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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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Hubungan Tingkat Pengetahuan Ibu Tentang Pneumonia dengan Kejadian Pneumonia pada Balita Mayaswari, Kadek Githa; Sipahutar, Ida Erni; Cakra, NLP Yunianti Suntari
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3824

Abstract

Pneumonia is one of the diseases most often experienced by toddlers. There are several factors that cause a child under five to experience pneumonia, namely the first is the characteristics of the mother which consists of the mother's education, the mother's knowledge about pneumonia, the mother's occupation, then the second factor in children under five which consists of exclusive breastfeeding, the immunization status of the child under five, the nutritional status of the child under five. , and finally environmental factors consisting of residential density, indoor air pollution, distance to health facilities. The aim of this study was to determine the relationship between the mother's level of knowledge about pneumonia and the incidence of pneumonia in toddlers. The type of research used in this research is non-experimental quantitative research. The sampling technique used was a purposive sampling technique with a total of 31 samples taken. Data analysis used the chi square test to determine the relationship between the independent variable, namely the level of knowledge, and the dependent variable, the incidence of pneumonia. The instrument used in this research was a questionnaire. The research was conducted at the Mangusada Badung Regional Hospital (RSD). The results of statistical tests showed that there was a relationship between the level of knowledge and the incidence of pneumonia, with a p value of 0,047. Advice for mothers who have toddlers is to increase their knowledge about pneumonia so that they can increase their ability to prevent their children from experiencing pneumonia.
Pengaruh Terapi Okupasi: Hasta Karya terhadap Harga Diri pada Pasien Skizofrenia Martini Puspita Yanti, Ni Made Yogi; Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3454

Abstract

Schizophrenia is a psychotic disorder that affects a person's ability to think, feel or behave properly. The negative symptoms that arise are low self-esteem problems where individuals always underestimate themselves and their abilities. Low self-esteem that continues can cause social interaction disorders, self-care deficits, anxiety disorders and non-compliance with treatment. One form of therapy to regain a person's self-confidence is through occupational therapy. The purpose of this study was to prove the effect of occupational therapy: hasta karya on self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024. This research method uses a one-group pre-post test design. The sampling technique is non-probability sampling with purposive sampling. The number of samples is 30 respondents. The research instrument uses the Rosenberg Self-Esteem Scale (RSES). The normality test uses the Shapiro-Wilk test. Hypothesis testing uses the Wilcoxon Signed Ranks Test. The results showed that before being given occupational therapy: hasta karya, 30 people (100,0%) had low self-esteem. After the intervention, 20 people (66,7%) had moderate self-esteem and 10 people (33,3%) had low self-esteem. After analysis, the p-value = 0,000 alpha (0,05) was obtained, meaning that there was an effect of providing occupational therapy intervention: handicrafts on low self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024, so it can be concluded that occupational therapy: handicrafts can increase self-esteem in schizophrenia patients.
Pengaruh Brain Gym Therapy terhadap Tingkat Depresi Pasien Diabetes Melitus Tipe 2 Wahyuliniya, Anak Agung Istri; Harini, I Gusti Ayu; Candra, I Wayan; Lestari, Agus Sri
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3257

Abstract

Diabetes melitus (DM) is a serious chronic disease. DM is a major cause of many diseases, such as blindness, heart disease, and kidney failure. The incidence of DM in Indonesia is 2.8%, and Bali Province is 1,33%. DM patients can experience depression due to the need for long-term treatment to avoid complications. The purpose of this study was to determine the effect of brain gym therapy on depression levels in patients with type 2 DM. Pre experimental research design with One-group pre-post test design. The research sample was DM patients who experienced depression. The sampling technique used was purposive sampling. This research instrument uses the beck depression inventory II questionnaire. The statistical test used is the Wilcoxon test. Measurement of depression levels in DM patients was  measured twice, namely before and after being given brain gym. The level of depression in research subjects before being given therapy in the moderate depression category, as many as 10 people (55,6%). The level of depression in the research subjects after being given therapy in the mild depression category, as many as 15 people (83,3%). Based on the results of the Wilcoxon test, the p value= 0,008 was obtained.  The p value 0,05 indicates that there is an effect of brain gym therapy on depression in DM patients. The conclusion of this study is that brain gym reduces the level of depression in patients with type 2 DM.
Hubungan Academic Burnout dengan Academic Procrastination pada Mahasiswa Yunalia, Endang Mei; Suharto, Idola Perdana Sulistyoning; Samudera, Wahyu Sukma; Radiah, Siti
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3084

Abstract

The high burden of students during lectures will usually be followed by a feeling of boredom and a lack of enthusiasm in learning or in completing assignments. This feeling felt by students is called academic burnout. Academic burnout that is felt by students can eventually lead to delays in completing assignments inlectures which is called academic procrastination. The purpose of this study is to examine the correlation between academic burnout and academic procrastination in college students. This research is a correlational analytic study with a cross sectional approach. The population in this study were students at one of the universities with a total research sample of 139 respondents who were selected using total sampling techniques. The results showed that almost half of the respondents with moderate academic burnout level had moderate academic procrastination, namely as many as 52 respondents (37,4%). Based on the results of statistical tests using the Spearman Rank test, the p value was 0,012, which means there is a relationship between academic burnout and academic procrastination in students. The strength of the relationship between academic burnout and academic procrastination in students is very weak, as evidenced by the correlation coefficient value of 0,212 with a positive relationship direction, namely the higher the level of academic burnout, the level of academic procrastination will also increase. Students should develop time management skills to complete course assignments. This is necessary to prevent academic burnout and academic procrastination.
Determinan Faktor Risiko Neuropati Perifer Diabetik terhadap Kelembaban Kulit Kaki pada Pasien DM Tipe II Gayatri, Ni Wayan Cening Setiari; Mertha, I Made; Suardana, I Ketut; Ngurah, I Gusti Ketut Gede
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3762

Abstract

Diabetic peripheral neuropathy is one of the chronic complications of DM which causes dysfunction of the peripheral nervous system, can occur in the autonomic nerves characterized by a decrease in foot skin moisture. This study aims to determine the determinants of diabetic peripheral neuropathy risk factors with foot skin moisture in type II DM patients The design of this research is non-experimental with a simple correlational method. The sample in this research is 35 respondents who were selected by consecutive sampling at the UPTD Puskesmas Ubud I. The results of the ordinal logistic regression statistical test obtained p-value of Model Fitting Information is 0,002 (p-value 0,05) and p-value Pseudo R-Square Negelkerke is 0,681, which means the risk factors of diabetic peripheral neuropathy (age, duration of diabetes mellitus, gender, transient blood glucose, total cholesterol, waist circumference, systolic blood pressure, and diastolic pressure) together have a significant effect of 68,1% with foot skin moisture. The p-value of the Wald test for gender, duration of DM, transient blood glucose, and blood pressure 0,05 so that it can be stated that each the four risk factors of diabetic peripheral neuropathy partially have a significant effect with foot skin moisture. The odds ratio for systolic blood pressure is 1,132, which means that the higher the systolic blood pressure, the 1,312 times will have problems with foot skin moisture. Based on this research, suggested that the puskesmas service unit conduct inspection activities for diabetic peripheral neuropathy risk factors at least every month.
Hubungan Pemenuhan Kebutuhan Spiritual dengan Tingkat Depresi pada Lansia Penderita Diabetes Melitus Aura Nhaha Putri Yasa, Putu Nanda; Mertha, I Made; Surasta, I Wayan; Wedri, Ni Made; Sukawana, I Wayan; Gede Ngurah, IGK
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.2907

Abstract

The aging of an elderly will cause various problems in terms of psychology, physical, social and spiritual. Mental disorders such as depression become one of the problems that occur in elderly with diabetes mellitus due to living conditions that are not as expected. Spirituality can be used as a source of coping when experiencing sadness, loneliness or loss. The purpose of this study is to find out The Relationship Fulfillment of Spiritual Needs with Depression Levels in the Elderly with Diabetes Mellitus at Working Area Puskesmas I Denpasar Selatan in Year 2023. This research uses a quantitative research design with a non- experimental research design with a cross sectional approach. Sample of 76 respondents wereobtained by purposive sampling approach. This research instrument uses DSES (Daily Spiritual Exercise Scale) and GDS (Geriatric Depression Scale). Data analysis using Spearman's Rho Test with the level pa = 0.05 and showed the result of p = 0,000 and the correlation coefficient r = 0,729 which means that there is a strong relationship (0,51 0,75) between the two variables. Results of the study, so it can be concluded that there is a relationship between fulfillment of spiritual needs with depression levels in the elderly with diabetes mellitus at Working Area Puskesmas 1 Denpasar Selatan in 2023. It is recommended that health and family services fulfill the spiritual needs of the elderly through religious activities, love from the family to reduce depression in the elderly.
Hubungan Perilaku Merokok Konvensional terhadap Saturasi Oksigen pada Pasien General Anestesi di Ruang Intra Anestesi Fatimah, Fatimah; Elfira, Yenni; Irwadi, Irwadi; Andriyan, Aric Frendi Andriyan; Suherlin, Nicen; Habibudin, Deka
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3330

Abstract

Smoking that causes pathophysiological changes in almost all parts of the lower respiratory tract including lung organs, inhaled cigarette smoke contains harmful chemicals that can damage the immune system of the respiratory tract so that it can cause disorders of the respiratory tract. Some respiratory system disorders such as airway obstruction, or conditions that can result in airway obstruction, airway infections, and other disorders that can inhibit gas exchange. To determine the relationship of smoking behavior to oxygen saturation in general anesthesia patients in the Intra-Anesthesia Room of Level III Hospital Reksodiwiryo Padang. The type of research is quantitative, with a sample size of 34 respondents using purposive sampling technique. Univariate data analysis is presented in the form of a frequency distribution and bivariate analysis using the chi-square test, data processing using the IBM SPSS version 25.0 computer program. The most age is 26-35 years, which is 17 people (50,0%), the most education is high school, which is 16 people (47,1%), the most jobs are traders, which is 10 people (29,4%), the most conventional smoking behavior is heavy smokers, which is 13 people (38,2%), the most oxygen saturation is abnormal, which is 23 people (67,6%), and there is a relationship between smoking behavior and oxygen saturation in general anesthesia patients in the Intra-Anesthesia Room of Level III Hospital, Reksodiwiryo Padang (p = 0,014). The most age is 26-35 years, the most education is high school, the most jobs are traders, the most conventional smoking behavior is heavy smokers, the most oxygen saturation is abnormal and there is a relationship between smoking behavior to oxygen saturation in general anesthesia patients in the Intra-Anesthesia Room of Level III Hospital Reksodiwiryo Padang
Terapi Pijat Punggung dengan Alat Pijat Kayu Kaki Tiga Menurunkan Tekanan Darah pada Lansia dengan Hipertensi Ayu Putri Laksmidewi, Ni Kade Mas; Mertha, I Made; Gede Ngurah, I Gusti Ketut
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3200

Abstract

Hypertension in the elderly is a degenerative disease caused by increased arterial pressure in accordance with age, aortic regurgitation, and the degenerative process that occurs in the body where persistent blood pressure increases with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Efforts that can be made as an alternative to non-pharmacological therapy, one of which is the provision of back massage therapy with a three-legged wooden massage tool. The purpose of this study was to determine the effect of giving back massage therapy with a three-legged wooden massage tool on blood pressure in the elderly with grade one hypertension. This type of research is pre-experimental with the design used one group pretest-posttest design using sampling techniques, namely non probability with purposive sampling. The number of samples used in this study were 16 elderly respondents with hypertension. The research was conducted in April 2023. The results showed that the average systole and diastol blood pressure before treatment was 158,94/92,81 mmHg with the average MAP calculation before treatment was 114,85 mmHg. The average systole and diastol blood pressure after treatment was 140,19/83,06 mmHg with an average MAP calculation after treatment of 102,10 mmHg. The results of statistical tests using paired t-test obtained a p value of 0,000 which stated that there was a significant difference in blood pressure before and after treatment. Based on this, it is recommended to the health service unit to make back massage therapy with a three-legged wooden massage tool as a non-pharmacological therapy in treating hypertensive patients, especially in the elderly group.
Kepuasan Pengguna Layanan Laboratorium Pendidikan Keperawatan Juniari, Ni Made; Suardani, Ni Luh Ketut
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3076

Abstract

Laboratories are supporting units in higher education institutions. Therefore, it needs to be supported by good laboratory management so that the implementation of activities can run optimally. The educational laboratory at the Denpasar Health Polytechnic Nursing Department serves more than 800 users every year. So it is deemed necessary to assess the satisfaction of users of laboratory services and find out what things are the priorities to be improved, to achieve optimal service. The purpose of this study is to determine the level of satisfaction with the service quality method and analysis of the importance of performance that needs to be improved to achieve a laboratory management system that can provide satisfactory service. This research is quantitative descriptive research. The number of samples in this study was 455 respondents. Data on user satisfaction of laboratory services was collected using a questionnaire. The analysis technique begins with an analysis of the gap between user perceptions and expectations, followed by an analysis with the Importance Performance Analysis (IPA) matrix. The research results show that the gap for all attributes is negative, which means that expectations are higher than perceived perceptions. The tangible dimension produces a gap of -0,55 and a service quality value of 0.89 from the division of perceptions with expectations so that it is lowest ranked  and is the dimension that has the biggest gap among all dimensions. The results of the IPA analysis show that there are still 6 attributes in quadrant I, so it is necessary to make improvements to these six attributes.
Gambaran Pelayanan Keperawatan Spiritual di Rumah Sakit Amal, A.Adriana; Hidayah, Nur; Rauf, Syamsiah
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3432

Abstract

Spirituality is one of the essential domains in nursing care, encompassing bio-psycho-social-spiritual aspects. The implementation of spiritual nursing care can support the patient healing process but is often overlooked. This study aims to evaluate the implementation of spiritual nursing care in hospital. This research is a descriptive quantitative study involving 85 nurses selected through cluster random sampling. Data were collected using a questionnaire instrument to measure spiritual nursing care at the hospital, namely the Nurse Spiritual Care Therapeutic tool. The collected data were then analyzed descriptively to provide an overview of the implementation of spiritual nursing care at Ibnu Sina Hospital Makassar. The results showed that 49,4% of respondents reported that spiritual nursing care had been implemented well. The support and counseling domain had the highest mean score of 3,56, followed by the assessment and implementation domain at 3,51. The spiritual referral domain had a mean score of 3.31, while the communication domain was the lowest, with a mean score of 3,28. Although spiritual nursing care at Ibnu Sina Hospital Makassar has been implemented, it is not yet optimal. The support and counseling domain performed well, but communication requires further improvement to enhance the overall success of spiritual nursing care. Training and improving nurses' communication competencies are crucial for providing more effective and comprehensive care to patients.

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