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Komang Ayu Henny Achjar
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Jurnal Gema Keperawatan
Published by Poltekkes Kemenkes Denpasar
ISSN : 20887493     EISSN : 26208695     DOI : -
Core Subject :
Jurnal Gema Keperawatan dengan ISSN : 2620-8695 (Online - Elektronik) & 2088-7493 (Cetak - Cetak) diterbitkan oleh Jurusan Keperawatan Politeknik Kesehatan Denpasar merupakan jurnal ilmiah yang bertujuan menyebarluaskan berbagai tulisan ilmiah untuk meningkatkan kesehatan masyarakat, khususnya bidang keperawatan. Jurnal Gema Keperawatan terbit 2 kali dalam satu tahun setiap bulan Juni dan Desember. Jurnal ini menerima naskah berupa hasil riset baik kuantitatif maupun kualitatif, studi literatur dan studi kasus. Cakupan bidang keperawatan yang termasuk dalam jurnal ini antara lain: 1) Keperawatan komunitas, 2) Keperawatan jiwa, 3) Keperawatan anak, 4) Keperawatan maternitas, 5) Keperawatan medikal bedah
Arjuna Subject : -
Articles 255 Documents
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Pengembangan Instrumen Smart Parenting pada Anak Usia 0-3 Tahun Made Rismawan; Ni Kadek Sriasih; Ida Bagus Ardhi Putra; Ni Putu Riza Kurnia Indriana
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2501

Abstract

Disorders of child development have the potential to become long-term health problems. This can be prevented by carrying out child development assessments that are carried out independently by parents. However, the instruments for assessing growth and development are still conventional in the form of paper base, can only be used by health workers, and cannot be accessed by families so it would be less effective in early detection of disorders of child development. This study aimed to evaluate instruments for assessing the growth and development of children aged 0-3 years. The research design is descriptive with a Research and Development approach. This research was conducted in four villages in the Working Area of Puskesmas III Kintamani in August-September 2022. Data was collected by evaluating 284 growth and development assessment forms and Focus Group Discussions attended by seven mothers with children aged 0-3 years. The results showed that six elements in the growth and development assessment form were not found, namely the elements of the instrument usage guide, parental knowledge, assessment parameters, early detection of growth and development scores, management algorithms according to scores and health education about child growth and development. Meanwhile, there were 10 elements found but not appropriate in the child development assessment form. Participants in the Focus Group Discussion have provided input, so it is necessary to continue preparing strategic issues and consulting experts.  
Hubungan Efikasi Diri dengan Perilaku Pencegahan Covid-19 pada Dewasa Muda Kadek Wahyu Widnyani; I Ketut Gama; I Gusti Ketut Gede Ngurah; Ketut Sudiantara
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2513

Abstract

Covid-19 has caused the death of hundreds to millions of people, so Covid-19 prevention behavior needs to be carried out. The way to prevent the occurrence of Covid-19 is to carry out Covid-19 prevention behaviors. Self-efficacy is self-confidence in doing something, high self-efficacy is needed in order to carry out Covid-19 prevention behaviors well. This study aims to determine the relationship between self-efficacy and Covid-19 prevention behavior in young adults in Central Banjar, Sesetan Village in 2022. The type of research used is non-experimental with correlational types and cross-sectional approaches using non-probability sampling with purposive sampling. The total population is 391 people with a sample of 198 people. The study was conducted in April 2022. Data collection using self-efficacy questionnaires and Covid-19 prevention behaviors. The results showed that most young adults aged 21 years (34,8%), female gender (61,1%), college students (42,9%), higher education (63,6%), high self-efficacy (46,5%), good Covid-19 prevention behavior (80,8%). Test the hypothesis using the Spearman test with a value of p = 0,000 (α=0,05) and a value of r = +0,709. Based on the results of the study, it can be concluded that there is a significant relationship between self-efficacy and Covid-19 prevention behavior in young adults in Central Banjar, Sesetan Village (p = 0,000 and r = +0,709) with most who have high self-efficacy with good preventive behavior, meaning that the higher the self-efficacy of young adults, the better the actions they take to prevent the spread of Covid-19.
A Phenomenological Study of Nursing Students' Experience in Clinical Practice When The Post Covid-19 Era Jeanny Rantung; Evelyn Hemme Tambunan
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2542

Abstract

Clinical practice is a pivotal requirement in nursing education to shape professional nurses. The Covid-19 pandemic has interfered with the effectiveness of clinical practice processes. Yet it must be a starting point to create a better clinical learning environment. The aim of this study is to explore the experiences of nursing students in engaging clinical practice in the era of post Covid-19 pandemic. A descriptive phenomenological approach was used to collect data from individual in-depth interviews from 18 March to 10 April 2023 using purposive sampling technique. Ten nursing students were interviewed in depth and audio-recordings were transcribed verbatim. Colaizzi's seven-step descriptive phenomenological methodology served as the basis for data analysis. Lincoln and Guba criteria were applied to assure the trustworthiness of this study. Four main themes were generated: initial feeling of clinical practice in post Covid-19 era, challenges in theory-practice gap, clinical practice environment, grateful for the opportunity to conduct clinical practice offline. The findings of this study are useful for nursing education together with the clinical field to facilitate a supportive clinical learning environment to enhance clinical engagement of nursing students. There is a need for scrutinizing factors that hinder or enhance the clinical learning process of nursing students. Studies on what makes nursing education and clinical fields involve deeply in students' clinical practice and learning while others do not are also pertinent.
Aplikasi Brief Pain Inventory (BPI) untuk Mengidentifikasi Nyeri Kronis pada Pasien Kanker Payudara Ni Nyoman Sri Ayu Desianti; I Dewa Putu Gede Putra Yasa; I Wayan Surasta; VM Endang SP Rahayu
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2563

Abstract

Chronic pain is the main complaint of breast Cancer patients. Appropriate pain assessment is needed in palliative care of cancer patients. This study aims to describe the characteristics of pain in breast cancer patients who are studied with BPI at Bali Mandara Hospital in 2023. This research method uses a quantitative method which is carried out at the Surgical Oncology Polyclinic at Bali Mandara Hospital. This research activity was carried out in April 2023 using a purposive sampling technique of 44 respondents. The BPI Pain Inventory Brief Questions cover several aspects of pain assessment, many factors can be identified that affect pain objectively. This is very helpful in managing pain by the Nursing team. The results showed characteristic age respondents 30-40 years old was 7 (15,9%), 41-50 years old was 17 (38,6%), 51-60 years old was 13 (29,5%), 61-70 years old was 4 (9,1%) and 71-80 years old was 3 (6,9%). Respondents' characteristic length of the used contraceptive method was mean: 2 years 5 months, minimum at 5 years dan maximum at 72 months. that out of 44 respondents, 25 respondents (56.8%) experienced mild pain with a score of 1-3, moderate pain as many as 18 respondents (40.9%) with a score of 4-6, and severe pain as much as 1 (2.3%) with a score of 7-10. It can be concluded that this study showed that most of the respondents experienced pain that was not too severe. This is very helpful in managing pain by the nursing team.
Penerapan Buerger Allen Exercise terhadap Nilai Capillary Refill Time (CRT) pada Klien Diabetes Melitus Tipe 2 Silvia Saputri; Asih Minarningtyas; Indah Puspitasari
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2411

Abstract

Peripheral artery disease is more common in people with diabetes. This chronic complication leads to disruption of peripheral blood vessel flow, thus raising the problem of the ineffectiveness of peripherial tissue perfusion Epidemiological evidence suggests a link between diabetes mellitus and an increased prevalence of perifer arterial disease. Capillary refill time (CRT) is performed quickly on the base area of the nail to monitor dehydration and the amount of blood flow to the tissue.  Objectives The study of this case study to obtain an overview of the Buerger Allen Exercise Movement on Capillary Refill Time (CRT) values in patients with type 2 diabetes. Research design used with a case study approach (single case) by expressing the results of observations and documentation on the value of Capilarry Refill Time after the client performed the Buerger Allen Exercise. Subject in this case study there are 5 patients with diabetes mellitus type 2 who do not have foot injuries and are willing to do buerger movement allen exercise in the work area of UPTD Puskesmas Bekasi Jaya. After the client performed the Buerger Allen exercise for 6 days in a row for 18 minutes each day, the result of the change occurred before and after the Buerker Allen exercise, the capillary refill time was shortened in the type 2 diabetes client. For patients with type 2 diabetes mellitus can perform buerger allen exercise independently and effectively against the effectiveness of peripheral tissue perfusion showing changes in capillary refill time values. (CRT).
Hubungan Tingkat Kecemasan Ibu Menyusui dengan Kelancaran Pengeluaran ASI di Masa Pandemi Covid-19 Putu Mas Saraswati; Ni Nyoman Hartati; Suratiah Suratiah; Nengah Runiari
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2468

Abstract

Feelings of anxiety can affect the release of breast milk which causes milk to come out late. The COVID-19 pandemic has caused high anxiety disorders in the Indonesian population which can affect the smooth release of breast milk. This study aimed to determine the relationship between the anxiety level of mothers during breastfeeding 0-2 years and the smoothness of expressing breast milk during the COVID-19 pandemic in the UPT work area. Ubud Public Health I uses a correlational research design that aims to reveal the correlative relationship between variables with a cross-sectional approach. Sampling uses nonprobability sampling with purposive sampling technique. The number of samples used in the study were 105 samples. The instruments used in this study were anxiety questionnaires for breastfeeding mothers and the smoothness of breastfeeding. The analysis technique used to see the relationship between the two variables is the Spearman rank test. The results of the study found that the anxiety level of the majority of breastfeeding mothers was moderate by 40 people (38.1%), and 48 people (45,7%) experienced irregular breastfeeding. Statistical test using Spearman rank obtained p value = 0.00 alpha (0,05) It can be concluded that there is a significant relationship between the anxiety level of mothers during breastfeeding 0-2 years and the smoothness of breastfeeding during the COVID-19 pandemic in the UPT work area. Public Health of Ubud I. It is suggested to the government that there should be a health service program related to efforts to deal with the impact of the COVID-19 pandemic on people's mental health.
Analisis Kepatuhan dalam Penatalaksanaan DM Tipe II Dimasa Pandemi Covid-19 Tintin Sumarni; Yulastri Yulastri; Novi Herawati; Abd Gafar
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2487

Abstract

The prevalence of diabetes mellitus (DM) in Indonesia has increased significantly. Diabetes mellitus is a non-communicable disease reported to be suffered by some Covid-19 patients. DM patient non-compliance in implementing the five pillars results in an increased risk of complications, especially during the Covid-19 pandemic. The purpose of this study was to determine the adherence of type II DM patients in the management of the five pillars of DM. This study used a descriptive analytic cross sectional approach. The sampling technique was total sampling, namely type II DM sufferers who visited Posbindu in the work area of the Solok City Health Center in the last 3 months involving 65 people, the instrument used was a questionnaire with diet variables, taking medication, doing physical activity, education and controlling blood sugar. The results showed that medication adherence, diet, education and blood sugar control had a significant relationship with blood sugar levels with a p value of less than 0.05. It turned out that what was most dominantly related to blood sugar levels was the regularity of taking medication with (p value 0,002) OR= 72,500. This non-compliance is because the client perceives that blood sugar that is not normal means that he has recovered from DM. It is hoped that diabetes mellitus clients can understand the importance of implementing DM management. There is a policy from the Health Service involving family members to care for, so that the five pillars of management of DM can be implemented properly, so that DM patients can live a life without complications.
Hubungan Intensitas Bermain Game Online dengan Tingkat Stress dan Kecerdasan Emopsional Remaja Pada Era New Normal Ni Made Yeshika Armiandeni; Ni Luh Putu Dina Susanti; Ni Wayan Manik Parwati
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.1999

Abstract

An online game is a game that can be accessed through electronic media connecting to an internet network. Addiction to playing online games has an impact on someone’s mental health namely stress and emotional intelligence. This study aimed to determine the correlation between the intensity of online game playing toward stress levels and emotional intelligence in the new normal era. This study was quantitative research with a correlational design. There were 157 adolescents who played an online game at Perumahan Griya Nugraha recruited as a sample of this study which was selected through convenience sampling. The data were collected using a questionnaire and analyzed using Spearman’s Rho test. The finding showed a positive correlation between the intensity of online game playing and stress level with p-value 0,001 dan r = 0,451. There was a negative correlation between the intensity of playing the online game and emotional intelligence with p-value 0,001 dan r = -0,550. it can be concluded that there is a correlation between the intensity of playing online games toward stress levels and emotional intelligence.  
Program Pelatihan Berbasis Kunjungan Rumah dalam Perawatan Jangka Panjang Anak Stunting Meningkatkan Persepsi, Self-Efficacy dan Kesiapan Kader Pembangunan Manusia Rismawan, Made; Negara, I Gusti Ngurah Made Kusuma; Astawa, I Gede Satria; Muncan, I Gusti Agung Mas Widia Paramita; Wati, Ni Luh Gede Diana
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.3961

Abstract

Human Development Cadres have a strategic role in supporting the long-term care of stunted children in the community. However, suboptimal perceptions, self-efficacy, and readiness of cadres often become obstacles in carrying out the duties of human development cadres. This study aims to determine the effectiveness of a home visit-based training program on the perceptions, self-efficacy and readiness of Human Development Cadres in the long-term care of children with stunting. This study used a pre-experimental design with pretest-posttest one group only on 30 Human Development Cadres in the Puskesmas of Kintamani III (March-September 2024). The home visit-based training program included material on stunting, nutrition, health, and community empowerment. Perceptions, self-efficacy, and readiness of Human Development Cadres were measured before and after the intervention using instruments developed based on the detailed tasks of Human Development Cadres. Paired t-test was used to analyze the data. The results showed significant differences in perception, self-efficacy, and readiness (p0,001). The home visit-based training program has a significant effect on improving perceptions, self-efficacy and readiness of Human Development Cadres in the long-term care of children with stunting. The home visit-based training program needs to be part of routine interventions in empowering Human Development Cadres, especially to support the long-term care of children with stunting.
Pengaruh Pendidikan Kesehatan dengan Media Telegram terhadap Efikasi Diri dalam Mengkonsumsi Tablet Tambah Darah pada Remaja Putri Suputri, Ni Kade; Hartati, Ni Nyoman; Suratiah, Suratiah; Surinati, I Dewa Ayu Ketut; Runiari, Nengah; Sipahutar, Ida Erni; Suardani, Ni Luh Ketut
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.3966

Abstract

Anemia is one of the global health problems, particularly among adolescent girls, and remains a critical issue in Indonesia. Anemia in adolescent girls can cause anemia which hurts health, academic achievement, and productivity. The government has implemented the Iron Supplement Tablet (TTD) program to reduce anemia and stunting rates. However, its implementation has not been optimal due to the low compliance among adolescents in consuming TTD. One contributing factor is the low level of self-efficacy. This study aims to determine the effect of health education using the Telegram platform on self-efficacy in consuming TTD among female students at SMPN 6 Denpasar. This study employed a pre-experimental design with a one-group pretest-posttest approach. A total of 60 respondents were selected using stratified random sampling. The independent variable was health education via Telegram, while the dependent variable was self-efficacy. The instrument used was a self-efficacy questionnaire, which had been tested for validity and reliability. The intervention was delivered once via Telegram Bot for 30 minutes. Data were analyzed using the Wilcoxon Signed Ranks Test. The results showed a p-value of 0,000 (0,05), indicating a significant effect of health education via Telegram on adolescents' self-efficacy in consuming TTD. Telegram is proven to be an effective educational medium to enhance self-efficacy and improve TTD consumption compliance among adolescent girls.

Page 19 of 26 | Total Record : 255

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