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All Journal COPING (Community of Publishing in Nursing) Seminar Nasional Lahan Suboptimal Jurnal Kesehatan Medika Udayana Jurnal Pengabmas Masyarakat Sehat Kosala : Jurnal Ilmu Kesehatan Jurnal Gema Keperawatan Nursing and Health Sciences Journal (NHSJ) Jurnal Pengabmas Masyarakat Sehat Buletin Pengabdian
I Made Sukarja
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Pencegahan Anemia dan Stunting Melalui Pemberdayaan Peran Remaja dengan Kader Yowana Bali (KAYOBI) Adirinata, I Komang Pasek; Suardana, I Wayan; Ruspawan, Dewa Made; Hartati, Ni Nyoman; Sukarja, I Made; Ribek, Nyoman
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4079

Abstract

Anemia and stunting are significant public health problems in Indonesia, especially among adolescents. The Yowana Bali Cadre Program (KAYOBI) aims to increase adolescents' knowledge and awareness about the prevention of anemia and stunting. This study uses a quantitative design with a cross-sectional approach. Data were collected from 31 respondents, using purposive sampling techniques. Knowledge assessment was conducted through questionnaires, and data analysis was conducted by Chi-square test  to determine the relationship between  KAYOBI website access and respondents' knowledge level. The findings showed that 74,2% of the participants were women, and 64,5% of them accessed  the KAYOBI website. The results of the respondents' knowledge assessment before accessing the KAYOBI website showed that 23,1% of respondents had adequate knowledge about anemia and stunting. Chi-square analysis  showed a significant relationship between website access  and knowledge level, where individuals who did not access websites were 20 times more likely to engage in poor prevention practices.  KAYOBI's website is rated good in terms of usability, quality of information, and interaction. This research emphasizes the importance of continuing education initiatives and community involvement in combating anemia and stunting, as well as the need for more effective health promotion among adolescents. The KAYOBI program is effective in increasing adolescents' knowledge about anaemia and stunting prevention, and access to information through the website contributes to better prevention practices.
Leg exercises with a serrated rubber ball and virgin coconut oil can increase the skin moisture of the feet of Diabetes Mellitus patients I Wayan Sukawana; Ni Made Wedri; Ni Komang Ayu Indriyani; I Made Sukarja
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.458

Abstract

Chronic hyperglycemia in patients with Diabetes Mellitus can cause autonomic neuropathy, resulting in decreased skin moisture in the feet. This study aims to test the impact of foot exercises with a serrated rubber ball and Virgin Coconut Oil (VCO) on skin moisture in patients with Diabetes Mellitus. This study was a pre-experimental design with a sample of 19 respondents of type 2 Diabetes Mellitus patients, who were taken randomly. Skin moisture data for the feet were measured using a digital skin tester one day before and after treatment. Foot exercises with a serrated rubber ball and VCO were carried out every two days for 30 minutes within 3 weeks. The average skin moisture of the feet before treatment was 17.80% ± 3.62%, and after treatment, 26.46 ± 6.34%%. The results of the Paired Sample T-Test showed a significant effect of the combination of foot exercises with a serrated rubber ball and VCO on increasing the skin moisture of the feet of patients with Diabetes Mellitus (p-value = 0.00). Thus, applying foot exercises with a serrated rubber ball and VCO effectively increases the skin moisture of the feet of patients with Diabetes Mellitus.
Gambaran Profil Lipid Pasien Diabetes Melitus Tipe 2 Oka Kusuma Jaya, I Gede; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.2844

Abstract

The prevalence of diabetes mellitus (DM) continues to increase and is even predicted to continue to increase, as does Indonesia, which is currently the country with the highest prevalence of DM in Southeast Asia. The most common type of DM currently is type 2 DM, the majority of which is caused by an unhealthy lifestyle, causing insulin resistance. Apart from causing diabetes, insulin resistance also causes dyslipidemia and is one of the most important factors in the occurrence of atherosclerosis which has an impact on the emergence of diabetic ulcers. This study aimed to determine the lipid profile in patients with type 2 diabetes mellitus. The research design used was descriptive with an observational approach. The variable observed in this study was the lipid profile in type 2 DM patients. The sampling technique used was simple random sampling with a sample size of 47 people. The instrument used is a documentation sheet. The research was conducted at the Klungkung Regional General Hospital (RSUD). The data collected was analyzed using descriptive statistics, and the data was then presented in a table. The results of the study showed that the total cholesterol value in type 2 diabetes mellitus sufferers with total cholesterol values above 200 mg/dL was 26,4%, and the LDL value in type 2 diabetes mellitus sufferers with values above 100 mg/dL was 26,3%. The HDL value in type 2 diabetes mellitus sufferers with a value of less than 40 is 13,0%, and the triglyceride value in type 2 diabetes mellitus sufferers with a value of more than 150 mg/dL is 26,1%. Most respondents have a good lipid profile, but there are still respondents whose lipid profile is not within the normal range and are at risk of developing diabetic ulcers.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI DIABETES MELITUS DI GIANYAR 2023 Ade Widya Ningtyas, Listina; Sukarja, I Made; Sukawana, I Wayan
KOSALA : Jurnal Ilmu Kesehatan Vol 12 No 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.320

Abstract

Latar belakang: Diabetes Melitus merupakan salah satu penyakit kronis yang menjadi ancaman di seluruh dunia dan memiliki risiko komplikasi penyakit lain seperti kardiovaskular. Peningkatan kasus DM menjadi ancaman baik pada sektor kesehatan maupun ekonomi yang dapat mempengaruhi produktivitas seseorang. Perlu dilakukan pemeriksaan kesehatan secara rutin untuk meminimalisir terjadinya kasus DM dan komplikasi yang mungkin terjadi. Faktor-faktor yang mempengaruhi terjadinya kasus ini sangat bervariasi mulai dari usia, BMI, tekanan darah diastolik sistolik, kadar LDL dan trigliserida. Selain itu, adanya penatalaksanaan pengendalian yang tepat juga mempengaruhi komplikasi penyakit lain pada Diabetes Melitus. Penelitian ini dilakukan di Dinas Kesehatan Kabupaten Gianyar dengan desain deskriptif yang melibatkan sampel 78 pasien Diabetes. Hasil penelitian ini prevalensi pasien dengan diabetes yang tidak terkontrol memiliki angka yang lebih tinggi pada pemeriksaan IMT, glukosa puasa, glukosa 2 jam pasca prandial dan LDL. Kesimpulan dari penelitian ini adalah terdapat faktor-faktor yang berhubungan dengan pasien Diabetes Melitus, antara lain usia, durasi waktu mengalami Diabetes, IMT, tekanan darah diastolik sistolik, gula darah selama dan puasa, kadar LDL, trigliserida, karakter kontrol DM. Pada penelitian ini terdapat perbedaan prevalensi pada masing-masing variabel pengendalian DM di kelompok yang melakukan kontrol DM dan yang tidak melakukan kontrol DM. Pada kelompok pasien yang tidak terkontrol prevalensi lebih tinggi pada variabel IMT 69%, Glukosa Puasa 54%, Glukosa 2 jam PP 75%, kadar LDL 75%. Sedangkan pada kelompok pasien yang terkontrol prevalensi lebih tinggi pada variabel Tekanan Darah 57% dan kadar Trigliserida 58%.   Kata kunci: diabetes mellitus, faktor penyebab, prevalensi DM   Background: Diabetes Mellitus is one of the chronic diseases that is a threat throughout the world and has a risk of complications of other diseases such as cardiovascular. The increase in DM cases is a threat to both the health sector and the economy that can affect a person's productivity. It is necessary to carry out regular medical examinations to minimize the occurrence of DM cases and complications that may occur. The factors that influence the occurrence of these cases vary greatly ranging from age, BMI, systolic diastolic blood pressure, LDL levels and triglycerides. In addition, the existence of proper control management also affects the complications of other diseases in Diabetes Mellitus. This study was conducted at the Gianyar District Health Office with a descriptive design involving a sample of 78 Diabetes patients. The results of this study the prevalence of patients with uncontrolled diabetes had higher rates on BMI examination, fasting glucose, glucose 2 hours postprandial and LDL. The conclusion of this study is that there are factors associated with Diabetes Mellitus patients, including age, duration of time experiencing Diabetes, BMI, systolic diastolic blood pressure, blood sugar during and fasting, LDL levels, triglycerides, DM control characters. In this study, there were differences in prevalence in each DM control variable in the group that carried out DM control and those that did not control DM. In the uncontrolled patient group, the prevalence was higher in the variables BMI 69%, Fasting Glucose 54%, Glucose 2 hours PP 75%, LDL levels 75%. While in the controlled patient group, the prevalence was higher in the variable Blood Pressure 57% and Triglyceride levels 58%.   Keywords: causative factor, diabetes mellitus, prevalence of DM
Glycemic Control Determinant of Diabetes Mellitus Patients I Wayan Sukawana; I Made Sukarja; Listina Ade Widya Ningtyas; Ni Luh Putu Yunianti Suntari Cakera; Ni Made Juniari
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 3 (2023): September 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i2.223

Abstract

Diabetes Mellitus (DM) is a chronic disease that cannot be cured. Complications in DM are the main cause of blindness, kidney failure, heart attacks, strokes, and amputations of the lower limbs. Various problems in DM can be prevented by controlling DM. DM control is influenced by individual factors and external factors. This study aims to determine the determinants of DM control on DM control parameters. The study was carried out with a cross-sectional design on 31 DM patients who were taken consecutively in July 2022 at the Ubud I Gianyar Health Center. The data collected in this study were HbA1c levels, blood glucose levels (fasting and 2 hours post-prandial), systolic and diastolic blood pressure. The results obtained are factors of age, gender, duration of DM, and dietary adherence together had a significant effect of 75.6% (p-value = 0.00) on HbA1c control. There is a significant contribution of 39.5% to systolic control. Has a significant effect (p-value omnibus test = 0.013) of 45.2% on controlling fasting glucose levels. The conclusion is that DM control by intervening modifiable factors such as emphasizing the importance of dietary adherence.
Media Edukasi Permainan Ular Tangga Meningkatkan Pengetahuan Siswa Sekolah Dasar dalam Menghadapi Bencana Gempa Bumi Dharma Yani, Made Vina; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made; Wedri, Ni Made; Mertha, I Made
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4043

Abstract

Indonesia has a high risk of disasters due to its geological and geographical location. Disasters are events that threaten society and impact all ages, including children. This shows that knowledge in dealing with disasters is very important to be given to children. This research aims to determine the effect of providing education using the snakes and ladders game on elementary school students' knowledge in dealing with earthquake disasters. The type of research is Pre- Experimental design with the design used, namely One-group pre-post design using simple random sampling. The total sample was 33 people. The variables in this study are education through the media of snakes and ladders games and elementary school students' knowledge of dealing with earthquake disasters. Knowledge data were collected using a knowledge questionnaire on dealing with earthquake disasters. Data analysis techniques were used using the Wilcoxone test. The results of the research showed that the knowledge of elementary school children before being given audiovisual media education was mostly in the sufficient category, namely 18 people (54,5%) and after being given it showed an increase in preparedness knowledge with the result that the majority of students were in the good category, 32 people (97%). The results of the research were tested using the Wilcoxon statistical test, obtained p-value = 0,000 alpha (0,05), it can be concluded that there is an influence of providing education in the snakes and ladders game media on students' knowledge in dealing with earthquake disasters at SD No. 2 Cemagi. It is recommended that teachers in schools increase the provision of disaster material by developing other similar game media.
Improvement of Posyandu Cadres knowledge through an interprofessional approach of sustainable area development program in Ped Village Nusa Penida Klungkung Bali [Peningkatan pengetahuan Kader Posyandu melalui pendekatan interprofesional program pembinaan] Badrut Tamam; I Nyoman Purna; I Nyoman Sujaya; I Ngh Sumirta; I Made Sukarja; Ida Erni Sihaputar; Ni Made Dwi Purnamayanti
Buletin Pengabdian Bulletin of Community Services Vol. 5 No. 3 (2025): Bull. Community. Serv.
Publisher : LPPM Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/bulpen.v5i3.607

Abstract

Posyandu is one of the primary care facilities that has been present in the community for quite a long time, which is indispensable in promotive and preventive efforts, especially improving the nutritional status of the community and the health of mothers and children. However, the knowledge of Posyandu cadres are still very varied, so that the provision of health services is not optimal. Therefore, it is necessary to empower the knowledge of Posyandu cadres in fostering Posyandu and the community in their environment to realize a healthy community. Ped Village is one of the villages in Nusa Penida District, Klungkung Regency which has six hamlets with several dominant health problems including stunting and malnutrition in toddlers, Chronic Energy Deficiency and anemia in adolescent girls, and hypertension in the elderly. The Community Service of the Sustainable Area Development Program is carried out through an interprofessional collaboration program and community involvement. The training materials include integrated posyandu management and handling of stunting in toddlers, anemia in adolescents and maternal and child health (MCH), clean and healthy lifestyles, hypertension prevention and blood pressure measurement. Pre and Post-test results during training to Posyandu cadres showed a significant increase in knowledge to Posyandu cadres, as much as 87% (20 people), while the rest had the same pre and post-test scores. Mentoring activities for Posyandu cadres were also carried out to foster the measurement of body weight, height and head circumference of toddlers, as well as the introduction of traditional food (tempe).
Co-Authors Achjar, Komang Ayu Henny Ade Widya Ningtyas, Listina Adirinata, I Komang Pasek Anella Retna Kumala Sari Badrut Tamam Cahyanthi, Ni Komang Ayu Marini Permata Daryaswanti, Putu Intan Dewi, Ni Kadek Ayu Patni Dharma Yani, Made Vina Hartati, Ni Nyoman i gede wijanegara I Ketut Labir I Ketut Purnawan I Made Mertha I Nengah sumirta I Ngh Sumirta I Nyoman Purna I Nyoman Sujaya I Wayan Suardana I Wayan Surasta I Wayan Winarta Ida Erni Sihaputar JUNIARI, NI MADE Krisnayani, Ni Made Wina Listina Ade Widya Ningtyas luh putu yunianti SC Muryani, Ni Made Sri Nengah Duwijana Ni Komang Ayu Indriyani Ni Luh Putu Yunianti Suntari Cakera Ni Made Ayu Rahayuni Ni Made Juniari Ni Made Wedri Oka Kusuma Jaya, I Gede Parashita, Sri Astiti Padma Pendet, Ni Made Diah Pusparini Purnamayanti, Ni Made Dwi Putri Yulia Ningsih, Ni Luh Putu Ribek, Nyoman Ruspawan, Dewa Made Sagung Ayu Nyoman Aryawati Sukawana, I Wayan Suputra, Dewa Ketut suratiah suratiah surinati dewa ayu Wedri, Ni Made Wiyani, Ni Putu Yasa, I Dewa Putu Gede Putra