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All Journal Jurnal Sewaka Bhakti Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Jurnal Pustaka Mitra : Pusat Akses Kajian Mengabdi Terhadap Masyarakat Jurnal Ilmiah Kesehatan Masyarakat Aesculapius Medical Journal Warmadewa Minesterium Medical Journal Journal of Law, Poliitic and Humanities Journal of Economics and Social Sciences
Ida Bagus Tatwa Yatindra
Universitas Warmadewa
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EDUKASI CLEAN INTERMITTENT CATHETERISATION (CIC) UNTUK MENCEGAH INFEKSI SALURAN KEMIH PADA PASIEN PEMAKAI KATETER JANGKA PANJANG Ida Bagus Tatwa Yatindra; Anak Agung Sagung Mirah Prabandari; Kadek Cindy Mernika; Ni Wayan Yudi Wiarini; Ida Ayu Laksmi Paramita
JURNAL SEWAKA BHAKTI Vol 9 No 2 (2023): Sewaka Bhakti
Publisher : UNHI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32795/jsb.v9i2.3823

Abstract

As life expectancy increases, there is more elderly population and incontinence cases that require long-term catheter. Long-term use of catheters can cause morbidity for patients, because they have to come to the hospital every 2 weeks on weekdays to change the catheter, thus compromising their work or if they are elderly who need to be accompanied by their families, it can burden their families. Improper catheter care can also cause urinary tract infections (UTIs). Therefore, a solution is needed. Clean intermittent catheterization (CIC) or also called self-catheterization can be a solution for this problem. The use of CIC can make patients do not have to carry tubes and catheter bags everywhere. Patients also do not need to change the catheter every 2 weeks, therefore are more efficient in terms of cost and time. We gave CIC education to long-term catheter users at the Urology Polyclinic of Tabanan Hospital using a urinary tract mannequin. The outcome revealed that all patient's post-test scores increased compared to the pre-test. The patients can apply CIC independently so that they no longer change catheters at the hospital, and no urinary tract infections occur based on urinalysis.
Hospital Management Strategy in Minimizing Surgery Delays at Tabanan Hospital Yatindra, Ida Bagus Tatwa; Andriani, Rian; Rinawati, Rinawati
Journal of Economics and Social Sciences (JESS) Vol. 4 No. 1 (2025): Journal of Economics and Social Sciences (JESS)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.v4i1.729

Abstract

Surgical delays represent a major challenge in hospital services, potentially leading to negative impacts on patients' medical conditions, operational efficiency, as well as patient and staff satisfaction. This study aims to identify and analyze hospital management strategies to minimize surgical delays at Tabanan Regional Public Hospital (RSUD Tabanan). A qualitative method with a descriptive approach was employed. Data were collected through in-depth interviews with six informants, including a surgeon, an anesthesiologist, a nurse, a patient, a patient's family member, and hospital management. Data analysis was conducted using thematic analysis. The findings revealed four primary factors contributing to surgical delays at RSUD Tabanan: (1) Medical conditions, such as unstable blood pressure, uncontrolled blood glucose levels, and infections; (2) Logistical and administrative issues, including limited operating room availability due to equipment malfunction and infrastructure problems; (3) Patient-related factors, such as lack of understanding regarding the surgical schedule; and (4) Medical team factors, including a lack of commitment to the surgical schedule and a shortage of nursing staff. Strategies proposed to address these issues include: (1) improving preoperative medical condition monitoring, (2) upgrading infrastructure and conducting routine maintenance of medical equipment, (3) implementing a digital information system to provide more accurate surgical schedules to patients, and (4) strengthening coordination and discipline among the medical team through a reward and punishment policy related to schedule adherence.
Harmonization Of State Law And Customary Law In Traditional Health Service Practices In Indonesia Teguh Adi Partama; Ida Bagus Tatwa Yatindra; I Putu Hari Jaya Tirta; Marsudi Dedi Putra
Journal of Law, Politic and Humanities Vol. 6 No. 3 (2026): (JLPH) Journal of Law, Politic and Humanities
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jlph.v6i3.3145

Abstract

This study aims to analyze the harmonization between state law and customary law in traditional health service practices in Indonesia, identify the forms of incompatibility that occur, and formulate efforts to create harmony between the two legal systems through normative juridical research methods that focus on the study of legal norms, laws and regulations, and doctrines. The data collection technique is carried out through a literature study of primary, secondary, and tertiary legal materials which are then analyzed qualitatively to produce logical and structured legal arguments. The current arrangement of traditional health services has been transformed from Law Number 36 of 2009 to Law Number 17 of 2023 concerning Health which places the practice as an integral part of the national health system. Customary law acts as a living law that provides social legitimacy, regulates practitioner ethics through communal values, and maintains the authenticity of traditional knowledge that has been passed down from generation to generation. Efforts to harmonize are carried out through constitutional recognition of customary law communities and the integration of local norms into formal regulations to ensure security and service standards for communities without erasing cultural identity. This synergy creates dual protection for Indonesia's ethnobotanical wealth from exploitation by outsiders while ensuring that every health practice can be legally and empirically accounted for. Such alignment requires ongoing dialogue between governments, indigenous leaders, and health practitioners to address the challenges of the differences between modern medical methodologies and traditional healing techniques.
Hubungan antara Volume Prostat dengan Derajat International Prostate Symptoms Score (IPSS) pada Pasien Benign Prostatic Hyperplasia (BPH) dengan Lower Urinary Tract Symptoms di Poli Urologi RSUD Tabanan Tri Krisnanda Pramarta; Komang Trisna Sumadewi; Ida Bagus Tatwa Yatindra
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.16-21

Abstract

Benign Prostatic Hyperplasia (BPH) or benign prostate is a disease caused by swelling or an increase in the prostate gland. BPH occurs due to an increase in the volume of the prostate, the prostate is a solid organ located under the bladder, in front of the rectum and encloses the posterior urethra. One of the clinical manifestations of BPH is Lower Urinary Tract Symptoms (LUTS). To determine the degree of severity of these symptoms can be measured using the International Prostate Symptom Score (IPSS) questionnaire. This study aims to determine the relationship between prostate volume and the degree of IPSS in BPH patients with LUTS at the Urology Polyclinic of Tabanan Hospital. Sampling using consecutive sampling technique with the type of observational analytic research with cross-sectional techniques obtained as many as 40 respondents. The data obtained were analyzed univariately and bivariately using the gamma corelations test method with a 95% confidence level (p <0.05) using SPSS 25.0. The results obtained are as follows: there is a significant relationship between prostate volume and the degree of LUTS (p = 0.006) with the strength of the relationship in the strong category (r = 0.618). The conclusion is that prostate volume and IPSS degree have a significant relationship.
Pengaturan Pola Makan Anti-Inflamasi Pada Pasien Benign Prostatic Hyperplasia di Poliklinik Urologi RSUD Tabanan Ida Bagus Tatwa Yatindra; Anak Agung Sagung Mirah Prabandari; Ni Putu Wresti Devi Indriani
Warmadewa Minesterium Medical Journal Vol. 4 No. 2 (2025): Mei 2025
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.4.2.2025.92-100

Abstract

Benign Prostatic Hyperplasia (BPH) merupakan kondisi yang sering terjadi pada pria lanjut usia dan berhubungan dengan proses inflamasi kronis di prostat. Inflamasi dapat mempercepat pertumbuhan sel prostat dan memperburuk gejala BPH. Pola makan tinggi lemak jenuh, gula, dan rendah serat dapat meningkatkan inflamasi, sedangkan pola makan kaya antioksidan dan senyawa anti-inflamasi dapat membantu menekan inflamasi. Oleh karena itu, penerapan pola makan anti-inflamasi menjadi pendekatan non-farmakologis yang potensial dalam pengelolaan BPH. Kegiatan pengabdian masyarakat ini dilakukan dengan metode penyuluhan dan pelatihan kepada pasien BPH di Poli Urologi RSUD Tabanan. Materi yang diberikan meliputi edukasi mengenai BPH, peran inflamasi, serta prinsip-prinsip pola makan anti-inflamasi. Selain itu, peserta mengikuti sesi pelatihan memasak untuk meningkatkan keterampilan dalam mengolah makanan sehat. Pendampingan berkala dilakukan untuk memantau kepatuhan pasien dalam menerapkan pola makan yang disarankan. Kegiatan ini diikuti oleh 30 pasien BPH dan keluarganya. Hasil evaluasi menunjukkan adanya peningkatan nilai post-test dibanding pre-test, yang mengindikasikan peningkatan pemahaman peserta terhadap pola makan anti-inflamasi. Selain itu, pasien melaporkan perubahan positif dalam pola makan mereka, termasuk peningkatan konsumsi sayuran, buah-buahan, dan sumber protein nabati. Edukasi dan pendampingan pola makan anti-inflamasi terbukti meningkatkan pemahaman pasien tentang pengaruh nutrisi terhadap inflamasi dan gejala BPH. Program ini diharapkan dapat diterapkan secara berkelanjutan untuk membantu pasien mengelola kondisi mereka secara lebih optimal melalui pendekatan nutrisi yang berbasis ilmiah.
LEGAL PROTECTION FOR SURGEONS AGAINST MEDICAL NEGLIGENCE RESULTING IN PERMANENT DISABILITY IN PATIENTS Ida Bagus Tatwa Yatindra; Carolina Kuntardjo; Marsudi Dedi Putra; Imam Ropii
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 2 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.18459564

Abstract

This study examines the legal protection afforded to surgeons in cases of medical negligence resulting in permanent disability to patients within the Indonesian legal system. The issue arises from the high-risk nature of surgical procedures, where adverse medical outcomes are often directly associated with legal liability, potentially leading to the criminalization of medical professionals. This research employs a normative legal research method using a qualitative approach, incorporating statutory and case approaches through the analysis of legislation, court decisions, and legal doctrines related to medical malpractice. The findings indicate that surgeons’ liability for medical negligence is regulated through a layered legal regime encompassing criminal, civil, and professional disciplinary mechanisms as stipulated in Law Number 17 of 2023 on Health, the Criminal Code, and the Civil Code. The study further reveals that legal protection for surgeons is conditionally provided when medical actions comply with professional standards, standard operating procedures, and ethical principles, supported by mechanisms such as informed consent and professional disciplinary review. Ultimately, the regulation of medical negligence aims to ensure patient rights recovery while preventing excessive criminalization of the medical profession, thereby maintaining the sustainability and quality of healthcare services.
Pelatihan Self-Management dan Gaya Hidup Sehat bagi Pasien Urologi melalui Program UROCARE MANDIRI Yatindra, Ida Bagus Tatwa; Prabandari, Anak Agung Sagung Mirah; Widiaswari, Ratna Ayu; Indriani, Ni Putu Wresti Devi
Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat) Vol 6 No 3 (2026): Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat)
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakamitra.v6i3.1811

Abstract

Penyakit urologi seperti Benign Prostatic Hyperplasia (BPH), batu saluran kemih, dan kanker urologi merupakan masalah kesehatan yang dapat menurunkan kualitas hidup. Rendahnya literasi kesehatan terkait deteksi dini, gaya hidup sehat, manajemen gejala, serta pengelolaan nutrisi menyebabkan banyak pasien datang dalam kondisi lanjut dan berisiko mengalami komplikasi. Program pengabdian kepada masyarakat UROCARE MANDIRI dilaksanakan di Poli Urologi RSUD Tabanan pada Januari 2026 untuk meningkatkan pengetahuan dan kemandirian pasien urologi melalui edukasi terintegrasi. Kegiatan dilakukan dengan metode penyuluhan dan pelatihan interaktif kepada 30 pasien urologi, meliputi pemahaman dasar penyakit urologi, deteksi dini, pengenalan dan penggunaan International Prostate Symptom Score (IPSS) sebagai pemantauan mandiri, edukasi gaya hidup sehat (pola makan rendah garam/oksalat, hidrasi adekuat, aktivitas fisik, dan tidur sehat), pelatihan manajemen gejala (latihan dasar panggul dan teknik relaksasi), edukasi nutrisi pada pasien dengan kondisi khusus (penyakit ginjal kronis atau pasien kanker urologi), serta penyuluhan hukum kesehatan terkait hak pasien, informed consent, dan privasi data. Evaluasi dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan rata-rata skor pengetahuan dari 51,8% menjadi 81,8% (+30,0%), dengan peningkatan pada seluruh aspek pengetahuan. Program ini efektif meningkatkan literasi dan kesiapan pasien dalam pengelolaan penyakit secara mandiri, serta direkomendasikan untuk diintegrasikan secara berkelanjutan pada layanan rutin poliklinik.
Tanggung Jawab Hukum Pelaku Usaha Pelayanan Kesehatan Tradisional: Studi Systematic Literature Review dalam Perspektif UU No. 17 Tahun 2023 Teguh Adi Partama; Repelita Witri; Ida Bagus Tatwa Yatindra; Marsudi Dedi Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 3 (2025): Juli 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i3.5589

Abstract

This study aims to evaluate and synthesize the legal responsibilities of traditional health service providers under Law No. 17 of 2023 on Health. Using a qualitative approach with a Systematic Literature Review (SLR) design, the research identifies regulatory developments and legal practices relevant to traditional health services in Indonesia. Data collection involved online databases such as Science Direct, PubMed, and Google Scholar, using keywords like “legal responsibility,” “traditional health services,” and “Health Law No. 17 of 2023.” Samples were purposively selected based on inclusion criteria, including publications from 2023 to 2025 explicitly discussing legal issues in traditional health services.The study employed a systematic protocol comprising selection guidelines, quality criteria, and data extraction formats. Thematic analysis was used to identify key patterns such as forms of legal responsibility, mechanisms for patient protection, and standards for traditional health practices. The findings reveal that Law No. 17 of 2023 provides a more comprehensive legal framework by regulating administrative obligations, civil responsibilities, and criminal sanctions for traditional health service providers. Additionally, the law strengthens patient protection mechanisms through quality standardization, practice licenses, and service transparency. Despite its limitation in not conducting field studies and potential bias from online literature, the research process upheld scientific integrity and academic transparency. The study significantly contributes to understanding the relevance of traditional health regulations in legal practice in Indonesia and serves as a foundation for future policy development.
Co-Authors Anak Agung Sagung Mirah Prabandari Anak Agung Sagung Mirah Prabandari Carolina Kuntardjo I Putu Hari Jaya Tirta Ida Ayu Laksmi Paramita Imam Ropii Indriani, Ni Putu Wresti Devi Kadek Cindy Mernika Marsudi Dedi Putra Marsudi Dedi Putra Marsudi Dedi Putra Ni Putu Wresti Devi Indriani Ni Wayan Yudi Wiarini Prabandari, Anak Agung Sagung Mirah Repelita Witri Rian Andriani, Rian Rinawati Rinawati Teguh Adi Partama Teguh Adi Partama Tri Krisnanda Pramarta Tri Krisnanda Pramarta Trisna Sumadewi, Komang Widiaswari, Ratna Ayu