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All Journal Jurnal Keperawatan COPING (Community of Publishing in Nursing) Public Health of Indonesia Jurnal Kesehatan Medika Udayana Babali Nursing Research Journal of Language and Health Jurnal Pengabdian kepada Masyarakat Wahana Usada Indonesian Journal of Health Research Bali Health Published Journal Jurnal Kesehatan Medika Udayana Prosiding SIMKESNAS Prohealth Journal Babali Emergency and Disaster Research

Artawan, I.K

Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana, Indonesia

Author-ID : 5387910

Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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GAMBARAN ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN INFARK MIOKARD AKUT DENGAN NYERI AKUT DI RUANG EMERGENCY CARDIO RSUP SANGLAH DENPASAR I Kadek Artawan; I.M.S Wijaya; L.A Arini; I.N Sunirda
Jurnal Kesehatan Medika Udayana Vol. 5 No. 1 (2019): April : Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Acute Myocardial Infarction (AMI) is one of the cardiovascular emergency diseases. Sign and symptoms of IMA that accompany patients coming to the Emergency departement are complaints of chest pain. Chest pain is a response that occurs due to ischemia in the myocardium. Untrained chest pain more than 20 minutes will result in irreversible heart damage. The purpose of this case study is to describe emergency nursing care in IMA patients with acute pain Method: The method used in this paper is a descriptive method with a case study approach that describes the condition of two patients suffering from IMA with acute pain. The tools used to retrieve data are IMA observation checklists and interview sheets. The data obtained were analyzed by narrating the data obtained and comparing the existing theory. Results: The IMA patient assessment focused on secondary assessment of SAMPLE. Chest pain data were obtained through the PQRST approach so that the main nursing problem was acute pain. Emergency measures performed by oxygen delivery as nonpharmacological therapy and administration of anti-ischaemic therapy and fibrinolysis as pharmacological therapy. Evaluation performed for 1 hour, the results obtained are reduced pain from the weight scale to moderate. Conclusions: As emergency nurses should pay attention to IMA assessment on secondary assessment and collaborate with medical personnel to reduce pain with pharmacological and nonpharmacological therapies.Keywords: Acute Myocardial Infarction (AMI); Acute Pain; Nursing Care; Emergency

The Effect of Basic Life Support Course on Community Knowledge Level I Kadek Artawan; Yupin Aungsuroch; I Gede Juanamasta; I Made Sukma Wijaya; Komang Agus Jerry Widyanata
Babali Nursing Research Vol 2 No 2 (2021): July
Publisher : Babali Health

Introduction: Cardiac arrest is the most pre-hospital emergency cases. Approximately 30.000 people have cardiac arrest in pre-hospital and about 33% have treated with bystander. Basic life support (BLS) with cardiopulmonary resuscitation (CPR) is a first aid procedure that needs to be performed in this case. Death could occur within minutes if the first aid does not adequately performed. The study aimed to know the effect of BLS courses on the community knowledge level in the North Denpasar District. Methods: The study was a pre-experimental study with a pre-posttest design. Study participant selected by cluster random sampling technique and 199 participants chosen as study participants. To collect the community knowledge data, a questionnaire employed in this study. American Heart Association (AHA) guideline for the public published in 2015 enrolled as a reference in organizing ten questions in the questionnaire with Guttman Scale. Results: The characteristics of respondents were 27% participants were aged between 30-39 years, 56% graduated from senior high school, 55% work as employees and 90% never attended BLS training program. There was a significant mean difference from the pre-test and post-test data. The mean difference before and after the BLS course were 8.38 and 9.74, respectively. There was a significant correlation between the BLS course and the level of knowledge (p = 0.000). Conclusion: The level of knowledge about BLS before the course was 63%. It classified into a good knowledge level. The level of knowledge about BLS after the course was significantly improved. It increased to 97.5%.

Family Experience Dealing with Relapse in People with Mental Disorders Ni Made Sri Muryani; I Gede Yudiana Putra; I Kadek Artawan
Babali Nursing Research Vol 3 No 2 (2022): July
Publisher : Babali Health

Introduction: Recurrence is a problem that often occurs in patients with mental disorders. Families who have family members with mental disorders, said that relapse can be caused by not taking medication regularly and when they relapse the family is afraid to face the patient, because the patient is angry and throw things. This study aims to explore in depth the meaning of family experience dealing with relapse in people with mental disorders. Methods: This study uses a qualitative research design with an interpretative phenomenological approach. This study used purposive sampling, with total 15 participants with inclusion criteria: families who have family members with mental disorders who have experienced a relapse in the last six months and are willing to become participants by signing the participant's informed consent form. Exclusion criteria were families with family members with mental disorders who also had other illnesses. The data collection strategy used in-depth interview techniques with semi-structured interview guidelines. Researchers conducted data analysis using Interpretative Phenomenological Analysis (IPA). Results: There are four themes in this study, namely (1) Always pay attention to prevent recurrence, (2) Families are able to recognize signs of relapse in family members with mental disorders, (3) Families use medical health services when a relapse occurs, (4) Feel emotional and fearful when the patient relapses. Conclusion: The results of this study indicate that families feel emotional and fear when the patient experiences a relapse, and the family also knows about the signs of relapse in patients with mental disorders.

Gambaran Tingkat Kelelahan (Burnout) Pada Mahasiswa DIII Keperawatan Semester 5 Dalam Pembelajaran Daring di Masa Pandemi COVID-19 di Denpasar I Gusti Ayu Ngurah Pradnya Trisnawati; Ni Luh Putu Suardini Yudhawati; Ni Made Sri Muryani; I Kadek Artawan
Bali Health Published Journal Vol. 4 No. 2 (2022): Desember : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/bhpj.v4i2.23

Background: Fatigue (Burnout) is a psychological syndrome in a person that causes fatigue, emotional and mental stress due to excessive stress which can be caused by stressful situations that must be resolved beyond the individual's ability with symptoms such as decreased interest in learning, decreased enthusiasm and fatigue. A person's burnout varies depending on a person's ability to deal with difficult situations that cause fatigue, depersonalization and according to him the interest in self-achievement in certain situations. The results of previous this study showed that most of the respondents, which were 88 respondents (56.4%) experienced moderate fatigue. The purpose of this study is to describe the level of fatigue (Burnout) in the 5th semester of diploma 3 nursing students in online learning during the 2019 coronavirus disease pandemic in Denpasar. Methods: This research is a quantitative research with a cross sectional study. Sampling was total sampling by using 65 people, who were the 5th semester of diploma nursing students at the Campus of Stikes KESDAM IX / Udayana and ITEKES. The instrument used was the MBI-SS questionnaire from Maslach and Jakson which was adopted from previous research and has been validated to determine the level of student burnout, using an online questionnaire with the Google form. Data analysis in this study used univariate analysis. Results: The results of this study showed that most of the respondents, which were 49 respondents (75.4%) experienced moderate fatigue. Characteristics of respondents based on age as many as 65 people (100%) aged > 20 years, characteristics of respondents based on gender where most of the respondents as many as 36 respondents (55.4%) were female. Conclusion: Most of the respondents have moderate levels of fatigue (burnout)

Gambaran Tingkat Pengetahuan Ibu tentang Toilet Training pada Anak Usia Toddler di Asrama Praja Raksaka Kepaon Denpasar Bayu Asmara Putra Dewa; Ni Luh Made Asri Dewi; I Kadek Artawan
Bali Health Published Journal Vol. 4 No. 2 (2022): Desember : Bali Health Published Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/bhpj.v4i2.24

Background: Children are the greatest family asset, where in their growth and development stages children need proper nutrition, stimulation, and parenting so that they are in their golden age or golden age (0-5 years). Based on the National Household Health Survey (SKRT), there are 75 million children under five who have difficulty controlling BAK and defecating (bedwetting) until preschool age. Toilet training is best done from an early age to instill good habits in children. This study aims to determine the level of maternal knowledge about toilet training for toddlers at the Kepaon Denpasar Praja Praja hostel. Methods: This study uses descriptive research methods. The research was carried out in the Denpasar Kepaon Raksaka Praja Dormitory, with a total sample of 44 mothers. The sampling technique used in this study was total sampling. The method of data collection is by distributing questionnaire sheets. The data were processed using the Excel Microsof computer program and SPSS. Results: The results of the research of 44 respondents, namely the level of knowledge of mothers about toilet training for toddlers, all of them had a sufficient level of knowledge as much as 32 (72.7%), as many as 6 respondents (13.6%) had a good level of knowledge, and as many as 6 respondents (13.6%) have a low level of knowledge. Conclusion: It can be concluded that the level of mother's knowledge about toilet training for toddlers in the Denpasar Kepaon Praja Raksaka hostel is in the sufficient category.

The Effect of Prone Position for Increasing OXygen Saturation of COVID-19 Patients I Gusti Ngurah Putu Jaya Antara; Ni Wayan Erik Juniantari; I Made Adi Ariawan; I Kadek Artawan
Babali Nursing Research Vol 4 No 1 (2023): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.41159

Coronavirus Disease 2019 (COVID-19) is a disease caused by the SARS-CoV-2 virus that attacks the respiratory system, Oxygen saturation (SpO2) is one of the indicators of the severity of COVID-19 infection. Prone position is given as a nurse's self-intervention in COVID-19 patients which can evidently increase oxygenation in patients characterized by increased oxygen saturation. This study aims to determine the effect of prone position for increasing oxygen saturation of COVID-19 patients. This study used a pre-experimental design with a one-group pre-post test design without a control group. Researchers measure oxygen saturation before (pre-test) and after (post-test) to perform prone position in COVID-19 patients. The study population was all COVID-19 patients treated in the Isolation Room of a hospital in Bali. The sample in the study was 30 people who met the research criteria using purposive sampling techniques. The results of the study were obtained before prone position the average oxygen saturation was 94.90% while after being given the intervention prone position became 98.40%. Based on the Wilcoxon test analysis obtained p-value = 0.001. It concluded that there was a significant effect of prone position for increasing oxygen saturation of COVID-19 patients. Nurses are expected to provide education about prone position for COVID-19 patients, and the patients is recommended to practice prone position exercise to accelerate healing and reduce mortality

Stress Level In Ensuring Health Measures Compliance in Local Religious Ceremonies During COVID-19 Pandemic Among Pecalang in Bali I Gede Yudiana Putra; Yupin Aungsuroch; Anak Agung Restu Anggara; I Kadek Artawan; Ni Wayan Arie Setyarini
Babali Nursing Research Vol 4 No 2 (2023): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.42167

Background: The global covid-19 pandemic attack, especially on Bali Island, is not only causing significant loss of life but also has profoundly transformed the way of living. This situation eventually restricted the participation of Hindhus in religious ceremony activities in Bali due to strict mass gatherings measures. This study aimed to examine the stress level among pecalang (local security officers in a native administrative area in Bali) in ensuring health measures compliance in faith-based ceremonies during the Covid-19 pandemic. Method: This was a quantitative-descriptive study involving 292 pecalang in Susut District, Bangli. A purposive sampling technique was employed to select eligible participants. Fourteen stress-scale statement items in Depression Anxiety Stress Scales (DASS 42) Questionnaire used to collect primary data from the participants. Data were then analyzed using a univariate analysis in SPSS version 25. Result: The majority of participants, 184 subjects (63%), were aged between 25 to 39 years (early adulthood stage). Sixty-two percent of the participants (181) graduated from senior high school. The majority of them were also working in private companies (141: 48.3%). Findings revealed that the majority of participants were experiencing a normal level of stress (180; 61.6%). Conclusion: The majority of participants perceived normal level of stress in ensuring health measures compliance in local spiritual ceremonies during the Covid-19 pandemic.

GAMBARAN DIAGNOSIS KEPERAWATAN PADA PASIEN DENGAN INFARK MIOKARD AKUT (IMA) DI TRIAGE EMERGENCY CARDIO RSUP SANGLAH DENPASAR I Kadek Artawan I Kadek Artawan
PROSIDING SIMPOSIUM KESEHATAN NASIONAL Vol. 1 No. 1 (2022): Simposium Kesehatan Nasional
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.471 KB)

Abstrak Infark Miokard Akut merupakan penyakit yang disebabkan oleh adanya penyempitan pada lumen arteri koronaria. Akibat dari adanya penyempitan jaringan dapat menimbulkan kematian pada otot jantung, sehingga jantung mengalami penurunan fungsi dalam memompa darah yang akan berakibat pada penurunan suplai O2, kondisi inilah yang disebut dengan iskemia1. Bagian jantung yang mengalami iskemia dapat menimbulkan nyeri hebat dan kematian secara cepat bila tidak mendapat penanganan yang efektif. Tujuan penelitian adalah mengetahui gambaran diagnosis keperawatan pada pasien infark miokard akut di Triage Emeregncy RSUP Sanglah. Metode Penelitian ini menggunakan metode penelitian analitik deskriftif dengan pendekatan survey. Analitik deskriptif berarti menganalisis kasus kemudian mendeskripsikan sehingga mendapatkan gambaran dari kasus secara objektif. Populasi sampel pada penelitian ini adalah 1548 dan yang menjadi sampel sebanyak15 persen sehingga didapatkan pasien sejumlah 120 kasus. Pengambilan data melalui Teknik observasi. Hasil: Berdasarkan hasil observasi pada 120 sampel didapatkan hasil bahwa diagnosis keperawatan infrak miokard akut yaitu nyeri akut berjumlah 108 (43%) , penurunan curah jantung berjumlah 72 (29%), pola nafas tidak efektif berjumlah 36 (14%), intoleransi aktifitas berjumlah 36 (14%). Simpulan: Diagnosis keperawatan yang muncul pada 120 sampel penelitian adalah nyeri akut dengan prosentase (43%).

Advanced Life Support Video Training Modalities: A Literature Review Putu Desi Adnyani; Ni Luh Putu Inca Buntari Agustini; Ni Made Dewi Wahyunadi; I Wayan Edi Sanjana; I Kadek Artawan
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.2023.43257

Introduction: Knowledge and skills of health workers regarding Advanced Life Support (ALS) are an important part that needs to be trained and improved with appropriate training modalities in handling cardiac arrest patients. This literature review aims to find out which modalities are the most effectively applied to ALS training which can increase the knowledge and skills of health workers in conducting ALS. Methods: Literature study using 11 articles that have been published and peer-reviewed from data-based PubMed, CINAHL, and ScienceDirect using the keywords effectiveness, advanced life support, modalities, nurses, knowledge, and skills. Searches were limited to full text articles, experimental designs, publications from 2017 to 2022. Selection of articles in research using flowchart Prisma.Results: Analysis of eleven articles or journals related to the research objectives found that the video training was the most effective methods in increasing the knowledge and skills of respondents in ALS training. The implementation of ALS training in a hybrid manner, namely the use of non-face-to-face learning methods using video with face-to-face training led by an instructor, showed no significant difference, but video training was preferred because it provides convenience regarding time, place of implementation, and more training participants. Conclusion: ALS training must be given to nurses at least once a year, so it can be suggested to institutions to use the learning video method as a method of providing training.

Description of The Attitude and Behavior of The Patient with Diabetes Mellitus Type II in Management of Hypoglycemia at Puskesmas III Denpasar Utara I Ketut Alit Wira Permana; I Kadek Artawan
Babali Emergency and Disaster Research Vol. 1 No. 1 (2023): June
Publisher : Babali Publisher

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

Introduction : Diabetes Mellitus is a worldwide health problem, threatening and growing rapidly, resulting in morbidity and premature mortality. Diabetes Mellitus is included in the four dangerous non-communicable diseases which cause 50 million deaths each year. Diabetes Mellitus is a major health problem that causes disability and death. One of the causes of increased mortality in diabetes mellitus is the patient experiencing hypoglycemia. Hypoglycemia is a health disorder that occurs when blood sugar levels are below normal levels. Hypoglycemia is the most common complication in individuals with diabetes. Method: This scientific writing uses a descriptive method with a quantitative approach using a measuring instrument questionnaire and the sampling technique used is total sampling with a total sample of 85 respondents. The method of collecting data is by distributing questionnaires. Data were analyzed by univariate analysis Results: The results of this study found that the majority of respondents had a positive attitude as many as 78 people (91.8%), a negative attitude as many as 7 people (8.2%) and had a positive attitude as many as 78 people (91.8%), negative behavior as many as 7 people (8.2%) .

Co-Authors Anak Agung Restu Anggara Antara, I Gusti Ngurah Putu Jaya Apricillia,. P.M Arini, L.A Arista, Putu Dina Asri Dewi, N.L.M Asri Dewi, N.S Bayu Asmara Putra Dewa Daryaswanti, Putu Intan Dewi, N.L.M.A Dewi, Ni Luh Made Asri Enjeliika, Putri Ayu Febianingsih, Ni Putu Eka Heri Kristianto I Gede Juanamasta I Gusti Ayu Ngurah Pradnya Trisnawati I Gusti Ngurah Putu Jaya Antara I Gusti Ngurah Putu Jaya Antara I Ketut Alit Wira Permana I Ketut Andika Priastana I Made Adi Ariawan I Made Sukma Wijaya I Wayan Edi Sanjana I.G.A.A.P Mastini I.M.S Wijaya I.N Sunirda Ida Ayu Md. Vera Susiladewi Indah Winarni L.A Arini Mahardika, I Made Rai Manuaba, I,B Muryani, Ni Made Sri N.K.E.K Dewi N.M.P Rahayu Ni Luh Made Asri Dewi Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Suardini Yudhawati Ni Made Dewi Wahyunadi Ni Made Erna Yuliani Ni Made Sri Muryani Ni Wayan Arie Setyarini Ni Wayan Erik Juniantari Pendet, Ni Made Diah Pusparini Permana, I Ketut Alit Wira Putra, I Gede Yudiana Putra, I Gede Yudiana Putu Desi Adnyani Putu Dina Arista Remiyasa, I Wayan Sarjana, I Putu Sastrayanti, Ni Wayan Ardiana Siti Fadlilah Siti Fadlilah Sumantri, W.Y Sunirda, I.N Susiladewi, Ida Ayu Md. Vera Sutresni , Ni Luh Widyanata, Komang Agus Jerry Wijaya, I Made Sukma Yuliani, Ni Made Erna Yupin Aungsuroch Yupin Aungsuroch

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