestarini; Luh Gede Sri Yenny
Warmadewa Minesterium Medical Journal Vol. 4 No. 3 (2025): September 2025
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.4.3.2025.216-220

Abstract

Karang Lansia Vaisnava Seva Sanga merupakan kelompok lansia yang baru dibentuk sejak bulan Januari 2024. kegiatan kelompok lansia ini berjalan cukup aktif sampai saat ini. Kegiatan reguler kelompok lansia ini diisi dengan kegiatan pemeriksaan kesehatan rutin, olahraga berupa senam bersama, edukasi kesehatan jasmani dan rohani yang kemudian diakhiri dengan pemenuhan nutrisi lansia dengan pembagian makanan sehat untuk lansia. Dari pemeriksaan tanda vital secara reguler tersebut, ditemukan sebagian besar lansia mengalami peningkatan tekanan darah.oleh karena itu diperlukan edukasi untuk meningkatakan pengetahuan lansia terkait hipertensi pada lansia, faktor risiko serta upaya yang bisa dilakukan untuk mengontrol tekanan darah. Edukasi dilakukan dengan melalui penyuluhan serta di observasi hasil peningkatan pengetahuannya dengan melakukan pretest dan ppostest. Berdasarkan hasil pretest dan postest serta observasi selama kegiatan berlangsung yang telah dilakukan maka dapat disimpulkan bahwa telah terjadi peningkatan pengetahuan sebesar 45,4% dari peserta yang mengikuti kegiatan PKM. Mitra berharap kegiatan serupa dapat dilakukan secara berkala untuk memberikan manfaat berkkelanjutan bagi masyarakat, khususnya lansia.
Effect of Candesartan on Creatinine and Albuminuria in Geriatric Patients with Diabetic Nephropathy Luh Gede Sri Yenny; Ni Wayan Rusni
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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

Abstract

Diabetes can cause various chronic complications, one of the most feared being diabetic nephropathy. Diabetic nephropathy is characterized by proteinuria and/or decreased glomerular filtration rate. Diabetic nephropathy is a major cause of chronic kidney disease, which can lead to end-stage renal disease requiring hemodialysis. Candesartan is an angiotensin receptor blocker antihypertensive drug. In addition to lowering blood pressure, candesartan is also thought to decrease renal vascular resistance, resulting in a decrease in microalbuminuria or proteinuria in patients with diabetes mellitus. Diabetic nephropathy increases with age, and geriatric patients have a lower response to therapy than adults. To determine the effect of candesartan on creatinine and albuminuria in geriatric patients with diabetic nephropathy. This was a cross-sectional study of 25 geriatric patients diagnosed with diabetic nephropathy who had been given 16 mg of candesartan as an antihypertensive at the Puri Raharja Hospital Denpasar outpatient clinic. Subjects who met the inclusion and exclusion criteria were recruited using consecutive sampling. The diabetic nephropathy subjects were evaluated for creatinine and proteinuria levels at the time of diagnosis and 3 months after receiving 16 mg of candesartan. All data were obtained from medical records. The study involved 25 patients consisting of 13 men (52%) and 12 women (485%). Subjects aged between 60-82 years with initial creatinine levels of 0.80-2.60 mg/dL, final creatinine levels of 1.395 ± 0.50 SD, initial positive proteinuria levels of 0-2, and final positive creatinine levels of 0-1. Based on the T-test, there was no significant difference between initial and final creatinine levels with a p value = 0.892 (95% CI -0.045-0.051). Based on the Wilcoxon test, there was a significant difference between proteinuria levels before and after candesartan administration with a p value p <0.05. This study did not find a significant decrease in creatinine after candesartan administration. However, candesartan significantly reduced proteinuria in geriatric patients with diabetic nephropathy.
Higher Risk of Airway Obstruction in Male Garment Workers Associated with Smoking and Occupational Exposure Ni Wayan Rusni; Tanjung Subrata; Luh Gede Sri Yenny
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.932

Abstract

Respiratory disorders remain an important occupational health concern among garment workers due to workplace conditions and individual behavioral and health-related factors. However, evidence regarding factors associated with airway obstruction in this occupational group remains limited. This study aimed to identify factors associated with airway obstruction among garment workers in Badung Regency, Bali. An analytical observational study with a cross-sectional design was conducted among 52 garment workers selected using simple random sampling. Primary data were collected through structured interviews and spirometry examinations. Independent variables included demographic characteristics, clinical factors, occupational characteristics (including working duration), and behavioral factors. Data were analyzed using descriptive statistics, Chi-square tests, and Odds Ratio (OR) analysis with a significance level of p < 0.05. Airway obstruction was identified in 34.6% of respondents. Significant associations were observed between airway obstruction and gender, body mass index (BMI), blood pressure, heart rate, working duration, health history, and smoking habits (p < 0.05). Higher odds of airway obstruction were observed among male workers (OR = 26.40), workers with poor health history (OR = 12.92), hypertension (OR = 8.00), and smoking habits (OR = 6.00). Age and personal protective equipment (PPE) use were not significantly associated with airway obstruction. These findings should be interpreted cautiously because of the relatively small sample size. Airway obstruction among garment workers was associated with multiple demographic, clinical, occupational, and behavioral factors, particularly smoking habits and longer working duration. Since workplace dust exposure was not directly measured, the observed occupational associations should be interpreted as indirect indicators rather than direct measures of exposure. Further studies with larger sample sizes and objective environmental exposure assessments are recommended.
Co-Authors Anak Agung Sri Agung Aryastuti Asri Lestarini Cahyawati, Putu Nita Hegard Sukmawati, Ni Made I Ketut Suastika I Made Wandia I Made Wandia, I Made K Tangking Widarsa Kadek Dean Ariska Aryawangsa Kadek Dean Ariska Aryawangsa Komang Rossa Triana Kusumadewi Komang Rossa Triana Kusumadewi Made Eva Indraswari Ni Putu Ayu Indah Eliani Ni Putu Ayu Indah Eliani Ni Wayan Ayu Maha Dewi Ni Wayan Ayu Maha Dewi Pande Ayu Naya Kasih Permatananda Ratna Juwita, Dewa Ayu Putu Rusni, Ni Wayan Sri Ratna Dewi Tanjung Subrata Trisna Sumadewi, Komang Wira Gotera