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HOME BASED EXERCISE TRAINING (HBET) DAPAT MENINGKATKAN KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG Ni Kadek Yuni Lestari
Sport and Fitness Journal Vol 8 No 2 (2020): Volume 8, No. 2, Mei 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.69 KB) | DOI: 10.24843/spj.2020.v08.i02.p07

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Pendahuluan: Latihan fisik untuk meningkatkan kapasitas fungsional pada penderita gagal jantung masih belum mendapatkan perhatian khusus dari petugas kesehatan. Kapasitas fungsional yang menurun berdampak pada penurunan kemampuan pasien dalam melakukan aktivitas sehari-hari. Tujuan penelitian : menganalisis peningkatan kapasitas fungsional setelah diberikan home based exercise training pada pasien gagal jantung. Metode: desain penelitian pra-eksperimen yaitu one group pretest-posttest design. Teknik sampling yang digunakan adalah purposive sampling, didapatkan 10 responden. Peneliti menggunakan teknik 6MWT untuk mengumpulkan data kapasitas fungsional. Hasil : analisa data dilakukan dengan menggunakan uji paired t test. Hasil analisa dapat diperoleh nilai p = 0,001 (?=0,05). Berdasarkan hasil penelitian menunjukkan kapasitas fungsional sebelum diberikan latihan adalah 245m dan setelah perlakuan sebesar 255 m. Diskusi: latihan fisik secara bertahap menyebabkan peningkatan daya pompa ventrikel sehingga terjadi peningkatan kapasitas fungsional. HBET dapat digunakan sebagai terapi modalitas keperawatan untuk meningkatkan kapasitas fungsional pasien gagal jantung setelah perawatan di rumah sakit.
Family Psychoeducation Increases the Role of Families in Caring for People with Mental Disorders Desak Made Ari Dwi Jayanti; Ni Kadek Yuni Lestari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 4 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).315-321

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Family psychoeducation is a family therapy that combines clinical interventions to increase family understanding in order to improve the health of people with mental disorders. The purpose of this study was to determine the effect of family psychoeducation on the role of the family caring for people with mental disorders. This study used a Quasi Experiment design: pre-test and post-test Control Group Design. The sample was taken by using purposive sampling. The sample was 20 people in the control group and 20 people in the treatment group. The analysis test used was the Wilcoxon sign test (intra-group) and the Mann Whitney (inter-group) test. The  intra-group analysis test in the pre and post-test for the control group obtained p value = 0.517 which means there is no difference, while the treatment group obtained p value = 0.004 which means there is a difference. Inter-group analysis test of the treatment group and the control group obtained p value = 0.008, which means that there is an effect of family psychoeducation on the role of families in caring for people with mental disorders. Family psychoeducation can be applied to families with mentally disorders people.
Hubungan Tingkat Stres Dengan Kualitas Tidur Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Ni Luh Gede Intan Saraswati; Ni Kadek Yuni Lestari; Kadek Aristiani Putri
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 Mei 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (789.374 KB) | DOI: 10.33024/mnj.v4i5.6598

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ABSTRACT Chronic Kidney Disease (CKD) is a problem health in the global community with increasing prevalence and incidence. The incidence of CKD patients on hemodialysis is increasing in the world and in Indonesia. Hemodialysis therapy is able to maintain the patient's life, but it has a negative effect on sleep. Poor sleep quality in patients with CKD can have a negative effect on the health status and quality of life of patients. Patients on hemodialysis have more experience with stress. Increased levels of stress, anxiety, depression, and worries also with the emergence of sleep problems in patients with chronic disease. The purpose of this study was to determine the relationship between stress levels and sleep quality in chronic kidney disease patients on hemodialysis. This study used a descriptive correlation method with a cross-sectional design, using a purposive sampling technique with a sample of 47 people. The bivariate analysis test showed that p-value is 0.002 (α<0.05), which means there is a relationship between stress levels and sleep quality in patients with chronic kidney disease on hemodialysis. Stress levels are related to sleep quality with a moderate correlation which indicates that one of the things that can affect sleep is the patient's stress level. Keywords: Stress level, sleep quality, hemodialysis ABSTRAK Gagal Ginjal Kronik merupakan masalah kesehatan pada masyarakat global dengan prevalensi dan insiden yang meningkat. Insiden pada pasien gagal ginjal yang menjalani hemodialisa rutin meningkat di dunia dan di Indonesia. Terapi hemodialysis mampu mempertahankan kehidupan penderita, namun disisi lain hemodialysis memberikan efek negative pada tidur. Kualitas tidur yang buruk pada pasien gagal ginjal kronis dapat berefek negatif pada status kesehatan dan kualitas hidup pasien. Pasien dengan hemodialisis cenderung mengalami stress. Peningkatan stres, kecemasan, depresi, dan rasa khawatir juga dihubungkan dengan munculnya masalah tidur pada pasien gagal ginjal kronis. Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat stress terhadap kualitas tidur pada pasien gagal ginjal kronik yang menjalani hemodialisis. Penelitian ini menggunakan metode deskriptif korelasional dengan rancangan yang digunakan adalah rancangan cross-sectional, menggunakan teknik sampling purposive sampling dengan jumlah sampel 47 orang. Analisis data yang dipergunakan adalah uji rank spearman.  Hasil uji analisis bivariate menunjukkan nilai p value 0.002 (α<0.05) yang berarti ada hubungan antara tingkat stress dan kualitas tidur pada pasien gagal ginjal kronis dengan hemodialysis. Tingkat stres berhubungan dengan kualitas tidur dengan korelasi sedang yang menunjukkan bahwa salah satu hal yang dapat mempengaruhi tidur adalah tingkat stres yang dimiliki oleh pasien. Kata Kunci: Tingkat Stres, Kualitas Tidur, Hemodialisis
PEMBERDAYAAN PKK DALAM PENGENALAN TOGA SEBAGAI UPAYA PENINGKATAN IMUNITAS DI ERA PANDEMI COVID-19 Ni Kadek Yuni Lestari; Ni Made Nopita Wati; Desak Made Ari Dwi Jayanti; Ni Luh Putu Thrisna Dewi; I Nyoman Sudarma
Aptekmas Jurnal Pengabdian pada Masyarakat Vol 5 No 1 (2022): APTEKMAS Volume 5 Nomor 1 2022
Publisher : Politeknik Negeri Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (507.522 KB) | DOI: 10.36257/apts.v5i1.4180

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The global COVID-19 pandemic has been going on for more than a year but has not shown a decrease in cases, even similar cases have emerged caused by the mutated corona virus. The government is trying to socialize the behavior of a healthy lifestyle and the use of TOGA plants to increase body immunity. This service activity aims to increase the knowledge of PKK mothers in using TOGA as a traditional ingredient to increase body immunity. The service method consists of measuring the level of knowledge of PKK mothers by distributing questionnaires, providing education through bold counseling about Covid-19, offering toga plants and herbal herbs. The results of community service activities obtained the main data of respondents aged 36-45 years as many as 45 people (34.4%), most of them with undergraduate education as many as 36 people (27.5%), and working as employees as many as 62 people (47.3%). Before being given counseling the level of knowledge was in the less category 63 people (48.1%) and after being given counseling mostly in the good category as many as 75 people (57.3%), PKK mothers had been given TOGA plants that could be used for making traditional ingredients. This program is expected to be carried out in a sustainable manner to increase public knowledge in increasing immunity during a pandemic and preventing and reducing the transmission of Covid-19 disease in the community.
Back Massage and Noni Fruit (Morinda citrifolia) Reduced Blood Pressure in People with Hypertension Ni Kadek Yuni Lestari; I Ketut Suardana; Ni Wayan Trisnadianti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 5, No 3 (2017): NOVEMBER 2017
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.121 KB) | DOI: 10.21927/jnki.2017.5(3).117-223

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Hypertension is an increase in blood pressure caused by decreased elasticity of blood vessels and that often found in the elderly. Blood pressure is the resistance of blood vessels when the blood flows throughout the body. Treatment of hypertension can be treated with non-pharmacological therapy such as back massage and drink noni fruit (Morinda Citrifolia) processed. Back massage can decrease blood pressure caused by the presence of mechanoreceptor as vasodilators. Noni fruits have scopoletin as vasodilators and xeronin as deuretics. This study aims to determine the effect of back massage and consuming processed from noni fruit to blood pressure in hypertension at Clinical Region of Public Health Center II North Denpasar. This research using Quasi-experiment with nonequivalent control group design. Sample of 26 respondents was divided into the treatment (intervention) group and the control group. Results of the Paired T-test that systolic pressure p=0.001; Diastolic pressure p=0.003; And Mean Arterial Pressure p=0,001. Result of the Independent T-test that systolic pressure p=0,048; Diastolic pressure p=0.011; And Mean Arterial Pressure p=0.005 (≤α=0,05), the results showed that there was significant effect of back massage and noni fruit processed to decreased blood pressure in people with hypertension. Expected back massage and noni fruit preparations can be used as an alternative to decreasing blood pressure in people with hypertension. 
PENINGKATAN KUALITAS USAHA KESEHATAN SEKOLAH (UKS) MELALUI PENYEGARAN KADER UKS DI SMP SATYA SAI Ni Made Nopita Wati; Ni Kadek Yuni Lestari; Desak Made Ari Dwi Jayanti; Tri Rahyuning Lestari
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 2 No. 1 (2020): Juni : Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.807 KB) | DOI: 10.47859/wuj.v2i1.132

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Background: Improving the quality of life of Indonesian people can be done through educational efforts both at school and outside of school. The School Health Business (UKS) is a basic health business aimed at schools and is the duty of the public health center to achieve health and improve learning achievement of school children). One of the functions of the UKS is as a forum for providing early health education especially for school children. Method: Before the implementation of the activity, the number of students involved amounted to 40 people, while the selection of students based on grade 8 and grade 9 would be selected again after getting extension activities and transforming as a UKS cadre. Activity Methods Used (1) Lecture and Demonstration Methods to discuss General Knowledge about School Health Enterprises (UKS), the role and participation of students in UKS activities, Efforts to Encourage, (2) Learning Methods Used to Transfer Assistance or Skills from the Value System Owned resource person to students. As a guest speaker providing health examination exercises for special UKS cadre students consisting of general physical examination and vital signs (blood pressure, temperature, pulse and breathing). Results: The results of the data collection obtained for SMP did not have its own UKS room ,but it was still combined with the primary school room which was still in the same building. Schools do not have UKS cadres and have never done UKS program activities. The level of student knowledge related to UKS is also very low. Conclusion: the level of student knowledge after counseling was found as many as 36 (86%) people have good knowledge and 6 people (14%) have enough knowledge. This shows that the provision of counseling and training can increase student knowledge. Suggestions, for SatyaSai Junior High School and Denut 3 Public Health Center to make a policy about the importance of UKS and to continue the program to have UKS space and to form a UKS structure so that good student behavior is formed to increase PHBS in schools and to follow up 
The Correlation of Self Management Behavior with Quality of Life in Patients with Primary Hypertension Ni Kadek Yuni Lestari; Ni Luh Gede Intan Saraswati
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): 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.v4i1.839

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Hypertension is a cardiovascular disease that is a major concern because of the high morbidity and mortality rates. Uncontrolled hypertension will cause various complications will interfere quality of life the patient with hypertension. Quality of life in hypertensive patients is influenced by the severity and severity of complications experienced by the patient. Self management behavior as a disease management to support patients with chronic diseases, behavior modification is very useful to reduce or delay the adverse effects of hypertension. The purpose of this study was to determine the correlation between self-management behavior and quality of life in patients with primary hypertension at UPTD Puskesmas Manggis I Karangasem. This research is a descriptive quantitative correlational research with a cross sectional approach. The sample of this study was 79 respondents who were selected through simple random sampling technique, data analysis used Spearman Rank test. The results showed that 31 respondents (39.2%) had good self-management behavior and 34 respondents (43.1%) had good quality of life. The results of the Rank Spearman test, p value = 0.000 (≤0.05) showed a significant correlation between self-management behavior and quality of life in patients with primary hypertensive. The correlation coefficient value (r) 0.835 means a very strong correlation between self-management behavior and quality of life. Nurses are expected to be able to provide education about self-management behavior that they can improve the quality of life patients with hypertension.
OPTIMALISASI GAYA KEPEMIMPINAN CARING LEADERSHIP DI MASA PANDEMI COVID-19 Ni Made Nopita Wati; Desak Made Ari Dwi Jayanti; Ni Luh Putu Thrisna Dewi; I Nyoman Sudarma; Ni Kadek Yuni Lestari
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 4 (2021): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.028 KB) | DOI: 10.31764/jmm.v5i4.5106

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Abstrak: Masyarakat dunia kini tengah berjuang menghadapi pandemi Covid-19. Pada masa pandemi saat ini kepemimpinan merupakan salah satu hal penting yang sangat di butuhkan. Gaya kepemimpinan antara satu pemimpin dengan pemimpin lainya dapat berbeda. Caring leadership merupakan salah satu gaya kepemimpian yang memiliki banyak manfaat. Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan mengoptimalkan kompetensi pemimpin dalam mengaplikasikan gaya kepemimpinan caring leadership di masa pandemic Covid-19. Pengabdian masyarakat ini menggunakan metode webinar yang dilakukan menggunakan aplikasi zoom meeting. Mitra kegiatan ini adalah RSU Dharma Yadnya Denpasar. Tahap pelaksanaan kegiatan meliputi tahap persiapan, pelaksanaan kegiatan dan evaluasi. Hasil kegiatan pengabdian masyarakat menunjukkan bahwa pemimpin lebih percaya diri akan kompetensi kepemimpinan (caring leadership) yang dimilikinya. Hal ini mengindikasi bahwa pemimpin semakin optimal dalam mengaplikasikan gaya kepemimpinan caring leadership. Abstract:  The world community is now struggling with the Covid-19 pandemic. In the current pandemic, leadership is one of the most important things that is needed. The leadership style between one leader and another can be different. Caring leadership is one of the leadership styles that has many benefits. This activity aims to increase knowledge and optimize the competence of leaders in applying caring leadership style during the Covid-19 pandemic. This community service uses webinar methods conducted using the zoom meeting application. The partner of this activity is RSU Dharma Yadnya Denpasar. The implementation phase of the activity includes the preparation, implementation and evaluation phases. The results of community service activities show that leaders are more confident in their leadership competencies. This indicates that leaders are more optimal in applying caring leadership style.
KORELASI TINGKAT STRES DENGAN KUALITAS TIDUR LANSIA: CORRELATION BETWEEN STRESS LEVELS AND SLEEP QUALITY ON ELDERLY NI PUTU RAHAYU INDRA DEWI; Ni Kadek Yuni Lestari; Ni Luh Putu Thrisna Dewi
Bali Medika Jurnal Vol 7 No 1 (2020): Bali Medika Jurnal Vol7 No 1 Juli 2020
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v7i1.108

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Proses menua (aging) adalah proses alami yang dihadapi manusia dimana pada tahap ini terjadi penurunan atau perubahan kondisi fisik, psikologis maupun sosial. Perubahan tersebut dapat mengakibatkan lansia mengalami stres. Stres merupakan suatu keadaan yang diakibatkan oleh perubahan lingkungan dan dianggap menantang, mengancam atau merusak keseimbangan dinamis seseorang. Stres yang tidak ditangani dapat mempengaruhi tidur pada lansia sehingga menyebabkan kualitas tidur pada lansia menjadi buruk. Penelitian ini bertujuan untuk mengetahui hubungan tingkat stres dengan kualitas tidur lansia. Design penelitian ini adalah deskriptif korelasi, jumlah sampel 59 orang lansia yang diambil dengan teknik Purposive Sampling. Pengambilan data dilakukan dengan memberikan kuisioner DASS dan PSQI. Hasil penelitian menunjukkan lansia mengalami stres sedang sebanyak 24 orang (40,7%) dan lansia mengalami kualitas tidur buruk sebanyak 19 orang (42,2%). Hasil uji Rank Spearman didapatkan nilai p value = 0,000 (p<a =0,05) yang menunjukkan adanya hubungan yang bermakna (signifikan) antara tingkat stres dengan kualitas tidur lansia di Panti Sosial Tresna Werdha Jara Mara Pati Singaraja. Nilai coefisien correlation sebesar 0,604 dengan arah hubungan positif yaitu semakin tinggi tingkat stres maka kualitas tidurnya semakin buruk. Di sarankan kepada perawat/petugas Panti Sosial Tresna Werdha Jara Mara Pati Singaraja agar mengadakan program khusus yang dapat menngontrol manajamen stres pada lansia, misanya senam otak dan terapi reminiscence.
PENINGKATAN KESEHATAN JIWA MELALUI PERAN KADER KESEHATAN JIWA Desak Made Ari Dwi Jayanti; Ni Made Nopita Wati; Tri Rahyuning Lestari; Kadek Yuni Lestari; I Gede Juanamasta
Jurnal Difusi Vol 2 No 1 (2019): Jurnal Difusi
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (P3M) Politeknik Negeri Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.747 KB) | DOI: 10.35313/difusi.v2i1.1817

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Kegiatan pengabdian bertujuan untuk meningkatkan derajat kesehatan mental dengan meningkatkan peran kader mental untuk memahami Orang dengan Gangguan Mental (ODGJ) dan Orang dengan Masalah Mental (ODMK). Metode yang digunakan (1) ceramah tentang kesehatan mental dan masalah psikososial dan (2) permainan peran tentang cara mempelajari orang-orang dengan penyakit mental dan orang-orang dengan masalah kejiwaan diikuti sesi diskusi tanya jawab. Metode belajar digunakan untuk mentransfer pengetahuan atau keterampilan dan sistem nilai dari pembicara ke kader jiwa. Masalah didominasi kurangnya pengetahuan terkait ODGJ dan ODMK. Bantuan pemecahan masalah yang diberikan adalah memberi pengetahuan, kemampuan, kepada kader jiwa tentang isu-isu ODMK dan ODGJ dan bagaimana melakukan penilaian atau pemindaian Kata kunci: KaderJiwa, ODGJ, ODMK, Scanning.