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Gambaran Tingkat Kecemasan Pada Pasien Stroke di Ruang Belibis RSUD. Wangaya Denpasar Suputra, Dewa Ketut; Muryani, Ni Made Sri; Sukarja, I Made; Krisnayani, Ni Made Wina
Jurnal Kesehatan Medika Udayana Vol 4 No 01 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Stroke is a major cause of disability in adults, where four million Americans experience neurological deficits due to stroke, two-thirds of these deficits are moderate to severe. This disease has become a worldwide health problem and is increasingly important, with two-thirds of strokes now occurring in developing countries. Stroke sufferers themselves will experience a psychological response, namely anxiety because in addition to being a life threat, patients will feel anxious about their future. The purpose of this study was to determine the description of the level of anxiety in stroke patients in the Belibis Room of Wangaya Hospital Denpasar. Methode: The type of design used is descriptive design. Data collection was carried out by the researchers themselves using a standard questionnaire sheet, the Hamilton Anxiety Rating Scale (HARS), with the number of respondents 30 people who were Stroke patients in the Belibis room of Wangaya Hospital Denpasar. Result: The results of this study indicate that the majority of stroke patients in the Belibis room of Wangaya Hospital Denpasar experienced moderate anxiety, namely as many as 17 (56.7%) respondents, mild anxiety as many as 6 (20%) respondents, severe anxiety as many as 6 (20%) respondents, panic 0%, and only 1 (3.3%) respondents who did not experience anxiety. Conclusion: Individuals who experience anxiety are mostly aged over 50 years, female sex, high school education, and have private jobs. It is expected that families can provide motivation and positive encouragement to patients. ABSTRAK Latar Belakang: Stroke adalah penyebab utama kecacatan pada orang dewasa, dimana empat juta orang Amerika mengalami defisit neurologik akibat stroke, dua pertiga dari defisit ini bersifat sedang sampai parah. Penyakit ini telah menjadi masalah kesehatan yang mendunia dan semakin penting, dengan dua pertiga stroke sekarang terjadi di negara – negara yang sedang berkembang. Penderita stroke sendiri akan mengalami suatu respon psikologis, yaitu kecemasan karena selain menjadi suatu ancaman hidup, pasien akan merasa cemas akan masa depannya. Tujuan penelitian ini untuk mengetahui Gambaran Tingkat Kecemasan Pada Pasien Stroke di ruang Belibis RSUD Wangaya Denpasar. Metode: Jenis desain yang digunakan adalah desain deskriptif. Pengumpulan data dilakukan oleh peneliti sendiri dengan menggunakan lembar kuesioner yang sudah baku yaitu Hamilton Anxiety Rating Scale (HARS), dengan jumlah responden 30 orang yang merupakan pasien Stroke di ruang Belibis RSUD Wangaya Denpasar. Hasil: Hasil penelitian ini menunjukkan bahwa sebagian besar penderita stroke di ruang Belibis RSUD Wangaya Denpasar mengalami kecemasan sedang, yaitu sebanyak 17 responden (56,7%), kecemasan ringan sebanyak 6 orang (20%), kecemasan berat sebanyak 6 orang (20%), panik 0%, dan hanya 1 orang (3,3%) responden yang tidak mengalami kecemasan. Simpulan: Individu yang mengalami kecemasan sedang sebagian besar berusia diatas 50 tahun, jenis kelamin perempuan, pendidikan SMA, dan memiliki pekerjaan swasta. Diharapkan keluarga mampu memberikan motivasi dan dorongan positif pada pasien.  

Tingkat Kepatuhan Pasien TB Paru Terhadap Penatalaksanaan Program OAT (Obat Anti TB) di Poliklinik Paru RSUD. Sanjiwani Gianyar Dewi, Ni Kadek Ayu Patni; Pendet, Ni Made Diah Pusparini; Sukarja, I Made; Krisnayani, Ni Made Wina
Jurnal Kesehatan Medika Udayana Vol 4 No 01 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Introduction :Tubercolosis (TB) diseases  is one of the most public health problems in Indonesia. Indonesia known as a the  third highest of TB cases in the world after India and China. In 2010, the Ministry of Health In Indonesia reported that patient with TB in worldwide about 5,8 % cases was found in Indonesia. In Indonesia, TB drugs treatments called the OAT Program. The study about the interpersonal factors who can be related to the compliance of patient with TB determined how important  the role of doctors and other health professionals to do verbal and non verbal communication with patients. The aim of this study was to describe complianced of patient with TB  in OAT program at Sanjiwani general hospital, Gianyar. Method : This was observational descriptive study. Data were collected through questionnaires. The total of patient with TB who participated in this research were 78 collected by consecutive sampling technique. Result :Based on the research, the complianced of patient with TB in OAT program showed that 38 respondent (48,71%) had complianced with the OAT program and 40 respondent (51,28 %) didn’t have compliance with the OAT program. Conclusion :Most of the patient with TB in Sanjiwani general hospital didn’t have compliance with OAT program. ABSTRAK Latar Belakang : Tuberkulosis merupakan salah satu masalah kesehatan penting di Indonesia. Selain itu, Indonesia menduduki peringkat ke-3 negara dengan jumlah penderita TB terbanyak di dunia setelah India dan China. Jumlah penderita TB di Indonesia adalah sekitar 5,8 % pada tahun 2010 dari total jumlah penderita TB dunia. Pengobatan pasien TB dilakukan dengan program OAT. Riset tentang faktor-faktor interpersonal yang mempengaruhi kepatuhan terhadap pengobatan menunjukkan pentingnya sensitifitas dokter dan tenaga kesehatan terhadap komunikasi verbal dan nonverbal pasien. Tujuan penelitian ini untuk menggambarkan kepatuhan pasien TB paru dalam melaksanakan program OAT di Poliklinik Paru RSUD Sanjiwani Gianyar. Metode : Jenis penelitian ini adalah observasional deskriptif. Dengan instrument yang duganakan adalah kuesioner. Pengambilan sample menggunakan teknik sampling yaitu consecutive sampling dengan jumlah sampel sebanyak 78 orang. Hasil : Pada penelitian ini hasil dari tingkat kepatuhan pasien sebanyak 38 responden (48,71 %) yang patuh dan yang tidak patuh sebanyak 40 responden (51,28%). Simpulan : Pasien TB di Poliklinik Paru RSUD Sanjiwani Gianyar lebih banyak tidak patuh terhadap penatalaksanaan program OAT.

Tingkat Pengetahuan Pasien Gagal Ginjal Kronik Dalam Menjalani Hemodialisa Wiyani, Ni Putu; Sukarja, I Made; Krisnayani, Ni Made Wina; Daryaswanti, Putu Intan
Jurnal Kesehatan Medika Udayana Vol 4 No 02 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death. ABSTRAK Latar belakang: Gagal Ginjal Kronik merupakan salah satu masalah kesehatan penting di Indonesia dan masyarakat dunia. Di Indonesia menurut data dari Penetri (Persatuan Nefrologi Indonesia) jumlah penderita gagal ginjal diperkirakan mencapai 4500 orang, namun yang terdeteksi menderita gagal ginjal kronik tahap terminal dari mereka yang menjalani cuci darah (hemodialisa) hanya sekitar 4 ribu – 5 ribu orang. Kasus gagal ginjal di Indonesia setiap tahunnya masih terbilang tinggi, pasalnya masih banyak masyarakat Indonesia tidak menjaga pola makan dan kesehatan tubuhnya. Hal ini berarti membuat penyakit gagal ginjal kronik menduduki salah satu peringkat penyakit penyebab kematian tertinggi. Tujuan penelitian ini adalah untuk menggambarkan tingkat kepatuhan pasien gagal ginjal kronik dalam menjalani program hemodialisa di ruang hemodialisa RSUD Sanjiwani Gianyar. Penelitian ini merupakan penelitian jenis observasional deskriptif. Penelitian ini menggunakan teknik sampling yaitu purposive sampling dengan jumlah sampel sebanyak 30 orang. Pada penelitian ini hasil dari tingkat kepatuhan pasien GGK terhadap hemodialisa sebanyak 27 responden (90%) yang patuh dan yang tidak patuh sebanyak 3 responden (10%). Dengan demikian sebagian besar pasien gagal ginjal kronik patuh menjalani hemodialisa di ruang hemodialisa RSUD Sanjiwani Gianyar. Kesimpulan penelitian ini adalah diharapkan pasien gagal ginjal kronik agar berobat secara teratur sesuai dengan aturan yang telah ditetapkan oleh petugas kesehatan. Penundaan cuci darah menyebabkan komplikasi paru, kejang, penurunan kesadaran, gangguan elektrolit yang berat, gagal jantung, yang bisa menyebabkan kematian.

Pelatihan Yoga Asanas Untuk Menurunkan Stres Remaja di SMA dan SMK Negeri Kecamatan Sukawati, Kabupaten Gianyar Tahun 2019 I Nengah sumirta; i made sukarja; i ketut labir; suratiah suratiah; surinati dewa ayu; luh putu yunianti SC; i gede wijanegara
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 2, No 2 (2020): April 2020
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v2i2.1006

One problem that are very popular and often plagued. teenagers is stressThe problem of stress happened to teenagers are almost inevitable.Mentioned this time as a period “storm and pressure”, in most teenagers, hambatan-hambatan in their lives would be disturbing physical fitness and emotions, destroy motivation and the ability to success in school and destroy their personal relationships. One of the activities can solve the problems of youth it is doing yoga asanas .The purpose of this activity is to help reduce the stress experienced by young people in adapt to environmental niches. The results show pre test found most were being level ( 66 % ), and to post a test found there is a slight extent to which is as much as 68 people ( 68 % ) test results on the analysis found p value 0,000, there an effect training yoga asanas terhaap teenage stress level. Keywords: Remaja, Stres, Yoga Asanas.

GAMBARAN KEPATUHAN MASYARAKAT MAWANG KELOD DALAM MENERAPKAN PROTOKOL PENCEGAHAN COVID-19 DI TEMPAT UMUM I Wayan Sukawana; I Made Sukarja
Coping: Community of Publishing in Nursing Vol 9 No 2 (2021): April 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Covid-19 merupakan penyakit yang sangat mudah menular melalui droplet dan aerosol yang mengandung virus SARS-CoV-2. Penularan Covid-19 dapat dicegah dengan mematuhi protokol kesehatan pencegahan Covid-19. Penelitian ini bertujuan untuk memperoleh gambaran kepatuhan masyarakat dalam menerapkan protokol pencegahan Covid-19. Responden dalam penelitian ini adalah 60 masyarakat desa Adat Mawang Kelod yang diambil dengan teknik consecutive sampling. Data dikumpulkan dengan melakukan observasi terhadap perilaku masyarakat dalam menerapkan protokol pencegahan Covid-19. Hasil penelitian menemukan bahwa 30,0% responden menggunakan masker sesuai standar, 5% yang melakukan cuci tangan saat tiba di tempat yang diamati, dan 16,7% yang melakukan jaga jarak lebih dari 1 meter. Responden yang patuh terhadap ketiga jenis protokol pencegahan Covid-19 hanya 1,7%.

ACTIVE LOWER RANGE OF MOTION BERBANTU KAYU REFLEKSI MENINGKATKAN KELEMBABAN KAKI PASIEN DIABETES MELITUS TIPE II Ni Made Ayu Rahayuni; I Made Sukarja; I Wayan Surasta
Coping: Community of Publishing in Nursing Vol 10 No 1 (2022): Februari 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Sudomotor autonomic neuropathy decrease the function of the sweat glands (eccrine) so that the skin of the foot becomes dry and cracked may predispose the diabetic foot. This study aimed to determine the effect of active lower range of motion assisted by wooden reflexology roller on the foot moisture of diabetic patient. In this quasi-experimental research with pre and post-test design with the control group, 36 diabetic patients with T2DM ?3 years, aged ?50 years, and did not have diabetic or gangrenous ulcers were grouped into the treatment group, which was given an active lower range of motion assisted by wooden reflexology roller, and the control group, which was given standard treatment. The average humidity of the treatment group increased from 24.75% to 43.48% with the p-value 0,000 (? = 0,05). While the control group’s feet moisture increased from 27.1% to 32.4% with a p-value 0.000. The p-value of independent sample t-test between treatment group and control resulted 0,000 (? = 0,05). According to the results, it can be concluded that there was a significant influence between active role ROM assisted wood reflection and the moisture of DM type II patient's feet.

PENGARUH ELEVASI KAKI TERHADAP KESTABILAN TEKANAN DARAH PADA PASIEN DENGAN SPINAL ANESTESI I Ketut Purnawan; I Made Sukarja; I Wayan Winarta
Coping: Community of Publishing in Nursing Vol 5 No 2 (2017): Agustus 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Ketidakstabilan tekanan darah berupa hipotensi akibat spinal anestesi merupakan masalah yang serius, bila penangannya kurang baik bisa menyebabkan suatu komplikasi hipotensi berat sampai kematian. Teknik untuk menjaga kestabilan tekanan darah pada spinal anestesi salah satunya adalah melakukan elevasi kaki. Tujuan dari penelitian ini adalah untuk mengetahui adakah pengaruh elevasi kaki terhadap kestabilan tekanan darah pada pasien dengan spinal anestesi. Desain penelitian yang digunakan adalah pre-experimental dengan static group comparison. Penelitian dilakukan dengan consecutive sampling, jumlah sampel yang diambil sebanyak 30 orang yaitu 15 orang untuk kelompok kontrol dan 15 orang untuk kelompok perlakuan. Hasil penelitian menunjukkan selisih tekanan darah sebelum dan lima menit setelah spinal anestesi pada kelompok perlakuan didapatkan rata –rata TDS 9,6 mmHg dengan standar deviasi 12,3; rata-rata selisih TDD 4,9 mmHg dengan standar deviasi 7,0; rata selisih MAP 5,8 mmHg dengan standar deviasi 8,4. Pada kelompok kontrol didapatkan hasil rata-rata selisih TDS 23,3 mmHg dengan standar deviasi 8,6; rata-rata selisih TDD 16,7 mmHg dengan standar deviasi 8,0; rata selisih MAP 19,6 mmHg dengan standar deviasi 7,7. Berdasarkan hasil penelitian didapatkan nilai p sebesar 0,001 untuk TDS, untuk TDD 0,000 dan untuk MAP 0,000 sehingga ada pengaruh elevasi kaki terhadap kestabilan tekanan darah pada pasien dengan spinal anestesi di kamar operasi IBS RSUP Sanglah Denpasar. Berdasarkan penelitian ini maka tindakan elevasi kaki bermanfaat untuk menjaga kestabilan tekanan darah pada pasien spinal anestesi dan diharapkan dapat diaplikasi dalam area keperawatan perioperatif. Kata kunci: elevasi kaki, kestabilan tekanan darah, spinal anestesi ABSTRACT The unstable of blood pressure as hypotension that caused by spinal anesthetic was the serious problem, if the patients had no good treatment, they probably going to have worst hypotension complication even death. Foot elevation is one of many techniques to stabilize blood pressure on spinal anesthetic patients. The aim of this study is to explore the effect of foot elevation to the blood pressure of the patients with spinal anesthetic. The study design was pre-experimental with static group comparison. 30 samples was chosen by consecutive sampling, 15 samples as control group and 15 samples as experiment group. Result of this study showed the difference of blood pressure before and five minute after spinal anesthetic. In experiment group, Systolic Blood Pressure (SBP) mean difference is 9,6 mmHg with standard deviation 12,3; Diastolic Blood Pressure (DBP) mean difference is 4,9 mmHg with standard deviation 7.0 and Mean Arterial Pressure (MAP) mean difference is 5,8 mmHg with standard deviation 8,4. The statistical result show that the p value was 0,001 for SBP, 0,000 for DBP and 0,000 for MAP. The conclusion shows that there was the significant effect of foot elevation to the blood pressure for spinal anesthetic patients at operating theater Sanglah hospital . The study shows that foot elevation is use full for maintaining the blood pressure on spinal anesthetic patients, and it can be implemented at perioperative nursing care. Keywords : foot elevation, blood pressure, spinal anesthetic

Respon Varietas Unggul Padi Produksi Balitbangtan pada Dua Musim Tanam Berbeda di Provinsi Bali Anella Retna Kumala Sari; Sagung Ayu Nyoman Aryawati; Nengah Duwijana; I Made Sukarja
Seminar Nasional Lahan Suboptimal 2020: Prosiding Seminar Nasional Lahan Suboptimal ke-8 “Komoditas Sumber Pangan untuk Meningkatkan K
Publisher : Pusat Unggulan Riset Pengembangan Lahan Suboptimal (PUR-PLSO) Universitas Sriwijaya

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Sari ARKS, Aryawati SAN, Duwijana IN, Sukarja IM. 2020. Response of superior rice varieties from balitbangtan at different planting season in Bali province. In: Herlinda S et al. (Eds.), Prosiding Seminar Nasional Lahan Suboptimal ke-8 Tahun 2020, Palembang 20 Oktober 2020. pp. xx. Palembang: Penerbit & Percetakan Universitas Sriwijaya (UNSRI).Support of climate and environmental resources affects the introduction and development of superior rice varieties in each region, because not all superior rice varieties have good adaptability in all locations. This study aimed to understand response of superior rice varieties from Balitbangtan namely Inpari 40, Situ Bagendit and Towuti at different planting season in Bali Province. Research was conducted on rainfed land in Subak Babakan Anyar, Tempek Betenan, Mambang Village, Selemadeg Timur District, Tabanan Regency, Bali Province at dry season from April to August 2018 and at rainy season from Desember 2018 to April 2019. Research was arranged by using Compeletely Randomized Design with three replications derived from six treatments namely Inpari 40, Situ Bagendit and Towuti cultivated at dry season and rainy season. Result showed that the different planting season significantly affected on production the dry paddy grain of milling by those varieties. Rice production at rainy season was better than dry season. The highest production was produced by Situ Bagendit followed by Inpari 40 and Towuti at rainy season. Meanwhile, Inpari 40 produced the highest result at dry season compared to others at same planting season. Superior rice varieties of Balitbangtan production namely Inpari 40, Situ Bagendit and Towuti gave response of growth equally both at dry season and rainy season. These superior varieties rice had stable of adaptation ability to growth performance both at dry season and rainy season.

Pelatihan Yoga Asanas Untuk Menurunkan Stres Remaja di SMA dan SMK Negeri Kecamatan Sukawati, Kabupaten Gianyar Tahun 2019 I Nengah sumirta; i made sukarja; i ketut labir; suratiah suratiah; surinati dewa ayu; luh putu yunianti SC; i gede wijanegara
Jurnal Pengabmas Masyarakat Sehat Vol 2, No 2 (2020): April 2020
Publisher : Poltekkes Kemenkes Denpasar

One problem that are very popular and often plagued. teenagers is stressThe problem of stress happened to teenagers are almost inevitable.Mentioned this time as a period “storm and pressure”, in most teenagers, hambatan-hambatan in their lives would be disturbing physical fitness and emotions, destroy motivation and the ability to success in school and destroy their personal relationships. One of the activities can solve the problems of youth it is doing yoga asanas .The purpose of this activity is to help reduce the stress experienced by young people in adapt to environmental niches. The results show pre test found most were being level ( 66 % ), and to post a test found there is a slight extent to which is as much as 68 people ( 68 % ) test results on the analysis found p value 0,000, there an effect training yoga asanas terhaap teenage stress level. Keywords: Remaja, Stres, Yoga Asanas.

Empowerment of Cadres and Health Workers in Foot Care (Foot Spa) in Diabetics Wedri, Ni Made; Sukawana, I Wayan; Sukarja, I Made
Altifani Journal: International Journal of Community Engagement Vol 4, No 1 (2023)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/altifani.v4i1.7055

The number of DM sufferers continues to increase and is becoming a major health problem because of the economic burden, complications and difficulty in curating and the risk of amputation. The number of DM sufferers at the Abiansemal II Community Health Center was 167 people. Information was obtained from several sufferers saying their feet were tingling, dry and cracked heels, & they had never had foot care (foot spa), because they felt it was unnecessary. The service aims to increase understanding, awareness of cadres and people with diabetes about diabetic foot care to prevent foot ulcers. Service method with cadre assistance in empowering people with diabetes. Starting from giving a pre-test to cadres through a questionnaire, then providing counseling and training on diabetic foot care. Next, the cadres provide direct assistance to the diabetes in each Banjar, finally a post test is carried out on the cadres. The result was an increase in the knowledge and ability of cadres in diabetic foot care with a good category of 90% and a sufficient category of 10%. Independent foot spas should be continued by people with diabetes on an ongoing basis.

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