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All Journal Community Health LINK Jurnal SOLMA J-KESMAS: Jurnal Kesehatan Masyarakat Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Jurnal Teknologi dan Manajemen Jurnal EduHealth An Idea Health Journal An Idea Nursing Journal Jurnal Masyarakat Madani Indonesia Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Seminar Nasional Aplikasi Iptek (SINAPTEK) Jurnal Kesehatan Terpadu JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
I Nyoman Purnawan
Program Studi Kesehatan Masyarakat, Fakultas Kesehatan, Sains, Dan Teknologi Universitas Dhyana Pura
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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PKM PENCEGAHAN STUNTING MELALUI PENINGKATANPENGETAHUAN DAN KETERAMPILAN IBU DENGANBALITADALAM PROSES PEMBUATAN DAN PEMBERIANMPASIDI DESA BUKIAN PAYANGAN GIANYAR I Nyoman Purnawan; Nyoman Suarjana
Seminar Nasional Aplikasi Iptek (SINAPTEK) Vol. 6 (2023): PROSIDING SINAPTEK
Publisher : LPPM Universitas Dhyana Pura

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Abstract

Stunting merupakan gangguan pertumbuhan linier ditandai dengan panjang atau tinggibadan tidak sesuai dengan umurnya. Salah satu determinan terjadinya stunting adalahpembuatan dan pemberian makanan pendamping air susu ibu (MPASI) yang tidak memenuhikecukupan gizi. Hasil studi pendahuluan di Desa Bukian Payangan menunjukkan angkastunting pada balita perempuan dan laki-laki tahun 2022 sebesar 17%dan 26%sedangkan41,9% ibu dengan balita masih memiliki pengetahuan kurang tentang MPASI. TujuandariPKM ini adalah untuk meningkatkan pengetahuan dan keterampilan ibu dengan balita dalamproses pembuatan dan pemberian MPASI. Metode kegiatan yaitu dengan memberikanintervensi dalam bentuk penyuluhan menggunakan buku resep MPASI dan memberikanpelatihan cara membuat MPASI yang baik dan benar, dilanjutkan dengan evaluasi hasil yaitumengukur pengetahuan dan keterampilan ibu sebelum dan sesudah intervensi. Dari 15ibudengan balita yang hadir pada saat penyuluhan di Kantor Desa Bukian, hanya 71%memilikipengetahuan baik dan 69% memiliki keterampilan yang baik tentang proses pembuatandanpemberian MPASI. Sedangkan setelah intervensi dilakukan terjadi peningkatan pengetahuandan keterampilan ibu dengan balita berturut-turut 92% dan 83%. Dapat disimpulkan bahwaterjadi peningkatan yang cukup signifikan terkait pengetahuan dan keterampilan ibu denganbalita sebelum dan setelah intervensi. Diharapkan dengan PKM ini secara tidak langsungdapat menurunkan angka stunting di Desa Bukian Payangan Gianyar.
Tourist Knowledge And Behaviours Towards Rabies Prevention–UBUD Bali Indonesia I Nyoman Purnawan
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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Abstract

Rabies is one of the causes of death in the world. Therefore rabies is a global health problem. In Ubud District, cases of Rabies Transmitting Animal Bites (GHPR) doubled compared to the previous year with the second highest average number of cases in Gianyar Regency. The GHPR case in Ubud does not only affect the local community but also some tourists who stay and vacation in Ubud. If this problem is not addressed it will have a direct impact on the decline of the tourism industry in Ubud. This research aims to obtain an overview of the level of knowledge and prevention behavior of tourists regarding rabies in Ubud as a tourist destination in Bali. This research is a descriptive study with a cross-sectional design. The sample for this research was 96 tourists who stayed and vacationed in Ubud, both domestic and international tourists. Data was collected through interviews with questionnaires and measurements then analyzed by univariate. The results of this research show that the majority of tourists already have high knowledge of rabies, namely 65% for international and 63% for domestic. As with knowledge, the majority of tourist prevention behavior is classified as good, namely 79% for international and 73% for domestic. It is recommended that the government and related agencies carry out policy improvements to increase public knowledge regarding changes in health behavior in terms of the use of information media to socialize the dangers of rabies to the public, especially the use of electronic media.
PkM Pelatihan Manajemen Diri Pasien Hipertensi dalam Upaya Pencegahan Komplikasi dengan Pendekatan Usadha Bali di Kota Denpasar Purnawan, I Nyoman; Nyandra, Made; Kurniati, Made; Yudha, Ari Natalia; Hardy, Dedy Kastama; Martini, Ketut; Sugianto, Made Agus; Putri, Fina Aryani; Astuti, Putu Widya; Sumadewi, Utari; Suarjana , Nyoman
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.18022

Abstract

Pendahuluan: Di Kota Denpasar, prevalensi hipertensi dan komplikasinya mengalami peningkatan dari tahun 2022 – 2023 sebanyak 2,14%. Terjadinya komplikasi pada pasien hipertensi dikarenakan rendahnya manajemen diri. Tujuan PKM untuk meningkatkan manajemen diri pasien hipertensi dengan pendekatan usadha bali. Metode: Kegiatan PKM dilaksanakan di Puskesmas I Denpasar Barat pada bulan November 2024. Metode kegiatan berupa penyuluhan kesehatan dan pelatihan yoga asana. Evaluasi kegiatan berupa pengukuran perubahan pengetahuan dan perilaku yoga serta pengukuran perubahan tekanan darah. Analisis statistik menggunakan one sample t test. Hasil: Dari 25 pasien hipertensi yang hadir, nilai rata-rata pretest pengetahuan sebesar 7,20 dan posttest sebesar 9,56 sehingga terdapat peningkatan rata-rata pengetahuan sebesar 2,36. Nilai rata-rata pretest perilaku yoga sebesar 5,30 dan posttest sebesar 9,00 sehingga terdapat peningkatan rata-rata perilaku yoga sebesar 3,70. Nilai rata-rata pretest tekanan darah sebesar 151/95 mmHg dan posttest sebesar 138/87 mmHg sehingga terdapat penurunan rata-rata tekanan darah sebesar 13/8 mmHg. Kesimpulan: Disimpulkan bahwa terjadi peningkatan nilai rata-rata pengetahuan dan perilaku yoga serta terjadi penurunan rata-rata tekanan darah sebelum dan sesudah intervensi. Diharapkan peningkatan manajemen diri dengan pendekatan usadha bali pada pasien hipertensi dilakukan lebih luas di Puskesmas se-Kota Denpasar.
Edukasi Kesehatan Mental dan Latihan Relaksasi Kepada Peserta Pengelolaan Penyakit Kronis di Puskesmas 1 Denpasar Utara Yudha, Ni Luh Gde Ari Natalia; Nyandra, Made; Kurniati, Ni Made; Hardy, I Putu Dedy Kastama; Martini, Ni Ketut; Sugianto, Made Agus; Putri, Kadek Fina Aryani; Purnawan, I Nyoman; Astuti, Ni Putu Widya; Sumadewi, Ni Luh Utari; Suarjana, Nyoman
Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Vol 9, No 2 (2025): Jurnal Pelayanan dan Pengabdian Masyarakat (PAMAS)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/pamas.v9i2.3951

Abstract

Prolanis merupakan upaya pengelolaan penyakit kronis yang diselenggarakan di fasilitas kesehatan primer. Penanganan masalah kesehatan mental belum diselenggarakan dalam kegiatan Prolanis karena keterbatasan sumber daya yang dimiliki serta belum ada bentuk kegiatan yang bisa diadopsi untuk penanganan kesehatan mental. Tujuan kegiatan ini yakni memberikan pelatihan tentang kesehatan mental dan relaksasi kepada peserta Prolanis. Manfaat kegiatan ini yakni meningkatkan kesehatan peserta Prolanis baik fisik maupun mental. Kegiatan pelatihan dilaksanakan di Puskesmas I Denpasar Utara pada bulan Oktober 2023. Materi dan pelatihan diberikan oleh tim dosen program studi yang diselenggarakan di Puskesmas 1 Denpasar Utara. Sebanyak 26 orang peserta Prolanis diberikan edukasi kesehatan mental dan pelatihan relaksasi. Evaluasi kegiatan dilakukan dengan mengukur tingkat pengetahuan, tekanan darah dan gerakan relaksasi yang telah diajarkan. Hasil pengabdian masyarakat dapat meningkatkan pengetahuan sebesar 2,321 sedangkan status kesehatan peserta yang diukur dari tekanan darah menunjukkan 73% peserta memiliki tekanan darahnya tidak normal namun peserta mampu menghafalkan gerakan relaksasi sebesar 85%. Berdasarkan hasil tersebut yang dapat disarankan yakni perlunya peserta melakukan pengelolaan penyakit sesuai panduan pengelolaan penyakit dan pengelolaan kesehatan mental dengan melakukan gerakan relaksasi secara rutin. Kata kunci: Edukasi Kesehatan Jiwa, Pelatihan Relaksasi
A Digital Therapeutic Communication Model to Improve Treatment Compliance of Hypertension Patients at Ubud Health Center 1 Gianyar District, Bali Province Purnawan, I Nyoman; Suarjana, Nyoman; Kurniati, Ni Made
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

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Abstract

The main problem in controlling hypertension in Indonesia is low adherence to treatment hypertension patient. An important effort that is currently being done is to change patient behavior to be more compliant with treatment. Factors that influence medication adherence. It is important that it is studied in full, compiled on a strong theoretical basis and proven scientifically empirical. One of the factors that play an important role in increasing success. Treatment is therapeutic communication between health workers and patients. However, during the syndemy (synergy and pandemic) period of covid-19 with restrictions on interaction hinder the process of therapeutic communication so that there is a need for digital transformation. For Therefore, this study aims to assess the factors of medication adherence, compile and prove digital therapeutic communication models can improve adherence to treatment of hypertensive patients at Ubud Health Center 1, Gianyar Regency, Bali Province. Research implementation consists of 3 stages, namely: 1) Research cross-sectional study with a sample size of 390 hypertensive patients selected by simple random sampling. Data collected by interview using structured questionnaires in selected patient homes; 2) Modeling digital therapeutic communication and 3) Proof of models with quasi-experimental designs using a cluster randomized controlled trial design. Structural equation modelling (SEM) was used for factor analysis of medication adherence and the Poisson regression test was used to test and assess the capabilities of digital therapeutic communication models for improve adherence to treatment of hypertensive patients. Factors that are proven to improve adherence to treatment is a type of communicator (β=0.297), content of the message conveyed (β=0.237) and the type of digital media (whatsapp) used (β=0.443). Therapeutic communication model. Digital is proven to increase medication adherence by 4.1 times (95% CI: 0.845-11.557). It can be concluded that therapeutic communication with WhatsApp media is very effective carried out supported by the ability of the communicator and the content of the message conveyed.
The Potential Development of Pararem for Tobacco Control in Dalung Village Badung Regency Kurniati, Ni Made; Astuti, Ni Putu Widya; Purnawan, I Nyoman; Primatanti, Putu Asih; Kharisma, Putu Anastasia; Sumadewi, Ni Luh Utari; Suarjana, Nyoman; Komang Sriwisani S
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 4 No. 1 (2025): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/js.v4i1.4236

Abstract

Places of worship and public spaces are areas located within traditional village environments and are regulated under the No Smoking Area (KTR) Regional Regulation at both the Bali Province and Badung Regency levels. Most community activities, particularly among the Balinese population, take place within traditional village settings. This study aims to explore the potential for developing pararem (customary rules) to control the dangers of smoking in Dalung Village, an urban-area village with various activities held in places of worship and public spaces. This qualitative research explores the potential for developing Pararem to control smoking hazards in Dalung Village. Community leaders in Dalung stated that smoking is still frequently observed during religious ceremonies and public activities in the village. All respondents perceived that smoking behavior in the community negatively impacts the health of non-smokers. Pararem has strong potential to be developed as a more binding and respected form of smoking control in villages. With support from the government, relevant institutions, and academics, the development of pararem can begin. However, the process of formulating and aligning it with the provisions of the awig-awig (village customary laws) requires a lengthy process and consensus from village residents.
Pencegahan Stunting Melalui Peningkatan Pengetahuan dan Keterampilan Ibu dengan Balita dalam Proses Pembuatan dan Pemberian MPASI Di Desa Bukian Payangan Gianyar Bali Purnawan, I Nyoman; Suarjana, Nyoman
Jurnal SOLMA Vol. 12 No. 3 (2023)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v12i3.13434

Abstract

Background: Stunting merupakan gangguan pertumbuhan linier ditandai dengan panjang atau tinggi badan tidak sesuai dengan umurnya. Salah satu determinan terjadinya stunting adalah pembuatan dan pemberian makanan pendamping air susu ibu (MPASI) yang tidak memenuhi kecukupan gizi. Tujuan dari PKM ini adalah untuk meningkatkan pengetahuan dan keterampilan ibu dengan balita dalam proses pembuatan dan pemberian MPASI. Metode: Mmemberikan intervensi dalam bentuk penyuluhan menggunakan buku resep MPASI dan memberikan pelatihan cara membuat MPASI yang baik dan benar, dilanjutkan dengan evaluasi hasil yaitu mengukur pengetahuan dan keterampilan ibu sebelum dan sesudah intervensi. Hasil: Dari 15 ibu dengan balita yang hadir pada saat penyuluhan di Kantor Desa Bukian, hanya 71% memiliki pengetahuan baik dan 69% memiliki keterampilan yang baik tentang proses pembuatan dan pemberian MPASI. Sedangkan setelah intervensi dilakukan terjadi peningkatan pengetahuan dan keterampilan ibu dengan balita berturut-turut 92% dan 83%. Dari pemantauan ke rumah-rumah setelah 1 bulan intervensi dilakukan hampir 92% ibu dengan balita sudah menerapkan dengan baik cara pembuatan dan pemberian MPASI. Kesimpulan: Terjadi peningkatan yang cukup signifikan terkait pengetahuan dan keterampilan ibu dengan balita sebelum dan setelah intervensi. Diharapkan dengan PKM ini secara tidak langsung dapat menurunkan angka stunting di Desa Bukian Payangan Gianyar.
Predictive Model of Blood Pressure Control Behavior in Efforts to Prevent Complications Using the Health Belief Model (HBM) Approach Among Hypertensive Patients I Nyoman Purnawan; Ni Made Kurniati
An Idea Health Journal Vol 5 No 03 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i03.726

Abstract

Background: In Denpasar City, the prevalence of hypertension and its complications has increased from year to year. The occurrence of complications among hypertensive patients is largely due to poor blood pressure control behavior. To improve patients’ blood pressure control behavior, it is necessary to develop a predictive model that considers social support from healthcare providers, as well as patients’ perceptions and beliefs. Objectives: To develop a predictive model of blood pressure control behavior using the Health Belief Model (HBM) approach. Methods: This study consisted of two phases: a quantitative phase using a cross-sectional design and a quasi-experimental phase employing a nonequivalent (pretest and posttest) control group design. The study was conducted over a two-month period in Denpasar City. The study population included hypertensive patients who were actively registered in the primary healthcare center's medical records. Data were collected through questionnaires and analyzed using Structural Equation Modeling (SEM) and cross- tabulation. Results: Of the 192 respondents, 59.8% were found to have poor blood pressure control behavior. The SEM analysis showed a good model fit, with behavioral factors such as self-efficacy (coefficient = 0.370; p = 0.001), healthcare provider support (coefficient = 0.244; p = 0.004), and perceived susceptibility (coefficient = -0.084; p = 0.000) significantly influencing blood pressure control behavior. The predictive behavior model was successfully developed based on the findings of the previous research stages. The intervention using the predictive behavior model effectively improved blood pressure control behavior (PR = 5.6; p = 0.022). Conclusion: The predictive behavior model based on the Health Belief Model (HBM) was successfully developed and demonstrated the ability to enhance blood pressure control behavior. Therefore, its application should be expanded to prevent complications among hypertensive patients in Denpasar City.
Pelatihan Manajemen Diri Pasien Hipertensi Dengan Pendekatan Health Belief Model I Nyoman Purnawan; Ni Wayan Putri Larassita; Ni Komang Sriwisani S
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.14107

Abstract

Denpasar City, the prevalence of hypertension and its related complications increased by 2.14% between 2023 and 2024. The incidence of complications among hypertensive patients is largely attributed to poor self-management. This community service program (PKM) aimed to enhance the knowledge and self-management behaviors of hypertensive patients through the application of the Health Belief Model approach. The program was implemented at Puskesmas I West Denpasar in October 2025 and consisted of health education sessions and progressive muscle relaxation exercise training for 25 Prolanis participants. The program produced two main outputs: a self-management guidebook and an educational video for hypertensive patients. Among the 25 participants, the mean knowledge score increased from 6.30 (pretest) to 9.40 (post test), indicating an improvement of 3.10 points. The mean score for relaxation exercise behavior increased from 6.10 to 9.50, reflecting an improvement of 3.40 points. Meanwhile, the mean blood pressure decreased from 150/95 mmHg to 138/88 mmHg, showing a reduction of 12/7 mmHg. These findings demonstrate that the intervention effectively improved participants’ knowledge and self-management behavior, accompanied by a significant reduction in blood pressure. It is recommended that similar community service programs be implemented more comprehensively by involving various related sectors, particularly with the support of health workers in providing relaxation exercise training for hypertension patients.
PREDIKTOR PENYAKIT HIPERTENSI PADA KELOMPOK PENDUDUK >15 TAHUN DI BALI: ANALISIS BERDASARKAN DATA RISKESDAS TAHUN 2018 I Nyoman Purnawan; Nyoman Suarjana
Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Vol. 6 (2023): PROSIDING SINTESA
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/snts.v6i.2842

Abstract

Prevalensi penyakit hipertensi di Bali pada penduduk usia ≥ 15 tahun berdasarkanhasil pengukuran tekanan darah adalah sebesar 25,8%. Adapun terjadinya penyakit hipertensidapat dipengaruhi oleh berbagai faktor. Tujuan penelitian ini adalah menganalisis prediktordan kombinasi faktor-faktor yang mempengaruhi terjadinya penyakit hipertensi di Bali.Penelitian cross-sectional kuantitaif berbasis data Riset Kesehatan Dasar (RISKESDAS)terhadap penduduk berusia ≥ 15 tahun dimasukkan ke dalam analisis. Regresi logistikmultivariat digunakan untuk menilai pengaruh antara faktor-faktor dengan kejadianhipertensi. Didapatkan bahwa 32,26% subyek di Bali menderita hipertensi. Dari 14,494penduduk hipertensi, 7.087 laki-laki dan 7,407 perempuan. Hasil analisis menunjukan bahwapenyakit lain berkontribusi terhadap hipertensi seperti stroke (OR = 8.44; 95% CI = 8.00054 -8.910647), kanker (OR = 1.64; 95% CI = 1.499224-1.810643), penyakit kardiovaskular (OR= 2.49; 95% CI = 2.406897-2.581074), radang sendi (OR = 2.28; CI 95% = 2.243123-2.322321). Faktor sosiodemografi yang berperan terhadap kejadian hipertensi sepertipendidikan pada kategori tidak berpendidikan (OR = 1.91; 95% CI = 1.87924 -1.95672) dansekolah dasar (OR = 1.13; 95% CI = 1.115456-1.157997). Status perkawinan pada kategorimenikah (OR = 3.55; 95% CI = 3.496741-3.61639), bercerai-hidup (OR = 3.82; 95% CI =3.686435-3.968726), bercerai-meninggal (OR = 9.13; 95% CI = 8.926718-9.356969). Faktorperilaku yang berkontribusi terhadap terjadinya hipertensi seperti aktivitas fisik pada kategoriaktivitas rendah (OR = 1.27; CI 95% = 1.259985-1.295567) dan aktivitas sedang (OR = 1.21;CI 95% = 1.199191-1.229556). Konsumsi alkohol (OR = 1.37; 95% CI = 1.333073 -1.411665), BMI pada tingkat obesitas (OR = 3.38; 95% CI = 3.32731-3.445331) dankelebihan berat badan (OR = 2.03; 95% CI = 2.015466-2.064527). Dapat disimpulkan bahwaprevalensi hipertensi di Bali termasuk dalam kategori tinggi. Penyakit lain, faktorsosiodemografi, faktor perilaku dan BMI mempunyai pengaruh yang signifikan terhadaphipertensi. Hasil ini bermanfaat untuk melakukan deteksi dini dan pencegahan terhadapseluruh prediktor sehingga prevalensi hipertensi dapat dikendalikan.
Co-Authors ASTUTI, PUTU WIDYA Emil Arifin Ndari Tana Hardy, Dedy Kastama I Gusti Ayu Dwita Wahyu Laksmi I Putu Dedy Kastama Hardy I Putu Dedy Kastama Hardy Kharisma, Putu Anastasia Komang Sriwisani S Krismawintari, N.P.D. Kurniati, Made Luh Gd Rahayu Budiarta Made Agus Sugianto Made Nyandra Made Nyandra Martini, Ketut Martini, Ni Ketut Ni Ketut Sri Lestari Ni Komang Sriwisani S Ni Komang Sriwisani S Ni Luh Christine Prawita Sari Suyasa Ni Luh Gede Ari Natalia Ni Luh Putu Seri Wardani Ni Luh Utari Sumadewi Ni Made Kurniati Ni Nyoman Eluna Nandini Putri Ni Putu Widya Astuti Ni Wayan Putri Larassita Nyoman Suarjana Padmadewi . Primatanti, Putu Asih Putri, Fina Aryani Putri, Kadek Fina Aryani Suarjana , Nyoman Sumadewi, Ni Luh Utari Sumadewi, Utari Yohanes M. V. Gonzaga Dalung Yudha, Ari Natalia Yudha, Ni Luh Gde Ari Natalia