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All Journal Jurnal Kimia (Journal of Chemistry) Nurse Media Journal of Nursing Jurnal Berkala Epidemiologi Public Health of Indonesia Jurnal Kesehatan Vokasional Jurnal Ilmiah Keperawatan Sai Betik Bali Medika Jurnal Indonesian Journal of Global Health research Jurnal Pengabdian kepada Masyarakat Basic and Applied Nursing Research Journal Journal of Applied Nursing and Health JURNAL KESEHATAN SAMODRA ILMU JRKN Jurnal Pengabdian Mandiri Bhakti Community Journal Pena Dimas International Journal of Health, Engineering and Technology Jurnal Medicare Jurnal Akademika Baiturrahim Jambi
Ni Wayan Trisnadewi, Ni Wayan
STIKes Wira Medika Bali
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Suniyadewi, Ni Wayan; Arief, Yuni Sufyanti; Kurniawati, Ninuk Dian; Rismayanti, I Dewa Ayu; Trisnadewi, Ni Wayan; Iswatun, Iswatun
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56812

Abstract

Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.
The Role of the Family Companion Team (TPK) in Finding New Cases of Families at Risk of Stunting Oktaviani, Ni Putu Wiwik; Adiputra, I Made Sudarma; Trisnadewi, Ni Wayan
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v5i4.2483

Abstract

Increasing human resources is one of Indonesia's efforts to build a golden Indonesia in 2045. Stunting is the current nutritional issue that Indonesia is dealing with. The Indonesian government has created a national strategy to accelerate stunting reduction through families involving health workers known as the Family Companion Team (TPK). According to the results of the evaluation of stunting prevention programs, most local governments have been unable to implement activities to accelerate stunting reduction. This research aims to determine the role of the family companion team in finding new cases of families at risk of stunting. Data collection in this study was carried out using multiple random sampling techniques, distributing questionnaires to 62 TPK in the working area of Puskesmas II Blahbatuh, the inclusion criteria for this study were TPK who had been listed in the Regent's Decree (SK), domiciled in the working area of the puskesmas II Blahbatuh and willing to be a respondent. This research hypothesis test uses Chi square. The results of this study show that there is no significant relationship between the role of TPK in finding new cases of families at risk of stunting and a p value > 0.05. The family approach is a good strategic innovation in providing assistance to families at risk of stunting, but it is not optimal in identifying new findings.
Effectiveness of a Family Unit Empowerment Model in Improving Diabetes Management, Family Empowerment, and Family Support among Adults with Type 2 Diabetes Mellitus: A Quasi-Experimental Study Trisnadewi, Ni Wayan; Adiputra, I Made Sudarma; Oktaviani, Ni Putu Wiwik
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.634

Abstract

Background: Diabetes mellitus (DM) remains a major public health challenge in Indonesia, with its prevalence continuing to increase. Although incurable, effective long-term management can maintain patients' quality of life. Family involvement is essential in supporting adherence to diabetes management, yet evidence on structured family-unit empowerment interventions, particularly in community settings, remains limited. Therefore, this study aimed to evaluate the effectiveness of the Family Unit Empowerment Model in improving diabetes management, family empowerment, and family support among patients with type 2 diabetes mellitus (T2DM). Methods: This study employed a quasi-experimental one-group pre-test–post-test design and followed the TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) reporting guideline. A total of 140 patients with T2DM registered at the Blahbatuh 2 Gianyar Community Health Center were recruited through purposive sampling between December 2022 and July 2023. Inclusion criteria included a confirmed T2DM diagnosis, residence with family, ability to communicate effectively, and provision of informed consent. The independent variable was the Family Unit Empowerment Model; dependent variables were diabetes management, family empowerment, and family support, measured using the Summary of Diabetes Self-Care Activities (SDSCA), the Family Empowerment Scale (FES), and the Diabetes Family Support Scale, respectively (all Cronbach’s α ≥ 0.70). The intervention consisted of four structured weekly family-based health education sessions delivered over one month. Data were analyzed using the Wilcoxon Signed-Rank Test, with a significance level of p < 0.05. Results: Statistically significant improvements in median scores were observed for all three outcome variables following the intervention. The proportion of families in the good empowerment category increased from 37.1% to 55.7% (p < 0.001, r = 0.54). For family support, the proportion reporting high support increased from 44.3% to 49.3%, with a significant rise in median scores (p < 0.001, r = 0.49). Diabetes management improved, with poor-category cases decreasing from 40.7% to 27.9% (p < 0.001, r = 0.33). Conclusion: Participation in the Family Unit Empowerment Model was associated with statistically significant improvements in diabetes self-management behaviors, family empowerment, and family support among patients with T2DM. Because the single-group design and reliance on self-reported outcomes preclude causal attribution, these findings should be interpreted as preliminary. They provide promising support for family-centered empowerment approaches in community-based diabetes care and a rationale for evaluation in adequately powered, controlled, multicenter trials that incorporate objective clinical outcomes before broad implementation is recommended.
The Relationship Of Family Support With Blood Pressure Control Behavior In Hypertensive Patients In The Working Area Of Uptd Puskesmas Kerambitan I Putu Reymelda; Ni Wayan Trisnadewi; Ketut Lisnawati
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.528

Abstract

Blood pressure control behavior is an effort made by people with hypertension to maintain blood pressure stability and prevent complications. The success of these behaviors is greatly influenced by family support, which plays a role in providing motivation and practical assistance in maintaining a healthy lifestyle consistently. This study aims to determine the relationship between family support and blood pressure control behavior in people with hypertension. The study used a correlational descriptive design with a cross sectional approach. The study population amounted to 1,435 hypertensive patients, with a sample of 94 respondents selected using purposive sampling techniques. Data collection used family support questionnaires and blood pressure control behavior questionnaires. Data analysis using the Spearman's Rho test. The results showed that the majority of respondents had good family support, namely 54 people (57.4%) and good blood pressure control behavior as many as 50 people (53.2%). The results showed a p-value of 0.000 (<0.05) and a correlation coefficient of 0.627, which means that there is a strong and significant relationship between family support and blood pressure control behavior. Family support has an important contribution in helping people with hypertension carry out optimal blood pressure control behaviors, because family involvement is an essential factor that increases the motivation, discipline, and ability of people with hypertension to maintain healthy living behaviors consistently.
The Relationship Between Parents’ Level Of Knowledge About Acute Respiratory Infection (ARI) And Preventive Behaviors Toward Ari Among Under-Five Children Ni Kadek Shintya Putri Diah Pitaloka; Ni Wayan Trisnadewi; AA Istri Dalem Hana Yundari
Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i2.357

Abstract

Acute Respiratory Infection (ARI) remains a leading cause of morbidity and mortality among children under five, accounting for approximately 20% of under-five deaths in 2024. Parental knowledge is considered an important factor influencing ARI prevention practices. This study aimed to analyze the relationship between parental knowledge of ARI and ARI prevention behavior among children under five at UPTD Puskesmas III South Denpasar. This study employed a correlational analytic design with a cross-sectional approach. A total of 92 parents of children aged 1–4 years were selected using purposive sampling. Data were collected using structured questionnaires and analyzed using the Spearman's rank correlation test. The results showed that most respondents had good knowledge of ARI and demonstrated good preventive behaviors. Spearman's rank analysis revealed a significant positive relationship between parental knowledge and ARI prevention behavior (p < 0.05; r = 0.393). It can be concluded that higher parental knowledge is associated with better ARI prevention behavior among children under five. Therefore, continuous health education is needed to improve parents' knowledge and strengthen ARI prevention practices.
Hubungan Pemberdayaan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Blahbatuh II Sumantri, Putu Dian Pramudya; Trisnadewi, Ni Wayan; Suniyadewi, Ni Wayan
Jurnal Riset Kesehatan Nasional Vol. 10 No. 1 (2026)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v10i1.825

Abstract

Diabetes mellitus (DM) merupakan salah satu penyakit kronis yang ditandai dengan peningkatan kadar glukosa di dalam darah. Ketidakpatuhan terhadap pengobatan diabetes akan menambah resiko terjadinya komplikasi. Pemberdayaan keluarga menjadi salah satu kunci penting dalam meningkatkan kepatuahn minum obat pasien diabetes melitus tipe 2. Tujuan penelitian untuk mengetahui hubungan pemberdayaan keluarga dengan kepatuhan minum obat pada pasien diabetes melitus tipe 2. Penelitian ini merupakan penelitian deskriptif korelasional dengan pendekatan cross-sectional. Sampel penelitian ini adalah pasien diabetes melitus tipe 2 di Wilayah Kerja Puskesmas Blahbatuh II sebanyak 116 responden yang diambil melalui teknik purposive sampling. Pengumpulan data menggunakan kuesioner pemerdayaan keluarga dan kepatuhan minum obat (MMAS-8) yang dianalisa dengan uji Sperman’s Rho. Hasil uji Sperman’s Rho menunjukan p-value sebesar p<0,001 dan nilai kolerasi 0,817. Terdapat hubungan yang sangat kuat dan signifikan dengan arah korelasi positif antara pemberdayaan keluarga dengan kepatuhan minum obat pada pasien DM Tipe 2, dimana semakin tinggi pemberdayaan maka semakin tingi juga kepatuhan minum obat pasien. Keluarga yang memiliki pemberdayaan baik mampu memberikan dukungan pengetahuan, pengawasan, dan pendampingan yang lebih efektif sehingga berkontribusi langsung pada meningkatnya kepatuhan minum obat pasien diabetes melitus tipe 2.   Kata Kunci: Pemberdayaan Keluarga, Diabetes Melitus Tipe 2, Kepatuhan Minum Obat
Pengaruh Senam Bugar Terhadap Tekanan Darah Lansia dengan Hipertensi : Studi Quasi Eksperimental Adiputra, I Made Sudarma; Sunariati, Ni Luh Gede Ita; Trisnadewi, Ni Wayan; Oktaviani, Ni Putu Wiwik
Jurnal Kesehatan Vokasional Vol 6, No 4 (2021): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.66441

Abstract

Latar Belakang: Hipertensi pada lansia merupakan peningkatan tekanan darah yang terjadi pada lanjut usia. Senam bugar merupakan aktivitas fisik dengan gerakan yang ringan dan sangat tepat bila dilakukan pada lansia hipertensi.Tujuan: Mengetahui pengaruh senam bugar lansia terhadap tekanan darah lansia dengan hipertensi.Metode: Jenis penelitian ini adalah Quasi Experiment dengan rancangan Non-Equivalent Control Group Design. Jumlah responden yang berpartisipasi sebanyak 36 orang. Penelitian ini dibagi menjadi dua kelompok yaitu kelompok intervensi dan kelompok kontrol, pemilihan sampel diambil dengan teknik Purposive Sampling. Data dianalisis  menggunakan Wilcoxon dan Mann-Whitney.Hasil: Hasil penelitian ini menunjukkan pada kelompok perlakuan nilai rata-rata tekanan darah sistole saat pre-test 168,1 mmHg dan post-test 153,4 mmHg sedangkan diastole pre-test 95,56 mmHg dan post-test 82,67 mmHg, pada kelompok perlakuan secara statistik mengalami penurunan tekanan darah setelah senam bugar lansia dengan p-value <0.001 uji beda dua kelompok didapatkan hasil p-value <0.001, dari hasil ini terlihat ada perbedaan tekanan darah antara kelompok perlakuan dan kontrol.Kesimpulan: Hal ini menunjukkan ada pengaruh yang signifikan senam bugar lansia terhadap tekanan darah lansia dengan hipertensi. Diharapkan lansia berperan aktif dalam mengikuti kegiatan senam dari posyandu lansia secara rutin untuk membantu menurunkan serta mengontrol tekanan darah tinggi.
Co-Authors A A Istri Dalem Hana Yundari A.A Istri Dalem Hana Yundari Adiputra, I Made Sudarma Arianta, I Made Dwi Arief, Yuni Sufyanti Dyah Pradnyaparmita Duarsa Gde Ngurah Idraguna Pinatih Gusti Ayu Ketut Putri Widnyani I Gst. Pt. Agus Ferry Sutrisna Putra I Gusti Putu Agus Ferry Sutrisna Putra I Komang Suastika I Made Dwi Arianta I Nengah Simpen Iswatun Iswatun Ketut Gede Dharma Putra Ketut Lisnawati Komalasari, Ni Luh Putu Ratih Kurniawati, Ninuk Dian Lestari, Ni Kadek Yuni Lestari, Ni Kadek Yuni Mitayanti, Ni Kadek Ni Kadek Shintya Putri Diah Pitaloka Ni Kadek Yuni Lestari Ni Ketut Lisnawati Ni Komang Ayu Resiyanthi Ni Luh Ayu Yustikarini Ni Luh Gede Ita Sunariati Ni Luh Putu Devhy Ni Putu Wiwik Oktaviani Ni Putu Wiwik Oktaviani Ni Putu Wiwik Oktviani Nopindrawati, Ni Putu Oktaviani Ni Putu, Wiwik Oktaviani, Ni Putu Wiwik Oktaviani, Ni Putu Wiwik Oktaviani, Ni Putu Wiwik Oktaviani Oktviani, Ni Putu Wiwik Pande Putu Januraga Parlin, Gusti Ayu Ketut Utari Pinatih, G. N. Indraguna Pramesti, Theresia Anita Pramesti, Theresia Anita Putu Reymelda Resiyanthi, Ni Komang Ayu Rismayanti, I Dewa Ayu Sri Idayani Sri Idayani Sri Idayani, Sri Sumantri, Putu Dian Pramudya Sunariati, Ni Luh Gede Ita Suniyadewi, Ni Wayan Sutrisna Putra, I Gusti Putu Agus Ferry Theresia Anita Pramesti Theresia Anita Pramesti Urmilasari, Ni Putu Yessi Wahyudi, Hendro Widarsih, Ni Luh