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Effectiveness of Peduli Family Module to Engage Diet, Exercise, and Medication Adherence on Type 2 Diabetes Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik; Resiyanthi, Ni Komang Ayu
Public Health of Indonesia Vol. 11 No. S1 (2025): Special Issue
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11iS1.962

Abstract

Background:For diabetes patients, adhering to lifelong self-care routines is a significant challenge. Objectives:This study aimed to introduce the PEDULI family module, which can be used as an educational tool for the families of diabetes patients and as a training resource for diabetes educators Methods:This study employed a quasi-experimental design with a pretest-posttest. A total of 82 diabetes patients were involved. PEDULI family module, designed to enhance diabetes management through family involvement. Diet, exercise and medication adherence were measured. Results:  The intervention was highly effective in improving diet, exercise, and medication adherence, as well as overall health behavior. Exercise and medication adherence saw particularly strong improvements, influenced by demographic factors such as education, occupation, and family size. Conclusion:These findings suggest that future interventions should consider tailoring strategies to individual characteristics to maximize their effectiveness.   Keywords:adherence; diet; exercise; engagement; family; medication
GAMBARAN TINGKAT PENGETAHUAN KELUARGA TENTANG ADHD DI PAUD KECAMATAN DENPASAR UTARA: DESCRIPTION OF FAMILY KNOWLEDGE LEVEL ABOUT ADHD IN PAUD SUB-DISTRICT OF NORTH DENPASAR Adiputra, I Made Sudarma; Trisnadewi, Ni Wayan Trisnadewi; Parlin, Gusti Ayu Ketut Utari
Bali Medika Jurnal Vol 5 No 1 (2018): Bali Medika Jurnal Vol 5 No 1 July 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i1.15

Abstract

Pendahuluan : Attention Deficit Hiperactivity Disorder (ADHD) adalah sebutan untuk gangguan perilaku dengan gejala-gejala : gangguan pemusatan perhatian dan konsentrasi, impulsivitas dan hiperaktifitas. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan keluarga tentang Attention Deficit Hiperactivity Disorder (ADHD) di PAUD Kecamatan Denpasar Utara. Metode : Rancangan penelitian ini menggunakan desain penelitian deskriptif kuantitatif dengan satu variable dan pengumpulan data menggunakan kuesioner. Teknik sampling yang digunakan yaitu multistage random sampling, meliputi : teknik cluster sampling didapatkan sampel sebanyak 23 PAUD kemudian teknik kedua adalah stratified random sampling didapatkan sampel sebanyak 280 responden. Hasil : Hasil penelitian dari 280 responden didapatkan 128 orang (42,2%) memiliki pengetahuan kurang tentang ADHD, pada indikator konsep dasar 131 orang (46,5%) memiliki pengetahuan baik, pada indikator deteksi dini 116 orang (41,1%) memiliki pengetahuan kurang dan pada indikator penanganan 114 orang (40,7%) memiliki pengetahuan kurang. Diskusi : Kesimpulan yang dapat diambil bahwa tingkat pengetahuan keluarga tentang ADHD masih sangat kurang, diharapkan hasil penelitian ini dapat sebagai masukan bagi bidang kesehatan untuk meningkatkan upaya-upaya berupa health education bagi keluarga yang memiliki anak usia dini mengenai ADHD agar dampak negative dari perilaku ADHD dapat dideteksi dan ditangani lebih dini. Kata kunci : pengetahuan, keluarga, ADHD ABSTRACT Introduction : Attention Deficit Hyperactivity Disorder (ADHD) is a term for behavioral disorders with symptoms : attention and concentration disorders, impulsivity and hyperactivity. This study aims to determine the description of family knowledge level about Attention Deficit Hiperactivity Disorder (ADHD) in PAUD North Denpasar District. Methode : The design of this study used a descriptive quantitative research design with one variable and data collection using questionnaires. The sampling technique used is multistage random sampling, include: cluster sampling of obtained a sample of 23 early childhood then the second technique is stratified random sampling obtained a sample of 280 respondents. Results : The results of the 280 respondents obtained 128 votes (42.2%) have less knowledge about ADHD, the basic concept indicator 131 people (46.5%) had a good knowledge level, the early detection indicator 116 people (41.1%) have less knowledge level and on the handling indicator 114 people (40,7%) have less knowledge level. Discussion : The conclusion can be drawn that the level of knowledge of families who have young children about ADHD is still lacking, the expected results of this study can serve as input to the health sector in order to increase efforts in the form of health education for families who have early chilhood about ADHD so that expected negative impact of ADHD behavior can be detected and handled earlier. Keywords : knowledge, family, ADHD
GAMBARAN PENGETAHUAN PASIEN DIABETES MELLITUS (DM) DAN KELUARGA TENTANG MANAJEMEN DM TIPE 2: THE DESCRIPTION OF KNOWLEDGE OF DIABETES MELLITUS (DM) PATIENTS AND FAMILY ABOUT THE MANAGEMENT OF DIABETES MELLITUS TYPE 2 Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma; Mitayanti, Ni Kadek
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.33

Abstract

Pendahuluan: Diabetes Melitus (DM) adalah suatu penyakit degeneratif yang dikarenakan tidak berfungsinya insulin yang ditandai dengan peningkatan kadar gula darah. Penanganan pasien DM tipe 2 dilakukan dengan 4 pilar, diantaranya : edukasi, diet, latihan fisik, dan pengobatan. Keberhasilan terapi untuk pasien DM dipengaruhi oleh pengetahuan responden tentang penyakit DM. Tujuan penelitian ini untuk mengetahui gambaran pengetahuan pasien dan keluarga tentang manajemen DM di Wilayah Kerja Puskesmas Tabanan II. Metode : Metode penelitian yaitu deskriptif kuantitatif, dengan jumlah sampel sebanyak 80 responden. Pengumpulan data menggunakan kuesioner dan didapatkan selama 2 minggu. Hasil : Hasil analisa dengan univariat berdasarkan tingkat pengetahuan pasien tentang manajemen DM tentang edukasi (65%) , diet (83,8%), latihan fisik (77,5%) dalam katagori baik, sementara pengobatannya (61,3%) dalam katagori kurang. Pengetahuan keluarga tentang manajemen DM yaitu edukasi (67,5%), diet (72,5%), latihan fisik (90%) dalam katagori baik, sementara pengobatan (53,8%) katagori kurang. Diskusi : Kesimpulannya bahwa pengetahuan tentang manajemen DM pada penderita DM dan keluarga di wilayah puskesmas Tabanan II belum optimal, sehingga perlu dikembangkan edukasi manajemen yang berkelanjutan dalam pelayanan kesehatan. Kata kunci : manajemen DM, pengetahuan, pasien, keluarga ABSTRACT Introduction : Diabetes Mellitus (DM) is a degenerative disease due to insulin malfunction characterized by elevated blood sugar levels. Handling of patients with type 2 diabetes is done with 4 pillars, including: education, diet, physical exercise, and treatment. The successfully of therapy for DM patients is influenced by the knowledge of respondents about DM disease. This research aimed to know the description of knowledge of patient and family about DM management in Health Center of Tabanan II Working Area. Method : The method of this research is descriptive quantitative, with the number of samples as much as 80 respondents. Data was collected used questionnaires and obtained for 2 weeks. Result : The Result of univariate analysis based on patient knowledge level about DM management about education (65%), diet (83,8%), physical exercise (77,5%) in good category, while treatment (61,3%) in less category. Family knowledge about DM management of education (67,5%), diet (72,5%), physical exercise (90%) in good category, while treatment (53,8%) in less category. Discussion: The conclusion of this resaearch are the knowledge about DM management of DM Patients and family at Health Center of Tabanan II are not optimal yet, so it is necessary to develop continuous management education in health services. Keywords: DM management, knowledge, patient, family
EFEKTIVITAS SLOW STROKE BACK MASSAGE DENGAN MENGGUNAKAN MINYAK ESENSIAL KENANGAN (CANANGA ODORATA) DAN MINYAK ESENSIAL LAVENDER (LAVANDULA ANGUSTIFOLIA) TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI: EFFECTIVENESS SLOW STROKE BACK MASSAGE USING YLANG ESSENTIAL OIL (CANANGA ODORATA) AND LAVENDER ESSENTIAL OIL (LAVANDULA ANGUSTIFOLIA) TO DECREASE BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION Trisnadewi, Ni Wayan; Pramesti, Theresia Anita; Adiputra, I Made Sudarma
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.36

Abstract

Pendahuluan: Tingginya angka kejadian hipertensi pada lansia menuntut peran tenaga kesehatan untuk melakukan upaya pencegahan komplikasi yang dapat timbul akibat hipertensi, salah satunya adalah slow stroke back massage. Manfaat dari slow stroke back massage adalah untuk mengurangi ketegangan sehingga dapat menurunkan toleransi nyeri dan ansietas. Metode: Desain penelitian yang digunakan dalam penelitian ini adalah control group pretest posttest design. Jumlah sampel dalam penelitian adalah 30 sampel yang dibagi menjadi 2 kelompok masing-masing 15 orang responden. Teknik sampling yang digunakan adalah purposive sampling. Hasil: Hasil penelitian menunjukkan setelah dilakukan uji Independent T Test pada tekanan darah sistole didapatkan signifikansi 0,000 < 0,05 yang berarti terdapat perbedaan penurunan tekanan darah sistole setelah pemberian slow stroke back massage dengan menggunakan minyak esensial kenanga dan lavender, sedangkan pada tekanan darah diastole didapatkan signifikansi 0,001 < 0,05 yang berarti terdapat perbedaan penurunan tekanan darah diastole setelah pemberian slow stroke back massage dengan menggunakan minyak esensial kenanga dan lavender. Diskusi: Efek eugenol yang hanya terdapat pada minyak esensial kenanga memungkinkan efek yang lebih baik daripada minyak esensial lavender. Kata Kunci: slow stroke back massage, minyak esensial kenanga, minyak esensial lavender, tekanan darah, lansia ABSTRACT Introduction: The high incidence of hypertension in elderly demands the role of health workers to make efforts to prevent complications that can arise due to hypertension, one of which is slow stroke back massage. The benefit of slow stroke back massage is to reduce tension and decrease the tolerance of pain and anxiety. This research aims to know the difference of effectiveness of slow stroke back massage by using ylang essential oil (Cananga odorata) and lavender essential oil (Lavandula angustifolia) to decrease blood pressure in elderly with hypertension. Method: This research was used control group pretest posttest design. The number of samples in this study was 30 samples which are divided into 2 groups each consisting of 15 respondents determined by purposive sampling technic. Result: After test of Independent T-Test the results showed the systole blood pressure got significance 0.000 <0,05 which mean there is a difference decreased of systole blood pressure after giving slow stroke back massage by using ylang and lavender essential oil, whereas at diastolic blood pressure got significance 0.001 <0.05 which means there is a difference decreased in diastolic blood pressure after giving slow stroke back massage using ylang and lavender essential oil. Discussion: The eugenol effect was found only in the ylang essential oil which allows for a better effect than the lavender essential oil. Keywords: slow stroke back massage, ylang essential oil, lavender essential oil, blood pressure, elderly
HUBUNGAN OBESITAS SENTRAL DAN AKTIVITAS FISIK DENGAN KEJADIAN DIABETES MELITUS TIPE 2 DI PUSKESMAS III DENPASAR UTARA: THE RELATION OF CENTRAL OBESITY AND PHYSICAL ACTIVITY WITH THE INCIDENCE OF TYPE 2 DIABETES MELLITUS IN NORTH DENPASAR HEALTH CENTER III Trisnadewi, Ni Wayan; Widarsih, Ni Luh; Pramesti, Theresia Anita
Bali Medika Jurnal Vol 6 No 2 (2019): Bali Medika Jurnal Vol 6 No 2 Desember 2019
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v6i2.73

Abstract

Introduction: Type 2 diabetes mellitus is a diabetes that most occurs and can caused by several factors such as central obesity and physical activity. This study aimed to determine the relation of central obesity and physical activity with the incidence of type 2 diabetes mellitus in North Denpasar Health Center III. Method: This research used descriptive correlation with cross sectional approach, conducted with 51 respondents used purposive sampling. Results: Lambda test results on relation of central obesity and incidence of type 2 diabetes mellitus showed that 29 respondents with type 2 diabetes mellitus and central obesity obtained p value = 0.031 (p<0.05), that means H0 was rejected and there’s relation between central obesity and incidence of type 2 diabetes mellitus with r value=0.529. Lambda test results on the relation of physical activity and incidence of type 2 diabetes mellitus showed 27 respondents with type 2 diabetes mellitus and low physical activity obtained p value =0.04 (p<0.05) that means H0 was rejected there’s relation between physical activity and incidence of type 2 diabetes mellitus with r value = 0.529. The result indicated a moderate and positive correlation. Discussion: The decreased of visceral adipose in central obesity and high physical activity can increase the sensitivity of insulin receptors.
Literatur Review: Faktor Risiko Attention Deficit Hyperactivity Disorder (ADHD) : Risk Factors of Attention Deficit Hyperactivity Disorder (ADHD): Literature Review Adiputra, I Made Sudarma; Pinatih, G. N. Indraguna; Trisnadewi, Ni Wayan; Oktviani, Ni Putu Wiwik
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.167

Abstract

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a growth and development disorder in children characterized by impaired excessive activity and low attention of preschool-aged children. Children who suffer from ADHD will be very difficult to manage and tend to experience problems both at home or at school. This study literature aimed to obtain risk faktors for the incidence of ADHD. Methods and Results: The method used is literature review, search database using several sources from the database: EBSCO HOST, Proquest, PubMed, Scient Direct and Springer Link 2010-2020 publications, the keywords “Risk Faktors”,”adhd or attention deficit hyperactivity disorder” Boolean operator “AND”. There are total of 309 articles found in accordance with these keywords. The article was evaluated according to desirable criteria: full text, the language used and the suitability of the design, a total of 18 articles that are used for this review. Discussion: Risk faktors that increase the incidence of ADHD: Exposure to cigarette smoke, smoking and consuming alcohol during pregnancy, obese pregnant women, birth history with low birth weight (LBW) and premature birth, APGAR low score at birth, genetic and environmental conditions, socioeconomic parents, age of parents and birth history of sectio caesaria (SC).
Pengaruh Meditasi Terhadap Hipertensi Pada Lansia di Banjar Angkling Desa Bakbakan Wilayah Kerja Puskesmas Gianyar II: The Effect of Meditation on Hypertension in The Elderly in Banjar Angkling Bakbakan Village, Gianyar II Public Health Center Oktaviani, Ni Putu Wiwik; Urmilasari, Ni Putu Yessi; Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.172

Abstract

Introduction: Hypertension is the most common problem in elderly health and is a major cause of cardiovascular disease in the elderly. Meditation is used as an effort to treat hypertension by controlling the relationship and relaxing the blood vessels located in the vasomotor center in the spinal cord and as a relaxation meditation exercise that can reduce hypertension. The purpose of this study was to determine the effect of giving meditation on hypertension in the elderly. Method: This type of pre-experimental research with the design of One group Pre test-posttest Design. The total sample of 20 people was selected by purposive sampling technique. The tools used to collect data are a sphygmomanometer and a stethoscope. Result: The mean systolic blood pressure was 169.25 mmHg and diastole was 101.75 mmHg. The result shows the effect of giving meditation on hypertension in the elderly. Discussion: relaxation meditation which is centered on breathing will increase the circulation of oxygen to the muscles, so the muscles will relax, blood pressure will decrease.
Hubungan antara Nilai Ankle Brachial Index dengan Kelembaban Kaki pada Pasien Diabetes Mellitus Tipe II: Relationship between Ankle Brachial Index Value and Foot Moisture in Type II Diabetes Mellitus Patients Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik Oktaviani; Adiputra, I Made Sudarma Adiputra
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.179

Abstract

Introduction: Diabetes mellitus (DM) is a degenerative and chronic disease, which requires long-term treatment and independent patient care, to prevent the effects of acute complications and long-term complications. Prolonged hyperglycemic conditions will cause chronic complications to the nervous system, namely diabetic neuropathy and decreased moisture in the feet. The purpose of this study was to determine the relationship between the ankle brachial index value and the humidity and sensitivity of the feet of type II DM patients. Method: This research method is non-experimental correlational study, with the research design used is cross sectional, with a total sample of 86 respondents taken by purposive sampling technique. Data collection used a mercury tensimeter, stethoscope and skin moisture analyzer. Results: The results of univariate analysis based on the Ankle Brachial Index value obtained a mean value of 0.99 (Minimum 0.83, Maximum 1.29) in the Normal ABI category, the moisture value of the feet obtained a mean value of 34.11 (Minimum 24.09, Maximum 47.65) in the less moisture category. The results of the analysis with the Spearman Range test obtained a p-value of 0.000 which indicates a relationship between the value of the Ankle Brachial Index and the moisture of the feet in type II DM patients. Discussion: The conclusion based on the results of this study it can be concluded that ABI is not the most dominant factor affecting the moisture of the foot skin in DM patients, so further research is needed to find the dominant factor.
OPTIMALISASI PERAN KADER KESEHATAN DALAM MENINGKATKAN MANAJEMEN DIABETES SEBAGAI UPAYA PELAYANAN TERINTEGRASI PROGRAM PROLANIS Ni Wayan Trisnadewi; Theresia Anita Pramesti; Sri Idayani; Ni Kadek Yuni Lestari
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 11: April 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v4i11.10008

Abstract

This community service focuses on optimizing and educating health cadres in diabetes management through the prolanis program as an effort to control diabetes in type 2 DM patients. Cadre education is carried out as an approach to the community who can become the closest service providers for patients and families in implementing diabetes management. Diabetes management includes four pillars, namely diet, medication, physical exercise and education. As individuals with chronic illnesses, patients will feel bored with long-term treatment programs. In an effort to avoid treatment stress, patients need to receive support from the closest environment such as family and health service workers. Health cadres are health service workers who often come into contact with patients. Cadres have a very important role in efforts to organize activities in community health center services. This program aims to provide knowledge to health cadres and the community in line with Prolanis activities regarding the importance of health knowledge in diabetes management so that they will be able to become knowledge agents for DM patients
OPTIMALISASI PENGETAHUAN PETUGAS AHLI TEKNOLOGI LABORATORIUM MEDIS DALAM PENANGANAN SPESIMEN FESES DENGAN PENAMBAHAN ETANOL Idayani, Sri; Trisnadewi, Ni Wayan; Pramesti, Theresia Anita; Lestari, Ni Kadek Yuni; Putra, I Gusti Putu Agus Ferry Sutrisna
PENA DIMAS: Jurnal Pengabdian Masyarakat Vol 3, No 2 (2025): Pena Dimas: Jurnal Pengabdian Masyarakat
Publisher : Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/penadimas.v3i2.27188

Abstract

In improving the quality of laboratory examinations, Medical Laboratory Technologists (ATLM) need information about specimen storage, including specimen handling. One way to diagnose Soil Transmitted Helminths (STH) Infections is through fecal examination. With the limited number of fecal samples, this activity is expected to improve the knowledge and skills of ATLM at the Denpasar Utara III Health Center, so it is important to have socialization and demonstrations regarding the handling of fecal specimens. The purpose of this activity is to improve the ability of ATLM in handling fecal specimens with the addition of ethanol to the quality of worm eggs. The method of implementing this community service is carried out by providing socialization in the form of education through lectures using powerpoint and LCD media and continued with demonstrations and evaluations in the form of the results of filling out the google form before and after education and demonstrations. ATLM officers were very enthusiastic in participating in the activity and actively asked questions both about handling fecal specimens and making ethanol solutions. In addition, the indicator of the success of this activity is an increase in the ability to carry out laboratory examinations, especially in parasite examinations, with an emphasis on proper specimen handling. By adding a diluted ethanol solution as needed to maintain the quality of the specimen in preventing damage to the specimen before further examination, so that the quality of the worm eggs obtained through microscopic examination will be better.