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All Journal Journal of Educational Research and Evaluation Jurnal Pengabmas Masyarakat Sehat Jurnal Gema Keperawatan Jurnal Abdi Masyarakat Indonesia Jurnal Pengabmas Masyarakat Sehat Eduvest - Journal of Universal Studies Health Dynamics
Agus Sri Lestari
Poltekkes Kemenkes Denpasar
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Senam Tera Berpengaruh terhadap Tekanan Darah pada Lansia dengan Hipertensi Setiawati, Si Ayu Rai; Lestari, Agus Sri; Gama, Ketut; Suardana, Ketut; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3087

Abstract

The decline in physical condition in the elderly causes limited movement so that the elasticity of blood vessels becomes reduced. This condition becomes a predisposing factor of hypertension. This study aims to determine the effect of tera gymnastics on blood pressure in the elderly with hypertension in the working area of Puskesmas II West Denpasar in 2023. This type of research is quasi-experimental designs using a one-group pretest-posttest design. The number of samples was 36people using a non-probability sampling technique, namely purposive sampling. This study was conducted for 2 weeks with 6 interventions. Blood pressure measurement was done before the intervention was given then did a tera gymnasticsintervention for 30 minutes and blood pressure measurement was done again after 6 interventions. Data was analyzed by paired t-test. The results of the study found that the average systolic blood pressure before the intervention was 155.89 mmHg and diastolic was 98.14 mmHg. The mean systolic blood pressure after the intervention was 134.42 mmHg and diastolic was 90.67 mmHg. . The results of the statistical test obtained a p-value of 0.001 (p-value 0.05) so that it can be concluded that there is an effect of tera gymnastics on blood pressure in the elderly with hypertension in the work area of Puskesmas II West Denpasar in 2023. It is recommended that tera gymnastics be carried out regularly at least 3 times a week and used as a non-pharmacological therapy to lower blood pressure in hypertensive elderly in the work area of Puskesmas II West Denpasar.
Gambaran Deteksi Dini Diabetes Melitus Tipe 2 pada Agregat Dewasa Devina Jenamo, Ida Ayu; Achjar, Komang Ayu Henny; Gama, I Ketut; Lestari, Agus Sri; Ngurah, I Gusti Ketut; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3259

Abstract

Early adulthood is a continuation of youth, so the identity of early adulthood is not much different from youth. Type 2 diabetes mellitus is a metabolic disorder characterized by elevated blood sugar due to decreased insulin secretion. In addition to diabetes mellitus, this disease is a global health problem that is the leading cause of death and a major contributor to the high morbidity rate in Indonesia. Urbanization leading to lifestyle changes, and migration from rural to urban areas are two environments hypothesized to increase the incidence of type 2 DM. Type 2 diabetes will start as a result of obesity. The purpose of this study was to determine how the overview of early detection of non-communicable diseases in adults. The research design is descriptive research. The population of this study was 124 people with a sample of 95 people taken with non-probability sampling technique, namely purposive sampling. Data collection instruments in this study used a glucometer to measure blood sugar during. Research results 95 respondents obtained early detection of diabetes mellitus in adults in Banjar dinas Taman Griya Jimbaran Environment with a normal majority of 60 people (63,2%), high as many as 20 people (21,1%) and low as many as 15 people (15,8%). Suggestions are expected that respondents will continue to emphasize healthy living and avoid fast food to combat diabetes mellitus.
Pemberdayaan dan Pelatihan Kader Posyandu Lansia dalam Pencegahan Hipertensi di Desa Tibubeneng, Kabupaten Badung, Propinsi Bali Lestari, Agus Sri; Komang Ayu Henny Achjar; Ketut Sudintara
Jurnal Abdi Masyarakat Indonesia Vol 6 No 2 (2026): JAMSI - Maret 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2560

Abstract

Peningkatan jumlah lansia di Indonesia yang mencapai 11,75% pada tahun 2023 menimbulkan tantangan bagi layanan kesehatan masyarakat, khususnya dalam pencegahan hipertensi sebagai penyakit tidak menular dengan prevalensi tinggi. Kondisi ini menunjukkan perlunya penguatan kapasitas kader posyandu lansia sebagai garda terdepan pelayanan kesehatan berbasis komunitas. Program ini bertujuan meningkatkan pengetahuan dan keterampilan kader melalui edukasi, pelatihan pengukuran tekanan darah, dan pendampingan lapangan. Metode pelaksanaan meliputi penyuluhan interaktif, praktik langsung penggunaan sphygmomanometer digital, serta supervisi berkelanjutan kepada 25 kader posyandu. Hasil evaluasi menunjukkan peningkatan rata-rata pengetahuan dari 65 menjadi 88, dengan proporsi kategori sangat baik naik dari 8% menjadi 76%. Pada aspek keterampilan, kemampuan melakukan pengukuran tekanan darah sesuai standar meningkat dari 20% menjadi 100% setelah intervensi. Program ini berdampak pada penguatan kualitas layanan kesehatan primer dan mendukung pencapaian Tujuan Pembangunan Berkelanjutan/ Sustainable Development Goals 3 (SDG 3) tentang kesehatan yang baik dan kesejahteraan.
The Effect of Gayatri Mantra Meditation on Blood Pressure Reduction in Elderly Individuals with Hypertension in Pemecutan Kelod Village, Denpasar, Indonesia Ni Putu Diah Trisna Dewi; Ketut Sudiantara; I Wayan Mustika; I Gusti Ketut Gede Ngurah; I Wayan Suardana; Agus Sri Lestari
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20305

Abstract

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Ni Putu Sriarta Prabhadewi; I Gusti Ketut Gede Ngurah; I Wayan Suardana; I Ketut Gama; Agus Sri Lestari; Ketut Sudiantara; Komang Ayu Henny Achjar; I Gusti Ayu Harini; Ni Nyoman Hartati; I Wayan Mustika
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Luh Sri Anggayoni Julia Padmi; Komang Ayu Henny Achjar; I Ketut Gama; I Wayan Mustika; Agus Sri Lestari; Ketut Sudiantara; I Wayan Suardana; I Gusti Ketut Gede Ngurah
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Ni Nyoman Paramitha Dewintasari; I Wayan Mustika; I Ketut Sudiantara; Agus Sri Lestari; Komang Ayu Henny Achjar; I Ketut Gama; I Wayan Suardana; I Gusti Ketut Gede Ngurah; I Gusti Ayu Harini
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20602

Abstract

Background: Hypertension is a condition in which blood pressure is higher than normal values of ≥140/≥90 mmHg. Effective blood pressure control is the main goal to prevent and treat hypertension. In addition to pharmacological approaches, blood pressure can be controlled with non-pharmacological approaches such as acupressure therapy. This study aims to determine the effect of acupressure therapy at the SP6 and LI4 points on reducing blood pressure in elderly individuals with hypertension. Methods: This study was designed with a quasy-experiment with the type of research pre and post-test with control group with purposive sampling technique. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The population amounted to 81 elderly people with hypertension with the number of samples used in this study as many as 46 elderly samples with hypertension (23 in intervention group and 23 in control group). The majority of respondents were aged 65-69 years, female, worked as traders, and had elementary school education and did not go to school. Blood pressure was measured using a sphygmomanometer. Acupressure on SP6 and LI4 points was given to the intervention group for 3 weeks with a frequency of 2 times in 1 week, while the control group was given conventional treatment. Results: The results of the post-test difference in blood pressure between the intervention group and the control group with the Mann Whitney U-Test test showed a p-value = 0.000 (p <0.05), it can be concluded that there is a significant difference between the intervention group and the control group. Conclusions: The study concludes that there is an effect of acupressure therapy at point SP 6 and LI 4 on lowering blood pressure in the elderly with hypertension. It is hoped that the results of the study can be used as an alternative therapy in lowering blood pressure.
The Relationship Between Behavior Toward Breast Self-Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Ni Nyoman Putri Asri Rahmasari; I Ketut Gama; I Gusti Ketut Gede Ngurah; Ketut Sudiantara; Komang Ayu Henny Achjar; Agus Sri Lestari; I Wayan Suardana; I Wayan Mustika; I Gusti Ayu Harini; Ni Nyoman Hartati
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
Co-Authors Achjar, Komang Ayu Henny Artawa, I Made Budi Asih, Putu Tarma Devina Jenamo, Ida Ayu Dewa Gede Sastra Ananta Wijaya Gama, I Ketut Gama, Ketut Gama, Kt Harini, I Gusti Ayu Harini, IGA Heri Setiyo Bekti I Dewa Putu Sutjana I Gusti Ayu Harini I Gusti Ketut Gede Ngurah I Ketut Gama I Ketut Gama I Ketut Sudiantara I Made Suarjana I Nyoman Adi Putra I Wayan Candra I Wayan Candra I Wayan Mustika I Wayan Mustika I Wayan Suardana I WAYAN SUARDANA IB Adnyana Manuaba, IB Adnyana Ketut Suardana, Ketut Ketut Sudintara Komang Ayu Henny Achjar Komang Ayu Henny Achjar Luh Sri Anggayoni Julia Padmi Marni , Ni Komang Ngurah, I Gusti Ketut Ngurah, IGK Gede Ni Komang Erny Astiti Ni Nyoman Hartati Ni Nyoman Paramitha Dewintasari Ni Nyoman Putri Asri Rahmasari Ni Putu Anggi Widyasari Ni Putu Diah Trisna Dewi Ni Putu Sriarta Prabhadewi Pramesti, Kadek Diah Ribek, I Nyoman Ribek, Nyoman Rosmalawati, Dwi Ruspawan, I Dewa Made Setiawati, Si Ayu Rai Sudiadnyana, I Wayan Sudiantara, Ketut Wahyuliniya, Anak Agung Istri