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Kecemasan Lansia dengan Kondisi Penyakit Kronis Sang Ayu Ketut Candrawati; Ni Komang Sukraandini
Jurnal Akademika Baiturrahim Jambi Vol. 11 No. 2 (2022): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v11i2.631

Abstract

Anxiety is one of the psychological problems that are often experienced by the elderly with chronic diseases. Chronic diseases are diseases that are often suffered by the elderly such as heart, endocrine, and nervous diseases. Anxiety is a psychological disorder, characterized by anxiety, restlessness, somatic that the object is not clear. Elderly with anxiety disorders will experience a decrease in the immune system so that it is easy for the elderly to be infected with diseases. The purpose of this study was to determine the description of the anxiety of the elderly with chronic disease conditions. This type of research is descriptive with purposive sampling technique. The total population is 55 elderly with a total sample of 49 elderly. Data collection techniques used guided interviews using the Geriatric Anxiety Scale (GAS) questionnaire consisting of 25 question items. The results of the descriptive analysis were obtained from 49 elderly as many as 30 elderly (61.22%) experienced minimal anxiety, 16 elderly (30.61%) experienced mild anxiety and 3 elderly (6.12%) experienced moderate anxiety. The conclusion of the anxiety of the elderly with chronic disease conditions, most of the elderly experience minimal anxiety. It is recommended for the Elderly Posyandu in Banjar Blangsinga to improve psychological intervention programs such as laughter therapy, mind therapy to reduce anxiety in the elderly with chronic disease conditions.
Pengaruh Terapi Bekam Kering Terhadap Tekanan Darah Pada Pasien Hipertensi Primer: The Effect of Dry Cupping Therapy on Blood Pressure in Primary Hypertension Patients Candrawati, Sang Ayu Ketut; Sukraandini, Ni Komang
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.161

Abstract

Background: Hypertension is one of the non-communicable diseases that causes morbidity and mortality in the world where 9.4% of deaths each year are due to complications of hypertension. Hypertension is characterized by an increase in systolic pressure> 140 mmHg and diastole> 90 mmHg. Dry cupping is an alternative therapy used in lowering blood pressure in hypertensive patients. The aim of the study: to determine the effect of dry cupping therapy on blood pressure in primary hypertensive patients. This study is a Quasi-experimental with a One-Group Pretest-Posttest Design approach. The number of samples was 15 patients with primary hypertension who were taken by purposive sampling technique. Measurement of data using digital tension onemed brand. Data analysis using Paired T Test. The results showed that the systolic blood pressure obtained a p value of 0.000 and the diastolic blood pressure obtained a p value of 0.001 which means that there is an effect of systolic  and diastolic blood pressure before and after being given dry cupping therapy. Dry cupping therapy can be used as an alternative therapy for patients with primary hypertension.
Pemberdayaan Kader Kesehatan Masyarakat Dalam Perawatan Paliatif Di Desa Binaan Peguyangan Kangin Andini, Ni Komang Sukra; Candrawati, Sang Ayu Ketut; Citrawati, Ni Ketut; Subhaktiyasa, Putu Gede; Suniyadewi, Ni Wayan
Jurnal Abdimas ITEKES Vol 4 No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v4i2.688

Abstract

Perubahan angka kematian yang didominasi oleh penyakit non infeksi atau penyakit yang tidak menular menjadi sutu gambaran perubahan transisi epidemiologi pararel, untuk mengatasi fenomena tersebut, maka dibutuhkan perawatan paliatif. Menurut WHO ada lebih dari 40 juta orang di dunia yang membutuhkan perawatan paliatif tetapi hanya 14% yang baru menerima perawatan tersebut. Indonesia masuk ke dalam posisi terujung. Indonesia berada di peringkat 70 dengan tingkat asuhan paliatif terendah, atau hanya 0,1% dari pasien yang membutuhkan asuhan paliatif. Perawatan paliatif tidak hanya berfokus pada pelayanan paliatif di rumah sakit namun saat ini perlu untuk dikembangan perawatan paliatif berbasis komunitas. Perawatan paliatif di lingkungan komunitas tentunya membutuhkan dukungan kader Kesehatan Masyarakat dalam memberikan pengetahuan dan pendampingan terhadap anggota keluarga yang memiliki keluarga dengan kondisi penyakit paliatif. Kader kesehatan mempunyai peranan penting dalam meningkatkan permasalahan perawatan paliatif baik  yang  dialami  oleh  pasien  maupun  keluarga  maka  perlu  ada  upaya  pemberdayaan  kader  dalam peningkatan   pengetahuan   keperawatan   paliatif   di   wilayah   kerja Puskemas   peguyangan kangin  sangat  diperlukan. Pengabdian masyarakat ini dilakukan di Puskesmas III Denpasar Utara Wilayah Desa Binaan Peguyangan Kangin, Adapun kegiatan yang dilakukan adalah 1.         Melakukan pre test; 2.Penyuluhan kepada kader Kesehatan, Pendidikan  kesehatan yang    diberikan  kepada  kader  adalah  mengenai  konsep  perawatan  paliatif , tugas  dan  fungsi  keluarga  dalam  perawatan  paliatif,  gangguan  psikologis dan pemenuhan   kebutuhan   psikologis   pasien   dan   keluarga   serta   pemenuhan kebutuhan   spiritual   pasien   dan   keluarga   dalam   perawatan paliatif; 3. Melakukan post-test sebagai evaluasi kegiatan. Hasil kegiatan pengabdian masyarakat ini dapat meningkatkan pengetahuan kader Kesehatan terkait perawatan pasien paliatif yang ditunjukkan melalui nilai post test kader Kesehatan. Berdasarkan hasil pretest diketahui bahwa pengetahuan kader mengenai perawatan paliatif  bahwa pengetahuan baik 20 orang (74%). Post-test pelaksanaan pengabdian menunjukkan peningkatan pengetahuan kader terkait perawatan paliatf sebanyak 25 orang (89%) pengetahuan kader baik. Selain itu kader juga mendapatkan pengetahuan dan pengalaman terkait perawatan pasien paliatif. Pengetahuan kader Kesehatan terkait perawatan paliatif diharapkan mampu digunakan untuk mendampingi anggota posyandu yang memiliki keluarga dengan kondisi penyakit paliatif. Kata kunci : Pemberdayaan, kader kesehatan, perawatan paliatif
HUBUNGAN KEBIASAAN MENGKONSUMSI MAKANAN SIAP SAJI DENGAN SIKLUS MENSTRUASI REMAJA PUTRI DI SMA NEGERI 1 GIANYAR Artami, Ni Kadek Nia; Andini, Ni Komang Sukra; Citrawati, Ni Ketut
Jurnal Penelitian Keperawatan Vol 11 No 2 (2025): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v11i2.886

Abstract

Masa remaja merupakan masa perubahan biologis, pada perempuan khusunya saat mengalami menstruasi yang akan berulang tiap bulannya atau disebut siklus menstruasi. UNICEF menyatakan kejadian gangguan siklus menstruasi pada perempuan mencapai sekitar 55% di dunia. Salah satu penyebab gangguan siklus menstruasi terjadi ialah karena kebiasaan mengkonsumsi makanan siap saji atau pola makan yang tidak sehat, status gizi yang kurang maupun lebih akan dapat menyebabkan hipotalamus gagal merangsang kelenjar hipofisis anterior untuk memproduksi hormon repsroduksi FSH dan LH yang berperan penting dalam siklus menstruasi perempuan. Penelitian ini bertujuan untuk menganalisis hubungan kebiasaan mengkonsumsi makanan siap saji dengan siklus menstruasi remaja putri di SMA Negeri 1 Gianyar. Jenis Penelitian ini yaitu kuantitatif dengan pendekatan cross-sectional. Teknik sampling yang digunakan adalah probability sampling jenis proportioned stratified random sampling dan didapatkan jumlah responden sebanyak 263 orang. Berdasarkan hasil yang didapatkan kebiasaan mengkonsumsi makanan siap saji dengan kategori sering sebanyak (60,5%) dan siklus menstruasi dengan kategori tidak teratur sebanyak (51,7% ). Pada hasil uji Chi-Square didapatkan angka p-value sebesar 0,000 (kurang dari 0,05) yang berarti terdapat hubungan yang signifikan antara kebiasaan mengkonsumsi makanan siap saji dengan siklus menstruasi remaja putri. Remaja putri penting untuk memahami cara menjaga kesehatan reproduksi sejak dini dan berperan aktif dalam mengatur pola makan yang lebih baik untuk menjaga siklus menstruasi yang stabil.
Spiritual Leadership Enhances Caring Behaviour: The Mediating Role of Calling Candrawati, Sang Ayu Ketut; Sriani, Ni Kadek Ayu; Subhaktiyasa, Putu Gede; Andini, Ni Komang Sukra; Putri, Ni Luh Nova Dilisca Dwi; Citrawati, Ni Ketut; Andriany, Megah
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.58964

Abstract

Background: Caring behaviour is essential for patient health; however, it is often not practised optimally. Therefore, spiritually-based leadership is required to encourage this behaviour. Unfortunately, research investigating the ability of spiritual leadership to enhance caring behaviour through spiritual well-being is limited.Purpose: This study aimed to examine the impact of spiritual leadership and spiritual well-being in the form of calling and membership on caring behaviour.Methods: This study employed an explanatory quantitative design with a cross-sectional approach. One hundred fourteen inpatient nurses who provided comprehensive patient care were selected using a total sampling technique. Data were collected using the Spiritual Leadership Questionnaire and the Caring Behaviours Inventory. The analysis adopted partial least squares structural equation modelling (PLS-SEM) using a second-order reflective-formative model.Results: The findings demonstrate that spiritual leadership has a significant direct effect on caring behaviour (t=3.976, p=0.000), calling (t=4.672, p=0.000), and membership (t=2.845, p=0.005). However, the direct impact of membership on caring behaviour was insignificant (t=1.298, p=0.194). Calling proved to mediate the effects of spiritual leadership on caring behaviour (t=3.145, p=0.002), while membership could not function as a mediator (t=1.197, p=0.231).Conclusion: This study emphasizes the importance of spiritual leadership in nursing care, particularly in enhancing nurses’ caring behaviours. Healthcare organizations should implement training programs on spiritual leadership to encourage calling nurses to perform their duties with dedication. Developing nurse membership should be considered, but the main focus must be on strategies that strengthen nurses’ calling, as this is an essential factor in providing quality and empathetic care.
CORRELATION BETWEEN KNOWLEDGE, ATTITUDE, AND COMPLIANCE WITH THE USE OF PERSONAL PROTECTIVE EQUIPMENT AMONG CLEANING SERVICE STAFF IN CITO LABORATORY Nastiti, Herwin Rizky; Prihatiningsih, Diah; Andini, Ni Komang Sukra
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1177

Abstract

Cleaning service staff working in laboratories are at high risk of exposure to hazardous materials. The use of personal protective equipment (PPE) is a crucial step in preventing occupational accidents. However, the level of compliance with PPE usage varies and is influenced by the knowledge and attitude of the staff. This issue highlights the need to understand the relationship between the knowledge and attitudes of cleaning service staff and their compliance with the use of PPE. This study employed an analytical design with a cross-sectional approach. A total of 58 cleaning service staff participated as respondents, selected through total sampling. Data were collected using a structured questionnaire and analyzed using the chi-square test. The results showed that 60.3% of respondents had good knowledge regarding the use of PPE, while 73% had a positive attitude toward its usage. The chi-square test revealed a p-value of 0.03 (<0.05), indicating a significant relationship between attitude and compliance with PPE usage among cleaning service staff. The chi-square test for the relationship between knowledge and compliance yielded a p-value of 0.01 (<0.05), indicating a significant relationship between knowledge and compliance. The findings indicate that the knowledge of cleaning service staff positively correlates with their compliance in using PPE. Staff members with good knowledge were more likely to comply with PPE usage. Adequate knowledge enables staff to understand laboratory risks and the benefits of PPE in preventing exposure to hazardous materials, thereby encouraging safer behavior, promoting communication among staff, reminding one another, and embedding safety values into daily work routines.
CORRELATION BETWEEN HS-CRP LEVELS AND ERYTHROCYTE SEDIMENTATION RATE VALUES IN PEDIATRIC PATIENTS WITH FEVER Kusumawardani, Oktaviana Putri Cipta; Cahyani, Anak Agung Ayu Eka; Andini, Ni Komang Sukra
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1287

Abstract

Fever is the most common disease in children. Fever in children can be found in various conditions such as infection, inflammation, or other unknown causes. One of the laboratory tests that can be used is the hs-CRP and erythrocyte sedimentation rate examination. The purpose of this study was to determine the relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric febrile patients. The research method was observational with a cross-sectional method using secondary data of 62 samples. Data analysis used the Spearman's rho test. The results of the study showed that most of the pediatric patients who experienced fever were male (59.7%), and the age of the child was 5 years (21%). In pediatric patients with fever, the average hs-CRP level was 19.34 mg/l, and the erythrocyte sedimentation rate was 32.73 mm/hour. The results of the correlation test using the Spearman's rho test method obtained p = 0.001 with r = 0.575, so it can be concluded that there is a moderate and positive relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric patients with fever.
Optimalisasi Kemandirian Kader dalam Penurunan Scabies melalui PHBS di Rumah Tahanan Kelas IIB Bangli Candrawati, Sang Ayu Ketut; Citrawati, Ni Ketut; Andini, Ni Komang Sukra; Subhaktiyasa, Putu Gede
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 2 (2024): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i2.784

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The complex challenges in improving the health and welfare of prisoners at the Bangli Class IIB Detention Center demand a concrete response. Government Regulation No. 32/1999 affirms the right of every prisoner to obtain proper health services. One of the health problems that arise due to the crowded room occupancy is skin diseases, such as Scabies. To overcome the transmission of the disease, the first step that needs to be taken is the formation of Health Cadres. This Health Cadre Development activity aims to improve the health of WBP through counseling and training. This PKMS activity aims to improve the health of correctional prisoners (WBP) through the development of health cadres. The method used is Community-Based Interactive Approach (CBIA), WBP is actively involved in counseling and training related to clean and healthy living behavior (PHBS) and handling of Scabies skin disease in detention centers. The results of the activity showed an increase in knowledge and positive attitudes related to PHBS and the role of health cadres among prisoners. In conclusion, the formation of inmate health cadres can be a potential solution in efforts to prevent and manage diseases and improve the quality of life in detention centers
Hubungan Kadar Vitamin D terhadap Nilai N-Mid Osteocalcin dan C-Terminal Telopeptida di Laboratorium Klinik Prodia Bekasi Roberto Krisnatalisanto Prabowo Santoso; I Gusti Putu Agus Ferry Sutrisna; Ni Komang Sukra Andini
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.939

Abstract

Vitamin D deficiency can lead to various bone diseases, such as osteoporosis. Standard laboratory tests used to assess bone turnover and formation activity are the N-Mid Osteocalcin (N-Mid) and C-Terminal Telopeptide (C-Tx) tests. Imbalance in N-Mid and C-Tx levels can result in bone health disorders. This study aims to analyze the relationship between Vitamin D levels and N-Mid and C-Tx values. This research used an analytical observational design with a cross-sectional retrospective approach. A total of 32 respondents were selected using total sampling technique. Statistical analysis was performed using Spearman’s Rho test to examine the relationship between Vitamin D levels and N-Mid and C-Tx values. The results showed no significant relationship between Vitamin D levels and N-Mid values (p > 0.05), and no significant relationship between Vitamin D levels and C-Tx values (p > 0.05). The conclusion of this study is that there is no significant relationship between Vitamin D levels and N-Mid Osteocalcin or C-Terminal Telopeptide in patients tested at Laboratorium Klinik Prodia Bekasi. This study provides insights into the importance of monitoring Vitamin D levels in bone disease prevention, even though the results indicate no significant relationship with N-Mid and C-Tx parameters.
The Effect of Slow Stroke Back Massage on Headache Intensity in Hypertensive Older Adults Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini; Desak Made Ari Dwijayanti
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1212

Abstract

Introduction: A Headache is a common complaint among individuals with hypertension and is often associated with elevated blood pressure. One form of complementary therapy that can be applied to alleviate this symptom is Slow Stroke Back Massage (SSBM). Objectives: This study aimed to examine the effect of Slow Stroke Back Massage on headache intensity in older adults with hypertension. Methods: This quantitative research employed a quasi-experimental design with a non-equivalent control group pretest-posttest approach. Thirty-four hypertensive older adults participated in the study and were selected through purposive sampling. The intervention group received SSBM therapy three times per week for 10 minutes over four weeks, while the control group received only standard antihypertensive medication. Headache intensity was measured using the Numeric Rating Scale (NRS). Results: The mean pre-test headache intensity score was 6.12 ± 1.62 in the intervention group and 5.82 ± 1.55 in the control group. After the intervention, the mean scores decreased to 2.71 ± 1.53 and 3.82 ± 1.55, respectively. The reduction in headache intensity was 3.41 points in the intervention group and 2.00 points in the control group. The Wilcoxon test showed a significant difference in the intervention group (p = 0.000), while the paired sample t-test confirmed significance in the control group (p = 0.000). The pre-test comparison between groups using the independent t-test indicated no significant difference (p = 0.592), whereas the post-test comparison using the Mann-Whitney U test showed a significant difference (p = 0.041). These findings suggest that SSBM significantly reduces headache intensity among hypertensive older adults. Conclusions: Slow Stroke Back Massage is an effective, safe, and non-pharmacological intervention for reducing headache intensity in hypertensive patients. Its application is recommended as a complementary therapy in elderly care.