Made Mahaguna Putra
Fakultas Kedokteran, Universitas Pendidikan Ganesha

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EFEKTIFITAS SENAM KAKI TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PENDERITA DIABETES MELLITUS TIPE 2: The Effectiveness of Foot Gymnastics on the Value of Ankle Brachial Index in Type 2 Diabetes Mellitus Patients Made Mahaguna Putra; Ida Ayu Mas Narayani; I Komang Gde Trisna Purwantara; NI Made Dwi Yunica Astriani
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 6 No. 1 (2020): JIKep | Maret 2020
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.962 KB) | DOI: 10.33023/jikep.v6i1.336

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Introduction: One complication of DM is a blood circulation disorder. Ways that can be done to prevent symptoms of complications are non-pharmacological therapy of foot gymnastics. Foot gymnastics is a physical exercise activity that prevents complications and is effective in increasing blood circulation. Method: The research method used the pre-experimental design approach with the design of the one group pretest-posttest design. The sample consisted of 54 respondents. The sampling technique used is nonprobability sampling, namely purposive sampling, collecting data using observation sheets measuring the value of ABI. Results: The results of the Paired T-Test statistical test obtained a value of p = 0.001, which means that there is an effect of Foot Gymnastics Against the Value of Ankle Brachial Index in Patients with Type 2 DM in the Work Area of ??Banjar II Health Center. Discussion: From the results of the study, it was found that the more age increases the risk of developing circulatory disorders. Where respondents with advanced age are in the category of moderate vascular disease.
LATIHAN FISIK INTENSITAS TINGGI MENURUNKAN TEKANAN DARAH: High Intensity Physical Exercise Reduce Blood Pressure Putu Indah Sintya Dewi; Made Mahaguna Putra; Aditha Angga Pratama; Putu Indah Wahyu Lestari
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 8 No. 1 (2022): JIKep | Februari 2022
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.014 KB) | DOI: 10.33023/jikep.v8i1.971

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Hipertensi merupakan diamana tekanan darah mengalami suatu peningkatan pada seseorang dengan tekanan darah sitolik lebih dari 140 mmHg dan tekanan drah diastolik lebih dari 90 mmHg. Hipertensi merupakan salah satu masalah kesehatan yang di hadapi di Indonesia. Penyebab dari hipertensi ini secara pasti belum dapat diketahui, tetapi gaya hidup berpengaruh besar terhadap kasus ini, terdapat beberapa faktor yang menjadi risiko terjadinya hipertensi, seperti usia, jenis kelamin, merokok, dan gaya hidup kurang aktivitas yang dapat mengarah ke obesitas. Tujuan penelitian untuk mengetahui pengaruh high intensity interval training terhadap penurunan tekanan darah. Metode: Penelitian ini menggunakan metode literatur review yang menggunakan design study integrative review. Hasil: Artikel terakhir yang digunakan dalam literature review ini sebanyak 20 artikel yang memenuhi kreteria inklusi. Secara keseluruhan peneliti menemukan adanya pengaruh yang signifikan antara penurunan tekanan darah, dan denyut nadi. Kesimpulan: Hipertensi merupakan suatu kondisi peningkatan tekanan darah seseorang yang mengalami diatas normal. Dari hasil review artikel dapat disimpulkan bahwa adanya pengaruh high intensity interval training terhadap penurunan tekanan darah.
APPLICATION OF HEALTH PROMOTION MODEL FOR BETTER SELF-CARE BEHAVIOR IN PATIENTS WITH DIABETES MELLITUS Made Mahaguna Putra; Kusnanto Kusnanto; Candra Panji Asmoro; Tintin Sukartini
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.479 KB) | DOI: 10.33546/bnj.913

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Background: Diabetes mellitus (DM) is a major health problem in the world. DM patients should be able to perform self-care behavior. Diabetic self-care behavior is an effective strategy for controlling diabetes. Objective: The purpose of this study was to examine a health promotion model in patients with type 2 diabetes mellitus. Methods: A cross-sectional design was used, which involved 177 patients with type 2 diabetes from primary health care in Denpasar Bali Indonesia with a stratified random sampling. Independent variables were personal factors (age, sex, education, body mass index, socioeconomic status, self-motivation, illness perception, and belief), self-efficacy, and family support. The dependent variable was self-care behavior. A structural equation model was used to confirm the hypothesis model. Results: Personal factors (education, socioeconomic, and perceptions) (t = 2.891) and family support (t = 5.746) were associated with self-care behavior. Self-efficacy did not affect self-care behavior (t = .139). Conclusion: Diabetes self-care behavior is influenced by socioeconomic status, level of education, perception of the illness, and family support. Therefore, it is suggested for nurses to apply the health promotion model approach to increase self-care behavior of patients with type 2 diabetes mellitus.
POLA HIDUP DENGAN KEJADIAN OBESITAS: LITERATURE REVIEW Made Mahaguna Putra; Ni Nyoman Intan Saraswati; Ni Made Raningsih
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1166

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Obesity is an abnormal condition characterized by an excessive increase in body fat, generally deposited in the subcutaneous tissue, around the organs, and sometimes infiltrated into the organs. Obesity occurs due to changes in lifestyle, for example, drinking a lot, smoking habits, consuming lots of fatty foods, consuming fast food (fast food) a lot, and low physical activity. The main factors causing central obesity are increased food intake and decreased energy expenditure. Physical activity is also associated with central obesity. It is known that regular physical exercise can lead to a significant decrease in body fat tissue. This is because physical exercise can increase fat-free tissue mass and reduce fat tissue mass.   
Pemberian Posisi Semi Fowler Meningkatkan Saturasi Oksigen Pasien PPOK Ni Made Dwi Yunica Astriani; Putu Wahyu Sri Juniantari Sandy; Made Mahaguna Putra; Mochamad Heri
Journal of Telenursing (JOTING) Vol 3 No 1 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i1.2113

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This study aims to determine the effectiveness of the Semi Fowler position on oxygen saturation in COPD patients. The research design used the One Group Pre-Post Test Design. The research results on 30 COPD respondents showed that the average value of oxygen saturation before being given the Semi Fowler position was 89.47. After being given the Semi Fowler position for 30 minutes, the average oxygen saturation value of COPD patients increased, namely 95.83. The results of the paired t-test show that the results are sig (2-tailed) or the value of r = 0.0001. In conclusion, there is an increase in the oxygen saturation values after being given the Semi Fowler position. Keywords: COPD, Oxygen Saturation, Semi Fowler
RELATIONSHIP BETWEEN FAMILY SUPPORT AND SELF MOTIVATION WITH COMPLIANCE IN TAKING MEDICATION IN PATIENTS WITH TUBERCULOSIS Made Mahaguna Putra; Ni Made Dwi Yunica Astriani; Komang Gde Trisna Purwantara; Made Mernadi; Putu Indah Sintya Dewi
Journal of Nursing Science Update (JNSU) Vol. 8 No. 2 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.798 KB) | DOI: 10.21776/ub.jik.2020.008.02.7

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Tuberculosis is one of the diseases that causes the biggest death in the world. TB is acontagious disease that can be cured but requires a long treatment. One of the factorsrelated to TB patient compliance in the treatment of one is family support and selfmotivation. The purpose of this study was to determine the relationship between familysupport and self-motivation with medication adherence for TB sufferers in the SawanI Community Health Center. This study was a correlation study with a cross-sectionaldesign. There are 53 respondents selected by nonprobability sampling with a purposivesampling technique. The data were analized with the Spearman rank test and theresult was significant relationship(p value 0.000) and coefficient correlation was 0,545which means it have positive relationship . It means there was a significant relationshipbetween family support and self-motivation to medication adherence for TB patients atthe Sawan I Community Health Center. In conclusion the better the family support andself-motivation of TB patients, the more obedient TB patients in treatment.
DERAJAT HIPERTENSI DAN AKTIFITAS FISIK PADA LANSIA DI WILAYAH KERJA PUSKEMAS SUKASADA I : Degrees of Hypertension and Physical Activity in The Elderly in The Work Area of Sukasada Public Health Center I Wigotomo Ghozali; Ni Nyoman Ayu Desy Sekarini; Putu Irma Partiwi; Made Mahaguna Putra
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 8 No. 4 (2022): JIKep | Oktober 2022
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v8i4.1308

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Pendahuluan : Lanjut usia seringkali dikaitkan dengan penyakit hipertensi.  Pada masa pandemic Covid-19 terjadi peningkatan jumlah penderita hipertensi pada lansia yaitu sebanyak 14,8%. Salah satu faktor yang menyebabkan peningkatan tersebut adalah lansia kurang melaksanakan aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui Derajat Hipertensi pada Lanjut Usia dengan Aktivitas Fisik Kurang dan Aktivitas Fisik Baik. Penelitian ini merupakan penelitian observasional analitik yang bersifat retrospektif. Sample penelitian ini adalah Lansia yang berusia 55-65 tahun yang memiliki penyakit hipertensi di wilayah kerja Puskemas Sukasada I sejumlah 96 orang. Teknik pengambilan sample menggunakan purposive sampling. Teknik pengumpulan data yaitu responden mengisi kusioner dan dilakukan pemeriksaan tekanan darah pada responden untuk menentukan derajat hipertensi pada responden. Hasil penelitian diperoleh responden aktifitas fisik baik dengan derajat hipertensi tingkat I sejumlah 51(53,1%) respoden, dan hipertensi tingkat 2 dengan aktifitas baik sejumlah 15 (15,7%) responden. Hasil analisis data menggunakan Mann Whitney diperoleh perbedaan derajat hipertensi pada lanjut usia dengan aktivitas fisik kurang dan aktivitas fisik baik (p=0,000). Lansia diharapkan untuk melakukan aktifitas fisik secara rutin di rumah serta mengikuti program atau kegiatan fisik yang dilaksanakan pada posyandu
Effectiveness Learning Model Mind Mapping, Discussion, and Role Playing in Learning Outcomes Nursing Student in Community Nursing Sismulyanto Sismulyanto; Made Mahaguna Putra
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 3, No 1 (2018): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.593 KB) | DOI: 10.24990/injec.v3i1.178

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Introduction: Low graduation rates UKNI (Indonesian nurses Competency Test) encourages nursing students for their innovative teaching model. MDR learning methods (Mind mapping, discussion and role play) is a new teaching method and innovative that can improve student understanding. The purpose of this study was to determine the effect of learning the MDR model towards the understanding of the students in the subject of community nursing. Methods: This study uses a pre-experiment approach pre-post test. Sample of this study was 50 7th-semester student. All students who followed the MDR learning model were given practice questions then followed this learning model and measured again using practice questions. Results: Analysis of data using statistical test paired t-test. Distribution of respondents by sex is 15 people (30 %) men and 35 (70%) of women. Average male student GPA was 3.1, average female student GPA was 3.3. Conclusions: The results show that there are differences in the pre and post (mean = 35.46). Learning MDR Model improves critical thinking, motivation and makes learning fun.Keywords : Mind Mapping, Nursing, Education, Discussion, Role Playing
Relationship Between The Level of Knowledge and Family Support With Self-Efficacy In Patients With Tuberculosis Made Mahaguna Putra; Aditha Angga Pratama; Ni Putu Nila Adnyani
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 4, No 1 (2019): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.956 KB) | DOI: 10.24990/injec.v4i1.237

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Introduction: Tuberculosis is a disease whose transmission rates continue to increase. Tuberculosis treatment requires support from family, level knowledge and good self-efficacy because the minimum treatment period of 6 months makes TB clients need to be strengthened to be able to undergo complete treatment and successfully recover. The purpose of this study was to determine the relationship of the level of knowledge and family support with self-efficacy in tuberculosis patients at the Sawan I Community Health Center. Self-efficacy is an individual's belief in managing certain behaviors to achieve healing. Methods: This research is a correlation study with cross-sectional design. The samples used were 53 samples selected by nonprobability sampling with a purposive sampling design. The data collected through a questionnaire and obtained were tested with the Spearman rank test. From the correlation test with the Spearman rank test. Results: Correlation coefficient values indicate the relationship between knowledge and self-efficacy (r = 0.450) and family support with self-efficacy (r = 0.555), which means there is a strong and positive relationship or the better the level of knowledge and family support for TB sufferers, the better the self-efficacy of TB sufferers. Conclussions: The level of knowledge and family support are very important to maintain the self-efficacy of tuberculosis patients.
Knowledge, attitudes, and practice against COVID-19 in West Nusa Tenggara, Indonesia Menap; Sismulyanto; Mursaka; Made Mahaguna Putra
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.44580

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Introduction: COVID-19 spread rapidly, but little is known regarding knowledge, attitudes, and practices (KAP) against COVID-19 among residents from various regions in Indonesia. This study aims to determine the level of knowledge, practice and attitudes related to COVID-19 to provide a scientific basis for the prevention and control of this major outbreak in Indonesia. Methods: Online survey with convenience sampling was conducted among urban and rural residents in West Nusa Tenggara Province, and collected 523 questionnaires through online media. The instruments used in this research are demographic information, such as age, gender, educational level, marital status and area of residence (urban or rural) and knowledge, attitude and practice questionnaires. Results: The results of multiple linear regression analysis showed that education level (p=0.01), gender (p=0.00) and age (p=0.03) had a significant effect on knowledge about COVID-19. Residential area (urban) affects practices related to COVID-19 (p=0.00). Furthermore, knowledge of COVID-19 (p=0.00) and area of residence (urban) (p=0.00) are closely related to residents' attitudes toward preventive measures that can control this disease. Conclusions: Both urban and rural residents of West Nusa Tenggara Province displayed moderate levels of knowledge as well as the practice of COVID-19 and showed the disease with a positive attitude. Developing suitable education programs targeted at the general residents in West Nusa Tenggara Province is essential to increase knowledge, attitudes, as well as practices of COVID-19, especially for rustic and low-educated citizens.