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Determinan Faktor Risiko Neuropati Perifer Diabetik terhadap Kelembaban Kulit Kaki pada Pasien DM Tipe II Gayatri, Ni Wayan Cening Setiari; Mertha, I Made; Suardana, I Ketut; Ngurah, I Gusti Ketut Gede
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.v17i2.3762

Abstract

Diabetic peripheral neuropathy is one of the chronic complications of DM which causes dysfunction of the peripheral nervous system, can occur in the autonomic nerves characterized by a decrease in foot skin moisture. This study aims to determine the determinants of diabetic peripheral neuropathy risk factors with foot skin moisture in type II DM patients The design of this research is non-experimental with a simple correlational method. The sample in this research is 35 respondents who were selected by consecutive sampling at the UPTD Puskesmas Ubud I. The results of the ordinal logistic regression statistical test obtained p-value of Model Fitting Information is 0,002 (p-value 0,05) and p-value Pseudo R-Square Negelkerke is 0,681, which means the risk factors of diabetic peripheral neuropathy (age, duration of diabetes mellitus, gender, transient blood glucose, total cholesterol, waist circumference, systolic blood pressure, and diastolic pressure) together have a significant effect of 68,1% with foot skin moisture. The p-value of the Wald test for gender, duration of DM, transient blood glucose, and blood pressure 0,05 so that it can be stated that each the four risk factors of diabetic peripheral neuropathy partially have a significant effect with foot skin moisture. The odds ratio for systolic blood pressure is 1,132, which means that the higher the systolic blood pressure, the 1,312 times will have problems with foot skin moisture. Based on this research, suggested that the puskesmas service unit conduct inspection activities for diabetic peripheral neuropathy risk factors at least every month.
Pemberian Senam Kaki Menggunakan Bola Tennis Lebih Efektif Dibandingkan Menggunakan Koran Dalam Meningkatkan Sensitivitas Kaki Pasien DM Oktapiani, Ni Made Tari; Suardana, I Ketut; Surasta, I Wayan; Erawati, Ni Luh Putu Sri
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3345

Abstract

Diabetes Melitus is chronic disease caused by the pancreas not producing enough insulin. Lack of physical exercise for people with Diabetes Melitus can cause  various problems in the feet, namely neuropathy. Peripheral neuropathy is characterized by decreased sensitivity in the legs caused by disruption of peripheral circulation. The purpose of this study is to determine the difference of foot sensitivity in patient with  Diabetes Melitus between combination of diabetic foot gymnastics using newspapers and ROM compared with combination of diabetic foot gymnastics using tennis balls and ROM in the work area of Public Health Centre Karangasem II. This study used Quasi Experiment with Nonequivalent Control group Design with purposive sampling method from 20 respondents. The assessment instrument uses a foot protective sensation score measured using Monofilament. Foot gymnastics was done 3 times a week within 3 weeks. Data were analyzed by Paired t-test and Independent t-test with ɑ = 0,05. The results showed that the average foot sensitivity of type 2 diabetes melitus patients given a combination of foot gymnastics using tennis ball media and ROM before and after the intervention was 14,5 and 15,0 with p value = 0,015 ( ɑ=0,05), in the control group, gymnastics with tennis balls and ROM obtained an average of 15,1 and 17,4 with p value = 0,001 ( ɑ=0,05). The independent test shown p value of 0,023 ( ɑ=0,05).  It concluded that there were significant differences between the control group and the intervention group. It is expected that a combination of foot gymnastics using tennis ball and ROM will be held in health care institutions in handling patients with Diabetes Melitus.
GROOMING DAN KINERJA FRONT OFFICE DALAM MEMBENTUK PERSEPSI TAMU TERHADAP PROFESIONALITAS HOTEL GRAND PURI SARON Anggraini, Fera Dhian; Berliana, Na'umi; Suardana, I Ketut
Mabha Jurnal Vol 6 No 2 (2025): November 2025
Publisher : Akparta Mandala Bhakti Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70018/mb.v6i2.109

Abstract

Grooming adalah bagian dari upaya perawatan diri yang dilakukan untuk menjaga penampilan, kebersihan, dan kerapian tubuh agar terlihat menarik dan profesional di lingkungan kerja. Penelitian ini bertujuan untuk memahami standar grooming dan kinerja karyawan Departemen Front Office yang berperan dalam membentuk persepsi tamu terhadap profesionalitas Hotel Grand Puri Saron Yogyakarta. Penelitian ini difokuskan untuk menggali makna penampilan profesional, sikap pelayanan, dan interaksi karyawan dengan tamu dalam lingkup pelayanan perhotelan. Pendekatan kualitatif dengan observasi partisipatif dan wawancara mendalam digunakan dalam penelitian ini yang diterapkan pada karyawan front office dan tiga tamu hotel. Data dianalisis melalui tahapan reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitiannya menunjukkan bahwa standar grooming yang konsisten menjadi indikator awal penilaian tamu terhadap kesan profesional karyawan. Kinerja pelayanan yang responsif, sopan, dan komunikatif memperkuat persepsi positif tamu terhadap kualitas layanan dan citra hotel. Sebaliknya, ketidakkonsistenan dalam penampilan atau sikap pelayanan dapat menurunkan kepercayaan tamu terhadap profesionalitas hotel secara keseluruhan.