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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.
Benson Relaxation Therapy: Impact on Blood Pressure in Hypertensive Older Adults – A Literature Review Sani, Ari Wina; Suyasa, I Gede Putu Darma; Nuryanto, I Kadek; Astawa, I Gede Satria
Babali Nursing Research Vol. 5 No. 3 (2024): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.53378

Abstract

Introduction: The high incidence of hypertension can have an impact on increasing death rates in the world because it can cause heart failure and coronary heart disease and increase the risk of stroke. A strong emphasis on managing essential HTN with non-pharmacological interventions involving multiple elements of lifestyle modification, focusing on more permanent measures to help improve the overall quality of life and decrease physician dependence and hospitalizations of severe complications. This study aimed to explore the effect of Benson relaxation therapy on blood pressure in older adults with hypertension. Method: The method used in this literature review was to examine the results of previous research in published articles. Article searches were carried out via PubMed, Science Direct, and Google Scholar using the keywords "Benson Relaxation," "Blood Pressure," AND "Hypertensive Older adults," as well as combinations of these keywords such as "Benson relaxation on older adults hypertensive blood pressure." Fifteen articles were extracted based on the inclusion that Benson relaxation and other relaxation treatments significantly reduced blood pressure values in hypertension sufferers.Results: There were 15 articles focused on Benson therapy. Eleven studies were of pre-experimental study design. The remaining studies were case study groups (two) and one randomized control study. All of the articles combine deep breathing relaxation and religious relaxation. Conclusion: Benson relaxation has a significant effect on reducing blood pressure values in hypertension sufferers.
Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks Patients with Heart Disease: A Literature Review Based on Transcultural Nursing Trisna, Made Oktaviani Bulan; Suyasa, I Gede Putu Darma; Israfil; Suantika, Putu Inge Ruth
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64517

Abstract

Introduction: Differences in values, norms, and customs across societies shape how patients understand their illness, make decisions about seeking care, and undergo treatment and recovery. Based on a transcultural nursing approach, this study aims to synthesize findings from various literatures that identify cultural influences on heart disease management and their implications for preventing recurrent heart attacks. Methods: This study was a narrative literature review with the PICO framework, using PubMed, ScienceDirect, Google Scholar, and relevant sources (2016–2025) with the keywords “Coronary heart disease” AND “transcultural nursing” AND “culture.” Inclusion criteria included qualitative and quantitative primary research on the role of “culture” OR, “ethnicity” OR, “spirituality” OR, “gender” OR,  OR “access to healthcare in heart disease.” Did not address the transcultural context, focused only on biological factors, review/meta-analysis, single case report, and inadequate methodology were excluded. Of the 1,539 articles identified, 15 met the criteria and were analyzed narratively. Results: The study identified six aspects of the role of culture in heart disease: disease perception (local beliefs and spirituality), coping and treatment seeking (family norms, traditional practices, access), ethnic and gender inequalities, immigrant acculturation (Western lifestyle), collectivism and family roles (compliance vs. delay of help), and local environmental factors/traditions (e.g., solid fuels). Culture can be both a risk and a protective factor through family support, spirituality, and community. Conclusion: Culture is important in preventing and managing heart disease, particularly in reducing the risk of recurrent heart attacks. Transcultural nursing sensitive to cultural diversity is needed to improve health literacy, medication adherence, and reduce cardiovascular inequalities across populations.
Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Kamaryati, Ni Putu; Nuryanto, I Kadek
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.45700

Abstract

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia
The Impact of Modular Professional Nursing Care Model (Modification of The Primary-Team Model) on Patient Satisfaction in Health Services: A Literature Review Nugrahini, Ni Luh Gede Hari; Suyasa, I Gede Putu Darma; Adianta, I Ketut Alit; Agustini, Ni Komang Tru
JURNAL INFO KESEHATAN Vol 22 No 1 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss1.1248

Abstract

Optimal health services are considerably increasing patient satisfaction. Optimization of health services could be implemented using the Modular Professional Nursing Care Method (MAKP Modular). MAKP Modular provides a clear division of tasks and responsibilities for nurses in accordance with the distribution of nursing staff. This literature review aimed to identify the effect of MAKP Modular in increasing patient satisfaction through the optimization of health services. The research design is a literature review. The journal article was conducted on the Google Scholar journal database website and 10 journal articles were selected according to inclusion criteria. The results of the review show that the application of MAKP Modular affects the quality of implementation of nursing care standards. The performance of nurses manifested in the implementation of MAKP Modular also influences patient satisfaction. However, there are still some deficiencies in the application of modular MAKP in the health service setting. These deficiencies are influenced by factors of knowledge, attitudes, and motivation of nurses. The application of MAKP Modular to the healthcare system is conducted by combining the team method and the primary method. The combination of these two methods allows for a more effective and efficient process of providing nursing care. Evaluation of the implementation of MAKP Modular in clinical and hospital settings needs to be engaged on an ongoing basis to determine the effectiveness of implementation.
Pelatihan dan Pendampingan Manajamen Kasus untuk Kelompok Lanjut Usia yang Membutuhkan Perawatan Jangka Panjang Sutini, Ni Kadek; Suyasa, I Gede Putu Darma; Nuartini, Ni Nyoman; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil Israfil
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19337

Abstract

ABSTRAK Lansia merupakan populasi rentan dan memiliki banyak masalah Kesehatan yang kompleks karena proses degeneratif. Manajemen kasus Kesehatan lansia dimasyarakat menjadi sangat penting dilakukan untuk memastikan bahwa lansia mendapatkan pelayanan Kesehatan yang baik. Keterlibatan kader Kesehatan lansia dalam manajemen kasus Kesehatan lansia dimasyarakat menjadi salah satu solusi yang dapat dilakukan untuk mencapai tujuan Kesehatan lansia. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan pelatihan dan pendampingan kepada kader Kesehatan lansia dalam melaksanakan manajemen kasus Kesehatan lansia dimasyarakat. Kegiatan ini dilaksankan di Desa Melinggih, Provinsi Bali. Peserta dalam kegiatan ini adalah kader kesehatn lansia diwilayah desa setempat yang berjumlah 10 orang. Kegiatan PKM dilaksanakan dengan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Hasil kegiatan ini menemukan adanya peningkatan pengetahuan dan kemampuan kader Kesehatan lansia dalam manajamen kasus Kesehatan lansia dimasyarakat dengan nilai uji statistik Wilcoxon Signed Ranks Test didapatkan nilai Z= -2.675b dengan p value = < 0,001. Kegiatan pelatihan dan pendampingan kepada kader Kesehatan lansia dimasa mendatang harus terus dilakukan untuk membangun meningkatkan pelayanan Kesehatan yang berbasis peran serta masyarakat untuk Kesehatan lansia yang membutuhkan perawatan Kesehatan. Kata Kunci: Lanjut Usia, Gerontik, Kader, Manajemen Kasus, Perawatan Jangka Panjang  ABSTRACT Elderly people are a vulnerable population and have many complex health problems due to the degenerative process. Health case management for the elderly in the community is very important to ensure that the elderly receive good health services. The involvement of elderly health cadres in the management of elderly health cases in the community is one solution that can be done to achieve elderly health goals. This community service activity aims to provide training and assistance to elderly health cadres in implementing elderly health case management in the community. This activity was carried out in Melinggih Village, Bali Province. Participants in this activity were elderly health cadres in the local village area totally 10 people. PKM activities were carried out using the PARE approach (Preparation, Action, Reflection and Evaluation). The results of this activity found an increase in the knowledge and abilities of elderly health cadres in managing elderly health cases in the community with the Wilcoxon Signed Ranks Test statistical test value obtained Z = -2.675b with p value = <0.001. Training and mentoring activities for elderly health cadres in the future must continue to be carried out to build improvements in health services based on community participation for the health of elderly people who need health care. Keywords: Elderly, Geriatric, Cadres, Case Management, Long-Term Care
Pemberdayaan Lansia Melalui Edukasi Metode Balance, Eyes, Face, Arm, Speech And Time Sebagai Self Awarness Terhadap Deteksi Dini Stroke Suyasa, I Gede Putu Darma; Agustini , Ni Luh Putu Inca Buntari; Sani, Ari Wina; Wahyuni, Ni Wayan Sri; Wangi, Ni Luh Putu Ayu Puspita; Putra, Kadek Andika Dwi
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 2 (2024): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i2.511

Abstract

Background: Hypertension is a common condition in primary health care, affecting approximately 25% of the adult population and more than 50% of those aged over 65 years. As the "silent killer of hypertension", it can cause stroke, which is a major cause of morbidity and mortality worldwide. This study aims to detect early signs of stroke using the BE-FAST method in the elderly in Karangasem, Bali, and to spread the effectiveness of this method in reducing the risk of stroke. Method: This community-based education program uses the POAC (Planning, Organizing, Actuating and Controlling) approach. A total of 79 elderly participants were recruited and underwent health examinations, including blood pressure measurements and the BE-FAST screening test. The BE-FAST method assesses balance, eyes, face, arms, speech, and timing to identify early signs of stroke. Results: The results showed that 55.7% of participants had hypertension, and 67.1% had difficulty moving their legs and arms on one side of their body. Additionally, 36.7% had difficulty opening their eyes or experienced vision problems, and 32.9% experienced facial weakness or numbness. The BE-FAST method is effective in detecting early signs of stroke, with a sensitivity of 92%. Conclusion: This study highlights the importance of early detection of stroke using the BE-FAST method in the elderly population. The research results show that this method is effective in identifying early signs of stroke and can be easily taught and applied in the community. Application of this method can reduce the risk of stroke and associated morbidity and mortality.
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 Agustini, Ni Putu Inca Buntari Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita 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 Agustini, Ni Luh Putu Inca Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Ayu Puja Astuti Dewi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Wayan Remiasa Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni IGN Made Kusuma Negara Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Kadek Ayu Ananda Maharini Kadek Buja Harditya 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 Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari 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 Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putu Adinda Saraswati Putu Awik Sirna Wardani 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 suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Trisna, Made Oktaviani Bulan 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 Yudi Wahyu, I Made Yulistina, Putu Desi