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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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Pertumbuhan dan Perkembangan Anak Usia 6-24 Bulan Diana Wati, Ni Luh Gede; Rismawan, Made; Sriasih, Ni Kadek
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.v17i2.3519

Abstract

Stunting is one of the problems due to inadequate supervision of growth and development in children; thus, it is necessary to supervise children regularly and appropriately in order to reduce the incidence of stunting. Early detection of growth and development is important in determining a child's growth and development, both in spirit, attitude, and actions. If stunting prevention is not carried out through early detection of growth and development in children, the child's growth and development can be disrupted. The aim of this research is to describe the growth and development of children aged 6-24 months in the working area of Public Health Center I West Denpasar. This study employed descriptive design with cross-sectional approach. The study was carried out in the working area of Public Health Center I West Denpasar in April 2024. There were 224 respondents recruited as the sample through purposive sampling technique. The data were collected using observation sheets and Development Pre-Screening Questionnaire. This study used descriptive data analysis based on frequency and percentage results. Moreover, this study has been ethically approved by the ITEKES Bali ethics commission.The findings showed that the growth of children was majorly in the good category with 195 respondents (87,1%). Furthermore, the development of the children was majorly in the good category with 219 respondents (97,8%). The growth and development of respondents are majorly in the good category. Thus, monitoring children's growth and development needs to be carried out periodically. 
Pengaruh Self-Hypnosis Therapy with Positive Self-Talk terhadap Tingkat Stres pada Pasien Diabetes Melitus Chandranita Shailendra, Sagung; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
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.v16i2.2892

Abstract

Diabetes mellitus is a major health problem that has reached an alarming level and endangers health. Patients with diabetes mellitus experience various physiological and psychological problems, one of which is stress. The stress condition of diabetes mellitus patients that is not treated can worsen their condition so that stress management is needed, self-hypnosis therapy with positive self-talk. The purpose of this study was to determine the effect of self-hypnosis therapy with positive self-talk on the stress level of diabetes mellitus patients in the Working Area of Puskesmas II West Denpasar in 2023. This type of pre-experimental research was with a one-group pre-post test design. The sampling technique used purposive sampling with a total of 30 research subjects. The research instrument uses the Perceived StressScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels in diabetic mellitus patientsScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels indiabetic mellitus patients.
Pemberian Senam Kaki Menggunakan Bola Tennis Lebih Efektif Dibandingkan Menggunakan Koran Dalam Meningkatkan Sensitivitas Kaki Pasien DM Oktapiani, Ni Made Tari; Suardana, I Ketut; Surasta, I Wayan; Erawati, Ni Luh Putu 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.v17i1.3345

Abstract

Diabetes Melitus is chronic disease caused by the pancreas not producing enough insulin. Lack of physical exercise for people with Diabetes Melitus can cause  various problems in the feet, namely neuropathy. Peripheral neuropathy is characterized by decreased sensitivity in the legs caused by disruption of peripheral circulation. The purpose of this study is to determine the difference of foot sensitivity in patient with  Diabetes Melitus between combination of diabetic foot gymnastics using newspapers and ROM compared with combination of diabetic foot gymnastics using tennis balls and ROM in the work area of Public Health Centre Karangasem II. This study used Quasi Experiment with Nonequivalent Control group Design with purposive sampling method from 20 respondents. The assessment instrument uses a foot protective sensation score measured using Monofilament. Foot gymnastics was done 3 times a week within 3 weeks. Data were analyzed by Paired t-test and Independent t-test with ɑ = 0,05. The results showed that the average foot sensitivity of type 2 diabetes melitus patients given a combination of foot gymnastics using tennis ball media and ROM before and after the intervention was 14,5 and 15,0 with p value = 0,015 ( ɑ=0,05), in the control group, gymnastics with tennis balls and ROM obtained an average of 15,1 and 17,4 with p value = 0,001 ( ɑ=0,05). The independent test shown p value of 0,023 ( ɑ=0,05).  It concluded that there were significant differences between the control group and the intervention group. It is expected that a combination of foot gymnastics using tennis ball and ROM will be held in health care institutions in handling patients with Diabetes Melitus.
Exploring Mothers Experiences on Complementary Feeding Practices Regarding Stunting Prevention Tambunan, Evelyn Hemme
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.v16i2.3117

Abstract

Complementary feeding is a significant milestone to promote childs healthy growth and development and prevent chronic malnutrition such as stunting. The aim of this study is to explore the mothers experience about complementary feeding practice regarding stunting prevention with children aged less than two years in Indonesia. A descriptive qualitative study was conducted from January to April 2023. This study was approved by Institutional Review Board (IRB) FIK UNAI. 22 mothers of children of 6-24 months of age were recruited by purposive technique form the mother who live in Cihanjuang Rahayu Village. Descriptive statistics were used to analyze the mothers demographic characteristics and thematic analysis was used to describe mothers experience about complementary feeding practices regarding stunting prevention. The study showed that the average age of the mothers was 24,40 (SD = 3,38) years, level education varied from elementary to senior high school. Through the findings, three main themes have been identified including knowledge of mothers regarding complementary feeding for stunting prevention. Mothers current practice of providing complementary feeding and challenges in providing complementary feeding practices regarding stunting prevention. Findings from the study may provide information for the nurses in increasing the rate of complementary feeding practice to prevent stunting among mothers of children in Indonesia. Future study is needed to identify the factors influencing complementary feeding among the mothers of 6 - 24 months old children in Indonesia.
Digitalisasi Pengisian Logbook Penggunaan Alat pada Laboratorium Keperawatan Suardani, Ni Luh Ketut; Ari Kresna Dewi, Ni Luh 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.v17i2.3822

Abstract

Recording the use of laboratory equipment is done in a logbook or daily log. Logbook is an important document for laboratory managers in managing the improvement of laboratory service quality. The use of logbooks has not been optimal, where recording is still done using conventional methods that are done manually. Filling in the logbook manually causes data on equipment usage to be untraceable, inaccurate and incomplete. Making an application in digital form will facilitate access to equipment data collection. The purpose of this study was to determine the level of feasibility (usability) of filling in the logbook in the form of a QR Code on the use of laboratory equipment in the Nursing Department of  Poltekkes Denpasar. The type of research used is quantitative descriptive with a cross-sectional design. The number of samples for the trial of the digital logbook filling application was 60 people. The sampling technique used the stratified random sampling technique. The data collection instrument used the System Usability Scale (SUS) questionnaire. Data analysis was carried out by calculating the average SUS score. The results of the study showed an average score of 71,08, with the level of acceptance of the QR Code application categorized as "acceptable" with a grade scale in category C, adjective ratings "good". The conclusion is that in terms of usability, the QR Code can be accepted and used by its users and is feasible to be applied to the laboratory equipment usage recording system. Suggestions for support from policy makers to further improve logbook performance with a digitalization system.
Hubungan antara Kualitas Tidur dan Tekanan Darah Lansia Jannah, Raudatul; Riskawati, Heni Marlina; Salfarina, Anna Layla
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.v16i2.3092

Abstract

The process of declining health in elderly people results in reduced effectiveness of sleep time, so that adequate sleep quality is difficult to achieve, causing various sleep problems to arise. When someone experiences sleep disturbances, their blood pressure will increase, putting them at risk of developing hypertension. The aim of this research is to determine the relationship between sleep quality and blood pressure in the elderly at Posbindu Mambalan, Mambalan Village, Gunung Sari District. This research is a type of quantitative research witha cross sectional approach. The sample in this study was all elderly people who actively participated in Posbindu activities in Mambalan Village, totaling 27 elderly people. The sampling technique used was total sampling. The instrumentsin this study used PSQI (Pittsburgh Sleep Quality Index) and aneroid blood pressure monitor and stethoscope. Data analysis uses the Chi-Square Test. The results of the study showed that the majority of elderly people had poor sleep quality, 20 elderly people (74.1%), blood pressure with grade 1 hypertension, 10 elderly people (40.7%). Bivariate analysis showed a p-value of 0.013 0.05, which means there is a significant relationship between sleep quality and blood pressure in the elderly. The conclusion in this study is that there is a relationship between sleep quality and increased blood pressure in the elderly, the worse the sleep quality, the higher the risk of increasing blood pressure. It is hoped that seniors can improve their sleep quality by maintaining their eating and drinking patterns and scheduling their sleeping hours.
Investigasi Kualitas Hidup Pasien Hemodialisa Berdasarkan Aspek Dukungan Keluarga Haiya, Nutrisia Nu'im; Ardian, Iwan; Azizah, Intan Rismatul; Marfu'ah, Siti
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.v17i1.3310

Abstract

Patients with end-stage kidney disease require hemodialysis, which is a replacement for kidney function. Continuous hemodialysis therapy has a psychological impact and an impact on quality of life. Changes in the quality of life of hemodialysis patients are influenced by many factors, one of which is family support. Family support is needed in holistic nursing services so that patients remain motivated and maintain their physical and psychological condition, even though they are dependent on hemodialysis therapy. This study aimed to obtain an overview of the quality of life of hemodialysis patients based on aspects of family support. The research design was cross-sectional with a total sampling technique of 41 respondents. The inclusion criteria were hemodialysis patients who had undergone hemodialysis 3 times, a family waiting for them, and those who experienced decreased consciousness. The variables measured were family support and quality of life using the WHOQOL-BREF (WHO Quality of Life Breef) questionnaire instrument, analyzed using the gamma test. The majority of hemodialysis patients were men (65,9%) aged 45-55 years or early elderly (36,6%) working in the private sector (26,8%) with a hemodialysis duration of 1–3 years (73,2%) with a program 2 times per week (97.6%), accompanied by chronic illness (65,9%), and living with husband or wife (68,3%). Family support had a significant effect on the quality of life of hemodialysis patients (p= 0,012 and r =1,000, respectively). The better the family support, the better the quality of life of hemodialysis patients.
Hubungan Pola Asuh Orang Tua dengan Tingkat Perkembangan Anak TK Usia 4-6 Tahun Anjani, Ida Ayu Ketut; Sipahutar, Ida Erni; Yunianti Suntari Cakera, Ni Luh Putu
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.v17i1.3254

Abstract

Developmental disorders are currently a global health problem. The state of increasing population every year shows that delays in child development will also continue to increase. The purpose of the research is to find out about parenting styles of parents with the level of child development. This type of research is quantitative which is correlational and the research design uses a cross sectional approach. The total sample was 127 people using the probability sampling method, namely the proportional stratified random sampling technique. The sample was determined based on inclusion criteria, namely parents and their children who attended the Pusat PAUD Werdhi Kumara and exclusion criteria, namely parents and children who were present but could not participate as respondents. Data collection used parenting style questionnaires and developmental pre-screening questionnaires. The results showed that the parenting style of the majority was democratic (61,4%), and the majority of children had appropriate development (85%). Test the hypothesis using chi square with asymp values. Sig (2-sided). The results of the chi square test of parenting style and child development showed a significance value of 0,467 or a p value 0,05, which means that there is no relationship between parenting style and child development. Based on a comparison of the calculated chi square value with the chi square table, the results obtained are 3,569 9,488. In conclusion, there is no relationship between parenting style and the level of development of kindergarten children aged 4-6 years at Kindergarten Pusat PAUD Werdhi Kumara Denpasar Selatan Year 2023. For future researchers, it is hoped that they can conduct further research on other factors that can provide the right stimulus at the developmental stage of preschool-aged children.
Senam Tera Berpengaruh terhadap Tekanan Darah pada Lansia dengan Hipertensi Setiawati, Si Ayu Rai; Lestari, Agus Sri; Gama, Ketut; Suardana, Ketut; Harini, I Gusti Ayu
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.v16i2.3087

Abstract

The decline in physical condition in the elderly causes limited movement so that the elasticity of blood vessels becomes reduced. This condition becomes a predisposing factor of hypertension. This study aims to determine the effect of tera gymnastics on blood pressure in the elderly with hypertension in the working area of Puskesmas II West Denpasar in 2023. This type of research is quasi-experimental designs using a one-group pretest-posttest design. The number of samples was 36people using a non-probability sampling technique, namely purposive sampling. This study was conducted for 2 weeks with 6 interventions. Blood pressure measurement was done before the intervention was given then did a tera gymnasticsintervention for 30 minutes and blood pressure measurement was done again after 6 interventions. Data was analyzed by paired t-test. The results of the study found that the average systolic blood pressure before the intervention was 155.89 mmHg and diastolic was 98.14 mmHg. The mean systolic blood pressure after the intervention was 134.42 mmHg and diastolic was 90.67 mmHg. . The results of the statistical test obtained a p-value of 0.001 (p-value 0.05) so that it can be concluded that there is an effect of tera gymnastics on blood pressure in the elderly with hypertension in the work area of Puskesmas II West Denpasar in 2023. It is recommended that tera gymnastics be carried out regularly at least 3 times a week and used as a non-pharmacological therapy to lower blood pressure in hypertensive elderly in the work area of Puskesmas II West Denpasar.
Hubungan Beban dengan Kualitas Hidup Caregiver dalam Merawat Anak Berkebutuhan Khusus Wulan Krisnandari, A. A. Istri; Sri Rahyanti, Ni Made; Sriasih, Ni Kadek
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.v17i2.3835

Abstract

Caregivers (parents) often experience the burden of caring for children with special needs. This burden can affect the quality of life of parents. The aim of this research is to determine the relationship between burden and the quality of life of caregivers (parents) in caring for children with special needs. This research uses a correlative descriptive research design with a cross-sectional approach. This research uses a purposive sampling method, the number of samples in this study was 97 people, with inclusion criterias: parents of children with special needs who were registered as active students at SLB Negeri 1 and SLB Negeri 3 Denpasar, willing to take part in the research and sign the research consent form. Data collection was carried out using the Zarit Burden Interview (ZBI) and WHO Quality of Life–BREF questionnaires. Data were analyzed using descriptive tests and Spearman-Rho analysis. The research results showed that the majority of caregivers had a burden in the little/no burden category (51,5%) and a quality of life in the moderate quality of life category (54,6%). Regarding the relationship between burden and quality of life of caregivers in caring for children with special needs, with a significance value of 0,125 (p-value 0,05), this shows that there is no significant relationship between these two variables.  The conclusion obtained in this research is that there is a relationship between burden and the quality of life of caregivers in caring for children with special needs at SLB Negeri 1 and SLB Negeri 3 Denpasar. 

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