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All Journal IPTEKMA Buletin Udayana Mengabdi COPING (Community of Publishing in Nursing) Journal of a Sustainable Global South Jurnal Ners Widya Husada

Made Oka Ari kamayani, Made Oka Ari

Nursing Program, School Of Medicine, Udayana University

Author-ID : 554561

Arts Civil Engineering, Building, Construction & Architecture Computer Science & IT Education Health Professions Nursing Public Health Social Sciences

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PERILAKU PENCARIAN PELAYANAN KESEHATAN TERKAIT DETEKSI DINI HIV/AIDS PADA WANITA PENJAJA SEKS DI SAWAN BULELENG I Putu Yoga Apriadi; Made Oka Ari Kamayani; Made Rini Damayanti
Coping: Community of Publishing in Nursing Vol 4 No 1 (2016): APRIL 2016
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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HIV/AIDS is an infectious disease that is becoming a global health problem today. This causes disease prevention is a top priority in avoidance of AIDS and infection of HIV virus that focus on key populations (FSW). Voluntary Counselling and Testing (VCT) is a strategy to prevent the spread of HIV / AIDS. This study used a qualitative approach with a thematic analysis technique to describe and explore health seeking behavior related to early detection of HIV/AIDS among FSW in Sawan, Buleleng Regency. The data was collected (May - June 2015) using in-depth interviews and field observations. Sampling technique used purposive sampling by the number of six participants. The results showed FSW knowledge about HIV/AIDS are still common and have not focused that influence risky sexual behaviors of FSW such as anal sex and oral sex that don’t use condoms. FSW health care view such as health care workers, health care, and special clinics is quite good. Motivating factor in the behavior in seeking health care is the awareness and the desire of the FSW itself, support for the FSW, and an invitation from a friend. FSW inhibiting factor in the behavior in seeking health care is the cost of health care, examination results, lack of information, health care facilities, and partner check. Based on this research, government and health workers together were able to intensify early detection of health services related to HIV/AIDS to suppress the incidence of AIDS, especially in FSW that have a high risk of HIV/AIDS.

HUBUNGAN ANTARA INTRA-ABDOMINAL PRESSURE (IAP) DENGAN TEKANAN VENA JUGULARIS PASIEN DI IRD RSU BANGLI Made Oka Ari Kamayani; I Wayan Suardana
Coping: Community of Publishing in Nursing Vol 4 No 3 (2016): Desember 2016
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Increased of Intra-Abdominal Pressure (IAP) affects the blood flow on various organs, such as the cardiovascular, respiratory, renal and nervous system. This condition also play an important role in the prognosis of patients. Increased of IAP pressing the diaphragm thus decreasing the size of the thoracic cavity and causes increased the pressure of intrathoracial. This high pressure will increase the jugular venous pressure and impede the venous return from the brain. This can cause the increased of intracranial pressure and impact on the blood flow to the cerebral. The purpose of this study was to determine the correlation between the IAP with jugular venous pressure. This research uses a correlational descriptive design with cross sectional design and implemented in Emergency Department of Bangli Hospital. The results of this research show the average value of the IAP is 9.82 cmH2O and the average value of the jugular venous pressure is 7.23 cm. The Spearman Rank test with ? = 0.05, p value = 0.238, which means there is no correlation between the IAP and jugular venous pressure. Keywords: Intra-Abdominal Pressure, jugularis venous pressure

PENGARUH TELENURSING TERHADAP MANAJEMEN NUTRISI PADA PASIEN DENGAN PENYAKIT KRONIS YANG PERNAH DIRAWAT DI RUANG MAWAR DAN RUANG RATNA RSUP SANGLAH DENPASAR Ida Bagus Gde Mustika; Ni Ketut Guru Prapti; Made Oka Ari Kamayani
Coping: Community of Publishing in Nursing Vol 5 No 1 (2017): April 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Manajemen nutrisi adalah proses perencanaan, pengorganisasian, serta mengendalikan nutrisi yang adekuat untuk mengurangi gejala penyakit dan meningkatkan kualitas hidup klien. Manajemen nutrisi dalam pengontrolan penyakit kronis membutuhkan tekhnologi keperawatan misalnya mengaplikasikan telenursing. Penelitian ini bertujuan untuk mengetahui Pengaruh Telenursing Terhadap Manajemen Nutrisi pada Pasien dengan Penyakit Kronis Setelah Keluar dari Ruang Mawar dan Ruang Ratna RSUP Sanglah Denpasar. Penelitian dilakukan dari tanggal 18 September – 09 November 2015. Jenis penelitian ini adalah quasi experimental dengan rancangan pre-test and post-test control group design. Jumlah sampel pada masing-masing kelompok adalah 30 orang. Intervensi telenursing diberikan ketika responden sudah dirumah yaitu selama tiga minggu. Data penelitian diuji normalitas menggunakan uji saphiro wilk dan analisis menggunakan uji non parametrik wilcoxon sign rank test dan mann whitney u-test. Hasil analisis uji wilcoxon sign rank test terdapat perbedaan yang signifikan manajemen nutrisi sebelum dan sesudah intervensi pada kelompok perlakuan dengan p value = 0,000 (p<0,05), sedangkan pada kelompok kontrol tidak terdapat perbedaan yang signifikan pada manajemen nutrisi sebelum dan sesudah dengan p value = 0,284 (p>0,05). Hasil analisis uji mann whitney u-test menunjukan ada perbedaan yang signifikan pada perubahan manajemen nutrisi diantara kedua kelompok dengan p value = 0,000 (p<0,05) sehingga disimpulkan ada pengaruh telenursing terhadap manajemen nutrisi pada pasien dengan penyakit kronis di ruang Mawar dan ruang Ratna RSUP Sanglah Denpasar.

HUBUNGAN PENGGUNAAN KOMUNIKASI SBAR DENGAN KUALITAS PELAKSANAAN BEDSIDE HANDOVER Nyoman Sudresti; Komang Ayu Mustriwati; Made Oka Ari Kamayani
Coping: Community of Publishing in Nursing Vol 5 No 2 (2017): Agustus 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Dalam penerapan pelayanan yang mengacu pada patient safety ada beberapa standar yang perlu diimplementasikan, salah satu standar tersebut adalah penerapan timbang terima menggunakan komunikasi dengan metode Situation, Background, Assesement and Recommendation (SBAR). Melalui pendekatan bedside handover maka perawat dapat memastikan keselamatan pasien yang mencakup lingkungan pasien seperti posisi tempat tidur, alat-alat medis disamping pasien berfungsi dengan baik dan memastikan terapi medikasi yang diberikan sesuai program. Pelaksanaan bedside handover yang berkualitas akan mampu menggali data tentang pasien. Penelitian ini merupakan non-eksperimen, dengan rancangan korelasional dengan pendekatan cross sectional. Penelitian dilakukan di Ruang Ratna dari tanggal 15-31 Januari 2015 dengan teknik time sampling, diperoleh sampel sebanyak 8 responden (group handover). Data dikumpulkan dengan observasi. Hasil pelaksanaan metode komunikasi SBAR kriteria cukup menempati urutan tertinggi yaitu sebanyak 4 responden (50%) dengan komponen situation tertinggi yaitu 39,53% dan komponen terendah yaitu background yaitu 10,47%. Hasil pengukuran terhadap kualitas pelaksanaan bedside handover kriteria cukup menempati urutan tertinggi yaitu 4 responden (50%), dengan komponen tertinggi adalah assurance (jaminan) yaitu sebesar 21,24% dan terendah yaitu dimensi responsiveness (kesigapan/tanggap) sebesar 17,18%. Hasil analisa data diperoleh ada hubungan penggunaan metode komunikasi SBAR dengan kualitas pelaksanaan bedside handover dengan hubungan yang kuat dan arah korelasi hubungan positif dengan p value sebesar 0,032. Berdasarkan hasil temuan diatas disarankan agar mengadakan pelatihan dan simulasi/ roleplay pelaksanaan komunikasi SBAR dan bedside handover. Kata kunci: komunikasi sbar, bedside handover ABSTRACT Nurses implement measurable standards assessment using the Situation, Background, assessment and Recommendation (SBAR) during handover to ensure patient safety. Aspects of patient safety include patient's environment such as the position of the bed, medical devices in addition to the patient's functioning properly and make sure appropriate medication therapy is administered correctly. The implementation of bedside handover provides information about patient care This study is a non-experimental, correlational design with cross sectional approach. The study was conducted at Ratna ward Sanglah Hospital using purposive sampling technique. Eight respondents were recruited and then observed during the bedside handover process. The results of the implementation of the SBAR communication method showed sufficient criteria were the highest as many as four respondents (50%) with the highest situation component (39.53%) and the lowest component is the background that is 10.47%. The results of the measurement of the quality of the implementation of bedside handover sufficient criteria were the highest is 4 respondents (50%), with the highest component is the assurance (guarantee) that is equal to 21.24% and its low responsiveness dimension (alertness / response) of 17.18%. The results of the data analysis obtained there was significant relationship using SBAR communication method with the quality of bedside handover with strong relationships and toward positive correlation with p value of 0.032(p<0,05). Based on the above findings suggested that training and simulation using SBAR communication at bedside handover. Keywords: SBAR Communication, Bedside Handover

HUBUNGAN STRES AKADEMIK DENGAN KUALITAS TIDUR PADA MAHASISWA KEPERAWATAN UNIVERSITAS UDAYANA Made Ayu Tara Sania Tari; Made Oka Ari Kamayani; Made Rini Damayanti S
Coping: Community of Publishing in Nursing Vol 10 No 2 (2022): April 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Stres akademik merupakan stres yang berkaitan dengan kegiatan pendidikan. Penyebab dari stres akademik yaitu ketidakmampuan individu dalam melakukan penyesuaian dengan tuntutan akademik. Stres akademik merupakan salah satu faktor yang mempengaruhi kualitas tidur. Tujuan penelitian ini untuk mengetahui hubungan stres akademik dengan kualitas tidur pada mahasiswa keperawatan Universitas Udayana. Penelitian menggunakan metode kuantitatif korelatif dengan rancangan cross sectional. Sampel dalam penelitian ini sebanyak 163 responden yang dipilih dengan teknik stratified random sampling. Variabel independent penelitian ini adalah stres akademik, sedangkan variabel dependent adalah kualitas tidur. Data dikumpulkan dengan kuesioner Educational Stress Scale for Adolescents (ESSA) dan Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian menunjukkan 55 mahasiswa (33,7%) memiliki stres akademik sangat tinggi dan 118 mahasiswa (72,4%) memiliki kualitas tidur buruk. Analisis data menggunakan uji korelasi Spearman Rank. Hasil uji korelasi menunjukkan terdapat hubungan antara stres akademik dengan kualitas tidur dengan kekuatan korelasi lemah dan arah hubungan positif (r = 0,236; p = 0,002), yang berarti semakin tinggi stres akademik maka kualitas tidur akan semakin buruk.

HUBUNGAN AKTIVITAS FISIK DENGAN KUALITAS TIDUR PADA PASIEN DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS II DENPASAR BARAT Komang Hadpani; Desak Made Widyanthari; Made Oka Ari Kamayani
Coping: Community of Publishing in Nursing Vol 8 No 2 (2020): Agustus 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Diabetes Mellitus (DM) is a metabolic disorder because the pancreas does not produce enough insulin or body does not capable to use insulin effectively. Poor sleep quality is often happens in patient with type 2 DM because of the sleep disorder. One of the effort to increasing sleep quality are by doing physical activities. This studi aimed to determine the correlation between physical activities and sleep quality among patients with Type 2 Diabetes Mellitus at wilayah kerja Puskesmas II Denpasar Barat. This study was a descriptive correctional and cross sectional study model approach. The samples in this study are 30 respondents obtained with purposive sampling methods. Physical activities and sleep quality data are used the International Physical Activity Questionnare and Pittsburgh Sleep Quality Index Questionnare. The result of the Spearman Rank correlation test showed that are positif relation between physical activities and sleep quality of patient with Type 2 DM at wilayah kerja Puskesmas II Denpasar Barat (r = 0.817; p=0.01), which means that lower physical activity, the worse the sleep quality of patients with type 2 DM. The result of this research is expected to be used as a guide in observing daily physical activities for increasing sleep quality.

ANALISIS PENGGUNAAN DIAGNOSIS KEPERAWATAN BERBASIS SDKI DAN NANDA Putu Oka Yuli Nurhesti; Ni Ketut Guru Prapti; Made Oka Ari Kamayani; Putu Adi Suryawan
Coping: Community of Publishing in Nursing Vol 8 No 2 (2020): Agustus 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Nursing care is a scientific method in the development of the scientific nursing body of knowledge. Nursing care is a means of developing the discipline of nursing and nursing practice that characterizes nursing and distinguishes the nursing profession and other professions. This development can be done continuously through nursing research. SDKI and NANDA are the two diagnostic standards used in the provision of nursing care in Indonesia. The ability of nurses to perform the nursing diagnosis stage in nursing care is very important because it will influence the stage of goal setting and intervention as well as evaluation and documentation. The general objective of this study was to determine the differences in the application of nursing diagnoses with the SDKI and NANDA which are diagnostic standards that have been applied internationally. This was a comparative study, which uses both the outpatient and inpatient case settings for the application of nursing diagnoses at Udayana University Hospital. The sample for each group used 30 cases. The results show there are differences in ease, clinical reasoning, and diagnostic comprehension based on the SDKI and NANDA. There is no difference in nursing diagnoses in the language context of diagnosis between the SDKI and NANDA. Both diagnosis standards can be used as a reference in nursing care in a hospital. Differences in diagnosis raised only in the use of language individually Keywords: nursing diagnosis, SDKI, NANDA

The Correlation between Spiritual Intelligence and Self Efficacy to the Patient with Type 2 DM in The Workplace area of Primary Health Center III of North Denpasar I Gusti Ayu Wika Arpandyani; Meril Valentine Manangkot; Made Oka Ari Kamayani
Journal of A Sustainable Global South Vol 6 No 2 (2022): August 2022
Publisher : Institute for Research and Community Services Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/jsgs.2022.v06.i02.p01

Diabetes Mellitus (DM) is a elevated blood glucose levels due to decreased insulin secretion. Increased cases of DM if not untreated will cause complications for patients. These complications can be reduced by sustainable management for changing the patient behavior. The lack of DM’s management was determined by various factors such as spiritual intelligence and self efficacy. The aim of this study was to know the correlation between spiritual intelligence and self efficacy in patients of type 2 DM in the Primary Health Center III of North Denpasar. This study was a non-experimental study with correlational design. The sample consisted of 43 persons selected by consecutive sampling technique. The data were collected by questionnaire SISRI and DMSES to know the score of spiritual intelligence and self efficacy. Data were analyzed using Pearson Product Moment test. The results of this study indicated there is the positive correlation between spiritual intelligence and self efficacy with sufficient correlation, p value 0,019 (p ? 0,05). Spiritual intelligence was giving 12,6 % influence on self efficacy, the rest was influenced by the other factor. It was expected that patients can apply spiritual intelligence and self efficacy in everyday life so that it could prevent the occurrence of DM complications.

HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN PENGGUNA BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN Ni Kadek Ita Rosiana; Indah Mei Rahajeng; Made Oka Ari Kamayani
Coping: Community of Publishing in Nursing Vol 11 No 2 (2023): April 2023
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2023.v11.i02.p15

Kualitas pelayanan rumah sakit menjadi tolok ukur dalam menilai keberhasilan suatu program pemerintah. Kualitas pelayanan yang diberikan oleh rumah sakit akan mempengaruhi kepuasan pasien. Pasien pengguna BPJS kesehatan sering merasa tidak puas dengan pelayanan yang diterima. Pengukuran kepuasan pasien harus dilakukan oleh rumah sakit sebagai bahan evaluasi kualitas pelayanan yang telah diberikan, sehingga nantinya akan berdampak kepada loyalitas pasien dan profitabilitas rumah sakit. Penelitian ini bertujuan untuk mengidentifikasi hubungan kualitas pelayanan dengan kepuasan pasien pengguna BPJS kesehatan di BRSU Tabanan. Metode penelitian yang digunakan adalah kuantitatif dengan rancangan penelitian cross sectional. Sampel dalam penelitian ini sebanyak 30 responden yang dipilih dengan teknik quota sampling. Kuesioner yang digunakan yaitu kuesioner kualitas pelayanan dan kuesioner HCAHPS. Hasil penelitian ini menunjukkan bahwa kualitas pelayanan mencapai nilai rata-rata sebesar 109,80 dan nilai rata-rata kepuasan pasien pengguna BPJS kesehatan sebesar 41,13. Hasil analisis hubungan menyatakan bahwa terdapat hubungan yang signifikan sedang dengan p-value 0,001; arah hubungan positif, dan nilai koefisien determinan sebesar 34,2%. Arah hubungan positif memiliki makna semakin baik kualitas pelayanan semakin tinggi kepuasan pasien pengguna BPJS kesehatan, begitu pula sebaliknya.

GAMBARAN RESILIENSI PERAWAT RUMAH SAKIT UMUM DAERAH BALI MANDARA DI MASA PANDEMI COVID-19 Swandewi, Made Adi; Suarningsih, Ni Kadek Ayu; Kamayani, Made Oka Ari
Coping: Community of Publishing in Nursing Vol 11 No 4 (2023): Agustus 2023
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2023.v11.i04.p09

Resiliensi merupakan kemampuan seseorang dalam beradaptasi dengan baik saat menghadapi pengalaman yang sulit dan menantang. Resiliensi dapat dilihat baik secara positif maupun negatif. Tingkat ketahanan seseorang dapat bervariasi sangat dipengaruhi oleh keadaan individu dan tantangan yang dihadapi. Pandemi COVID-19 menyebabkan perawat mengalami situasi di bawah tekanan dan kekhawatiran permasalahan mental. Penelitian ini bertujuan untuk mengetahui gambaran resiliensi perawat Rumah Sakit Umum Daerah Bali Mandara di masa pandemi COVID-19. Penelitian ini merupakan penelitian deskriptif analitik dengan desain cross sectional. Sampel dalam penelitian ini berjumlah 78 responden yang diperoleh melalui teknik simple random sampling. Hasil penelitian diperoleh mayoritas responden berjenis kelamin perempuan (70,5%) dan sudah menikah (75,6%). Sejumlah 64,1% responden dengan pendidikan terakhir Ners, pengalaman bekerja >3 tahun (80,8%) serta sebagian besar bekerja di ruang isolasi COVID-19 (25,5%). Hanya 6,4% responden memiliki resiliensi dengan kategori rendah. Mayoritas responden memiliki resiliensi sedang adalah perawat pendidikan terakhir Ners (60,0%), sudah menikah (78,3%), lama bekerja >3 tahun (81,7%), dan bertugas di ruang rawat inap (23,3%). Sementara responden yang memiliki resiliensi kategori tinggi sebagian besar bertugas di ruang isolasi COVID-19 (69,2%) dan memiliki pengalaman bekerja >3 tahun (69,2%). Karakteristik responden diprediksi memiliki keterkaitan dengan level resiliensi yang dimiliki oleh perawat dalam penelitian ini.

Co-Authors A.A. Sintya Wulandari A.A. Wiradewi Lestari Akrom, Akrom Anak Agung Istri Dwi Mayuni Ariani, Ni Made Novi Desak Made Widyanthari Gusti Ayu Ary Antari I Gusti Ayu Wika Arpandyani I Gusti Ngurah Juniartha I Made Ghora Palguna I Made Suindrayasa I NYOMAN MANTIK ASTAWA I Putu Yoga Apriadi Ida Bagus Duwi Krisna Putra Ida Bagus Gde Mustika Indah Mei Rahajeng Ketut Tirtayasa Komang Ayu Mustriwati Komang Hadpani L.M. Puspita Luh Mira Puspita Made Ayu Tara Sania Tari Made Rini Damayanti Made Rini Damayanti Saputra Meril Valentine Manangkot N.A.J. Raya Ni Kadek Ita Rosiana Ni Ketut Guru Prapti Ni Luh Putu Eva Yanti Ni Luh Putu Shinta Devi Ni Made Dian Sulistiowati Ni Putu Emy Darma Yanti Nyoman Anggun Septiana Putri Nyoman Sudresti P.A.S. Utami Purmanti, Ni Luh Made Dwi Puspita Dewi, Ni Kadek Santi Putu Adi Suryawan Putu Agus Sugiartha Putu Ayu Sani Utami Putu Ayu Sani Utami, Putu Ayu Putu Oka Yuli Nurhesti Rika Septiani Suarningsih, Ni Kadek Ayu Suryadi, Putu Maya Ratih Swandewi, Made Adi

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