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Hubungan Pengetahuan Dan Perilaku Vulva Hygiene Saat Menstruasi Dengan Keparahan Pruritus Vulvae Swantari, Ni Kadek Devariyani; I Gede Putu Darma Suyasa; Ni Wayan Manik Parwati
Jurnal Ilmu Kesehatan MAKIA Vol 12 No 2 (2022): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v12i2.217

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Pengetahuan dan perilaku vulva hygiene saat menstruasi sangat penting dimiliki remaja putri untuk mencegah terjadinya masalah pada genetalia seperti pruritus vulvae. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan dan perilaku vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae pada remaja putri. Penelitian ini adalah penelitian kuantitatif korelasional dengan pendekatan cross-sectional. Populasi penelitian ini sebanyak 314 orang dengan jumlah sampel 192 orang. Teknik pengambilan sampel dengan teknik non probability sampling menggunakan total sampling. Pengumpulan data dilakukan secara online menggunakan kuesioner dengan google formulir dan dianalisis dengan Spearman’s Rho Correlation. Hasil temuan menunjukkan bahwa tingkat pengetahuan vulva hygiene cukup (41,2%), tingkat perilaku vulva hygiene baik (51,0%), dan tingkat keparahan kejadian pruritus vulvae ringan (43,2%) pada siswi SMP Widyasakti. Dari 79 responden yang memiliki tingkat pengetahuan vulva hygiene cukup, sebanyak 33 (41,8%) responden mengalami pruritus vulvae dengan tingkat keparahan ringan. Dan dari 98 responden yang memiliki tingkat perilaku vulva hygiene baik, sebanyak 44 (44,9%) mengalami pruritus vulvae dengan tingkat keparahan ringan. Kesimpulan pada penelitian ini adalah tidak terdapat hubungan yang bermakna antara tingkat pengetahuan vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae. Terdapat hubungan yang bermakna antara tingkat perilaku vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae.
Attitudes Toward Older People Among Nursing Students in Southeast Asia: A Narrative Review Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek; Israfil, Israfil; Rittiruang, Amonwan
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.623

Abstract

The rapid growth of the older population worldwide has had significant consequences in the health care system, especially in preparing prospective nurses as health workers with positive attitudes towards older people. Unfortunately, students' attitudes have been reported to vary from positive attitudes to indications of ageism towards the older age group. This study aimed to identify and describe current findings regarding nursing students' attitudes toward older people in Southeast Asian countries. This study was conducted using a narrative review approach. The literature was sourced from international databases: PubMed, Science Direct, EBSCOhost, and ProQuest. Keywords included "attitude" AND "older people" OR "elderly" OR "older Adult” AND "nursing student". A total of 154 articles were found and there were 7 articles that met the inclusion criteria from five Southeast Asian countries: Indonesia, Malaysia, Thailand, Philippines, and Vietnam. In general, nursing students in the five Southeast Asian countries have positive attitudes toward elderly health and are highly willing to become elderly nurses as their future career. The attitudes toward older people among nursing students are associated with the level of nursing students' knowledge about older people’s health, subjective norms towards older people, perceived behavioral control, good intentions, having learning experiences with project-based learning about older people’s health on campus, and having experience caring for older people during the education process. Incorporating more comprehensive Gerontic nursing content into the nursing education curriculum, including theoretical knowledge and direct practice opportunities, is imperative to increase students’ positive attitude toward older people.
Simulation in Nursing Education: A Narrative Review of Strategies, Outcomes, and Challenges Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.622

Abstract

Simulation-based education is a vital component of modern nursing education, providing a safe, controlled environment for students to develop clinical competencies. It bridges the gap between theory and practice by fostering experiential learning, critical thinking, and decision-making. This narrative review explores simulation strategies in nursing education, assesses educational outcomes, and identifies implementation challenges. A literature search was conducted in PubMed, Scopus, CINAHL, and ScienceDirect for articles published between 2020 and 2025. Studies discussing simulation strategies, outcomes, and barriers in undergraduate nursing education were included. Common simulation methods include high-fidelity manikins, standardized patients, virtual simulations, and hybrid models. These approaches enhance clinical skills, communication, teamwork, confidence, and knowledge retention. Simulation also supports reflective practice and safe error correction. However, barriers such as high costs, limited faculty expertise, time constraints, and inconsistent evaluation methods persist. Simulation enhances learning outcomes in nursing education but requires strategic integration, adequate resources, and faculty training. Addressing these challenges can maximize its impact and better prepare students for clinical practice. The outcome of this review highlights that well-implemented simulation strategies significantly improve nursing students’ clinical competence, critical thinking, and readiness for real-world healthcare environments, ultimately contributing to safer and higher-quality patient care.
A Systematic Review of Educational Interventions to Improve Self-Care Behaviors in Hypertensive Patients Ni Ketut Erawati; I Gede Putu Darma Suyasa; I Kadek Nuryanto; Ni Made Manik Elisa Putri
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63496

Abstract

Introduction: Hypertension remains one of the most prevalent non-communicable diseases worldwide, including in Indonesia. Due to its often asymptomatic nature, the condition is frequently neglected by patients, increasing the risk of complications and negatively impacting their quality of life. While pharmacological treatment is essential, hypertension management is closely tied to self-care practices, which remain a persistent challenge. One strategy to improve self-care behavior in hypertensive patients is through education. This study aims to systematically review the effectiveness of various educational interventions in enhancing self-care behavior among hypertensive patients.Methods: This study employed the PRISMA Flowchart for article selection across three databases—ScienceDirect, PubMed, and Google Scholar—with inclusion criteria limited to articles published between 2021 and 2025. Of 394 initially identified articles, 15 met the inclusion criteria after PRISMA-based screening.Results: The review analyzed 15 studies comprising diverse educational interventions, including group-based education sessions, video-assisted learning, digital and mobile health (mHealth) tools, individualized counseling, and community-based programs. These interventions significantly improved key aspects of self-care, such as medication adherence, dietary regulation, physical activity, stress management, and regular blood pressure monitoring.Conclusion: This systematic review demonstrates that a wide range of educational interventions effectively enhance self-care behaviors among hypertensive patients. Tailoring interventions to patient needs and utilizing technology may further improve outcomes. These findings underscore the importance of incorporating structured education into hypertension management strategies.
Social Isolation and Its Impact on the Health Status of Older People in the Community: A Narrative Review Suyasa, I Gede Putu Darma
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63501

Abstract

Introduction: Older people often face multifaceted challenges encompassing physical, psychological, and social dimensions. Among these, social isolation is a significant concern, frequently resulting from age-related degenerative changes, the loss of loved ones, or abandonment by family members. Numerous studies have indicated that social isolation can adversely affect the health and well-being of older people. However, comprehensive syntheses of recent research examining the impact of social isolation on the health status of community-dwelling older people remain limited and insufficiently explored. This study aimed to identify and summarize the latest findings regarding social isolation's impact on older people's health status.Methods: This narrative review design used databases PubMed, Science Direct, and EBSCOhost. Keywords include "social isolation" OR "loneliness" AND "older people". Literature selection was carried out non-systematically and analyzed descriptively.Results: Our search found 87 articles; 11 met the inclusion criteria. Most studies were from China (4), the United States (3), and others from England, Brazil, and Colombia. Key finddings indicated that older people living with social isolation have a high risk of depression, cognitive decline, dementia, Alzheimer's disease, changes in biochemical parameters in blood glucose and triglycerides, physical weakness and disability, difficulties in ADL and IADL, disorders, low self-assessment of health, risk of falls, low utilization of health care facilities, poor emotional well-being, and higher risk of death.Conclusion: Social isolation has been shown to have a very negative impact on the health status of older people. Community nurses need to enhance the implementation of home visit programs to support socially isolated older people better. Future research should focus on conducting longitudinal and intervention-based studies to investigate the causal relationships between social isolation and health outcomes.
Effectiveness of home-based cardiac rehabilitation programs on health outcomes of persons with heart failure: An umbrella review Promwong, Waiyaporn; Meenongwah, Jaroonsree; Kenbubpha, Kedsaraporn; Suyasa, I Gede Putu Darma
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3994

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Background: Home-based cardiac rehabilitation (HBCR) serves as a crucial alternative to center-based cardiac rehabilitation (CBCR) for patients with heart failure (HF), aiming to enhance access and adherence. However, evidence of its effectiveness is dispersed across numerous systematic reviews with varying findings, necessitating a high-level synthesis to clarify HBCR’s overall impact. Objective: To synthesize and critically evaluate evidence from systematic reviews and meta-analyses on the effectiveness of home-based cardiac rehabilitation in improving health outcomes among patients with heart failure. Design: An umbrella review of systematic reviews and meta-analyses Data Sources: A systematic search was conducted in the Cochrane Library, JBI Evidence Synthesis, PubMed, Medline, CINAHL, Epistemonikos, and ThaiJo databases for studies in English or Thai up to April 11, 2025. Review Methods: The review adhered to JBI and PRISMA guidelines. Outcomes included functional capacity, quality of life (QOL), mortality, hospital readmissions, and adverse events. Study quality was assessed using the JBI checklist. Results: Fifteen systematic reviews and meta-analyses met the inclusion criteria, all of which were of high methodological quality. The evidence consistently demonstrates that HBCR significantly enhances functional capacity compared to usual care, with outcomes comparable to those of CBCR. However, findings for other outcomes were inconsistent; HBCR’s impact on QOL and left ventricular ejection fraction (LVEF) varied due to program content and methodological heterogeneity, and it did not significantly reduce mortality or hospital readmissions compared to usual care or CBCR. No significant differences in adverse events were observed between HBCR, CBCR, and usual care. Conclusion: HBCR is a safe and effective intervention for improving functional capacity in patients with heart failure, offering a viable alternative to CBCR. However, its effects on quality of life, hospital readmissions, and mortality remain inconsistent. These findings highlight HBCR’s potential role in expanding access, though further research is needed to optimize program design. Registry: PROSPERO (CRD42023484051)
Education and Simulation of Range of Motion (ROM) for Caregivers to Improve the Quality of Life of Older People in the Community Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Israfil, Israfil; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari; Oka Putra, I Nyoman Trisna Oka Putra
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.509

Abstract

The aging process has caused various health problems, including limited physical mobility due to muscle weakness, joint stiffness, and certain chronic disease conditions. Efforts to maintain the health of older people can be done through Range of Motion (ROM) exercises, with the family as caregivers having an essential role in doing so. This community service activity aims to improve the knowledge of elderly caregivers by providing education and simulations on ROM exercises for older people. A total of 41 caregivers from Melinggih Village, Gianyar Regency and Pedungan Village, Denpasar City were involved in this activity in March 2025. The activity was carried out using the education and simulation method, with stages using the PARE (Preparation, Action, Reflection, and Evaluation) approach. The results of the Wilcoxon statistical test obtained a p-value < 0.001 with Z = - 3.65, which showed a significant difference in the level of caregiver knowledge about ROM exercises in older people before and after the activity. Good knowledge increased from 63% to 100%, and poor knowledge decreased from 31.7% to 0%. This shows that community service activities with education and simulation methods have successfully increased caregivers' knowledge and practical abilities in performing ROM exercises for older people. ROM exercises can be an easy choice for caregivers as an effective way to maintain the health of older people in the community, support long-term care programs, and thus improve the quality of life for the older people in the community.
Empowering Caregivers to Improve Working Posture Management for Preventing Musculoskeletal Injuries in Long Term Care Settings Indrayani, Ni Luh Dwi; Buntari, Ni Luh Putu Inca Agustini; Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Duygulu, Sergul; Portia, Vitug; Israfil, Israfil; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.522

Abstract

Physically demanding tasks in long-term care, such as lifting and repositioning patients, increase caregivers' risk of musculoskeletal disorders, highlighting the need for empowerment through targeted education and skills training to ensure safe practices. This community service aimed to evaluate the effectiveness of an educational training program for caregivers, focusing on working posture management and technique in transferring older people to reduce the risk of musculoskeletal injuries. A pre- and post-intervention design was used to assess cognitive improvement and participant satisfaction among 41 caregivers in community setting. Results showed a marked increase in correct responses across all questionnaire items following the training, indicating improved knowledge and satisfaction throughout the training. The increased to 95.1% after the training was found, indicating a significant gain in knowledge about the basic concepts of transfer techniques. Participants expressed high satisfaction, with simulation-based learning identified as the most effective instructional method. The findings suggest that targeted, practical training can enhance caregivers’ competencies and contribute to safer caregiving practices. Despite these positive outcomes, limitations included a participant bias, limited follow-up, or the socio-economic context of the participants in short-term evaluation. Future programs are recommended to include follow-up assessments and wider community involvement to ensure long-term impact and sustainability.
Predictors of Anxiety toward COVID-19 Delta Variant: A Cross- Sectional Study among Healthcare Providers in Java and Bali, Indonesia Swarjana, I Ketut; Putu Darma Suyasa, I Gede; Nuryanto, I Kadek
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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

Abstract

Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), a history of confirmed positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the Delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic so that anxiety can be detected and overcome early through constructive self-adaptation and positive coping mechanisms.
Determinants of Nurse Performance in Implementation of Infection Prevention and Control Using Employee Engagement Theory in Pandemic Period: A Literature Review Dewi, Putu Sundari; Suyasa, I Gede Putu Darma; Darmini, AAA Yuliati; Wulandari, Sarah K.
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43252

Abstract

Nurse performance is an important parameter in improving the quality of health services. Nurse performance is influenced by several factors such as individual factors, psychological and organizational factors. The need for support for nurse performance can also be increased through an employee engagement approach. This study aims to identify the determinants factors of nurse performance in implementing infection prevention and control using the theory of employee engagement during a pandemic. This study uses the literature review method. Article search uses 4 journal databases from 2019-2023 which were reviewed including Garuda, Google Scholar, Pubmed and Scient Direct and fifteen articles met the criteria. The results showed that the determinants of nurse performance using employee engagement theory were leadership and organization. Nurse performance influences employee engagement, engaged nurses will have high work engagement and nurses who are not engaged will have low work engagement. The implementation of employee engagement during the pandemic there were still several factors that had not been widely intervened, so further research is needed to find out how the theory of employee engagement is applied to find out the performance factors of nurses in implementing infection prevention and control.
Co-Authors A.A. Ayu Yuliati Darmini Adnyanita, Anak Agung Istri Citra Agus Ari Pratama Agustini , Ni Luh Putu Inca Buntari Agustini, Ni Komang Tri Agustini, Ni Komang Tru Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita Apiradee Pimsen Aries Susanti, Ni Putu Arinjaya, I Gede Eka Arnaya, I Gede Putu Suka Artsanthia, Jintana Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Chi-Jane Wang Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Dr. Ni Luh Dwi Indrayani Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Nengah Agus Mega Aryawan I Putu Gede Darmayasa I Wayan Remiasa Ida Ayu Ketut Adi Setiawati Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni IGN Made Kusuma Negara Kusuma Negara Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Jaya Kusuma, I Made Kadek Ayu Ananda Maharini Kadek Buja Harditya Kadek Sriasih Kamaryati, Ni Luh Putu Kenbubpha, Kedsaraporn Kesari Darmapatni, Ni Wayan ketut hendra yanti dewi Ketut Widia Komang Asrini Widya Tri Lestari Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Kusuma, I Made Jaya Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Leni Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ari Widayani Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Manik Elisa Putri Ni Made Milapastiniari Ni Made Nurtini Ni Made Sri Rahyanti Ni Made Wirantini Ni Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Deani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nooiad, Ganyanee Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Pande Putu Ida Oktaviani Pangruating Diyu, Ida Ayu Ningrat Pimsen, Apiradee Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putri, Ni Made Manik Elisa Putu Adinda Saraswati Putu Awik Sirna Wardani Putu Inge Ruth Suantika Putu Noviana Sagitarini Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sagita, Ni Wayan Riska Sandra, Putu Yudara Sani, Ari Wina Sanjana, I Wayan Edi Sarah K Wulandari Serinadi, Desak Made Sri Ariani Sri Dewi Megayanti Sriasih, Ni Kadek Strisanti, Ida Ayu Suptika suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Vitug, Portia Zoleta- Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wulandari, Sarah K Wulandari, Sarah K. Wulandari, Sarah Kartika yanti dewi, ketut hendra Yoga, Sukma Wisnu Yogi RS, I Gusti Agung Yudi Wahyu, I Made Yulistina, Putu Desi Yusniawati, Yustina Ni Putu