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Development of a self-care guideline to prevent rehospitalization in stroke patients: a modified Delphi study Putra, Komang Ardidhana Nugraha; Suyasa, I Gede Putu Darma; Kamaryati, Ni Putu; Dharmapatni, Ni Wayan Kesari
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48937

Abstract

Introduction: Since 2007, the number of stroke cases in Indonesia has continued to increase. Stroke patients who have passed the acute phase of stroke still have a risk of recurrent stroke and rehospitalization. This study aimed to develop self-care guidelines to prevent the rehospitalization of stroke patients. Methods: A three-round modified Delphi study was applied to a panel of 24 experts with different fields of expertise, consisting of doctors, nurses, families, and patients. In the first round, data were collected through a literature review and semi-structured interviews. In the second and third rounds, data were collected using a survey questionnaire on a 9-point Likert scale. Results: The first round produced seven themes around self-care activities, including drug therapy, physical exercise, diet and nutrition, stress management, self-motivation, functional status screening, and control for risk factors. In the second round, all types of self-care in the first round were agreed upon for content in preparing the guidebook. The third round resulted in agreement on the guidebook that had been designed, with scores of 8 and above by 100% of the expert panel. Conclusions: The development of a self-care guidebook to prevent rehospitalization of stroke patients through a three-round Delphi study has reached a consensus among the entire panel of experts.  Further research by testing guidebooks in the healthcare system is needed to determine their effectiveness in preventing re-hospitalization in stroke patients.
Enhancing awareness and preventing musculoskeletal disorders through stretching exercises in the Kintamani highlands Indrayani, Ni Luh Dwi; Kamaryati, Ni Putu; Sriasih, Ni Kadek; Wulandari, Sarah Kartika; Suantika, Putu Inge Ruth
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12907

Abstract

Musculoskeletal discomfort is a common problem among adults, especially those living in mountainous areas. If left untreated, this condition can lead to long-term musculoskeletal diseases. This community service program aims to increase public awareness and understanding of the importance of preventing musculoskeletal disorders through the implementation of proper physical stretching exercises. The methods used in this program include community education on the physical activities needed to prevent muscle and joint problems, consultations, and stretching practices supported by community assistance. By involving health workers and community leaders, this program provides counseling and training on six types of static stretching. As a result, there was a significant increase in the community's understanding and ability to demonstrate effective stretching techniques. The community also showed active involvement in raising awareness about the importance of musculoskeletal health and successfully implementing strategies for the prevention of muscle and joint diseases. Through a holistic approach involving community leaders and local health workers, understanding of musculoskeletal disorders increased, leading to a positive impact on the quality of life for the community, especially in highland areas.
Determinant Factors Related to Nurse Satisfaction at Tabanan Regency Hospital Prataba, I Made Dwi Krisma; Kamaryati, Ni Putu; Rahayuni, I Gusti Ayu Rai; Astawa, I Gede Satria
International Journal of Science and Society Vol 7 No 4 (2025): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v7i4.1531

Abstract

Job satisfaction is a crucial aspect in the performance of health workers, especially nurses, because it affects the quality of service and work outcomes. Nurses who feel job satisfaction tend to provide optimal service according to their competence. This study aims to identify factors associated to nurses' job satisfaction and determine the most influential variables in Tabanan Regency Hospital. This study used a descriptive correlational design with a cross-sectional approach. The sample consisted of 172 nurses selected through purposive sampling techniques. Data were collected using a standardized questionnaire that had been tested for validity and reliability. Analysis was conducted univariately, bivariately using the Chi-square test, and multivariately with binary logistic regression. Bivariate analysis showed a significant relationship between work motivation (p=0.009) and reward system (p=0.033) with job satisfaction. Multivariate analysis identified work motivation as the dominant factor with odds ratio (OR) of 4.424 (95% CI: 1.309–14.952). Work motivation was shown to be a major determinant of nurse’ job satisfaction. Managerial interventions that focus on improving internal and external motivation are expected to increase nurses' job satisfaction, which in turn has a positive impact on the quality of nursing services.
DETERMINANT FACTORS OF QUALITY OF LIFE IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS AT SANJIWANI REGIONAL HOSPITAL, GIANYAR AND KLUNGKUNG REGIONAL HOSPITAL Ni Wayan Sri Wahyuni; Ni Putu Kamaryati; Made Rismawan; Putu Inge Ruth Suantika
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.3962

Abstract

Background: Chronic kidney disease significantly affects the personal abilities and quality of life of patients. Patients with chronic kidney failure undergoing hemodialysis are found to have a tendency to experience a decline in quality of life. The purpose of this study was to determine the determinants of the quality of life of chronic kidney failure patients in the hospital. Research Methods: This study is an analytical study with a cross-sectional approach. The sample of the study was 207 patients. The sampling technique used systematic random sampling. Data were collected using a questionnaire then subjected to bivariate and multivariate analysis. Research Results: The results of the bivariate analysis showed that in the physical and mental domains (age, occupation, blood pressure), the domain of kidney disease burden (age, blood pressure), the domain of disease effects (age, blood pressure, duration of hemodialysis) (p <0.05). The results of the multivariate analysis showed that the physical and mental domains with the results (age p<0.001; AOR: 1.035; 95% CI: 0.50-0.263), (occupation p<0.022; AOR: 0.480; 95% CI: 0.257-0.898), (hemoglobin level p<0.045; AOR: 0.485; 95% CI: 0.239-0.983), (duration of hemodialysis p<0.033; AOR: 2.101; 95% CI: 1.061-4.160). Kidney disease burden domain (age p<0.001; AOR: 0.033; 95% CI: 0.004-0.255), (pressure blood p<0.001; AOR: 0.251; 95% CI: 0.115-0.550). Disease effect domain (age p<0.001; AOR: 11.307; 95% CI: 0.020-0.393), (blood pressure p<0.023; AOR: 2.607; 95% CI: 1.006-4.071), (hemodialysis duration p<0.048; AOR: 0.494; 95% CI: 0.168-878). Conclusion: The determinant factors in the physical and mental domains are age, occupation, hemoglobin level, and blood pressure. In the kidney disease burden domain, they are age and blood pressure. In the disease effect domain, they are age, blood pressure, and hemodialysis duration.
Effectiveness of Telenursing as Psychoeducation on Family Burden and Knowledge Level on Schizophrenia Patient: A Literature Review Cintariasih, Putu; Kamaryati, Ni Putu; Wulandari, Ida Ayu Putri; Wulandari, Sarah Kartika
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5211

Abstract

Schizophrenia patients often experience significant challenges in daily functioning, leading to dependence on caregivers and imposing a substantial burden on families. This literature review aims to examine the effectiveness of telenursing-based psychoeducation in improving family knowledge and reducing family burden in the care of schizophrenia patients. A comprehensive literature review was conducted, analyzing 15 articles published between August 2014 and August 2024. Articles were sourced from Google Scholar and PubMed for English-language studies, and Google Scholar for Indonesian-language studies. The PRISMA framework and PICO methodology guided the selection and analysis of relevant studies. The findings from the 15 selected articles demonstrate that telenursing-based psychoeducation effectively reduces family burden and enhances caregivers' knowledge in managing schizophrenia patients. Various approaches, including telenursing interventions, technology-based applications, and traditional psychoeducation methods, provide significant benefits and can be integrated into mental health care practices. The successful implementation of telenursing-based psychoeducation requires active commitment, resilience, and collaboration from both nurses and family members involved in the care of schizophrenia patients.
Frequency of Prehospital Ambulance Utilization by Patients with Chronic Disease: A Retrospective Study Sanjana, I Wayan Edi; Kamaryati, Ni Putu; Sagitha, I Gede Edy; Sari, Ni Made Candra Citra; Sutini, Ni Kadek
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.2023.43239

Abstract

Ambulance services are becoming a trend for early response to emergencies in major cities. The performance of the ambulance service will increase in line with the population and possible problems in the area. EMS services are essential at this time, as any life-threatening condition requires immediate action to prevent disability and death. Ambulances are required to provide assurance to chronically ill patients that the service they provide is adequate and can handle them in case of deterioration. This study aims to describe the frequency of pre-hospital ambulance use in patients with chronic diseases. This research method is an observational study with a retrospective approach to find the frequency of ambulance use by chronic diseases during the period 2019-2021. The results showed the three highest cases of pre-hospital ambulance use in Denpasar City were accident, fire and evacuation services for sick patients. The use of prehospital ambulances by chronic diseases has not reached half of the ambulance services. Stroke, diabetes mellitus and heart disease are the three most common chronic diseases that use pre-hospital ambulance services.
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.
The Effectiveness of Non Pharmachological Therapy on Fatigue Level in Patients With Congestive Heart Failure (CHF) Gede, Khrisna Eka Yudha; Kamaryati, Ni Putu; Adiana, I Nengah; Sutini, Kadek
Babali Nursing Research Vol. 4 No. 4 (2023): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.44276

Abstract

The consumption of large number of drugs in a long period of time makes CHF patients experience anxiety so that it faster to cause fatigue due to physical and psychological problems experienced. In addition, special measures to overcome fatigue conditions in patients with CHF are still rarely done. Without significant treatment efforts, it will cause serious problems for patients for a long time, therefore it is very necessary to study the effectiveness of non-pharmacological therapy for patients with CHF. This study aims to collect and analyze articles related to the effectiveness of non-pharmacological therapy in patients with congestive heart failure. This study is a type of literature review conducted by searching for articles related to effective non-pharmacological therapies to reduce fatigue in heart failure patients. The databases used were Pubmed, Google Scholar, and Pro Quest. Inclusion criteria used for data collection are complete articles, journal publications from 2018 to 2023, in English and Indonesian. The tools and guidelines used utilized the PRISMA method. Non-pharmacological therapies used such as back massage, hypnosis and virtual reality provide effects that will cause relaxation and can stimulate the release of endorphins to reduce the activity of the sympathetic and parasympathetic systems. Six studies (85%) of the total seven studies analyzed showed significant results that non-pharmacological therapies resulted in a significant reduction in fatigue. Each non-pharmacological therapy provided has its own stimulation and effect on the patient which will be effective according to the condition and physical problems experienced by the patient. This systematic review shows that non-pharmacological therapy is an effective therapy in reducing the level of fatigue in patients with congestive heart failure according to the psychological state and physical problems experienced by patients. The results of this study are expected to be the basis for complementary therapy and can be implemented as an independent and innovative intervention in nursing care.
Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Kamaryati, Ni Putu; Nuryanto, I Kadek
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.v18i2.45700

Abstract

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia
Penyuluhan Kegawatdaruratan Pada Penyakit Kronis di Kelurahan Pedungan Puskesmas IV Denpasar Selatan Sanjana, I Wayan Edi; Ni Putu Kamaryati; I Gede Edy Sagitha; Ni Kadek Sutini
Jurnal Pengabdian Kesehatan Masyarakat Mulawarman Vol. 1 No. 1 (2023): Juni 2023
Publisher : Fakultas Kedokteran, Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The elderly is likely to experience chronic diseases because there is a decrease in the function of organs in the body. An increase in life expectancy will correspond to an increase in the number of chronic disease sufferers, because every one elderly person has one or more chronic diseases. It is important for the elderly to understand the emergency conditions that may be experienced, because fluctuations in the condition of the elderly can occur in a short time. This Community Service aims to increase the understanding of the elderly regarding emergency conditions in chronic diseases. The method used is through counseling and pre and post tests to determine the understanding of the elderly. After the test was carried out, it was found that there was an increase in the average value of the participants' knowledge of emergency conditions in chronic diseases after being given counseling. With an increase in knowledge, it is hoped that patients will be able to perform first aid and find the right place for further help if chronic disease patients experience emergency conditions at home.
Co-Authors A.A. Ayu Yuliati Darmini Adi Satriani Adiana, I Nengah Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Antari, Luh Putu Juni Aries Susanti, Ni Putu Arka, I Gede Widhi Astawa, I Gede Satria Ayu Puja Astuti Dewi Bela, I Kade Miki Indra Cahyani, Kadek Indra Cintariasih, Putu Darmini, A.A. Ayu Yuliati Dewi, Ayu Puja Astuti Dewi, Puja Astuti Dina Susanti, NLP Diyu, Ida Ayu Ningrat Pangruating Gede, Khrisna Eka Yudha Gst Ayu Dwina Mastryagung Gustiawan, Sastro Putre I Gede Edy Sagitha I Gede Edy Sagitha I GEDE PUTU DARMA SUYASA I Gusti Ayu Rai Rahayuni I Kadek Nuryanto I Nyoman Purna Wijaya I Wayan Edi Sanjana Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari Indrayani, Ni Luh Dwi Juliani, Made Krisnandari D, Anak Agung Istri Wulan Kusuma, Made Dian Santi Luh Gde Nita Sri Wahyuningsih Made Rismawan Nadya Treesna Wulansari Ni Kadek Sutini Ni Kadek Sutini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Made Ari Widayani Ni Made Ayu Yulia Raswati Teja Ni Made Candra Citra Sari Ni Made Sri Rahyanti Ni Putu Ayu Ratna Dewi Ni Wayan Kesari Dharmapatni Ni Wayan Sri Wahyuni NLP Dina Susanti Nur Halimah Nusa Harta, I Putu Arika Pangruating Diyu, Ida Ayu Ningrat Prataba, I Made Dwi Krisma Puja Astuti Dewi Purniawati, Wayan Puspariani, Ni Komang Sri Putra, I Nyoman Arya Maha Putra, Komang Ardidhana Nugraha Putu Inge Ruth Suantika Rahayuni, IGA Rai Ratih Comala Dewi, Ni Made Sagitha, I Gede Edy Sanjana, I Wayan Edi Sastro Putre Gustiawan Satriani, Adi Sri Dewi Megayanti Sriasih, Ni Kadek Sutini, Kadek Trisna, Made Oktaviani Bulan Wayan Purniawati Wicaksana, IGA Tresna Widiastuti, Ni Kadek Nefi Wijaya, I Nyoman Purna Wulandari, Sarah Kartika Yudari, Ni Made Adi Yudi Wahyu, I Made Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniawati