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All Journal Jurnal Keperawatan Indonesia Juiperdo Babali Nursing Research Jurnal Pijar MIPA Community Development in Health Journal
Putra, I Nyoman Arya Maha
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Physics Public Health

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PEMBERDAYAAN CAREGIVERS MELALUI KEGIATAN PELATIHAN SKT (SOMPORN KANTARADUSSADEE TRIAMCHAISRI) SEBAGAI BAGIAN PERAWATAN JANGKA PANJANG BAGI LANSIA DI WILAYAH KELURAHAN PEDUNGAN Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Kamaryati, Ni Putu; Diyu, Ida Ayu Ningrat Pangruating; Agustini, Ni Komang Tri; Krisnandari, Anak Agung Istri Wulan; Putra, I Nyoman Arya Maha
Community Development in Health Journal Volume 1, Nomor 2, Oktober 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v1i2.448

Abstract

Introduction & Aim: Long-term care is provided for the elderly who experience limitations in carrying out independent physical activities. Caregivers as an important role in accompanying the elderly and families who experience limited independence due to chronic illnesses. Innovation is needed to equip caregivers to provide optimal health services. One of the long-term care has been shown by implementing SKT (Somporn Kantharadussadee Triamchaisri) for the elderly with chronic health conditions and physical limitations. The purpose of this activity is to disseminate SKT to the community through training for caregivers to achieve a better quality of life for the community in Pedungan Health Village. Method of Activity: The stages of this community project use the POAC concept approach, namely Planning by conducting assessments with partners regarding activities, Organizing through approaches with related parties, such as bringing in experts in the field of HCS from Thailand, conducting TOT at ITEKES Bali for the sustainability of HCS in Bali, readiness analysis caregivers in receiving SKT training. Actuating and Controlling conducted training for caregivers related to HCS, evaluation, and reflection which were carried out 4 times in June 2023. Results: These activity results showed that the results of the HCS training had an impact on changes in SpO2, blood pressure, and blood sugar over time. Discussion: This simple exercise pattern makes SKT a safe choice for those with chronic health conditions and physical limitations and for the elderly who need long-term care.
The Influence of Slow Deep Breathing Technique on Inpatient Anxiety Nusa Harta, I Putu Arika; Kamaryati, Ni Putu; Putra, I Nyoman Arya Maha; Wicaksana, IGA Tresna
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.2023.43243

Abstract

Previous studies have shown that slow deep breathing techniques provide benefits in reducing anxiety in general, but there has been no specific review investigating its benefits in inpatient populations. Objective: To provide strong and up-to-date evidence on the effectiveness of slow deep breathing technique as a potential intervention in reducing anxiety in the inpatient population. Methods: This study is a literature review conducted during April-May 2023 using Google Scholar, PubMed, and ScienceDirect. The keywords used were "nafas dalam", "kecemasan", "rawat inap" in Indonesian, and "slow deep breathing," "anxiety," "inpatient care" in English. Results: The literature review identified eight articles that examined the anxiety of patients undergoing surgery and treatment in hospitals in Indonesia. These articles highlighted internal and external factors influencing anxiety. The dominant research approach employed experimental designs with pre-test and post-test measurements involving more than ten respondents. The study found that internal factors influencing anxiety included age, gender, education, health condition, and prior hospitalization experiences, while external factors included access to information, therapeutic communication, environment, and healthcare facilities. Conclusion: The implementation of slow deep breathing techniques is a major factor in reducing anxiety in inpatient populations. Further research is expected to emphasize the use of slow deep breathing techniques as a primary intervention in reducing anxiety levels in patients prior to undergoing surgery.
Therapy Adherence, Comorbidities and Recurrent Hospitalitation in Coronary Heart Disease Patient Adiana, I Nengah; Putra, I Nyoman Arya Maha; Lestari, Ni Made Emy
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 01 (2024): JUNI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i01.2336

Abstract

Latar Belakang: Penyakit jantung koroner merupakan penyakit kronis yang menyebabkan tingkat rawat inap berulang yang cukup tinggi akibat kekambuhan penyakitnya. Berbagai alasan rawat inap berulang seperti masalah medis lainnya (komorbiditas) dan ketidakpatuhan terhadap rekomendasi kesehatan salah satunya kepatuhan terhadap terapi. Tujuan Penelitian: mengetahui korelasi antara kepatuhan terapi dan komorbiditas dengan kejadian rawat inap berulang pada pasien penyakit jantung koroner. Metode: Desain penelitian adalah deskriptif korelasi menggunakan pendekatan cross sectional dengan jumlah sampel sebanyak 61 pasien penyakit jantung koroner, menggunakan tehnik purposive sampling. Data di analisis dengan uji chi square menggunakan program SPSS. Hasil: rerata usia responden adalah 58.24 ± 5.43 tahun, dengan laki laki sebanyak 40 orang (65.6 %) dan tingkat pendidikan sebagian besar berpendidikan sekolah dasar yaitu sebanyak 27 orang (44.4 %). Terdapat hubungan yang signifikan antara kepatuhan program terapi (p value = 0.007) dan komorbiditas (p value = 0.024) dengan kejadian rawat inap berulang pada pasien penyakit jantung koroner. Kesimpulan: kepatuhan program terapi yang lebih baik memungkinkan menjaga kondisi pasien penyakit jantung coroner tetap terkontrol dan dengan adanya komorbiditas menyebabkan keterbatasan dalam perawatan diri sehingga diperlukan penanganan terhadap kondisi komorbiditasnya
Effectiveness of Intradialytic Resistance Training on Muscle Mass and Strength in Patients on Hemodialysis Vasquien, Sandra; Swarjana, I Ketut; Darmini, A.A.A. Yuliati; Putra, I Nyoman Arya Maha
Jurnal Keperawatan Indonesia Vol 28 No 3 (2025): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i3.1320

Abstract

Hemodialysis (HD) patients with chronic kidney disease (CKD) lose muscle mass and strength due to protein energy wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis (BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test evaluated IRT's efficacy on muscle strength, while the dependent samples t-test evaluated its impact on muscle mass. The results of this study found that IRT had no effect on muscle mass, with a mean difference of -0.330 (p = 0.274). On the contrary, IRT significantly improved muscle strength (p = 0.018). In conclusion, IRT proved beneficial for strengthening muscle but not for gaining muscle mass. Therefore, to improve muscle strength, patients with CKD undergoing HD are advised to actively perform IRT under supervision for a minimum of 30 minutes per day. Keywords: intradialytic resistance training, muscle mass, muscle strength, protein energy wasting   Abstrak Efektifitas Intradialytic Resistance Training Terhadap Massa dan Kekuatan Otot Pasien dengan Hemodialisis. Pasien hemodialisis (HD) dengan Penyakit Ginjal Kronis (PGK) kehilangan massa dan kekuatan otot yang disebabkan oleh Protein Energy Wasting (PEW). Tujuan penelitian ini adalah untuk menguji efektifitas Intradialytic Resistance Training (IRT) terhadap peningkatan massa dan kekuatan otot. Penelitian ini menggunakan pre-experimental one-group pretest, post-test design. Berdasarkan perhitungan besar sampel menggunakan G*Power Software, 33 pasien PGK yang menjalani HD di sebuah rumah sakit swasta di Bali terlibat dalam penelitian ini. Pasien dipilih menggunakan teknik purposive sampling. Massa otot diukur menggunakan Bioelectrical Impedance Analysis (BIA), sedangkan kekuatan otot menggunakan Medical Research Council Muscle Scale. Uji efektifitas kekuatan otot menggunakan Wilcoxon test, sedangkan t-test digunakan untuk menguji efektifitas massa otot. Hasil penelitian menunjukan IRT tidak efektif dalam meningkatkan massa otot, dengan mean -0,330 (p = 0,274). Namun, IRT terbukti efektif dalam mening-katkan kekuatan otot, (p = 0,018). Kesimpulannya, IRT bermanfaat untuk meningkatkan kekuatan otot, tetapi tidak untuk meningkatkan massa otot. Oleh karena itu, untuk meningkatkan kekuatan otot, pasien PGK yang menjalani HD disarankan aktif melakukan IRT dengan pengawasan minimal 30 menit dalam sehari.  Kata Kunci: intradialytic resistance training, kekuatan otot, massa otot, protein energy wasting
Basic Formulation of Instant Balinese Porridge Using a Gradual Dehydration Method: A Functional Food Approach Based on Balinese Local Wisdom Rabani RS, I Gusti Agung Yogi; Putra, Anak Agung Ngurah Dwi Ariesta Wijaya; Putra, I Nyoman Arya Maha
Jurnal Pijar Mipa Vol. 20 No. 8 (2025): Special Issue
Publisher : Department of Mathematics and Science Education, Faculty of Teacher Training and Education, University of Mataram. Jurnal Pijar MIPA colaborates with Perkumpulan Pendidik IPA Indonesia Wilayah Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jpm.v20i8.11028

Abstract

The increasing demand for convenient foods has encouraged the development of instant products that not only offer practicality but also provide functional health benefits. Balinese porridge, traditionally prepared from red rice, coconut, and indigenous Balinese spices, represents a culturally valuable food with considerable nutritional potential. However, its conventional form is limited by a short shelf life and low practicality. This study aimed to evaluate the effect of drying temperature and drying duration on the physical, nutritional, sensory, and functional properties of instant Balinese porridge produced using a gradual dehydration method. A completely randomized factorial design was applied with two factors, namely drying temperature (50, 60, and 70 °C) and drying time (4, 6, and 8 h), resulting in nine treatment combinations with three replications. Gradual dehydration was conducted through initial oven drying followed by food dehydrator processing. The observed parameters included moisture content, rehydration time, proximate composition, sensory acceptance, and antioxidant activity expressed as IC50 values. The results demonstrated that drying at 60 °C for 6 h produced the lowest moisture content (5.1%) and the fastest rehydration time (2.8 min). The nutritional composition was dominated by carbohydrates (approximately 77%) and protein (7.6–8.3%), with a significant reduction in protein content observed at higher drying temperatures. Sensory evaluation indicated that the 60 °C–6 h treatment achieved the highest scores for color, aroma, taste, and overall acceptance. The highest antioxidant activity was also observed under this condition, with an IC50 value of 72.5 ppm. These findings confirm that gradual dehydration is an effective processing strategy for preserving the quality and functional properties of traditional Balinese porridge, highlighting its potential development as an instant functional food based on local wisdom.
Adherence to Antiretroviral Therapy and Influencing Factors among People Living with HIV: A Literature Review Ni Wayan Deani; I Gede Putu Darma Suyasa; Putra, I Nyoman Arya Maha; Kadek Sriasih
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71532

Abstract

Introduction: Antiretroviral therapy is the main treatment for HIV/AIDS, requiring lifelong medication to suppress the virus, prevent complications, and improve the patient's quality of life. However, adherence to ARV medication remains low, influenced by factors such as self-efficacy, social support, spirituality, depression, and various clinical and psychosocial conditions. This study aimed to review studies on ARV medication adherence and its factors among HIV patients. Methods: This literature review explored studies on ARV medication adherence among HIV patients. Searches were conducted in Google Scholar, ScienceDirect, PubMed, Scopus, Web of Science, and CINAHL using keywords related to HIV, ARV adherence, self-efficacy, non-family caregivers, spirituality, and depression. The inclusion criteria consisted of original research articles published between 2020 and 2025 in English or Indonesian that examined factors influencing ARV adherence. Exclusion criteria included abstract-only papers, blogs, news articles, and review papers. Study quality was assessed using the JBI Critical Appraisal Checklist, and risk of bias was evaluated based on sampling methods, measurement tools, confounding factors, and data completeness. Findings were synthesized narratively. Results: A total of 1,653 publications were identified, and 15 studies met all criteria for inclusion. Overall, ARV adherence among HIV patients remained below the national 95-95-95 target. Key influencing factors were self-efficacy, social support (including non-family caregivers), spirituality, and depression, indicating that adherence is shaped by multiple interacting psychosocial and clinical dimensions. Conclusion: Strengthening self-efficacy, enhancing spiritual well-being, and reducing depressive symptoms may improve ARV medication adherence. Future research should explore integrated psychosocial–spiritual interventions and employ longitudinal or mixed-methods designs to understand better the causal pathways affecting ARV adherence.
Valorization of Kintamani Arabica Coffee Pulp as a Functional Food Ingredient: Integrating Environmental Risk Reduction and Antioxidant Potential Rabani RS, I Gusti Agung Yogi; Antares, Ardhinata; Prawitasari, Ida Ayu Agung; Putra, I Nyoman Arya Maha
Jurnal Pijar Mipa Vol. 21 No. 1 (2026)
Publisher : Department of Mathematics and Science Education, Faculty of Teacher Training and Education, University of Mataram. Jurnal Pijar MIPA colaborates with Perkumpulan Pendidik IPA Indonesia Wilayah Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jpm.v21i1.11458

Abstract

The increasing production of Arabica coffee in the Kintamani region, Bali, has led to a proportional rise in coffee pulp waste, which remains inadequately managed. This study aims to evaluate the potential of Kintamani Arabica coffee pulp as a functional food raw material while simultaneously assessing its role in environmental risk mitigation through a zero-waste approach. Laboratory experiments were conducted to determine total phenolic content and antioxidant activity using the DPPH method, while a semi-quantitative Environmental Risk Assessment (ERA) was applied to evaluate pollution risks associated with coffee pulp disposal. The results demonstrated that coffee pulp contains phenolic bioactive compounds with very strong antioxidant activity (IC₅₀ = 13.96 ppm), comparable to established antioxidant-rich agricultural by-products. From an environmental perspective, converting coffee pulp into cascara (coffee pulp tea) reduced odor-related gas emission and groundwater contamination risks from high to low categories, achieving an overall risk reduction exceeding 75%. This study uniquely integrates functional food characterization with environmental risk assessment, providing scientific evidence that coffee pulp valorization supports circular economy strategies and sustainable coffee production systems.
Co-Authors Adiana, I Nengah Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Antares, Ardhinata Darmini, A.A.A. Yuliati Diyu, Ida Ayu Ningrat Pangruating I GEDE PUTU DARMA SUYASA I Ketut Swarjana Kadek Sriasih Lestari, Ni Made Emy Ni Luh Putu Inca Buntari Agustini Ni Putu Kamaryati Ni Wayan Deani Nusa Harta, I Putu Arika Prawitasari, Ida Ayu Agung Putra, Anak Agung Ngurah Dwi Ariesta Wijaya Rabani RS, I Gusti Agung Yogi Vasquien, Sandra Wicaksana, IGA Tresna