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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
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Articles 255 Documents
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Pengaruh Brisk Walking Exercise terhadap Daya Tahan Kardiorespirasi pada Penderita Hipertensi Yuni Lestari, Ni Kadek; Intan Saraswati, 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.v17i2.3770

Abstract

Low cardiorespiratory endurance in young adults is associated with the development of cardiovascular disease risk factors in middle age. Training cardiovascular endurance and producing good endurance means that a person will not easily experience an increase in blood pressure because his fitness has been trained. Brisk Walking Exercise is a technique of fast walking for 30 minutes at a speed of 4-6 km/h. This exercise is quite effective for improving maximum heart rate capacity, stimulating muscle contraction, glycogen breakdown, and increased tissue oxygen. The purpose of this research is to determine the effect of brisk walking exercise on cardiorespiratory endurance in patients with hypertension. The research design is a pretest-posttest nonequivalent control group design. The analyses used are the wilcoxon test and the mann-whitney test. The research results obtained based on the wilcoxon test showed a p-value of 0,000 (0,05) in the treatment group, which indicates a significant difference in VO2 max values before and after the brisk walking exercise intervention. Meanwhile, the control group had a p-value of 0,011 which means there is no significant difference in VO2max values between the first measurement and the second measurement. Based on the Mann-Whitney test, the p-value 0,000 (0,05), which means there is an influence of brisk walking exercise on cardiorespiratory endurance (VO2max) in patients with hypertension. Brisk walking exercise can be an alternative complementary therapy that can increase cardiopulmonary functional capacity (VO2max) in hypertension sufferers. 
Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita Pradnyawati, I Gusti Ayu Mirah; Sipahutar, Ida Erni; Sulisnadewi, Ni Luh Kompyang
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.v16i2.3080

Abstract

Stunting is a condition of toddlers who experience growth failure due to chronic malnutrition, toddlers become short for their age. One of the risk factors for stunting is the lack of nutritional intake of toddlers, including exclusive breastfeeding. Exclusive breastfeeding can help prevent stunting. The purpose of the study was to determine the relationship between exclusive breastfeeding and the incidence of stunting in toddlers in Tista Village, the working area of the Abang I Karangasem Health Center in 2023. The type of research used in this study was non-experimental with a correlational research design and cross sectionalapproach using non-probability sampling with purposive sampling technique. The sample size was 128 respondents. Data collection using exclusive breastfeeding questionnaires and anthropometry. The results showed that most mothers who had toddlers in Tista Village had exclusive breastfeeding as much as 85.2%. Most of the toddlers in Tista Village were with normal nutritional status 71.9%, followed by short nutritional status 19.5%, and very short nutritional status 8.6%. Hypothesis testing using the contingency coefficient test with a value of p=0.000 (?=0.05) and a value of r=0.439, it was concluded that there was a relationship between exclusive breastfeeding and the incidence of stunting in toddlers in Tista Village, the working area of the Abang I Karangasem Health Center in 2023. It is expected that mothers need to get health education about stunting, the importance of exclusive breastfeeding, and other factors that are at risk of stunting.
Pengaruh Guided Imagery terhadap Tingkat Depresi pada Pasien Diabetes Melitus Patrayana, I Made Tantri; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Ari Kresna Dewi, Ni Luh Gede
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.v17i1.3277

Abstract

Diabetes melitus is a dangerous health problem and is still listed as a cause of death in the world. Patients with diabetes melitus are at high risk of experiencing depression and ultimately worsening self-care. Therefore psychological treatment is carried out, one of which is guided imagery.The purpose of this study was to determine the effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023. This study used a pre-experimental  method with a one-group pre-post test design. The sampling technique used non-probability purposive sampling with a sample of 32 people. The research instrument used the Beck Depression Inventory-II (BDI-II).Data analysis technique using the wilcoxon signed rank test. The results showed that the level of depression in patients with diabetes melitus before being given guided imagery, most of the patients experienced moderate depression, 17 people (53,1%) then the level of depression in patients with diabetes melitus after being given guided imagery showed that most patients with diabetes melitus experienced mild depression, numbering 24 people (75.0%). After being analyzed, the results obtained were p-value = 0.003 (p 0.050). The conclusion of this study is that there is a significant effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023.
Gambaran Profil Lipid Pasien Diabetes Melitus Tipe 2 Oka Kusuma Jaya, I Gede; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made
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.v17i1.2844

Abstract

The prevalence of diabetes mellitus (DM) continues to increase and is even predicted to continue to increase, as does Indonesia, which is currently the country with the highest prevalence of DM in Southeast Asia. The most common type of DM currently is type 2 DM, the majority of which is caused by an unhealthy lifestyle, causing insulin resistance. Apart from causing diabetes, insulin resistance also causes dyslipidemia and is one of the most important factors in the occurrence of atherosclerosis which has an impact on the emergence of diabetic ulcers. This study aimed to determine the lipid profile in patients with type 2 diabetes mellitus. The research design used was descriptive with an observational approach. The variable observed in this study was the lipid profile in type 2 DM patients. The sampling technique used was simple random sampling with a sample size of 47 people. The instrument used is a documentation sheet. The research was conducted at the Klungkung Regional General Hospital (RSUD). The data collected was analyzed using descriptive statistics, and the data was then presented in a table. The results of the study showed that the total cholesterol value in type 2 diabetes mellitus sufferers with total cholesterol values above 200 mg/dL was 26,4%, and the LDL value in type 2 diabetes mellitus sufferers with values above 100 mg/dL was 26,3%. The HDL value in type 2 diabetes mellitus sufferers with a value of less than 40 is 13,0%, and the triglyceride value in type 2 diabetes mellitus sufferers with a value of more than 150 mg/dL is 26,1%. Most respondents have a good lipid profile, but there are still respondents whose lipid profile is not within the normal range and are at risk of developing diabetic ulcers.
Gambaran Perilaku 5M Plus Masyarakat dalam Pencegahan Demam Berdarah Dengue Febri Diana Putri, Ni Putu; Achjar, Komang Ayu Henny; Gama, I Ketut; Sudiantara, Ketut; Suardana, I Wayan
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.v16i2.2439

Abstract

Factor related to the incidence of dengue hemorrhagic fever or DHF include behavioural factors, which consist of knowledge, attitudes and actions. This study aims to show the Description of 5M Plus behavior of the community in preventing Dengue Hemorrhagic Fever in Gelgel Village, Klungkung Regency in 2022. The type of research used is descriptive. The population in this study was 90 people. The number of samples based on the inclusion and exclusion criteria used in this study were 47 people. The research was conducted in April 2022. Data collection using questionnaire method which includes knowledge, attitudes, and skills, each with 5 questions.The age level shows that most of them have an age of 18-25 yearsas many as 27 people (57.4%), women as a characteristic based on gender were 32 people (68.1%). There are 19 of students (40.4%), and education degree high school student as many as 43 people (91.5%). The description of the respondent's behavior based on the knowledge of the majority is good as many as 43 people (91.5%), attitudes of 30 people (63.8%), and skills of 19 people (40.4%). Based on the results of research that includes the behavior of preventing dengue with 5M plus the average is good. However, there is still something which not good enough, namely the skills of the community at the age of 18-25 years as many as 11 people (23.4%). The results of the study can be used as input to increase knowledge and reference about the description of community behaviour regarding 5M plus in the prevention of dengue hemorrhagic fever in Gelgel Village, Klungkung Regency in 2022.
Gambaran Deteksi Dini Diabetes Melitus Tipe 2 pada Agregat Dewasa Devina Jenamo, Ida Ayu; Achjar, Komang Ayu Henny; Gama, I Ketut; Lestari, Agus Sri; Ngurah, I Gusti Ketut; 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.v17i2.3259

Abstract

Early adulthood is a continuation of youth, so the identity of early adulthood is not much different from youth. Type 2 diabetes mellitus is a metabolic disorder characterized by elevated blood sugar due to decreased insulin secretion. In addition to diabetes mellitus, this disease is a global health problem that is the leading cause of death and a major contributor to the high morbidity rate in Indonesia. Urbanization leading to lifestyle changes, and migration from rural to urban areas are two environments hypothesized to increase the incidence of type 2 DM. Type 2 diabetes will start as a result of obesity. The purpose of this study was to determine how the overview of early detection of non-communicable diseases in adults. The research design is descriptive research. The population of this study was 124 people with a sample of 95 people taken with non-probability sampling technique, namely purposive sampling. Data collection instruments in this study used a glucometer to measure blood sugar during. Research results 95 respondents obtained early detection of diabetes mellitus in adults in Banjar dinas Taman Griya Jimbaran Environment with a normal majority of 60 people (63,2%), high as many as 20 people (21,1%) and low as many as 15 people (15,8%). Suggestions are expected that respondents will continue to emphasize healthy living and avoid fast food to combat diabetes mellitus.
Hubungan Dukungan Keluarga terhadap Kualitas Hidup Pasien Penyakit Kronis yang Mendapatkan Perawatan Paliatif Romadhonia, Hanan Nofiana; Hudiyawati, Dian
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4840

Abstract

Family support plays an important role in helping chronic disease patients who receive palliative care. Family support can reduce symptoms and improve the quality of life of patients because it can create a sense of security, comfort, motivation, and help meet physical and emotional needs during treatment. This study aims to determine the relationship between family support and the quality of life of chronic disease patients undergoing palliative care at Dr. Moewardi Hospital. The study design used a descriptive correlative method with a cross-sectional approach. The study sample consisted of 137 respondents selected using a purposive sampling technique. The variables in this study included the independent variable, namely family support, while the dependent variable was quality of life. The instruments used were the Family Support Scale (FSS) questionnaire to measure family support and the WHOQOL-BREF questionnaire to assess quality of life. Data analysis used the Spearman's Rho test. The results showed that the majority of elderly respondents aged 60-90 years old, female, received good family support (58 respondents (42,3%), and the majority had a high quality of life (87 respondents (63,5%). The results of the analysis test showed that there was a positive and very strong relationship between family support and quality of life with a value of p = 0,001 and r = 0,853. The conclusion obtained in this study is that there is a relationship between family support and quality of life in chronic disease patients who receive palliative care.
Hubungan Dukungan Suami dengan Pencegahan Sekunder Kanker Serviks pada Wanita Usia Subur Wipradnyani, Ni Made Shinta; Surinati, I Dewa Ayu Ketut; Hartati, Ni Nyoman; Runiari, Nengah; Suratiah, Suratiah; Suardani, Ni Luh Ketut; Labir, I Ketut; Sipahutar, Ida Erni
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4905

Abstract

Cervical cancer is one of the diseases that often affects women. Efforts can be made to prevent cervical cancer through secondary prevention, either by IVA examination or Pap smear. Secondary prevention is influenced by the support of husbands, as they play an important role in encouraging women to undergo secondary prevention for cervical cancer. This study aims to determine the relationship between husband support and secondary prevention of cervical cancer. The research design used was an analytical correlation with a cross-sectional approach. The research sample consisted of 130 women of childbearing age, and the research instrument was a questionnaire on spousal support, which included emotional support, instrumental support, informational support, and evaluative support, with a validity test result of 0,601 0,361. This study used consecutive sampling. The type of data used was primary data. The results showed that 63,9% of women of childbearing age received high levels of support from their husbands, and 48,5% of women of childbearing age had undergone secondary prevention of cervical cancer. The chi-square test results obtained a p-value = 0,000 (p0,05) and a correlation value using Cramer's V with a value of 0,73, which means that spousal support has a strong correlation with secondary prevention of cervical cancer in WUS. The conclusion of this study is that there is a relationship between spousal support and secondary prevention of cervical cancer among women of childbearing age at the UPTD Puskesmas Kediri II Tabanan. To facilitate secondary prevention of cervical cancer, the researchers recommend conducting educational programs on the importance of undergoing examinations.
Pengaruh Pendidikan Kesehatan dengan Media Video Animasi terhadap Pengetahuan dan Sikap Siswa tentang Bullying Kamal, Fitri Amelia; Estria, Suci Ratna; Etlidawati, Etlidawati; Riyaningrum, Wahyu
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4717

Abstract

Bullying remains a serious problem in elementary schools and has a negative impact on students’ psychological health as well as their social relationships. Low levels of knowledge and response toward this behavior contribute to its high incidence. This study targeted fifth- and sixth-grade students at MI Muhammadiyah Dukuhturi, Bumiayu, Brebes, because at this age social interactions become increasingly complex, heightening the risk of both perpetrating and experiencing bullying. Effective prevention requires engaging and easily understood education, one of which is health education delivered through animated video that conveys information interactively. This research employed a quantitative pre-experimental design with a one group pretest–posttest approach. The entire population of 40 students was included as the sample using a total sampling technique because the population size was relatively small and the researchers aimed to obtain a comprehensive picture without inaccuracy from selecting only part of the respondents. The research instrument consisted of a knowledge and attitude questionnaire, while the intervention was carried out by screening an educational animated video of approximately four minutes’ duration, presented once in a scheduled session during a single learning activity. Data analyzed with a paired t-test showed an increase in mean knowledge scores from 29.65 to 35.62 and in attitude scores from 57,97 to 89,05, both with p = 0,0001 (p 0,05). These findings confirm that health education using animated video is effective in improving students’ knowledge and fostering positive attitudes toward bullying, making it a suitable and interactive educational method for bullying prevention in elementary schools. In line with these findings, the purpose of this study was to determine the effect of health education using animated video media on students’ knowledge and attitudes about bullying at MI Muhammadiyah Dukuhturi, Bumiayu.
Pengaruh Pemberian Terapi Kompres Dingin terhadap Penurunan Skala Nyeri pada Pasien Post Episiotomi Puspitasari, RA Helda; Handayani, Dwining; Nastiti, Ayu Dewi; Umam, Esa Rosyida; Laily, Nurul Fahmi Rizka; Nafi'a, Abidatun; Jannah, Miftahul
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4136

Abstract

Normal childbirth is a physiological process that can cause pressure on the perineal tissue, so that episiotomy is often required to prevent more severe tears, episiotomy can also cause pain that interferes with the comfort and recovery process of the mother. Pain due to episiotomy if not handled properly can inhibit early mobilization, prolong healing time, reduce sleep quality, and affect the bond between mother and baby. This study aims to determine the effect of cold compresses in reducing the pain scale in post-episiotomy mothers. This study used a pre-experimental design with a one-group pre-posttest design approach, this study was conducted at the Sahara inpatient primary clinic in Pasuruan City, the population in this study were all mothers who had normal deliveries and underwent episiotomy, with a sample size of n=20 responden. The inclusion criteria in this study were postpartum mothers on day 1 to day 3 who experienced pain due to episiotomy, were willing to participate in the intervention, and had no contraindications to cold therapy. Pain measurements were carried out using the Numeric Rating Scale (NRS) and were measured before and after the intervention. Data analysis using a chi-square test showed a p-value of 0,011 (p0,05) indicating a significant difference between before and after the intervention. These findings demonstrate that cold compresses effectively reduce post-episiotomy pain in mothers. This intervention can be a safe, easy-to-implement, and beneficial non-pharmacological therapy alternative in accelerating the recovery process and improving the quality of life of postpartum mothers.

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